K Number
K063798
Device Name
DIAGNOSTIC HYBRIDS' D3 DFA HERPES SIMPLEX VIRUS IDENTIFICATION KIT, MODEL 01-080000
Date Cleared
2007-09-21

(273 days)

Product Code
Regulation Number
866.3305
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Diagnostic Hybrids D3 DFA Herpes Simplex Virus Identification Kit is intended for use in the qualitative detection of human herpes simplex virus (HSV) in cell cultures by immunofluorescence using fluoresceinated monoclonal antibodies (MAbs). Negative results do not preclude an infection and should not be used as the sole basis for diagnosis, treatment or other management decisions. Performance using direct specimen testing has not been evaluated.
Device Description
The Diagnostic Hybrids D3 DFA Herpes Simplex Virus Identification Kit includes a DFA Reagent that contains a blend of four fluorescein-labeled murine monoclonal antibodies (MAbs), two directed against HSV type 1 (HSV-1) and two against HSV type 2 (HSV-2). The HSV-1 MAbs were developed using HSV-1(f) cell lysate as immunogen -- one has been determined to be directed against HSV-1 glycoprotein C1, the antigen to the other is undetermined. The HSV-2 MAbs were developed using a HSV-2 recombinant glycoprotein G immunogen. The kit includes the following components: • HSV DFA Reagent - A blend of fluorescein labeled murine monoclonal antibodies directed against antigens produced in HSV-infected cell culture. The buffered, stabilized, aqueous solution contains Evan's Blue as a counter-stain and 0.1% sodium azide as preservative. • HSV Antigen Control Slides - Individually packaged control slides containing wells with cell culture derived positive and negative control cells. Each HSV positive well is identified. The negative wells contain uninfected cells. Each slide is intended to be stained only one time. • PBS Concentrate - A 40X concentrate consisting of 4% sodium azide in phosphate buffered saline (after dilution to 1X in water, the concentration of sodium azide in the solution is 0.1%). • Mounting Fluid - an aqueous, buffered, stabilized solution of glycerol and 0.1% sodium azide. The cells to be tested, on a slide prepared from a tube culture or on a monolayer of cells cultured in a multi-well plate or a coverslip in a shell vial, are fixed in acetone. The HSV DFA Reagent is added to the cells to detect the presence of HSV specific viral antigens. After incubating for 15 to 30 minutes at 35° to 37°C, the stained cells are washed with the supplied Phosphate Buffered Saline (PBS). To prepare the slide for examination, a drop of the supplied Mounting Medium is added to the stained cells and a coverslip is placed on the slide. To prepare the centrifuge enhanced cell cultures for examination, a drop of Mounting Fluid is placed on a clean microscope slide. The coverslip is removed from the shell vial and placed on to the Mounting Fluid. For multi-well plates, monolayers are fixed with an 80% aqueous acetone solution. The HSV DFA Reagent is added to the cells to detect the presence of any HSV specific viral antigens. After incubating for 15 to 30 minutes at 35° to 37°C, the stained cells are washed with the supplied Phosphate Buffered Saline (PBS). Mounting Fluid is added to each well to cover the monolayers. The slides or wells are examined using a fluorescence microscope equipped with the correct filter combination for FITC at a magnification of 100-400X. Virus infected cells will be stained with bright apple-green fluorescence while uninfected cells will contain no apple-green fluorescence but will fluoresce red by the Evan's Blue counterstain' which is included in the HSV DFA Reagent. If no fluorescent cells are found, report result as, "No herpes simplex virus detected". If fluorescent cells are found, report result as, "Herpes simplex virus isolated by cell culture." Included in the kit are HSV Antigen Control Slides. A Control Slide is intended to function as an indicator that the kit reagents are working properly in the test. [The slides are prepared with wells of HSV infected cells and uninfected cells.] Positive and negative controls must demonstrate appropriate staining characteristics for specimen results to be valid. Controls may also aid in the interpretation of test results. It is recommended that cell culture positive (infected with known HSV isolate) and negative (uninfected cells) controls be run with each assay to provide a means to ensure adequate performance of the cell culture system used. If control cultures fail to perform correctly, results are considered invalid.
More Information

No
The device description and performance studies focus on traditional immunofluorescence techniques and manual microscopic evaluation, with no mention of automated image analysis or AI/ML algorithms.

