MICROSCAN SYNERGIES PLUS GRAM NEGATIVE MIC/COMBO PANELS WITH AMPICILLIN (0.25-128 UG/ML)

K020398 · Dade Behring, Inc. · LON · May 16, 2002 · Microbiology

Device Facts

Record IDK020398
Device NameMICROSCAN SYNERGIES PLUS GRAM NEGATIVE MIC/COMBO PANELS WITH AMPICILLIN (0.25-128 UG/ML)
ApplicantDade Behring, Inc.
Product CodeLON · Microbiology
Decision DateMay 16, 2002
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 866.1645
Device ClassClass 2

Intended Use

MicroScan® Synergies plus™ Gram-Negative MIC/Combo Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of rapidly growing aerobic and facultative anaerobic Gram-Negative bacilli (Enterobacteriaceae, glucose non-fermenters, and non-Enterobacteriaceae glucose fermenters. After inoculation, panels are read on the WalkAway® SI System or equivalent (upgraded WalkAway® 40 or WalkAway® 96) according to the Package Insert.

Device Story

MicroScan Synergies plus Gram-Negative MIC/Combo Panels are micro-titer plates containing dried antimicrobial agents in Mueller-Hinton broth. Device accepts standardized suspensions of bacterial colonies grown on solid media. Panels are inoculated, rehydrated, and incubated at 35°C in WalkAway SI System (or upgraded WalkAway 40/96). System monitors growth inhibition; determines Minimum Inhibitory Concentration (MIC) based on lowest concentration preventing visible growth. Used in clinical microbiology laboratories by technicians. Output provides quantitative/qualitative susceptibility data to clinicians to guide antibiotic therapy selection for Gram-negative infections.

Clinical Evidence

Performance evaluated using fresh and stock clinical efficacy isolates and stock challenge strains. Compared against NCCLS frozen reference panel. Overall Essential Agreement for Ampicillin was 97.6%. Reproducibility and precision confirmed using turbidity inoculum method on WalkAway SI System. Quality control testing met acceptance criteria.

Technological Characteristics

Micro-titer plate format; dried antimicrobial agents in Mueller-Hinton broth; automated incubation and optical reading via WalkAway SI System; 35°C incubation; 4.5-18 hour test duration.

Indications for Use

Indicated for antimicrobial susceptibility testing of rapidly growing aerobic and facultative anaerobic Gram-Negative bacilli (Enterobacteriaceae, glucose non-fermenters, non-Enterobacteriaceae glucose fermenters) isolated from solid media. Specifically indicated for Ampicillin testing in Escherichia coli and Salmonella spp. Contraindicated for Citrobacter spp., Enterobacter spp., Klebsiella spp., Providencia spp., Proteus mirabilis, Proteus vulgaris, and Shigella spp.

Regulatory Classification

Identification

A fully automated short-term incubation cycle antimicrobial susceptibility system is a device that incorporates concentrations of antimicrobial agents into a system for the purpose of determining in vitro susceptibility of bacterial pathogens isolated from clinical specimens. Test results obtained from short-term (less than 16 hours) incubation are used to determine the antimicrobial agent of choice to treat bacterial diseases.

Special Controls

*Classification.* Class II (special controls). The special control for this device is FDA's guidance document entitled “Class II Special Controls Guidance Document: Antimicrobial Susceptibility Test (AST) Systems; Guidance for Industry and FDA.”

