K Number
K050955
Device Name
LIFESIGN DXPRESS, MODEL LSR2000
Date Cleared
2006-01-23

(283 days)

Product Code
Regulation Number
862.1155
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
StatusFirst™ hCG Serum/Urine test is in vitro diagnostic use for a qualitative detection of Human Chorionic Gonadotropin(hCG) in serum or urine for the detection of pregnancy. Reflectance photometer for the measurement of concentration of analyte in various assays manufactured by PBM. The concentration is measured by density of light reflectance. Reflectance photometer for a reading of test signal instead of visual reading in various qualitative assays manufactured by PBM.
Device Description
StatusFirst™ hCG Serum/Urine is a qualitative test for the rapid detection of human chorionic gonadotropin (hCG) in serum or urine. The device is used with DXpress™ Reader.
More Information

Not Found

No
The summary describes a qualitative immunoassay read by a reflectance photometer, with no mention of AI or ML in the device description, intended use, or performance studies. The performance study focuses on agreement with a predicate device, not on the performance of an AI/ML algorithm.

No.
The device is an in vitro diagnostic (IVD) test used for the qualitative detection of human chorionic gonadotropin (hCG) in serum or urine to detect pregnancy. It does not provide therapy or treatment.

Yes.
The "Intended Use / Indications for Use" section explicitly states that the device is "in vitro diagnostic use for a qualitative detection of Human Chorionic Gonadotropin(hCG) in serum or urine for the detection of pregnancy."

No

The device description explicitly states that the StatusFirst™ hCG Serum/Urine test is used with the DXpress™ Reader, which is a reflectance photometer. This indicates the device includes a hardware component (the reader) and is not solely software.

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

Here's why:

  • Intended Use: The "Intended Use / Indications for Use" section explicitly states that the StatusFirst™ hCG Serum/Urine test is for "in vitro diagnostic use".
  • Device Description: The description confirms it's a "qualitative test for the rapid detection of human chorionic gonadotropin (hCG) in serum or urine," which are biological samples tested outside the body.
  • Function: The device measures hCG in serum or urine to detect pregnancy, which is a diagnostic purpose performed on samples taken from a patient.

The description of the reflectance photometer also supports its use in an IVD context, as it's used to read test signals from assays.

N/A

Intended Use / Indications for Use

  • Reflectance photometer for the measurement of concentration of analyte in various assays manufactured by PBM. The concentration is measured by density of light reflectance.
  • Reflectance photometer for a reading of test signal instead of visual reading in various qualitative assays manufactured by PBM.
  • StatusFirst™ hCG Serum/Urine test is in vitro diagnostic use for a qualitative detection of Human Chorionic Gonadotropin(hCG) in serum or urine for the detection of pregnancy.

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

JJQ, JHI

Device Description

StatusFirst™ hCG Serum/Urine is a qualitative test for the rapid detection of human chorionic gonadotropin (hCG) in serum or urine. The device is used with DXpress™ Reader.

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)

The tests demonstrated 93% agreement when 116 specimens were compared for urine test or for serum test. The disagreements were shown in the borderline samples. StatusFirst™ hCG Serum/Urine read the borderline samples as borderline level, whereas predicate device read most of borderline samples as positive.

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.

K993065

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

§ 862.1155 Human chorionic gonadotropin (HCG) test system.

(a)
Human chorionic gonadotropin (HCG) test system intended for the early detection of pregnancy —(1)Identification. A human chorionic gonadotropin (HCG) test system is a device intended for the early detection of pregnancy is intended to measure HCG, a placental hormone, in plasma or urine.(2)
Classification. Class II.(b)
Human chorionic gonadotropin (HCG) test system intended for any uses other than early detection of pregnancy —(1)Identification. A human chorionic goadotropin (HCG) test system is a device intended for any uses other than early detection of pregnancy (such as an aid in the diagnosis, prognosis, and management of treatment of persons with certain tumors or carcinomas) is intended to measure HCG, a placental hormone, in plasma or urine.(2)
Classification. Class III.(3)
Date PMA or notice of completion of a PDP is required. As of the enactment date of the amendments, May 28, 1976, an approval under section 515 of the act is required before the device described in paragraph (b)(1) may be commercially distributed. See § 862.3.

0

JAN 2 3 2006

510(k) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of the SMDA 1990 and 21 CFR Part 807.92.

The assigned 510(k) number is: K050955

    1. Date of Summary: Dec. 16, 2005
    1. Submitted by: Princeton BioMeditech Corporation 4242 U.S. Route 1, Monmouth Jct., NJ 08852 Phone 732-274-1000 732-274-1010 Fax
    1. Device Name

Trade Names: StatusFirst™ hCG Serum/Urine Name: Immunoassay, human Chorionic Classification FDA Gonadotropin (hCG) (Clinical Chemistry Classification Device List)

    1. Identification of legally marketed device to which claims equivalence: K993065: Icon 25 hCG by Beckman Coulter
    1. Device Description: StatusFirst™ hCG Serum/Urine is a qualitative test for the rapid detection of human chorionic gonadotropin (hCG) in serum or urine. The device is used with DXpress™ Reader.
    1. Intended Use: StatusFirst™ hCG Serum/Urine test is in vitro diagnostic use for a qualitative detection of Human Chorionic Gonadotropin(hCG) in serum or urine for the detection of pregnancy.
    1. Subtantial Equivalance: StatusFirst™ hCG Serum/Urine is substantially equivalent to premarketed device Icon 25 hCG test. Both products use the same immunochromatographic assay to detect hCG in serum or urine qualitatively. The tests demonstrated 93% agreement when 116 specimens were compared for urine test or for serum test. The disagreements were shown in the borderline samples. StatusFirst™ hCG Serum/Urine read the borderline samples as borderline level, whereas predicate device read most of borderline samples as positive.