No
The device is described as an "Identification Kit" intended for qualitative detection of human herpes simplex virus (HSV) in cell cultures. It is a diagnostic tool, not a treatment device.

Yes
The "Intended Use / Indications for Use" section explicitly states, "The Diagnostic Hybrids D3 DFA Herpes Simplex Virus Identification Kit is intended for use in the qualitative detection of human herpes simplex virus (HSV) in cell cultures by immunofluorescence using fluoresceinated monoclonal antibodies (MAbs)." This directly indicates its use for diagnosis.

No

The device is a kit containing physical reagents, control slides, and solutions used in a laboratory procedure, not a software-only device.

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

Here's why:

  • Intended Use: The "Intended Use / Indications for Use" section explicitly states that the kit is "intended for use in the qualitative detection of human herpes simplex virus (HSV) in cell cultures by immunofluorescence". This clearly indicates that the device is used to perform a diagnostic test on a sample taken from the human body (in this case, a cell culture derived from a specimen).
  • Device Description: The description details the components of the kit, including antibodies, control slides, and reagents, all of which are used to perform a test in vitro (outside of the living body) on a biological sample.
  • Performance Studies: The document includes a "Summary of Performance Studies" which describes clinical studies conducted to evaluate the device's performance in detecting HSV in specimens. This is a characteristic of IVD devices that require validation for their intended diagnostic purpose.
  • Key Metrics: The inclusion of "Key Metrics" like Positive Percent Agreement (PPA) and Negative Percent Agreement (NPA) are standard performance indicators for diagnostic tests.
  • Predicate Device(s): The listing of "Predicate Device(s)" with K numbers indicates that this device is being compared to previously cleared IVD devices, which is a common regulatory pathway for new IVDs.

All of these elements strongly support the classification of this device as an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The Diagnostic Hybrids D3 DFA Herpes Simplex Virus Identification Kit is intended for use in the qualitative detection of human herpes simplex virus (HSV) in cell cultures by immunofluorescence using fluoresceinated monoclonal antibodies (MAbs). Negative results do not preclude an infection and should not be used as the sole basis for diagnosis, treatment or other management decisions. Performance using direct specimen testing has not been evaluated.

Product codes

GQN

Device Description

The Diagnostic Hybrids D3 DFA Herpes Simplex Virus Identification Kit includes a DFA Reagent that contains a blend of four fluorescein-labeled murine monoclonal antibodies (MAbs), two directed against HSV type 1 (HSV-1) and two against HSV type 2 (HSV-2). The HSV-1 MAbs were developed using HSV-1(f) cell lysate as immunogen -- one has been determined to be directed against HSV-1 glycoprotein C1, the antigen to the other is undetermined. The HSV-2 MAbs were developed using a HSV-2 recombinant glycoprotein G immunogen.

The kit includes the following components:
• HSV DFA Reagent - A blend of fluorescein labeled murine monoclonal antibodies directed against antigens produced in HSV-infected cell culture. The buffered, stabilized, aqueous solution contains Evan's Blue as a counter-stain and 0.1% sodium azide as preservative.
• HSV Antigen Control Slides - Individually packaged control slides containing wells with cell culture derived positive and negative control cells. Each HSV positive well is identified. The negative wells contain uninfected cells. Each slide is intended to be stained only one time.
• PBS Concentrate - A 40X concentrate consisting of 4% sodium azide in phosphate buffered saline (after dilution to 1X in water, the concentration of sodium azide in the solution is 0.1%).
• Mounting Fluid - an aqueous, buffered, stabilized solution of glycerol and 0.1% sodium azide.

