K Number
K040425
Device Name
ACS:180 AND ADVIA CENTAUR B-TYPE NATRIURETIC PEPTIDE (BNP) ASSAYS
Date Cleared
2004-06-14

(117 days)

Product Code
Regulation Number
862.1117
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
For in vitro diagnostic use in the quantitative determination of B-type Natriuretic Peptide (BNP) in human plasma using the ACS:180® Automated Chemiluminescence System. This assay is indicated for the measurement of plasma BNP as an aid in the diagnosis and assessment of the severity of heart failure. This test, in conjunction with other known risk factors, can also be used to predict survival in patients after myocardial infarction. This assay is not intended for use on any other system. For in vitro diagnostic use in the quantitative determination of B-type Natriuretic Peptide (BNP) in human plasma using the ADVIA Centaur® System. This assay is indicated for the measurement of plasma BNP as an aid in the diagnosis of and assessment of the severity of heart failure. This test, in conjunction with other known risk factors, can also be used to predict survival in patients after myocardial infarction. This assay is not intended for use on any other system.
Device Description
The ACS:180 and ADVIA Centaur BNP assays are fully automated two-site sandwich immunoassays using direct chemiluminescent technology, which use constant amounts of two monoclonal antibodies. The first antibody, in the Lite Reagent, is an acridinium ester labeled monoclonal mouse anti-human BNP F(ab')2 fragment specific to the ring structure of BNP. The second antibody, in the Solid Phase, is a biotinylated monoclonal mouse antihuman antibody specific to the C-terminal portion of BNP, which is coupled to streptavidin magnetic particles. Patient sample (calibrator or control materials) is incubated for 5 minutes at 37°C with the Reagent that contains the tracer antibody conjugate. Subsequently, Solid Phase reagent is added and incubated for 2.5 minutes at 37°C. An immuno-complex is formed between the BNP in the sample and the two antibody conjugates. Following incubation, the unbound antibody conjugates are washed away. The chemiluminescence of the immuno-complex signal is measured in a fuminometer. Samples with low BNP levels will have a minimum amount of bound AE label, while samples with high levels of BNP will have maximum label complex bound. Thus, a direct relationship exists between the amount of BNP present in the patient sample and the amount of relative light units (RLUs) detected by the system.
More Information

Not Found

No
The device description details a standard immunoassay using chemiluminescent technology and antibody binding to measure BNP levels. There is no mention of AI or ML in the intended use, device description, or the specific sections indicating their presence.

No
The device is an in vitro diagnostic assay used for the quantitative determination of BNP in human plasma, aiding in the diagnosis and assessment of heart failure. It is not designed to provide therapy or treatment.

Yes
The "Intended Use / Indications for Use" section explicitly states "For in vitro diagnostic use" and "as an aid in the diagnosis and assessment of the severity of heart failure."

No

The device description clearly outlines a hardware-based immunoassay system involving reagents, magnetic particles, incubation, washing, and a luminometer to measure chemiluminescence. This is not a software-only device.

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

Here's why:

  • Intended Use / Indications for Use: The very first sentence explicitly states "For in vitro diagnostic use". It also describes the device's purpose as the "quantitative determination of B-type Natriuretic Peptide (BNP) in human plasma," which is a biological sample analyzed outside of the body.
  • Device Description: The description details a laboratory assay process involving the analysis of "Patient sample (calibrator or control materials)" using chemical reagents and a system to measure a signal. This is characteristic of an in vitro diagnostic test.

The information provided clearly indicates that this device is intended to be used in a laboratory setting to analyze biological samples (human plasma) for diagnostic purposes, which is the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

For ACS:180 BNP Assay: For in vitro diagnostic use in the quantitative determination of B-type Natriuretic Peptide (BNP) in human plasma using the ACS:180® Automated Chemiluminescence System. This assay is indicated for the measurement of plasma BNP as an aid in the diagnosis and assessment of the severity of heart failure. This test, in conjunction with other known risk factors, can also be used to predict survival in patients after myocardial infarction. This assay is not intended for use on any other system.

