K Number
K990516
Device Name
ETHYL ALCOHOL CLINICAL STANDARD SOLUTIONS
Manufacturer
Date Cleared
1999-03-31

(41 days)

Product Code
Regulation Number
862.3200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Ethyl Alcohol Clinical Standard Solutions are intended for use in the calibration and standardization of instruments and methods for the determination of Ethyl alcohol in whole blood or serum. The Standard Solutions may also be used for validation of the standardization of instruments and/or control materials.
Device Description
Not Found
More Information

Not Found

Not Found

No
The summary describes standard solutions for calibrating instruments that measure ethyl alcohol, with no mention of AI or ML.

No
The device is described as an Ethyl Alcohol Clinical Standard Solution intended for calibration and standardization of instruments for determining ethyl alcohol in blood/serum, not for treating a condition or disease.

No

The device is described as "Ethyl Alcohol Clinical Standard Solutions" intended for calibration, standardization, and validation of instruments and methods for determining ethyl alcohol in blood/serum. It is a reference material for instruments, not a device that directly diagnoses a medical condition from a patient's sample.

No

The device is described as "Ethyl Alcohol Clinical Standard Solutions," which are physical solutions used for calibration and standardization. This indicates a chemical or physical product, not a software-only device.

Based on the provided information, this device is an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use explicitly states that the solutions are for "calibration and standardization of instruments and methods for the determination of Ethyl alcohol in whole blood or serum." This directly aligns with the definition of an IVD, which are reagents, instruments, and systems intended for use in the diagnosis of disease or other conditions, including a determination of the state of health, in order to cure, mitigate, treat, or prevent disease or its sequelae.
  • Anatomical Site: The use of "whole blood or serum" indicates that the device is used to test samples taken from the human body, which is a key characteristic of IVDs.

While other sections like "Device Description," "Performance Studies," and "Key Metrics" are "Not Found," the core intended use and anatomical site information strongly indicate that this product falls under the category of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Ethyl Alcohol Clinical Standard Solutions are intended for use in the calibration and standardization of instruments and methods for the determination of Ethyl alcohol in whole blood or serum. The Standard Solutions may also be used for validation of the calibration status and the linearity of whole blood or serum Ethyl Alcohol assays. The Ethyl Alcohol Clinical Standard Solutions may also be used as assayed quality control materials.

Product codes

DNN

Device Description

Not Found

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.

Not Found

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

§ 862.3200 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.

0

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Image /page/0/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 an abstract symbol that resembles a stylized human figure or a bird in flight, composed of three curved lines.

MAR 3 1 1999

Anna G. Bentley, Ph.D. Director, RA/QA EM Science 480 S. Democrat Road Gibbstown, New Jersey 08027

Re: K990516 Trade Name: Ethyl Alcohol Calibrator Regulatory Class: II Product Code: DNN Dated: February 16, 1999 Received: February 18, 1999

Dear Dr. Bentley:

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 (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic OS 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.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

1

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 (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

2

Page1 of 1
--------------

K990516 510 (k) NUMBER (IF KNOWN):

Ethyl Alcohol Clinical Standard Solutions DEVICE NAME:

INDICATIONS FOR USE:

The Ethyl Alcohol Clinical Standard Solutions are intended for use in the calibration and The Ethyl Alcohol Clinical Standad Solutions or the determination of Ethyl alcohol in
standardization of instruments and methods for validation of the standardization of instruments and themous the used for validation of the
whole blood or serum. The Standard Solutions may also be used for validation of the
status and the S whole blood of Scrain: The Standards and/or control materials.

Ethyl Alcohol Calibrators 510(k)

2/16/99 EM Science, Gibbstown NJ

(Division Sign-Off)
Division of Clinical Laboratory Devices
510(k) Number K950516

(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)

દ્વાર

ﺯ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

റ്റ് ੋਂ ਜ