K Number
K962573
Device Name
ELECSYS PRECICONTROL TSH
Date Cleared
1996-07-22

(21 days)

Product Code
Regulation Number
862.1660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Control for Thyroid Stimulating Hormone assays.
Device Description
Horse serum albumin control with recombinant Thyroid Stimulating Hormone for use in TSH assays.
More Information

Not Found

No
The summary describes a control material for a TSH assay, which is a chemical reagent, not a software or hardware device that would typically incorporate AI/ML. The "Mentions AI, DNN, or ML" field is explicitly "Not Found".

No.
This device is described as a "Control for Thyroid Stimulating Hormone assays" and a "Horse serum albumin control with recombinant Thyroid Stimulating Hormone for use in TSH assays," indicating it is used for calibration or quality control of diagnostic tests, not for treating a condition.

No
This device is described as a "Control for Thyroid Stimulating Hormone assays," meaning it is used to verify the accuracy of diagnostic assays, not to perform a diagnosis itself.

No

The device description clearly states it is a "Horse serum albumin control with recombinant Thyroid Stimulating Hormone," indicating a physical, biological product, not software.

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

Here's why:

  • Intended Use: The intended use is explicitly stated as a "Control for Thyroid Stimulating Hormone assays." This indicates the device is used in vitro (outside the body) to evaluate the performance of diagnostic tests.
  • Device Description: The description confirms it's a "Horse serum albumin control with recombinant Thyroid Stimulating Hormone for use in TSH assays." This further clarifies its role as a reagent used in laboratory testing.
  • Predicate Device: The mention of a predicate device (K961491; Elecsys® TSH CalSet) which is also a control for TSH assays, strongly suggests that this device falls under the same regulatory category, which for such controls is IVD.

IVD devices are used to examine specimens from the human body, such as blood, urine, or tissue, to provide information for the diagnosis, monitoring, or treatment of diseases or conditions. A control used in such assays fits this definition.

N/A

Intended Use / Indications for Use

Control for Thyroid Stimulating Hormone assays.

Product codes

Not Found

Device Description

Horse serum albumin control with recombinant Thyroid Stimulating Hormone for use in TSH assays.

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

Not Found

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

Not Found

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K961491

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

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.

0

K962573

JUL 22 1996

Image /page/0/Picture/2 description: The image shows the logo for Boehringer Diagnostics. The logo consists of the word "boehringer" inside of a circle, which is inside of a black square. To the right of the square is the word "Diagnostics" in a serif font.

510(k) Summary

According to the requirements of 21 CFR 807.92, the following information Introduction provides sufficient detail to understand the basis for a determination of substantial equivalence. Boehringer Mannheim Corporation 1. Submitter 2400 Bisso Lane n a me, Concord, CA 94524-4117 address, (510) 674-0667 contact Contact Person: Patricia Klimley Date Prepared: June 26, 1996 2. Proprietary name: Elecsys® PreciControl TSH Assay Device name Common name: Control material Classification name: Enzyme controls (Assayed and Unassayed) 3. The Boehringer Mannheim Elecsys® PreciControl TSH is substantially Predicate equivalent to the Elecsys® TSH CalSet (K961491). The intended use has device been changed to a quality control material.

Continued on next page

1

Image /page/1/Picture/0 description: The image shows the logo for Boehringer Diagnostics. The logo consists of the words "mannheim" and "boehringer" stacked on top of each other inside of a black square with a white circle. To the right of the logo is the word "Diagnostics" in a serif font.

510(k) Summary, Continued

ﺍﻟﻤﺴﺎﻋﺪ ﺍﻟﻤﺴﺘﻘﻠﺔ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘ

| 4.
Device
Description | Horse serum albumin control with recombinant Thyroid Stimulating Hormone
for use in TSH assays. | |
|--------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|
| 5.
Intended use | Control for Thyroid Stimulating Hormone assays. | |
| 6.
Comparison
to predicate
device | The Boehringer Mannheim Elecsys® PreciControl TSH is substantially
equivalent to other products in commercial distribution intended for similar
use. Most notably it is substantially equivalent to the Elecsys® TSH CalSet
(K961491). | |
| | The following table compares the Elecsys® PreciControl TSH with the
predicate device, Elecsys® TSH CalSet. | |
| | Similarities:
• Same formulation. | |
| | •Same matrix: Horse serum matrix | |
| | •Same analyte: recombinant Thyroid Stimulating Hormone | |
| | •Standardization: World Health Organization (WHO-reference material #
80/558) | |
| | •Storage conditions: 2 - 8°C | |
| | •Application test system: Elecsys® 2010 | |
| | •Reconstitution: none required, liquid | |
| | •Open vial stability: 4 weeks at 2 - 8°C | |
| | •Manufacturer: Boehringer Mannheim Germany | |

2

Image /page/2/Picture/0 description: The image contains the logo for Boehringer Diagnostics. The logo consists of the word "mannheim" written vertically on the left side of a black square. Inside the square is a white circle with the word "boehringer" written inside. To the right of the logo is the word "Diagnostics" in a serif font.

510(k) Summary, Continued

Comparison
to predicate
device cont.

Differences:

FeatureElecsys® TSH CalSetElecsys ® PreciControl TSH
Target
concentration0 and 1.4 μU/mL0.18 μU/mL
Intended UseCalibration of the Elecsys
TSH AssayMonitoring assays for TSH

Performance Characteristics:

FeatureElecsys® TSH CalSetElecsys ® PreciControl TSH
Open Vial
Stability4 weeks at 2 - 8°C4 weeks at 2 - 8°C
Value
Assignmentstandardized against WHO-
reference material (#80/558)standardized against WHO-
reference material (#80/558)