K Number
K052549
Device Name
LEADCARE II BLOOD LEAD TESTING SYSTEM
Date Cleared
2005-10-06

(20 days)

Product Code
Regulation Number
862.3550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For In Vitro Diagnostic Use Only. The LeadCare® II Blood Lead Testing System is an instrumented assay to be used in the quantitation of lead in human whole blood. The Leadcare® II System is suitable for use in a physician's office laboratory environment (POL).
Device Description
The LeadCare® II Blood Lead Testing System is an instrumented assay utilizing electrochemistry and a unique sensor to be used for the quantitation of lead in whole human blood. Testing can be performed on venous or capillary samples. The system is comprised of an analyzer, sensor (single use, disposable), reagent vial (filled with a measured amount of Treatment Reagent) and a calibration button. The system is powered by 4 AA batteries or AC Adapter. A built in self test checks the electronic functions of the analyzer cach time it is turned on. Blood lead controls are available to monitor the precision and accuracy of the system. The methodology of the system is Anodic Stripping Voltammetry (ASV). Most lead is carried in red blood cells. When a sample of whole blood is mixed with Treatment Reagent, the lead in the red blood cells is released and made available for detection. During the Pb test, the analyzer causes the lead to collect on the sensor. After a specified time, the analyzer removes the lead accumulated on the sensor. The current response (a peak shaped curve) is baseline corrected, quantified and converted to a blood Pb value. The analyzer displays the blood Pb level in units of µg/dL. The test electrode is covered by a thin layer of colloidal gold in an inert polymer matrix. The treatment reagent contains a dilute hydrochloric acid solution in water.
More Information

Not Found

No
The description details a standard electrochemical assay (Anodic Stripping Voltammetry) for lead detection. There is no mention of AI or ML in the device description, performance studies, or key metrics. The analysis involves baseline correction, quantification, and conversion to a value, which are standard signal processing techniques, not AI/ML.

No
The device is described as an "instrumented assay" for "quantitation of lead in human whole blood," falling under In Vitro Diagnostic (IVD) use. It does not provide treatment or therapy.

Yes

The "Intended Use / Indications for Use" section explicitly states, "For In Vitro Diagnostic Use Only." The device quantifies lead in human whole blood, which is a diagnostic measurement used to identify and monitor lead poisoning.

No

The device description clearly outlines hardware components including an analyzer, sensor, reagent vial, and calibration button, powered by batteries or AC adapter. It is an instrumented assay, not solely software.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section clearly states: "For In Vitro Diagnostic Use Only."
  • Purpose: The device is used for the "quantitation of lead in human whole blood," which is a diagnostic measurement performed on a biological sample in vitro (outside the body).
  • Methodology: The description details a laboratory-based testing method (Anodic Stripping Voltammetry) performed on a blood sample.
  • Care Setting: It is intended for use in a "physician's office laboratory environment (POL)," which is a typical setting for performing in vitro diagnostic tests.

N/A

Intended Use / Indications for Use

The LeadCare® II Blood Lead Testing System is an instrumented assay to be used in the quantitation of lead in human whole blood. The Leadcare® II System is suitable for use in a physician's office laboratory environment (POL).

Product codes

DOF

Device Description

The LeadCare® II Blood Lead Testing System is an instrumented assay utilizing electrochemistry and a unique sensor to be used for the quantitation of lead in whole human blood. Testing can be performed on venous or capillary samples. The system is comprised of an analyzer, sensor (single use, disposable), reagent vial (filled with a measured amount of Treatment Reagent) and a calibration button. The system is powered by 4 AA batteries or AC Adapter. A built in self test checks the electronic functions of the analyzer cach time it is turned on. Blood lead controls are available to monitor the precision and accuracy of the system.
The methodology of the system is Anodic Stripping Voltammetry (ASV). Most lead is carried in red blood cells. When a sample of whole blood is mixed with Treatment Reagent, the lead in the red blood cells is released and made available for detection. During the Pb test, the analyzer causes the lead to collect on the sensor. After a specified time, the analyzer removes the lead accumulated on the sensor. The current response (a peak shaped curve) is baseline corrected, quantified and converted to a blood Pb value. The analyzer displays the blood Pb level in units of µg/dL.
The test electrode is covered by a thin layer of colloidal gold in an inert polymer matrix. The treatment reagent contains a dilute hydrochloric acid solution in water.