The cells to be tested, on a slide prepared from a tube culture or on a monolayer of cells cultured in a multi-well plate or a coverslip in a shell vial, are fixed in acetone. The HSV DFA Reagent is added to the cells to detect the presence of HSV specific viral antigens. After incubating for 15 to 30 minutes at 35° to 37°C, the stained cells are washed with the supplied Phosphate Buffered Saline (PBS). To prepare the slide for examination, a drop of the supplied Mounting Medium is added to the stained cells and a coverslip is placed on the slide. To prepare the centrifuge enhanced cell cultures for examination, a drop of Mounting Fluid is placed on a clean microscope slide. The coverslip is removed from the shell vial and placed on to the Mounting Fluid.

For multi-well plates, monolayers are fixed with an 80% aqueous acetone solution. The HSV DFA Reagent is added to the cells to detect the presence of any HSV specific viral antigens. After incubating for 15 to 30 minutes at 35° to 37°C, the stained cells are washed with the supplied Phosphate Buffered Saline (PBS). Mounting Fluid is added to each well to cover the monolayers.

The slides or wells are examined using a fluorescence microscope equipped with the correct filter combination for FITC at a magnification of 100-400X. Virus infected cells will be stained with bright apple-green fluorescence while uninfected cells will contain no apple-green fluorescence but will fluoresce red by the Evan's Blue counterstain which is included in the HSV DFA Reagent.

If no fluorescent cells are found, report result as, "No herpes simplex virus detected". If fluorescent cells are found, report result as, "Herpes simplex virus isolated by cell culture."

Included in the kit are HSV Antigen Control Slides. A Control Slide is intended to function as an indicator that the kit reagents are working properly in the test. [The slides are prepared with wells of HSV infected cells and uninfected cells.] Positive and negative controls must demonstrate appropriate staining characteristics for specimen results to be valid. Controls may also aid in the interpretation of test results.

It is recommended that cell culture positive (infected with known HSV isolate) and negative (uninfected cells) controls be run with each assay to provide a means to ensure adequate performance of the cell culture system used. If control cultures fail to perform correctly, results are considered invalid.

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

Not Found

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)

Clinical studies were conducted at four different laboratories comparing the D3 DFA HSV Kit performance to that of comparison tests.
Sample Size: 530 specimens (250 fresh, 280 frozen). 3 specimens from site 4 were not evaluated due to bacterial contamination, leaving 527 for analysis.
Study Types: Two study sites used tube cultures, one used shell vial culture, and one used multi-well plates.
Key Results:
Positive Percent Agreement (PPA): 99.5%
95% CI – PPA: 97.3% - 100%
Negative Percent Agreement (NPA): 99.7%
95% CI – NPA: 98.3% - 100%

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

Positive Percent Agreement (PPA) = 99.5% (95% CI: 97.3% - 100%)
Negative Percent Agreement (NPA) = 99.7% (95% CI: 98.3% - 100%)

Predicate Device(s)

K902662 Bartels® Herpes Simplex Virus Fluorescent Monoclonal Antibody Test, K904167 Pathodx® Herpes Typing Kit, K880157 MicroTrak® HSV 1/HSV 2 Culture Identification and Typing Test

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 866.3305 Herpes simplex virus serological assays.

(a)
Identification. Herpes simplex virus serological assays are devices that consist of antigens and antisera used in various serological tests to identify antibodies to herpes simplex virus in serum. Additionally, some of the assays consist of herpes simplex virus antisera conjugated with a fluorescent dye (immunofluorescent assays) used to identify herpes simplex virus directly from clinical specimens or tissue culture isolates derived from clinical specimens. The identification aids in the diagnosis of diseases caused by herpes simplex viruses and provides epidemiological information on these diseases. Herpes simplex viral infections range from common and mild lesions of the skin and mucous membranes to a severe form of encephalitis (inflammation of the brain). Neonatal herpes virus infections range from a mild infection to a severe generalized disease with a fatal outcome.(b)
Classification. Class II (special controls). The device is classified as class II (special controls). The special control for the device is FDA's revised guidance document entitled “Class II Special Controls Guidance Document: Herpes Simplex Virus Types 1 and 2 Serological Assays.” For availability of the guidance revised document, see § 866.1(e).

