K Number
K053073
Device Name
N ANTISERA TO HUMAN ALPHA2-MACROGLOBULIN
Manufacturer
Date Cleared
2006-03-28

(147 days)

Product Code
Regulation Number
866.5620
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
In vitro diagnostic reagents for the quantitative determination of a2-macroglobulin in human serum and heparinized plasma by means of immunonephelometery on the BN™ Systems. Measurement of a>-macroglobulin may aid in the diagnosis of blood clotting or clot lysis disorders.
Device Description
Proteins contained in human body fluids form immune complexes in an immunochemical reaction with specific antibodies. These complexes scatter a beam of light passed through the sample. The intensity of the scattered light is proportional to the concentration of the relevant protein in the sample. The result is evaluated by comparison with a standard of known concentration.
More Information

Not Found

No
The device description details a standard immunochemical reaction and nephelometry, which are traditional laboratory techniques. There is no mention of AI or ML in the intended use, device description, or the specific sections checked for AI/ML terms. The performance study focuses on method comparison, not AI/ML model validation.

No.
This device is an in vitro diagnostic reagent used to measure a2-macroglobulin, which may aid in the diagnosis of blood clotting or clot lysis disorders. It does not directly treat or prevent a disease or condition in a patient.

Yes
The "Intended Use / Indications for Use" section explicitly states that the "Measurement of a>-macroglobulin may aid in the diagnosis of blood clotting or clot lysis disorders." This indicates its role in identifying or characterizing a disease or condition.

No

The device is an in vitro diagnostic reagent, which is a chemical substance used in laboratory tests, not a software-only medical 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 a2-macroglobulin in human serum and heparinized plasma". This clearly indicates the device is intended for use outside of the body to diagnose or aid in the diagnosis of a condition (blood clotting or clot lysis disorders).
  • Device Description: The description details how the device works by reacting with components in human body fluids (serum and plasma) to measure a specific substance (a2-macroglobulin). This is a characteristic of an in vitro diagnostic test.
  • Input Imaging Modality and Anatomical Site: The "Not Applicable (In vitro diagnostic reagent)" for these fields further supports that the device is used on samples outside the body, not directly on a patient.

The information provided aligns perfectly with the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

In vitro diagnostic reagents for the quantitative determination of α2-macroglobulin in human serum and heparinized plasma by means of immunonephelometery on the BN™ Systems. Measurement of α2-macroglobulin may aid in the diagnosis of blood clotting or clot lysis disorders.

Product codes

DEB

Device Description

Proteins contained in human body fluids form immune complexes in an immunochemical reaction with specific antibodies. These complexes scatter a beam of light passed through the sample. The intensity of the scattered light is proportional to the concentration of the relevant protein in the sample. 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 (study type, sample size, AUC, MRMC, standalone performance, key results)

To demonstrate equivalence in measurement between serum and heparinized plasma, a method comparison was performed. This study demonstrates equivalent performance with a correlation coefficient of 0.98

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

Not Found

Predicate Device(s)

K860894

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 866.5620

Alpha -2-macroglobulin immunological test system.(a)
Identification. Analpha -2-macroglobulin immunological test system is a device that consists of the reagents used to measure by immunochemical techniques thealpha -2-macroglobulin (a serum protein) in plasma. Measurement ofalpha -2-macroglobulin may aid in the diagnosis of blood-clotting or clot lysis disorders.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 866.9.

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MAR 2 8 2006

510(k) Summary for N Antisera to Human α2-Macroglobulin

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:

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

Manufacturer:

Dade Behring Marburg GmbH Emil-von-Behring Str. 76 D-35001 Marburg, Germany

Contact Information:

Dade Behring Inc. Glasgow Site P.O. Box 6101 Newark, Delaware 19714 Attn: Kathleen Dray-Lyons Tel: 781-826-4551 Fax: 781-826-2497

Preparation date:

October 28, 2005

    1. Device Name/ Classification: N Antisera to Human a2-Macroglobulin Class: 02-Macroglobulin Immunological Test System, Class II, 21 CFR 866.5620 Panel: Immunology Product Code: DEB

3. Identification of the Legally Marketed Device:

N Antisera to Human a2-Macroglobulin- K860894

4. Device Description:

Proteins contained in human body fluids form immune complexes in an immunochemical reaction with specific antibodies. These complexes scatter a beam of light passed through the sample. The intensity of the scattered light is proportional to the concentration of the relevant protein in the sample. The result is evaluated by comparison with a standard of known concentration.

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5. Device Intended Use:

In vitro diagnostic reagents for the quantitative determination of g ~ macroglobulin in human serum and heparinized plasma by means of immunonephelometry on the BN™ Systems.

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

The modified N Antisera to Human മ₂-Macroglobulin assay is substantially equivalent to the N Antisera to Human a - Macroglobulin currently marketed (K860894). The modified N Antisera to Human a2-Macroglobulin assay, like the current N Antisera to Human α2-Macroglobulin assay, is intended for the quantitative determination of a2-macroglobulin by means of immunonephelometry on the BN™ Systems.

7. Device Performance Characteristics:

To demonstrate equivalence in measurement between serum and heparinized plasma, a method comparison was performed. This study demonstrates equivalent performance with a correlation coefficient of 0.98

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus, which is a symbol often associated with healthcare. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus.

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

MAR 2 8 2006

Dade Behring, Inc. c/o Ms. Kathleen A Dray-Lyons Glasgow Site P.O. Box 6101 Newark, DE 19714

Re: K053073

Trade/Device Name: N Antisera to Human a2-Macroglobulin Assay Regulation Number: 21 CFR 866.5620 Regulation Name: Alpha-2-Macroglobulin Immunological Test System Regulatory Class: Class II Product Code: DEB Dated: October 28, 2005 Received: November 1, 2005

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 the Code of Federal Regulations, Title 21, Parts 800 to 898. 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 Part 801); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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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 advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance 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,

Zaber H. Beckerf

Robert L. Becker, Jr., M.D., Ph.D. Director Division of Immunology and Hematology Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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Dade Behring Inc. N Antisera to Human α2-Macroglobulin Assay 510(k) Notification - Modification

Indications Statement

K053073

Device Name:

N Antisera to Human a2-Macroglobulin Assay

Indications for Use:

In vitro diagnostic reagents for the quantitative determination of a2-macroglobulin in human serum and heparinized plasma by means of immunonephelometery on the BN™ Systems. Measurement of a>-macroglobulin may aid in the diagnosis of blood clotting or clot lysis disorders.

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)

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