K Number
K051311
Device Name
MICROSCAN SYNERGIES PLUS GRAM POSITIVE MINIMUM INHIBITORY CONCENTRATION/COMBO PANELS - LEVOFLOXACIN
Manufacturer
Date Cleared
2005-07-12

(54 days)

Product Code
Regulation Number
866.1645
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The MicroScan® Synergies plus™ Gram-Positive MIC/Combo Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of rapidly growing aerobic and facultative anaerobic gram-positive staphylococci and enterococci. After inoculation, panels are incubated for 4.5 - 18 hours at 35℃ +/- 1℃, in a WalkAway® SZ, or equivalent, and read by the MicroScan® Instrumentation. Additionally, the panels may be incubated in a non-CO2 incubator and the Antimicrobial Susceptibility Testing (AST) portions can be read visually, according to the Package Insert. This particular submission is for the addition of the antimicrobial Levofloxacin, at concentrations of 0.03 to 16 ug/ml, to the test panel. The gram-positive organisms which may be used for Levofloxacin susceptibility testing in this panel are: Enterococcus faecalis Staphylococcus aureus (methicillin-susceptible strains) Staphylococcus epidermidis (methicillin-susceptible strains) Staphylococcus saprophyticus Staphylococcus haemolyticus
Device Description
MicroScan® Synergies plus™ Gram-Positive MIC/Combo Panels, utilizing both the MicroScan® Rapid MIC and Synergies plus™ Gram-Positive Antimicrobial Susceptibility Testing (AST) technologies, are for use in determining quantitative antimicrobial agent susceptibility of colonies grown on solid media of rapidly growing aerobic and facultative anaerobic gram-positive staphylococci and enterococci. The antimicrobial susceptibility tests are miniaturizations of the broth dilution susceptibility test that have been dried in water and dehydrated. Various antimicrobial agents are diluted in water, buffer, or minute amounts of clinical interest. Panels are rehydrated with Synergies plus™ Pos Broth, after inoculation with a standardized suspension of the organism. After incubation, for 4.5 - 18 hours, the minimum inhibitory concentration in the wells is determined by determining the lowest antimicrobial concentration showing inhibition of growth.
More Information

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No
The description focuses on traditional broth dilution susceptibility testing and comparison to a reference panel, with no mention of AI or ML techniques.

No.
This device is designed for in vitro diagnostic testing to determine the susceptibility of bacterial colonies to antimicrobial agents, not for direct therapeutic use on patients.

Yes

The device is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of bacterial colonies, which falls under the definition of diagnosing the susceptibility of an infection to specific drugs.

No

The device is a physical panel containing dried antimicrobial agents for susceptibility testing, which is a hardware component. While it is read by instrumentation (which likely includes software), the core device being submitted is the physical panel itself.

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

Here's why:

  • Intended Use: The intended use explicitly states that the device is used to "determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of rapidly growing aerobic and facultative anaerobic gram-positive staphylococci and enterococci." This is a classic example of an in vitro diagnostic test, as it analyzes a biological sample (bacterial colonies) outside of the body to provide information about a patient's condition (susceptibility to antibiotics).
  • Device Description: The description further clarifies that the device performs "miniaturizations of the broth dilution susceptibility test," which is a standard laboratory method for determining antimicrobial susceptibility. It also describes the process of rehydrating the panels with broth and incubating them to observe growth inhibition, all of which are in vitro procedures.
  • Performance Studies: The performance studies compare the device's performance to a "frozen Reference panel," which is another in vitro diagnostic method. The metrics used (Essential Agreement) are also relevant to evaluating the performance of diagnostic tests.

The device is designed to be used in a laboratory setting (indicated by the use of incubators, instrumentation like the WalkAway® SZ, and the mention of visual reading according to a Package Insert), and the results are used to guide clinical decisions regarding antibiotic treatment. This aligns perfectly with the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

To determine antimicrobial agent susceptibility.

The MicroScan® Synergies plus™ Gram-Positive MIC/Combo Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of rapidly growing aerobic and facultative anaerobic gram-positive staphylococci and enterococci. After inoculation, panels are incubated for 4.5 - 18 hours at 35℃ +/- 1℃, in a WalkAway® SZ, or equivalent, and read by the MicroScan® Instrumentation. Additionally, the panels may be incubated in a non-CO2 incubator and the Antimicrobial Susceptibility Testing (AST) portions can be read visually, according to the Package Insert.

This particular submission is for the addition of the antimicrobial Levofloxacin, at concentrations of 0.03 to 16 ug/ml, to the test panel.

