K Number
K993131
Device Name
NYCOCARD HBA1C GLYCOSYLATED HEMOGLOBIN ASSAY
Manufacturer
Date Cleared
2000-05-22

(245 days)

Product Code
Regulation Number
864.7470
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Measurement of Glycohemoglobin in blood. In vitro diagnostic use only. NycoCard HbA1c is a laboratory test intended for the quantitative determination of percent glycated hemoglobin in whole blood using the system to monitor long term blood glucose control in individuals with diabetes mellitus.
Device Description
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More Information

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No
The summary describes a laboratory test for measuring glycated hemoglobin, which is a standard biochemical assay and does not mention any AI/ML components or image processing.

No
The device is an in vitro diagnostic test for measuring glycated hemoglobin, used for monitoring blood glucose control in diabetic individuals. It's used for diagnosis/monitoring, not for treatment or therapy.

Yes
The device is described as an "In vitro diagnostic use only" laboratory test for the quantitative determination of percent glycated hemoglobin in whole blood to monitor long-term blood glucose control in individuals with diabetes mellitus. This directly indicates its use for diagnosis and monitoring of a medical condition.

No

The description clearly states "NycoCard HbA1c is a laboratory test intended for the quantitative determination of percent glycated hemoglobin in whole blood using the system". This indicates a physical laboratory test system is involved, not just software.

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

Here's why:

  • Intended Use: The "Intended Use / Indications for Use" section explicitly states "In vitro diagnostic use only."
  • Measurement in Blood: The device measures Glycohemoglobin in blood, which is a biological sample taken from the body and tested outside of it.
  • Laboratory Test: The description mentions it is a "laboratory test," further indicating it's used in a lab setting for diagnostic purposes.

N/A

Intended Use / Indications for Use

Measurement of Glycohemoglobin in blood. In vitro diagnostic use only. NycoCard HbA1c is a laboratory test intended for the quantitative determination of percent glycated hemoglobin in whole blood using the system to monitor long term blood glucose control in individuals with diabetes mellitus.

Conditions for use:
The measurement of glycohemoglobin has not been shown to be reliable in the diagnosis of diabetes mellitus. Such use yields too many false negative and false positive results. (see Lester E. "The clinical value of glycated hemoglobin and glycated plasma proteins". Ann Clin Biochem 19989;26:213-9)

Product codes

LCP

Device Description

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Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

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Anatomical Site

blood

Indicated Patient Age Range

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Intended User / Care Setting

laboratory

Description of the training set, sample size, data source, and annotation protocol

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Description of the test set, sample size, data source, and annotation protocol

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

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

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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.

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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.

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Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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§ 864.7470 Glycosylated hemoglobin assay.

(a)
Identification. A glycosylated hemoglobin assay is a device used to measure the glycosylated hemoglobins (A1a , A1b , and A1c ) in a patient's blood by a column chromatographic procedure. Measurement of glycosylated hemoglobin is used to assess the level of control of a patient's diabetes and to determine the proper insulin dosage for a patient. Elevated levels of glycosylated hemoglobin indicate uncontrolled diabetes in a patient.(b)
Classification. Class II (performance standards).

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular emblem with the department's name written around the perimeter. Inside the circle is a stylized image of an eagle with three lines representing its wings. The eagle is facing to the right.

MAY 2 2 2000

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Jim Noffsinger, Ph.D. Vice President Research Primus Corporation P.O. Box 22599 Kansas City, Missouri 64113

Re: K993131

Trade Name: NycoCard® HbA1c Glycated Hemoglobin Assay Regulatory Class: II Product Code: LCP Dated: April 11, 2000 Received: April 13, 2000

Dear Dr. Noffsinger:

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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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" (21CFR 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 Toutman

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

INDICATIONS FOR USE STATEMENT

510(k) Number:K992921 K993131
Device Name:NycoCard HbA1c
Indications For Use:Measurement of Glycohemoglobin in blood.
In vitro diagnostic use only

NycoCard HbA1c is a laboratory test intended for the quantitative determination of percent glycated hemoglobin in whole blood using the system to monitor long term blood glucose control in individuals with diabetes mellitus.

Conditions for use:

The measurement of glycohemoglobin has not been shown to be reliable in the diagnosis of diabetes mellitus. Such use yields too many false negative and false positive results. (see Lester E. "The clinical value of glycated hemoglobin and glycated plasma proteins". Ann Clin Biochem 19989;26:213-9)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Esther Makim

(Division Sign-Off)
Division of Clinical Laboratory Devices
510(k) NumberK993131

Prescription Use
(Per 21 CFR 801.109)

OR

Over-the-Counter Use

(Optional Format 1-2-96)