OLYMPUS LACTATE, OSR6193

K042406 · Olympus America, Inc. · JIT · Dec 3, 2004 · Clinical Chemistry

Device Facts

• Record ID: K042406
• Device Name: OLYMPUS LACTATE, OSR6193
• Applicant: Olympus America, Inc.
• Product Code: JIT · Clinical Chemistry
• Decision Date: Dec 3, 2004
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 862.1150
• Device Class: Class 2

Intended Use

The Olympus lactate calibrator is a device intended for medical purposes for use in the Olympus lactate test system to establish a standardized point of reference that is used in the determination of lactate values in human plasma and cerebrospinal fluid.

Device Story

Olympus Lactate Calibrator serves as a standardized reference material for the Olympus lactate test system. Used in clinical laboratory settings to calibrate assays for measuring lactate concentrations in human plasma and cerebrospinal fluid. Ensures accuracy and traceability of patient test results by providing a known value for system calibration. Operated by laboratory technicians; output used by clinicians to assess patient metabolic status.

Clinical Evidence

No clinical data; bench testing only.

Technological Characteristics

Single-level liquid calibrator containing L-Lactate. 5 mL bottle format. Designed for use with Olympus AU family of analyzers. Traceable to primary internal standard of weighed purified material. Storage at 2-8 °C.

Indications for Use

Indicated for use in the Olympus lactate test system to establish a standardized point of reference for determining lactate values in human plasma and cerebrospinal fluid.

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.

Submission Summary (Full Text)

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" are arranged in a circle around the eagle. The logo is black and white.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

DEC - 3 2004

Ms. Bev Harding Regulatory Affairs Analyst Olympus America Inc. 3131 West Royal Lane Irving, TX 75063-3104

Re: k042406

Trade/Device Name: Olympus Lactate Calibrator Regulation Number: 21 CFR 862.1150 Regulation Name: Calibrator Regulatory Class: Class II Product Code: JIT Dated: November 29, 2004 Received: November 30, 2004

Dear Ms. Harding:

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 Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 Parts 801 and 809); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

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This letter will allow you to begin marketing your device as described in your Section 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 information about the application of labeling requirements to your device, or questions on the promotion and advertising of your device, please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act 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/cdrh/dsma/dsmamain.html.

Sincerely yours,

Cornelia B. Lorks

Cornelia B. Rooks, MA Acting Director Division of Chemistry and Toxicology Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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## Indications for Use

K042406 510(k) Number (if known):

Olympus Lactate Calibrator Device Name:

Indications for Use:

The Olympus lactate calibrator is a device intended for medical purposes for use in the Olympus lactate test system to establish a standardized point of reference that is used in the determination of lactate values in human plasma and cerebrospinal fluid.

X Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Carol C. Benson
Division Sign-Off

Division Sign-Off

e of in Vitro Diagnos e Evaluation and s

510(k) K042406