0

DIAGNOSTIC HYBRIDS, INC 350 West State Street Athens, OHIO 45701

Image /page/0/Picture/1 description: The image shows the logo for Diagnostic Hybrids, which includes an image of a person with their arms raised and a DNA strand. The text "Integrating Science and Humanity" is below the company name. The date "SEP 21 2007" is on the bottom left, and the number "K063798" is on the bottom right.

510(k) SUMMARY

D3 HERPES SIMPLEX VIRUS IDENTIFICATION KIT

| Applicant | DIAGNOSTIC HYBRIDS, INC.
350 West State Street
Athens, OHIO 45701 | | | | | |
|-----------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|--|--|--|--|
| Contact Information | Gail R. Goodrum
Vice President, Regulatory and Quality Affairs
E-mail: goodrum@dhiusa.com
Telephone: 740.593.1784
Desk Extension: 740.593.1787
FAX: 740.597.1546 | | | | | |
| | Ronald Lollar, Senior Director of Clinical Development -- secondary contact
350 W. State Street
Athens, OH 45701
740.593.1784 - Phone
740.593.0980 - Fax
lollar@dhiusa.com | | | | | |
| Date of preparation of
510(k) summary: | December 18, 2006 | | | | | |
| Device Name | Trade name - D3 HERPES SIMPLEX VIRUS IDENTIFICATION KIT
Common name - Fluorescent antibody test for herpes simplex virus
Classification name - ANTISERA, FLUORESCENT, HERPESVIRUS HOMINIS 1,2 (21
CFR 866.3305, product code GQL) | | | | | |
| Legally marketed devices
to which equivalence is
claimed: | K902662 Bartels® Herpes Simplex Virus Fluorescent Monoclonal Antibody Test | | | | | |
| | K904167 Pathodx® Herpes Typing Kit | | | | | |
| | K880157 MicroTrak® HSV 1/HSV 2 Culture Identification and Typing Test | | | | | |
| Device Description | The Diagnostic Hybrids D3 DFA Herpes Simplex Virus Identification Kit includes a
DFA Reagent that contains a blend of four fluorescein-labeled murine monoclonal
antibodies (MAbs), two directed against HSV type 1 (HSV-1) and two against HSV type
2 (HSV-2). The HSV-1 MAbs were developed using HSV-1(f) cell lysate as immunogen
-- one has been determined to be directed against HSV-1 glycoprotein C1, the antigen
to the other is undetermined. The HSV-2 MAbs were developed using a HSV-2
recombinant glycoprotein G immunogen. | | | | | |
| | The kit includes the following components:
• HSV DFA Reagent - A blend of fluorescein labeled murine monoclonal
antibodies directed against antigens produced in HSV-infected cell culture. The
buffered, stabilized, aqueous solution contains Evan's Blue as a counter-stain and 0.1%
sodium azide as preservative.
• HSV Antigen Control Slides - Individually packaged control slides containing
wells with cell culture derived positive and negative control cells. Each HSV positive
well is identified. The negative wells contain uninfected cells. Each slide is intended to
be stained only one time. | | | | | |

1

PBS Concentrate - A 40X concentrate consisting of 4% sodium azide in phosphate buffered saline (after dilution to 1X in water, the concentration of sodium azide in the solution is 0.1%).

Mounting Fluid - an aqueous, buffered, stabilized solution of glycerol and 0.1% sodium azide.

The cells to be tested, on a slide prepared from a tube culture or on a monolayer of cells cultured in a multi-well plate or a coverslip in a shell vial, are fixed in acetone. The HSV DFA Reagent is added to the cells to detect the presence of HSV specific viral antigens. After incubating for 15 to 30 minutes at 35° to 37°C, the stained cells are washed with the supplied Phosphate Buffered Saline (PBS). To prepare the slide for examination, a drop of the supplied Mounting Medium is added to the stained cells and a coverslip is placed on the slide. To prepare the centrifuge enhanced cell cultures for examination, a drop of Mounting Fluid is placed on a clean microscope slide. The coverslip is removed from the shell vial and placed on to the Mounting Fluid.

