K Number
K033302
Device Name
NICHOLS ADVANTAGE BIO-INTACT PTH (1-84) ASSAY, MODEL 62-7040
Date Cleared
2004-01-26

(104 days)

Product Code
Regulation Number
862.1545
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Nichols Advantage® Bio-Intact PTH (1-84) immunometric assay is intended for use with the Nichols Advantage® Specialty System to measure the levels of parathyroid hormone in serum and EDTA plasma. Measurements of parathyroid hormone levels are used in the differential diagnosis of hypercalcemia (abnormally high levels of calcium in the blood) and hypocalcemia (abnormally low levels of calcium in the blood) resulting from disorders of calcium metabolism. Assay results should be used in conjunction with other clinical data to assist the clinician in making individual patient management decisions.
Device Description
The Nichols Advantage® Bio-Intact PTH (1-84) assay is a fluorescence immunometric assay for quantifying PTH in human serum or plasma.
More Information

Not Found

No
The summary describes a fluorescence immunometric assay for quantifying PTH levels and its use in differential diagnosis based on a scattergram of calcium and PTH levels. There is no mention of AI, ML, or related technologies in the intended use, device description, or performance studies. The analysis relies on a standard laboratory assay and graphical representation of results.

No
This device is an in vitro diagnostic assay used for measuring parathyroid hormone levels, which aids in diagnosis rather than providing therapy.

Yes

The "Intended Use / Indications for Use" section explicitly states that "Measurements of parathyroid hormone levels are used in the differential diagnosis of hypercalcemia...and hypocalcemia...resulting from disorders of calcium metabolism." This indicates its role in diagnosing medical conditions.

No

The device description clearly states it is a fluorescence immunometric assay, which is a laboratory test involving chemical reactions and measurement of fluorescence, indicating it is a physical assay kit and not solely software.

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

Here's why:

  • Intended Use: The intended use explicitly states that the assay is used to "measure the levels of parathyroid hormone in serum and EDTA plasma" and that these measurements are used in the "differential diagnosis of hypercalcemia and hypocalcemia resulting from disorders of calcium metabolism." This clearly indicates that the device is used to examine specimens derived from the human body (serum and plasma) to provide information for diagnostic purposes.
  • Device Description: The description states it's a "fluorescence immunometric assay for quantifying PTH in human serum or plasma." This further confirms it's a test performed on human biological samples.
  • Performance Studies: The performance studies describe testing performed on "clinical disorders of calcium metabolism" using "serum calcium and PTH testing." This reinforces the diagnostic application of the device.

The definition of an In Vitro Diagnostic (IVD) device is a medical device that is used to examine specimens, such as blood, tissue, or urine, that have been taken from the human body. The purpose of the examination is to provide information for diagnostic, monitoring, or compatibility purposes. This device fits that definition perfectly.

N/A

Intended Use / Indications for Use

The Nichols Advantage® Bio-Intact PTH (1-84) immunometric assay is intended for use with the Nichols Advantage® Specialty System to measure the levels of parathyroid hormone in serum and EDTA plasma. Measurements of parathyroid hormone levels are used in the differential diagnosis of hypercalcemia (abnormally high levels of calcium in the blood) and hypocalcemia (abnormally low levels of calcium in the blood) resulting from disorders of calcium metabolism. Assay results should be used in conjunction with other clinical data to assist the clinician in making individual patient management decisions.

Product codes

CEW

Device Description

The Nichols Advantage Bio-Intact PTH (1-84) assay is a two-site immunometric assay for quantifying PTH in human serum or plasma.

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)

The Special 510(k) includes new data on the clinical performance of the test performed on clinical disorders of calcium metabolism. Serum calcium and PTH testing was performed on n=63 patients with surgically confirmed primary hyperparathyroidism, n=3 patients with hypoparathyroidism, n=3 patients with hypercalcemia due to malignancy, and n=276 normal individuals. By plotting the serum calcium (x-axis) versus the Bio-Intact PTH (y-axis) a scattergram was created. The scattergram serves as a guide in the differential and of hypercalcemia and hypocalcemia when both Bio-Intact PTH (1-84) and calcium testing are performed.

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

Not Found

Predicate Device(s)

K013992

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.1545 Parathyroid hormone test system.

(a)
Identification. A parathyroid hormone test system is a device intended to measure the levels of parathyroid hormone in serum and plasma. Measurements of parathyroid hormone levels are used in the differential diagnosis of hypercalcemia (abnormally high levels of calcium in the blood) and hypocalcemia (abnormally low levels of calcium in the blood) resulting from disorders of calcium metabolism.(b)
Classification. Class II.

0

K033302

JAN 2 6 2004

Special 510(k) Nichols Advantage Bio-Intact PTH (1-84) Date Prepared: 1/23/04

Special 510k Summary 11.0

11.0 - Special 510K Summary
This summary of safety and effectiveness is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

of SMDA 1990 and 21 OF N 007.02.

  1. Name of Manufacturer, Contact Person and Date Summary Prepared:

Nichols Institute Diagnostics 1311 Calle Batido San Clemente, CA 92673 Phone: 949-940-7260 FAX: 949-940-7313 FAX: 949-940-1010
Contact Person: Jimmy Wong, Manager of Clinical and Technical Affairs Date Prepared: Jan. 23, 2004

2. Device Name:

Trade/Proprietary Name: Common Name: Classification Name: Classification: 3.

