K Number
K052091
Device Name
SENSITIRE SUSCEPTIBILITY PLATES- ADDITIONAL ANTIMICROBICS
Date Cleared
2005-09-21

(50 days)

Product Code
Regulation Number
866.1640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Sensititre 18 - 24 hour MIC or Breakpoint Susceptibility System is an in vitro diagnostic product for clinical susceptibility testing of gram positive and gram negative organisms. This 510(k) is for the addition of Tigecycline in the dilution range of 0.008 - 16 ug/ml for testing gram positive and 0.015-16μg/ml for testing gram negative primary isolates to the Sensititre 18 - 24 hour panel. The approved primary isolates for the addition of Tigecycline is for: Aerobic facultative Gram-postive microorganisms Enteroccus faecalis (vancomycin-susceptible isolates only) Enteroccus faecium (methicillin-susceptible and -resistant isolates) Streptoccus agalactiae Streptococcus pyogenes Staphylococcus aureus (methicillin-susceptible and -resistant isolates) Gram-negative microorganisms Citrobacter freundii Enterobacter cloacae Escherichia coli Klebsiella oxytoca Klebsiella pneumoniae In vitro data, without clinical correlation is provided for: Aerobic and facultative Gram-postive microorganisms Aeromonas hydrophila Citrobacter koseri Enterococcus avium Enterococcus casseliflavus Enterococcus faecalis (vancomycin-resistant isolates) Enterococcus faecium (vancomycin-susceptible and -resistant isolates) Enterococcus gallinarum Staphylococcus epidermidis (methicillin-susceptible and -resistant isolates) Staphylococcus haemolyticus Aerobic and facultative Gram-negative microorganisms Acinetobacter baumannii Enterobacter aerogenes Serratia marcescens Stenotrophomonas maltophilia
Device Description
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More Information

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No
The provided text describes a susceptibility testing system and the addition of a specific antibiotic (Tigecycline). There is no mention of AI, ML, image processing, or any other technology typically associated with AI/ML in the context of medical devices.

No
Explanation: The device is described as an "in vitro diagnostic product for clinical susceptibility testing of gram positive and gram negative organisms," indicating it is for diagnostic purposes, not therapeutic intervention.

Yes
The "Intended Use / Indications for Use" section explicitly states, "The Sensititre 18 - 24 hour MIC or Breakpoint Susceptibility System is an in vitro diagnostic product for clinical susceptibility testing of gram positive and gram negative organisms."

No

The device is described as an "in vitro diagnostic product" and a "Susceptibility System," which strongly implies the use of physical components (e.g., plates, reagents) for testing, not just software. The description focuses on the addition of a specific antibiotic (Tigecycline) to a panel, further indicating a hardware-based testing system.

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

The "Intended Use / Indications for Use" section explicitly states:

"The Sensititre 18 - 24 hour MIC or Breakpoint Susceptibility System is an in vitro diagnostic product for clinical susceptibility testing of gram positive and gram negative organisms."

N/A

Intended Use / Indications for Use

The Sensititre 18 - 24 hour MIC or Breakpoint Susceptibility System is an in vitro diagnostic product for clinical susceptibility testing of gram positive and gram negative organisms. This 510(k) is for the addition of Tigecycline in the dilution range of 0.008 - 16 ug/ml for testing gram positive and 0.015-16μg/ml for testing gram negative organisms to the panel. The approved primary isolates for Tigecycline is for:

Aerobic facultative Gram-postive microorganisms
Enteroccus faecalis (vancomycin-susceptible isolates only)
Enteroccus faecium (ampicillin-susceptible and -resistant isolates)
Streptoccus agalactiae
Streptococcus pyogenes
Gram-negative microorganisms
Citrobacter freundii
Enterobacter cloacae
Escherichia coli
Klebsiella oxytoca
Klebsiella pneumoniae

In vitro data, without clinical correlation is provided for:

Aerobic and facultative Gram-postive microorganisms
Aeromonas hydrophila
Citrobacter koseri
Enterococcus avium
Enterococcus casseliflavus
Enterococcus faecalis (vancomycin-resistant isolates)
Enterococcus faecium (vancomycin-susceptible and -resistant isolates)
Enterococcus gallinarum
Staphylococcus epidermidis (methicillin-susceptible and -resistant isolates)
Staphylococcus haemolyticus
Aerobic and facultative Gram-negative microorganisms
Acinetobacter baumannii
Enterobacter aerogenes
Serratia marcescens
Stenotrophomonas maltophilia

Product codes

JWY, LRG, LTT

Device Description

Not Found

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

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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)

Not Found

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

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 866.1640 Antimicrobial susceptibility test powder.

