K Number
K052788
Device Name
N LATEX HCY, N PROTEIN STANDARD SL, N/T PROTEIN CONTROL L/M/H
Manufacturer
Date Cleared
2006-03-29

(177 days)

Product Code
Regulation Number
862.1377
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
N Latex HCY: In vitro diagnostic reagents for the quantitative determination of total homocysteine (HCY) in human serum, heparinized plasma and EDTA plasma by means of particle-enhanced immunonephelometry on the BN™ II and BN ProSpec® Systems. The device can assist in the diagnosis and treatment of patients suspected of having hyperhomocysteinemia and homocystinuria. N Protein Standard SL: Establishment of reference curves for the determination of IgG, IgG14, IgA, IgM, IgE, C3c, C4, transferrin, albumin, α-antitrypsin, α--macroglobulin, haptoglobin, α -- acid glycoprotein, prealbumin, hemopexin, ceruloplasmin, RbP, (g/L-chain lambda & kappa, soluble transferrin receptor, ferritin, ß2-microglobulin, total protein and homocysteine by immunonephelometry with BN™ Systems. N/T Protein Control SL/L, M and H: N/T Protein Controls SL/L, M, and H are for use as accuracy and precision assayed controls in the determination of the following human serum proteins by immunonephelometry with BN™ Systems: IgG, IgGr.4, IgM, C3c, C4, transferrin, albumin, αγ-antitrypsin, α₂-macroglobulin, haptoglobin, α - acid glycoprotein, prealbumin, hemopexin, ceruloplasmin, RbP, Ig/L-chain lamhda & Rogioa, βmicroglobulin, soluble transferrin receptor, ferritin, IgE, total protein and homocysteine.
Device Description
Bound homocysteine in the sample is reduced to free homocysteine by the action of dithiothreitol, and converted enzymatically to S-adenosyl-homocysteine (SAH) in the next step. Conjugated S-adenosyl-cysteine (SAC), added at the onset of the reaction, competes with the SAH in the sample for bonding by anti-SAH antibodies bound to polystyrene particles. In the presence of SAH, there is either no aggregation or a weaker aggregation of particles. In the absence of SAH in the sample, an aggregation of the polystyrene particles by the conjugated SAC occurs. The higher the SAH content of the reaction mixture is, the smaller the scattered light signal. The result is evaluated by comparison with a standard of known concentration.
More Information

No
The device description details a chemical and immunonephelometric process for measuring homocysteine, with no mention of AI or ML algorithms for analysis or interpretation.

No
The device is an in vitro diagnostic reagent used to quantify total homocysteine for diagnosis and treatment assistance, not a device that directly provides therapy.

Yes

The "N Latex HCY" is described as an "in vitro diagnostic reagent" and its intended use explicitly states, "The device can assist in the diagnosis and treatment of patients suspected of having hyperhomocysteinemia and homocystinuria." This directly indicates a diagnostic purpose.

No

The device description details a chemical reaction and particle aggregation process, indicating it is a physical in vitro diagnostic reagent kit, not a software-only device.

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

Here's why:

  • Intended Use/Indications for Use: The description explicitly states "In vitro diagnostic reagents for the quantitative determination of total homocysteine (HCY) in human serum, heparinized plasma and EDTA plasma..." and "The device can assist in the diagnosis and treatment of patients suspected of having hyperhomocysteinemia and homocystinuria." This clearly indicates the device is intended for use outside of the body to diagnose or aid in the diagnosis of a disease or condition.
  • Device Description: The description details a laboratory test method (particle-enhanced immunonephelometry) performed on biological samples (serum, plasma).
  • Predicate Device: The mention of a predicate device (K992858 Abbott IMx Homocysteine Assay) which is also an IVD, further supports the classification of this device as an IVD.

The other listed components (N Protein Standard SL and N/T Protein Control SL/L, M and H) are also described as reagents and controls used in conjunction with the primary device for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

N Latex HCY: In vitro diagnostic reagents for the quantitative determination of total homocysteine (HCY) in human serum, heparinized plasma and EDTA plasma by means of particle-enhanced immunonephelometry on the BN™ II and BN ProSpec® Systems. The device can assist in the diagnosis and treatment of patients suspected of having hyperhomocysteinemia and homocystinuria.

