← Product Code [JWO](/submissions/HE/subpart-f%E2%80%94automated-and-semi-automated-hematology-devices/JWO) · K964406

# AUTOMATED MULTI-POINT BLOOD VOLUME ANALYZER (K964406)

_Daxor Corporation · JWO · Sep 25, 1997 · Hematology · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/HE/subpart-f%E2%80%94automated-and-semi-automated-hematology-devices/JWO/K964406

## Device Facts

- **Applicant:** Daxor Corporation
- **Product Code:** [JWO](/submissions/HE/subpart-f%E2%80%94automated-and-semi-automated-hematology-devices/JWO.md)
- **Decision Date:** Sep 25, 1997
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 864.5950
- **Device Class:** Class 2
- **Review Panel:** Hematology
- **Attributes:** Software as a Medical Device

## Indications for Use

The Daxor BVA-100 is a software package designed to calculate human blood volume, using the method of tracer dilution, utilizing tagged serum albumin (a commonly used tag is I-131, resulting in "I-HSA"). Data inputs to the software come from the measured characteristics of patient blood samples (hematocrit and tracer concentration) and tracer calibration standards. The package also calculates the patient expected (or ideal) blood volume from physical parameters. Hyper- or hypovolemia, and associated red cell volumes, are reported, with statistics showing the quality of the results. The patient blood samples and the calibration standards are measured in a gamma counter, whose output is automatically, or manually, input to this calculation program.

## Device Story

BVA-100 is a software-based blood volume analyzer; utilizes tracer dilution method with I-131 tagged serum albumin. Inputs: hematocrit, tracer concentration from patient blood samples, and tracer calibration standards measured via gamma counter. Software calculates actual blood volume, expected/ideal blood volume based on physical parameters, and red cell volumes. Outputs: hyper/hypovolemia status and result quality statistics. Used in clinical settings to assist physicians in fluid management decisions. Benefits: provides objective quantification of blood volume to guide therapeutic interventions.

## Clinical Evidence

No clinical data provided in the document; bench testing/validation of calculation software implied.

## Technological Characteristics

Software package for blood volume calculation; interfaces with gamma counter for input of tracer concentration and hematocrit data. Operates via tracer dilution principle.

## Regulatory Identification

A blood volume measuring device is a manual, semiautomated, or automated system that is used to calculate the red cell mass, plasma volume, and total blood volume.

## Submission Summary (Full Text)

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DEPARTMENT OF HEALTH &amp; HUMAN SERVICES
Public Health Service
Food and Drug Administration
2098 Gaither Road
Rockville MD 20850
SEP 23 1997

Ronald H. Baldry
Vice President for Engineering
Daxor Corporation
312 Trossachs Lane
Knoxville, Tennessee

Re: K964406
Automated Multi-point Blood Volume Analyzer
Regulatory Class: II
Product Code: JWO
Dated: July 3, 1997
Received: July 7, 1997

Dear Mr. Baldry:

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 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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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/dsmamain.html".

Sincerely yours,

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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24-97 00:14 FROM: DAXOR 4236708559
TO: DADA
PAGE: 03

510(k) Number: K964406

Device Name: Blood Volume Analyzer - BVA-100

Indications for Use:

The Daxor BVA-100 is a software package designed to calculate human blood volume, using the method of tracer dilution, utilizing tagged serum albumin (a commonly used tag is I-131, resulting in "I-HSA"). Data inputs to the software come from the measured characteristics of patient blood samples (hematocrit and tracer concentration) and tracer calibration standards. The package also calculates the patient expected (or ideal) blood volume from physical parameters. Hyper- or hypovolemia, and associated red cell volumes, are reported, with statistics showing the quality of the results.

The patient blood samples and the calibration standards are measured in a gamma counter, whose output is automatically, or manually, input to this calculation program.

![img-0.jpeg](img-0.jpeg)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

on Use
CFR 801.109)
OR
Over-The-Counter Use

(Optional Format 1-2-96)

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