K Number
K052301
Device Name
FASTPACK TSH IMMUNOASSAY
Manufacturer
Date Cleared
2006-01-04

(135 days)

Product Code
Regulation Number
862.1690
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The FastPack® TSH Immunoassay is a paramagnetic particle, chemiluminescence immunoassay for the in vitro quantitative determination of Thyroid-Stimulating Hormone in human plasma. The measurements of thyroid stimulating hormone (TSH) produced by the anterior pituitary are used in the diagnosis of thyroid or pituitary disorders. The FastPack® TSH is designed for use with the FastPack® System. The FastPack® TSH Calibrator is intended to calibrate the FastPack® System when used for the quantitative determination of TSH in human plasma. The FastPack ® Controls are assayed quality control materials for the verification of the accuracy and precision of the FastPack® System when used for the quantitative determination of PSA in human serum and plasma, and TSH in human plasma.
Device Description
The FastPack® TSH Immunoassay is a competitive chemiluminescence assay. - . Primary incubation: Sample, calibrator, or control (100 uL) is added to the antibody solution (100 uL) to start the sequence. The reaction time is 10 minutes at 37° C. - . Sccondary incubation: The initial reaction mixture (200 µL) is transferred to the magnetic particles and is incubated an additional 2 minutes at 37° C. - . Removal of unbound materials: The paramagnetic particles are washed three times with wash buffer (0.2 mL/wash cycle) to remove unbound materials. - Substrate addition and detection: Chemiluminogenic substrate [140 . uL] is added to the solid phase bound complex to form a chemiluminescent glow, which is measured by the FastPack® System at 37° C. - The FastPack® TSH Immunoassay is a paramagnetic particle immunoassay intended for the in vitro quantitative determination of TSH in human plasma.
More Information

Not Found

No
The summary describes a standard immunoassay technology and system. There is no mention of AI, ML, or any computational methods that would suggest their use in data analysis, interpretation, or system control beyond basic automation.

No
This device is an in vitro diagnostic immunoassay used for the quantitative determination of TSH in human plasma, aiding in the diagnosis of thyroid or pituitary disorders. It does not provide any therapeutic intervention.

Yes

The intended use explicitly states that the measurements are "used in the diagnosis of thyroid or pituitary disorders," which directly indicates its role as a diagnostic device.

No

The device description details a multi-step immunoassay process involving chemical reactions, incubations, washing, and detection of chemiluminescence, which are all hardware-dependent processes. The device is an immunoassay kit intended for use with a specific hardware system (FastPack® System).

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

Here's why:

  • Intended Use: The "Intended Use / Indications for Use" section explicitly states "for the in vitro quantitative determination of Thyroid-Stimulating Hormone in human plasma." The term "in vitro" is a key indicator of an IVD.
  • Sample Type: The device analyzes "human plasma," which is a biological sample taken from the body, a common characteristic of IVDs.
  • Purpose: The measurements are used "in the diagnosis of thyroid or pituitary disorders," indicating a medical purpose for the test results.
  • Device Description: The description details a laboratory-based assay process involving chemical reactions and measurement of a biological marker (TSH).
  • Predicate Device: The mention of a "Predicate Device(s)" with a K number (K942566) is typical for medical devices, including IVDs, undergoing regulatory review.

All these factors align with the definition and characteristics of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The FastPack® TSH Immunoassay is a paramagnetic particle, chemiluminescence immunoassay for the in vitro quantitative determination of Thyroid-Stimulating Hormone in human plasma. The measurements of thyroid stimulating hormone (TSH) produced by the anterior pituitary are used in the diagnosis of thyroid or pituitary disorders. The FastPack® TSH is designed for use with the FastPack® System.
The FastPack® TSH Calibrator is intended to calibrate the FastPack® System when used for the quantitative determination of TSH in human plasma.
The FastPack ® Controls are assayed quality control materials for the verification of the accuracy and precision of the FastPack® System when used for the quantitative determination of PSA in human serum and plasma, and TSH in human plasma.

