K Number
K013097
Date Cleared
2001-11-13

(57 days)

Product Code
Regulation Number
862.1410
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The "Wiener lab. Fer-Color AA" iron test system is a quantitative in vitro diagnostic device intended to be used in the quantitative determination of iron (non-heme) in serum and plasma. Iron (non-heme) measurements are used in the diagnosis and treatment of diseases such as iron deficiency anemia, and hemochromatosis (a disease associated with widespread deposit in the tissues of two iron-containing pigments, hemosiderin and hemofuscin, and characterized by pigmentation of the skin), and chronic renal disease.

Device Description

End point method. Serum iron is released from its specific carrier protein (transferrin) in a pH 4.5 acetate buffer, and in the presence of a reducing agent (ascorbic acid). Then it reacts with the color reagent, pyridyl bis-phenyl triazine sulfonate (ferrozine) producing a colored complex measured at 570 nm.

AI/ML Overview

The document describes the Wiener Lab. FER-COLOR AA test system, a photometric method for iron determination, and its equivalence to the RANDOX IRON test system for FDA 510(k) clearance.

Here's a breakdown of the requested information based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

The document presents a comparison between the Wiener Lab. FER-COLOR AA test system and the RANDOX IRON test system, which serves as the predicate device. The "acceptance criteria" are implicitly set by the performance of the predicate device, as the submission aims to demonstrate substantial equivalence.

Performance CharacteristicAcceptance Criteria (RANDOX Test System)Reported Device Performance (WIENER LAB. Test System)
Intended UseQuantitative determination of iron in human serum and plasmaQuantitative determination of iron in human serum and plasma
Test PrincipleEnd point method using ferrozine, measured at 540/580 nmEnd point method using ferrozine, measured at 570 nm
Essential ComponentsBuffer acetate - Ascorbic acid - FerrozineBuffer acetate - Ascorbic acid - Ferrozine
ReagentsR1: Buffer acetate; R2: Ascorbic acid - FerrozineR1: Ferrozine; R2: Buffer acetate; R3: Ascorbic acid (reductor)
Preparation of Working ReagentR1 and R2 ready to usePreparation of Buffer/Reductor
Instability or deterioration of reagentsNot specifiedChange in Blank and/or Standard Absorbances
SampleSerum and plasmaSerum and plasma
Working Temperature Range25 - 37°C25 - 37°C
Stability of final colorNot specified5 to 60 minutes
Wavelength of reading540 - 580 nm570 nm
Linearity1000 µg/dl1000 µg/dl
Minimum detection limitNot specified (predicate)6.1 µg/dl
Expected valuesMale: 10.6 – 28.3 µmol/l (59-158 µg/dl); Female: 6.6 – 26.0 µmol/l (37-145 µg/dl)60 - 160 µg/dl
Intra-assay precisionLevel 1: CV = 2.93%; Level 2: CV = 2.29%Normal Serum Control: CV = 1.32%; Abnormal Serum Control: CV = 0.54%
Inter-assay precisionNot specifiedNormal Serum Control: CV = 1.75%; Abnormal Serum Control: CV = 1.25%

Note: The acceptance criteria are largely implied by demonstrating performance comparable to the predicate device. For some parameters, the predicate did not specify a value (e.g., minimum detection limit, inter-assay precision), allowing the applicant to establish their own performance and still claim substantial equivalence if reasonable.

2. Sample size used for the test set and the data provenance

The document does not explicitly state the sample size used for the test set (i.e., for the precision and comparison studies) or the data provenance (e.g., country of origin, retrospective or prospective nature of the samples). The precision data (intra-assay and inter-assay) refers to "Normal Serum Control" and "Abnormal Serum Control," but the number of samples or runs is not detailed.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

This information is not provided in the document. For in vitro diagnostic tests like this, ground truth is typically established through analytical methods and reference materials, not expert consensus on interpretations.

4. Adjudication method for the test set

This information is not applicable/provided as the study is a comparison of analytical performance of an in vitro diagnostic device, not a subjective interpretation task requiring adjudication.

