K Number
K030754
Device Name
A/C ENZYMATIC HOMOCYSTEINE ASSAY
Manufacturer
Date Cleared
2003-07-11

(123 days)

Product Code
Regulation Number
862.1377
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
- The A/C Enzymatic Homocysteine Assay is intended for the quantitative determination of total homocysteine (tHCY) in human plasma or serum. - The device can assist in the diagnosis and treatment of patients suspected of having hyperhomocysteinemia. - The A/C Enzymatic Homocysteine Assay Kit is only for in vitro diagnostic use.
Device Description
The A/C Enzymatic Homocysteine Assay is calibrated with A/C Enzymatic Homocysteine Assay Calibrators. The A/C Enzymatic Homocysteine Assay is assayed for the verification of the accuracy and precision on the Hitachi 912 Automatic Analyzer. The A/C Enzymatic Homocysteine Assay measures tHCY. The principle of the assay is that recombinant homocysteinase (rHCYase) produces hydrogen sulfide (H2S) from tHCY, which is quantified by use of N,N-dibutyl phenylene diamine (DBPDA), the combination of which forms a chromophore. The A/C Enzymatic Homocysteine Assay on the Hitachi 912 Automatic Analyzer used four reagents, a number compatible with implementation on the Hitachi 912 Automatic Analyzer. We used 30 uL of EDTA plasma in a dithiothreitol (DTT) reduction reaction (1 mmol/L DTT, 0.2% Triton X-100 in 40 mmol/L sodium phosphate buffer [pH 8.3]) for 1.5 minutes to release bound homocysteine. The rHCYase reaction (0.05 mg/ml in 40 mmol/L sodium phosphate buffer [pH 8.3] with 20 umol/L pyridoxal 5-phosphate [PLP]) is then run for 3.5 minutes. The DBPDA chromophore (12.5 mmol/L DBPDA in 1.5 N H2SO4) is then added and 5 minutes later, an oxidant, potassium ferricyanide (5 mmol/L K3Fe(CN), in 10 mmol/L sodium phosphate buffer [pH 7.6]), is added. Five minutes after addition of oxidant, the end-points are read at absorbances of 700 and 660 nm. As the assay is based on an increase in absorbance over baseline, no blank without enzyme was used. The detection limit of the assay is 1.5 umol/L defined by quantification of a serial dilution of a plasma sample of tHCY diluted to 0.77 umol/L. The limit of quantification is defined as the lowest concentration measured having a CV <20%. The linear range extends to at least 80 umol tHCY/L as determined by measuring varying amounts of homocysteine in phosphate buffered saline. The within-run imprecisions (CV) run over 8 repeats were 4.8% at 8.9 umol/L tHCY; 3.0% for 14.9 umol/L tHCY; and 4.5% for 25 umol/L tHCY. Between-assay imprecisions (CV) over 10 days were 7.8% for 8.8 umol/L tHCY: 5.9% for 15 umol/L tHCY; and 4.9% for 25 umol/L tHCY. These imprecisions are with in ranges reported for currently-used assays including the Bio-Rad HCY assay on HPLC, which is used as a comparison method in the present study. The results showed that L-cysteine (L-CYS) in the physiological concentrations (0-200 µmol/L) had less than 10% interference and L-methionine (L-MET) in the physiological concentrations (0-200 umol/L) had no interference in the A/C Enzymatic Homocysteine Assay on the Hitachi 912 Automatic Analyzer. The A/C Enzymatic Homocysteine Assay on the Hitachi 912 Automatic Analyzer is a four-step reaction. The total assay takes 15 minutes, and the through-put is 360 tests per hour.
More Information

Not Found

No
The description details a standard enzymatic assay and its performance characteristics on an automated analyzer. There is no mention of AI or ML being used for data analysis, interpretation, or any other function.

No
Explanation: This device is an in vitro diagnostic assay used for quantitative determination of total homocysteine, assisting in diagnosis and treatment, but it does not directly provide therapy.

Yes

The "Intended Use / Indications for Use" section explicitly states "The device can assist in the diagnosis and treatment of patients suspected of having hyperhomocysteinemia" and "The A/C Enzymatic Homocysteine Assay Kit is only for in vitro diagnostic use."

No

The device is an in vitro diagnostic assay kit that utilizes chemical reagents and is run on a specific hardware analyzer (Hitachi 912). It is not solely software.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section explicitly states: "The A/C Enzymatic Homocysteine Assay Kit is only for in vitro diagnostic use."
  • Intended Use: The intended use is for the "quantitative determination of total homocysteine (tHCY) in human plasma or serum." This involves testing biological samples outside of the body, which is the definition of in vitro.
  • Diagnostic Purpose: The device is intended to "assist in the diagnosis and treatment of patients suspected of having hyperhomocysteinemia." This clearly indicates a diagnostic purpose.

N/A

Intended Use / Indications for Use

  • The A/C Enzymatic Homocysteine Assay is intended for the quantitative determination of total homocysteine (tHCY) in human plasma or serum.
  • The device can assist in the diagnosis and treatment of patients suspected of having hyperhomocysteinemia.
  • The A/C Enzymatic Homocysteine Assay Kit is only for in vitro diagnostic use.

Product codes

LPS

Device Description

The A/C Enzymatic Homocysteine Assay is calibrated with A/C Enzymatic Homocysteine Assay Calibrators. The A/C Enzymatic Homocysteine Assay is assayed for the verification of the accuracy and precision on the Hitachi 912 Automatic Analyzer.