Product codes

JLW, JJX, JIT

Device Description

The FastPack® TSH Immunoassay is a competitive chemiluminescence assay.

  • . Primary incubation: Sample, calibrator, or control (100 uL) is added to the antibody solution (100 uL) to start the sequence. The reaction time is 10 minutes at 37° C.
  • . Sccondary incubation: The initial reaction mixture (200 µL) is transferred to the magnetic particles and is incubated an additional 2 minutes at 37° C.
  • . Removal of unbound materials: The paramagnetic particles are washed three times with wash buffer (0.2 mL/wash cycle) to remove unbound materials.
  • Substrate addition and detection: Chemiluminogenic substrate [140 . uL] is added to the solid phase bound complex to form a chemiluminescent glow, which is measured by the FastPack® System at 37° C.
  • The FastPack® TSH Immunoassay is a paramagnetic particle immunoassay

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)

Precision:

  • FastPack® TSH:
    • Between Run: Mean 0.53 µIU/mL (10.9 %CV), 1.54 µIU/mL (7.4 %CV), 12.39 µIU/mL (5.2 %CV)
    • Between Analyzer: Mean 0.53 µIU/mL (2.2 %CV), 1.54 µIU/mL (0.5 %CV), 12.39 µIU/mL (1.1 %CV)
    • Between Reagent Lot: Mean 0.53 µIU/mL (1.2 %CV), 1.54 µIU/mL (0.3 %CV), 12.39 µIU/mL (4.8 %CV)
  • Abbott IMx® hTSH II:
    • Run to Run: Mean 0.28 µIU/mL (4.20 %CV), 6.10 µIU/mL (3.42 %CV)
    • Between Run: Mean 0.28 µIU/mL (3.44 %CV), 6.10 µIU/mL (3.25 %CV)

Analytical Sensitivity:

  • FastPack® TSH: 0.01 µIU/mL
  • Abbott IMx® hTSH II: 0.02 µIU/mL

Functional Sensitivity:

  • FastPack® TSH: 0.13 µIU/mL
  • Abbott IMx® hTSH II: 0.04 µIU/mL

Method Comparison (FastPack® TSH vs. Abbott IMx Ultrasensitive hTSH II):

  • n = 93
  • Range of values (IMx): 0.00 to 75.00 µIU/mL
  • Range of values (FastPack): 0.03 to 64.25 µIU/mL
  • y = 0.91 x + 1.26
  • r = 0.98

Interfering Substances (No interference up to):

  • Bilirubin: FastPack® TSH 40 mg/dL, Abbott IMx® hTSH II 10 mg/dL
  • Hemoglobin: FastPack® TSH 1000 mg/dL, Abbott IMx® hTSH II 1000 mg/dL
  • Triglycerides: FastPack® TSH 1000 mg/dL, Abbott IMx® hTSH II 1200 mg/dL

Specificity (n.d. = not detected):

  • FastPack® TSH: 500 mIU/mL LH n.d., 500 mIU/mL FSH n.d., 200,000 mIU/mL hCG n.d.
  • Abbott IMx® hTSH II: 1000 mIU/mL LH n.d., 1000 mIU/mL FSH n.d., 200,000 mIU/mL hCG n.d.

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

See "Summary of Performance Studies" for Analytical Sensitivity and Functional Sensitivity.

Predicate Device(s)

K942566

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.1690 Thyroid stimulating hormone test system.

(a)
Identification. A thyroid stimulating hormone test system is a device intended to measure thyroid stimulating hormone, also known as thyrotrophin and thyrotrophic hormone, in serum and plasma. Measurements of thyroid stimulating hormone produced by the anterior pituitary are used in the diagnosis of thyroid or pituitary disorders.(b)
Classification. Class II.