For ADVIA Centaur BNP Assay: For in vitro diagnostic use in the quantitative determination of B-type Natriuretic Peptide (BNP) in human plasma using the ADVIA Centaur® System. This assay is indicated for the measurement of plasma BNP as an aid in the diagnosis of and assessment of the severity of heart failure. This test, in conjunction with other known risk factors, can also be used to predict survival in patients after myocardial infarction. This assay is not intended for use on any other system.

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

NBC

Device Description

The ACS:180 and ADVIA Centaur BNP assays are fully automated two-site sandwich immunoassays using direct chemiluminescent technology, which use constant amounts of two monoclonal antibodies. The first antibody, in the Lite Reagent, is an acridinium ester labeled monoclonal mouse anti-human BNP F(ab')2 fragment specific to the ring structure of BNP. The second antibody, in the Solid Phase, is a biotinylated monoclonal mouse antihuman antibody specific to the C-terminal portion of BNP, which is coupled to streptavidin Patient sample (calibrator or control materials) is incubated for 5 magnetic particles. minutes at 37°C with the Reagent that contains the tracer antibody conjugate. Subsequently, Solid Phase reagent is added and incubated for 2.5 minutes at 37°C. An immuno-complex is formed between the BNP in the sample and the two antibody conjugates. Following incubation, the unbound antibody conjugates are washed away. The chemiluminescence of the immuno-complex signal is measured in a fuminometer. Samples with low BNP levels will have a minimum amount of bound AE label, while samples with high levels of BNP will have maximum label complex bound. Thus, a direct relationship exists between the amount of BNP present in the patient sample and the amount of relative light units (RLUs) detected by the system.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

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

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)

Not Found

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

Not Found

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.

K031038

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).

Not Found

§ 862.1117 B-type natriuretic peptide test system.

(a)
Identification. The B-type natriuretic peptide (BNP) test system is an in vitro diagnostic device intended to measure BNP in whole blood and plasma. Measurements of BNP are used as an aid in the diagnosis of patients with congestive heart failure.(b)
Classification. Class II (special controls). The special control is “Class II Special Control Guidance Document for B-Type Natriuretic Peptide Premarket Notifications; Final Guidance for Industry and FDA Reviewers.”

0

K0404-25

ACS:180® and ADVIA Centaur® BNP 510(k) ______________________________________________________________________________________________________________________________________________________________________________

Bayer Diagnostics JUN 1 4 2004 ADVIA Centaur BNP Assay

Summary of Safety and Effectiveness

This Summary of Safety and Effectiveness has been prepared in accordance with the requirements of 21 CFR 807.92, to provide sufficient information to understand the basis for a determination of substantial equivalence.

1. Submitter Information

Contact Person:Kenneth T. Edds, Ph.D.
Address:Bayer Healthcare - Diagnostics Division
511 Benedict Ave.
Tarrytown, N.Y. 10591
Phone: (914) 524 2446
Fax: (914) 524 2500
e-mail: ken.edds.b@bayer.com
Date Summary Prepared:February 13, 2004
Device Information
Propriety Name:ACS: 180® and ADVIA Centaur® B-Type Natriuretic
Peptide (BNP) Assays
Common Name:BNP assays
Classification Name:
Class:
CFR:
Product Code:B-type natriuretic peptide test systems
II
21 CFR 862.1117
NBC

3. Predicate Device Information

Name:ADVIA Centaur® B-Type Natriuretic Peptide (BNP) Assay
Manufacturer:Bayer Healthcare - Diagnostics Division
511 Benedict Ave.
Tarrytown, N.Y. 10591
510(k) Number:K031038

