K Number
K061392
Device Name
IKONISCOPE FASTFISH AUTO/AMNIOCYTE TEST SYSTEM
Manufacturer
Date Cleared
2006-08-01

(74 days)

Product Code
Regulation Number
864.5260
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System is an automated scanning microscope coupled with image analysis, acquisition and display functions. It is intended for in-vitro diagnosis as an aide to the technologist or pathologist in the detection, classification and enumeration of cells of interest based on particular characteristics such as intensity, size, shape or fluorescence. Following fully automated scanning, the system produces a summary report of the frequency of FISH signals detected from each chromosome of interest as a basis for the diagnostic conclusion. The system also provides images of all nuclei scanned for review by the medical professional to confirm the diagnostic conclusion. The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System is intended to detect amniotic cells stained by FISH using commercially available direct labeled DNA probes or chromosomes X, Y, 13, 18 and 21.
Device Description
The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System is an automated scanning microscope coupled with image analysis, acquisition and display functions. Microscope slides, prepared according to the DNA probe manufacturers' specifications, are placed into a multiple slide cassette, and loaded into the Ikoniscope™ fastFISH™ Auto/Amniocyte Test System microscope system. The system loads each slide on the automated stage, scans, and returns it to the cassette automatically. During scanning, images of cells exhibiting the predetermined characteristics for FISH signals are digitally imaged and stored. After all the slides are scanned, the workstation provides a summary of the FISH signals detected from each chromosome of interest and an image gallery that displays the image of each nucleus meeting predetermined characteristics and quantity. The medical professional can review the images to evaluate the condition of the cells, and make the diagnostic determination accordingly.
More Information

Not Found

No
The description focuses on automated scanning, image analysis, and reporting based on predetermined characteristics, without mentioning AI or ML algorithms.

No
The device is described as an automated scanning microscope for in-vitro diagnosis, intended to assist in the detection and enumeration of cells for diagnostic conclusions, rather than directly treating a condition.

Yes

The "Intended Use / Indications for Use" section explicitly states, "It is intended for in-vitro diagnosis as an aide to the technologist or pathologist in the detection, classification and enumeration of cells of interest..." and refers to the output as "a basis for the diagnostic conclusion."

No

The device description explicitly states it is an "automated scanning microscope coupled with image analysis, acquisition and display functions," indicating it includes hardware components (the microscope, automated stage, etc.) in addition to software.

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

Here's why:

  • Intended Use: The "Intended Use / Indications for Use" section explicitly states: "It is intended for in-vitro diagnosis as an aide to the technologist or pathologist..."
  • Device Description: The description details how the system processes biological samples (stained amniotic cells on slides) outside of the body to provide information for a diagnostic conclusion.
  • Input Imaging Modality: Fluorescence In-Situ Hybridization (FISH) is a technique used to detect specific DNA sequences in cells, which is a common method in in-vitro diagnostics.
  • Intended User / Care Setting: The intended users (technologist or pathologist) and setting (in-vitro diagnosis setting) further confirm its IVD nature.

The device analyzes biological samples (amniotic cells) in vitro (outside the body) to provide information that assists in making a diagnosis. This aligns perfectly with the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System is an automated scanning microscope coupled with image analysis, acquisition and display functions. It is intended for in-vitro diagnosis as an aide to the technologist or pathologist in the detection, classification and enumeration of cells of interest based on particular characteristics such as intensity, size, shape or fluorescence. Following fully automated scanning, the system produces a summary report of the frequency of FISH signals detected from each chromosome of interest as a basis for the diagnostic conclusion. The system also provides images of all nuclei scanned for review by the medical professional to confirm the diagnostic conclusion. The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System is intended to detect amniotic cells stained by FISH using commercially available direct labeled DNA probes or chromosomes X, Y, 13, 18 and 21.

Product codes (comma separated list FDA assigned to the subject device)

JOY

Device Description

The Ikoniscope™ fastFISH™ Auto Test System is intended to increase the efficiency of current cytogenetic analysis methods, by decreasing the amount of time an operator spends scanning slides in search of the cells of interest. The operator can identify chromosome presence by identifying the colors (fluorescence In Situ Hybridization ("FISH") probes, and provided by the number of chromosomes appearing within each cell containing such signals.

The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System is an automated system configured with low and high magnification scanning to identify targets of interest and digital camera interfaced with an image analysis workstation. Microscope slides, prepared according to the DNA probe manufacturers' specifications, are placed into a multiple slide cassette, and loaded into the Ikoniscope™ fastFISH™ Auto/Amniocyte Test System microscope system. The system loads each slide on the automated stage, scans, and returns it to the cassette automatically. During scanning, images of cells exhibiting the predetermined characteristics for FISH signals are digitally imaged and stored. After all the slides are scanned, the workstation provides a summary of the FISH signals of interest and an image gallery that displays the image of each nucleus meeting predetermined characteristics and quantity. The images enable the medical professional to assess the condition of the cells, and make the diagnostic determination accordingly.

