CALIBRATING MATERIAL, CAL-PAK, BUFFERS

K020894 · Mission Diagnostics · JIT · Apr 29, 2002 · Clinical Chemistry

Device Facts

Record IDK020894
Device NameCALIBRATING MATERIAL, CAL-PAK, BUFFERS
ApplicantMission Diagnostics
Product CodeJIT · Clinical Chemistry
Decision DateApr 29, 2002
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 862.1150
Device ClassClass 2

Intended Use

The products encompassed by this request are intended for in-vitro diagnostics use and are intended for rinsing and flushing the sample flow path of the equivalent OEM Analyzers. Mission reagents are intended to serve as direct replacements to like named products manufactured by the OEM.

Device Story

Mission Diagnostic Reagents are aqueous salt-based solutions designed as direct replacements for OEM calibrators and rinse reagents. Used in clinical laboratories to calibrate electrodes and flush sample paths of specific Ciba-Corning, Bayer, and AVL pH/blood gas and electrolyte analyzers. Operators (lab technicians) load reagents into the analyzer; the device uses these reagents to establish calibration curves for pH, pO2, pCO2, Na, K, Cl, Ca, and tCO2. Output consists of calibrated instrument performance, enabling accurate patient sample analysis. Benefits include continued operation of existing clinical analyzers with equivalent performance to OEM-supplied reagents.

Clinical Evidence

Bench testing only. Precision studies conducted over minimum 7 days on Ciba-Corning 238, 248, 348, 664, and 288 analyzers. Method comparison performed using human serum samples (spiked with albumin) and QC materials. Results demonstrate high correlation (R^2 0.99-1.00) and slopes near 1.0 when compared to OEM reagents.

Technological Characteristics

Aqueous reagents with added salts for analyte levels. Used for electrode calibration and sample path rinsing. No electronic components, energy sources, or software algorithms; purely chemical reagent system.

Indications for Use

Indicated for in-vitro diagnostic use as calibrators and rinse solutions for specific OEM pH/blood gas and electrolyte analyzers. Intended for professional laboratory use.

Regulatory Classification

Identification

A calibrator is a device intended for medical purposes for use in a test system to establish points of reference that are used in the determination of values in the measurement of substances in human specimens. (See also § 862.2 in this part.)

Special Controls

*Classification.* Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9.

