AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

For in vitro diagnostic and laboratory professional use.

The VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG Reagent Pack when used in combination with the VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG Calibrator is a chemiluminescent immunoassay intended for the qualitative detection of IgG antibodies to SARS-CoV-2 in human serum and plasma (K2-EDTA and K3-EDTA) samples collected on or after 15 days post-symptom onset using the VITROS ECi/ECiO/3600 Immunodiagnostic Systems and the VITROS 5600/XT 7600 Integrated Systems. The VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG test is intended for use as an aid in identifying individuals with an adaptive immune response to SARS-CoV-2, indicating recent or prior infection.

VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG Calibrator

For use in the calibration of the VITROS ECi/ECiQ/3600 Immunodiagnostic Systems and the VITROS 5600/XT 7600 Integrated Systems for the in vitro qualitative detection of IgG antibodies to SARS-CoV-2 in human serum and plasma.

Device Description

The VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG test is a qualitative chemiluminescent immunoassay performed on the VITROS Systems (VITROS ECi/ECiO Immunodiagnostic System, VITROS 3600 Immunodiagnostic System, VITROS 5600 Integrated System and VITROS XT 7600 Integrated System) providing fully automated random-access testing.

The VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG test is performed using the VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG Reagent Pack in combination with the VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG Calibrator and the VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG Controls on the VITROS Systems.

The VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG Reagent Pack is supplied as ready to use and contains:

  • 100 wells coated with 100ng/well of recombinant SARS-CoV-2 spike antigen derived from human cells.
  • 18.0 mL assay reagent (buffer with bovine protein stabilizers and antimicrobial agent)
  • 20.4 mL conjugate reagent [anti-human IgG (murine monoclonal) conjugated to horseradish peroxidase, 5ng/mL] in buffer with bovine protein stabilizers and antimicrobial agent.

The VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG Calibrator contains:

  • 2 vials of VITROS Immunodiagnostic Products Anti-SARS-CoV-2 1gG Calibrator 0 (anti-SARS-CoV-2 IgG in anti-SARS-CoV-2 IgG negative human serum with antimicrobial agent, 1 mL)
  • Lot calibration card
  • Protocol card
  • 8 calibrator bar code labels

The VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG Controls contain:

  • 3 sets of VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG Controls 1 and 2 (defibrinated human plasma with anti-microbial agent, 2 mL). Control 1 is non-reactive and Control 2 is reactive

The VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG test is designed for use on the VITROS Systems. The VITROS Systems use the following ancillary reagents (general purpose reagents):

  • VITROS Immunodiagnostic Products Signal Reagent
  • VITROS Immunodiagnostic Products Universal Wash Reagent
AI/ML Overview

Here's a breakdown of the acceptance criteria and the study proving the device meets them, based on the provided text:

Device: VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG Reagent Pack, VITROS Immunodiagnostic Products Anti-SARS-CoV-2 IgG Calibrator (Chemiluminescent Immunoassay)

Purpose: Qualitative detection of IgG antibodies to SARS-CoV-2 in human serum and plasma, intended for use as an aid in identifying individuals with an adaptive immune response to SARS-CoV-2, indicating recent or prior infection.


1. Table of Acceptance Criteria and Reported Device Performance

The document describes the performance of the device rather than explicitly stating pre-defined acceptance criteria in a dedicated table. However, we can infer the implicit acceptance criteria from the observed results and the FDA's decision to grant the De Novo request.

Performance MetricImplied Acceptance Criteria (via observed performance & FDA acceptance)Reported Device Performance (Summary)
Clinical Performance (PPA)High PPA for samples collected ≥15 days post-symptom onset, sufficient to aid in identifying prior infection.VITROS ECi/ECiQ: 93.86% (95% CI: 90.50%-96.10%) for ≥15 days post-symptom onset (N=293).
VITROS 3600/5600: 93.52% (95% CI: 90.10%-95.81%) for ≥15 days post-symptom onset (N=293).
VITROS XT 7600: 93.49% (95% CI: 90.10%-95.80%) for ≥15 days post-symptom onset (N=292).
Lower PPA for earlier time bins (0-7 days: ~41-45%; 8-14 days: ~52%).
Clinical Performance (NPA)High NPA for presumed negative samples, demonstrating low false positive rate.VITROS ECi/ECiQ/3600/5600: 99.01% (95% CI: 97.14%-99.66%) (N=304).
VITROS XT 7600: 99.01% (95% CI: 97.13%-99.66%) (N=303).
Precision/ReproducibilityAcceptable within-laboratory and between-laboratory variability for a diagnostic immunoassay.Within-Laboratory: Total precision %CV for S/C values ranged from 3.4% - 32.2% depending on sample and instrument.
Reproducibility (Between-Laboratory): Total reproducibility %CV for S/C values ranged from 6.1% - 22.8% depending on sample and instrument. (%CVs are not meaningful for S/C results

N/A