K Number
K161526
Device Name
LIAISON CMV IgM Serum Control Set
Manufacturer
Date Cleared
2016-06-30

(28 days)

Product Code
Regulation Number
862.1660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The LIAISON® CMV IgM Serum Control Set (negative and positive) is intended for use as assayed quality control samples to monitor the performance of the LIAISON® CMV IgM assay on the LIAISON® Analyzer family.
Device Description
The LIAISON® CMV IgM Serum Control Set (negative and positive) consists of liquid ready-to-use controls in human serum. The negative control is intended to provide an assay response characteristic of negative patient specimens and the positive control is intended to provide an assay response characteristic of positive patient specimens. The controls are designed for use with DiaSorin LIAISON® CMV IgM assay on the LIAISON® analyzer family.
More Information

Not Found

No
The document describes a quality control set for an immunoassay, focusing on analytical performance and stability. There is no mention of AI or ML in the intended use, device description, or performance studies.

No
The device is a quality control set used to monitor the performance of an assay, not for treating patients.

No

This device is a control set (quality control samples) used to monitor the performance of a diagnostic assay, rather than directly diagnosing a condition in a patient.

No

The device description clearly states the device consists of "liquid ready-to-use controls in human serum," indicating it is a physical reagent, not software.

Yes, this device is an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use explicitly states it's for "use as assayed quality control samples to monitor the performance of the LIAISON® CMV IgM assay". This assay is used to detect CMV IgM in serum, which is a biological sample taken from the human body.
  • Device Description: The device consists of "liquid ready-to-use controls in human serum". This confirms it's a reagent or material used in a laboratory setting to test human samples.
  • Purpose: The controls are designed to provide responses characteristic of negative and positive patient specimens, directly relating to the diagnostic testing of human samples.
  • Predicate Device: The presence of a predicate device (K040290; LIAISON® Control CMV IgM) further indicates that this type of product is regulated as an IVD.

Therefore, based on the provided information, the LIAISON® CMV IgM Serum Control Set fits the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The LIAISON® CMV IgM Serum Control Set (negative and positive) is intended for use as assayed quality control samples to monitor the performance of the LIAISON® CMV IgM assay on the LIAISON® Analyzer family.

Product codes

JJX

Device Description

The LIAISON® CMV IgM Serum Control Set (negative and positive) consists of liquid ready-to-use controls in human serum. The negative control is intended to provide an assay response characteristic of negative patient specimens and the positive control is intended to provide an assay response characteristic of positive patient specimens.

The controls are designed for use with DiaSorin LIAISON® CMV IgM assay on the LIAISON® analyzer family.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

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Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Non-clinical verification and validation testing conducted with the LIAISON® CMV IgM Serum Control Set demonstrate that the modified device meets predetermined acceptance criteria, supporting equivalency of the modified device to the cleared device. Evidence is demonstrated through the following studies:

  • Commutability between Samples and Controls (Matrix Effect)
  • Precision Equivalence between Samples and Controls
  • Control Value Assignment
  • Control Range Definition
    Real Time Stability testing conducted on the LIAISON® CMV IgM Serum Control Set to support the following product claims:
  • Shelf-life of 12 months at (2-8°C)
  • Sixteen(16) weeks On-Board/Open Use Stability

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K040290

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.1660 Quality control material (assayed and unassayed).

(a)
Identification. A quality control material (assayed and unassayed) for clinical chemistry is a device intended for medical purposes for use in a test system to estimate test precision and to detect systematic analytical deviations that may arise from reagent or analytical instrument variation. A quality control material (assayed and unassayed) may be used for proficiency testing in interlaboratory surveys. This generic type of device includes controls (assayed and unassayed) for blood gases, electrolytes, enzymes, multianalytes (all kinds), single (specified) analytes, or urinalysis controls.(b)
Classification. Class I (general controls). Except when intended for use in donor screening tests, quality control materials (assayed and unassayed) are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9.

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, with flowing lines representing hair or clothing.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

June 30, 2016

DiaSorin Inc. Sandra Zimniewicz Regulatory Affairs Specialist 1951 Northwestern Avenue Stillwater, MN 55082

Re: K161526

Trade/Device Name: LIAISON® CMV IgM Serum Control Set Regulation Number: 21 CFR 862.1660 Regulation Name: Quality control material (assayed and unassayed). Regulatory Class: I Product Code: JJX Dated: May 31, 2016 Received: June 02, 2016

Dear Ms. Zimniewicz:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Parts 801 and 809); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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If you desire specific advice for your device on our labeling regulations (21 CFR Parts 801 and 809), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638 2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Stephen J. Lovell -S for

Uwe Scherf, M.Sc., Ph.D. Director Division of Microbiology Devices Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

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Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

510(k) Number (if known)

Device Name

LIAISON® CMV IgM Serum Control Set

Indications for Use (Describe)

The LIAISON® CMV IgM Serum Control Set (negative and positive) is intended for use as assayed quality control samples to monitor the performance of the LIAISON® CMV IgM assay on the LIAISON® Analyzer family.

