K Number
K022096
Device Name
URIC ACID ASSAY FOR THE ADVIA INTEGRATED MODULAR SYSTEM
Date Cleared
2003-03-18

(264 days)

Product Code
Regulation Number
862.1775
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Bayer ADVIA IMS Uric Acid (UA) method is an in vitro diagnostic device intended to measure uric acid in human serum, plasma and urine. Such measurements are used as an aid in the diagnosis and treatment of numerous renal and metabolic disorders, including renal failure, gout, leukemia, psoriasis, starvation and other wasting conditions and of patients receiving cytotoxic drugs.
Device Description
Not Found
More Information

K/DEN not listed but implied as the predicate in the table

ADVIA 1650

No
The summary describes a standard in vitro diagnostic assay for measuring uric acid levels, with performance data based on analytical methods and comparisons to predicate devices. There is no mention of AI, ML, image processing, or any other indicators of AI/ML technology.

No
The device is an in vitro diagnostic device used to measure uric acid, which aids in diagnosis and treatment, but it does not directly treat or prevent a disease.

Yes
The "Intended Use / Indications for Use" section explicitly states that the device is "an in vitro diagnostic device" and is "used as an aid in the diagnosis and treatment of numerous renal and metabolic disorders."

No

The device is an in vitro diagnostic device that measures uric acid in biological samples, indicating it relies on physical components and chemical reactions, not solely software.

Yes, the provided text explicitly states that the Bayer ADVIA IMS Uric Acid (UA) method is an in vitro diagnostic device.

The "Intended Use / Indications for Use" section clearly defines its purpose: "The Bayer ADVIA IMS Uric Acid (UA) method is an in vitro diagnostic device intended to measure uric acid in human serum, plasma and urine."

N/A

Intended Use / Indications for Use

The Bayer ADVIA IMS Uric Acid (UA) method is an in vitro diagnostic device intended to measure uric acid in human serum, plasma and urine. Such measurements are used as an aid in the diagnosis and treatment of numerous renal and metabolic disorders, including renal failure, gout, leukemia, psoriasis, starvation and other wasting conditions and of patients receiving cytotoxic drugs.

Product codes

KNK

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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

The performance studies include:
A. Imprecision (serum):
ADVIA IMS:
Level (mg/dL) 3.7, Total CV (%) 2.3
Level (mg/dL) 7.7, Total CV (%) 1.6
Level (mg/dL) 9.9, Total CV (%) 1.1

Advia 1650:
Level (mg/dL) 3.9, Total CV (%) 1.9
Level (mg/dL) 8.6, Total CV (%) 1.6
Level (mg/dL) 10.0, Total CV (%) 2.3

Imprecision (urine):
ADVIA IMS:
Level (mg/dL) 20.2, Total CV (%) 5.2
Level (mg/dL) 28.9, Total CV (%) 3.6
Level (mg/dL) 38.4, Total CV (%) 2.6

Advia 1650:
Level (mg/dL) 12.4, Total CV (%) 2.3
Level (mg/dL) 23.9, Total CV (%) 5.2

B. Correlation (Y=ADVIA IMS, X=Comparison system):
Specimen type: Serum; Comparison System (X): CDC Uricase; N: 117; Regression Equation: Y=0.98X+0.11; Syx (mg/dL): 0.27; R: 0.999; Sample Range (mg/dL): 1.5-26.2
Specimen type: Serum; Comparison System (X): Advia 1650; N: 100; Regression Equation: Y=0.96X+0.29; Syx (mg/dL): 0.37; R: 0.998; Sample Range (mg/dL): 1.5-23.6
Specimen type: Plasma (y), Serum (x); Comparison System (X): Advia 1650; N: 54; Regression Equation: Y=1.01X-0.05; Syx (mg/dL): 0.08; R: 0.998; Sample Range (mg/dL): 2.8-7.3
Specimen type: Urine; Comparison System (X): CDC Uricase; N: 10; Regression Equation: Y=1.035X-0.37; Syx (mg/dL): 1.11; R: 0.999; Sample Range (mg/dL): 3.8-182.8
Specimen type: Urine; Comparison System (X): Advia 1650; N: 63; Regression Equation: Y=0.96X-1.08; Syx (mg/dL): 2.70; R: 0.998; Sample Range (mg/dL): 5.7-198.7

C. Interfering Substances:
Interfering: Bilirubin (unconjugated); Interfering Sub. Conc. (mg/dL): 30; Uric Acid Conc. (mg/dL): 7.6; Effect (% change): -5
Interfering: Bilirubin (conjugated); Interfering Sub. Conc. (mg/dL): 30; Uric Acid Conc. (mg/dL): 7.6; Effect (% change): -6
Interfering: Hemoglobin; Interfering Sub. Conc. (mg/dL): 750; Uric Acid Conc. (mg/dL): 7.5; Effect (% change): -7
Interfering: Lipids (Intralipid); Interfering Sub. Conc. (mg/dL): 1000; Uric Acid Conc. (mg/dL): 7.0; Effect (% change): -1
Interfering: Acetaminophen; Interfering Sub. Conc. (mg/dL): 280 µg/mL; Uric Acid Conc. (mg/dL): 20.9; Effect (% change): -5
Interfering: Ascorbic Acid; Interfering Sub. Conc. (mg/dL): 200; Uric Acid Conc. (mg/dL): 21.1; Effect (% change): -5
Interfering: Salicylate; Interfering Sub. Conc. (mg/dL): 500; Uric Acid Conc. (mg/dL): 21.3; Effect (% change): -5

Analytical Range (serum): 0-26 mg/dL
Analytical Range (urine): 0-230 mg/dL

Key Metrics

Not Found

Predicate Device(s)

ADVIA 1650 Uric Acid (K/DEN not listed but implied as the predicate in the table)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.1775 Uric acid test system.