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ Image /page/0/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo features a stylized eagle with its head turned to the left. The eagle is composed of three curved lines that form its head, body, and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the eagle. Public Health Service Food and Drug Administration 2098 Gaither Road Rockville MD 20850 AUG 3 0 2004 Mr. Robert Eusebio Manager Regulatory Affairs Dade MicroScan, Inc. 1584 Enterprise Boulevard West Sacramento, CA 95691 k020398 Re: Trade/Device Name: MicroScan® Synergies plus™ Gram-Negative MIC/Combo Panels with Ampicillin (0.25- 128 µg/ml) Regulation Number: 21 CFR 866.1645 Regulation Name: Fully Automated Short-Term Incubation Cycle Antimicrobial Susceptibility Devices Regulatory Class: Class II Product Code: LON Dated: July 30, 2004 Received: August 3, 2004 Dear Mr. Eusebio: This letter corrects our substantially equivalent letter of May 16, 2002, regarding the trade name which was changed to MicroScan® Synergies Plus to better reflect the intended use of the device. 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 (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. {1}------------------------------------------------ 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 Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (sections 531-542 of the Act); 21 CFR 1000-1050. This letter will allow you to continue 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 advice for your device on our labeling regulation (21 CFR Part 801 and additionally Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-3084. Additionally, for questions on the promotion and advertising of your device. please contact the Office of Compliance at (301) 594-4639. Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at their toll free number (800) 638-2041 or at (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsmadsmamain.html. Sincerely yours, Freddi tu. Pode for Sally A. Hojvat, M.Sc., Ph.D. Director Division of Microbiology Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health Enclosure {2}------------------------------------------------ ## Indications for Use Statement 510(k) Number (if known): K020398 Device Name: MicroScan® Synergies plus" Gram-Negative MIC/Combo Panels with Ampicillin (0.25 - 128 ug/ml) Indications For Use: MicroScan® Synergies plus™ Gram-Negative MIC/Combo Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of rapidly growing aerobic and facultative anaerobic Gram-Negative bacilli (Enterobacteriaceae, glucose non-fermenters, and non-Enterobacteriaceae glucose fermenters. After inoculation, panels are read on the WalkAway® SI System or equivalent (upgraded WalkAway® 40 or WalkAway® 96) according to the Package Insert. This particular submission is for the antimicrobial Ampicillin on the Synergies plus" Gram-Negative MIC/Combo Panels. The Gram-Negative organisms which may be used for Ampicillin susceptibility testing in this panel are: Escherichia coli Salmonella spp. The MicroScan® Synergies plus™ Gram-Negative with Ampicillin is not intended for use with: Citrobacter spp. Enterobacter spp. Klebsiella spp. Providencia spp. Proteus mirabilis Proteus vulgaris Shigella spp. Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR Over-The-Counter Use (21 CFR 807 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD) Ludwita. Pool Division Sign-Off Office of In Vitro Diagnostic Device Evaluation and Safety Page 1 of _ 1 510(k) 020398 {3}------------------------------------------------ K020398 # MAY 1 6 2002 ## 510(k) Summary #### 510(k) Submission Information: | Device Manufacturer: | Dade Behring Inc. | |----------------------|------------------------------------------------------------| | Contact name: | Maureen Mende, Group Manager Regulatory Affairs | | Fax: | 916-374-3144 | | Date prepared: | May 14, 2002 | | Product Name: | Microdilution Minimum Inhibitory Concentration (MIC) Panel | | Trade Name: | MicroScan® rapID/S plus™ Gram-Negative MIC/Combo panel | | Intended Use: | To determine antimicrobial agent susceptibility | | 510(k) Notification: | Antimicrobials: Ampicillin | | Predicate device: | MicroScan Dried Gram Negative MIC/Combo Panels | ### 510(k) Summary: MicroScan® rapID/S plus™ Gram-Negative MIC/Combo Panels are designed for use in determining quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of rapidly growing aerobic and facultative anaerobic gram-negative bacilli. The MicroScan® rapID/S plus ™ Gram-Negative MIC/Combo Panels are read on the WalkAway SI System or equivalent (upgraded WalkAway 40 or WalkAway® 96 instruments). The antimicrobial susceptibility tests are miniaturizations of the broth dilution susceptibility test that have been diluted in Mueller-Hinton Broth to concentrations bridging the range of clinical interest and are presented in micro-titer wells in dried form. rapID/S plus™ panels are inoculated and rehydrated with a standardized suspension of the organism and incubated at 35°C in the WalkAway® SV System or equivalent for 4.5 - 18 hours. The minimum inhibitory concentration (MIC) for the test organism is determined by the lowest antimicrobial concentration showing inhibition of growth. The proposed MicroScan® rapID/S plus™ Gram-Negative MIC/Combo Panel demonstrated substantially equivalent performance when compared with an NCCLS frozen Reference Panel, as defined in the FDA DRAFT document "Guidance on Review Criteria for Assessment of Antimicrobial Susceptibility Devices", dated March 8, 2000. The Premarket Notification (510[k]) presents data in support of the MicroScan® rapID/S plus™ Gram-Negative MIC/Combo Panel with Ampicillin. The external evaluation was conducted with fresh and stock Efficacy isolates and stock Challenge strains. The external evaluations were designed to confirm the acceptability of the proposed rapID/S plus™ Cram-Negative Panel by comparing its performance with an NCCLS frozen Reference panel. Challenge strains were compared to Expected Results determined prior to the evaluation. The rapID/S plus ™ Gram-Negative Panel demonstrated acceptable performance with an overall Essential Agreement of 97.6% for Ampicillin when compared with the frozen Reference panel. Instrument reproducibility testing demonstrated acceptable reproducibility and precision with Turbidity inoculum preparation method and the WalkAway S7 System or equivalent (upgraded WalkAway 40 or WalkAway® 96 instruments). Quality Control testing demonstrated acceptable results for Ampicillin.
Innolitics
510(k) Summary
Decision Summary
Classification Order
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