N Protein Standard SL: Establishment of reference curves for the determination of IgG, IgG14, IgA, IgM, IgE, C3c, C4, transferrin, albumin, α-antitrypsin, α--macroglobulin, haptoglobin, α -- acid glycoprotein, prealbumin, hemopexin, ceruloplasmin, RbP, (g/L-chain lambda & kappa, soluble transferrin receptor, ferritin, ß2-microglobulin, total protein and homocysteine by immunonephelometry with BN™ Systems.

N/T Protein Control SL/L, M and H: N/T Protein Controls SL/L, M, and H are for use as accuracy and precision assayed controls in the determination of the following human serum proteins by immunonephelometry with BN™ Systems: IgG, IgGr.4, IgM, C3c, C4, transferrin, albumin, αγ-antitrypsin, α₂-macroglobulin, haptoglobin, α₂-acid glycoprotein, prealbumin, hemopexin, ceruloplasmin, RbP, Ig/L-chain lambda & kappa, ß2-microglobulin, soluble transferrin receptor, ferritin, IgE, total protein and homocysteine.

Product codes

LPS, JIT, JJX

Device Description

Bound homocysteine in the sample is reduced to free homocysteine by the action of dithiothreitol, and converted enzymatically to S-adenosyl-homocysteine (SAH) in the next step. Conjugated S-adenosyl-cysteine (SAC), added at the onset of the reaction, competes with the SAH in the sample for bonding by anti-SAH antibodies bound to polystyrene particles. In the presence of SAH, there is either no aggregation or a weaker aggregation of particles. In the absence of SAH in the sample, an aggregation of the polystyrene particles by the conjugated SAC occurs. The higher the SAH content of the reaction mixture is, the smaller the scattered light signal. The result is evaluated by comparison with a standard of known concentration.

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

The N Latex HCY was compared to the Abbott IMx HCY assay by evaluating 73 plasma samples with concentrations ranging from 4.83 to 38.40 umol/L. Regression analysis of the results yielded the following equation:
N Latex HCY (n=) 73 | Slope 0.97 | Intercept 0.06 | Correlation Coefficient 0.99

Key Metrics

Correlation Coefficient: 0.99 (between N Latex HCY and Abbott IMx HCY assay)

Predicate Device(s)

K992858

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.1377 Urinary homocystine (nonquantitative) test system.

(a)
Identification. A urinary homocystine (nonquantitative) test system is a device intended to identify homocystine (an analogue of the amino acid cystine) in urine. The identification of urinary homocystine is used in the diagnosis and treatment of homocystinuria (homosystine in urine), a heritable metabolic disorder which may cause mental retardation.(b)
Classification. Class II.

0

MAR 2 9 2006

510(k) Summary for N Latex HCY

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

The assigned 510(k) number is: K052788

Manufacturer's Name, Address, Telephone, and Contact Person, Date of 1. Preparation:

Distributor: Dade Behring Marburg GmbH Emil-von-Behring Str. 76 D-35001 Marburg, Germany Dade Behring Inc. Contact Information: Glasgow Site P.O. Box 6101 Newark, Delaware 19714 Attn: Kathleen Dray-Lyons Tel: 781-826-4551 Fax: 781-826-2497 March 14, 2006 Preparation date: Device Name N Latex HCY N Protein Standard SL N/T Protein Control SL/L, M and H Classification: Class II; Class II; Class I

21 CFR 862.1377; 862.1150; 862.1660 Clinical Chemistry (75) LPS; JIT; JJX Product Code:

3. Identification of the Legally Marketed Device:

Panel:

Abbott IMx Homocysteine Assay - K992858

1

4. Device Description:

Bound homocysteine in the sample is reduced to free homocysteine by the action of dithiothreitol, and converted enzymatically to S-adenosyl-homocysteine (SAH) in the next step. Conjugated S-adenosyl-cysteine (SAC), added at the onset of the reaction, competes with the SAH in the sample for bonding by anti-SAH antibodies bound to polystyrene particles. In the presence of SAH, there is either no aggregation or a weaker aggregation of particles. In the absence of SAH in the sample, an aggregation of the polystyrene particles by the conjugated SAC occurs. The higher the SAH content of the reaction mixture is, the smaller the scattered light signal. The result is evaluated by comparison with a standard of known concentration.

5. Device Intended Use:

N Latex HCY:

In vitro diagnostic reagents for the quantitative determination of total homocysteine (HCY) in human serum, heparinized plasma and EDTA plasma by means of particle-enhanced immunonephelometry on the BN™ II and BN ProSpec® Systems. The device can assist in the diagnosis and treatment of patients suspected of having hyperhomocysteinemia and homocystinuria.

