K Number
K982382

Validate with FDA (Live)

Date Cleared
1998-09-28

(82 days)

Product Code
Regulation Number
866.5510
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The cassette COBAS INTEGRA x-1-Antitrypsin (AAT) contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA 700 for the quantitative immunological determination of human x-1-antitrypsin in serum and plasma. The measurements aid in the diagnosis of several conditions including juvenile and adult cirrhosis of the liver. In addition, a-1-antitrypsin deficiency has been associated with pulmonary emphysema.

The cassette COBAS INTEGRA Immunoglobulin A (IGA/IGAP) contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA 700 for the quantitative immunological determination of human immunoglobulin A in serum and plasma. addition to the standard application (IGA), the sensitive application (IGAP) is designed for the quantitative determination of low IgA concentrations in e.g. pediatric samples. Measurement of this immunoglobulin aids in the diagnosis of abnormal protein metabolism and the body's lack of ability to resist infectious agents.

The cassette COBAS INTEGRA Immunoglobulin M (IGM/IGMP) contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA 700 for the quantitative immunological determination of human immunoglobulin M in serum and plasma. In addition to the standard application (IGM), the sensitive application (IGMP) is designed for the quantitative determination of low IgM concentrations in e.g. pediatric samples. Measurement of this immunoglobulin aids in the diagnosis of abnormal protein metabolism and the body's lack of ability to resist infectious agents.

The cassette COBAS INTEGRA Immunoglobulin G (Turbidimetric) (IGGT/IGGTC) contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA 700 for the quantitative immunological determination of human immunoglobulin G in serum, plasma (IGGT) and cerebrospinal fluid (IGGTC). Measurement of this immunoglobulin aids in the diagnosis of abnormal protein metabolism and the body's lack of ability to resist infectious agents.

Device Description

The COBAS INTEGRA test applications contained in this submission are intended for use with the COBAS INTEGRA Analyzer, which is also known as the COBAS INTEGRA 700. The COBAS INTEGRA Analyzer and COBAS INTEGRA Reagent cassettes together provide an integrated system for in vitro diagnostic testing. The COBAS INTEGRA Analyzer utilizes three measuring principles, i.e., absorbance, fluorescence polarization and ion-selective electrodes. The analyzer has a throughput of up to 600 tests per hour with STAT samples prioritized and tested immediately. Random sample access, robotics and a user interface optimize time management and streamline workflow. The COBAS INTEGRA can store up to 68 COBAS INTEGRA Reagent Cassettes on board, 24 hours a day at 2-8°C. The COBAS INTEGRA Reagent Cassettes are compact and preparation-free with the added convenience of long term on-board stability. Barcode readers are used to identify newly loaded reagent cassettes, samples for patient identification, and rack inserts and to read calibration and control data from the cassette label. COBAS INTEGRA tests include chemistry, drugs of abuse, immunology, ion selective electrodes, therapeutic drug monitoring, and hematology reagents.

AI/ML Overview

Here's a breakdown of the acceptance criteria and study information for the Roche COBAS® INTEGRA Reagent Cassettes for α-1-Antitrypsin (AAT), Immunoglobulin A (IGA/IGAP), and Immunoglobulin M (IGM/IGMP), based on the provided text:

Important Note: The provided document is a 510(k) Summary. This type of summary focuses on demonstrating substantial equivalence to a legally marketed predicate device, rather than proving the device meets specific pre-defined acceptance criteria in the same way a novel device might. The "acceptance criteria" here are inferred from the performance characteristics presented to show equivalence. The studies are primarily comparative studies against predicate devices.