5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

An MRMC study was not done. This type of study is relevant for imaging or interpretation devices where human readers are involved. The FER-COLOR AA is an in vitro diagnostic assay, an automated photometric method, and does not involve human readers for interpretation in this context. It is an "algorithm only" device for the measurement of iron concentration.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

Yes, a standalone performance study was done. The entire submission focuses on the analytical performance of the "WIENER LAB. FER-COLOR AA" test system itself, demonstrating its precision, linearity, and other analytical characteristics in comparison to a predicate device. This is the definition of a standalone study for this type of device.

7. The type of ground truth used

The ground truth for parameters like linearity, minimum detection limit, and expected values would be based on:

  • Reference materials/calibrators: For linearity, known concentrations of iron would be used.
  • Assigned values: Control materials ("Normal Serum Control," "Abnormal Serum Control") used for precision studies would have assigned target values.
  • Clinical studies/population data: "Expected values" are generally derived from studies on healthy populations.

The document does not explicitly state the specific ground truth methodologies in detail but implies these standard practices for IVD assays.

8. The sample size for the training set

This information is not applicable/provided. The FER-COLOR AA is a chemical assay, not an AI/machine learning algorithm that requires a "training set" in the conventional sense. Its performance is based on chemical reactions and photometric measurement, not a learned model from data.

9. How the ground truth for the training set was established

This information is not applicable/provided for the reasons stated in point 8.

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FER-COLOR AA Wiener lab.

NOV 1 3 2001

Image /page/0/Picture/2 description: The image is a circular seal with the text "Wiener lab." at the top. Inside the circle, there is a logo with the letters "ISO 9001" above the letters "TUV CERT". The text "SISTEMA DE CALIDAD CERTIFICADO" is written along the bottom of the circle.

Image /page/0/Picture/3 description: The image shows the logo for Wiener lab. The logo consists of a stylized letter W inside of a circle on the left, followed by the text "Wiener lab." in a bold, sans-serif font. Below the company name is the text "Especialidades para Laboratorios Clinicos" in a smaller font.

WIENER LABORATORIOS S.A.I.C. - Riobamba 2944 - 2000 Rosario - Argentina
Phone +54 (341) 432-9191/6 - Fax +54 (341) 432-5454/5555
Internet: http://www.wiener-lab.com.ar

Section 6 - Summary

510(k) Summary "This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21CFR 807.92"

"The assigned 510(k) number is: y

Introduction

According to the requirements of 21 CFR 862.1410, the following information provides sufficient details to understand the basis of a determination of substantial equivalence.

6-1 Submitter Name, Address, Contact

Wiener Laboratorios S.A.I.C. Riobamba 2944 2000 - Rosario - Argentina Contact person: Viviana Cétola Date Prepared: June 20, 2001

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6-2 Device NameProprietary name: WIENER LAB FER-COLOR AACommon name: Photometric method for Iron determination.Classification name: Photometric method, iron (non-heme).Device Class IProduct Code: JIY
6-3 PredicateDeviceWe claim substantial equivalence to the currently marketedRANDOX IRON test system.
6-4 DeviceDescriptionEnd point method.
Serum iron is released from its specific carrier protein(transferrin) in a pH 4.5 acetate buffer, and in the presence of areducing agent (ascorbic acid). Then it reacts with the colorreagent, pyridyl bis-phenyl triazine sulfonate (ferrozine)producing a colored complex measured at 570 nm.
6-5 Intended UseFER-COLOR AA test system is intended to be used in thequantitative determination of iron in human serum and plasma.Iron (non-heme) measurements are used in the diagnosis andtreatment of diseases such as iron deficiency anemia,hemochromatosis (a disease associated with widespreaddeposit in the tissues of two iron-containing pigments,hemosiderin and hemofuscin, and characterized bypigmentation of the skin), and chronic renal disease.
6-6 Equivalenciesand DifferencesWIENER LAB. FER-COLOR AA test system is substantiallyequivalent to other products in commercial distribution intendedfor similar use. Most notably it is substantially equivalent to thecurrently marketed RANDOX IRON test system.
The following table illustrates the similarities and differencesbetween WIENER LAB. FER-COLOR AA test system and thecurrently marketed RANDOX IRON test system.