0

K052301

JAN 4 2006

510(k) Summary

FastPack® TSH Immunoassay on the FastPack® System



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

| 1. | Submitter name, address, contact | Qualigen, Incorporated
2042 Corte del Nogal
Carlsbad, CA 92011 |
|----|----------------------------------|------------------------------------------------------------------------|
| | | Telephone: (760) 918-9165
Fax: (760) 918-9127 |
| | | Contact Person: Dorothy Peterson |
| | | Date Prepared: August 15, 2005 |
| 2. | Device name | Proprietary name: FastPack® TSH Immunoassay
on the FastPack® System |
| | | Common name: Chemiluminescence assay for the determination of TSH |
| | | Classification Name: Quantitative Determination of TSH in Human Plasma |
| 3. | Predicate device | Abbott Laboratories IMx Ultrasensitive hTSH II (K942566) |


1

FastPack® TSH Immunoassay Reagents 4. Device description

The FastPack® TSH Immunoassay is a competitive chemiluminescence assay.

  • . Primary incubation: Sample, calibrator, or control (100 uL) is added to the antibody solution (100 uL) to start the sequence. The reaction time is 10 minutes at 37° C.
  • . Sccondary incubation: The initial reaction mixture (200 µL) is transferred to the magnetic particles and is incubated an additional 2 minutes at 37° C.
  • . Removal of unbound materials: The paramagnetic particles are washed three times with wash buffer (0.2 mL/wash cycle) to remove unbound materials.
  • Substrate addition and detection: Chemiluminogenic substrate [140 . uL] is added to the solid phase bound complex to form a chemiluminescent glow, which is measured by the FastPack® System at 37° C.
  • The FastPack® TSH Immunoassay is a paramagnetic particle immunoassay 5. Intended use intended for the in vitro quantitative determination of TSH in human plasma. The measurements of thyroid stimulating hormone (TSH) produced by the anterior pituitary are used in the diagnosis of thyroid or pituitary disorders. The FastPack® TSH Immunoassay is designed for use with the FastPack® System.

2

    1. Comparison to The following tables compare the FastPack® Immunoassay System Predicate Device for TSH with the Abbott Laboratories Ultrasensitive TSH II method.

FeatureFastPack® SystemAbbott IMx® System
Intended UseFor the quantitative
measurement of Thyroid-
Stimulating Hormone
(TSH) in human plasma.
The measurements of
thyroid stimulating
hormone (TSH) produced
by the anterior pituitary
are used in the diagnosis of
thyroid or pituitary
disorders.For the quantitative
measurement of Thyroid-
Stimulating Hormone (TSH)
in human serum and
heparinized plasma.
Assay
Methodology:Sandwich immunoassaySanwich immunoassay
Storage
Condition:2-8 °C2-8 °C
Data AnalysisInternal data reduction via
microcomputerInternal data reduction via
microcomputer
Temperature
ControlRequiredRequired
Test ProcessingAutomatedAutomated
Sample Type:PlasmaSerum, Heparinized Plasma
Detector:Photomultiplier Tube
(PMT)Photomultiplier Tube (PMT)
LabelAlkaline PhosphataseAlkaline Phosphatase
Sample Volume100 µL150 µL
Assay Range0 to 100 µIU/mL0 to 100 µIU/mL
Instrument
RequiredFastPack® SystemAbbott IMx® System
Control Levels23
AntibodyMonoclonal/MonoclonalMonoclonal/Polyclonal
Solid PhaseParamagnetic particlesLatex Microparticles
SubstrateImmuGlow™ (Indoxyl -3-
phosphate and lucigenin)4-Methylumbelliferyl
Phosphate
DetectionChemiluminescenceFluorescence
CalibrationFactory generated master
curve with a single level
calibration adjustment
every 14 days.Full calibration curve (six
standards) with change in
reagents.
ThroughputSingle SampleBatch
Time to Result16 minutes45 minutes to first result
Reagents
Supplied asBox of 50 disposable self
contained reagent packsReagent Pack for 100 test

3

Qualigen, Incorporated

Performance Characteristics:

