K Number
K040241
Device Name
N-GENEOUS WIDE RANGE CRP REAGENT AND CALIBRATOR SET
Manufacturer
Date Cleared
2004-06-25

(143 days)

Product Code
Regulation Number
866.5270
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Reagents: For the quantitative measurement of C-Reactive Protein (CRP) concentration in serum or plasma. For In Vitro Diagnostic Use. Calibrator: For the calibration of the N-geneousTM Wide Range CRP assay. For In Vitro Diagnostic Use.
Device Description
The Genzyme N-geneous™ Wide Range CRP Reagent is a two-reagent method for the quantitative measurement of CRP concentration from 0.04 to 320 mg/L in serum or plasma. The test is an enhanced latex-agglutination turbidimetric immunoassay. Sample is added to a buffer solution and mixed with a suspension of mouse anti-human CRP monoclonal antibody, which is bound to latex. CRP binds to the latex-bound antibody, which agglutinates. The light scattering caused by the increase in particle size is used as a measure of CRP concentration. The amount of light scattering is proportional to the concentration of CRP in the sample. N-geneous™ Wide Range CRP Calibrator Set is a stabilized human serum designed to be used to calibrate the N-geneous™ Wide Range CRP Reagent and is sold separately.
More Information

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No
The device description details a standard turbidimetric immunoassay for measuring CRP concentration, which relies on chemical reactions and light scattering principles, not AI/ML algorithms. There are no mentions of AI, ML, or related concepts in the provided text.

No.
The device is an in vitro diagnostic reagent used to measure CRP levels, not to treat a medical condition.

Yes

The device is for the "quantitative measurement of C-Reactive Protein (CRP) concentration in serum or plasma," which is used for In Vitro Diagnostic Use. Measuring biomarkers like CRP to aid in diagnosis or prognosis is characteristic of a diagnostic device.

No

The device is a reagent and calibrator for an in vitro diagnostic test, which are physical components used in a laboratory setting. It is not software.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section clearly states: "For In Vitro Diagnostic Use."
  • Nature of the Test: The device measures the concentration of C-Reactive Protein (CRP) in serum or plasma. This is a laboratory test performed on biological samples outside of the body, which is the definition of an in vitro diagnostic.
  • Device Description: The description details a laboratory-based immunoassay using reagents and a calibrator to analyze a biological sample.
  • Intended User/Care Setting: The intended user is in a "Clinical laboratory setting," which is where IVD tests are typically performed.

N/A

Intended Use / Indications for Use

Reagents:

For the quantitative measurement of C-Reactive Protein (CRP) concentration in serum or plasma.

For In Vitro Diagnostic Use

Calibrator:

For the calibration of the N-geneousTM Wide Range CRP assay.

For In Vitro Diagnostic Use

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

DCK, JIS

Device Description

The Genzyme N-geneous™ Wide Range CRP Reagent is a two-reagent method for the quantitative measurement of CRP concentration from 0.04 to 320 mg/L in serum or plasma.

The test is an enhanced latex-agglutination turbidimetric immunoassay. Sample is added to a buffer solution and mixed with a suspension of mouse anti-human CRP monoclonal antibody, which is bound to latex. CRP binds to the latex-bound antibody, which agglutinates. The light scattering caused by the increase in particle size is used as a measure of CRP concentration. The amount of light scattering is proportional to the concentration of CRP in the sample.

N-geneous™ Wide Range CRP Calibrator Set is a stabilized human serum designed to be used to calibrate the N-geneous™ Wide Range CRP Reagent and is sold separately. The Ngeneous™ Wide Range CRP Calibrator Set is traceable to CRM470, available from the Institute for Reference Materials and Measurements (IRMM), and certified by the European Commission, Community Bureau of Reference (BCR).

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)

Comparative performance studies were conducted using the N-geneous™ Wide Range CRP Reagent on the Hitachi 912 clinical analyzer and the Dade Behring N High Sensitive CRP method in which CRP was measured in 229 serum samples. The relationship between methods is:

N-geneous™ Wide Range CRP = 1.05 X (N High Sensitive CRP) – 0.31

Correlation coefficient (r) = 0.995

Precision studies were conducted using the N-geneous™ Wide Range CRP Reagent on the Hitachi 912 clinical analyzer. The studies were performed using sera that were stored frozen (-20°C) and thawed prior to use.

The N-geneous™ Wide Range CRP reagents yielded acceptable total precision.

These data demonstrate that the performance of the N-geneous™ Wide Range CRP Reagent in the clinical laboratory is substantially equivalent to the performance of a commercially available method.