Nichols Advantage® Bio-Intact PTH (1-84) Parathyroid hormone immunoassay Radioimmunoassay, Parathyroid Hormone Class II Regulation Number: 862.1545 Product Code: CEW, Clinical Chemistry

  • Nichols Advantage Bio-Intact PTH (1-84) K013992 Predicate Device: 4.
  • Predicate Device: 5. Device Description. The Nierole Havemily in escence immunometric assay for quantifying PTH in human serum or plasma.
  • PTH in human serum or plasma.
    Intended Use: The Nichols Advantage® Bio-Intact PTH (1-84) immunometic assay is ్. Intended for use with the Nichols Advantage Specialty System to measure the levels of Intended for use will the Nielbis Advantage - Specifical of parathyroid hormone paratifying normone in Scrain and Leansis of hypercalcemia (abnormally high levels of levels are used in the unterentia (abnormally low levels of calcium in the blood) calcidin in the blood) and inypocalcem. Assay results should be used in conjunction resulting iron disorders of odloidin metalonion in making individual patient management decisions.
  • 7 Conclusions: The Nichols Advantage Bio-Intact PTH (1-84) assay (FDA 510k K013992 Conclusions: The Nichols Auvantage Bio Intact The (de new information and labeling.

Changes to the Expected Values section were made in the labeling. A new reference range Oneliges to the Expoctod the results of that study were included in the new labeling. Study was performed, and the Nichols Bio-Intact PTH (1-84) assay are being Olimicians, and faberatery access that they can make informed decisions on how to conduct provided the new information of the such information can be used to interpret PTH ther own reliefice rango ottation and on original covariates that can affect calcium metabolism and results. New information is the brond hormone levels, and literature references that pertain to this topic.

The Special 510(k) includes new data on the clinical performance of the test performed on The Opeoful o ro(in) inola00 new clinical disorders of calcium metabolism. Serum calcium and PTH testing was performed on n=63 patients with surgically confirmed primary r TTT testing was porfernou "owith hypoparathyroidism, n=3 patients with hypercalcemia riyo mathyroldion, and n=276 normal individuals. By plotting the serum calcium (x-axis) uue to manghanty, and 11-270 normal scattergram was created. The scattergram serves versus the Bio into in the differential and hypocalcemia when both Bio-Intact PTH (1-84) and calcium testing are performed.

1

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

JAN 2 6 2004

Mr. Jimmy Wong Manager, Clinical and Technical Affairs Nichols Institute Diagnostics 1311 Calle Batido San Clemente, CA 92673

K033302 Re:

Trade/Device Name: Nichols Advantage Bio-Intact PTH (1-84) Regulation Number: 21 CFR 862.1545 Regulation Name: Parathyroid hormone test system Regulatory Class: Class II Product Code: CEW Dated: December 19, 2003 Received: December 31, 2003

Dear Mr. Wong:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed your becaon - 1 (x) pe instantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the encrosure) to regard) the enactment date of the Medical Device Amendments, or to conninered prior to May 20, 1978, in other with the provisions of the Federal Food, Drug, devices that have been recuire approval of a premarket approval application (PMA). and Cosmetic Act (710t) that do not request to the general controls provisions of the Act. The I ou may, dicrerere, maines of the Act include requirements for annual registration, listing of general controls provisions 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 If your device is classified (soral controls. Existing major regulations affecting your device can may be subject to such adultions retires in Regulations (CFR), Parts 800 to 895. In addition, FDA oe found in The 21, 21, 21, 2017 device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean r lease be advised that i Drivisation of our device complies with other requirements of the Act that I DA has made a devel ministered by other Federal agencies. You must of any I cut all the Act's requirements, including, but not limited to: registration and listing (21 comply writtle and the 11th Parts 801 and 809); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

2

Page 2

This letter will allow you to begin marketing your device as described in your Section 510(k) This letter will anow you to oegin maing of substantial equivalence of your device to a legally prematics notification: "Tics Dr. I 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 you desire specific nevertising of your device, please contact the Office of of questions on the promote 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 Tou may oount oner getierers, 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,

Jean M. Cooper, MS, DVM.

Jean M. Cooper, MS, D.V.M. Director Division of Chemistry and Toxicology Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

3

Indications for Use Statement 3.0

INDICATIONS FOR USE STATEMENT

510(k) Number:

Electrical (RTU 1 & 2)

Device Name:

Nichols Advantage Bio-Intact PTH (1-84)

3307

Indications for Use Statement: The Nichols Advantage® Bio-Intact PTH (1-84) immunometric assay is intended for use with the Nichols Advantage® Specialty System thindhomethous of parathyroid hormone in serum and EDTA plasma. to measurements of parathyroid hormone levels are used in the differential diagnosis of Mcasarements of parathylord northerels of calcium in the blood) and hypocalcemia nyporcalcomia (abnormally in the blood) resulting from disorders of calcium (abmornially low levelo 'er bandle be used in conjunction with other clinical data to assist the clinician in making individual patient management decisions.

(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)

Carol C Benson for Jean Cooper, DUM
Division Sign-Off

Office of In Vitro Diagnostic Device
Evaluation and Safety
510(k) K033302 SPECIAL

Date Printed: 10/10/2003 Created by Jimmy Wong