Abuscreen ONLINE BENZ 200 Calibrators are designed for the calibration of the Roche assays for Benzodiazepines. This clinical toxicology calibrator is a device intended for medical purposes for use in a test system to establish points of reference that are used in the determination of values in the measurement of substances in human specimens.

Device Description

AI/ML Overview

The provided text states that "No clinical or nonclinical tests were necessary to establish substantial equivalence." Therefore, there is no information in the document to fill in the requested table and answer the study-related questions.

Without a study being conducted or detailed in the provided text, it is not possible to describe acceptance criteria, device performance, sample sizes, expert involvement, adjudication methods, MRMC studies, standalone performance, or ground truth details.

The document is a 510(k) summary for Abuscreen ONLINE® BENZ 200 Calibrators, stating its substantial equivalence to a predicate device based on similar technological characteristics rather than new performance data.

Summary

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DEC 1 4 1998

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510(k) Summary

Abuscreen ONLINE® BENZ 200 Calibrators

In accordance with the Safe Medical Devices Act of 1990, a 510(k) summary is provided as outlined in 21 CFR 807.92.

The assigned 510(k) number is:_\983555

I. Identification of 510(k) Sponsor:

Roche Diagnostic Systems, Inc. a subsidiary of Hoffmann-La Roche, Inc. Branchburg Township 1080 U.S. Highway 202 Somerville, New Jersey 08876-3771

510(k) Submission dated October 9, 1998

Contact: Maria Feijoo Manager, Regulatory Affairs Phone: (908) 253-7310 Fax: (908) 253-7547

II. Device Name:

The device name, including both the trade/proprietary name and the classification name are provided in the table below.

Table 1
Product Name	ClassificationName	ProductCode	CFRNumber andRegulatory Class
Abuscreen ONLINE BENZ 200Calibrators	Calibrators, Drug Specific	DLJ	862.3200Class II

Tahlo 1

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III. Identification of the legally marketed device to which the 510(k) sponsor claims equivalence:

Table 2

The following table identifies the legally marketed devices to which Roche Diagnostic Systems, Inc. claims equivalence.

Product Name	Predicate ProductName	510(k) Number and DatePredicate Cleared
Abuscreen ONLINE BENZ 200Calibrators	Abuscreen ONLINE CalibrationPack	K951595 9/8/95

IV. Description of the Device/Statement of Intended Use:

V. Summary of the technological characteristics of the new device in comparison to those of the predicate.

Tables 3 outlines the characteristics of the Abuscreen ONLINE BENZ 200 Calibrators in comparison to those of legally marketed predicate products.

VI. Brief discussion of the clinical and nonclinical tests relied on for a determination of substantial equivalence:

No clinical or nonclinical tests were necessary to establish substantial equivalence.

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Comparison Summary

	Proposed:Abuscreen ONLINE BENZ200 Calibrators	Previously Cleared:(K951595)Abuscreen ONLINE CalibrationPack
Matrix	urine	urine
Intended use	for the calibration of Rocheassays for benzodiazepines	for the calibration of Rocheassays for amphetamines,barbiturates, benzodiazepines,cocaine metabolite,methadone, opiates and pcp
Levels ofBenzodiazepines(ng/mL)	0	0
	100	50
	200	100
	400	200

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Image /page/3/Picture/2 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, stacked on top of each other.

DEC 15 1998

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Mr. Maria Feijoo Manager, Regulatory Affairs Roche Diagnostic Systems, Inc. Branchburg Township 1080 U.S. Highway 202 Somerville, New Jersey 08876-3771

K983555 Re:

: :

Abuscreen ONLINE® BENZ 200 Calibrators Trade Name: Requlatory Class: ı i Product Code: DLJ Dated: October 9, 1998 Received: October 13, 1998

Dear Ms. Feijoo:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we 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). 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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Page 2

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling requlation (21 CFR Part 801 and additionally 809.10 for in vitro diaqnostic devices), please contact the Office of Compliance at (301) 594-4588. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597, or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Steven Sutman

Steven I. Gutman, M.D., M.B.A. Director Division of Clinical Laboratory Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Page 1 of 1

510(k) Number (if known)

Device Name: Abuscreen ONLINE® BENZ 200 Calibrators

Indications for Use:

(PLEASE DO NOT WRITE BELOW THIS LINE -CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)
OR

Over-The-Counter Use (Optional Format 1-2-96)

(Division Sign-Off)

Divisio linical Laboratory Devices

510(k) Number. K983555

Regulation Number and Section

§ 862.3200 Clinical toxicology calibrator.

(a)
Identification. A clinical toxicology calibrator is a device intended for medical purposes for use in a test system to establish points of reference that are used in the determination of values in the measurement of substances in human specimens. A clinical toxicology calibrator can be a mixture of drugs or a specific material for a particular drug (e.g., ethanol, lidocaine, etc.). (See also § 862.2 in this part.)(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9.