1. Table of Acceptance Criteria and Reported Device Performance

Device: Roche COBAS® INTEGRA Reagent Cassettes (AAT, IGA/IGAP, IGM/IGMP)

Performance CharacteristicAcceptance Criteria (inferred from predicate/previous version)Reported Device Performance (Modified COBAS INTEGRA)Predicate Device Performance (where available)
α-1-Antitrypsin (AAT)
Accuracy (Corr. Coeff. (r))Must be comparable to predicate (e.g., K972640: 0.967 / K954992: 0.930)0.995 (vs. BM)Predicate K972640: 0.967; Cleared K954992: 0.930
Linear RegressionMust be comparable to predicate1.30x - 0.31 g/LPredicate K972640: 0.993x + 9.9 mg/dL; Cleared K954992: 0.90x + 0.06 g/L
Immunoglobulin A (IGA/IGAP)
Precision (IGA)
Level 1 (Mean ~2.0-2.3 g/L)Within-run CV comparable to predicate/cleared (e.g., BM: 0.9%, Cleared: 1.4%)2.0%Predicate BM: 0.9%; Cleared K954457: 1.4%
Level 2 (Mean ~3.5-6.2 g/L)Within-run CV comparable to predicate/cleared (e.g., BM: 0.8%, Cleared: 0.81%)0.97%Predicate BM: 0.8%; Cleared K954457: 0.81%
Total CV Level 1Total CV comparable to predicate/cleared (e.g., BM: 2.2%, Cleared: 2.8%)2.3%Predicate BM: 2.2%; Cleared K954457: 2.8%
Total CV Level 2Total CV comparable to predicate/cleared (e.g., BM: 1.8%, Cleared: 1.8%)1.2%Predicate BM: 1.8%; Cleared K954457: 1.8%
Accuracy (Corr. Coeff. (r))Must be comparable to predicate (e.g., BM: 0.99 / Cleared: 0.989)0.994 (vs. BM/Hitachi)Predicate BM: 0.99; Cleared K954457: 0.989
Linear RegressionMust be comparable to predicate1.023x - 0.214 g/LPredicate BM: 0.83x + 20.6 mg/dL; Cleared K954457: 0.97x - 0.05 g/L
Assay RangeMust be comparable or improved0.45 - 7.3 g/L (std); 0.15 - 98.6 g/L (rerun)Cleared K954457: 0.79 - 12.6 g/L (std); 0.27 - 30.2 g/L (rerun)
SensitivityMust be comparable or improved0.45 g/LCleared K954457: 0.79 g/L
Immunoglobulin M (IGM/IGMP)
Precision (IGM)
Level 1 (Mean ~0.55-0.6 g/L)Within-run CV comparable to predicate/cleared (e.g., BM: 0.79%, Cleared: 2.6%)2.4%Predicate BM: 0.79%; Cleared K954457: 2.6%
Level 2 (Mean ~1.9-2.0 g/L)Within-run CV comparable to predicate/cleared (e.g., BM: 0.8%, Cleared: 2.0%)1.6%Predicate BM: 0.8%; Cleared K954457: 2.0%
Total CV Level 1Total CV comparable to predicate/cleared (e.g., BM: 3.7%, Cleared: 3.1%)3.2%Predicate BM: 3.7%; Cleared K954457: 3.1%
Total CV Level 2Total CV comparable to predicate/cleared (e.g., BM: 2.4%, Cleared: 2.2%)1.9%Predicate BM: 2.4%; Cleared K954457: 2.2%
Accuracy (Corr. Coeff. (r))Must be comparable to predicate (e.g., BM: 0.979 / Cleared: 0.994)0.994 (vs. BM/Hitachi)Predicate BM: 0.979; Cleared K954457: 0.994
Linear RegressionMust be comparable to predicate1.293x + 0.341 g/LPredicate BM: 0.81x + 5.9 mg/dL; Cleared K954457: 1.12x - 0.06 g/L
Assay RangeMust be comparable or improved0.16 - 5.18 g/L (std); 0.05 - 24.35 g/L (rerun)Cleared K954457: 0.31 - 5.0 g/L (std); 0.11 - 12.1 g/L (rerun)
SensitivityMust be comparable or improved0.16 g/LCleared K954457: 0.31 g/L

