K Number
K040095
Device Name
IMMULISA ANTI-HUMAN TISSUE TRANSGLUTAMINASE (HU-TTG) ANTIBODY TOTAL IGA/IGG ELISA
Date Cleared
2004-03-05

(45 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 anti-human Tissue Transglutaminase IgG antibodies in human serum to aid in the diagnosis of celiac disease (CD) in patients with IgA deficiency. An enzyme linked immunoassay (ELISA) for the detection and semi-quantitation of IgA and IgG antibodies to human tissue Transglutaminase to aid in diagnosis of Celiac Disease (CD).
Device Description
An enzyme linked immunoassay (ELISA)
More Information

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No
The summary describes a standard ELISA assay, which is a biochemical test and does not inherently involve AI or 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 designed to detect antibodies to aid in the diagnosis of celiac disease. It does not directly treat or alleviate a disease, condition, or injury.

Yes
The "Intended Use / Indications for Use" section explicitly states that the device is "to aid in the diagnosis of celiac disease (CD)".

No

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

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

Here's why:

  • Intended Use: The intended use clearly states that the device is used for the "detection and semi-quantitation of anti-human Tissue Transglutaminase IgG antibodies in human serum" and "detection and semi-quantitation of IgA and IgG antibodies to human tissue Transglutaminase". This involves testing a sample taken from the human body (serum) in vitro (outside the body).
  • Purpose: The purpose is to "aid in the diagnosis of celiac disease (CD)". This is a diagnostic purpose, which is a key characteristic of IVDs.
  • Device Description: The device is described as an "enzyme linked immunoassay (ELISA)", which is a common type of laboratory test performed in vitro.

Therefore, based on the provided information, the device fits the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

An enzyme linked immunoassay (ELISA) for the detection and semi-quantitation of IgA and IgG antibodies to human tissue Transglutaminase in serum to aid in diagnosis of Celiac Disease (CD).

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

MVM

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

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

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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.

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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.

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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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§ 866.5660 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).

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of an eagle or bird-like figure with three wavy lines extending from its body.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

MAR - 5 2004

Mr. Kevin J. Lawson Dircctor of Regulatory Affairs IMMCO Diagnostics, Inc. 60 Pineview Drive Buffalo, NY 14228

K040095 Re:

Trade/Device Name: ImmuLisa Anti-human tissue Transglutaminase (human tTG) IgG ELISA Regulation Number: 21 CFR 866.5660 Regulation Name: Multiple autoantibodies immunological test system Regulatory Class: Class II Product Code: MVM Dated: February 20, 2004 Received: February 24, 2004

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 practicc requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

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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 premaince modicate device results 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, 11 Juestions 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 I va inay 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,

Joseph L. Hackett

Joseph L. Hackett, Ph.D. Acting Director Division of Immunology and Hematology 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_ 0400 96

K. 640096

Device Name:

ImmuLisa Anti-human tissue Transglutaminase (human tTG) IgG ELISA

An enzyme linked immunoassay (ELISA) for the detection and semi-Indications For Use: quantitation of anti-human Tissue Transglutaminase IgG antibodies in human serum to aid in the diagnosis of celiac disease (CD) in patients with IgA deficiency.

(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)

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

Maria Chan

Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K040091

3

INDICATIONS FOR USE STATEMENT

510(k) Number (if known): K.DY0095____________________________________________________________________________________________________________________________________________

ImmuLisa Anti-human tissue Transglutaminase (hu tTG) Total Device Name: IgA/IgG Antibody ELISA

Indications For Use: An enzyme linked immunoassay (ELISA) for the detection and An chilymo intitled of IgA and IgG antibodies to human tissue semi-quantitation of ig/Pana is ci citia in diagnosis of Celiac Disease (CD).

(Please DO NOT WRITE BE'LOW 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)

Maria Chan
Division Sign-Off

.Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K040095