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

physician's office laboratory (POL)

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

A method comparison study was conducted in which 108 human samples were run on six LeadCare II analyzers over 5 days and compared with results run by graphite furnace atomic absorption spectroscopy (GFAAS). Of the 108 samples, 22 were spiked (86 were unspiked).

The results from this study gave the following regression:
Y (LeadCare II) = 1.040 x GFAAS + 0.12, syx =1.30 , r = 0.996

The average LeadCare II bias from reference is shown in Table 1 for three ranges.
Lead concentration µg/dL: 0 - 10, LeadCare II bias from GFAAS: 0.07
Lead concentration µg/dL: 10.1 - 25.0, LeadCare II % bias from GFAAS: 4.7%
Lead concentration µg/dL: 25.1 - 65, LeadCare II % bias from GFAAS: 5.0%

These results are similar to the LeadCare results, which had a regression equation of:
Y (LeadCare I) = 0.992 x GFAAS + 0.94

Key Metrics

Not Found

Predicate Device(s)

K971640

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.3550 Lead test system.

(a)
Identification. A lead test system is a device intended to measure lead, a heavy metal, in blood and urine. Measurements obtained by this device are used in the diagnosis and treatment of lead poisoning.(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image shows the logo for the European Space Agency (ESA). The logo consists of the letters "esa" in a sans-serif font. Below the letters, there is the text "EUROPEAN SPACE AGENCY" in a smaller font size. The logo is in black and white.

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

The assigned 510(k) number is: KOS 2549

  1. Submitter's Information

ESA Biosciences Inc 22 Alpha Road Chelmsford, MA 01824 USA

Contact: Harold Asp, Quality Assurance Manager Phone: (978) 250-7000 Fax: (978) 250-7090

Date Summary Prepared: September 15, 2005

  1. Device Name

Product Name: LeadCare® II Blood Lead Testing System Classification Name: Atomic Absorption, Lead Common/Usual Name: Anodic Stripping Voltammetry (ASV) Proprietary Name: LeadCare® II Blood Lead Testing System Product Code: DOF

  1. Predicate Device

Substantial Equivalence to ESA Bioscience Inc. (formerly ESA Inc.) LeadCare® Blood Lead Testing System. (K971640)

  1. Device Description

The LeadCare® II Blood Lead Testing System is an instrumented assay utilizing electrochemistry and a unique sensor to be used for the quantitation of lead in whole human blood. Testing can be performed on venous or capillary samples. The system is comprised of an analyzer, sensor (single use, disposable), reagent vial (filled with a measured amount of Treatment Reagent) and a calibration button. The system is powered by 4 AA batteries or AC Adapter. A built in self test checks the electronic functions of the analyzer cach time it is turned on. Blood lead controls are available to monitor the precision and accuracy of the system.

Section 7 pass 1 of 4

ESA BIOSCIENCES, INC. ESA INTERNATIONAL, INC

22 Alpha Road Chelmsford, MA 01824.417 United States (978) 250-7000 Fax (978) 250-7090 www.esainc.com

ESA LABORATORIES, INC

22 Alpha Road Chelmsford, MA 01824-4171 United Stutes (978) 250-7150 Fax (978) 250-717 ?

ESA ANALYTICAL, LTD

Brook Farm, Dorto Aylesbury, Buckinghamshire H018 9NH England 41 23938 844) 239382

CYPRESS SYSTEMS

A Division of ESA Biosciences, Inc 2300 West 31st Street, Suite A lawrence, KS 66047 United States (800) 235-2436 Fax (785) 832 0406 www.cypressssystems.com

1

Image /page/1/Picture/0 description: The image shows the logo for the European Space Agency (ESA). The logo consists of a stylized bird-like figure on the left and the letters "esa" on the right. The logo is in black and white and appears to be slightly pixelated.