2. Sample Sizes Used for the Test Set and Data Provenance

  • α-1-Antitrypsin (AAT):
    • Sample Size: 288
    • Data Provenance: Not explicitly stated but implied to be clinical samples (serum/plasma). Origin (e.g., country) and retrospective/prospective nature are not specified.
  • Immunoglobulin A (IGA/IGAP):
    • Sample Size: 584
    • Data Provenance: Not explicitly stated but implied to be clinical samples (serum/plasma). Origin (e.g., country) and retrospective/prospective nature are not specified.
  • Immunoglobulin M (IGM/IGMP):
    • Sample Size: 556
    • Data Provenance: Not explicitly stated but implied to be clinical samples (serum/plasma). Origin (e.g., country) and retrospective/prospective nature are not specified.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

Not applicable. This device is an in vitro diagnostic reagent, and the 'ground truth' is established by comparative measurements against predicate devices using laboratory methods, not human expert interpretation of images or clinical cases. The comparison is against established laboratory testing methods.


4. Adjudication Method for the Test Set

Not applicable. The 'test set' here consists of biological samples measured by the device and compared to results from predicate devices/methods. There is no human adjudication process described.


5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

No. MRMC studies are typically for imaging devices or AI tools that assist human readers in interpretation. This is an IVD reagent, and the effectiveness is evaluated through analytical performance characteristics like accuracy, precision, and linearity when compared to established methods.


6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

Yes, in a sense. The studies summarized are standalone performance evaluations of the reagent cassette on the COBAS INTEGRA Analyzer. The results are generated by the automated system, without "human-in-the-loop" needing to interpret the primary measurement, although human operators load samples and review results. The comparison is between the modified reagent's performance and that of other established laboratory methods (predicate devices).


7. The Type of Ground Truth Used

The ground truth used for these studies is comparative measurement data from legally marketed predicate devices and established laboratory methods. Specifically:

  • AAT: Comparison against Boehringer Mannheim α-1-Antitrypsin Reagent (K972640) and Cleared COBAS INTEGRA α-1-Antitrypsin (K954992). The "vs. BM" implies using the Boehringer Mannheim method as a reference.
  • IGA/IGAP: Comparison against Boehringer Mannheim Immunoglobulin A Reagent (K955907) and Cleared COBAS INTEGRA Immunoglobulin A (K954457). The "vs. BM/Hitachi" indicates comparison with these laboratory systems.
  • IGM/IGMP: Comparison against Boehringer Mannheim Immunoglobulin M Reagent (K955908) and Cleared COBAS INTEGRA Immunoglobulin M (K954457). The "vs. BM/Hitachi" indicates comparison with these laboratory systems.

8. The Sample Size for the Training Set

Not applicable. These are reagent cassettes used with an existing analyzer. There is no mention of machine learning or AI models with "training sets" in the context of this 510(k) submission. The development and optimization of the reagent formulations and assay parameters would be part of a different internal R&D process, not typically described as a "training set" in this context.


9. How the Ground Truth for the Training Set Was Established

Not applicable, as there is no "training set" in the context of this device and submission. The "ground truth" for evaluating the performance of these reagents is established through established analytical chemistry and immunology principles, validated against reference materials, and benchmarked against predicate diagnostic assays.

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Image /page/0/Picture/0 description: The image shows the word "Roche" written in black font inside of a hexagon. The hexagon is also black. The word "Roche" is centered inside of the hexagon.

SEP 2 8 1998

510(k) Summary

Roche COBAS® INTEGRA Reagent Cassettes

In accordance with the Safe Medical Devices Act of 1990, a 510(k) summary is provided as outlined in 21 CFR 807.92.

The assigned 510(k) number is: 4982387-

Identification of 510(k) Sponsor: I.