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ ## APR 2 9 2002 Page 49 of 70 K020894 ## 510(k) Submission for Mission Diagnostic Reagents on pH/Blood Gas &/or Electrolyte Analyzers | 1. Submitter's Name & Address | Mission Diagnostics | |------------------------------------|---------------------| | | 331 Fiske St | | | Holliston MA 01746 | | | FAX: 508-429-0452 | | Establishment Registration Number: | In Process | | Date of Preparation: | March 18, 2002 | | Contact Person: | Linda Stundtner | | | QA/RA Manager | | | 508-429-0450 | | 2. Identification of the Device: | | |----------------------------------|-----------------------------------------------------------| | Proprietary/Trade name: | Calibrating Material, Cal-Pak, Buffers | | Common or usual name | Calibrators for ISE and/or pH/Blood Gas automated systems | | Classification name: | Calibrator, secondary | | Device Classification | II | | Regulation Number: | 21 CFR § 862.1150 | | Panel: | Chemistry (75) | - . Mission manufactures calibrators intended to serve as direct replacements to like named products manufactured by Original Equipment Manufactures (OEM) #### Predicate Device: 3. Product Code: - Mission claims substantial equivalence to the OEM Calibrating Materials listed below: . JIT | Mission Product | OEM Equivalent | |-----------------------------------------------|--------------------------------------------| | AV-BP0136D Type 1 Buffer 7.383 | BP0136 Type 1 Buffer 7.383 AVL | | AV-BP0137D Type 2 Buffer 6.841 | BP0137 Type 2 Buffer 6.841 AVL | | CD-473691AD Cal-Pak for Ciba-Corning 238 | 473691 pH/Blood Gas pH 7.38 Cal | | CD-473496AD Cal-Pak for Ciba-Corning 248 | 473496 6.8/7.3 Buffer for 248 | | CD-104227AD Cal-Pak for Ciba-Corning 348 | 104227 6.8/7.3 Buffer for 348 | | CD-478855D Ciba-Corning 200 Series 7.3 Buffer | 478855D Ciba-Corning 200 Series 7.3 | | CD-478856D Ciba-Corning 200 Series 6.8 Buffer | 478856D Ciba-Corning 200 Series 6.8 | | CD-478864D Ciba-Corning 664 Cal/Wash | 478864D Ciba-Corning 664 Cal/Wash | | CD-478865D Ciba-Corning 664 Slope | 478865D Ciba-Corning 664 Slope | | CD-473385D Bayer 800 Series 7.3/Co-ox Zero | 473385D Bayer 800 Series 7.3/Co-ox Zero | | CD-473386D Bayer 800 Series 6.8 Buffer | 473386D Bayer 800 Series 6.8 Buffer | | CD-473387D Bayer 800 Series Wash/Cal G/L Zero | 473387D Bayer 800 Series Wash/Cal G/L Zero | | CD-570096D Bayer 800 Series Cal G/L | 570096D Bayer 800 Series Cal G/L | - . The OEM products for Ciba-Corning Instruments (238, 248, 348, 664, & 200 Series) were originally released under the Ciba-Corning name. The company has under gone several owner and name changes: starting out as Corning Glass, Ciba-Corning, Chiron, and Iastly {1}------------------------------------------------ Bayer. For the purposes of this 510(k) the OEM for theses products will be referred to as Ciba-Corning. - The OEM products for Bayer Instrument (800 Series (aka RapidLab) were originally released . under the Chiron name. The company has under gone several owner and name changes: starting out as Corning Glass, Ciba-Corning, Chiron, and lastly Bayer. For the purposes of this 510(k) the OEM for theses products will be referred to as Bayer. #### 4. Device Description: - The Calibrators for the OEM Instruments are aqueous reagents with salts added to obtain . desired analyte levels to provide calibration of the electrodes and rinse the sample path. - Intended Use: . - The reagents are intended for use on equivalent OEM Instruments. . - The original equipment manufacturer (OEM) of the instruments and the predicate reagents . which are necessary for the continued operation and use of the instruments. - Mission uses a similar composition, description and packaging as that used by the OEM in its . products, as shown in the packaging section of this submission. - Performance equivalence is shown in the following manner: ● - Through a method comparison where results obtained on an equivalent OEM analyzer, . calibrated with Mission calibrating material are compared with results obtained on the same analyzer calibrated with OEM calibrating material. - A summary of the results of