(a)
Identification. A uric acid test system is a device intended to measure uric acid in serum, plasma, and urine. Measurements obtained by this device are used in the diagnosis and treatment of numerous renal and metabolic disorders, including renal failure, gout, leukemia, psoriasis, starvation or other wasting conditions, and of patients receiving cytotoxic drugs.(b)
Classification. Class I (general controls). The device, when it is solely intended for use as an acid reduction of ferric ion test, a phosphotungstate reduction test, a gasometric uricase test, an ultraviolet uricase test, or an oxygen rate uricase test, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9.

0

MAR 1 8 2003

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS Uric Acid Method for ADVIA IMS

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of the Safe Medical Device Act of 1990 and 21 CFR 807.92.

The assigned 510(k) number is: HOA2096 (leave blank)

1. Intended Use

The Bayer ADVIA IMS Uric Acid (UA) method is an in vitro diagnostic device intended to measure uric acid in human serum, plasma and urine. Such measurements are used as an aid in the diagnosis and treatment of numerous renal and metabolic disorders, including renal failure, gout, leukemia, psoriasis, starvation and other wasting conditions and of patients receiving cytotoxic drugs.

2. Predicate Device

Product NameReagent Part #Calibrator Part #
ADVIA 1650 Uric AcidB01-4131-01T03-1291-62

3. Device / Method

Product NameReagent BAN #Calibrator BAN #
ADVIA IMS Uric Acid0738325606798711

A. Imprecision (serum)

ADVIA IMSAdvia 1650
Level
(mg/dL)Total
CV (%)Level
(mg/dL)Total
CV(%)
3.72.33.91.9
7.71.68.61.6
9.91.110.02.3

1

Imprecision (urine)

ADVIA IMSAdvia 1650
Level (mg/dL)Total CV (%)Level (mg/dL)Total CV (%)
20.25.212.42.3
28.93.623.95.2
38.42.6

B. Correlation (Y=ADVIA IMS, X=Comparison system)

Specimen typeComparison System (X)NRegression EquationSyx (mg/dL)RSample Range (mg/dL)
SerumCDC Uricase117Y=0.98X+0.110.270.9991.5-26.2
SerumAdvia 1650100Y=0.96X+0.290.370.9981.5-23.6
Plasma (y), Serum (x)Advia 165054Y=1.01X-0.050.080.9982.8-7.3
UrineCDC Uricase10Y=1.035X-0.371.110.9993.8-182.8
UrineAdvia 165063Y=0.96X-1.082.700.9985.7-198.7

C. Interfering Substances

| Interfering | Interfering Sub.
Conc. (mg/dL) | Uric Acid
Conc. (mg/dL) | Effect
(% change) |
|-----------------------------|-----------------------------------|----------------------------|----------------------|
| Bilirubin
(unconjugated) | 30 | 7.6 | -5 |
| Bilirubin
(conjugated) | 30 | 7.6 | -6 |
| Hemoglobin | 750 | 7.5 | -7 |
| Lipids (Intralipid) | 1000 | 7.0 | -1 |
| Acetaminophen | 280 µg/mL | 20.9 | -5 |
| Ascorbic Acid | 200 | 21.1 | -5 |
| Salicylate | 500 | 21.3 | -5 |

Analytical Range (serum): 0-26 mg/dL

Analytical Range (urine): 0-230 mg/dL

Laure S. Adli

Kenneth T. Edds Manager Regulatory Affairs Bayer Corporation 511 Benedict Avenue, Tarrytown, NY 10591.

6/21/02
Date

Date

2

Image /page/2/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is often associated with medicine and healthcare. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the caduceus symbol. The logo is simple and recognizable, and it is used to represent the U.S. Department of Health & Human Services.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Kenneth T. Edds, Ph.D. Manager, Regulatory Affairs Bayer Corporation 511 Benedict Avenue Tarrytown, New York 10591-5097

Re: K022096

Trade/Device Name: Uric Acid Assay for the ADVIA Integrated Modular System (IMS) Regulation Number: 21 CFR § 862.1775 Regulation Name: Uric acid test system Regulatory Class: I Product Code: KNK Dated: January 17, 2003 Received: January 21, 2003

MAR 1 8 2003

Dear Dr. Edds:

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 Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 Parts 801 and 809); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820). This letter will allow you to begin marketing your device as described in your Section 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.

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Page 2 -

This letter will allow you to begin marketing your device as described in your Section 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 information about the application of labeling requirements to your device, or questions on the promotion and advertising of your device, please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 594-3084. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act 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 Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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Page 1 of 1

Koa 2-096 510(k) Number:

Device Name: Uric Acid Assay for the ADVIA IMS

Indications for Use:

The Bayer ADVIA IMS Uric Acid (UA) method is an in vitro diagnostic device intended to measure uric acid in human serum, plasma and urine. Such measurements are used as an aid in the diagnosis and treatment of numerous renal and metabolic disorders, including renal failure, gout, leukemia, psoriasis, starvation and other wasting conditions and of patients receiving cytotoxic drugs.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-CounterUse

(Optional Format 1-2-96)

Carl Simon for Jean Cooper, DUM

(Division Sign-Off)
Division of Clinical Laboratory Devices
510(k) Number K022096