K Number
K031269
Device Name
ACCESS THYROGLOBULIN REAGENTS ON THE ACCESS IMMUNOASSAY SYSTEMS
Date Cleared
2003-05-02

(11 days)

Product Code
Regulation Number
866.6010
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Access Thyroglobulin assay is a paramagnetic particle, chemiluminescent immunoassay for the quantitative determination of thyroglobulin levels in human serum and plasma, using the Access Immunoassay Systems. This device is intended to aid in the monitoring for the presence of local and metastatic thyroid tissue in patients who have had thyroid gland ablation (using thyroid surgery with or without radioactivity) and who lack serum thyroglobulin antibodies.
Device Description
The Access® Thyroglobulin reagents consist of reagent packs, calibrators, substrate and wash buffer.
More Information

No
The summary describes a chemiluminescent immunoassay for quantitative determination of thyroglobulin levels, which is a standard laboratory test method and does not mention any AI or ML components.

No
This device is an immunoassay for the quantitative determination of thyroglobulin levels in human serum and plasma, intended to aid in monitoring for the presence of thyroid tissue. It is a diagnostic tool, not a therapeutic device.

Yes.
The device measures thyroglobulin levels to aid in monitoring for the presence of thyroid tissue, which is a diagnostic purpose, even if for monitoring rather than initial diagnosis.

No

The device description explicitly states that the device consists of "reagent packs, calibrators, substrate and wash buffer," which are physical components, not software.

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

Here's why:

  • Intended Use: The intended use explicitly states it's for the "quantitative determination of thyroglobulin levels in human serum and plasma." This involves testing biological samples in vitro (outside the body).
  • Device Description: The description mentions "reagents," "calibrators," "substrate," and "wash buffer," which are all components typically used in laboratory-based diagnostic tests performed on biological samples.
  • Performance Studies: The summary of performance studies describes "method comparison, precision and analytical sensitivity studies," which are standard evaluations for IVD assays to demonstrate their accuracy and reliability.
  • Predicate Device: The predicate device is also an "Access® Thyroglobulin Reagents on the Access® Immunoassay Systems," further indicating its nature as a diagnostic assay.

The core function of the device is to analyze a biological sample (serum and plasma) to measure a specific substance (thyroglobulin) to aid in a medical decision (monitoring for thyroid tissue). This aligns perfectly with the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Access Thyroglobulin assay is a paramagnetic particle, chemiluminescent immunoassay for the quantitative determination of thyroglobulin levels in human serum and plasma, using the Access Immunoassay Systems. This device is intended to aid in the monitoring for the presence of local and metastatic thyroid tissue in patients who have had thyroid gland ablation (using thyroid surgery with or without radioactivity) and who lack serum thyroglobulin antibodies.

Product codes

MSW

Device Description

The Access® Thyroglobulin reagents consist of reagent packs, calibrators, substrate and wash buffer.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

In order to demonstrate that the Access Thyroglobulin assay on the Dxl system is substantially equivalent to the Access Thyroglobulin assay on the Access 2 system. method comparison, precision and analytical sensitivity studies were conducted. The Access Thyroglobulin assay met the established acceptance criteria for method comparison, precision and analytical sensitivity.

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

Not Found

Predicate Device(s)

K002905

Reference Device(s)

K023764

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 866.6010 Tumor-associated antigen immunological test system.

(a)
Identification. A tumor-associated antigen immunological test system is a device that consists of reagents used to qualitatively or quantitatively measure, by immunochemical techniques, tumor-associated antigens in serum, plasma, urine, or other body fluids. This device is intended as an aid in monitoring patients for disease progress or response to therapy or for the detection of recurrent or residual disease.(b)
Classification. Class II (special controls). Tumor markers must comply with the following special controls: (1) A guidance document entitled “Guidance Document for the Submission of Tumor Associated Antigen Premarket Notifications (510(k)s) to FDA,” and (2) voluntary assay performance standards issued by the National Committee on Clinical Laboratory Standards.

