K Number
K990580
Device Name
CRYOCHECK LA SURE, MODEL SUR25-10
Manufacturer
Date Cleared
1999-07-28

(155 days)

Product Code
Regulation Number
864.8950
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
CryovCheck™ LA Sure™ dilute Russell's Viper Venom Test (dRVVT) is a high concentration phospholipid reagent intended for use in a confirmatory test to verify the presence of lupus anticoagulants (LA) in human plasma. Once LA is suspected by a prolonged result with the Cryov Check™ LA Check™ screening (low concentration phospholipid) reagent, LA Sure may then be used concomitantly to establish a ratio (LA Check/LA Sure) useful in discriminating between LA positive and LA negative specimens.
Device Description
Cryo Check™ LA Sure™ dilute Russell's Viper Venom Test (dRVVT) is a high concentration phospholipid reagent.
More Information

None

Not Found

No
The summary describes a reagent for a laboratory test and does not mention any computational or algorithmic components, let alone AI/ML.

No.
The device is a reagent used in a confirmatory test to verify the presence of lupus anticoagulants; it is for diagnostic purposes, not for treating a disease or condition.

Yes

The device is intended for use in a confirmatory test to verify the presence of lupus anticoagulants (LA) in human plasma, which is a diagnostic purpose.

No

The device description clearly states it is a "high concentration phospholipid reagent," which is a chemical substance, not software.

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

Here's why:

  • Intended Use: The intended use clearly states that the reagent is for "use in a confirmatory test to verify the presence of lupus anticoagulants (LA) in human plasma." This involves testing a biological sample (human plasma) in vitro (outside the body) to obtain diagnostic information.
  • Device Description: The description confirms it is a "reagent," which is a common component of IVD tests.
  • Lack of other modalities: The absence of mentions of image processing, AI, anatomical sites, etc., further supports that this is a laboratory-based diagnostic test performed on a sample.

Therefore, the CryovCheck™ LA Sure™ dilute Russell's Viper Venom Test (dRVVT) fits the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

CryovCheck™ LA Sure™ dilute Russell's Viper Venom Test (dRVVT) is a high concentration phospholipid reagent intended for use in a confirmatory test to verify the presence of lupus anticoagulants (LA) in human plasma. Once LA is suspected by a prolonged result with the Cryov Check™ LA Check™ screening (low concentration phospholipid) reagent, LA Sure may then be used concomitantly to establish a ratio (LA Check/LA Sure) useful in discriminating between LA positive and LA negative specimens.

Product codes

GIR

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)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 864.8950 Russell viper venom reagent.

(a)
Identification. Russell viper venom reagent is a device used to determine the cause of an increase in the prothrombin time.(b)
Classification. Class I (general controls).

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Food and Drug Administration 2098 Gaither Road Rockville MD 20850

JUL 28 1999

Mr. Sandy Morrison Manager, Technical Operations Precision Biologicals Incorporated 900 Windmill Road Unit # 100 Dartmouth, Nova Scotia CANADA B3B 1P7

Re: K990580

Trade Name: Cryo Check™ LA Sure™ Regulatory Class: II Product Code: GIR Dated: May 25, 1999 Received: May 26, 1999

Dear Mr. Morrison:

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 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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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

510(k) Number: _ 19905 80

Device Name: Cryo Check™ LA Sure™

Indications for Use

CryovCheck™ LA Sure™ dilute Russell's Viper Venom Test (dRVVT) is a high concentration phospholipid reagent intended for use in a confirmatory test to verify the presence of lupus anticoagulants (LA) in human plasma. Once LA is suspected by a prolonged result with the Cryov Check™ LA Check™ screening (low concentration phospholipid) reagent, LA Sure may then be used concomitantly to establish a ratio (LA Check/LA Sure) useful in discriminating between LA positive and LA negative specimens.

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

Concurrence of CDRH, Office of Deyice Evaluation (ODE

Peter E. Makin

(Division Sign-Off)
Division of Clinical Laboratory Devices
510(k) Number K991580

Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter Use __

(Optional Format 1-2-96)