The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System combines elements of existing technologies to perform its function.

  • Fluorescence In-Situ Hybridization (FISH) uses commercially available DNA probes (such as VYSIS for the subject system) for identifying chromosomes 13, 18, 21, X and Y.
  • Automatic Cell Locating/Counting using pattern recognition algorithms to identify the signal characteristics of interest.
    The Ikoniscope™ software automatically captures several sets of images of each identified New Signal and stores its location on the slide. These images containing New Signals are then transferred to the workstation for viewing and analysis.

Currently, FISH probes are approved for use as adjunct measures to accompany other forms of amniocytes, i.e. metaphase cell karyotyping. The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System will be used to assist in performing the FISH analysis, and will not change its adjunctive role.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Fluorescence In-Situ Hybridization (FISH)

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Technologist or pathologist / In-vitro diagnosis

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)

The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System was evaluated in a clinical trial to determine the accuracy of the system compared with manual FISH analysis. This clinical trial provided information that supports a finding of Substantial equivalence between the subject device and the cited predicates based on clinical performance. In addition, a trial to demonstrate the reproducibility of results between systems was also conducted.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K052577, K040591

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 864.5260 Automated cell-locating device.

(a)
Identification. An automated cell-locating device is a device used to locate blood cells on a peripheral blood smear, allowing the operator to identify and classify each cell according to type. (Peripheral blood is blood circulating in one of the body's extremities, such as the arm.)(b)
Classification. Class II (performance standards).

0

510(k) Summary

lkonisys, Inc.

lkoniscope™ fastFISH™ Auto/Amniocyte Test System

510(k) Notification KQ1039

GENERAL INFORMATION

Manufacturer:

lkonisys, Inc. 5 Science Park New Haven, CT 06511 Phone: 203 776 0791

Contact Person:

S. Michael Sharp, PhD Vice President Regulatory and Clinical Affairs

Date Prepared: May 17, 2006

DEVICE INFORMATION

Trade/Proprietary Name: Ikoniscope™ fastFISH™ Auto/Amniocyte Test System

Common/Classification Name: Automated cell-locating device

Classification: 21 CFR 888.3560 - Class II

Device Product Code: JOY

USE OF THE TERM "SUBSTANTIALLY EQUIVALENT"

Any statement regarding Substantial Equivalence made in this submission Any Statement Togarding "Salestion or not the device that is the subject of this relates only to the loud of incorrected within the United States without Pre-Submission may be ideasification by the U.S. Food and Drug Administration, Market Approvar or Toolaosmeation, or any other type of evidence, in and Should The BO Interpreted as patent infringement litigation or any proceeding any patent proooounly, melaung present submission should, therefore, not be before any i attert. Smoot. The scope of any patent application, or to whether or not the device addressed in the submission, or its use, may be whether of not the dovies addressed introl perspective, from any other device, instrument or method referred to in this submission.

1

PREDICATE DEVICES

The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System is substantially equivalent to FDA-approved predicate devices with regard to regulatory status, indications for use and technological characteristics. The predicate devices indications for use and toom: (1) Ikoniscope™ fastFISH™ Amnio Test System (K052577); (2) BioView Duet™ System (K040591)

INTENDED USE

The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System is an automated The ikonisoope coupled with image analysis, acquisition and display Scanning miorecoped for in-vitro diagnosis as an aide to the technologist or pathologist in the detection, classification and enumeration of cells of interest pathologist in the dolootion, sizes such as intensity, size, shape or fluorescence. Following fully automated scanning, the system produces a summary report of r onowing Tally datomals detected from each chromosome of interest as a the irequency of Y Terreignate ass. The system also provides images of all nuclei scanned for review by the medical professional to confirm the diagnostic Sounnou The Ikoniscope™ fastFISH™ Amnio Test System is intended to conclusion. The increasing by FISH using commercially available directly labeled DNA probes or chromosomes X, Y, 13, 18 and 21.

PRODUCT DESCRIPTION

The Ikoniscope™ fastFISH™ Auto Test System is intended to increase the rree "Romleoope" - reall analysis methods, by decreasing the amount of time an enoticley or canning slides in search of the cells of interest. The operator open identifies chromosome presence by identifying the colors operatorreador (acrimes ence In Situ Hybridization ("FISH") probes, and provided by the number of chromosomes appearing within each cell containing such signals.