Roche Diagnostic Systems, Inc. a subsidiary of Hoffmann-La Roche, Inc. Branchburg Township 1080 U.S. Highway 202 Somerville, New Jersey 08876-3771

510(k) Submission dated July 7, 1998

Rita Smith Contact: Senior Regulatory Affairs Associate Phone: (908) 253-7545 (908) 253-7547 Fax:

Branchburg Township 1080 U.S. Highway 202 t

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Roche Diagnostic Systems, Inc. Somerville, New Jersey 08876 July 1998

II. Device Name:

The device name, including both the trade/proprietary name and the classification name are provided in the table below.

Product NameClassificationNameProductCodeCFRNumber andRegulatory Class
COBAS INTEGRAα-1-Antitrypsin Reagent Cassette(AAT)α-1-antitrypsin, antigen,antiserum, controlDEM866.5130Class II
Roche COBAS INTEGRAImmunoglobulin A Reagent Cassette nephelometric methods(IGA/IGAP)Immunoglobulins. (G,A,M)CFN866.5510Class II
Roche COBAS INTEGRAImmunoglobulin M Reagent Cassette nephelometric methods(IGM/IGMP)Immunoglobulins. (G,A,M)CFN866.5510Class II
Roche COBAS INTEGRAImmunoglobulin G Reagent Cassette nephelometric methods(IGGT/IGGTC)Immunoglobulins, (G,A,M)CFN866.5510Class II

Table I

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Identification of the legally marketed device to which the 510(k) sponsor claims III. equivalence:

The following table identifies the legally marketed devices to which Roche Diagnostic Systems, Inc. claims equivalence.

Product NamePredicate ProductNameDatePredicateClearedPredicate510(k)Number
COBAS INTEGRAα-1-Antitrypsin Reagent Cassette(AAT)Boehringer Mannheim α-1-Antitrypsin Reagent1/9/98K972640
Roche COBAS INTEGRAImmunoglobulin A Reagent Cassette(IGA/IGAP)Boehringer MannheimImmunoglobulin A Reagent2/9/96K955907
Roche COBAS INTEGRAImmunoglobulin M Reagent Cassette(IGM/IGMP)Boehringer MannheimImmunoglobulin M Reagent2/9/96K955908
Roche COBAS INTEGRAImmunoglobulin G Reagent Cassette(IGGT/IGGTC)Boehringer MannheimImmunoglobulin G Reagent andBehring DiagnosticsImmunoglobulin G Reagent2/5/80K800119

Table 2

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Roche Diagnostic Systems, Inc. Somerville, New Jersey 08876 July 1998

IV. Description of the Device/Statement of Intended Use:

The COBAS INTEGRA test applications contained in this submission are intended for use with the COBAS INTEGRA Analyzer, which is also known as the COBAS INTEGRA 700. The COBAS INTEGRA Analyzer and COBAS INTEGRA Reagent cassettes together provide an integrated system for in vitro diagnostic testing. The COBAS INTEGRA Analyzer along with 108 Roche COBAS INTEGRA Reagent Cassettes were previously cleared on September 8, 1995 (K951595); January 25, 1996 (K954992); July 23, 1996 (K961824); October 31, 1996 (K963292); January 21, 1997 (K964457); August 12, 1997 (K972250); and May 21, 1998 (K974695).

The COBAS INTEGRA Analyzer utilizes three measuring principles, i.e., absorbance, fluorescence polarization and ion-selective electrodes. The analyzer has a throughput of up to 600 tests per hour with STAT samples prioritized and tested immediately. Random sample access, robotics and a user interface optimize time management and streamline workflow. The COBAS INTEGRA can store up to 68 COBAS INTEGRA Reagent Cassettes on board, 24 hours a day at 2-8°C. The COBAS INTEGRA Reagent Cassettes are compact and preparation-free with the added convenience of long term on-board stability. Barcode readers are used to identify newly loaded reagent cassettes, samples for patient identification, and rack inserts and to read calibration and control data from the cassette label. COBAS INTEGRA tests include chemistry, drugs of abuse, immunology, ion selective electrodes, therapeutic drug monitoring, and hematology reagents. For additional information on the COBAS INTEGRA Analyzer and its constituent modules, please refer to the Operator's Manual in Volumes 1 through 2, pages 92-703, of the original 510(k) submission (K951595).

