MICROSCAN MICROSTREP PLUS, MODEL B1027-201

K091949 · Siemens Healthcare Diagnostics · LTT · Jan 26, 2010 · Microbiology

Device Facts

Record IDK091949
Device NameMICROSCAN MICROSTREP PLUS, MODEL B1027-201
ApplicantSiemens Healthcare Diagnostics
Product CodeLTT · Microbiology
Decision DateJan 26, 2010
DecisionSESE
Submission TypeSpecial
Regulation21 CFR 866.1640
Device ClassClass 2

Intended Use

The MicroScan® MICroSTREP plus® Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of aerobic streptococci, including Streptococcus pneumoniae. After inoculation, panels are incubated for 20 – 24 hours at 35°C +/- 1°C in a non-CO2 incubator, and read either visually or with MicroScan® WalkAway instrument. This particular submission is for the evaluation of antimicrobial agent penicillin on the MicroScan® MICroSTREP plus® Panel utilizing the updated Streptococcus pneumoniae meningitis interpretative criteria (S ≤ 0.06, R ≥ 0.12) and non-meningitis interpretative criteria (S ≤ 2, I = 4, R ≥ 8).

Device Story

MicroScan MICroSTREP plus Panels are miniaturized broth dilution susceptibility tests; dehydrated antimicrobial agents are rehydrated with Mueller-Hinton broth supplemented with 2-5% lysed horse blood and HEPES buffer. Device accepts standardized saline suspensions of organism colonies grown on solid media. Panels are incubated for 20-24 hours at 35°C in non-CO2 environments. Results are obtained via visual inspection or automated reading using the MicroScan WalkAway instrument. The system determines the minimum inhibitory concentration (MIC) by identifying the lowest antimicrobial concentration inhibiting growth. This output assists clinicians in selecting appropriate antibiotic therapy for streptococcal infections. The device is intended for use in clinical laboratory settings.

Clinical Evidence

Bench testing only. Performance evaluated by comparing Streptococcus pneumoniae data from previous evaluations (K062773, K020626) against a CLSI frozen Reference panel using updated interpretive criteria. Challenge strains were compared to expected results. Overall Essential Agreement for Penicillin was 92.5%.

Technological Characteristics

Miniaturized broth microdilution panels; dehydrated antimicrobial agents; rehydrated with Mueller-Hinton broth, 2-5% lysed horse blood, and 50 mM HEPES buffer. Incubation at 35°C +/- 1°C. Read visually or via MicroScan WalkAway instrument. Class II device (Product Codes LTT, LRG).

Indications for Use

Indicated for determining antimicrobial susceptibility of aerobic streptococci, including Streptococcus pneumoniae, Streptococcus agalactiae, Viridans Streptococci, and Groups A, C, G, H, L, and M Streptococci. Used for prescription clinical testing.

Regulatory Classification

Identification

An antimicrobial susceptibility test powder is a device that consists of an antimicrobial drug powder packaged in vials in specified amounts and intended for use in clinical laboratories for determining in vitro susceptibility of bacterial pathogens to these therapeutic agents. Test results are used to determine the antimicrobial agent of choice in the treatment of bacterial diseases.