these studies follows: . #### 5. Performance Characteristics: #### Precision Data Precision data are collected from the analysis of three levels of control materials tested over a minimum of 7 days on each OEM analyzer. Analyzers are calibrated with Mission reagents and alternately with the OEM reagents for testing. {2}------------------------------------------------ # Precision Data Table - 238 Ciba-Corning pH/BG Analyzer 238 Instr pH | Mission | | | | | | | |---------|---|------|-------|------|------|------| | Level | N | Mean | Stdev | Min | Max | % CV | | QC1 | 9 | 7.15 | 0.01 | 7.15 | 7.16 | 0.1% | | QC2 | 9 | 7.41 | 0.01 | 7.40 | 7.44 | 0.2% | | QC3 | 9 | 7.64 | 0.01 | 7.63 | 7.65 | 0.1% | | of performer I it in continue | | | |-------------------------------|-----|--| | Instr | 238 | | | | | | pO2 | | Mission | | | | | | |-------|---------|------|-------|-----|-----|------| | Level | N | Mean | Stdev | Min | Max | % CV | | QC1 | 9 | 63 | 1 | 62 | 64 | 1.2% | | QC2 | 9 | 101 | 2 | 98 | 103 | 1.6% | | QC3 | 9 | 158 | 6 | 151 | 169 | 3.7% | 238 Instr pCO2 | | Mission | | | | | | |-------|---------|------|-------|-----|-----|------| | Level | N | Mean | Stdev | Min | Max | % CV | | QC1 | 9 | 81 | 2 | 77 | 83 | 2.7% | | QC2 | 9 | 45 | 1 | 44 | 46 | 1.6% | | QC3 | 9 | 18 | 0 | 18 | 19 | 2.4% | ## Precision Data Table - 248 Ciba-Corning pH/BG Analyzer Instr 248 pH | | Mission | | | | | | |-------|---------|-------|-------|-------|-------|------| | Level | N | Mean | Stdev | Min | Max | % CV | | QC1 | 10 | 7.156 | 0.003 | 7.151 | 7.160 | 0.0% | | QC2 | 10 | 7.403 | 0.003 | 7.397 | 7.407 | 0.0% | | QC3 | 10 | 7.630 | 0.005 | 7.622 | 7.639 | 0.1% | Instr 248 pO2 | | Mission | | | | | | |-------|---------|-------|-------|-------|-------|------| | Level | N | Mean | Stdev | Min | Max | % CV | | QC1 | 10 | 53.9 | 2.5 | 51.6 | 59.7 | 4.6% | | QC2 | 10 | 94.9 | 1.1 | 93.0 | 96.9 | 1.1% | | QC3 | 10 | 160.8 | 3.3 | 157.2 | 167.7 | 2.1% | Instr 248 pCO2 | Level | N | Mean | Stdev | Min | Max | % CV | |-------|----|------|-------|------|------|------| | QC1 | 10 | 77.3 | 1.0 | 76.3 | 79.7 | 1.3% | | QC2 | 10 | 47.0 | 0.4 | 46.6 | 47.8 | 0.8% | | QC3 | 10 | 21.8 | 0.2 | 21.5 | 22.0 | 0.7% | {3}------------------------------------------------ # Precision Data Table - 248 Ciba-Corning pH/BG & Electrolyte Analyzer | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------<br>IT THE FORT COLL A LANSING MANUFACTURES POR LAND<br>Instr | September 19, 2011<br>348 | |---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------| | | | Na | | Mission | | | | | | | |-------|---------|------|--------|-----|-----|------|--| | Level | N | Mean | StdDev | Min | Max | %CV | | | QC1 | 21 | 113 | 2.0 | 110 | 118 | 1.8% | | | QC2 | 21 | 139 | 2.7 | 135 | 147 | 1.9% | | | QC3 | 20 | 162 | 2.4 | 158 | 169 | 1.5% | | K | Instr | 348 | |-------|-----| |-------|-----| | Level | Mission | | | | | | |-------|---------|------|--------|------|------|------| | | N | Mean | StdDev | Min | Max | %CV | | QC1 | 21 | 2.10 | 0.02 | 2.06 | 2.13 | 0.8% | | QC2 | 21 | 4.38 | 0.06 | 4.16 | 4.43 | 1.3% | | QC3 | 21 | 6.88 | 0.08 | 6.74 | 7.01 | 1.2% | Ca | Level | Mission | | | | | | |-------|---------|------|--------|------|------|-------| | | N | Mean | StdDev | Min | Max | %CV | | QC1 | 21 | 2.06 | 0.08 | 1.75 | 2.13 | 4.1% | | QC2 | 21 | 1.16 | 0.06 | 0.94 | 1.25 | 5.4% | | QC3 | 21 | 0.58 | 0.06 | 0.44 | 0.65 | 10.4% | | ALL PROPERTY OF CO | COLLEGE | |--------------------|---------| | | | pH | | Mission | | | | | | |-------|---------|-------|-------|-------|-------|------| | Level | N | Mean | Stdev | Min | Max | %CV | | QC1 | 10 | 7.166 | 0.006 | 7.154 | 7.177 | 0.1% | | QC2 | 10 | 7.442 | 0.019 | 7.418 | 7.476 | 0.3% | | QC3 | 10 | 7.669 | 0.027 | 7.634 | 7.717 | 0.4% | {4}------------------------------------------------ # Precision Data Table - 664 Ciba-Corning Analyzer | Instr | 664 | |-------|-----| |-------|-----| Na | | Mission | | | | | | | |-------|---------|-------|-------|-------|-------|------|--| | Level | N | MEAN | stdev | Min | Max | % CV | | | QC1 | 16 | 112.0 | 1.4 | 110.0 | 114.9 | 