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

Correlation coefficient (r) = 0.995

Mean and standard deviation for within-run precision and total precision were provided:
Within-run precision:
Control 1: Mean (mg/L) 0.30, SD (mg/L) 0.02, %CV 5.5
Control 2: Mean (mg/L) 1.00, SD (mg/L) 0.02, %CV 1.8
Control 3: Mean (mg/L) 2.97, SD (mg/L) 0.04, %CV 1.3
Control 4: Mean (mg/L) 51.3, SD (mg/L) 0.61, %CV 1.2
Control 5: Mean (mg/L) 202, SD (mg/L) 3.0, %CV 1.5

Total precision:
Control 1: Mean (mg/L) 0.30, SD (mg/L) 0.02, %CV 6.7
Control 2: Mean (mg/L) 1.00, SD (mg/L) 0.02, %CV 2.3
Control 3: Mean (mg/L) 2.97, SD (mg/L) 0.05, %CV 1.7
Control 4: Mean (mg/L) 51.3, SD (mg/L) 0.96, %CV 1.9
Control 5: Mean (mg/L) 202, SD (mg/L) 3.1, %CV 1.5

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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§ 866.5270 C-reactive protein immunological test system.

(a)
Identification. A C-reactive protein immunological test system is a device that consists of the reagents used to measure by immunochemical techniques the C-reactive protein in serum and other body fluids. Measurement of C-reactive protein aids in evaluation of the amount of injury to body tissues.(b)
Classification. Class II (performance standards).

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K040241

JUN 2 5 2004

510(k) PREMARKET NOTIFICATION

510(k) Summary of Safety and Effectiveness Information Upon Which An Equivalence Determination Could be Made

| Trade or Proprietary Name: | N-geneous™ Wide Range CRP Reagent
N-geneous™ Wide Range CRP Calibrator Set |
|----------------------------|---------------------------------------------------------------------------------------------------------------------------------------|
| Common or Usual Name: | C-Reactive Protein immunological test system
Calibrator for C-Reactive Protein |
| Classification Name: | C-Reactive Protein immunological test system
Calibrator, Primary |
| Manufacturer: | Genzyme Diagnostics
One Kendall Square
Cambridge, MA 02139-1562 |
| Contact Person: | Fred D. Lasky, Ph.D., Director, Regulatory Affairs (617) 591-5512
Robert Yocher, Vice President, Regulatory Affairs (617) 768-6275 |

The use of the Genzyme N-geneous™ Wide Range CRP Reagent in the clinical laboratory setting is substantially equivalent to the Dade Behring N High Sensitive CRP method.

The Genzyme N-geneous™ Wide Range CRP Reagent is a two-reagent method for the quantitative measurement of CRP concentration from 0.04 to 320 mg/L in serum or plasma.

The test is an enhanced latex-agglutination turbidimetric immunoassay. Sample is added to a buffer solution and mixed with a suspension of mouse anti-human CRP monoclonal antibody, which is bound to latex. CRP binds to the latex-bound antibody, which agglutinates. The light scattering caused by the increase in particle size is used as a measure of CRP concentration. The amount of light scattering is proportional to the concentration of CRP in the sample.

N-geneous™ Wide Range CRP Calibrator Set is a stabilized human serum designed to be used to calibrate the N-geneous™ Wide Range CRP Reagent and is sold separately. The Ngeneous™ Wide Range CRP Calibrator Set is traceable to CRM470, available from theInstitute for Reference Materials and Measurements (IRMM), and certified by the European Commission, Community Bureau of Reference (BCR).

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Comparative performance studies were conducted using the N-geneous™ Wide Range CRP Reagent on the Hitachi 912 clinical analyzer and the Dade Behring N High Sensitive CRP method in which CRP was measured in 229 serum samples. The relationship between methods is:

N-geneous™ Wide Range CRP = 1.05 X (N High Sensitive CRP) – 0.31

Correlation coefficient (r) = 0.995

Precision studies were conducted using the N-geneous™ Wide Range CRP Reagent on the Hitachi 912 clinical analyzer. The studies were performed using sera that were stored frozen (-20°C) and thawed prior to use.

The mean, standard deviation (SD) and coefficient of variation (%CV) for within-run precision:

Control12345
Mean (mg/L)0.301.002.9751.3202
SD (mg/L)0.020.020.040.613.0
%CV5.51.81.31.21.5

The mean, standard deviation (SD) and coefficient of variation (%CV) for total precision:

Control12345
Mean (mg/L)0.301.002.9751.3202
SD (mg/L)0.020.020.050.963.1
%CV6.72.31.71.91.5

The N-geneous™ Wide Range CRP reagents yielded acceptable total precision.