The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System is an automated THC iKomioopo low and high magnification scanning to identify targets of interest and digital iow and high magnined with an image analysis workstation. Microscope inides, prepared according to the DNA probe manufacturers' specifications, are shaced into a multiple slide cassette, and loaded into the Ikoniscope™ fastFISH™ Auto/Amniocyte Test System microscope system. The system loads each slide on the automated stage, scans, and returns it to the cassette cutomatically. During scanning, images of cells exhibiting the predetermined characteristics for FISH signals are digitally imaged and stored. After all the slides are scanned, the workstation provides a summary of the FISH signals Shocs are ourned, the nome of interest and an image gallery that displays the image of each nucleus meeting predetermined characteristics and quantity. The image of oach habled mostwate the condition of the cells, and make the diagnostic determination accordingly.

2

The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System combines elements of existing technologies to perform its function.

  • Fluorescence In-Situ Hybridization (FISH) uses commercially available DNA . I labressente in Old hybhallest system) for identifying chromosomes 13, 18, 21, X and Y.
  • Automatic Cell Locating/Counting using pattern recognition algorithms to . identify the signal characteristics of interest.

The Ikoniscope™ software automatically captures several sets of images of each The Konisoope - oontware addemand stores its location on the slide. These images containing New Signals and analysis.

Currently, FISH probes are approved for use as adjunct measures to accompany currently, Horrproboo are as of amniocytes, i.e. metaphase cell karyotyping. The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System will be used to assist The fitoriooope - Tabliring the FISH analysis, and will not change its adjunctive role.

SUBSTANTIAL EQUIVALENCE

Technological Characteristics

The technological characteristics of the Ikoniscope™ fastFISH™ Auto/Amniocyte The connological characterial aspects to those of the cited predicate rest System are Similar in an Socchild's a microscope, scanning capability and image display as an adjunct to FISH Analysis by a trained operator or pathologist.

Indications for Use

Substantial equivalence is also supported for the Ikoniscope™ fastFFISH™ Substantial Cquivalorio is also the predicate devices previously cited and Auto/Allings - Fost automated cell-locating devices with similar indications for use.

TESTING IN SUPPORT OF SUBSTANTIAL EQUIVALENCE DETERMINATION

The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System was evaluated in a rice ikensoope - haste mine the accuracy of the system compared with manual FISH analysis. This clinical trial provided information that supports a finding of analyois. This equivalence between the subject device and the cited predicates Substantial clinical performance. In addition, a trial to demonstrate the reproducibility of results between systems was also conducted.

3

SUMMARY

Based on the similarities in design, function, and intended use, the lkoniscope™ Dased on the Similantion in accigit, System is substantially equivalent for the devices currently marketed under the Federal Food, Drug and Cosmetic Act and cited in this submission as predicates. In addition, the Ikoniscope™ fastFISH™ Cled in this Submission as proises no new safety or effectiveness issues.

4

Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three stripes representing the department's mission. The eagle is encircled by the department's name, "U.S. Department of Health & Human Services, USA."

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Dr. Petros Tsipouras CEO Ikonisys, Inc. 5 Science Park New Haven, CT 06511

AUG 9 1 2006

Re: K061392 Trade/Device Name: Ikoniscope™ fastFISH™ Auto/Amniocyte Test System Regulation Number: 21 CFR § 864.5260 Regulation Name: Automated cell-locating device Regulatory Class: II Product Code: JOY Dated: May 18, 2006

Dear Dr. Tsipouras:

Received: May 22, 2006

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); labcling (21 CFR Parts 801 and 809); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820). 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.

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Page 2 -

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,

lobatz Beckerh

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

Enclosure

6

510(k) Number: K

Device Name: Ikoniscope™ fastFISH™ Auto/Amniocyte Test System

Indications for Use:

The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System is an automated scanning microscope coupled with image analysis, acquisition and display functions. It is intended for in-vitro diagnosis as an aide to the technologist or pathologist in the detection, classification and enumeration of cells of interest based on particular characteristics such as intensity, size, shape or fluorescence. Following fully automated scanning, the system produces a summary report of the frequency of FISH signals detected from each chromosome of interest as a basis for the diagnostic conclusion. The system also provides images of all nuclei scanned for review by the medical professional to confirm the diagnostic conclusion. The Ikoniscope™ fastFISH™ Auto/Amniocyte Test System is intended to detect amniotic cells stained by FISH using commercially available direct labeled DNA probes or chromosomes X, Y, 13, 18 and 21.

Prescription Use _______________________________________________________________________________________________________________(21 CFR 801 Sub (21 CFR 801 Subpart C)

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

Josephine Buututi

Division Sign-Off

Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K061392