K Number
K042189
Device Name
DIAZYME SODIUM ENZYMATIC ASSAY
Date Cleared
2004-10-07

(56 days)

Product Code
Regulation Number
862.1665
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Diazyme Sodium Enzymatic Assay Kit in conjunction with Diazyme Sodium Low and High Calibrators, are intended for the quantitative determination of sodium (NA) in serum.
Device Description
Diazyme's Sodium Enzymatic assay is proven to be equivalent to ISE method but more user friendly in automated analyzers. Sodium is determined enzymatically via sodium dependent ß-galactosidase activity with ONPG as substrate. The absorbance at 405 nm of the product O-nitrophenyl is proportional to the sodium concentration.
More Information

Not Found

No
The summary describes a standard enzymatic assay for sodium determination, relying on chemical reactions and absorbance measurements. There is no mention of AI, ML, or any computational learning processes.

No
The device is an in vitro diagnostic (IVD) assay kit intended for the quantitative determination of sodium in serum, which provides diagnostic information rather than directly treating or preventing disease.

Yes

The device is intended for the quantitative determination of sodium in serum, which is a measurement used to aid in the diagnosis of various medical conditions.

No

The device is a chemical assay kit intended for use with automated analyzers, which are hardware devices. The description focuses on the chemical reaction and performance characteristics of the assay kit itself, not on software functionality.

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

Here's why:

  • Intended Use: The intended use explicitly states it's for the "quantitative determination of sodium (NA) in serum." This is a measurement performed on a biological sample (serum) outside of the body (in vitro).
  • Device Description: The description details an "enzymatic assay" that measures a substance (sodium) in a sample using a chemical reaction and measuring the resulting absorbance. This is a typical method used in in vitro diagnostics.
  • Performance Studies: The performance studies describe analytical characteristics like precision, correlation with a predicate method (ISE), and interference studies, all of which are relevant to evaluating the performance of an in vitro diagnostic test.

The information provided clearly indicates that this device is designed to be used in a laboratory setting to analyze a biological sample for diagnostic purposes, which is the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Diazyme Sodium Enzymatic Assay Kit, in conjunction with Diazyme Sodium Low and High Calibrators, are intended for the quantitative determination of sodium (NA) in serum.

Diazyme Sodium Enzymatic Assay Kit contains a low level standard and a high level standards. The standards are used to generate a linear graph that will be used for calculation of sodium concentrations in unknown serum samples.

Diazyme Sodium Enzymatic Assay has controls for normal serum sodium level and abnormal serum sodium level. The controls are used as reference samples for checking the functionality of the Diazyme Sodium Enzymatic Assay.

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

MZU, JIT, JJX

Device Description

In healthy individual, an extracellular fluid level of sodium is regulated to maintain at 135-145mM. Small deviations from normal level can have severe health consequences. Monitoring serum sodium concentration is important in both routine check and emergency rooms. Currently, the two most commonly used methods to detect serum sodium are ion-selective electrode (ISE) and flame photometry. However, routine maintenance of these analyzers requires much effort and sometimes would be cumbersome. Diazyme's Sodium Enzymatic assay is proven to be equivalent to ISE method but more user friendly in automated analyzers.

Sodium is determined enzymatically via sodium dependent ß-galactosidase activity with ONPG as substrate. The absorbance at 405 nm of the product O-nitrophenyl is proportional to the sodium concentration.

Nat → o-nitrophenol + galactose ONPG ß-galactosidase

ONPG = o-nitrophenyl -ß-D-galactopyranose

Diazyme's Sodium Enzymatic Assay is a two reagent (R1 and R2) based kinetic assay system. The results are obtained in 10 min by measuring absorbance at 405 nm. No off line pretreatment is needed. The assay has a wide measuring range from 80 to 180 mmol/L of serum sodium.