The A/C Enzymatic Homocysteine Assay measures tHCY. The principle of the assay is that recombinant homocysteinase (rHCYase) produces hydrogen sulfide (H2S) from tHCY, which is quantified by use of N,N-dibutyl phenylene diamine (DBPDA), the combination of which forms a chromophore.

The A/C Enzymatic Homocysteine Assay on the Hitachi 912 Automatic Analyzer used four reagents, a number compatible with implementation on the Hitachi 912 Automatic Analyzer. We used 30 uL of EDTA plasma in a dithiothreitol (DTT) reduction reaction (1 mmol/L DTT, 0.2% Triton X-100 in 40 mmol/L sodium phosphate buffer [pH 8.3]) for 1.5 minutes to release bound homocysteine. The rHCYase reaction (0.05 mg/ml in 40 mmol/L sodium phosphate buffer [pH 8.3] with 20 umol/L pyridoxal 5-phosphate [PLP]) is then run for 3.5 minutes. The DBPDA chromophore (12.5 mmol/L DBPDA in 1.5 N H2SO4) is then added and 5 minutes later, an oxidant, potassium ferricyanide (5 mmol/L K3Fe(CN)6 in 10 mmol/L sodium phosphate buffer [pH 7.6]), is added. Five minutes after addition of oxidant, the end-points are read at absorbances of 700 and 660 nm. As the assay is based on an increase in absorbance over baseline, no blank without enzyme was used. The detection limit of the assay is 1.5 umol/L defined by quantification of a serial dilution of a plasma sample of tHCY diluted to 0.77 umol/L. The limit of quantification is defined as the lowest concentration measured having a CV

§ 862.1377 Urinary homocystine (nonquantitative) test system.

(a)
Identification. A urinary homocystine (nonquantitative) test system is a device intended to identify homocystine (an analogue of the amino acid cystine) in urine. The identification of urinary homocystine is used in the diagnosis and treatment of homocystinuria (homosystine in urine), a heritable metabolic disorder which may cause mental retardation.(b)
Classification. Class II.

0

Summary of Safety and Effectiveness Information Supporting a Substantially Equivalent Determination

Submitter Information 1.

A/C Diagnostics Division AntiCancer Inc. 7917 Ostrow Str. San Diego, California 92111 Phone: (858)654-2555 FAX: (858)268-4175 e-mail: all(@anticancer.com

Contact Person:

Submitter:

Yuying Tan, M.D. Research Manager AntiCancer Inc.

Date of Summary Preparation: February 18, 2003

2. Device Information

Device Name:

A/C Enzymatic Homocysteine Assay

Classification Name: Class: Product Code: Homocysteine Assay II LPS

3. Predicate Device Information

| Device Name: | Bio-Rad Homocysteine by HPLC
Bio-Rad Laboratories
Diagnostics Group
4000 Alfred Nobel Drive
Hercules, California 94547 |

--------------------------------------------------------------------------------------------------------------------------------------------------

510(k) Number: K993107

K030754

1

Information of Manufacturer 4.

Manufacturer:
---------------

Bioserv Corporation 5340 Eastgate Mall San Diego, CA 92121 Telephone: (858) 450-3123 (858) 450-0785 FAX:

FDA establishment registration number: US FDA 2027352

Contact Person :

Mary Richardson Quality Assurance Manager Bioserv Corporation

న. Statement of Intended Use

  • The A/C Enzymatic Homocysteine Assay is intended for the quantitative determination . of total homocysteine (tHCY) in human plasma or serum.
  • The device can assist in the diagnosis and treatment of patients suspected of having . hyperhomocysteinemia.
  • The A/C Enzymatic Homocysteine Assay Kit is only for in vitro diagnostic use. .

Description of Device 6.

The A/C Enzymatic Homocysteine Assay is calibrated with A/C Enzymatic Homocysteine Assay Calibrators. The A/C Enzymatic Homocysteine Assay is assayed for the verification of the accuracy and precision on the Hitachi 912 Automatic Analyzer.

The A/C Enzymatic Homocysteine Assay measures tHCY. The principle of the assay is that recombinant homocysteinase (rHCYase) produces hydrogen sulfide (H2S) from tHCY, which is quantified by use of N,N-dibutyl phenylene diamine (DBPDA), the combination of which forms a chromophore.

The A/C Enzymatic Homocysteine Assay on the Hitachi 912 Automatic Analyzer used four reagents, a number compatible with implementation on the Hitachi 912 Automatic Analyzer. We used 30 uL of EDTA plasma in a dithiothreitol (DTT) reduction reaction (1 mmol/L DTT, 0.2% Triton X-100 in 40 mmol/L sodium phosphate buffer [pH 8.3]) for 1.5 minutes to release bound homocysteine. The rHCYase reaction (0.05 mg/ml in 40 mmol/L sodium phosphate buffer [pH 8.3] with 20 umol/L pyridoxal 5-phosphate [PLP]) is then run for 3.5 minutes. The DBPDA chromophore (12.5 mmol/L DBPDA in 1.5 N H2SO4) is then added and 5 minutes later, an oxidant, potassium ferricyanide (5 mmol/L K3Fe(CN), in 10 mmol/L sodium phosphate

2

buffer [pH 7.6]), is added. Five minutes after addition of oxidant, the end-points are read at absorbances of 700 and 660 nm. As the assay is based on an increase in absorbance over baseline, no blank without enzyme was used. The detection limit of the assay is 1.5 umol/L defined by quantification of a serial dilution of a plasma sample of tHCY diluted to 0.77 umol/L. The limit of quantification is defined as the lowest concentration measured having a CV