1.3% | | | QC2 | 16 | 137.6 | 0.9 | 136.8 | 139.4 | 0.6% | | | QC3 | 16 | 162.3 | 1.0 | 161.1 | 164.4 | 0.6% | | | The former of the state of the comments of the comments of the county of the county of | s C | |----------------------------------------------------------------------------------------|-----| | Instr | 1 | K | Mission | | | | | | | |---------|----|------|-------|------|------|------| | Level | N | Mean | Stdev | Min | Max | % CV | | QC1 | 16 | 1.98 | 0.03 | 1.95 | 2.04 | 1.3% | | QC2 | 16 | 4.38 | 0.04 | 4.34 | 4.46 | 0.9% | | QC3 | 16 | 6.99 | 0.07 | 6.92 | 7.14 | 1.0% | | Instr | ନିର୍ବିଧ<br>00<br>1 | |-------|--------------------| |-------|--------------------| Cl | Mission | | | | | | | |---------|----|------|-------|-----|-----|------| | Level | N | Mean | Stdev | Min | Max | % CV | | QC1 | 16 | 83 | 4.6 | 77 | 99 | 5.6% | | QC2 | 16 | 99 | 7.9 | 91 | 127 | 8.0% | | QC3 | 16 | 122 | 9.4 | 88 | 127 | 7.7% | Instr 664 tCO2 | | Mission | | | | | | |-------|---------|------|-------|------|------|------| | Level | N | Mean | Stdev | Min | Max | % CV | | QC1 | 16 | 28.8 | 1.3 | 26.3 | 31.1 | 4.6% | | QC2 | 16 | 30.4 | 1.3 | 28.4 | 32.3 | 4.2% | | QC3 | 16 | 23.3 | 0.8 | 21.9 | 24.8 | 3.6% | {5}------------------------------------------------ #### Precision Data Table - 288 Ciba-Corning pH/BG & Electrolyte Analyzer | | | AND | |-----|--|-----| | str | | 288 | Na | Level | Mission | | | | | | |-------|---------|-------|-------|-------|-------|------| | | N | Mean | Stdev | Min | Max | % CV | | QC1 | 19 | 108.0 | 0.8 | 107.0 | 110.0 | 0.7% | | QC2 | 19 | 134.3 | 0.7 | 132.7 | 135.7 | 0.5% | | QC3 | 19 | 159.2 | 1.0 | 157.3 | 160.7 | 0.6% | | Instr | 288 | |-------|-----| |-------|-----| K | Mission | | | | | | | |---------|----|------|-------|------|------|------| | Level | N | Mean | Stdev | Min | Max | % CV | | QC1 | 19 | 1.66 | 0.02 | 1.63 | 1.69 | 1.1% | | QC2 | 19 | 4.25 | 0.02 | 4.22 | 4.29 | 0.6% | | QC3 | 19 | 7.07 | 0.04 | 7.02 | 7.14 | 0.6% | Instr 288 Ca | | Mission | | | | | | |-------|---------|------|-------|------|------|------| | Level | N | Mean | Stdev | Min | Max | % CV | | QC1 | 19 | 2.13 | 0.03 | 2.03 | 2.18 | 1.6% | | QC2 | 19 | 1.12 | 0.01 | 1.09 | 1.14 | 1.0% | | QC3 | 18 | 0.48 | 0.01 | 0.45 | 0.51 | 2.8% | Instr 288 pH | | Mission | | | | | | | |-------|---------|-------|-------|-------|-------|------|--| | Level | N | Mean | Stdev | Min | Max | % CV | | | QC1 | 25 | 7.182 | 0.012 | 7.166 | 7.210 | 0.2% | | | QC2 | 25 | 7.426 | 0.012 | 7.403 | 7.455 | 0.2% | | | QC3 | 25 | 7.651 | 0.005 | 7.645 | 7.661 | 0.1% | | #### Correlation with OEM Reagents Correlation data for electrolytes on the 348 were obtained from human serum samples for Na, K, Cl, Ca. Samples are spiked with Human Serum Albumin to yield varying concentrations of each of the measuring analytes. The serum samples were measured on the 348 analyzer calibrated with Mission reanents for 1 run and 1 comparison run with OEM reagents each test day Correlation for pH were obtained by comparing 3 levels of QC. Linear regression analysis was performed using Mission data as the independent X variable and Corning as the dependent Y variable in the equation Y = mX +b Correlations demonstrated slopes of 1 and R 's of 0.99, which support a claim of substantial equivalence. Graphs of Correlation are in Attachment Section. {6}------------------------------------------------ ## Regression Analysis of Mission vs OEM; Human Serum Results | Na | | | | | | |-----|----|-------|-----------|------|-----------| | N | | Slope | Intercept | R2 | Range | | 348 | 44 | 1.02 | -0.96 | 0.99 | 103 - 185 | | 288 | 19 | 0.95 | 8.88 | 1.00 | 103 - 171 | | 664 | 25 | 0.95 | 6.57 | 1.00 | 93 - 173 | Y = mX + b where Y = OEM results, X = Mission results, m = Slope, b = Intercept | N | | Slope | Intercept | R2 | Range | |-----|----|-------|-----------|------|-------------| | 348 | 49 | 1.00 | 0.05 | 1.00 | 2.39 - 5.87 | | 288 | 44 | 1.04 | -0.06 | 1.00 | 1.54 - 6.59 | | 664 | 44 | 1.02 | -0.04 | 1.00 | 1.82 - 6.56 | .. | | Ca | | | | | |-----|----|-------|-----------|------|-------------| | N | | Slope | Intercept | R2 | Range | | 348 | 35 | 0.96 | 0.07 | 0.99 | 0.94 - 2.11 | | 288 | 44 | 1.00 | -0.05 | 0.99 | 0.94 - 2.48 | | | | 1 | | .