0

MAY - 2 2003

1.4 510(K) Summary

(Page 1 of 2)

510(k) Summary

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

510(k) Number K03 1269

Date Prepared: April 16,2003

SubmitterContact Person
Beckman Coulter, IncLynn Weist
1000 Lake Hazeltine DriveStaff Regulatory Affairs Specialist
Chaska, MN 55318Phone: 952-368-1271
Fax: 952-368-7710

General Information

| Proprietary Name | Access® Thyroglobulin Reagents on the Access®
Immunoassay Systems |
|-----------------------------------------|--------------------------------------------------------------------------------------------------|
| Classification Name | Tumor Associated Antigen Immunological Test System |
| Device Class | Class II |
| Legally Marketed
(Unmodified) Device | Access® Thyroglobulin Reagents on the Access®
Immunoassay Systems (K002905, cleared 10/19/00) |

Device Description

The Access® Thyroglobulin reagents consist of reagent packs, calibrators, substrate and wash buffer.

Intended Use

The Access Thyroglobulin assay is a paramagnetic particle, chemiluminescent immunoassay for the quantitative determination of thyroglobulin levels in human serum and plasma, using the Access Immunoassay Systems. This device is intended to aid in the monitoring for the presence of local and metastatic thyroid tissue in patients who have had thyroid gland ablation (using thyroid surgery with or without radioactivity) and who lack serum thyroglobulin antibodies.

1

510(k) Summary

(Page 2 of 2)

Description of the Modification to the Legally Marketed Device

The modification to the Access Thyroglobulin reagents is to add a new instrument platform, the Beckman Coulter UniCel" Dx1 800 Access® Immunoassay System, to the family of Access Immunoassay Systems. The Dxl System is a new model within the same model series of Access Immunoassay Systems manufactured and distributed by Beckman Coulter, Inc. The Dxl System was cleared for marketing by FDA on January 28, 2003, (K023764).

The DxI uses the same Access Thyroglobulin reagents and calibrators, packaged the same as for the Access 2 System. The formulations of the substrate and wash buffer used with the Access Thyroglobulin assay are unchanged. There are no changes to the intended uses, technical specifications or final performance specifications and claims for the assay.

Supporting Data

In order to demonstrate that the Access Thyroglobulin assay on the Dxl system is substantially equivalent to the Access Thyroglobulin assay on the Access 2 system. method comparison, precision and analytical sensitivity studies were conducted. The Access Thyroglobulin assay met the established acceptance criteria for method comparison, precision and analytical sensitivity.

Conclusion

The information provided in this submission supports a substantial equivalence determination, and therefore, 510(k) premarket notification clearance of the Access Thyroglobulin Reagents on the UniCel Dxl 800 Access Immunoassay Systems.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle or bird-like symbol with three heads facing to the right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular fashion around the bird symbol.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Ms. Lynn Weist Staff Regulatory Affairs Specialist Beckman Coulter, Inc. 1000 Lake Hazeltine Drive Chaska, Minnesota 55318-1084

MAY - 2 2003

Re: K031269 Trade/Device Name: Access® Thyroglobulin Reagents on the Access® Immunoassay Systems Regulation Number: 21 CFR § 866.6010 Regulation Name: Tumor associated antigen immunological test system Regulatory Class: II Product Code: MSW Dated: April 16, 2003 Received: April 22, 2003

Dear Ms. Weist:

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.

3

Page 2 –

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

4

510(k) Number (if known): K03 1269

PAGE 1 OF 1

Device Name: Access® Thyroglobulin Reagents on the Access® Immunoassay Systems

Indications for Use:

The Access Thyroglobulin assay is a paramagnetic particle, chemiluminescent immunoassay for the quantitative determination of thyroglobulin levels in human serum and plasma, using the Access Immunoassay Systems. This device is intended to aid in the monitoring for the presence of local and metastatic thyroid tissue in patients who have had thyroid gland ablation (using thyroid surgery with or without radioactivity) and who lack serum thyroglobulin antibodies.

(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-Counter Use
(Optional Format 1-2-96) |

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J.P.Reaves for J. Bautista
(Division Sign-Off)
Division of Clinical Laboratory Devices
510(k) NumberK031269
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Confidential