Through this submission, it is the intention of Roche to gain clearance for modifications to four currently marketed reagent cassettes: Roche COBAS INTEGRA x-1-Antitrypsin Reagent Cassette (AAT); Roche COBAS INTEGRA Immunoglobulin A Reagent Cassette (IGA/IGAP); Roche COBAS INTEGRA Immunoglobulin M Reagent Cassette (IGM/IGMP); and Roche COBAS INTEGRA Immunoglobulin G Reagent Cassette (IGGT/IGGTC).

V. Summary of the technological characteristics of the new device in comparison to those of the predicate.

Tables 3-7 outline the technological characteristics (methodologies) of the COBAS INTEGRA Reagents in comparison to those of legally marketed predicate products.

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Brief discussion of the clinical and nonclinical tests relied on for a determination of VI. substantial equivalence:

Tables 3-7 demonstrate the results of clinical and nonclinical studies performed using the COBAS INTEGRA Reagent Cassettes. The significant performance characteristics relied upon for a determination of substantial equivalence are summarized in this chart. This information concludes that the performance of this device is essentially equivalent to other legally marketed devices of a similar kind.

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COBAS INTEGRA α-1-Antitrypsin (AAT)

The cassette COBAS INTEGRA cx-1-Antitrypsin (AAT) contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA 700 for the quantitative immunological determination of human a-1-antitrypsin in serum and plasma. The measurements aid in the diagnosis of several conditions including juvenile and adult cirrhosis of the liver. In addition, a-1-antitrypsin deficiency has been associated with pulmonary emphysema.

COBAS INTEGRAα-1-Antitrypsin(AAT)(modified)COBAS INTEGRAα-1-Antitrypsin(AAT)(cleared) K954992BMTina-Quantα-1-antitrypsin(K972640)
Intended Usequantitative immunologicaldetermination of α-1-antitrypsin inserum and plasmaquantitative immunologicaldetermination of α-1-antitrypsin in serumquantitative immunologicaldetermination of α-1-antitrypsinin serum and plasma
Performance Characteristics:
Accuracy:serum/plasma vs. BMserumvs. Behring Nepholometric
Sample size (n)288284123
Corr. Coefficient (r)0.9950.9300.967
Linear regression$1.30x - 0.31$ g/L$0.90x + 0.06$ g/L$0.993x + 9.9$ mg/dL

Table 3 - COBAS INTEGRA a-1-Antitrypsin (AAT)

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COBAS INTEGRA Immunoglobulin A (IGA/IGAP)

The cassette COBAS INTEGRA Immunoglobulin A (IGA/IGAP) contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA 700 for the quantitative immunological determination of human immunoglobulin A in serum and plasma. In addition to the standard application (IGA), the sensitive application (IGAP) is designed for the quantitative determination of low IgA concentrations in e.g. pediatric samples. Measurement of this immunoglobulin aids in the diagnosis of abnormal protein metabolism and the body's lack of ability to resist infectious agents.