<br>1 | |--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------|----------------------------------|-------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | | LALE MELLE BOOK BOOK | ****** | A MIND AND A<br>1 | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | 1<br>1 | Company of Children Co. Co.<br>- | -<br>C | <br>And Advance<br>----- | ## Regression Analysis of Mission vs OEM; QC Results Y = mX + b where Y = OEM results, X = Mssion results, m = Slope, b = Intercept | pH | | | | | | |-----|----|-------|-----------|------|---------------| | N | N | Slope | Intercept | R2 | Range | | 238 | 30 | 1.00 | 0.03 | 1.00 | 7.15 - 7.65 | | 248 | 30 | 1.01 | -0.06 | 1.00 | 7.151 - 7.639 | | 348 | 30 | 1.00 | -0.01 | 0.99 | 7.151 - 7.717 | | 288 | 21 | 0.98 | 0.17 | 1.00 | 7.163 - 7.661 | {7}------------------------------------------------ ### DEPARTMENT OF HEALTH & HUMAN SERVICES Image /page/7/Picture/1 description: The image shows the logo for the Department of Health & Human Services. The logo features a stylized eagle with three lines representing its wings, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES" is arranged in a circular pattern around the eagle. The logo is black and white. #### Public Health Service Food and Drug Administration 2098 Gaither Road Rockville MD 20850 Ms Linda Stundtner OA/RA Manager Diamond Diagnostics Inc. Mission Diagnostics 333 Fiske Street Holliston, MA 01746 ## APR 2 9 2002 Re: k020894 Trade/Device Name: Mission Diagnostic Reagents for pH/BG &/or Electrolyte Analyzers Regulation Number: 21 CFR 862.1150 Regulation Name: Calibrator Regulatory Class: Class II Product Code: JIT Dated: March 18, 2002 Received: March 19, 2002 Dear Ms. Stundtner: 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. {8}------------------------------------------------ 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 1 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 vours. 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 Enclosure {9}------------------------------------------------ 510(k( Number ## 020894 Device Name: Mission Diagnostic Reagents for pH/BG &/or Electrolyte Analyzers #### Indication For Use: The products encompassed by this request are intended for in-vitro diagnostics use and are intended for r ne products chooling and flushing the sample flow path of the equivalent OEM Analyzers. | Mission Product PN | OEM Instrument(s) Used on | |-----------------------------------------------|-----------------------------------------------| | AV-BP0136D Type 1 Buffer 7.383 | AVL 99X and Compact Analyzers | | AV-BP0137D Type 2 Buffer 6.841 | AVL 99X and Compact Analyzers | | CD-473691AD Cal-Pak for Ciba-Corning 238 | Ciba-Corning 238 pH/BG Analyzer | | CD-473496AD Cal-Pak for Ciba-Corning 248 | Ciba-Corning 248 pH/BG Analyzer | | CD-104227AD Cal-Pak for Ciba-Corning 348 | Ciba-Corning 348 pH/BG & Electrolyte Analyzer | | CD-478855D Ciba-Corning 200 Series 7.3 Buffer | Ciba-Corning 200Series pH/BG Analyzer | | CD-478856D Ciba-Corning 200 Series 6.8 Buffer | Ciba-Corning 200 Series pH/BG Analyzer | | CD-478864D Ciba-Corning 664 Cal/Wash | Ciba-Corning 664 Analyzer | | CD-478865D Ciba-Corning 664 Slope | Ciba-Corning 664 Analyzer | | CD-473385D Bayer 800 Series 7.3/Co-ox Zero | Bayer 800Series Analyzers | | CD-473386D Bayer 800 Series 6.8 Buffer | Bayer 800Series Analyzers | | CD-473387D Bayer 800 Series Wash/Cal G/L Zero | Bayer 800 Series Analyzers | | CD-570096D Bayer 800 Series Cal G/L | Bayer 800Series Analyzers | Mission reagents are intended to serve as direct replacements to like named products manufactured by the OEM. The products encompassed are to be handled using normal laboratory precautions. (PLEASE DO NOT WRITE BELOW THIS LINE -- CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrance of CDRH, Office of the Device Evaluation (ODE) T. Cox (Division Sign-Off) 510(k) Number Prescription Use X (per 21 CFR 801.109) (Optional format 3-10-98)
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