K020109 · Sigma Diagnostics, Inc. · GGC · Feb 6, 2002 · Hematology
Device Facts
Record ID
K020109
Device Name
SIGMA DIAGNOSTICS ACCUCLOT LA CONTROL
Applicant
Sigma Diagnostics, Inc.
Product Code
GGC · Hematology
Decision Date
Feb 6, 2002
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 864.5425
Device Class
Class 2
Indications for Use
Sigma Diagnostics ACCUCLOT™ LA Control is a human plasma control that is suitable for use as a positive control for lupus anticoagulant testing such as activated partial prothrombin time (APTT) and dilute Russell's viper venom time (dRVVT). Plasma controls are routinely used in the coagulation laboratory as a means of quality control.
Device Story
Device is lyophilized human plasma-based product; functions as positive control for lupus anticoagulant testing (APTT, dRVVT). Used in clinical coagulation laboratories for quality control purposes. Reconstituted with water; stable for 48 hours at 2-8°C or 4 weeks at -20°C. Provides standardized reference material to verify assay performance.
Clinical Evidence
No clinical data provided; bench testing only.
Technological Characteristics
Lyophilized human plasma-based product. Reconstituted with water. Stable at 2-8°C or -20°C.
Indications for Use
Indicated for use as a positive control for lupus anticoagulant testing (APTT and dRVVT) in coagulation laboratories.
Regulatory Classification
Identification
A multipurpose system for in vitro coagulation studies is a device consisting of one automated or semiautomated instrument and its associated reagents and controls. The system is used to perform a series of coagulation studies and coagulation factor assays.
Special Controls
*Classification.* Class II (special controls). A control intended for use with a multipurpose system for in vitro coagulation studies is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 864.9.
Predicate Devices
Biopool International LA Positive Control Plasma, Cat. No. 50113 (K961370)
Related Devices
K032804 — CRYOCHECK WEAK LUPUS POSITIVE CONTROL · Precision Biologic · Nov 3, 2003
K042333 — CONTROL PLASMA N, PROC CONTROL PLASMA · Dade Behring, Inc. · Dec 1, 2004
K013545 — SIGMA DIAGNOSTICS AUTO D-DIMER CONTROL, LEVEL 3, MODEL A8221 · Sigma Diagnostics, Inc. · Nov 15, 2001
Submission Summary (Full Text)
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## FEB 0 6 2002
KD 20109
# 510(k) SUMMARY OF SAFETY AND EFFECTIVENESS
ACCUTROL™ LA Control, Cat. No. A3345
Sigma Diagnostics ACCUTROL™ LA Control is a human plasma control that is suitable for use as a positive control for lupus anticoagulant testing such as activated partial prothrombin time (APTT) and dilute Russell's viper venom time (dRVVT)
The safety and effectiveness of the Sigma ACCUTROL™ LA Control, Cat. No. A3345) has been demonstrated by its substantial equivalence to the Biopool International LA Positive Control Plasma, Cat. No. 50113, (K961370).
Sigma Diagnostics ACCUTROL™ LA Control is a lyophilized human plasma based product. After reconstitution with water, ACCUTROL™ LA Control is stable for 48 hours when stored at 2-8°C and 4 weeks when stored at -20°C.
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Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular emblem with the department's name encircling an abstract image. The abstract image resembles an eagle or bird-like figure with three stylized wings or feathers. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA".
Food and Drug Administration 2098 Gaither Road Rockville MD 20850
William R. Gilbert, Ph.D. Manager, Scientific Affairs Sigma Diagnostics, Inc. 545 South Ewing Avenue St. Louis, Missouri 63103
FEB 0 6 2002
k020109 Re:
Trade/Device Name: Sigma Diagnostics ACCUCLOT™ LA Control Regulation Number: 21 CFR § 864.5425 Regulation Name: Multipurpose System for in vitro coagulation studies Regulatory Class: II Product Code: GGC Dated: January 9, 2002 Received: January 11, 2002
Dear Dr. Gilbert:
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and 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) that do not require approval of a premarket approval application (PMA). 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 (PMA), 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 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
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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 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 International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrb/dsma/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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## 510(k) Number (if known):
Device Name: _Sigma Diagnostics ACCUCLOT™ LA Control _
### Indications For Use:
Sigma Diagnostics ACCUCLOT™ LA Control is a human plasma control that is suitable for use as a positive control for lupus anticoagulant testing such as activated partial prothrombin time (APTT) and dilute Russell's viper venom time (dRVVT). Plasma controls are routinely used in the coagulation laboratory as a means of quality control.
Josephine Bautista
(Division Sign-Off)
Division of Clinical Laboratory Devices
510(k) Number: K020109
#### (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
#### Concurrence of CDRH, Office of Device Evaluation (ODE)
OR
Prescription Use_V (Per 21 CFR 801.109)
Over-The-Counter Use _
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