Predicate Devices

Reference Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ K09/949 JAN 2 6 2010 ### Page 1 of 1 # 510(k) Summary #### 510(k) Submission Information: | Device Manufacturer: | Siemens Healthcare Diagnostics | |----------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Contact name: | Shannon Popson, Regulatory Affairs Senior Technical Specialist | | Fax: | 916-374-3330 | | Date prepared: | June 16, 2009 | | Product Name: | Microdilution Minimum Inhibitory Concentration (MIC) Panels | | Trade Name: | MicroScan® MICroSTREP plus® Panels | | Intended Use: | To determine antimicrobial agent susceptibility | | 510(k) Notification: | Device Modification – Evaluation of Penicillin (K062773) versus<br>Streptococcus pneumoniae interpretive criteria (meningitis S ≤ 0.06, R ≥ 0.12 and non-meningitis S ≤ 2, I = 4, R ≥ 8). | | Predicate device: | MicroScan® MICroSTREP plus® Panels | #### 510(k) Summary: MicroScan MICroSTREP plus® Panels are designed for use in determining quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of rapidly growing aerobic streptococci including Streptococcus pneumoniae. After inoculation, panels are incubated for 20-24 hours at 35°C +/-1°C in a non-CO2 incubator, and read visually or with the MicroScan WalkAway instrument according to the Package Insert. The antimicrobial susceptibility tests are miniaturizations of the broth dilution susceptibility test that have been diluted in broth and dehydrated. Various antimicrobial agents are diluted in water, buffer, or minute concentrations of broth to concentrations bridging the range of clinical interest. Panels are rehydrated with 115ul Mueller-Hinton broth supplemented with 2-5% lysed horse blood (LHB) and buffered with 50 mM HEPES, after inoculation with a standardized suspension of the organism in saline. After incubation in a non-CO2 incubator for 20-24 hours, the minimum inhibitory concentration (MIC) for the test organism is read by determining the lowest antimicrobial concentration showing inhibition of growth. The proposed MicroScan MICroSTREP plus® Panel demonstrated substantially equivalent performance when compared with an CLSI frozen Reference Panel, as defined in the FDA document "Class II Special Controls Guidance Document: Antimicrobial Susceptibility Test (AST) Systems; Guidance for Industry and FDA", dated March 5, 2007. This Special 510(k) presents data and information in support of updating the penicillin labeling for the updated Streptococcus pneumoniae interpretive criteria (meningitis S ≤ 0.06, R ≥ 0.12 and nonmeningitis S ≤ 2, I = 4, R ≥ 8). The Streptococcus pneumoniae data from the previously cleared Penicillin external evaluations (K062773 and K020626) were compared to the performance of a CLSI frozen Reference panel utilizing the revised interpretative criteria (meningitis S ≤ 0.06, R ≥ 0.12 and non-meningitis S ≤ 2, I = 4, R > 8). Challenge strains were compared to Expected Results determined prior to the evaluations. The MICroSTREP plus® Panel demonstrated acceptable performance versus the with an overall Essential Agreement of 92.5% for Penicillin when compared with the frozen Reference panel. {1}------------------------------------------------ Image /page/1/Picture/0 description: The image shows the seal of the Department of Health & Human Services - USA. The seal is circular, with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the top half of the circle. The bottom half of the circle contains a stylized image of an eagle with its wings spread. The eagle is facing to the right. #### DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service Food and Drug Administration 10903 New Hampshire Avenuc Building 66 Silver Spring, MD 20993 JAN 2 6 2010 Shannon Popson Senior Technical Specialist, Regulatory Affairs Siemens Healthcare Diagnostics, Inc. 2040 Enterprise Blvd. West Sacramento, CA 95691 Re: K091949 Trade/Device Name: MicroScan® MICroSTREP plus® Panel Regulation Number: 21 CFR 1640 Regulation Name: Antimicrobial Susceptibility Test Powder Regulatory Class: Class II Product Code: LTT, LRG Dated: January 14, 2010 Received: January 19, 2010 Dear Ms. Popson: 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 class II (Special Controls), 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 {2}------------------------------------------------ Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Parts 801 and 809); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820). 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 advice for your device on our labeling regulation (21 CFR Parts 801 and 809), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 796-5450. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm 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 http://www.fda.gov/cdrl/industry/support/index.html. Sincerely vours. Jolgatpus Sally A. Hojvat, Ph.D. Director, Division of Microbiology Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health {3}------------------------------------------------ ## Indication for Use #### 510(k) Number (if known): #### Device Name: MicroScan® MICroSTREP plus® Panels with Penicillin (0.015 - 16 ug/ml) Indication For Use: The MicroScan® MICroSTREP plus® Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of aerobic streptococci, including Streptococcus pneumoniae. After inoculation, panels are incubated for 20 – 24 hours at 35°C +/- 1°C in a non-CO2 incubator, and read either visually or with MicroScan® WalkAway instrument. This particular submission is for the evaluation of antimicrobial agent penicillin on the MicroScan® MICroSTREP plus® Panel utilizing the updated Streptococcus pneumoniae meningitis interpretative criteria (S ≤ 0.06, R ≥ 0.12) and non-meningitis interpretative criteria (S ≤ 2, I = 4, R ≥ 8). The organisms which may be used for Penicillin susceptibility testing in this panel are: > Streptococcus pneumoniae Streptococci (Groups A, C, G, H, L and M) Streptococcus agalactiae Viridans Streptococci Prescription Use ブ (21 CFR Part 801 Subpart D) And/Or Over the Counter Use (21 CFR Part 801 Subpart C) (PLEASE DO NOT WRITE BELOW THIS LINE; CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH, Office of In Vitro Diagnostic Device Evaluation and Safety (OIVD) fey oot Division Sign-Of Office of In Vitro Diagnostic Device Evaluation and Safety 510(k) k091949 Page 1 of 2
Innolitics
510(k) Summary
Decision Summary
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