The gram-positive organisms which may be used for Levofloxacin susceptibility testing in this panel are:
Enterococcus faecalis
Staphylococcus aureus (methicillin-susceptible strains)
Staphylococcus epidermidis (methicillin-susceptible strains)
Staphylococcus saprophyticus
Staphylococcus haemolyticus

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

LON, JWY, LRG, LTT, LTW

Device Description

MicroScan® Synergies plus™ Gram-Positive MIC/Combo Panels, utilizing both the MicroScan® Rapid MICrossen Sylerges pras Grain Fosteright Antimicrobial Susceptibility Testing (AST) technologies, r labogethe for use in determining quantitative antimicrobial agent susceptibility of colonies grown on solid media of rapidly growing aerobic and facultative anaerobic gram-positive staphylococci and enterococci.

The antimicrobial susceptibility tests are miniaturizations of the broth dilution susceptibility test that have I he antinued in water and dehydrated. Various antimicrobial agents are diluted in water, buffer, or minute been untiled in watch and delythated. Various untilisers of clinical interest. Panels are rehydrated with Synergies plus" Pos Broth, after inoculation with a standardized suspension of the organism. After Syllergics pus - 1 03 Droum, and movement, for 4.5 - 18 hours, the minimum inhibitory meddation in the wants thays of by determining the lowest antimicrobial concentration showing inhibition of growth.

Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Prescription Use

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

The external evaluation was conducted with fresh and stock Efficacy isolates and stock Challenge strains. The external evaluations were designed to confirm the acceptability of the proposed Synergies plus " Gram-The external evaluations were performance with a frozen Reference panel. Challenge strains were Fositive Faller by companing is performation.

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The proposed MicroScan® Synergies plus™ Gram-Positive MIC/Combo Panel demonstrated substantially TIE proposed Microbean "Official Prace Reference Panel, as defined in the FDA document equivalent performance Midance Document: Antimicrobial Susceptibility Test (AST) Systems; Class II Special Controls Guidiner Document y 5, 2003. The Premarket Notification (510[k]) presents Outdates for madely and I Dr. , as were gies plus" Gram-Positive MIC/Combo Panel with Levofloxacin.

The external evaluation was conducted with fresh and stock Efficacy isolates and stock Challenge strains. The external evaluations were designed to confirm the acceptability of the proposed Synergies plus " Gram-The external evaluations were performance with a frozen Reference panel. Challenge strains were Fositive Faller by companing is performation. The Synergies plus " Gram-Positive Panel demonstrated acceptable performance with an overall Essential Agreement of >98% for Levofloxacin when compared with the frozen Reference panel.

Instrument reproducibility testing demonstrated acceptable reproducibility and precision for Levofloxacin, with Turbidity inoculum preparation method and the WalkAway® SJ System or equivalent.

Quality Control testing demonstrated acceptable results for Levofloxacin.

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

Essential Agreement of >98% for Levofloxacin.

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.

MicroScan® Synergies plus™ Gram-Negative MIC/Combo Panels and MicroScan® Dried Gram-Positive Panels

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

§ 866.1645 Fully automated short-term incubation cycle antimicrobial susceptibility system.

(a)
Identification. A fully automated short-term incubation cycle antimicrobial susceptibility system is a device that incorporates concentrations of antimicrobial agents into a system for the purpose of determining in vitro susceptibility of bacterial pathogens isolated from clinical specimens. Test results obtained from short-term (less than 16 hours) incubation are used to determine the antimicrobial agent of choice to treat bacterial diseases.(b)
Classification. Class II (special controls). The special control for this device is FDA's guidance document entitled “Class II Special Controls Guidance Document: Antimicrobial Susceptibility Test (AST) Systems; Guidance for Industry and FDA.”

0

K0513//

JUL 1 2 2005

510(k) Summary

510(k) Submission Information:

Device Manufacturer:Dade Behring Inc.
Contact name:Robert Eusebio, Regulatory Affairs Manager
Fax:916-374-3144
Date prepared:April 25, 2005
Product Name:Microdilution Minimum Inhibitory Concentration (MIC) Panels
Trade Name:MicroScan® Synergies plus™ Gram-Positive MIC/Combo Panels
Intended Use:To determine antimicrobial agent susceptibility
510(k) Notification:New antimicrobial - Levofloxacin
Predicate device:MicroScan® Synergies plus™ Gram-Negative MIC/Combo Panels and
MicroScan® Dried Gram-Positive Panels

510(k) Summary:

) Sunlimal y .
MicroScan® Synergies plus™ Gram-Positive MIC/Combo Panels, utilizing both the MicroScan® Rapid MICrossen Sylerges pras Grain Fosteright Antimicrobial Susceptibility Testing (AST) technologies, r labogethe for use in determining quantitative antimicrobial agent susceptibility of colonies grown on solid media of rapidly growing aerobic and facultative anaerobic gram-positive staphylococci and enterococci.

