K Number
K030701
Device Name
IMMULISA ANTI-BETA2 GLYCOPROTEIN I (B2GP1) IGG ELISA
Date Cleared
2003-09-09

(187 days)

Product Code
Regulation Number
866.5660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
An enzyme linked immunoassay (ELISA) for the detection and semi-quantitation of IgG antibodies to ß2-GP1, as an aid in assessing the risk of thrombosis in patients with Systemic Lupus Erythematosus (SLE) or lupus like disorders
Device Description
An enzyme linked immunoassay (ELISA) for the detection and semi-quantitation of IgG antibodies to ß2-GP1
More Information

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Not Found

No
The summary describes a standard ELISA assay, which is a biochemical test and does not mention any AI or ML components.

No
The device is an ELISA for the detection of antibodies, which aids in assessing risk and is diagnostic, not therapeutic.

Yes
The device is described as an aid in assessing the risk of thrombosis in patients with SLE or lupus-like disorders, which indicates a diagnostic purpose.

No

The device description clearly states it is an "enzyme linked immunoassay (ELISA)", which is a laboratory test involving physical reagents and equipment, not a software-only device.

Based on the provided information, yes, this device is an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use explicitly states it's an "enzyme linked immunoassay (ELISA) for the detection and semi-quantitation of IgG antibodies to ß2-GP1, as an aid in assessing the risk of thrombosis in patients with Systemic Lupus Erythematosus (SLE) or lupus like disorders." This describes a test performed in vitro (outside the body) on a biological sample (presumably blood or serum, as antibodies are being detected) to provide information about a patient's health status.
  • Device Description: The device description confirms it's an "enzyme linked immunoassay (ELISA) for the detection and semi-quantitation of IgG antibodies to ß2-GP1." ELISA is a common laboratory technique used for in vitro diagnostic testing.

The core function of the device is to analyze a biological sample in vitro to provide diagnostic information, which is the definition of an IVD.

N/A

Intended Use / Indications for Use

An enzyme linked immunoassay (ELISA) for the detection and semi-quantitation of IgG antibodies to SS2-GP1, as an aid in assessing the risk of thrombosis in patients with Systemic Lupus Erythematosus (SLE) or lupus like disorders

Product codes

MSV

Device Description

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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

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

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Summary of Performance Studies

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Key Metrics

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Predicate Device(s)

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Reference Device(s)

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Predetermined Change Control Plan (PCCP) - All Relevant Information

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§ 866.5660 Multiple autoantibodies immunological test system.

(a)
Identification. A multiple autoantibodies immunological test system is a device that consists of the reagents used to measure by immunochemical techniques the autoantibodies (antibodies produced against the body's own tissues) in serum and other body fluids. Measurement of multiple autoantibodies aids in the diagnosis of autoimmune disorders (disease produced when the body's own tissues are injured by autoantibodies).(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/1 description: The image shows a circular logo with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" written around the perimeter. Inside the circle is a stylized image of an eagle. The eagle is facing left and has three stripes on its wing.

Mr. Kevin J. Lawson Director, Regulatory Affairs IMMCO Diagnostics, Inc. 60 Pineview Drive Buffalo, New York 14228

SEP - 9 2003

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Re: K030701

Trade/Device Name: ImmuLisa Anti-Beta, Glycoprotein I (ß,GP1) IgG ELISA Regulation Number: 21 CFR § 866.5660 Regulation Name: Multiple Autoantibodies, Immunological Test Regulatory Class: II Product Code: MSV Dated: June 16, 2003 Received: August 28, 2003

Dear Mr. Lawson:

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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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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INDICATIONS FOR USE STATEMENT

510(k) Number (if known): K_ KO30201_

ImmuLisa Anti-Beta2 Glycoprotein I (ß2GP1) IgG ELISA Device Name:

Indications For Use:

An enzyme linked immunoassay (ELISA) for the detection and semi-quantitation of IgG antibodies to ß2-GP1, as an aid in assessing the risk of thrombosis in patients with Systemic Lupus Erythematosus (SLE) or lupus like disorders

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

OR

Prescription Use
(Per 21 CFR 801.109)

Over-The-Counter Use (Optional Format 1-2-96)

un Sign-Off)
Division of Clinical Laboratory Devices
510(k) Number.
Isl

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