For multi-well plates, monolayers are fixed with an 80% aqueous acetone solution. The HSV DFA Reagent is added to the cells to detect the presence of any HSV specific viral antigens. After incubating for 15 to 30 minutes at 35° to 37°C, the stained cells are washed with the supplied Phosphate Buffered Saline (PBS). Mounting Fluid is added to each well to cover the monolayers.

The slides or wells are examined using a fluorescence microscope equipped with the correct filter combination for FITC at a magnification of 100-400X. Virus infected cells will be stained with bright apple-green fluorescence while uninfected cells will contain no apple-green fluorescence but will fluoresce red by the Evan's Blue counterstain' which is included in the HSV DFA Reagent.

If no fluorescent cells are found, report result as, "No herpes simplex virus detected". If fluorescent cells are found, report result as, "Herpes simplex virus isolated by cell culture."

Included in the kit are HSV Antigen Control Slides. A Control Slide is intended to function as an indicator that the kit reagents are working properly in the test. [The slides are prepared with wells of HSV infected cells and uninfected cells.] Positive and negative controls must demonstrate appropriate staining characteristics for specimen results to be valid. Controls may also aid in the interpretation of test results.

It is recommended that cell culture positive (infected with known HSV isolate) and negative (uninfected cells) controls be run with each assay to provide a means to ensure adequate performance of the cell culture system used. If control cultures fail to perform correctly, results are considered invalid.

The Diagnostic Hybrids D3 DFA Herpes Simplex Virus Identification Kit is intended for use in the qualitative detection of human herpes simplex virus (HSV) in cell cultures by immunofluorescence using fluoresceinated monoclonal antibodies (MAbs). Negative results do not preclude an infection and should not be used as the sole basis for diagnosis, treatment or other management decisions,

Performance using direct specimen testing has not been evaluated.

Explanation

Intended Use

HSV infections in humans can cause lesions at a variety of sites, e.g., oral-facial, genital, eye, and cutaneous sites.

When an appropriately sensitive cell line is infected with HSV, a characteristic deterioration of cells, termed cytopathic effect (CPE), can be observed. Tube collusions a classic format for virus amplification, can take several days before CPE is evident. In the case of those specimens with low titers of virus, 7 days of culture may be required by the standard tube culture method before CPE can be observed2,3,4,5,6

510(k) summary

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350 West State Street

Athens, Ohio 45701

350 West State Street ▪ ▲thens, Ohio 45701 ▪ ▪ 1-800-344-5847 ▪ ▪ Fax 740-593-0980 ▪ www.chiusa.com

2

The rate of isolation may be enhanced and the time required for HSV identification may be decreased by centrifugation of specimens in shell vials or multi-well plates containing appropriately sensitive cell lines (centrifuge enhanced technique) 1999

Even so, CPE may be difficult to interpret due to, for instance, deterioration of cells, which can result from toxic components present in the clinical specimen making microscopic examination of the infected cells problematic. Because of this, immunofluorescence confirmation of cell culture is regarded as the standard for confirmation of a HSV positive result.

Fundamental technology and intended use of the device are the same as those of the predicate devices, which are based on a standard immunofluorescence assay technique using cells inoculated with patient specimens. They employ directly labeled fluorescein monoclonal antibodies specific for HSV antigens enabling visualization of the infected cells. A summary is provided in the table below:

| HSV Systems | DFA | Direct
Specimens | Culture
Confirmation | FITC
Label | Monoclonal
Antibody | Distinguishes
HSV-1 and HSV-2 |
|-------------------------|-----|---------------------|-------------------------|---------------|------------------------|----------------------------------|
| Diagnostic
Hybrids | Yes | No | Yes | Yes | Yes | No |
| Bartels®
(Trinity) | Yes | No | Yes | Yes | Yes | No |
| PathoDx
(Remel) | Yes | Yes | Yes | Yes | Yes | Yes |
| MicroTrak®
(Trinity) | Yes | No | Yes | Yes | Yes | Yes |

Non-clinical Performance

Technological

Characteristics

Staining patterns of the conjugated monoclonal antibodies on HSV infected cells were similar to those of the predicate devices.