The antimicrobial susceptibility tests are miniaturizations of the broth dilution susceptibility test that have I he antinued in water and dehydrated. Various antimicrobial agents are diluted in water, buffer, or minute been untiled in watch and delythated. Various untilisers of clinical interest. Panels are rehydrated with Synergies plus" Pos Broth, after inoculation with a standardized suspension of the organism. After Syllergics pus - 1 03 Droum, and movement, for 4.5 - 18 hours, the minimum inhibitory meddation in the wants thays of by determining the lowest antimicrobial concentration showing inhibition of growth.

The proposed MicroScan® Synergies plus™ Gram-Positive MIC/Combo Panel demonstrated substantially TIE proposed Microbean "Official Prace Reference Panel, as defined in the FDA document equivalent performance Midance Document: Antimicrobial Susceptibility Test (AST) Systems; Class II Special Controls Guidiner Document y 5, 2003. The Premarket Notification (510[k]) presents Outdates for madely and I Dr. , as were gies plus" Gram-Positive MIC/Combo Panel with Levofloxacin.

The external evaluation was conducted with fresh and stock Efficacy isolates and stock Challenge strains. The external evaluations were designed to confirm the acceptability of the proposed Synergies plus " Gram-The external evaluations were performance with a frozen Reference panel. Challenge strains were Fositive Faller by companing is performation. The Synergies plus " Gram-Positive Panel demonstrated acceptable performance with an overall Essential Agreement of >98% for Levofloxacin when compared with the frozen Reference panel.

Instrument reproducibility testing demonstrated acceptable reproducibility and precision for Levofloxacin, with Turbidity inoculum preparation method and the WalkAway® SJ System or equivalent.

Quality Control testing demonstrated acceptable results for Levofloxacin.

1

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three curved lines representing its wings, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged in a circular pattern around the eagle. The eagle is positioned in the center of the logo, and the text is placed around the perimeter.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

JUL 1 2 2005

Mr. Robert Eusebio Regulatory Affairs Manager Dade Behring Inc. 1584 Enterprise Boulevard West Sacramento, CA 95691-9972

Re: K051311 Trade/Device Name: MicroScan® Synergies plus™ Gram-Positive MIC/Combo Panels with Levofloxacin (0.03 - 16 ug/ml) Regulation Number: 21 CFR 866.1645 Regulation Name: Fully Automated Short-Term Incubation Cycle Antimicrobial Susceptibility Devices Regulatory Class: Class II Product Code: LON, JWY, LRG, LTT, LTW Dated: May 13, 2005 Received: May 24, 2005

Dear Mr. Eusebio:

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).

2

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,

Sales, a For

Sally A. Hojvat, M.Sc., Ph.D. Director Division of Microbiology Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

3

Indications for Use

510(k) Number (if known):

Device Name: MicroScan® Synergies plus™ Gram-Positive MIC/Combo Panels with Levofloxacin (0.03-16 ug/ml)

Indications For Use:

The MicroScan® Synergies plus™ Gram-Positive MIC/Combo Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of rapidly growing aerobic and facultative anaerobic gram-positive staphylococci and enterococci. After inoculation, panels are incubated for 4.5 - 18 hours at 35℃ +/- 1℃, in a WalkAway® SZ, or equivalent, and read by the MicroScan® Instrumentation. Additionally, the panels may be incubated in a non-CO2 incubator and the Antimicrobial Susceptibility Testing (AST) portions can be read visually, according to the Package Insert.

This particular submission is for the addition of the antimicrobial Levofloxacin, at concentrations of 0.03 to 16 ug/ml, to the test panel.

The gram-positive organisms which may be used for Levofloxacin susceptibility testing in this panel are:

Enterococcus faecalis Staphylococcus aureus (methicillin-susceptible strains) Staphylococcus epidermidis (methicillin-susceptible strains) Staphylococcus saprophyticus Staphylococcus haemolyticus

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)

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Lvf510k.doc

Office of In Vitro Diagnostic Device Evaluation and Safety K05131