As a consistent test sample of known concentration for monitoring the performance of RF immunoturbidimetric assays.
Device Story
The KAMIYA RF Control is a lyophilized, human serum-based, assayed control product. It serves as a consistent test sample with known concentrations of Rheumatoid Factor (RF) to monitor the performance of RF immunoturbidimetric assays. The product is provided in two levels. The human serum used is tested and found negative for HBsAg, HCV, and HIV antibodies. Assigned RF values are traceable to the WHO International Reference Preparation of Rheumatoid Arthritis Serum. The control is used by laboratory personnel to verify assay precision and reaction characteristics. It is stable for at least one year unopened and two weeks after reconstitution.
Clinical Evidence
No clinical data. Performance is demonstrated through bench testing comparing precision and reaction characteristics of the subject device to the predicate device.
Technological Characteristics
Lyophilized, human serum-based control. Two levels provided. Traceable to WHO International Reference Preparation of Rheumatoid Arthritis Serum. Stability: 1 year unopened, 2 weeks reconstituted. No electronic or software components.
Indications for Use
Indicated for use as a quality control material for monitoring the performance of Rheumatoid Factor (RF) immunoturbidimetric assays in clinical laboratory settings.
Regulatory Classification
Identification
A rheumatoid factor immunological test system is a device that consists of the reagents used to measure by immunochemical techniques the rheumatoid factor (antibodies to immunoglobulins) in serum, other body fluids, and tissues. Measurement of rheumatoid factor may aid in the diagnosis of rheumatoid arthritis.
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## KAMIYA BIOMEDICAL COMPANY
910 Industry Drive, Seattle, WA 98188 USA
TEL: (206) 575-8068 FAX:(206) 575-8094
## 510(K) SUMMARY OF SAFETY AND EFFECTIVENESS
This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR § 807.92.
The assigned 510(k) number is: K984045
October 30, 1998 Date:
- Colin Getty Submitted by: KAMIYA BIOMEDICAL COMPANY 910 Industry Drive, Seattle WA 98188 TEL: 206-575-8068; FAX: 206-575-8094
Product: RF Control Set
The KAMIYA RF Control is a lyophilized, human serum-based, assayed control for use as a consistent test sample of known concentration for monitoring the performance of RF immunoturbidimetric assays.
Two levels of the KAMIYA RF Control are provided. The human serum used to manufacture this product is tested and found negative for the presence of HBsAg and antibody to HCV and HIV. The assigned RF values are traceable to the WHO International Reference Preparation of Rheumatoid Arthritis Serum. This product is stable for at least 1 year (unopened) and 2 weeks (after reconstitution).
The safety and effectiveness of the KAMIYA RF Control is demonstrated by its substantial equivalence to the Sigma Immunology Control (K851202). The KAMIYA RF Control exhibits similar within run and between day precision and reaction characteristics for the analyte.
10/30/98
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Public Health Service
JAN 25 1999
Re:
Food and Drug Administration 2098 Gaither Road Rockville MD 20850
Mr. Colin Getty Official Correspondent Kamiya Biomedical Company 910 Industry Drive Seattle, Washington 98188
> K984045 Trade Name: RF Control Set for Immunoturbidimetric Assays Regulatory Class: II Product Code: DHR Dated: October 30, 1998 Received: November 13, 1998
Dear Mr. Getty:
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 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). 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/dsma/dsmamain.html".
Sincerely vours.
Steven Putman
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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## INDICATIONS FOR USE STATEMENT
K 984045 510(k) Number (if known): __
RF Control Set Device Name:
Indications For Use:
As a consistent test sample of known concentration for monitoring the performance of RF immunoturbidimetric assays.
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Peter C. Molini
K68404
Prescription Use (Per 21 CFR 801.109)
OR
Over-The-Counter Use
Optional Format 1-2-96)
10/30/98
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