Analytical specificity was evaluated by staining cultures infected with a number of ATCC reference HSV-1 and HSV-2 strains and found to react with all of them.

The HSV DFA Reagent was tested for cross-reactivity against a wide variety of other microorganisms and cells. No cross-reactivity was observed for 59 virus strains (cultured and processed for staining) or for 17 host culture cell types. Twenty-seven (27) bacterial cultures, one yeast and one protozoan culture were stained and examined for cross-reactivity, including Staphylococcus aureus, a protein-A-producing bacterium. Staining of S. aureus appeared as small points of fluorescence while all other cultures were negative. [Protein A will specifically bind to the Fc portions of conjugated antibodies. Such binding can be distinguished from viral antigen binding on the basis of morphology, i.e., S. aureus-bound fluorescence appears as small (~1 micron diameter), bright dots.] [Note: Results from cell cultures with bacterial contamination must, therefore, be interpreted with caution.]

Stringent conditions for cross-reactivity testing were achieved by using a high concentration of the HSV DFA Reagent and high titers of microorganisms. The DFA Reagent was prepared at 1.5X the concentration that is provided in the kit.

Depending on the particular virus, 500 to 715 TCIDso viruses were inoculated into shell vial or multi-well plate cultures and incubated for 24 to 48 hours to yield a 1+ to 3+ infection, processed and stained with the 1.5X DFAs according to the procedure detailed in the product insert. Stained cells were examined at 200x magnification. Cell cultures were stained as confluent monolayers,

Bacteria and yeast were cultured, processed as suspensions, then spotted on microscope slides (at CFUs ranging from 6.4x104 to 2.93x107/well in a 10 µL dot, depending on the bacterium), then stained with the 1.5X DFAs according to the procedure in the product insert. Stained slides were examined at 400X magnification.

510(k) summary

Page 5-3 of 5-5

350 West State Street  •  Athens, Ohio 45701  •  1-800-344-5847  •  Fax 740-593-0980  •  www.dhiusa.com

Athens, Ohio 45701 •

  • 1-800-344-5847 -

3

Virus Strains Tested for Cross Reactivity with D³ HSV DFA Reagent
OrganismStrain or TypeInoculum
(TCID₅₀)OrganismStrain or TypeInoculum
(TCID₅₀)
AdenovirusType 1715Influenza BHong Kong715
AdenovirusType 3715Influenza BMaryland715
AdenovirusType 5715Influenza BMass715
AdenovirusType 6715Influenza BTaiwan715
AdenovirusType 7715Influenza BGL715
AdenovirusType 8715Influenza BJH-001 isolate715
AdenovirusType 10715Influenza BRussia715
AdenovirusType 13715RSVLong715
AdenovirusType 14715RSVWash715
AdenovirusType 18715RSV9320715
AdenovirusType 31715Parainfluenza 1C-35715
AdenovirusType 40715Parainfluenza 2Greer715
AdenovirusType 41715Parainfluenza 3C 243715
Influenza AAichi715Parainfluenza 4aM-25715
Influenza AMal715Parainfluenza 4bCH19503715
Influenza AHong Kong715CMVTowne700
Influenza ADenver715CMVDavis700
Influenza APort Chalmers715CMVAD169700
Influenza AVictoria715VZVWebster500
Influenza ANew Jersey715VZVAllen500
Influenza APR715Epstein-BarrCommercially available slides stained.¹
Influenza AWS715Rubeola
Mumps
EchovirusTypes 4, 6, 9,
11, 30, 34Commercially available slides stained.¹HPVTypes 6, 11Commercially available slides stained.¹
CoxsackievirusTypes B1, B2,
B3, B4, B5, B6Commercially available slides stained.¹
Cell Lines Tested for Cross Reactivity with D³ HSV DFA Reagent
A-549MRHFRhMK II
BGMKMv1LupRK
HEp-2NCI-H292RD
LLC-MK2pCMKR-Mix
MDCKpRhMKVero
MRC-5WI-38
Microorganisms Tested for Cross Reactivity with D³ HSV DFA Reagent
BACTERIACFU
TESTEDBACTERIACFU
TESTED
Acinetobacter calcoaceticus9.7 x 10⁵Salmonella typhimurium1.7 x 10⁶
Bordetella bronchiseptica1.7 x 10⁵Staphylococcus aureus1.0 x 10⁷
Bordetella pertussis4.6 x 10⁶Streptococcus agalactiae9.6 x 10⁶
Corynebacterium diphtheriae2.5 x 10⁶Streptococcus pneumoniae8.0 x 10⁵
Escherichia coli2.6 x 10⁵Streptococcus pyogenes2.9 x 10⁷
Gardnerella vaginalis5.0 x 10⁵Acholeplasma laidlawi~6 x 10⁴
Haemophilis influenzae type A9.3 x 10⁵Mycoplasma hominis~6 x 10⁴
Klebsiella pneumoniae6.4 x 10⁶Mycoplasma orale~6 x 10⁴
Legionella pneumophila6.5 x 10⁴Mycoplasma pneumoniae~6 x 10⁴
Moraxella cartarrhalis6.4 x 10⁴Mycoplasma salivarium~6 x 10⁴
Neisseria gonorrhoeae1.3 x 10⁶Ureaplasma uralyticum~6 x 10⁴
Proteus mirabilis2.1 x 10⁶Chlamydophila pneumoniaeCommercially available slides stained.¹
Pseudomonas aeruginosa1.0 x 10⁷Chlamydia trachomatis
Salmonella enteriditis2.5 x 10⁶

