K Number
K033780
Device Name
MODIFICATION TO SERAQUEST VCA IGM
Manufacturer
Date Cleared
2004-01-15

(42 days)

Product Code
Regulation Number
866.3235
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For the qualitative detection of IgM antibodies to Epstein-Barr (EB), viral capsid antigen (VCA) in human serum by enzyme immunoassay, as an aid in differentiating active or recent Epstein-Barr virus infection from past infection. For in vitro diagnostic use only.
Device Description
The SeraQuest VCA IgM test is a solid-phase enzyme immunoassay (EIA), which is performed in microwells, at room temperature, in three thirty minute incubations. It has been developed to detect IgM antibodies which are directed against Epstein-Barr virus capsid antigen, in human serum. The Calibrators in the SeraQuest VCA IgM test set have been assigned Index values based on an in-house standard. Test results are reported as Index values.
More Information

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No
The device description and performance studies describe a standard enzyme immunoassay (EIA) for detecting antibodies, which does not involve AI/ML. There are no mentions of AI, ML, or related concepts in the provided text.

No
The device is an in vitro diagnostic (IVD) test for detecting antibodies, which aids in diagnosis rather than providing treatment or therapy.

Yes

The intended use explicitly states "For in vitro diagnostic use only" and "as an aid in differentiating active or recent Epstein-Barr virus infection from past infection," which are characteristics of a diagnostic device.

No

The device description clearly states it is a solid-phase enzyme immunoassay (EIA) performed in microwells, indicating a physical laboratory test kit with reagents and hardware components, not software alone.

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

Here's why:

  • Intended Use: The "Intended Use / Indications for Use" section explicitly states "For in vitro diagnostic use only."
  • Device Description: The description details a test performed "in microwells" using "human serum," which are characteristic of in vitro diagnostic procedures.
  • Purpose: The purpose is to detect antibodies in a biological sample (serum) to aid in diagnosing an infection, which is a core function of an IVD.

N/A

Intended Use / Indications for Use

For the qualitative detection of IgM antibodies to Epstein-Barr (EB), viral capsid antigen (VCA) in human serum by enzyme immunoassay, as an aid in differentiating active or recent Epstein-Barr virus infection from past infection. For in vitro diagnostic use only.

  1. For In Vitro Diagnostic Use
  2. For the qualitative detection of human IgM antibodies to Epstein-Barr (EB) viral capsid antigen (VCA) in human serum by enzyme immunoassay, as viral oupold antigoritiating active or recent Epstein-Barr virus infection from past infection.
    A positive result is presumptive for the detection of anti-Epstein-Barr virus IgM antibodies and presumptive for the diagnosis of acute or recent Epstein-Barr virus infection.

Product codes (comma separated list FDA assigned to the subject device)

LJN

Device Description

The SeraQuest VCA IgM test is a solid-phase enzyme immunoassay (EIA), which is performed in microwells, at room temperature, in three thirty minute incubations. It has been developed to detect IgM antibodies which are directed against Epstein-Barr virus capsid antigen, in human serum.

The Calibrators in the SeraQuest VCA IgM test set have been assigned Index values based on an in-house standard. Test results are reported as Index values.

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

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

113 specimens tested, 18 of which were positive and 91 were negative in both the SeraQuest and Zeus' VCA IgM tests. The specimens were archival patient specimens tested at SeraQuest, Miami, FL.

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Clinical Testing: Of the 113 specimens tested, 18 were positive, and 91 were negative in both the SeraQuest and Zeus' VCA IgM tests. Of the 4 remaining specimens, 2 specimens which were positive by the Zeus' test, one was negative and the other equivocal by the SeraQuest test. One specimen which was equivocal by the Zeus' test, was negative by the SeraQuest test. One specimen which was negative by the Zeus' test, was equivocal by the SeraQuest test.

Overall agreement [ (TP + TN) / (TP + TN + FP + FN ) ] = 99.0 % * 95 % CI = 97.3 to 100 % **

  • Excluding equivocal results
    ** Calculated by the normal method.