N Protein Standard SL:

Establishment of reference curves for the determination of IgG, IgG14, IgA, IgM, IgE, C3c, C4, transferrin, albumin, α-antitrypsin, α--macroglobulin, haptoglobin, α -- acid glycoprotein, prealbumin, hemopexin, ceruloplasmin, RbP, (g/L-chain lambda & kappa, soluble transferrin receptor, ferritin, ß2-microglobulin, total protein and homocysteine by immunonephelometry with BN™ Systems.

N/T Protein Control SL/L, M and H:

N/T Protein Controls SL/L, M, and H are for use as accuracy and precision assayed controls in the determination of the following human serum proteins by immunonephelometry with BN™ Systems: IgG, IgGr.4, IgM, C3c, C4, transferrin, albumin, αγ-antitrypsin, α--macroglobulin, haptoglobin, α--acid glycoprotein, prealbumin, hemopexin, ceruloplasmin, RbP, Ig/L-chain lambda & kappa, ß2-microglobulin, soluble transferrin receptor, ferritin, IgE, total protein and homocysteine.

6. Medical device to which equivalence is claimed and comparison information:

The N Latex HCY assay is substantially equivalent to the Abbott IMx Homocysteine assav

(K992858). The N Latex HCY assay, like the Abbott IMx Homocysteine assay is intended for use in the quantitative determination of total homocysteine (HCY) in human serum or plasma.

7. Device Performance Characteristics:

The N Latex HCY was compared to the Abbott IMx HCY assay by evaluating 73 plasma samples with concentrations ranging from 4.83 to 38.40 umol/L. Regression analysis of the results yielded the following equation:

2

N Latex HCY(n=)SlopeInterceptCorrelation Coefficient
730.970.060.99

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 eagle symbol on the right and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circular fashion around the eagle. The eagle is depicted with three curved lines representing its body and wings.

Public Health Service

MAR 2 9 2006

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Ms. Kathleen A. Dray-Lyons Regulatory Affairs and Compliance Manager Dade Behring, Inc. Glasgow Bldg 500 P.O. Box 6101 Newark, DE 19714-6101

Re: K052788

Trade/Device Name: N Latex HCY N Protein Standard SL N/T Protein Control SL Regulation Number: 21 CFR8862.1377 Regulation Name: Urinary homocystine (non-quantitative) test system Regulatory Class: Class II Product Code: LPS, JIX, JJY Dated: February 17, 2006 Received: February 21, 2006

Dear Ms. Dray- Lyons:

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).

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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 Guti

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

Dade Behring Inc. 510(k) Notification

Indications Statement

Device Name:

N Latex HCY N Protein Standard SL N/T Protein Control SL

Indications for Use:

Kos 2188

N Latex HCY:

In vitro diagnostic reagents for the quantitative determination of total homocysteine (HCY) in human serum, heparinized plasma and EDTA plasma by means of particle-enhanced immunonephelometry on the BN™ II and BN ProSpec® Systems. The device can assist in the diagnosis and treatment of patients suspected of having hyperhomocysteinemia and homocystinuria.

N Protein Standard SL:

Establishment of reference curves for the determination of IgG, IgG, 4, IgA, IgM, IgE, C3c, C4, transferrin, albumin, α-antitrypsin, α--macroglobulin, haptoglobin, α--acid giyooprotein, grealbumin, hemopexin, ceruloplasmin, RbP, Ig/L-chain lambda & kappa, soluble transferrin receptor, ferritin, }>>microglouli, total protein and homocysteine by immunonephelometry with BN™ Systems.

N/T Protein Control SL/L, M and H:

N/T Protein Controls SL/L, M, and H are for use as accuracy and precision assayed controls in the determination of the following human serum proteins by immunonephelometry with BNI™ Systems: IgG, IgG; 4, IgM, C3c, C4, transferrin, albumin, α;-antitrypsin, α₂-macroglobulin, haptoglobin, α - acid glycoprotein, prealbumin, hemopexin, ceruloplasmin, RbP, Ig/L-chain lamhda & Rogioa, βmicroglobulin, soluble transferrin receptor, ferritin, IgE, total protein and homocysteine.

Prescription Use (Per 21 CFR 801 Subpart D)

Over-The-Counter-Use (21 CFR 801)

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Carol Benom
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Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K052188