BD PHOENIX AUTOMATED MICROBIOLOGY SYSTEM - VANCOMYCIN-GP DETECTION OF VRSA.

{0}------------------------------------------------ . MAR 2 9 2006 CONFIDENTIAL AND PROPRIETARY # 510(k) SUMMARY | SUBMITTED BY: | Becton, Dickinson and Company<br>7 Loveton Circle<br>Sparks, MD 21152<br>Phone: (410) 316-4778<br>Fax: 410-316-4499 | |------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | CONTACT NAME: | Monica E. Giguere<br>Regulatory Affairs Specialist | | DATE PREPARED: | February 22, 2006 | | DEVICE TRADE NAME: | BD PhoenixTM Automated Microbiology System –<br>Vancomycin 0.5-32 μg/mL – Detection of VRSA | | DEVICE COMMON NAME: | Antimicrobial susceptibility test system-short incubation | | DEVICE CLASSIFICATION: | Fully Automated Short-Term Incubation Cycle Antimicrobial<br>Susceptibility Device, 21 CFR 866.1645 | | PREDICATE DEVICES: | VITEK® System (PMA No. N50510) and BD PhoenixTM<br>Automated Microbiology System with Gatifloxacin (K020321<br>May 23, 2002), Ofloxacin (K020323, April 14, 2002),<br>Levofloxacin (K020322, March 27, 2002), and Vancomycin<br>(K030677, April 1, 2003). | | INTENDED USE: | The BD PhoenixTM Automated Microbiology System is<br>intended for the rapid identification and <i>in vitro</i> antimicrobial<br>susceptibility testing of isolates from pure culture of most<br>aerobic and facultative anaerobic Gram-negative and Gram-positive bacteria of human origin. | : : {1}------------------------------------------------ # DEVICE DESCRIPTION: The BD Phoenix Automated Microbiology System (Phoenix System) is an automated system for the rapid identification (ID) and antimicrobial susceptibility testing (AST) of clinically relevant bacterial isolates. The system includes the following components: - . BD Phoenix instrument and software. - BD Phoenix panels containing biochemicals for organism ID testing and antimicrobial agents ● or AST determinations. - BD Phoenix ID Broth used for performing ID tests and preparing AST Broth inoculum. . - BD Phoenix AST Broth used for performing AST tests only. . - BD Phoenix AST Indicator solution added to the AST Broth to aid in bacterial growth . determination. The Phoenix AST method is a broth based microdilution test. The Phoenix system utilizes a redox indicator for the detection of organism growth in the presence of an antimicrobial agent. Measurements of changes to the indicator as well as bacterial turbidity are used in the determination of bacterial growth. Each AST panel configuration contains several antimicrobial agents with a wide range of two-fold doubling dilution concentrations. The Phoenix panel is a sealed and self-inoculating molded polystyrene tray with 136 micro-wells containing dried reagents. Organisms for susceptibility testing must be a pure culture and preliminarily identified as a Gram-negative or Gram-positive isolate. Phoenix panels are inoculated with a specified organism density and placed into the instrument. The instrument houses the panels where they are continuously incubated at a nominal temperature of 35°C. The instrument takes readings of the panels every 20 minutes. The readings are interpreted to give an identification of the isolate, minimum inhibitory concentration (MIC) values and category interpretations, S, I, or R (sensitive, intermediate, or resistant). # DEVICE COMPARISON: The BD Phoenix™ Automated Microbiology System demonstrated substantially equivalent performance when compared with the CLSI reference broth microdilution method. This premarket notification provides data supporting the use of the BD Phoenix™ Automated Microbiology System Gram positive ID/AST or AST only Phoenix panels with this antimicrobial agent and the detection of VRSA. # SUMMARY OF SUBSTANTIAL EQUIVALENCE TESTING: BD Phoenix™ Automated Microbiology System has demonstrated substantially equivalent performance with vancomycin when compared to the CLSI reference broth microdilution method (AST panels prepared according to CLSI M7). The system has been evaluated as defined in the FDA Draft guidance document, "Class II Special Controls Guidance Document: Antimicrobial Susceptibility Test (AST) Systems; Guidance for Industry and FDA," February 5, 2003. Additional {2}------------------------------------------------ testing has been performed to demonstrate adequate detection of vancomycin resistant Staphylococcus aureus (VRSA) strains. # Clinical Studies Clinical, stock and challenge isolates were tested across multiple geographically diverse sites across the United States to demonstrate the performance of the Phoenix antimicrobial susceptibility test with the Gram Positive Phoenix Panel format containing this antimicrobial agent. Phoenix System results for Challenge set isolates were compared to the expected results. Phoenix System results for clinical isolates were compared to the results obtained from the CLSI reference broth microdilution method. The overall performance of the Phoenix System was assessed by calculating Essential Agreement (EA) and Category Agreement (CA) to expected/reference results for all isolates tested. Essential Agreement (EA) occurs when the BD Phoenix™ Automated Microbiology System agrees exactly or within + one two-fold dilution to the reference result. Category Agreement (CA) occurs