FeatureFastPack® TSHAbbott IMx® hTSH II
Precision
Mean
µIU/mL%CVMean
µIU/mL%CV
Between RunRun to Run
0.5310.90.284.20
1.547.46.103.42
12.395.2
Between AnalyzerBetween Run
0.532.20.283.44
1.540.56.103.25
12.391.1
Between Reagent Lot
0.531.2
1.540.3
12.394.8
Analytical
Sensitivity0.01 µIU/mL0.02 µIU/mL
Functional
Sensitivity0.13 µIU/mL0.04 µIU/mL
Method
Comparisonversus Abbott IMx Ultrasensitive hTSH II:
n = 93
Range of values (IMx): 0.00 to 75.00 µIU/mL
Range of values (FastPack): 0.03 to 64.25 µIU/mL
y = 0.91 x + 1.26
r = 0.98
Interfering
SubstancesNo interference up to:No interference up to:
Bilirubin40 mg/dL10 mg/dL
Hemoglobin1000 mg/dL1000 mg/dL
Triglycerides1000 mg/dL1200 mg/dL
Specificity500 mIU/mL LHn.d.1000 mIU/mL LHn.d.
500 mIU/mL FSHn.d.1000 mIU/mL FSHn.d.
n.d. = not detected200,000 mIU/mL hCGn.d.200,000 mIU/mL hCGn.d.

4

Qualigen, Incorporated

| Functional

Sensitivity0.13 µIU/mL0.04 µIU/mL
Method
Comparisonversus Abbott IMx Ultrasensitive hTSH II:

n = 93
Range of values (IMx): 0.00 to 75.00 µIU/mL
Range of values (FastPack): 0.03 to 64.25 µIU/mL
y = 0.91 x + 1.26
r = 0.98 | |
| Interfering
Substances | No interference up to:
| No interference up to: |
| Bilirubin | 40 mg/dL | 10 mg/dL |
| Hemoglobin | 1000 mg/dL | 1000 mg/dL |
| Triglycerides | 1000 mg/dL | 1200 mg/dL |
| Specificity | | |
| | 500 mIU/mL LH    n.d.
500 mIU/mL FSH    n.d.
200.000 mIU/mL hCG    n.d. | 1000 mIU/mL LH    n.d.
1000 mIU/mL FSH    n.d.
200.000 mIU/mL hCG    n.d |
| n.d. = not detected | | |

5

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Image /page/5/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized caduceus symbol, which is a staff with two snakes coiled around it, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES (USA)" arranged in a circular fashion around the symbol. The text is in all caps and is relatively small compared to the caduceus symbol.

JAN 4 2006

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Ms. Dorothy Deinzer Peterson Vice President Ouality Assurance and Regulatory Affairs Qualigen Incorporated 2042 Corte del Nogal Carlsbad, CA 92011

Re: K052301

Trade/Device Name: FastPack® TSH Immunoassay FastPack® TSH Calibrator FastPack® TSH Controls

Regulation Number: 21 CFR 862.1690 Regulation Name: Thyroid stimulating hormone test system

Regulatory Class: Class II Product Code: JLW, JJX, JIT

Dated: December 6, 2005

Received: December 14, 2005

Dear Ms. Peterson:

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).

6

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 vours.

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

7

Indications for Use Statement

510(k) NumberK052301
Device NameFastPack® TSH Immunoassay, FastPack® TSH Calibrator, FastPack® Controls
Indications for UseThe FastPack® TSH Immunoassay is a paramagnetic particle, chemiluminescence immunoassay for the in vitro quantitative determination of Thyroid-Stimulating Hormone in human plasma. The measurements of thyroid stimulating hormone (TSH) produced by the anterior pituitary are used in the diagnosis of thyroid or pituitary disorders. The FastPack® TSH is designed for use with the FastPack® System.
The FastPack® TSH Calibrator is intended to calibrate the FastPack® System when used for the quantitative determination of TSH in human plasma.
The FastPack ® Controls are assayed quality control materials for the verification of the accuracy and precision of the FastPack® System when used for the quantitative determination of PSA in human serum and plasma, and TSH in human plasma.
Prescription Use
(Per 21 CFR 801 Subpart D)X
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)

Ann Chappe

Division Sign-Off

Office of In Vitro Diagnostic Device

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Evaluation and Safety 510(k)________________________________________________________________________________________________________________________________________________________________________

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