COBAS INTEGRAImmunoglobulin A(IGA/IGAP)(modified)COBAS INTEGRAImmunoglobulin A(IGA/IGAP)(cleared) K954457BMTina-QuantImmunoglobulin A Assay(K955907)
Intended Usequantitative immunologicaldetermination of humanimmunoglobulin A in serumand plasma, and sensitiveapplication for the quantitativedetermination of low IgAconcentration in e.g. pediatricsamplesquantitative immunologicaldetermination of humanimmunoglobulin A inserum, and sensitiveapplication for thequantitative determinationof low IgA concentration ine.g. pediatric samplesquantitative determination of IgA inserum and plasma on automatedclinical chemistry analyzers.
Affected Parameters:
Predilution Factor2141
Postdilution Factor13.52.4
Sample Volume5 uL9 uL
R1 + water volume90 uL + 10 uL90 uL
R2 + water volume5 uL + 5 uL9 uL
First Calc. CycleT019
IGA Performance Characteristics:
Precision:Level 1Level 2Level 1Level 2Level 1Level 2Level 3
Mean2.0 (g/L)6.2 (g/L)2.3 (g/L)3.5 (g/L)118.8 (mg/dL)227.7 (mg/dL)268.5 (mg/dL)
CV (%) within-run2.00.971.40.810.90.81.0
CV (%) total2.31.22.81.82.21.82.1
Accuracy:vs. BM/Hitachivs. Behring Nepholometric
Sample size (n)58440036
Corr. Coefficient (r)0.9940.9890.99
Linear regression1.023 x - 0.214 g/L0.97 x - 0.05 g/L0.83x + 20.6 mg/dL
Assay Range0.45 - 7.3 g/L0.15 - 98.6 g/L (with rerun)0.79 - 12.6 g/L0.27 - 30.2 g/L (with rerun)50 mg/dL- highest calibrator20 - 6000 mg/dL (with rerun)
Sensitivity0.45 g/L0.79 g/L20 mg/dL

Table 4 - COBAS INTEGRA Immunoglobulin A (IGA/IGAP)

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COBAS INTEGRA Immunoglobulin M (IGM/IGMP)

The cassette COBAS INTEGRA Immunoglobulin M (IGM/IGMP) contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA 700 for the quantitative immunological determination of human immunoglobulin M in serum and plasma. In addition to the standard application (IGM), the sensitive application (IGMP) is designed for the quantitative determination of low IgM concentrations in e.g. pediatric samples. Measurement of this immunoglobulin aids in the diagnosis of abnormal protein metabolism and the body's lack of ability to resist infectious agents.

COBAS INTEGRAImmunoglobulin M(IGM/IGMP)(modified)COBAS INTEGRAImmunoglobulin M(IGM/IGMP)(cleared) K954457BM Tina-QuantImmunoglobulin MAssay(K955908)
Intended Usequantitative immunologicaldetermination of humanimmunoglobulin M in serumand plasma, and sensitiveapplication for thequantitative determination oflow IgM concentration in e.g.pediatric samplesquantitative immunologicaldetermination of humanimmunoglobulin M inserum, and sensitiveapplication for thequantitative determination oflow IgM concentration ine.g. pediatric samplesFor the quantitative determinationof IgM in serum and plasma onautomated clinical chemistryanalyzers
Affected Parameters:
Calibrator dilution ratio1:3, 1:6, 1:12, 1:24, 1:48, 1:961:6, 1:12, 1:24, 1:48, 1:96
Predilution Factor1:9641
Postdilution Factor212.4
Sample Volume4.726 uL
R1 + water volume13 uL65 uL + 10 uL
R265 uL + 20 uL16 uL
First Calc. Cycle13 uL19
T0
IGM Performance Characteristics:
Precision:Level 1Level 2Level 1Level 2Level 1Level 2Level 3
Mean0.55 (g/L)2.0 (g/L)0.6 (g/L)1.9 (g/L)55.4 (mg/dL)93.9 (mg/dL)134.8 (mg/dL)
CV (%) within-run2.41.62.62.00.790.80.7
CV (%) total3.21.93.12.23.72.42.0
Accuracy:vs. BM/Hitachivs. Behring Nepholometric
Sample size (n)55640039
Corr. Coefficient (r)0.9940.9940.979
Linear regression$1.293 x + 0.341$ g/L$1.12 x - 0.06$ g/L$0.81x + 5.9$ mg/dL
Assay Range0.16 - 5.18 g/L0.05 - 24.35 g/L (with rerun)0.31 - 5.0 g/L0.11 - 12.1 g/L (with rerun)25 mg/dL - highest calibrator10 - 4000 mg/dL (with rerun)
Sensitivity0.16 g/L0.31 g/L10 mg/dL

Table 5 - COBAS INTEGRA Immunoglobulin M (IGM/IGMP)

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Image /page/8/Picture/2 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States. The seal features the department's name arranged in a circular fashion around a central emblem. The emblem consists of a stylized caduceus-like symbol, with three figures representing health and human services.

