K Number
K984477
Device Name
LYPHOCHEK WHOLE BLOOD METALS CONTROL LEVELS 1,2,3, MODELS 527, 528, 529
Manufacturer
Date Cleared
1999-01-29

(44 days)

Product Code
Regulation Number
862.1660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Lyphochek Whole Blood Metals Control is intended for use as an assayed quality control to monitor the precision of laboratory testing procedures for the analytes listed in the package insert.
Device Description
Lyphochek Whole Blood Metals Control is prepared from human whole blood with pure chemicals and stabilizers added. The control is provided in lyophilized form for increased stability.
More Information

Not Found

No
The summary describes a quality control material for laboratory testing, with no mention of AI or ML technology.

No
The device is described as an assayed quality control for monitoring the precision of laboratory testing procedures, not for treating any medical condition.

No
This device is identified as a quality control for monitoring the precision of laboratory testing procedures, not for diagnosing conditions in patients. Its intended use is to ensure the accuracy of diagnostic tests, not to perform diagnosis itself.

No

The device description clearly states it is prepared from human whole blood and provided in lyophilized form, indicating it is a physical substance, not software.

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

Here's why:

  • Intended Use: The intended use explicitly states it's for "monitoring the precision of laboratory testing procedures for the analytes listed in the package insert." This is a classic function of an IVD, which is used to test samples taken from the human body (in this case, whole blood) in a laboratory setting to provide information about a person's health.
  • Device Description: The description mentions it's prepared from "human whole blood" and is used as a "quality control." Quality controls are essential components of IVD testing to ensure the accuracy and reliability of the results.
  • Intended User / Care Setting: The intended user is "laboratory testing procedures," which aligns with the use of IVDs in a laboratory setting.

The fact that it's a quality control material for testing analytes in whole blood, used in a laboratory setting, firmly places it within the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Lyphochek Whole Blood Metals Control is intended for use as an assayed quality control to monitor the precision of laboratory testing procedures for the analytes listed in the package insert.

Product codes

75JJY

Device Description

Lyphochek Whole Blood Metals Control is prepared from human whole blood with pure chemicals and stabilizers added. The control is provided in lyophilized form for increased stability.

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

K980871

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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JAN 29 1999

Image /page/0/Picture/1 description: The image contains a sequence of handwritten digits and a letter. The sequence starts with the letter 'K', followed by the numbers '9', '8', '4', '4', '7', and '7'. The numbers are written in a simple, slightly irregular style, typical of handwriting.

Image /page/0/Picture/2 description: The image shows the logo for BIO-RAD. The logo is in white text on a black background. The text is bold and sans-serif. The plus sign in the middle of the word is slightly larger than the other letters.

Laboratories

0 Jeronimo Road ine, California 92618-2 lephone: (949) 598-120

510(k) Summary

Submitter Bio-Rad Laboratories, ECS Division 9500 Jeronimo Road Irvine, CA 92618 (949)598-1285 Fax (949)598-1555

Contact Person Elizabeth Platt

Date of Summary Preparation December 16, 1998

Device (Trade & Common Name) Lyphochek Whole Blood Metals Control

Classification Name Class I, CFR 862.1660: Multi-Analyte Control (Assayed and Unassayed) 75JJY

Devices to Which Substantial Equivalence is Claimed Lyphochek Whole Blood Control Bio-Rad Laboratories, Irvine, California K980871

Statement of Intended Use

Lyphochek Whole Blood Metals Control is intended for use as an assayed quality control to monitor the precision of laboratory testing procedures for the analytes listed in the package insert.

1

Image /page/1/Picture/0 description: The image shows the logo for Bio-Rad Laboratories, a company that manufactures and distributes products for the life science research and clinical diagnostics markets. The logo is in black and white and features the company name in a bold, sans-serif font. The logo is encased in a rounded rectangle.

Bio-Rad Laboratories

Diagnostics Group 9500 Jeronimo Road Irvine, California 92618-2017 Telephone: (949) 598-1200

Description of the Device

Lyphochek Whole Blood Metals Control is prepared from human whole blood with pure chemicals and stabilizers added. The control is provided in lyophilized form for increased stability.

Statement of How Technological Characteristics Compare to Substantial Equivalence Device

A table is provided below comparing the similarities between the Bio-Rad Lyphochek Whole Blood Metals Control and the device to which substantial equivalence is claimed.

| | Lyphochek Whole Blood Metals
Control | Lyphochek Whole Blood Control |
|-----------------------|-------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended
Use | An assayed quality control to
monitor the precision of
laboratory testing procedures for
the analytes listed in the
package insert. | An assayed quality control material
to monitor the precision of
laboratory testing procedures for
the analytes listed in the package
insert. |
| Form | Lyophilized | Lyophilized |
| Open
Vial
Claim | 14 days when stored tightly
capped at 2-8°C with the
following exception: red cell
folate will be stable for 3 days. | 14 days when stored tightly
capped at 2-8°C with the following
exception: red cell folate will be
stable for 3 days. |
| Matrix | Human Whole Blood | Human Whole Blood |
| Storage | 2-8°C | 2-8°C |
| Analytes | Lead, Red Cell Folate | Cyclosporine, FK-506, Lead, Red
Cell Folate |

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Image /page/2/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized design of three human profiles facing to the right, with flowing lines beneath them. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular pattern around the top of the design.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

JAN 29 1999

Elizabeth Platt Regulatory Affairs Supervisor Bio-Rad Laboratories ECS 9500 Jeronimo Road Irvine, CA 92618-2017

Re: K984477

Trade Name: Lyphochek Whole Blood Metals Control Regulatory Class: I Product Code: 75 JJY Dated: December 16, 1998 Received: December 16, 1998

Dear Ms. Platt:

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 Regulations, 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 (OS) 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

Under the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88), this device may require a CLIA complexity categorization. To determine if it does, you should contact the Centers for Disease Control and Prevention (CDC) at (770)488-7655.

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 regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic 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 at (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html"

Sincerely yours,

Steven Autman

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

K98-4477

Device Name: Lyphochek Whole Blood Metals Control

Indications for Use:

510(k) Number:

Lyphochek Whole Blood Metals Control is intended for use as an assayed quality Eyphoonen vnitor the precision of laboratory testing procedures for the analytes listed in the package insert.

Jean Cooper

(Division Sign-Off)
Division of Clinical Laboratory vices
510(k) Number K984477

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

(Concurrence of CDRH, Office of Device Evaluation)

Prescription Use

Over-The Counter Use __ OR

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