ACTALYKE MINI ACTIVATED CLOTTING TIME TEST SYSTEM, MODEL 5750/5752

K013078 · Helena Laboratories · JBP · Jan 10, 2002 · Hematology

Device Facts

• Record ID: K013078
• Device Name: ACTALYKE MINI ACTIVATED CLOTTING TIME TEST SYSTEM, MODEL 5750/5752
• Applicant: Helena Laboratories
• Product Code: JBP · Hematology
• Decision Date: Jan 10, 2002
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 864.7140
• Device Class: Class 2

Intended Use

ActalykeR Mini™ Activated Clotting Time (ACT) Test System is used to perform the activated clotting time test, a whole blood coagulation assay commonly used to monitor heparin anticoagulation during various medical and surgical procedures. This unit is intended for use in the point-of-care environment.

Device Story

Actalyke Mini is a point-of-care diagnostic system for monitoring heparin anticoagulation. It performs activated clotting time (ACT) tests on whole blood samples. The device is operated by healthcare professionals in clinical settings to assess coagulation status during medical and surgical procedures. By measuring the time required for blood to clot, the device provides quantitative data that assists clinicians in managing heparin therapy, potentially improving patient safety during anticoagulation-dependent procedures.

Clinical Evidence

No clinical data provided; substantial equivalence determination based on regulatory review of the 510(k) notification.

Technological Characteristics

Point-of-care whole blood coagulation analyzer. Measures activated clotting time (ACT). Class II device under 21 CFR 864.7140.

Indications for Use

Indicated for monitoring heparin anticoagulation during medical and surgical procedures requiring whole blood coagulation assays in point-of-care settings.

Regulatory Classification

Identification

An activated whole blood clotting time tests is a device, used to monitor heparin therapy for the treatment of venous thrombosis or pulmonary embolism by measuring the coagulation time of whole blood.

Submission Summary (Full Text)

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Image /page/0/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo features a stylized eagle with three curved lines representing its body and wings. The eagle is positioned within a circular border, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is written around the border.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

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## JAN 1 0 2002

Ms. Pat Franks Assistant Director, Regulatory Affairs Helena Laboratories 1530 Lindbergh Drive P.O. Box 752 Beaumont, TX 77704-0752

k013078 Re:

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Trade/Device Name: Actalyke Mini Regulation Number: 21 CFR 864.7140 Regulation Name: Activated whole blood clotting time tests Regulatory Class: Class II Product Code: JBP Dated: December 3, 2001 Received: December 5, 2001

Dear Ms. Franks:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed your becaon 910(t) presidentially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the enclosure) to regars mannent date of the Medical Device American be of to commerce prior to May 26, 1776, the excerdance with the provisions of the Federal Food, Drug, devices that have been reculasinou in accessor al of a premarket approval application (PMA). and Cosmelle Act (Act) market the device, subject to the general controls provisions of the Act. The You may, dierelore, market the act include requirements for annual registration, listing of general controls provisions of wactice, 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 If your device is classified (soo as on of the Existing major regulations affecting your device can
may be subject to such additional controls. Existing major regulations an be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may be found in ano Obas neements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that I Dr S issuates or or device complies with other requirements of the Act that I DA has made a acterimations administered by other Federal agencies. You must of any I edelal statutes and regulations and limited to: registration and listing (21 Compry with an the Act 3 requirements, news 801); good manufacturing practice requirements as set CFK Fatt 607); adomig (21 OFR Part 820); and if applicable, the electronic forth in the quality by sellions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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This letter will allow you to begin marketing your device as described in your 510(k) premarket I his lotten in and of your your 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 1 additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at additionally 00711 o difficularly, for questions on the promotion and advertising of your device, (301) 59 nt ot the Office of Compliance at [phone]. 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 [phone] or [phone] or at its internet address "http://www.fda.gov/odrh/dsma/dsmamain.html".

Sincerely yours,

Steven Butman

Steven I. Gutman, M.D., M.B.A. Director Division of Clinical Laboratory-Devices Office of Device Evaluation Center for Devices and Radiological Health

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Enclosure

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of Page

510(k) Number (if known): K0/3078

Actalyke Mini Device Name:

Indications for Use:

ActalykeR Mini™ Activated Clotting Time (ACT) Test System is used to perform the activated clotting time test, a whole blood to periorm the accivated oreser. Sommitor heparin anticoagulation coagulation assay commonly and surgical procedures. This unit is during various mearcar and barger-care environment.

Josephine Buatista

(Division Sign-Off)
Division of Clinical Laboratory Devices
510(k) Number- Kol3078

(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)

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