The methodology of the system is Anodic Stripping Voltammetry (ASV). Most lead is carried in red blood cells. When a sample of whole blood is mixed with Treatment Reagent, the lead in the red blood cells is released and made available for detection. During the Pb test, the analyzer causes the lead to collect on the sensor. After a specified time, the analyzer removes the lead accumulated on the sensor. The current response (a peak shaped curve) is baseline corrected, quantified and converted to a blood Pb value. The analyzer displays the blood Pb level in units of µg/dL.

The test electrode is covered by a thin layer of colloidal gold in an inert polymer matrix. The treatment reagent contains a dilute hydrochloric acid solution in water.

    1. Intended Use
      The LeadCare® II Blood Lead Testing System is an instrumented assay to be used in the quantitation of lead in whole human blood. The LeadCare® II System is suitable for use in a physician's office laboratory (POL).
    1. Comparison to Predicate Device
      The LeadCare® II Bllod Lead Testing System is a modification of the LeadCare® Blood Lead Testing System and is substantially equivalent to it. The table below summarizes the similarities and differences.
FeatureLeadCare® SystemLeadCare® II System
Intended UseAn Instrumented assay to be
Used in the quantitation of
Lead in human whole blood.
The LeadCare®System is
suitable for use in
Physician's Office
Laboratory Environment
(POL)Same as LeadCare®.
MethodologyAnodic Stripping
Voltmmetry (ASV)Same as LeadCare®.
Sample MatrixFresh human whole bloodSame as LeadCare®.
Blood CollectionSkin puncture or
venipunctureSame as LeadCare®.
Treatment ReagentDilute hydrochloric acid
solution in waterSame as LeadCare®.
Sample handlingUses 50 µl pipette to transfer
sample from reagent tube to
sensorUses 50 µl capillary tube to
transfer sample from
reagent tube to sensor
FeatureLeadCare® SystemLeadCare® II System
Sensor (Test Strip)(2)Screen printed conductive inks on an inert polymer substrate. (1) screen printed dielectric ink is for insulation and electrode area definition.Same as LeadCare®.
In addition, a plastic spacer and lid are attached to the sensors to create a channel, which fills via capillary action.
Active Test Electrode areaTest electrode is covered by a thin layer of colloidal gold in an inert polymer matrixSame as LeadCare®.
CalibrationElectronic calibration buttonSame as LeadCare®.
Check for Sensor Lot
ExpirationNoneChecks sensor lot expiration date passed in on the calibration button for that particular lot of sensors.
Internal Self TestSelf test checks electronic functions of analyzer each time it is turned onSame as LeadCare®.
Sensor ConnectorMakes electrical contact with sensor.Sensor insertion detection and makes electrical contact with sensor.
Unit of MeasureResults displayed in micrograms of lead per deciliter of whole blood (µg/dl of Pb)Same as LeadCare®.
Displayed ResultPb result is displayed until the Start button is pressed. Upon power-up after auto shut-off, last result is displayed.Pb result is displayed until a new sensor is inserted.
Reportable Range1.4-65 µg/dl of PbSame as LeadCare®.
Controls2 levels of external control2 levels of external control
Power SourceAC Adapter or one 9 volt batteryAC Adapter or 4 AA batteries
On/OffStart button acts as On switch; auto shut-offOn/Off switch and auto shut-off
Test Time3 minutesSame as LeadCare®.
Initiation of TestUser presses Start button after applying sample.Analyzer starts the test after confirming enough sample has been added to the sensor.
Pb Test AlgorithmASV routine; Pb peak identified and quantified; blood Pb result assigned using look-up tablesSame as LeadCare®.
Error Messages5 error codes16 error messages
Audible Tones"Beep" at power-up; at beginning of test; at end of test: after calibration.Same as LeadCare®.
User InterfaceCustom display, limited message capabilityAlphanumeric display, 4 lines by 20 characters allows useful messages to guide users through procedure
FeatureLeadCare® SystemLeadCare® II System
System Operating RangeTemperature: 54°-97° F (12-36°C) Relative Humidity
12%-80% (non condensing)Same as
LeadCare®.
Sensitivity (Limit Of
Detection)1.4 µg/dl Pb1.5 µg/dl Pb
Display Resolution0.1 µg/dl PbSame as
LeadCare®.