when the BD Phoenix™ Automated Microbiology System agrees with the reference method with respect to the FDA categorical interpretive criteria (susceptible, intermediate, and resistant). Table 1 summarizes the performance for the isolates tested in this study and included in the 510(k) premarket notification (K030677, April 1, 2003) for vancomycin and Gram-positive organisms and the Phoenix System. #### Performance of BD Phoenix System for Gram-Positive Organisms by Drug Table 1: | come follow from the may of finitial for the later the local of the local of the latest of the latest of the latest of the latest of the latest of the local of the lates and<br>Antimicrobial<br>Advertising of The Research and a not a manufacture a come a commend and any | -------------------------------------<br>Comments and in the first and the many of the comments of the comments of the comments of the comments of the comments of the comments of the comments of the comments of the<br>oncentration | | 01<br>. | The first and the first and the comment of the commend of the first and the count | 10/ | |--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------|----------|-----------------------------------------------------------------------------------|-----| | Vancomycin | 1 8 40<br>புத்துட | 1001 | t C<br>1 | 100 | 00 | Additional testing has been performed to assess the ability of the vancomycin on the Phoenix System to detect vancomycin resistant Staphylococcus aureus (VRSA) strains. # Conclusions Drawn from Substantial Equivalence Studies The data collected from the substantial equivalence studies demonstrate that testing on the BD Phoenix™ Automated Microbiology System with this antimicrobial agent is substantially equivalent as outlined in the FDA draft guidance document. "Class II Special Controls Guidance Document: Antimicrobial Susceptibility Test (AST) Systems; Guidance for Industry and FDA," February 5, 2003. Technological characteristics of this system are substantially equivalent to those used in the VITEK® system, which received approval by the FDA under PMA number N50510 and BD Phoenix™ Automated Microbiology System with Gatifloxacin (K020321, May 23, 2002), Ofloxacin (K020323, April 14, 2002), Levofloxacin (K020322, March 27, 2002), and Vancomycin (K030677, April 1, 2003). {3}------------------------------------------------ Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three overlapping wing shapes, symbolizing service to the nation. 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 MAR 2 9 2006 Ms. Monica E. Giguere Regulatory Affairs Specialist BD Diagnostics Systems Becton, Dickinson and Company 7 Loveton Circle Sparks, MD 21152 Re: k060493 Trade/Device Name: BD Phoenix™ Automated Microbiology System Vancomycin (0.5-32 µg/mL) - GP-Detection of VRSA 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: February 22, 2006 Received: February 24, 2006 Dear Ms. Giguere: 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 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 such additional controls. Existing major regulations affecting your device can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 Part 807); labeling (21 CFR Parts 801 and 809); and good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820). {4}------------------------------------------------ #### Page 2 --- This letter will allow you to begin 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 information about the application of labeling requirements to your device, or questions on the promotion and advertising of your device, please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (240)276-0484. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html Sincerely yours, Sally, a 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 {5}------------------------------------------------ ### Page I of 1 # 510(k) Number: _ K 0 60493 Device Name: BD Phoenix™ Automated Microbiology System for use with the antimicrobial agent Vancomycin (0.5-32 ug/mL) - GP- Detection of VRSA #### Indications for Use: The BD Phoenix™ Automated Microbiology System is intended for in vitro quantitative determination of antimicrobial susceptibility by minimal inhibitory concentration (MIC) of most Gram-negative aerobic and facultative anaerobic bacteria isolates from pure culture for Enterobacteriaceae and Non-Enteropacteriaceae and most Gram-positive bacteria isolates from pure culture belonging to the genera Staphylococcus and Enterococcus. This premarket notification is to demonstrate the ability to detect vancomycin resistant Staphylococcus qureus (VRSA) with the antimicrobial agent vancomycin at concentrations of 0.5-32 µg/mL (K030677, April 1, 2003) and Gram positive ID/AST or AST only Phoenix panels. Vancomycin has been shown to be active in vitro against most strains of microorganisms listed below, as described in the FDA-approved package insert for this antimicrobic. #### Active In Vitro and in Clinical Infections Against: Staphylococcus species Enterococcus species Prescription Use (Per 21 CFR 801.109) Over-the-Counter Use #### (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of Device Evaluation (ODE) Ludella Poole Division Sign-Off Office of In Vitro Diagnostic Device Eveluation and Safety K°60493