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

Overall agreement = 99.0 %
95 % CI = 97.3 to 100 %

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

The SeraQuest VCA IgM test is substantially equivalent in intended use and performance, to the Zeus' EBV IgM ELISA test, Zeus Scientific, Inc., Raritan, New Jersey. 08869.

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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§ 866.3235 Epstein-Barr virus serological reagents.

(a)
Identification. Epstein-Barr virus serological reagents are devices that consist of antigens and antisera used in serological tests to identify antibodies to Epstein-Barr virus in serum. The identification aids in the diagnosis of Epstein-Barr virus infections and provides epidemiological information on diseases caused by these viruses. Epstein-Barr viruses are thought to cause infectious mononucleosis and have been associated with Burkitt's lymphoma (a tumor of the jaw in African children and young adults) and postnasal carcinoma (cancer).(b)
Classification. Class I (general controls).

0

JAN 1 5 2004510(k) SUMMARYK033780
Applicant:Quest International, Inc.
1938 N.E. 148th Terrace
North Miami, FL 33181
Registration No.1061839
Contact Person:Robert A. Cort, V.P., Quality Assurance
Telephone:(305) 948-8788
Telefax:(305) 948-4876
Manufacturing Site:Same as above
Device:SeraQuest® VCA IgM
Device Name:Epstein-Barr virus serological reagents (21CFR § 866.3235)
Device Classification:Class I (general controls)

Description:

The SeraQuest VCA IgM test is a solid-phase enzyme immunoassay (EIA), which is performed in microwells, at room temperature, in three thirty minute incubations. It has been developed to detect IgM antibodies which are directed against Epstein-Barr virus capsid antigen, in human serum.

The Calibrators in the SeraQuest VCA IgM test set have been assigned Index values based on an in-house standard. Test results are reported as Index values.

Principle:

Diluted samples are incubated in wells coated with Epstein-Barr virus capsid antigen. Absorbents have been included in the Diluent to neutralize the affects of rheumatoid factor and IgG antibody. Antibodies directed against Epstein-Barr virus capsid antigen (if present) are immobilized in the wells. Residual sample is eliminated by washing and draining, and conjugate (enzyme-labeled antibodies to human IgM) is added and incubated. If IgM antibodies to Epstein-Barr virus capsid antigen are present, the coniugate will be immobilized in the wells. Residual conjugate is eliminated by washing and draining, and the enzyme substrate is added and incubated. In the presence of the enzyme, the substrate is converted to a vellow end-product which is read photometrically at 405 nm.

1

Intended Use:

For the qualitative detection of IgM antibodies to Epstein-Barr (EB), viral capsid antigen (VCA) in human serum by enzyme immunoassay, as an aid in differentiating active or recent Epstein-Barr virus infection from past infection. For in vitro diagnostic use only.

Predicate Device:

The SeraQuest VCA IgM test is substantially equivalent in intended use and performance, to the Zeus' EBV IgM ELISA test, Zeus Scientific, Inc., Raritan, New Jersey. 08869.

Summary of technological characteristics:

CharacteristicSeraQuest VCA IgMZeus' EBV-VCA IgM ELISA
Description:Enzyme ImmunoassayEnzyme Immunoassay
Intended Use:The detection of IaM
antibodies against Epstein-
Barr virus capsid antigen
in human serum.The detection of IgM
antibodies against Epstein-
Barr virus capsid antigen
in human serum.
Solid Phase:Plastic MicrowellPlastic Microwell
Antigen :Purified gp125Purified gp 125
Number of Incubation Periods:ThreeThree
Sample Dilution:1:511:21
Sample Incubation
Duration:30 minutes25 minutes
Incubation Temperature:
Ezyme-labeled Conjugate:Room temperatureRoom temperature
AntibodvGoat anti-human IgMGoat anti-human IgM
LabelAlkaline phosphataseHorseradish Peroxidase
Conjugate Volume:100 µl100 ul
Conjugate Incubation
Duration:30 minutes25 minutes

