K Number
K020162
Device Name
DRIED GRAM-POSITIVE MIC/COMBO PANELS WITH PENICILLIN
Manufacturer
Date Cleared
2002-03-14

(56 days)

Product Code
Regulation Number
866.1640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The MicroScan® Dried Gram-Positive MIC/Combo Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of rapidly growing aerobic and facultative Gram-Positive cocci. After inoculation, panels are incubated for 16 - 20 hours at 35°C +/- 1°C in a non-CO2 incubator, and read either visually or with MicroScan instrumentation, according to the Package Insert. This particular submission is for a revised QC range of ≥ 0.25 mcg/ml for S. aureus ATCC 29213 with Penicillin. The Gram-Positive organisms which may be used for Penicillin susceptibility testing in this panel are: Staphylococci (except penicillinase-producing strains) Streptococci (group A) The MicroScan® Dried Gram-Positive MIC/Combo Panels with Penicillin are not intended for use with Streptococcus pneumoniae and viridans streptococci.
Device Description
MicroScan® Dried Gram-Positive MIC/Combo Panels are designed for use in determining quantitative and acceptibility of colonies grown on solid media of rapidly growing aerobic and facultative Gram-Positive cocci. The antimicrobial susceptibility tests are miniaturizations of the broth dilution usceptibility tost that have been diluted in broth and deliyated. Vanous anninorotat agents are diluted in broth to concentrations bridging the range of chilical interest: Tancis are rears are 16-20 hours, the minimum suspension of the organism. After incubation in a non-CO2 incubation the lowest antimi suspension of the organism. After incuration in a non- Organism is read by determining the lowest antimicrobial concentration showing inhibition of growth.
More Information

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No
The summary describes a traditional broth dilution susceptibility test read visually or with MicroScan instrumentation, with no mention of AI/ML in the device description or performance studies.

No
The device is used for determining antimicrobial susceptibility, which is a diagnostic function, not a therapeutic one.

Yes

The device determines antimicrobial agent susceptibility, which is a diagnostic factor for guiding treatment decisions for infections.

No

The device is a dried panel containing antimicrobial agents for susceptibility testing, which is a physical component, not solely software.

Based on the provided text, the device is an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The device is used to determine the susceptibility of microorganisms to antimicrobial agents. This is a classic function of an in vitro diagnostic device, as it involves testing biological samples (microorganisms grown on solid media) outside of the body to provide information for diagnosis and treatment.
  • Device Description: The description explicitly states that the device performs "antimicrobial susceptibility tests" which are "miniaturizations of the broth dilution susceptibility test." This further confirms its role in laboratory testing of biological samples.
  • Performance Studies: The mention of comparing performance to an "NCCLS frozen Reference" and referencing a "Guidance on Review Criteria for Assessments of Antimicrobial Susceptibility Devices" strongly indicates that this device falls under the regulatory framework for IVDs.

The fact that it tests microorganisms grown in vitro (on solid media) and provides information about their characteristics (susceptibility to antibiotics) clearly aligns with the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The MicroScan® Dried Gram-Positive MIC/Combo Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of rapidly growing aerobic and facultative Gram-Positive cocci. After inoculation, panels are incubated for 16 - 20 hours at 35°C +/- 1°C in a non-CO2 incubator, and read either visually or with MicroScan instrumentation, according to the Package Insert.

This particular submission is for a revised QC range of ≥ 0.25 mcg/ml for S. aureus ATCC 29213 with Penicillin.

The Gram-Positive organisms which may be used for Penicillin susceptibility testing in this panel are:
Staphylococci (except penicillinase-producing strains)
Streptococci (group A)

The MicroScan® Dried Gram-Positive MIC/Combo Panels with Penicillin are not intended for use with Streptococcus pneumoniae and viridans streptococci.

Product codes (comma separated list FDA assigned to the subject device)

LTT, JWY

Device Description

MicroScan® Dried Gram-Positive MIC/Combo Panels are designed for use in determining quantitative MicroScan® Dried Gram-Positive MIC/Comfoo I and acceptibility of colonies grown on solid media of rapidly growing aerobic and facultative Gram-Positive cocci.

The antimicrobial susceptibility tests are miniaturizations of the broth dilution usceptibility tost that have The antimicrobial susceptionity tests are immaturizations of agents are diluted in broth to concentrations been diluted in broth and deliyated. Vanous anninorotat agents and more the minimum bridging the range of chilical interest: Tancis are rears are 16-20 hours, the minimum
suspension of the organism. After incubation in a non-CO2 incubation the lowest antimi suspension of the organism. After incuration in a non- Organism is read by determining the lowest antimicrobial concentration showing inhibition of growth.

Mentions image processing

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Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

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Anatomical Site

Not Found

Indicated Patient Age Range

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Intended User / Care Setting

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Description of the training set, sample size, data source, and annotation protocol

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Description of the test set, sample size, data source, and annotation protocol

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Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The proposed MicroScan® Dried Gram-Positive MIC/Combo Panel demonstratially equivalent The proposed MicroScan "Dried Crain-I Ositive NTC/Ochiro Panel as defined in the FDA DRAFT
performance when compared with an NCCLS frozen Reference in Caraceribility Devices" performance when compared with an NCCLS from the research of Antimicrobial Susceptibility Devices ", dated document "Ouldance on Review Chicha for Assessments data in support of a revised Quality Control March 8, 2000. The Premarker (VolthCaton (Srophy) prosens Can and Supply of Gram-Positive MIC/Combo Panel.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

MicroScan Dried Gram Positive MIC/Combo Panels

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 866.1640 Antimicrobial susceptibility test powder.

(a)
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.(b)
Classification. Class II (performance standards).

0

510(k) Summary

0 20162

510(k) Submission Information:

Device Manufacturer:Dade MicroScan Inc.
Contact name:Cynthia Van Duker, Regulatory Affairs Manager
Fax:916-374-3144
Date prepared:January 16, 2002
Product Name:Microdilution Minimum Inhibitory Concentration (MIC) Panels
Trade Name:MicroScan ® Dried Gram-Positive MIC/Combo Panels
Intended Use:To determine antimicrobial agent susceptibility
510(k) Notification:New QC range - Penicillin
Predicate device:MicroScan Dried Gram Positive MIC/Combo Panels

510(k) Summary:

MicroScan® Dried Gram-Positive MIC/Combo Panels are designed for use in determining quantitative MicroScan® Dried Gram-Positive MIC/Comfoo I and acceptibility of colonies grown on solid media of rapidly growing aerobic and facultative Gram-Positive cocci.

The antimicrobial susceptibility tests are miniaturizations of the broth dilution usceptibility tost that have The antimicrobial susceptionity tests are immaturizations of agents are diluted in broth to concentrations been diluted in broth and deliyated. Vanous anninorotat agents and more the minimum bridging the range of chilical interest: Tancis are rears are 16-20 hours, the minimum
suspension of the organism. After incubation in a non-CO2 incubation the lowest antimi suspension of the organism. After incuration in a non- Organism is read by determining the lowest antimicrobial concentration showing inhibition of growth.

The proposed MicroScan® Dried Gram-Positive MIC/Combo Panel demonstratially equivalent The proposed MicroScan "Dried Crain-I Ositive NTC/Ochiro Panel as defined in the FDA DRAFT
performance when compared with an NCCLS frozen Reference in Caraceribility Devices" performance when compared with an NCCLS from the research of Antimicrobial Susceptibility Devices ", dated document "Ouldance on Review Chicha for Assessments data in support of a revised Quality Control March 8, 2000. The Premarker (VolthCaton (Srophy) prosens Can and Supply of Gram-Positive MIC/Combo Panel.

1

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three lines representing its body and wings. The eagle is enclosed within a circle, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the upper half of the circle.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

MAR 1 4 2002

Ms. Cynthia Van Duker Regulatory Affairs Manager Dade Behring Inc. 1584 Enterprise Boulevard West Sacramento, CA 95691

Re: K020162

Trade/Device Name: MicroScan® Dried Gram-Positive MIC/Combo Panels with Penicillin (0.03-32, 128 mcg/ml) Regulation Number: 21 CFR 866.1640 Regulation Name: Antimicrobial Susceptibility Test Powder Regulatory Class: Class II Product Code: LTT, JWY Dated: January 16, 2002 Received: January 17, 2002

Dear Ms. Van Duker:

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.

2

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 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 1 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" (21CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers 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 Sutman

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

3

INDICATIONS FOR USE STATEMENT

Page_1 of_1_.

510(k) Number (if known): K ہود ہے۔ ہے کہ کے کہ

Device Name: MicroScan® Dried Gram-Positive MIC/Combo Panels with Penicillin (0.03 -32, 128 mcg/ml)

Indications For Use:

The MicroScan® Dried Gram-Positive MIC/Combo Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of rapidly growing aerobic and facultative Gram-Positive cocci. After inoculation, panels are incubated for 16 - 20 hours at 35°C +/- 1°C in a non-CO2 incubator, and read either visually or with MicroScan instrumentation, according to the Package Insert.

This particular submission is for a revised QC range of ≥ 0.25 mcg/ml for S. aureus ATCC 29213 with Penicillin.

The Gram-Positive organisms which may be used for Penicillin susceptibility testing in this panel are:

Staphylococci (except penicillinase-producing strains) Streptococci (group A)

The MicroScan® Dried Gram-Positive MIC/Combo Panels with Penicillin are not intended for use with Streptococcus pneumoniae and viridans streptococci.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Freddie L. Poole
(Division Sign-Off)
Division of Clinical Laboratory Devices
510(k) NumberK020162
Prescription UseOver-The-Counter Use
----------------------------------------

OR

Prescriptic (Per 21 CFR 801.109)

Over The Counter Use: __.

(Optional Format 1-2-96)