SEP 28 1998

Ms. Rita Smith Senior Regulatory Affairs Associate Roche Diagnostic System, Inc. a subsidiary of Hoffmann-La Roche, Inc. Branchburg Township 1080 U.S. Hiqhway 202 Somerville, New Jersey 08876-3771

Re: K982382 Roche COBAS® INTEGRA Reagent Cassettes Trade Name: Regulatory Class: II Product Code: DEM, CFN, DAH, CZP, DEW Dated: July 7, 1998 Received: July 8, 1998

Dear Ms. Smith:

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 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). 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 (Premarket Approval) , it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, 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 action. In addition, FDA may publish further announcements 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 requlations.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

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Page 2

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 leqally 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/dsma/dsmamain.html".

Sincerely yours,

Steven Putman

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

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Page 1 of 2

510(k) Number (if known) K982382

Roche COBAS INTEGRA &-1-Antitrypsin Reagent Cassette (AAT) Device Name: Art. No. 07 5092 1

Roche COBAS INTEGRA Immunoglobulin A Reagent Cassette (IGA/IGAP) Art. No. 07 3775 5

Roche COBAS INTEGRA Immunoglobulin M Reagent Cassette (IGM/IGMP) Art. No. 07 3777 1

Roche COBAS INTEGRA Immunoglobulin G Reagent Cassette (IGGT/IGGTC) Art. No. 07 6663 1

Indications for Use:

The cassette COBAS INTEGRA x-1-Antitrypsin (AAT) contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA 700 for the quantitative immunological determination of human x-1-antitrypsin in serum and plasma. The measurements aid in the diagnosis of several conditions including juvenile and adult cirrhosis of the liver. In addition, a-1-antitrypsin deficiency has been associated with pulmonary emphysema.

The cassette COBAS INTEGRA Immunoglobulin A (IGA/IGAP) contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA 700 for the quantitative immunological determination of human immunoglobulin A in serum and plasma. addition to the standard application (IGA), the sensitive application (IGAP) is designed for the quantitative determination of low IgA concentrations in e.g. pediatric samples. Measurement of this immunoglobulin aids in the diagnosis of abnormal protein metabolism and the body's lack of ability to resist infectious agents.

The cassette COBAS INTEGRA Immunoglobulin M (IGM/IGMP) contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA 700 for the quantitative immunological determination of human immunoglobulin M in serum and plasma. In addition to the standard application (IGM), the sensitive application (IGMP) is designed for the quantitative determination of low IgM concentrations in e.g. pediatric samples. Measurement of this immunoglobulin aids in the diagnosis of abnormal protein metabolism and the body's lack of ability to resist infectious agents.

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Page 2 of 2

The cassette COBAS INTEGRA Immunoglobulin G (Turbidimetric) (IGGT/IGGTC) contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA 700 for the quantitative immunological determination of human immunoglobulin G in serum, plasma (IGGT) and cerebrospinal fluid (IGGTC). Measurement of this immunoglobulin aids in the diagnosis of abnormal protein metabolism and the body's lack of ability to resist infectious agents.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH/ Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of Clinical Laboratory Devices
510(k) Number
Prescription Use(Per 21 CFR 801.109)OROver-The-Counter Use(Optional Format 1-2-96)
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§ 866.5510 Immunoglobulins A, G, M, D, and E immunological test system.

(a)
Identification. An immunoglobulins A, G, M, D, and E immunological test system is a device that consists of the reagents used to measure by immunochemical techniques the immunoglobulins A, G, M, D, an E (serum antibodies) in serum. Measurement of these immunoglobulins aids in the diagnosis of abnormal protein metabolism and the body's lack of ability to resist infectious agents.(b)
Classification. Class II (performance standards).