K Number
K020972
Device Name
WAKO RF-HA (2), RF CALIBRATOR, RF CALIBRATOR SET
Date Cleared
2002-09-09

(167 days)

Product Code
Regulation Number
866.5775
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Wako RF HA2 test is an in vitro diagnostic assay for the quantitative determination of rheumatoid factor activity in serum.
Device Description
The Wako RF-HA(2) test is a highly specific reagent based on turbidimetric immunoassay. When the sample is mixed with Buffer and RF Reagent, rheumatoid factor in the sample combines specifically with the heat-aggregated human IgG in the reagents to yield an insoluble aggregate which causes increased turbidity in the solution. The degree of turbidity can be measured optically and is proportional to the amount of rheumatoid factor in the sample.
More Information

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Not Found

No
The description details a turbidimetric immunoassay based on chemical reactions and optical measurement, with no mention of AI or ML algorithms for data analysis or interpretation.

No
The device is an in vitro diagnostic assay used for quantitative determination of rheumatoid factor activity in serum, which is a diagnostic purpose, not a therapeutic one.

Yes

Explanation: The "Intended Use / Indications for Use" section explicitly states that the Wako RF HA2 test is an "in vitro diagnostic assay".

No

The device description clearly states it is a "reagent based on turbidimetric immunoassay" and involves mixing samples with buffers and reagents to measure turbidity optically. This indicates a physical, in vitro diagnostic test kit, not a software-only device.

Yes, this device is an IVD (In Vitro Diagnostic).

The "Intended Use / Indications for Use" section explicitly states: "The Wako RF HA2 test is an in vitro diagnostic assay for the quantitative determination of rheumatoid factor activity in serum."

This statement directly identifies the device as an in vitro diagnostic.

N/A

Intended Use / Indications for Use

The Wako RF HA2 test is an in vitro diagnostic assay for the quantitative determination of rheumatoid factor activity in serum. Rheumatoid factor may aid in the diagnosis and prognosis of rheumatoid arthritis.

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

DHR, JIT

Device Description

The Wako RF-HA(2) test is a highly specific reagent based on turbidimetric immunoassay. When the sample is mixed with Buffer and RF Reagent, rheumatoid factor in the sample combines specifically with the heat-aggregated human IgG in the reagents to yield an insoluble aggregate which causes increased turbidity in the solution. The degree of turbidity can be measured optically and is proportional to the amount of rheumatoid factor in the sample.

Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

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Anatomical Site

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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

Not Found

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

Not Found

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

Comparison studies against the predicate assay, a correlation coefficient of 0.9946 and a regression equation of y =1.018x - 9.91 was obtained. Precision studies indicate acceptable values can be obtained on a day to day basis. The minimum detectable level of this method is 10 IU/mL.

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

Correlation coefficient of 0.9946. Regression equation of y =1.018x - 9.91. Minimum detectable level of 10 IU/mL.

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.

Wako Autokit RF product

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

§ 866.5775 Rheumatoid factor immunological test system.

(a)
Identification. A rheumatoid factor immunological test system is a device that consists of the reagents used to measure by immunochemical techniques the rheumatoid factor (antibodies to immunoglobulins) in serum, other body fluids, and tissues. Measurement of rheumatoid factor may aid in the diagnosis of rheumatoid arthritis.(b)
Classification. Class II (performance standards).

0

9 2002 SEP

KO20972

Wako Chemicals USA, Inc. 1600 Bellwood Road, Richmond, VA 23237 U.S.A.

510(k) Summary of Safety and Effectiveness

The Wako RF HA2 test is an in vitro diagnostic assay for the quantitative determination of rheumatoid factor activity in serum.

Summary:

Rheumatoid factor (RF) is contained in the serum of theumatoid arthritis patients. Because of this high degree of specificity, the detection of RF by serologic test has proved to be useful in the clinical diagnosis and prognosis of rheumatoid arthritis.

RF is an autoantibody of human immunoglobulin G (IgG). The most conventional serologic test for RF is the method dependent upon agglutination of particles (e.g., latex and erythrocytes) which have been sensitized with human gamma-globulin. Assays for RF have been improved and more quantitative RF tests have been reported (eg., nephelometric immunoassay and turbidimetric immunoassay).

The turbidimetric immunoasay method (TIA) has the advantages of : ease of use, accurate quantitation, and it is applicable to automated analyzers.

The Wako RF-HA(2) test is a highly specific reagent based on turbidimetric immunoassay.

Principle:

When the sample is mixed with Buffer and RF Reagent, rheumatoid factor in the sample combines specifically with the heat-aggregated human IgG in thereagents to yield an insoluble aggregate which causes increased turbidity in the solution. The degree of turbidity can be measured optically and is proportional to the amount of rheumatoid factor in the sample.

The safety and effectiveness of the Wako RF-HA(2) assay is demonstrated by its substantial equivalency to the Wako Autokit RF product. Both test systems are used to measure rheumatoid factor in serum. In comparison studies against the predicate assay, a correlation coefficient of 0.9946 and a regression equation of y =1.018x - 9.91 was obtained. Precision studies indicate acceptable values can be obtained on a day to day basis. The minimum detectable level of this method is 10 IU/mL.

Xmza Hallm

Tonyà Mallory March 25, 2002 Wako Diagnostics Wako Chemicals USA, Inc. 1600 Bellwood Road Richmond, VA 23237

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Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo is circular and features an abstract image of an eagle. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES" are written around the top of the circle.

ood and Drug Administration 2098 Gaither Road Rockville MD 20850

9 2002 SEP

Ms. Tonya Mallory Executive Manager Wako Chemicals USA. Inc. 1600 Bellwood Road Richmond, Virginia 23237

Rc: K020972

Trade/Device Name: Wako RF-HA (2), RF Calibrator, RF Calibrator Set Regulation Number: 21 CFR 866.5775 Regulation Name: Rheumatoid Factor Immunological Test System Regulatory Class: Class II Product Code: DHR, JIT Dated: August 26, 2002 Received: August 27, 2002

Dear Ms. Mallory:

We have reviewed vour 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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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" (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/cdrh/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

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or Use: I

510(k) Number: KU20072 RE-HA(2) fest system صاح سان ساع العام ne in vitro disguostic assay for CLV tative defermination of rheumatoid Measurem fivity in series. fictor may aid toid when a toid

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

xiv Sun (Division Sign-Off) Division of Clinical Laboratory Devices

510(k) Number K020972

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use_

(Optional Formal 1-2-96)

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