1

4. Device Description

The ACS:180 and ADVIA Centaur BNP assays are fully automated two-site sandwich immunoassays using direct chemiluminescent technology, which use constant amounts of two monoclonal antibodies. The first antibody, in the Lite Reagent, is an acridinium ester labeled monoclonal mouse anti-human BNP F(ab')2 fragment specific to the ring structure of BNP. The second antibody, in the Solid Phase, is a biotinylated monoclonal mouse antihuman antibody specific to the C-terminal portion of BNP, which is coupled to streptavidin Patient sample (calibrator or control materials) is incubated for 5 magnetic particles. minutes at 37°C with the Reagent that contains the tracer antibody conjugate. Subsequently, Solid Phase reagent is added and incubated for 2.5 minutes at 37°C. An immuno-complex is formed between the BNP in the sample and the two antibody conjugates. Following incubation, the unbound antibody conjugates are washed away. The chemiluminescence of the immuno-complex signal is measured in a fuminometer. Samples with low BNP levels will have a minimum amount of bound AE label, while samples with high levels of BNP will have maximum label complex bound. Thus, a direct relationship exists between the amount of BNP present in the patient sample and the amount of relative light units (RLUs) detected by the system.

5. Statement of Intended Use

ACS:180 BNP Assay

For in vitro diagnostic use in the quantitative determination of B-type Natriuretic Peotide (BNP) in human plasma using the ACS:180® Automated Chemiluminescence System. This assay is indicated for the measurement of plasma BNP as an aid in the diagnosis and assessment of the severity of heart failure. This test, in conjunction with other known risk factors, can also be used to predict survival in patients after myocardial infarction. This assay is not intended for use on any other system.

ADVIA Centaur BNP Assay

For in vitro diagnostic use in the quantitative determination of B-type Natriuretic Peotide (BNP) in human plasma using the ADVIA Centaur® System. This assay is indicated for the measurement of plasma BNP as an aid in the diagnosis of and assessment of the severity of heart failure. This test, in coniunction with other known risk factors, can also be used to predict survival in patients after myocardial infarction. This assay is not intended for use on any other system.

6. Substantial Equivalence

The Bayer B-type Natriuretic Peptide (BNP) assays on the ACS:180® and ADVIA Centaur® are substantially equivalent to ADVIA Centaur® BNP assay. The ADVIA Centaur BNP Assay was cleared under K031038 on June 23, 2003; the ACS:180® BNP version has followed the new Replacement Reagent Policy guidance to allow its marketing under the same intended use.

2

(a) Technological Characteristics

The following table compares the technology features of the current and proposed Bayer ADVIA Centaur and ACS: 180 BNP assays:

| Feature | Current Bayer ADVIA
Centaur® and ACS:180® BNP
Immunoassays | Proposed Bayer ADVIA
Centaur® and ACS:180® BNP
Immunoassays |
|-------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use | Quantitative determination of B-
type Natriuretic Peptide | Same |
| Indication for Use | An aid in the diagnosis of heart
failure. | An aid in the diagnosis and
assessment of severity of heart
failure. To predict survival in
patients after myocardial
infarction, in conjunction with
other know risk factors. |
| Assay Principle | Chemiluminescence
immunoassay | Same |
| Traceability/Standardization | Reference standard –
synthetic human BNP (amino
acid 77 to 108) in buffer
based matrix. | Same |
| Calibration Interval | • After 28 days (ADVIA
Centaur), or 14 days
(ACS:180), when using the
same reagent lot
• With every new primary
reagent lot | Same |
| Sample Type | Human plasma using EDTA as
anticoagulant | Same |
| Sample Volume | 100 µL | Same |
| Calibrator | BNP Calibrator set (2 levels) | Same |
| Controls | BNP 1,2,3 Quality Control set | Same |
| Reagent Stability | Unopened
• Until the expiration date when
stored at 2-8°C
Onboard
• ADVIA Centaur: 41.6 days (or
60 days with the use of
version 3.0 software or
higher)
• ACS:180: 72 hours | Same |
| Instruments | • ADVIA Centaur and ACS:180
Systems, fully automated,
random-access immunoassay
analyzers | Same |
| Measuring Range | • ADVIA Centaur: