K Number
K062530
Device Name
TRIAGE PROTEIN C TEST
Date Cleared
2007-01-29

(153 days)

Product Code
Regulation Number
864.7290
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Triage® Protein C Test is a rapid, point-of-care fluorescence immunoassay to be used with the Triage Meters for the rapid, quantitative determination of Protein C in citrated whole blood or plasma specimens in patients with signs and symptoms of sepsis. The test is not intended for use in patients with vitamin K deficiency, DIC, cancers, HIV and liver and renal diseases as these disease conditions have not been evaluated.
Device Description
The Triage Protein C Test is a single-use device containing murine monoclonal antibodies against Protein C labeled with a fluorescent dye and purified Protein C antigen immobilized on the solid phase, and stabilizers. Additionally, there are built-in control features that ensure that the test was performed properly and the reagents were functionally active. The Test Cartridge is inserted into the Triage Meter and results are measured and displayed on the display screen or printout in approximately 15 minutes. Internal assay controls (positive and negative controls) and automatic endpoint detection technology is used to indicate assay completion.
More Information

Not Found

No
The description details a fluorescence immunoassay and mentions automatic endpoint detection, but there is no mention of AI or ML in the device description, intended use, or performance studies.

No.
The device is a diagnostic tool used to measure Protein C levels in patients with signs and symptoms of sepsis, not to treat a condition.

Yes
The "Intended Use / Indications for Use" section states that the device is for the "rapid, quantitative determination of Protein C in citrated whole blood or plasma specimens in patients with signs and symptoms of sepsis," which is a diagnostic purpose.

No

The device description explicitly states it is a "single-use device containing murine monoclonal antibodies... and purified Protein C antigen immobilized on the solid phase, and stabilizers." This describes a physical test cartridge with biological components, not a software-only device. It also mentions being used with "Triage Meters," which are hardware devices.

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

Here's why:

  • Intended Use: The intended use explicitly states it's for the "rapid, quantitative determination of Protein C in citrated whole blood or plasma specimens." This involves testing biological samples in vitro (outside the body).
  • Device Description: The description details a "single-use device containing murine monoclonal antibodies against Protein C labeled with a fluorescent dye and purified Protein C antigen immobilized on the solid phase." This describes the components of an assay designed to detect and measure a substance in a biological sample.
  • Performance Studies: The performance studies involve testing "split patient samples" and comparing results to a "predicate method." This is typical for evaluating the performance of an in vitro diagnostic test.
  • Predicate Device: The mention of a "Predicate Device(s)" with a K number (K854016 Asserachrom® Protein C Kit) is a strong indicator that this device is being submitted for regulatory clearance as an IVD, as predicate devices are used to demonstrate substantial equivalence for new IVDs.

All of these points align with the definition and characteristics of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Triage Protein C Test is a rapid, point-of-care fluorescence immunoassay to be used with the Triage Meters for the rapid, quantitative determination of Protein C in citrated whole blood or plasma specimens in patients with signs and symptoms of sepsis. The test is not intended for use in patients with vitamin K deficiency, DIC, cancers, HIV and liver and renal diseases as these disease conditions have not been evaluated.

Product codes

GGP

Device Description

The Triage Protein C Test is a single-use device containing murine monoclonal antibodies against Protein C labeled with a fluorescent dye and purified Protein C antigen immobilized on the solid phase, and stabilizers. Additionally, there are built-in control features that ensure that the test was performed properly and the reagents were functionally active. The Test Cartridge is inserted into the Triage Meter and results are measured and displayed on the display screen or printout in approximately 15 minutes. Internal assay controls (positive and negative controls) and automatic endpoint detection technology is used to indicate assay completion.

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

point-of-care, clinical laboratory sites

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

The performance of the Triage Protein C Test was established using samples collected from patients who presented with suspected or proven infection, evidence of systemic inflammation and at least one sepsis-induced organ failure who were enrolled in a previous clinical investigation. Two hundred twenty-five split patient samples were run in the Triage Protein C Test and a predicate method for the purpose of determining if the two methods yield similar results. Testing was conducted at three independent clinical laboratory sites in accordance with NCCLS Evaluation Protocol EP9-A2, Vol. 22, No. 19, Method Comparison and Bias Estimation Using Patient Samples; Approved Guideline - Second Edition.

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Method Comparison and Bias Estimation Using Patient Samples; Approved Guideline - Second Edition.
Two hundred twenty-five split patient samples were run in the Triage Protein C Test and a predicate method for the purpose of determining if the two methods yield similar results.
The information presented in this Premarket Notification demonstrates that the performance of the Triage Protein C Test for use with citrated human blood and plasma is substantially equivalent to the predicate device. Equivalence was demonstrated using manufactured reagents along with patient and quality control samples with measured Protein C values spanning the reportable range of the assay. These studies demonstrate the substantial equivalence of the Triage Protein C Test to existing products already marketed for the quantitative determination of Protein C. They further demonstrated the suitability of the product for laboratory and professional use.

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

Not Found

Predicate Device(s)

Asserachrom® Protein C Kit (K854016)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 864.7290 Factor deficiency test.

(a)
Identification. A factor deficiency test is a device used to diagnose specific coagulation defects, to monitor certain types of therapy, to detect coagulation inhibitors, and to detect a carrier state (a person carrying both a recessive gene for a coagulation factor deficiency such as hemophilia and the corresponding normal gene).(b)
Classification. Class II (performance standards).

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510(k) Summary of Safety and Effectiveness B.

JAN 2 9 2007

Triage® Protein C Test

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

The assigned 510(k) number is:

A. Name and Address of Submitter

Company Name:Biosite Incorporated
Address:9975 Summers Ridge Road
San Diego, CA 92121
Telephone:(858) 805-2722
Telefax:(858) 695-7100
Contact Person:Fil V. Buenviaje
Manager, Regulatory Compliance
Date Summary Prepared:January 17, 2007

Device Name and Classification B.

Trade Name:Triage® Protein C Test
Common Name:Protein C
Classification of Device:21 CFR 864.7290.
Factor Deficiency Test
Product Code: GGP

C. Predicate Device

Asserachrom® Protein C Kit (K854016)

D. Device Description

The Triage Protein C Test is a single-use device containing murine monoclonal antibodies against Protein C labeled with a fluorescent dye and purified Protein C antigen immobilized on the solid phase, and stabilizers. Additionally, there are built-in control features that ensure that the test was performed properly and the reagents were functionally active.

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The Test Cartridge is inserted into the Triage Meter and results are measured and displayed on the display screen or printout in approximately 15 minutes. Internal assay controls (positive and negative controls) and automatic endpoint detection technology is used to indicate assay completion.

ய் Device Intended Use

The Triage Protein C Test is a rapid, point-of-care fluorescence immunoassay to be used with the Triage Meters for the rapid, quantitative determination of Protein C in citrated whole blood or plasma specimens in patients with signs and symptoms of sepsis. The test is not intended for use in patients with vitamin K deficiency, DIC, cancers, HIV and liver and renal diseases as these disease conditions have not been evaluated.

ட் Comparison to Predicate Device

The performance of the Triage Protein C Test was established using samples collected from patients who presented with suspected or proven infection, evidence of systemic inflammation and at least one sepsis-induced organ failure who were enrolled in a previous clinical investigation. Two hundred twenty-five split patient samples were run in the Triage Protein C Test and a predicate method for the purpose of determining if the two methods yield similar results. Testing was conducted at three independent clinical laboratory sites in accordance with NCCLS Evaluation Protocol EP9-A2, Vol. 22, No. 19, Method Comparison and Bias Estimation Using Patient Samples; Approved Guideline - Second Edition.

G. Conclusion

The information presented in this Premarket Notification demonstrates that the performance of the Triage Protein C Test for use with citrated human blood and plasma is substantially equivalent to the predicate device.

Equivalence was demonstrated using manufactured reagents along with patient and quality control samples with measured Protein C values spanning the reportable range of the assay.

These studies demonstrate the substantial equivalence of the Triage Protein C Test to existing products already marketed for the quantitative determination of Protein C. They further demonstrated the suitability of the product for laboratory and professional use. Such studies are a critical element in establishing the fundamental safety and effectiveness of the product and its appropriateness for commercial distribution.

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Image /page/2/Picture/1 description: The image shows a circular logo for the U.S. Department of Health & Human Services. The logo features the department's name encircling an abstract symbol in the center. The symbol resembles a stylized eagle or bird in flight, composed of curved lines. The overall design is simple and monochromatic.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

BIOSITE Incorporated C/O Fil V. Buenviaje 9975 Summers Ridge Road San Diego, California 92121

Re: K062530

Trade/Device Name: Triage Protein C Test Regulation Number: 21 CFR 864.7290 Regulation Name: Factor Deficiency Test Regulatory Class: Class II Product Code: GGP Dated: August 28, 2006 Received: August 29, 2006

JAN 2 9 2007

Dear Mr. Buenviaje

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. Drue, 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 (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. 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

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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) 276-0450. 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Robert L. Becker, Jr., MD, PhD

Director Division of Immunology and Hematology Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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cc: HFZ-401 DMC

the control control control of the control of

and the comments of the comments of the comments of

HFZ-404 510(k) Staff HFZ- 440 Division D.O.

.

.

:

.

.

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Indications for Use

510(k) Number (if known):

K062530

Device Name:

Triage® Protein C Test

Indications for Use:

The Triage Protein C Test is a rapid, point-of-care fluorescence immunoassay to be used with the Triage Meters for the rapid, quantitative determination of Protein C in citrated whole blood or plasma specimens in patients with signs and symptoms of sepsis. The test is not intended for use in patients with vitamin K deficiency, DIC, cancers, HIV and liver and renal diseases as these disease conditions have not been evaluated.

X ____________________________________________________________________________________________________________________________________________________________________________ Prescription Use (Per 21 CFR 801.109)

Over-The Counter Use (Per 21 CFR 807 Subpart C)

(Please Do Not WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

AND/OR

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

Suphine Bautista
Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety Page 1 of

510(k) K062530