(164 days)
In vitro diagnostic for the quantitative determination of carbohydrate-deficient transferrin (CDT) in human serum by means of particle-enhanced immunonephelometry using the BN™ II and BN ProSpec® System. The N Latex CDT assay must be run concurrently with the N Antisera to Human Transferrin assay so that the result can be expressed as a relative ratio, i.e., %CDT of the total transferrin. The calculation of %CDT can be used as a tool to identify possible chronic heavy alcohol consumption.
The CDT in the sample competes with CDT-coated polystyrene particles for the bond to specific monoclonal antibodies against human CDT, which are likewise bound to polystyrene particles. In the presence of CDT in the sample, there is no or little aggregation of the polystyrene particles. In the absence of CDT in the sample, the polystyrene particles aggregate. The higher the CDT content in the assay, the lower the scattered light signal. The evaluation is performed by comparison with a standard of known concentration.
The provided text describes the 510(k) summary for the N Latex CDT Kit, which is an in vitro diagnostic device. The study presented focuses on demonstrating substantial equivalence to a legally marketed predicate device rather than defining and meeting new acceptance criteria for standalone performance or comparative effectiveness.
Here's an analysis based on the provided text:
1. Table of Acceptance Criteria and Reported Device Performance:
The document does not explicitly state "acceptance criteria" in the traditional sense of pre-defined thresholds for performance metrics. Instead, it demonstrates performance by comparing the new device (N Latex CDT assay) against a predicate device (Axis-Shield %CDT assay). The criteria for "acceptance" appear to be based on a high correlation and agreement with the predicate.
| Performance Metric | Acceptance Criteria (Implicit) | Reported Device Performance (N Latex CDT vs. Predicate) |
|---|---|---|
| Correlation | Close to 1.0 | Correlation coefficient: 0.99 |
| Agreement (Linear Regression) | Slope close to 1, Intercept close to 0 | y = 0.720x + 0.75 %CDT |
2. Sample Size Used for the Test Set and Data Provenance:
- Sample Size for Test Set: 116 serum samples
- Data Provenance: The document does not specify the country of origin of the data or whether the study was retrospective or prospective. It only states that 116 serum samples were "evaluated."
3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts:
Not applicable. The study does not establish "ground truth" through expert consensus. Instead, it uses a legally marketed predicate device's results as the reference for comparison.
4. Adjudication Method for the Test Set:
Not applicable. There was no expert adjudication process described, as the comparison was against a predicate device's results.
5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:
Not applicable. This device is an in vitro diagnostic assay, not an AI-assisted diagnostic tool involving human readers. Therefore, an MRMC study or evaluation of human reader improvement with AI assistance is not relevant to this submission.
6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was done:
The device's performance, as described by the regression analysis (y = 0.720x + 0.75 %CDT, correlation coefficient 0.99), is essentially its "standalone" performance when compared against the predicate device. It's a chemical assay, so its performance is inherent to the assay itself.
7. The Type of Ground Truth Used:
The "ground truth" in this context is the results obtained from the predicate device (Axis-Shield %CDT Assay) for the same serum samples. This is a form of reference standard comparison rather than ground truth established by pathology or clinical outcomes.
8. The Sample Size for the Training Set:
Not applicable. This is an in vitro diagnostic assay, not a machine learning or AI-based device that typically requires a distinct training set in the same manner. The "training" of such a device generally refers to its chemical formulation and calibration, which is not detailed in terms of a "training set sample size" in this document.
9. How the Ground Truth for the Training Set Was Established:
Not applicable, as there is no mention or implication of a "training set" in the context of machine learning or AI. The development of an in vitro diagnostic largely relies on chemical and biological principles, calibration, and validation, rather than ground truth established for a training dataset in the AI sense.