Some microorganisms were procured from an external source as prepared microscope slides, intended to be used as positive controls for assays.

350 West State Street ▪ ▲thens, Ohio 45701 ▪ ▪ 1-800-344-5847 ▪ ▪Fax 740-593-0980 ▪ www.dhiusa.com

a Test material is from commercially available prepared slides. Each positive well contained 10% to 50% reactive cells.

4

YEASTPROTOZOAN
Candida glabrataTrichomonas vaginalis[Commercially available slides stained.]1
$8.7 \times 10^6$

Clinical Performance

Clinical studies have been conducted at four different laboratories where they compared the D3 DFA HSV Kit performance to that of comparison tests using five hundred and thirty (530) specimens. A combination of fresh (250) and frozen (280) specimens were tested. Three specimens from site 4 were not evaluated due to bacterial contamination of the monolayers, leaving 527 for analysis.

Two study sites used tube cultures, one used shell vial culture, and one used multi-well plates. Specimens were processed and cultured according to each laboratory's established procedures and testing performed according to the respective tests' instructions for use. The resulting stained cells were microscopically evaluated and results reported as positive or negative for identification of HSV.

Positive and Negative Percent Agreement between the Subject and Comparison test results were calculated and reported at 95% confidence interval.

Table of Combined Specimen Results from Four Study Sites
Comparison Device
+-
Subject Device
Diagnostic
Hybrids+2001
-1325
Positive Percent Agreementb (PPA)99.5%
95% CIc – PPA97.3% - 100%
Negative Percent Agreementd (NPA)99.7%
95% CI – NPA98.3% - 100%

Specter, S., Hodinka, R. L., and Young, S.A. 2000, Clinical Virology Manual, Washington D.C., ASM Press, 420-424. 2 Bryson, Y.J., M. Dillon, M. Lovett, G. Acura, S. Taylor, J.D. Cherry, L. Johnson, E. Weismeier, W. Growdeon, T.

Creagh-Kirk and R. Keeney, 1983. "Treatment of first episodes of genital Herpes simplex virus infection with oral acyclovir: A randomized double-blind controlled trial in normal subjects". New Eng. J. Med., 308: 916-921.

8 Reeves, E.O., L. Corey, H.G. Adams. L.A. Vontver and K.K. Holmes. 1981. "Risk of recurrence after first episodes of genital herpes: relation to HSV type and antibody response". New Eng. J. Med., 305: 315-319.

for Viral, Rickettsial and Chiamydial Infections. Sixth Edition, N.J. Schmidt and R.W. Emmons, (eds), American Public Health Association, Inc., Washington, D.C.

