AMM

K981920 · Abbott Laboratories · JIF · Jul 22, 1998 · Clinical Chemistry

Device Facts

Record IDK981920
Device NameAMM
ApplicantAbbott Laboratories
Product CodeJIF · Clinical Chemistry
Decision DateJul 22, 1998
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 862.1065
Device ClassClass 1

Intended Use

The Ammonia assay is used for the quantitation of ammonia in human plasma. Ammonia measurements are used in the diagnosis and treatment of severe liver disorders, such as cirrhosis, hepatitis, and Reye's syndrome.

Device Story

The Ammonia assay is an in vitro diagnostic clinical chemistry test for human plasma. It utilizes an enzymatic reaction where glutamate dehydrogenase (GLDH) catalyzes the amination of alpha-ketoglutarate by ammonia, coupled with the oxidation of NADPH. This reaction results in a decrease in absorbance at 340 nm, which is measured by a clinical chemistry analyzer (AEROSET System). The magnitude of absorbance decrease is directly proportional to the ammonia concentration in the sample. The assay is intended for use by laboratory professionals in clinical settings to assist in diagnosing and managing liver conditions. Results are provided to clinicians to inform clinical decision-making regarding liver function and disease status.

Clinical Evidence

Bench testing only. Comparative performance studies conducted on the AEROSET System against the A-GENT Ammonia assay on the ABBOTT SPECTRUM Series II System. Results: correlation coefficient 0.9957, slope 0.971, Y-intercept -2.083 umol/L. Precision studies (within-run, between-run, between-day) reported total %CVs of 11.7% (Level 1), 4.0% (Level 2), and 5.5% (Level 3). Linearity up to 1,574.9 umol/L; limit of quantitation 20.6 umol/L.

Technological Characteristics

In vitro clinical chemistry assay. Principle: Enzymatic (glutamate dehydrogenase) kinetic spectrophotometric measurement at 340 nm. Analyte: Ammonia in human plasma. Form factor: Reagent kit for use on automated clinical chemistry analyzers (AEROSET System).

Indications for Use

Indicated for the quantitative determination of ammonia in human plasma for the diagnosis and treatment of severe liver disorders, including cirrhosis, hepatitis, and Reye's syndrome.

Regulatory Classification

Identification

An ammonia test system is a device intended to measure ammonia levels in blood, serum, and plasma, Ammonia measurements are used in the diagnosis and treatment of severe liver disorders, such as cirrhosis, hepatitis, and Reye's syndrome.

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ K981920 ## JUL 22 1998 # 510(k) Summary ## Submitter's Name/Address Abbott Laboratories 1920 Hurd Drive Irving, Texas 75038 Contact Person Mark Littlefield Section Manager MS 1-8 Regulatory Affairs (972) 518-6062 Fax (972) 753-3367 | Date of Preparation of this Summary: | May 29, 1998 | |--------------------------------------------------|---------------| | Device Trade or Proprietary Name: | Amm | | Device Common/Usual Name or Classification Name: | Ammonia | | Classification Number/Class: | 75JIX/Class I | This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92. The assigned 510(k) number is: _______________________________________________________________________________________________________________________________________________ ### Test Description: Ammonia is an in vitro diagnostic assay for the quantitative determination of ammonia in human plasma. The Ammonia assay is a clinical chemistry assay which utilizes the amination of x-ketoglutarate by ammonia (NH3) along with the concomitant oxidation of NH2DPH. These reactions, catalyzed by glutamate dehydrogenase (GLDH), produce glutamate and NHxDP+ The oxidation of NHxDPH produces a decrease in absorbance at 340 nm which is directly proportional to the concentration of ammonia in the sample. #### Substantial Equivalence: The Ammonia assay is substantially equivalent to the A-GENT® Ammonia assay (K870787) on the ABBOTT SPECTRUM® Series II™ System. Ammonia 510(k) May 29, 1998 Ammf.lwp Section II Page 1 {1}------------------------------------------------ Both assays yield similar Performance Characteristics. Similarities: - Both assays are in vitro clinical chemistry methods. . - Both assays can be used for the quantitative determination of ammonia. . - Both assays vield similar clinical results. . ### Intended Use: The Ammonia assay is used for the quantitation of ammonia in human plasma. #### Performance Characteristics: Comparative performance studies were conducted using the AEROSET™ System. The Ammonia assay method comparison yielded acceptable correlation with the A-GENT Ammonia assay on the ABBOTT SPECTRUM Series II System. The correlation coefficient = 0.9957, slope = 0.971, and Y-intercept = - 2.083 umol/L. Precision studies were conducted using the Ammonia assay. Within-run, between-run, and between-day studies were performed using three levels of control material. The total %CV for Level 1/Panel 103 is 11.7%, 4.0% for Level 2/Panel 104, and 5.5% for Level 3/Panel 105. The Ammonia assay is linear up to 1,574.9 umol/L. The limit of quantitation (sensitivity) of the Ammonia assay is 20.6 umol/L. These data demonstrate that the performance of the Ammonia assay is substantially equivalent to the performance of the A-GENT Ammonia assay on the ABBOTT SPECTRUM Series II System. #### Conclusion: The Ammonia assay is substantially equivalent to the A-GENT Ammonia-assay on the ABBOTT SPECTRUM Series II System as demonstrated by results obtained in the studies. Ammonia 510(k) May 29, 1998 Ammf Jwp Section II Page 2 {2}------------------------------------------------ Image /page/2/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized depiction of an eagle or bird-like figure with three curved lines representing its wings or body. The logo is encircled by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" in a circular arrangement. Jul 22 1998 Food and Drug Administration 2098 Gaither Road Rockville MD 20850 Mark Littlefield .Section Manager, Regulatory Affairs Abbott Laboratories 1920 Hurd Drive Irving, Texas 75038 Re : K981920 AMM Regulatory Class: I Product Code: JIF Dated: May 29, 1998 Received: June 1, 1998 Dear Mr. Littlefield: We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act 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 (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory In addition, FDA may publish further announcements action. concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations. {3}------------------------------------------------ Page 2 Under the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88), this device may require a CLIA complexity categorization. To determine if it does, you should contact the Centers for Disease Control and Prevention (CDC) at (770) 488-7655. This letter will allow you to begin marketing your device as described in your 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 809.10 for in vitro diagnostic devices), please contact the Office of ' Compliance at (301) 594-4588. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html". Sincerely yours, Steven Litman Steven I. Gutman, M.D., M.B.A. Director Division of Clinical Laboratory Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {4}------------------------------------------------ 510(k) Number (if known): Device Name: Indications For Use: The Ammonia assay is used for the quantitation of ammonia in human plasma. Ammonia measurements are used in the diagnosis and treatment of severe liver disorders, such as cirrhosis, hepatitis, and Reye's syndrome. (Division Sign-Off) Division of Cized Laboratory Levices 510(k) Number K9811928 (PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED) ______________________________________________________________________________________________________________________________________________________________________________ Concycrence of CDRH, Office of Device Evaluation (ODE) Over-The-Counter Use _________________________________________________________________________________________________________________________________________________________ Prescription Use OR (Per 21 CFR 801.109) (Optional Format 1-2-96) . :
Innolitics
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