K Number
K062927
Device Name
MICROSCAN MICROSTREP PLUS PANEL AMPICILLIN (0.013 - 16 MCG/ML)
Manufacturer
Date Cleared
2006-10-12

(14 days)

Product Code
Regulation Number
866.1640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
To determine bacterial antimicrobial agent susceptibility The MicroScan MICroSTREP plus ® Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of aerobic streptococci, including Streptococcus pneumoniae . After inoculation, panels are incubated for 20 – 24 hours at 35°C +/- 1°C in a non-CO2 incubator, and read visually according to the Package Insert. Additionally, the panels may be incubated in and read by a MicroScan ® WalkAway instrument. This particular submission is for the addition of instrument read capability of the antimicrobial Ampicillin, at concentrations of 0.03– 16 mcg/ml on the MicroScan MICroSTREP plus® Panel. The organisms which may be used for Ampicillin susceptibility testing on this panel are: Streptococcus spp. other than Streptococcus pneumoniae
Device Description
The MicroScan MICroSTREP plus® Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of aerobic streptococci, including Streptococcus pneumoniae. After inoculation, panels are incubated for 20 - 24 hours at 35°C +/- 1°C in a non-CO2 incubator, and read according to the Package Insert. The antimicrobial susceptibility tests are miniaturizations of the broth dilution susceptibility test. Various antimicrobial agents are diluted in water, buffer or minute concentrations of broth to concentrations bridging the range of clinical interest. Panels are rehydrated with 115 ul Mueller-Hinton broth supplemented with 2-5% lysed horse blood (LHB) and buffered with 50 mM HEPES, after inoculation of the broth with a standardized suspension of the organism in saline. After incubation in a non-CO2 incubator for 20-24 hours, the minimum inhibitory concentration (MIC) for the test organism is manually read by observing the lowest antimicrobial concentration showing inhibition of growth. Additionally, the panels may be incubated in and read by a MicroScan WalkAway instrument.
More Information

MicroScan® MICroSTREP plus® Panel

Not Found

No
The document describes an automated instrument reading method for antimicrobial susceptibility testing panels, but there is no mention of AI or ML being used in the reading or interpretation process. The performance evaluation compares the instrument read results to expected results, not to an AI/ML model's output.

No
This device is for in vitro diagnostic use, specifically for determining antimicrobial agent susceptibility, not for direct treatment or diagnosis of a disease in a patient.

Yes

Explanation: The device is used to determine the susceptibility of bacteria to antimicrobial agents. This information is critical for clinicians to diagnose and properly treat bacterial infections by selecting the most effective antibiotic, making it a diagnostic tool.

No

The device description explicitly mentions a "MicroScan® WalkAway instrument" which is a hardware component used to incubate and read the panels. The submission is for adding instrument read capability to an existing panel, indicating the device involves both hardware and software.

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

Here's why:

  • Intended Use: The primary intended use is "To determine bacterial antimicrobial agent susceptibility." This is a classic example of an in vitro diagnostic test, as it analyzes a sample (bacterial colonies) outside of the body to provide information about a patient's condition (susceptibility to antibiotics).
  • Device Description: The description details a method for performing antimicrobial susceptibility testing using a panel and broth dilution. This process is conducted in vitro (in a lab setting) on a biological sample.
  • Performance Studies: The performance studies compare the device's results to expected results obtained from a reference method, which is typical for validating an IVD.
  • Predicate Device: The predicate device is also an "Antimicrobial Susceptibility Test (AST) System," which falls under the category of IVDs.

The device is designed to be used in a laboratory setting to analyze a biological sample (bacterial culture) to provide diagnostic information about the susceptibility of bacteria to antimicrobial agents. This directly aligns with the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Intended Use: To determine bacterial susceptibility to Ampicillin
Indication for Use: For determining antimicrobic susceptibility with aerobic streptococci other than Streptococcus pneumoniae.