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)

Diazyme's Sodium Enzymatic Assay is a two reagent (R1 and R2) based kinetic assay system. The results are obtained in 10 min by measuring absorbance at 405 nm. No off line pretreatment is needed. The assay has a wide measuring range from 80 to 180 mmol/L of serum sodium. The assay offers excellent precision as shown in the table below:

144mM Na+164mM Na+
Within PrecisionCV%=3.2%CV%=3.0%
Total PrecisionCV%=5.3%CV%=3.3%

Diazyme's Sodium Enzymatic assay has a good correlation with ISE method with a correlation coefficient of 0.96. The average analytical recoveries for sodium added to two different sera were 104% and 97% respectively. We have conducted interference study by spiking the substances to be tested to the pooled human sera and found little interference at the indicated concentrations:

InterferenceConcentration
NH4Cl1 mM
NaPi1.5 mM
CaCl25 mM
NaCl200 mM
CuCl20.25 mM
ZnCl20.25 mM
FeCl30.025 mM
Ascorbic Acid5 mM
Glucose5 mM
Bilirubin10mg/dl

Conclusion: Comparison analysis presented in the 510K submission for this device in the comparison section, together with linearity, precision and interference study presented demonstrated that the Diazyme's Sodium Enzymatic Assay has excellent accuracy and is safe and effective. There is no significant deviation between the results obtained by Diazyme's Sodium Enzymatic Assay and legally marketed predicate when testing clinical patient serum samples.

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

Correlation coefficient of 0.96 with ISE method.
Average analytical recoveries for sodium added to two different sera were 104% and 97% respectively.

Precision:

144mM Na+164mM Na+
Within PrecisionCV%=3.2%CV%=3.0%
Total PrecisionCV%=5.3%CV%=3.3%

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.

K023049

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

§ 862.1665 Sodium test system.

(a)
Identification. A sodium test system is a device intended to measure sodium in serum, plasma, and urine. Measurements obtained by this device are used in the diagnosis and treatment of aldosteronism (excessive secretion of the hormone aldosterone), diabetes insipidus (chronic excretion of large amounts of dilute urine, accompanied by extreme thirst), adrenal hypertension, Addison's disease (caused by destruction of the adrenal glands), dehydration, inappropriate antidiuretic hormone secretion, or other diseases involving electrolyte imbalance.(b)
Classification. Class II.

0

K042189

Image /page/0/Picture/2 description: The image shows the word "DIAZYME" in bold, block letters. Above the word is a four-pointed star-like symbol. The symbol is composed of four diamond shapes arranged around a central point. The text is the main focus of the image, with the symbol serving as a visual element above it.

OCT 7 - 2004

Summary

Submitter's name:

Diazyme Laboratories Division, General Atomics

Submitter's address:

Phone: Fax:

Name of Contact Person:

3550 General Atomics Court San Diego, CA 92121 858-455-4761 858-455-4750

Huan Tran Diazyme Laboratories Division General Atomics 3550 General Atomics Court San Diego, CA 92121 Phone: 858-455-4761 Fax: 858-455-4750

Date the summary was prepared:

August 6, 2004

Name of the device:Sodium Enzymatic Assay
Trade Name:Diazyme Sodium Enzymatic Assay
Common/Usual Name:Enzymatic Assay, Sodium
Classification Name:Electrode, Ion Specific, Sodium
Device Class:II

Predicate Device:

The legally marketed device to which we are claiming equivalence [807.92(a)(3)]: Synchron LX I 725 Clinical System (K023049) manufactured by Beckman Coulter Inc., Brea, CA, USA.

Description of the devices

In healthy individual, an extracellular fluid level of sodium is regulated to maintain at 135-145mM. Small deviations from normal level can have severe health consequences. Monitoring serum sodium concentration is important in both routine check and emergency rooms. Currently, the two most commonly used methods to detect serum sodium are ion-selective electrode (ISE) and flame photometry. However, routine maintenance of these analyzers requires much effort and sometimes would be cumbersome. Diazyme's Sodium Enzymatic assay is proven to be equivalent to ISE method but more user friendly in automated analyzers.

1

Sodium is determined enzymatically via sodium dependent ß-galactosidase activity with ONPG as substrate. The absorbance at 405 nm of the product O-nitrophenyl is proportional to the sodium concentration.

Nat → o-nitrophenol + galactose ONPG ß-galactosidase

ONPG = o-nitropheny1 -ß-D-galactopyranose

Intended Use of the Device:

Diazyme Sodium Enzymatic Assay Kit in conjunction with Diazyme Sodium Low and High Calibrators, are intended for the quantitative determination of sodium (NA) in serum.

