(14 days)
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
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.
Here's an analysis of the provided text, focusing on the acceptance criteria and study information for the MicroScan MICroSTREP plus® Panel with Ampicillin:
Acceptance Criteria and Device Performance
| Acceptance Criteria | Reported Device Performance |
|---|---|
| Overall Essential Agreement (compared to Expected Result) | 94.3% |
| Instrument Reproducibility | Acceptable |
| Quality Control (for Ampicillin) | Acceptable |
The study presented in the 510(k) summary demonstrates that the MicroScan MICroSTREP plus® Panel for Ampicillin, when read by the MicroScan® WalkAway instrument, meets the acceptance criterion of 94.3% overall Essential Agreement. Reproducibility and Quality Control also met acceptable standards.
Study Details
2. Sample size used for the test set and the data provenance:
- Test Set Sample Size: Not explicitly stated in terms of an exact number of isolates. However, the external evaluation was conducted with "stock and CDC Challenge strains."
- Data Provenance: Not explicitly stated, but the mention of "CDC Challenge strains" suggests a U.S. context. The study appears to be prospective in nature, as it was designed to "confirm the acceptability of the proposed instrument read method... by comparing its performance with Expected Results determined before the evaluation."
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
- Number of Experts: Not specified.
- Qualifications of Experts: Not specified.
4. Adjudication method for the test set:
- The ground truth (referred to as "Expected Result") was established based on a "CLSI frozen Reference Panel." This suggests a standardized, consensus-driven process based on clinical and laboratory standards, rather than individual expert adjudication.
5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done:
- No, an MRMC comparative effectiveness study was not explicitly mentioned. The study compares instrument readings to a predetermined "Expected Result" from a reference panel, not to human readers' performance.
6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:
- Yes, this was a standalone study. The performance of the MicroScan® WalkAway instrument (algorithm only) was evaluated in reading the MICroSTREP plus® Panel for Ampicillin. No human-in-the-loop performance was evaluated as part of this submission.
7. The type of ground truth used:
- Ground Truth Type: "Expected Result generated on a CLSI frozen Reference Panel." This represents a standardized, expert-derived, and validated reference standard, likely based on established microbiological methods.
8. The sample size for the training set:
- Not applicable/Not explicitly mentioned. This document describes an evaluation study for a device reading, not the development or training of an AI algorithm in the contemporary sense. The "training" of the instrument reader would have been part of its initial design and validation, prior to this specific submission.
9. How the ground truth for the training set was established:
- Not applicable/Not explicitly mentioned in this document. The focus of this 510(k) submission is on the performance of the instrument for reading Ampicillin on an existing panel, using a specific reference method as the ground truth for evaluation.
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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 streptococciother 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
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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
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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 ® PanelAmpicillin (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) |
|---|---|---|
| ---------------------------------------------------------- | -------- | ------------------------------------------------------- |
(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
Page 1 of 1 Office of In Vitro Diagnostic Device Evaluation and Safety
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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).