Section 7 page 2 of 4

2

Image /page/2/Picture/0 description: The image shows the ESA logo. The logo consists of a stylized bird-like figure on the left and the letters "esa" on the right. The image is in black and white.

Section 7 page 3 of 4

3

Image /page/3/Picture/0 description: The image shows the logo for the European Space Agency (ESA). The logo consists of a stylized image of a bird in flight on the left, and the letters "esa" in a sans-serif font on the right. The logo is black and white.

    1. Discussion of Non-Clinical Performance Data
      A method comparison study was conducted in which 108 human samples were run on six LeadCare II analyzers over 5 days and compared with results run by graphite furnace atomic absorption spectroscopy (GFAAS). Of the 108 samples, 22 were spiked (86 were unspiked).

The results from this study gave the following regression:

Y (LeadCare II) = 1.040 x GFAAS + 0.12, syx =1.30 , r = 0.996

The average LeadCare II bias from reference is shown in Table 1 for three ranges.

| Table 1

Average LeadCare II average bias from GFA
Lead
concentration
µg/dLLeadCare II
bias from
GFAASLeadCare II
% bias from
GFAAS
0 - 100.07-----
10.1 - 25.0-----4.7%
25.1 - 65-----5.0%

These results are similar to the LeadCare results, which had a regression equation of:

  • Y (LeadCare I) = 0.992 x GFAAS + 0.94
    Since the LeadCare II average biases are well within goals, LeadCare II is substantially equivalent to LeadCare .

    1. Conclusions
      In summary, based on comparison with the legally marketed LeadCare® Blood Lead Testing System, the data demonstrates that the LeadCare® II Blood Lead testing System performs as well as the predicate device and do not present new issues of safety and effectiveness.

4

Image /page/4/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo consists of a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the circumference. Inside the circle is a stylized symbol resembling an eagle or bird with three curved lines representing its wings or feathers. The logo is presented in black and white.

Public Health Service

OCT 6 - 2005

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Mr. Harold Asp Quality Assurance Manager ESA Biosciences Inc. 22 Alpha Road Chelmsford, MA 01824

Re: K052549 Trade/Device Name: LeadCare® II Blood Lead Testing System Regulation Number: 21 CFR 862.3550 Regulation Name: Lead test system Regulatory Class: Class II Product Code: DOF Dated: September 15, 2005 Received: September 16, 2005

Dear Mr. Asp:

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).

5

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,

Carol C. Benam

Carol C. Benson, M.A. Acting Director Division of Chemistry and Toxicology Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

6

Indications for Use

510(k) Number (if known): K05 2549

Device Name: LEADCARE® II BLOOD LEAD TESTING SYSTEM

Indications For Use:

For In Vitro Diagnostic Use Only

The LeadCare® II Blood Lead Testing System is an instrumented assay to be used in the quantitation of lead in human whole blood. The Leadcare® II System is suitable for use in a physician's office laboratory environment (POL).

X 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)

Division Sign-Off

Division Sign-Off

Office of In Vitto Diagnostic Device Evaluation and nety

510(k) K052549

Page 1 of ___ 1_______________________________________________________________________________________________________________________________________________________________

Section 1 ... / 11