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Vaccines, Blood & Biologics

BK120064 Letter

DEPARTMENT OF HEALTH & HUMAN SERVICES                                                     Public Health Service


                                                                                                                            Food and Drug Administration
1401 Rockville Pike
Rockville, MD 20852-1448



BioLife Plasma Services L.P.
Attention: Ms. Julie Quick
One Baxter Parkway, DF3-1E
Deerfield, IL 60015
Re:                                         BK120064
Device Name:                         Donor Information System (DIS) v6.0
Regulation Name:                     Stand Alone, Blood Bank Software
Regulatory Class:                   Unclassified
Product Code:                         MMH
Dated:                                     October 29, 2012
Received:                               October 31, 2012
Dear Ms. Quick:
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 ( the 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 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 807); labeling (21 CFR 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
If you desire specific advice on promotional labeling and advertisement for your device, please contact our Advertising and Promotional Labeling Staff (HFM-602) at (301) 827-3028.  Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR 803), please go to: for the CDRH’s Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
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 (800) 638‑2041 or (301) 796-7100 or at its Internet address:
Sincerely yours,
Richard J. Davey, M.D.
Division of Blood Applications
Office of Blood Research and Review
Center for Biologics
 Evaluation and Research

Indications for Use

510(k) Number:          BK120064
Device Name:                         Donor Information System (DIS) v6.0 Indications for Use:
Indications for Use:
The intended use of the system is to receive, analyze, and store data during the collection and distribution of source plasma that will be used in plasma-derived bio-pharmaceutical products.
Donor eligibility information can be either self-administered by the donor or administered by a plasma center employee to create an electronic record of donor and donation information. The system uses program logic to evaluate a donor’s history, physical exam, vitals and lab test results to determine donor eligibility and unit suitability.
The system runs at each donor collection center and communicates with all centers, testing labs, manufacturing plants and consignees through a central corporate computer system (CCC). Biometrics is used for donor and staff identification and electronic signatures. The system also utilizes the corporate wireless network, which allows the user mobility within the plasma center.
Donor center and headquarters’ personnel use the system to provide management with various audit and statistical reports.

Page Last Updated: 01/25/2013
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