Performance Characteristics

Diazyme's Sodium Enzymatic Assay is a two reagent (R1 and R2) based kinetic assay system. The results are obtained in 10 min by measuring absorbance at 405 nm. No off line pretreatment is needed. The assay has a wide measuring range from 80 to 180 mmol/L of serum sodium. The assay offers excellent precision as shown in the table below:

144mM Na+164mM Na+
Within PrecisionCV%=3.2%CV%=3.0%
Total PrecisionCV%=5.3%CV%=3.3%

Diazyme's Sodium Enzymatic assay has a good correlation with ISE method with a correlation coefficient of 0.96. The average analytical recoveries for sodium added to two different sera were 104% and 97% respectively. We have conducted interference study by spiking the substances to be tested to the pooled human sera and found little interference at the indicated concentrations:

InterferenceConcentration
NH4Cl1 mM
NaPi1.5 mM
CaCl25 mM
NaCl200 mM
CuCl20.25 mM
ZnCl20.25 mM
FeCl30.025 mM
Ascorbic Acid5 mM
Glucose5 mM
Bilirubin10mg/dl

2

Conclusion:

Comparison analysis presented in the 510K submission for this device in the comparison section, together with linearity, precision and interference study presented demonstrated that the Diazyme's Sodium Enzymatic Assay has excellent accuracy and is safe and effective. There is no significant deviation between the results obtained by Diazyme's Sodium Enzymatic Assay and legally marketed predicate when testing clinical patient serum samples Therefore, Diazyme's Sodium Enzymatic Assay is substantially similar to the commercially available products to measure sodium levels in human serum samples.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services. The logo is a circle with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is an image of an eagle with its wings spread. The eagle is facing to the right and has three lines representing its wings.

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

OCT 7 - 2004

Mr. Huan Tran Quality Assurance Manager Diazyme Laboratories 3550 General Atomics Court San Diego, CA 92121

K042189 Re: Trade/Device Name: Diazyme Sodium Enzymatic Assay Kit Regulation Number: 21 CFR 862.1665 Regulation Name: Sodium test system Regulatory Class: Class II Product Code: MZU, JIT, JJX Dated: August 9, 2004 Received: August 12, 2004

Dear Mr. Tran:

We have reviewed your Section 510(k) premarket notification of intent to market the device we have teviewed your becamed the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the encrosale) to regars actment date of the Medical Device Amendments, or to conninered prior to May 20, 2017, in accordance with the provisions of the Federal Food, Drug, de vices that have been recuire approval of a premarket approval application (PMA). and Cosmetter recry. tee, the device, subject to the general controls provisions of the Act. The r ou may, therefore, mains of the Act include requirements for annual registration, listing of general controls profitering 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 your device to such additional controls. Existing major regulations affecting your device it may be subject to back 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 I hat FDA has made a determination that your device complies with other requirements of the Act that I Dr Has Intacted 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).

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Page 2

This letter will allow you to begin marketing your device as described in your Section 510(k) I his icter will anow you to ough finding of substantial equivalence of your device to a legally premaince houricated 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, If you destions on the promotion and advertising 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 I ou may oount one. Echerers, 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,

Sean M. Cooper US, 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

5

Indications for Use

510(k) Number (if known): K042189

Device Name: Diazyme Sodium Enzymatic Assay Kit

Indications for Use:

Diazyme Sodium Enzymatic Assay Kit in conjunction with Diazyme Sodium Low Diazyme Coularn LEE are intended for the quantitative determination of sodium (NA) in serum.

Diazyme Sodium Enzymatic Assay Kit contains a low level standard and a high level standards The standards are used to generate a linear graph that will be iever bland and ulation of sodium concentrations in unknown serum samples.

Diazyme Sodium Enzymatic Assay has controls for normal serum sodium level and abnormal serum sodium level. The controls are used as reference samples for checking the functionality of the Diazyme Sodium Enzymatic Assay.

Prescription Use (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)

Albert Cert
Division Sign-Off

Office of In Vitro Diagnostic
Device Evaluation and Safety

510(k) K042189