് Gleaves, C.A., D.J. Wilson, A.D. Wolf and T.F. Smith. 1985. "Detection and Serotyping of Herpes simplex Virus in in MRC-5 cells by use of centrifugation and monoclonal antibodies 16h post-incculation" . J. Clin. Micro., 21: 29-32.

8 Moore, D.F. 1984. "Comparison of human fibroblast cells and primary rabbit kidney cells for isolation of Herpes and simplex virus". J. Clin. Micro. 19: 548-549.

510(k) summary

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350 West State Street  •  Athens, Ohio 45701  •  1-800-344-5847  •  Fax 740-593-0980  •  www.dhiusa.com

3 Dulbecco, R. and H.S. Ginsberg. 1973. "Herpesviruses", Chapter 55 in Microbiology, Third Edition, D.D. D. D. D. D. D. D. D. D. D. D. D. D. D. D. D. S. et al. (eds.), Harper and Row, Hagerstown.

Gleaves, C.A., D.J. Wilson, A.D. Wold and T.F. Smith. 1985. "Detection and Serotyping of Herpes simplex Virus in MRC-5 cells by use of centrifugation and monoclonal antibodies 16h post-inoculation". J. Clin. Micro, 21: 29-32.

for Viral, Rickettsial and Chlamydial Infections, Sixth Edition, N.J. Schmidt and R.W. Emmons, (eds), American Public Health Association, Inc., Washington, D.C.

" Positive Percent Agreement", or "PPA", values were caculated according to {[Total Number of Positive Results in Agreement by both Subject and Predicate Tests) divided by ((Total Number of Positive Results in Agreement by both Subject and Predicate Tests) plus (Number of Results Positive by Predicate but Negative by Subject)]} multiplied by 100%.

f 95% Cl" refers to 95% Confidence Intervals, which were calculated according to Exact method (Clopper, C. and S. Pearson, Biometrika 26:404-413, 1934).

d "Negative Percent Agreement", or "NPA", values were calculated according to {[Total Number of Negative Results in Agreement by both Subject and Predicate Tests) divided by [(Total Number of Negative Results in Agreement by both Subject and Predicate Tests) plus (Number of Results Negative by Results in Rositive by Subject)]) multiplied by 100%.

5

Image /page/5/Picture/1 description: The image shows a circular logo for the U.S. Department of Health & Human Services. The logo features the department's emblem, which is a stylized depiction of an eagle or bird-like figure. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" are arranged around the emblem in a circular fashion.

SEP 2 1 2007

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Ms. Gail R. Goodrum Vice President, Regulatory and Quality Affairs Diagnostic Hybrids, Inc. 350 West State Street Athens, OH 45701

Re: K063798

Trade/Device Name: Diagnostic Hybrids DJ DFA Herpes Simplex Virus Identification Kit Regulation Number: 21 CFR § 866.3350 Regulation Name: Herpes simplex virus serological reagents Regulatory Class: II Product Code: GQN Dated: August 10, 2007 Received: August 13, 2007

Dear Ms. Goodrum:

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 10(a)/ marketed predicate device results in a classification for your device and thus, permitts 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 In Vitro Diagnostic Device Evaluation and Safety at 240-276-0450. 1500. please note the regulation entitled, "Misbranding by reference to premarket notification". (211CR Part 807.97). For questions regarding postmarket surveillance, please contact Chorners (Cross of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-376-307 questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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,

Sally attaym

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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Indications for Use

510(k) Number (if known): K063798

Device Name: Diagnostic Hybrids D3 DFA Herpes Simplex Virus Identification Kit

Indications for Use: The Diagnostic Hybrids D3 DFA Herpes Simplex Virus Identification Kit is intended for use in the qualitative detection of human herpes simplex virus (HSV) in cell cultures by immunofluorescence using fluoresceinated monoclonal antibodies (MAbs), Negative results do not preclude an infection and should not be used as the sole basis for diagnosis, treatment or other management decisions.

Performance using direct specimen testing has not been evaluated.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

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Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K063778