These data demonstrate that the performance of the N-geneous™ Wide Range CRP Reagent in the clinical laboratory is substantially equivalent to the performance of a commercially available method.

In addition, N-geneous™ Wide Range CRP Reagent is substantially equivalent to a currently marketed method, in that they measure the same analyte and have the same intended use. Additionally, they both use the same sample matrices and utilize mouse monoclonal antibody to CRP. Furthermore, they measure concentration by the magnitude of particle agglutination and light scatter, are in ready-to-use liquid format and both are traceable to CRM470 reference material. The N-geneous™ Wide Range CRP Reagent differs from the Dade Behring N High Sensitive CRP method in that the N-geneous™ Wide Range CRP Reagent utilizes a turbidimetric technique, whereas the Dade Behring N High Sensitive CRP

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is a nephelometric method. Also, the reportable range of the N-geneous™ Wide Range CRP Reagent is up to 320 mg/L before dilution is required, whereas the Dade Behring N High Sensitive CRP method requires additional on board sample dilution for concentrations above 11 mg/L. The N-geneous™ Wide Range CRP Reagent uses a set of five standards for calibration; the Dade Behring N High Sensitive CRP method has one calibrator.

N-geneous ™ Wide Range CRP Calibrator Set is substantially equivalent to a currently marketed calibrator, the Dade Behring N Rheumatology Standard SL in that they are both used to establish calibration of CRP methods to be used for measurement of CRP in serum or plasma. Both are human serum-base materials that are traceable to CRM470 available from the Institute for Reference Materials and Measurements (IRMM), and certified by the European Commission, Community Bureau of Reference (BCR).

In lieu of a 510(k) statement under 513(i) of the Act, this information is provided as a 510(k) summary for disclosure to any other persons/companies without the specific written authorization from Genzyme Corporation.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services (HHS). The logo consists of a stylized eagle with three lines representing its body and wings. The eagle is facing to the right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Fred D. Lasky, Ph.D. Director, Regulatory Affairs Genzyme Corparation 500 Kendall Street Cambridge, MA 02142

JUN 2 5 2004

K040241 Re: R040241
Trade/Device Name: N-geneous™ Wide Range CRP Reagent Kit Regulation Number: 21 CFR 866.5270 Regulation Name: C-reactive protein immunological test system Regulatory Class: Class II Product Code: DCK, JIS Dated: April 19, 2004 Received: April 21, 2004

Dear Dr. Lasky:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed your becaon 3 ro(x) premium is substantially equivalent (for the indications felerenced above and nave uctoringed law marketed predicate devices marketed in interstate for use stated in the encrosule) to regary manent date of the Medical Device Amendments, or to commerce prior to May 20, 1778, the exactions of the Federal Food, Drug, devices that have been recatismed in assessoval of a premarket approval application (PMA).
and Cosmetic Act (Act) that do not require approval of a premarket approval applica and Cosment Act (Act) that do not require approval es eneral controls provisions of the Act. The You may, merciole, market me devices, course requirements for annual registration, listing of general controls provisions of the fiel here here and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), If your device is classified (360 above) into e. Existing major regulations affecting your device it may be subject to sach additional controllar - Entistigation - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - can be found in Thic 21, Code of I concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that IDA s issualled of a baskuin complies with other requirements of the Act that FDA has made a decemmandir and Jointer Federal agencies. You must of any Federal statures and regulations administer or of limited to: registration and listing (21 comply with an the Act 3 requirements, morants 801 and good manufacturing practice CFK I art 807), labening (21 CF F 1 litt systems (QS) regulation (21 CFR Part 820).

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Page 2

If you desire specific information about the application of labeling requirements to your device, or yeastions 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 ou 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,

Robert L. Beckerh

Robert L. Becker, Jr., M.D., Ph. Director Division of Immunology and Hematology Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known): K040241

Device Name: N-geneous™ Wide Range CRP Reagent Kit

Indications For Use:

Reagents:

For the quantitative measurement of C-Reactive Protein (CRP) concentration in serum or plasma.

For In Vitro Diagnostic Use

Calibrator:

For the calibration of the N-geneousTM Wide Range CRP assay.

For In Vitro Diagnostic Use

Prescription Use' X (Part 21 CFR 801 Subpart D) AND/OR

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

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

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

Alberts

Division Sign-Off

Office of In Vitro Diagno Device Evaluatio

510(k) K040241

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