Type of Use (Select one or both, as applicable)
-------------------------------------------------

X Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

*DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW."

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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7.0 -510(k) SUMMARY

| SUBMITTED BY: | Sandra Zimniewicz
Regulatory Affairs Specialist
DiaSorin Inc.
1951 Northwestern Avenue
P.O. Box 285
Stillwater, MN 55082-0285
Email: sandra.zimniewicz@diasorin.com |
|---------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| DATE PREPARED: | May 31, 2016 |
| NAME OF DEVICE: | |
| Trade Name: | LIAISON® CMV IgM Serum Control Set |
| Common Names/Description: | CMV IgM Controls |
| Classification: | Quality Control Material: 21 CFR 862.1660
Class I, reserved; Microbiology (83) |
| Product Code: | JJX |
| PREDICATE DEVICE: | LIAISON® Control CMV IgM (K040290) |

DEVICE DESCRIPTION:

The LIAISON® CMV IgM Serum Control Set (negative and positive) consists of liquid ready-to-use controls in human serum. The negative control is intended to provide an assay response characteristic of negative patient specimens and the positive control is intended to provide an assay response characteristic of positive patient specimens.

The controls are designed for use with DiaSorin LIAISON® CMV IgM assay on the LIAISON® analyzer family.

INTENDED USE:

The LIAISON® CMV IgM Serum Control Set (negative and positive) is intended for use as assayed quality control samples to monitor the performance of the LIAISON® CMV IgM assay on the LIAISON® Analyzer family.

COMPARISON TO THE PREDICATE (Description of the Modifications to the Legally Marketed Device):

Changes to the DiaSorin LIAISON® CMV IgM Serum Control Set include a 100% serum/defibrinated plasma based matrix and the extension of the open use stability claim.

The following table provides a summary of the similarities and differences between the FDA cleared LIAISON® Control CMV IgM and the modified device.

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Summary of Similarities and Differences LIAISON CMV IgM Controls
CharacteristicPredicate Device
LIAISON® Control CMV IgM
K040290, cleared 06/01/2005Modified Device
LIAISON® CMV IgM Serum Control
Set
Intended UseThe LIAISON® CMV IgM controls
(negative and positive) are used for
monitoring substantial reagent failure of
the LIAISON® CMV IgM
chemiluminescent immunoassay (CLIA).
The LIAISON® CMV IgM quality control
material contains only a 5% serum matrix
and may not adequately control the
DiaSorin LIAISON® CMV IgM assay for
serum specimens.The LIAISON® CMV IgM Serum
Controls (negative and positive) is
intended for use as assayed quality
control samples to monitor the
performance of the LIAISON® CMV
IgM assay on the LIAISON® Analyzer
family.
Negative Control5% Human Serum/plasma not reactive for
CMV IgM antibodies, diluted in PBS
buffer, BSA, with ProClin® 300 as a
preservative.Human Serum/plasma non-reactive for
CMV IgM antibodies, 0.1% ProClin®
300 and 0.09% sodium azide.
Positive Control5% Human Serum/plasma reactive for
CMV IgM antibodies, diluted in PBS
buffer, BSA, with ProClin® 300 as a
preservative and an inert yellow dye.Human Serum/plasma reactive for
CMV IgM antibodies, 0.1% ProClin®
300 and 0.09% sodium azide.
Reagent
Configuration2 vials each level (negative and positive)
0.7 mL/vial, ready to use.Same
StorageStore at 2-8ºCSame
Open Use StabilityOnce opened controls are stable for four
(4) weeks when properly stored at 2-8ºC
between uses.Once opened controls are stable for
sixteen (16) weeks when properly
stored at 2-8ºC between uses.

SUMMARY OF PERFORMANCE DATA:

Non-clinical verification and validation testing conducted with the LIAISON® CMV IgM Serum Control Set demonstrate that the modified device meets predetermined acceptance criteria, supporting equivalency of the modified device to the cleared device. Evidence is demonstrated through the following studies:

  • Commutability between Samples and Controls (Matrix Effect) ●
  • Precision Equivalence between Samples and Controls ●
  • Control Value Assignment ●
  • . Control Range Definition

Real Time Stability testing conducted on the LIAISON® CMV IgM Serum Control Set to support the following product claims:

  • Shelf-life of 12 months at (2-8°C) ●
  • . Sixteen(16) weeks On-Board/Open Use Stability

Based on the findings from the validation and verification activities, the modifications to the LIAISON® CMV IgM Serum Control Set do not introduce any new risks to the performance of the device and do not alter safety and effectiveness.

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CONCLUSION:

Modifications to the device do not constitute new intended/indications for use, or changes to the fundamental scientific technology. Performance testing of the device demonstrates that the device functions as intended, meeting the requirements of design specifications. The device is as safe and effective as the predicate and does not raise new questions of safety and efficacy.

The material submitted in this Special 510(k) is complete and supports a substantial equivalence decision. The labeling satisfies the requirements of 21 CFR 809.10.