{0}------------------------------------------------
510(k) Summary for N Latex CDT
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: K060677
AUG 25 2006
1. Manufacturer's Name, Address, Telephone, and Contact Person, Date of Preparation:
Distributor:
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:
- Device Name
Classification:
Panel: Product Code:
Class I 21 CFR 862.1360 Clinical Chemistry (75) NAO
August 15, 2006
N Latex CDT Kit
3. Identification of the Legally Marketed Device:
Axis-Shield %CDT Assay - K992502
{1}------------------------------------------------
4. Device Description:
The CDT in the sample competes with CDT-coated polystyrene particles for the bond to specific monoclonal antibodies against human CDT, which are likewise bound to polystyrene particles. In the presence of CDT in the sample, there is no or little aggregation of the polystyrene particles. In the absence of CDT in the sample, the polystyrene particles aggregate. The higher the CDT content in the assay, the lower the scattered light signal. The evaluation is performed by comparison with a standard of known concentration.
5. Device Intended Use:
In vitro diagnostic for the quantitative determination of carbohydrate-deficient transferrin (CDT) in human serum by means of particle-enhanced immunonephelometry using the BN™ II and BN ProSpec® System. The N Latex CDT assay must be run concurrently with the N Antisera to Human Transferrin assay so that the result can be expressed as a relative ratio, i.e., %CDT of the total transferrin. The calculation of %CDT can be used as a tool to identify possible chronic heavy alcohol consumption.
6. Medical device to which equivalence is claimed and comparison information:
The N Latex CDT test kit is substantially equivalent to the Axis-Shield %CDT assay (K992502). The N Latex CDT assay, like the Axis-Shield %CDT assay, is an in vitro reagent system for the quantitative measurement of carbohydrate-deficient transferrin in human serum.
7. Device Performance Characteristics:
The N Latex CDT assay (y) was compared to a commercially available immunoassay (x) by evaluating 116 serum samples with %CDT concentrations ranging from 0.77 to 21.3 %CDT. Regression analysis of the results yielded the following equation:
y = 0.720x + 0.75 %CDT, correlation coefficient 0.99
{2}------------------------------------------------
DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo features a stylized eagle with three tail feathers, representing the department's commitment to health, human services, and well-being. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle symbol.
Food and Drug Administration 2098 Gaither Road Rockville MD 20850
Ms. Kathleen A. Dray-Lyons Regulatory Affairs and Compliance Manager Dade Behring Inc. P.O. Box 6101 Newark, DE 19714
, ,
AUG 25 2006
K060677 Re:
Trade/Device Name: N Latex CDT Kit Regulation Number: 21 CFR 862.1360 Regulation Name: Gamma-glutamyl transpeptidase and isoenzymes test system Regulatory Class: Class I Product Code: NAO Dated: July12, 2006 Received: July 13, 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).
{3}------------------------------------------------
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 G
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
{4}------------------------------------------------
Indications Statement
N Latex CDT Kit Device Name:
Indications for Use:
In vitro diagnostic for the quantitative determination of carbohydratedeficient transferrin (CDT) in human serum by means of particle-enhanced immunonephelometry using the BN™ II and BN ProSpec® System. The N Latex CDT assay must be run concurrently with the N Antisera to Human Transferrin assay so that the result can be expressed as a relative ratio, i.e., %CDT of the total transferrin. The calculation of %CDT can be used as a tool to identify possible chronic heavy alcohol consumption.
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 Benson
Livision Sign-Off
Office of In Vitro Diagnostic Device Evaluation and Safety
Page 1 of
§ 862.1360 Gamma-glutamyl transpeptidase and isoenzymes test system.
(a)
Identification. A gamma-glutamyl transpeptidase and isoenzymes test system is a device intended to measure the activity of the enzyme gamma-glutamyl transpeptidase (GGTP) in plasma and serum. Gamma-glutamyl transpeptidase and isoenzymes measurements are used in the diagnosis and treatment of liver diseases such as alcoholic cirrhosis and primary and secondary liver tumors.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 862.9.