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RANDOX TestSystemWIENER LAB. TestSystem
Intended useQuantitative determination of iron in humanserum and plasma
Test principleEnd point method.Serum iron is released from its specific carrierprotein (transferrin) in a pH 4.5 acetate buffer.The ferric iron is converted to the ferrous formby the action of a reducing agent (ascorbicacid). Then it reacts with the color reagent,pyridyl bis-phenyl triazine sulfonate (ferrozine)producing a colored complex measured at540/580 nm.
EssentialComponentsBuffer acetate - Ascorbic acid - Ferrozine
ReagentsR1: Buffer acetateR2: Ascorbic acid -FerrozineR1: FerrozineR2: Buffer acetateR3: Ascorbic acid(reductor)
Preparation ofWorking ReagentR1 and R2 ready tousePreparation of Buffer/Reductor
Instability ordeterioration ofreagentsNot specifiedChange in Blankand/or StandardAbsorbances
SampleSerum and plasma.
WorkingTemperature Range25 - 37°C
Stability of finalcolorNot specified5 to 60 minutes
RANDOX TestSystemWIENER LAB. TestSystem
Wavelength ofreading.570 nm540 - 580 nm
Linearity1000 µg/dl
Minimum detectionlimitNot specified6.1 µg/dl
Expected valuesMale10.6 – 28.3 µmol/l(59-158 µg/dl)Female6.6 – 26.0 µmol/l(37-145 µg/dl)60 -160 µg/dl
Intra-assayprecisionLevel 1:CV = 2.93%Level 2:CV = 2.29%Normal Serum Control:CV = 1.32 %Abnormal SerumControl:CV = 0.54%
Inter-assayprecisionNot specifiedNormal Serum Control:CV =1.75%Abnormal SerumControl:CV = 1.25%

:

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6-7 Conclusion

Based on the data above mentioned, we believe that the extended claims continue to support substantial equivalence to other products in commercial distribution intended for similar use.

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Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized eagle symbol, represented by three curved lines that form the shape of a bird in flight.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Dr. Viviana Cetola QC/QA Manager Wiener Laboratorios S. A. I.C. Riobamba 2944, Rosario, Santa Fe Argentina

NOV 1 3 2001

K013097 Re: Trade/Device Name: Fer-Color AA Regulation Number: 21 CFR 862.1410 Regulation Name: Iron (non-heme) test system Regulatory Class: Class I, reserved Product Code: JIY Dated: July 26, 2001

Received: September 17, 2001

Dear Dr. Cetola:

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 the Code of Federal Regulations, Title 21, Parts 800 to 898. 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 Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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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 legally marketed noutheation. The I Dr 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 1 IT you desire spoolite as in vitro diagnostic devices), please contact the Office of Compliance at additionally 007.10 dditionally, for questions on the promotion and advertising of your device, (301) 594-1560. I radiation f Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small mountacturers 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/cdrb/dsma/dsmamain.html".

Sincerely yours,

Steven Butman

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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CDRH ODE

K013097

NOV 1 3 2001

Page 1 of 1

510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________ Device Name: Wiener lab For-Color An

Indications For Use:

The "Wiener lab. Fer-Color AA" iron test system is a quantitative in The Wiener Tab. I CF-Ooler 70 t Tren coure iron (non-heme) in serum vitro diagnostic device intonation to urements are used in the diagnosis treatment of diseases such as iron deficiency anemia, and hemochromatosis (a disease associated with widespread deposit in the nemochromatosis (a discuss aporomants, hemosiderin and hemofuscin,
tissues of two iron-containing pigments, hemosiderin, and obronic repal tissues of two frontoning pigmentation of the skin), and chronic renal disease.

Division of Clinical La Gratory Levices

(FLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IN NEEDBED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

() 2011

0 M (Division Sign-Off)

510(k) Number_K

Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter Use_

(Optional Format 1-2-96)

SK27

§ 862.1410 Iron (non-heme) test system.

(a)
Identification. An iron (non-heme) test system is a device intended to measure iron (non-heme) in serum and plasma. Iron (non-heme) measurements are used in the diagnosis and treatment of diseases such as iron deficiency anemia, hemochromatosis (a disease associated with widespread deposit in the tissues of two iron-containing pigments, hemosiderin and hemofuscin, and characterized by pigmentation of the skin), and chronic renal disease.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9.