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

LRG, LTT

Device Description

The MicroScan MICroSTREP plus® Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of aerobic streptococci, including Streptococcus pneumoniae. After inoculation, panels are incubated for 20 - 24 hours at 35°C +/- 1°C in a non-CO2 incubator, and read according to the Package Insert.

The antimicrobial susceptibility tests are miniaturizations of the broth dilution susceptibility test. Various antimicrobial agents are diluted in water, buffer or minute concentrations of broth to concentrations bridging the range of clinical interest. Panels are rehydrated with 115 ul Mueller-Hinton broth supplemented with 2-5% lysed horse blood (LHB) and buffered with 50 mM HEPES, after inoculation of the broth with a standardized suspension of the organism in saline. After incubation in a non-CO2 incubator for 20-24 hours, the minimum inhibitory concentration (MIC) for the test organism is manually read by observing the lowest antimicrobial concentration showing inhibition of growth. Additionally, the panels may be incubated in and read by a MicroScan WalkAway instrument.

Mentions image processing

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Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

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Anatomical Site

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Indicated Patient Age Range

Not Found

Intended User / Care Setting

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Description of the training set, sample size, data source, and annotation protocol

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Description of the test set, sample size, data source, and annotation protocol

The external evaluation was conducted with stock and CDC Challenge strains. The external evaluations were designed to confirm the acceptability of the proposed instrument read method for the MICroSTREP plus® Panel by comparing its performance with Expected Results determined before the evaluation.

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

The proposed instrument read method for the MicroScan MICroSTREP plus® Panel demonstrated substantially equivalent performance with streptococcal isolates when compared with an expected result generated on a CLSI frozen Reference Panel, as defined in the FDA document "Class II Special Controls Guidance Document: Antimicrobial Susceptibility Test (AST) Systems; Guidance for Industry and FDA'', dated February 5, 2003.

This Premarket Notification (510Jk]) presents data in support of reading the MICroSTREP plus® Panel with Ampicillin on the MicroScan® WalkAway instrument.

The MICroSTREP plus® Panel demonstrated acceptable performance with an overall Essential Agreement of 94.3% for Ampicillin instrument read results compared with the Expected Result.

Instrument reproducibility testing demonstrated acceptable reproducibility and precision with Ampicillin and the WalkAway® instrument.

Quality Control testing demonstrated acceptable results for Ampicillin.

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

Essential Agreement of 94.3%

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.

MicroScan® MICroSTREP plus® Panel

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.

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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).

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§ 866.1640 Antimicrobial susceptibility test powder.

(a)
Identification. An antimicrobial susceptibility test powder is a device that consists of an antimicrobial drug powder packaged in vials in specified amounts and intended for use in clinical laboratories for determining in vitro susceptibility of bacterial pathogens to these therapeutic agents. Test results are used to determine the antimicrobial agent of choice in the treatment of bacterial diseases.(b)
Classification. Class II (performance standards).

0

Ka62927

OCT 1 2 2006

510(k) Summary Information:

Device Manufacturer:Dade Behring Inc.
Contact name:May Morishima, Regulatory Affairs Coordinator
Phone/Fax:916-374-2006/916-374-3144
Date prepared:September 21, 2006
Product Name:Microdilution Minimum Inhibitory Concentration (MIC) Panels
Trade Name:MicroScan MICroSTREP plus® Panel
Intended Use:To determine bacterial susceptibility to Ampicillin
Indication for Use:For determining antimicrobic susceptibility with aerobic streptococci
other than Streptococcus pneumoniae.
Predicate device:MicroScan® MICroSTREP plus® Panel

510(k) Summary:

The MicroScan MICroSTREP plus® Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of aerobic streptococci, including Streptococcus pneumoniae. After inoculation, panels are incubated for 20 - 24 hours at 35°C +/- 1°C in a non-CO2 incubator, and read according to the Package Insert.