(a)
Identification. An antimicrobial susceptibility test powder is a device that consists of an antimicrobial drug powder packaged in vials in specified amounts and intended for use in clinical laboratories for determining in vitro susceptibility of bacterial pathogens to these therapeutic agents. Test results are used to determine the antimicrobial agent of choice in the treatment of bacterial diseases.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized symbol that resembles an abstract human figure or a bird in flight, composed of three curved lines.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

SEP 2 1 2005

Ms. Cynthia C. Knapp Director Lab Services TREK Diagnostic Systems, Inc. 982 Keynote Circle, Suite 6 Cleveland, OH 44131

K052091 Re:

Rosever Susceptibility Test Panel for Tigecycline 0.015-16µg/ml Gram Negative Regulation Number: 21 CFR 866.1640 Regulation Name: Antimicrobial Susceptibility Test Regulatory Class: Class II Product Code: JWY, LRG, LTT Dated: July 29, 2005 Received: August 2, 2005

Dear Ms. Knapp:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave teviewed your becalent be 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 encroome) to togens actment date of the Medical Device Amendments, or to conninered proc to they 20, 1978, in accordance with the provisions of the Federal Food, Drug, devices mat have been receasined trequire approval of a premarket approval application (PMA). alle Cosmetic Act (110t) that to not request to the general controls provisions of the Act. The Tourmay, therefore, market and as Act include requirements for annual registration, listing of general controls provisions of the 120 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 is eassified (660 across) in Existing major regulations affecting your device it may be subject to backlers Regulations (CFR), Parts 800 to 895. In addition, FDA can be found in Title 21, Occements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean r lease oc advised that I DTT of losames or our device complies with other requirements of the Act that I DA has made a dotenmistered by other Federal agencies. You must of any I cacal stututes and regaratents, including, but not limited to: registration and listing (21 Compry with an the Hig (21 CFR Parts 801 and 809); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

1

Page 2 -

This letter will allow you to begin marketing your device as described in your Section 510(k) I his leter will anow you to oogin mailsoning of substantial equivalence of your device to a legally premarket notification: "The sults 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 you destro specific introlion and advertising of your device, please contact the Office of In of questions on the prometers and Safety at (240)276-0484. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Tou may onain only generational 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,

Sally, a Hogg

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

2

Indications for Use

K052091 510(k) Number (if known):

Device Name: Susceptibility Test Panel for Tigecycline 0.008-16ug/ml for Gram Positive Susceptibility Test Panel for Tigecycline 0.015-16μg/ml for Gram Negative

Indications For Use:

The Sensititre 18 - 24 hour MIC or Breakpoint Susceptibility System is an in vitro diagnostic product dlaghostic product
for clinical susceptibility testing of gram positive and gram negative organisms.

This 510(k) is for the addition of Tigecycline in the dilution range of 0.008 - 16 i his 510(k) is for the addition of 1.95 year.
ug/ml for testing gram positive and 0.015-16μg/ml for testing gram negative ught for testing grain positive and the panel. The approved primary isolates to the Sensitite 10 - 2 Phisiance of Tigecycline is for:

Aerobic facultative Gram-postive microorganisms Enteroccus faecalis (vancomycin-susceptible isolates only) Enteroccus facture (varioomy cillin-susceptible and -resistant isolates) Streptoccus agalactiae Streptococcus pyogenes Onoploododododopy) Gram-negative microorganisms Citrobacter freundii Enterobacter cloacae Escherichia coli Klebsiella oxytoca Klebsiella pneumoniae

In vitro data, without clinical correlation is provided for:

Aerobic and facultative Gram-postive microorganisms

Aeromonas hydrophila Citrobacter koseri

Enterococcus avium Enterococcus casseliflavus Enterococcus faecalis (vancomycin-resistant isolates) Enterococcus faecium (vancomycin-susceptible and -resistant isolates) Enterococcus gallinarum Cherococcus galimaram
Staphylococcus epidermidis (methicillin-susceptible and -resistant isolates) Staphylococcus haemolyticus Aerobic and facultative Gram-negative microorganisms Acinetobacter baumannii Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K052091

3

Enterobacter aerogenes Serratia marcescens Stenotrophomonas maltophilia

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)

Ludolph Poole
Division Sign-Off

Division Sign-Off

Page 2 of _ 2__

Office of In Vitro Diagnostic Device Evaluation and Safety 4052091 510(k)