510(k) Report

510(k) · Cleared

Cleared

ONLINE TDM Methotrexate

K233454510(k) TraditionalCleared Feb 20, 2024123-day reviewClass U

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

Roche Diagnostics Operations · LAO Enzyme Immunoassay, Methotrexate

Cleared on Feb 20, 2024 as substantially equivalent to K111904 (Ark Diagnostics, Inc., 2011) after a 123-day review. Its family tree reaches back 2 generations to 1993.

Decided
Feb 20, 2024
Review
123 days
Class
Class U
Product code
LAO
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K932615 (1993). No later device cites it as a predicate yet.

  1. Root · 2 generations backK932615 TDX (R)/TDX (R)FLX (R)Mehtotrexate IIAbbott Laboratories · 1993 · Recalled
  2. 1 generation backK111904 Ark Methotrexate Assay, Ark Methotrexate Calibrator, Ark…Ark Diagnostics, Inc. · 2011
  3. This deviceK233454 ONLINE TDM MethotrexateRoche Diagnostics Operations · 2024
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K932615TDX (R)/TDX (R)FLX (R)Mehtotrexate IIAbbott Laboratories19931
−1K111904Ark Methotrexate Assay, Ark Methotrexate Calibrator, Ark Methotrexate Control…Ark Diagnostics, Inc.2011—
0 (this device)K233454ONLINE TDM MethotrexateRoche Diagnostics Operations2024—
FIG. 1 — Lineage of K233454, 1993–2024Source: 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 LAO? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new LAO device

  1. #1 K232017 ARK Methotrexate II Assayscore 6.8 · 2 generations · no Class I recall
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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
*K111904Ark Methotrexate Assay, Ark Methotrexate Calibrator, Ark Methotrexate Control, Ark…
Summary page 4
…Enzyme Immunoassay, Methotrexate Product Codes, LAO, Unclassified Regulation Numbers Predicate Devices ARK Methotrexate Assay (k111904) Roche Diagnostics GmbH Mannheim, Germany: 9610126 Establishment Registration Roche Diagnostics Gm…
Ark Diagnostics, Inc.2011—

Also cleared against K111904: 1 other device →

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 31 years and passes through 3 companies; a new generation was cleared every 18.3 years on median.
  • 1 of the 2 ancestors has a recall of any class.
  • 1 other device also cites its predicate K111904.

How does its category compare?

All LAO devices

LAO Enzyme Immunoassay, Methotrexate: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · LAO

1in 2024

2011: 12017: 12023: 12024: 1
2007high 1 (2011) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LAO

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

Recalls per year · LAO

1in 2007

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

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

Adverse event reports per year · LAO

1in 2025

2007: 52009: 12011: 32013: 12014: 32017: 12024: 12025: 1
2007high 5 (2007) · low 0 (2008)2025

MAUDE reports naming product code LAO, 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—15
20080—00
20090—01
20100—00
20111—03
20120—00
20130—01
20140—03
20150—00
20160—00
20171—01
20180—00
20190—00
20200—00
20210—00
20220—00
20231—00
20241—01
20250—01
20260—0—

What is it indicated for?

ONLINE TDM Methotrexate is an in vitro test for the quantitative determination of methotrexate in human serum and plasma on cobas c systems. The determination of methotrexate is used for monitoring levels of methotrexate to ensure appropriate therapy.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K233454: ONLINE TDM Methotrexate.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K233454

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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