2

| Quest International, Inc. 1938 N.E. 148th Terrace, N. Miami, Fl. 33181

ATTACHMENT 5Page No. 18
Substrate:p-Nitrophenyl
phosphateTMB
Subtrate Volume:100 μl100 μl
Substrate Incubation
Duration:30 minutes10 minutes
Stop Reagent:0.5 M Trisodium
phosphate1M H2SO4,0.7M HCL
Stop Reagent Volume:100 μl50 μl
Readout:Spectrophotometric
405 nmSpectrophotometric
450 nm

Summary of Clinical Testing:

Of the 113 specimens tested, 18 were positive, and 91 were negative in both the SeraQuest and Zeus' VCA IgM tests (please see Table 1). Of the 4 remaining specimens, 2 specimens which were positive by the Zeus' test, one was negative and the other equivocal by the SeraQuest test. One specimen which was equivocal by the Zeus' test, was negative by the SeraQuest test. One specimen which was negative by the Zeus' test, was equivocal by the SeraQuest test.

Table 1.

Results of Tests of 113 Archival Patient Specimens Tested at SeraQuest, Miami, FL, Using the SeraQuest EB VCA IgM Test and the Zeus EBV VCA IgM EIA Test.

SeraQuest VCA IgM
Zeus
EBV-VCA IgMPositiveNegativeEquivocalTotal
Positive181120
Negative091192
Equivocal-1-1
Total18932113

Overall agreement [ (TP + TN) / (TP + TN + FP + FN ) ] = 99.0 % * 95 % CI = 97.3 to 100 % **

  • Excluding equivocal results

** Calculated by the normal method.

Reference: Gardner. M.J. and Altman, D.G., Confidence Intervals Rather Than Hypothesis Testing Brit. Med. J., 292: 746-750, 198

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the seal of the Department of Health & Human Services (USA). The seal features an abstract eagle design with three stylized wing segments. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES (USA)" is arranged in a circular pattern around the eagle.

Public Health Service

Food and Drug Administratio 2098 Gaither Road Rockville MD 20850

JAN 1 5 2004

Mr. Robert A. Cort V. P., Quality Assurance Quest International, Inc. 1938 N.E. 148th Terrace North Miami, FL 33181

Re: K033780

Trade/Device Name: SeraQuest® VCA IgM Regulation Number: 21 CFR 866.3235 Regulation Name: Epstein-Barr virus serological reagents Regulatory Class: Class I Product Code: LJN Dated: November 26, 2003 Received: December 16, 2003

Dear Mr. Cort:

We have reviewed your Section 510(k) premarket notification of intent to market the device w f nave a showe 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 r ou may) aters, and second in 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 that 119 Federal statutes and regulations administered by other Federal agencies. You must or any I 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).

4

Page 2

This letter will allow you to begin marketing your device as described in your Section 510(k) I mis lotter with and The FDA finding of substantial equivalence of your device to a legally premaince revilledied. to proceed to the market.

If you desire specific information about the application of labeling requirements to your device, or guestions on the promotion and advertising of your device, please contact the Office of of questions on the provice 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 Tou may 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,

Saqartys

Sally A. Hojvat, M.Sc., Ph.D. Director Division of Microbiology Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

5

Indications for Use

510(k) Number ________________________________________________________________________________________________________________________________________________________________

Device Name __ SeraQuest EB VCA IgM

Indications for Use:

    1. For In Vitro Diagnostic Use
    1. For the qualitative detection of human IgM antibodies to Epstein-Barr (EB) viral capsid antigen (VCA) in human serum by enzyme immunoassay, as viral oupold antigoritiating active or recent Epstein-Barr virus infection from past infection.
  • A positive result is presumptive for the detection of anti-Epstein-Barr virus IgM antibodies and presumptive for the diagnosis of acute or recent Epstein-Barr virus infection.
Prescription Use
(Part 21 CFR Subpart D)

OR

Over-The-Counter-Use (21 CFR 807 Subpart C)

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Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

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KO33780 -510(k)________________________________________________________________________________________________________________________________________________________________________