The antimicrobial susceptibility tests are miniaturizations of the broth dilution susceptibility test. Various antimicrobial agents are diluted in water, buffer or minute concentrations of broth to concentrations bridging the range of clinical interest. Panels are rehydrated with 115 ul Mueller-Hinton broth supplemented with 2-5% lysed horse blood (LHB) and buffered with 50 mM HEPES, after inoculation of the broth with a standardized suspension of the organism in saline. After incubation in a non-CO2 incubator for 20-24 hours, the minimum inhibitory concentration (MIC) for the test organism is manually read by observing the lowest antimicrobial concentration showing inhibition of growth. Additionally, the panels may be incubated in and read by a MicroScan WalkAway instrument.

The proposed instrument read method for the MicroScan MICroSTREP plus® Panel demonstrated substantially equivalent performance with streptococcal isolates when compared with an expected result generated on a CLSI frozen Reference Panel, as defined in the FDA document "Class II Special Controls Guidance Document: Antimicrobial Susceptibility Test (AST) Systems; Guidance for Industry and FDA'', dated February 5, 2003.

This Premarket Notification (510Jk]) presents data in support of reading the MICroSTREP plus® Panel with Ampicillin on the MicroScan® WalkAway instrument.

The external evaluation was conducted with stock and CDC Challenge strains. The external evaluations were designed to confirm the acceptability of the proposed instrument read method for the MICroSTREP plus® Panel by comparing its performance with Expected Results determined before the evaluation. The MICroSTREP plus® Panel demonstrated acceptable performance with

1

an overall Essential Agreement of 94.3% for Ampicillin instrument read results compared with the Expected Result.

Instrument reproducibility testing demonstrated acceptable reproducibility and precision with Ampicillin and the WalkAway® instrument.

Quality Control testing demonstrated acceptable results for Ampicillin.

X

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the seal of the Department of Health & Human Services, USA. The seal features a stylized eagle with outstretched wings, symbolizing the department's role in protecting and promoting the health and well-being of the nation. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES. USA" are arranged in a circular pattern around the eagle.

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Ms. May Morishima Regulatory Affairs Coordinator Dade Behring, Inc. 1584 Enterprise Boulevard West Sacramento, CA 95691-9972

OCT 1 2 2006

Re: K062927

Trade/Device Name: MicroScan MICroSTREP plus® Panel Ampicillin (0.03 - 16 mcg/ml) Regulation Number: 21 CFR § 866.1640 Regulation Name: Antimicrobial susceptibility test powder Regulatory Class: II Product Code: LRG. LTT Dated: September 21, 2006 Received: September 28, 2006

Dear Ms. Morishima:

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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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)276-0450. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained 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/dsma/dsmamain.html.

Sincerely yours,

Sally, autton

Sally A. Hojvat, M.Sc., Ph.D. Director Division of Microbiology Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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Indication for Use Statement

| 510(k) No.: | K062927
(To be assigned by FDA) |
|----------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device Name: | MicroScan MICroSTREP plus ® Panel
Ampicillin (0.03 – 16 mcg/ml) |
| Intended Use | To determine bacterial antimicrobial agent susceptibility |
| Indications for Use: | The MicroScan MICroSTREP plus ® Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of aerobic streptococci, including Streptococcus pneumoniae . After inoculation, panels are incubated for 20 – 24 hours at 35°C +/- 1°C in a non-CO2 incubator, and read visually according to the Package Insert. Additionally, the panels may be incubated in and read by a MicroScan ® WalkAway instrument. |

This particular submission is for the addition of instrument read capability of the antimicrobial Ampicillin, at concentrations of 0.03– 16 mcg/ml on the MicroScan MICroSTREP plus® Panel.

The organisms which may be used for Ampicillin susceptibility testing on this panel are:

Streptococcus spp. other than Streptococcus pneumoniae

| Prescription Use X
(Part 21 CFR 801 Subpart D) | AND/OR | Over-The-Counter Use ______
(21 CFR 807 Subpart C) |

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

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

Luddi hi. Poole

Division Sign-Off

510(k) KO62927

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