We may conclude StatusFirst™ hCG Serum/Urine is substantially equivalent to a legally marketed device, K993065, Icon 25 hCG test.

1

Name of Manufacturer:

Princeton BioMeditech Corporation 4242 U.S. Route 1 Monmouth Junction, New Jersey 08852

Establishment Registration Number:

2246703

Product Name:

Reader

  • A. Trade Name: LifeSign DXpress™
  • B. Common or Usual Name:

Reflectance Photometer for clinical use

  • C. Classification Name:
    Colorimeter, photometer, or spectrophotometer for clinical use (Clinical Chemistry and Clinical Toxicology device classification)

hCG test

  • A. Trade Name: StatusFirst™ hCG Serum/Urine
  • B. Common or Usual Name:
    • hCG test system
  • C. Classification Name:

Immunoassay, human Chorionic Gonadotropin (hCG) (Clinical Chemistry Classification Device List)

Product Classification:

The tentative classification of the device under Section 513 of the Act is made available by the Food and Drug Administration.

Reader

Class: I (General Control) Panel: Clinical Chemistry and Clinical Toxicology Devices Product Classification Code: JJQ - Clinical Chemistry Regulation Number: CFR 862.2300

hCG Test

Class: II (General Control) Panel: Clinical Chemistry and Clinical Toxicology Product Classification Code: JHI Regulation Number: 21CFR 862.1155

Performance Standards:

Princeton BioMeditech Corporation has reviewed the requirement of Section 514 of the Act and has no reason to believe that any performance standards have been established yet for this device.

5

2

Subtantial Equivalance (807, 87f)

StatusFirst™ hCG Serum/Urine Test is substantially equivalent to Icon 25 hCG test (serum and urine use) which is in commercial distribution by Beckman Coulter, CA.

StatusFirst™ hCG Serum/Urine Test vs. Icon 25 hCG test

Similarities:

  • Both assays measure hCG in urine or serum. 1.
    1. Both assays are in-vitro immunological assays using immunochromatographic method.
    1. Both assays give the result with the colored signal.
    1. Both assays are qualitative test.
  • Both assays detect hCG at 25 mIU/mL in serum or urine. 6.

Differences:

    1. StatusFirst™ hCG Serum/Urine Test read the result by DXpress reader, whereas Icon25 hCG read the result visually.
    1. StatusFirst™ hCG Serum/Urine Test reads the result at 5 min for both serum and urine samples, whereas Icon25 hCG read the result at 3 min for urine sample and 5 min for serum sample.

Image /page/2/Picture/13 description: The image contains a single digit, specifically the number 6. The number is written in a simple, slightly rounded font. The digit is black and stands out against a white background.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized depiction of an eagle with its wings spread, positioned to the right of the department's name, which is arranged in a circular fashion around the eagle. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES · USA".

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

JAN 2 3 2006

Kyung-ah Kim, Ph.D. Associate Director Princeton BioMeditech Corporation 4242 U.S. Route 1 Monmouth Junction NJ 08852-1905

Re: K050955

Trade/Device Name: LifeSign DXpress™ reader, StatusFirst™ hCG Serum/Urine Regulation Number: 21 CFR$862.1155 Regulation Name: Human chorionic gonadotropin (HCG) test system Regulatory Class: Class II Product Code: JHI, JJQ Dated: December 20, 2005 Received: December 21, 2005

Dear: Dr. Kim

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 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) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate 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, or questions on the promotion and advertising of your device, please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (240) 276-0484. 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 Division 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/industry/support/index.html.

Sincerely yours,

Alberto Guts

Alberto Gutierrez, Ph.D. 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): - K050955-

LifeSign DXpress™ reader, StatusFirst™ hCG Serum/Urine Device Name:

Indications For Use:

  • Reflectance photometer for the measurement of concentration of analyte in various assays 1. manufactured by PBM. The concentration is measured by density of light reflectance.
  • Reflectance photometer for a reading of test signal instead of visual reading in various 2. qualitative assays manufactured by PBM.
  • StatusFirst™ hCG Serum/Urine test is in vitro diagnostic use for a qualitative detection 3. of Human Chorionic Gonadotropin(hCG) in serum or urine for the detection of pregnancy.

Prescription Use: __ X_ AND/OR (Per 21 CFR 801 Subpart D)

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 Device Evaluation (OIVD)

Ains Chappie
Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

  • Provinsi KOSUSS _______________________________________________________________________________________________________________________________________________________________________ Page 1 of ____________________________________________________________________________________________________________________________________________________________________