510(k) Report

510(k) · Cleared

Cleared

QMS Lidocaine Calibrators, Model 0374678

K091617510(k) TraditionalCleared Jul 17, 200944-day reviewClass II21 CFR 862.3200

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Thermo Fisher Scientific · DLJ Calibrators, Drug Specific

Cleared on Jul 17, 2009 as substantially equivalent to K031856 (Roche Diagnostics Corp., 2003) after a 44-day review. Its family tree reaches back 3 generations to 1984.

Decided
Jul 17, 2009
Review
44 days
Class
Class II
Product code
DLJ
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to K842280 (1984). 22 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 1995: 2 other ancestors1994: 4 other ancestors1992: 1 other ancestor1990: 1 other ancestor1987: 2 other ancestors1985: 8 other ancestors1991: 1 other ancestorK842280 · TDX Digitoxin · Abbott Laboratories · 1984K972250 · Roche Cobas Integra Reagent Cassettes & Ancillary Reagents · Roche Diagnostic Systems, Inc. · 1997 · recalledK031856 · Preciset TDM I and Preciset TDM II Calibrators · Roche Diagnostics Corp. · 2003 · recalled1980198519901995200020052010
  1. Root · 3 generations backK842280 TDX DigitoxinAbbott Laboratories · 1984
  2. 2 generations backK972250 Roche Cobas Integra Reagent Cassettes & Ancillary ReagentsRoche Diagnostic Systems, Inc. · 1997 · Recalled
  3. 1 generation backK031856 Preciset TDM I and Preciset TDM II CalibratorsRoche Diagnostics Corp. · 2003 · Recalled
  4. This deviceK091617 QMS Lidocaine Calibrators, Model 0374678Thermo Fisher Scientific · 2009
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K842280TDX DigitoxinAbbott Laboratories1984—
−2K972250Roche Cobas Integra Reagent Cassettes & Ancillary ReagentsRoche Diagnostic Systems, Inc.19971
−1K031856Preciset TDM I and Preciset TDM II CalibratorsRoche Diagnostics Corp.20032
0 (this device)K091617QMS Lidocaine Calibrators, Model 0374678Thermo Fisher Scientific2009—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198580
198720
199010
199110
199210
199440
199520
FIG. 1 — Lineage of K091617, 1984–2009Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in DLJ? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K031856Preciset TDM I and Preciset TDM II Calibrators
Summary page 1
…ibrator set is intended for use in calibration of the QMS Lidocaine assay. LEGALLY MARKETED DEVICE TO WHICH EQUIVALENCY IS CLAIMED Roche Preciset TDM II Calibrators K031856 DESCRIPTION OF DEVICE The QMS Lidocaine Calibrator set is a six-level set (0, 0.5, 1.0, 2.5, 5.0, 10 pglmL) of single analyte (l…
Roche Diagnostics Corp.20032

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 25 years and passes through 4 companies; a new generation was cleared every 6.0 years on median.
  • 4 of the 22 ancestors have a recall of any class.

How does its category compare?

All DLJ devices

DLJ Calibrators, Drug Specific: FDA decisions, review times, recalls and adverse event reports over 20 years. 2009, this device’s year, is highlighted.

FDA decisions per year · DLJ

1in 2013

2008: 12009: 12013: 1
2007high 1 (2008) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DLJ

Too few DLJ 510(k)s in any year since 2007 to give a median.

Recalls per year · DLJ

2in 2011

2010: 12011: 2
2007high 2 (2011) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · DLJ

3in 2025

2011: 62012: 52013: 12017: 12018: 22020: 12022: 12024: 12025: 3
2007high 6 (2011) · low 0 (2007)2025

MAUDE reports naming product code DLJ, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20081—00
20091—00
20100—10
20110—26
20120—05
20131—01
20140—00
20150—00
20160—00
20170—01
20180—02
20190—00
20200—01
20210—00
20220—01
20230—00
20240—01
20250—03
20260—0—

What is it indicated for?

The QMS Lidocaine Calibrator set is intended for use in calibration of the QMS Lidocaine assay.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K091617: QMS Lidocaine Calibrators, Model 0374678.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K091617

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026