K Number
K070391
Device Name
ELECSYS PTH TEST SYSTEM
Date Cleared
2007-03-20

(39 days)

Product Code
Regulation Number
862.1545
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Immunoassay for the in vitro quantitative determination of intact parathyroid hormone in human serum and plasma for the differential diagnosis of hypercalcemia and hypocalcemia. The electrochemiluminescence immunoassay "ECLIA" is intended for use on Elecsys and cobas e immunoassay analyzers. Elecsys PTH CalSet STAT is used for calibrating the quantitative Elecsys PTH STAT assay for intact PTH (parathyroid hormone) on the Elecsys and cobas e immunoassay analyzers. Elecsys PTH CalSet is used for calibrating the quantitative Elecsys PTH assay for intact PTH (parathyroid hormone) on the Elecsys and cobas e immunoassay analyzers
Device Description
(1) The Elecsys PTH STAT Assay is a two step sandwich immunoassay with streptavidin microparticles and electrochemiluminescence detection. Results are determined using a calibration curve that is generated specifically on each instrument by a 2 point calibration and a master curve provided with the reagent bar code. (2) The Elecsys PTH STAT CalSet is a lyophilized product consisting of human serum with added synthetic PTH in two concentration ranges. During manufacture, the analyte is spiked into the matrix at the desired concentration levels.
More Information

K961481/A003

No
The summary describes a standard immunoassay system and calibration process, with no mention of AI or ML algorithms for data analysis, interpretation, or decision support. The results are determined using a calibration curve and master curve, which are traditional methods.

No
This device is an immunoassay for in vitro quantitative determination of parathyroid hormone, used for differential diagnosis, not for treating any condition.

Yes

The "Intended Use / Indications for Use" section explicitly states that the immunoassay is for the "differential diagnosis of hypercalcemia and hypocalcemia." This indicates its use in identifying or distinguishing diseases or conditions.

No

The device description clearly outlines a two-step sandwich immunoassay utilizing streptavidin microparticles and electrochemiluminescence detection, which are hardware components and chemical reagents, not software.

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

Here's why:

  • Intended Use: The "Intended Use / Indications for Use" section explicitly states "Immunoassay for the in vitro quantitative determination of intact parathyroid hormone in human serum and plasma". The phrase "in vitro" is a key indicator of an IVD.
  • Device Description: The description details an "immunoassay" which is a common type of IVD test. It also mentions using "human serum and plasma" as the sample matrix, which are biological specimens tested in vitro.
  • Predicate Device: The mention of a "Predicate Device(s)" with a K number (K992680 Elecsys PTH System) strongly suggests that this device is being submitted for regulatory review as an IVD, as predicate devices are used for comparison in IVD submissions.

N/A

Intended Use / Indications for Use

(1) Immunoassay is for the in vitro quantitative determination of intact parathyroid hormone in human serum and plasma for the differential diagnosis of hypercalcemia and hypocalcemia.

(2) Used for calibrating the quantitative Elecsys PTH STAT assay for intact PTH (parathyroid hormone) on the Elecsys and cobas e immunoassay analyzers.

Product codes

CEW, JIT

Device Description

(1) The Elecsys PTH STAT Assay is a two step sandwich immunoassay with streptavidin microparticles and electrochemiluminescence detection. Results are determined using a calibration curve that is generated specifically on each instrument by a 2 point calibration and a master curve provided with the reagent bar code.
(2) The Elecsys PTH STAT CalSet is a lyophilized product consisting of human serum with added synthetic PTH in two concentration ranges. During manufacture, the analyte is spiked into the matrix at the desired concentration levels.

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)

Not Found

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

Not Found

Predicate Device(s)

K992680

Reference Device(s)

K961481/A003

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.1545 Parathyroid hormone test system.

(a)
Identification. A parathyroid hormone test system is a device intended to measure the levels of parathyroid hormone in serum and plasma. Measurements of parathyroid hormone levels are used in the differential diagnosis of hypercalcemia (abnormally high levels of calcium in the blood) and hypocalcemia (abnormally low levels of calcium in the blood) resulting from disorders of calcium metabolism.(b)
Classification. Class II.

0

K07039/

510(k) Summary - Elecsys PTH Test System
--------------------------------------------

MAR 2 0 2007

IntroductionAccording to the requirements of 21 CFR 807.92, the following information provides sufficient detail to understand the basis for a determination of substantial equivalence
Submitter name, address, contactRoche Diagnostics
9115 Hague Rd
Indianapolis IN 46250
(317) 521-3544
Contact person: Kay A. Taylor
Date prepared: February 8, 2007
Device name
Proprietary name: Elecsys PTH Immunoassay
Elecsys PTH CalSet
Common name: Parathyroid Hormone Assay
Calibrator
Classification name: Radioimmunoassay, Parathyroid Hormone
Calibrator, Secondary
Device description(1) The Elecsys PTH STAT Assay is a two step sandwich immunoassay with streptavidin microparticles and electrochemiluminescence detection. Results are determined using a calibration curve that is generated specifically on each instrument by a 2 point calibration and a master curve provided with the reagent bar code.
(2) The Elecsys PTH STAT CalSet is a lyophilized product consisting of human serum with added synthetic PTH in two concentration ranges. During manufacture, the analyte is spiked into the matrix at the desired concentration levels.

.

1

| Intended use | (1) Immunoassay is for the in vitro quantitative determination of intact
parathyroid hormone in human serum and plasma for the differential
diagnosis of hypercalcemia and hypocalcemia.

(2) Used for calibrating the quantitative Elecsys PTH STAT assay for intact
PTH (parathyroid hormone) on the Elecsys and cobas e immunoassay
analyzers. |
|----------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Substantial
Equivalence | The Elecsys PTH STAT Test System (modified) is substantially equivalent to
other devices legally marketed in the United States. The Elecsys PTH STAT
Test System (modified) is equivalent to the Elecsys PTH System (K992680). |
| Device
Comparison | The following table compares the Elecsys PTH STAT Test System (modified)
and the predicate device. The predicate labeling used as the source document
for the comparison is from that provided to FDA in K961481/A003. |

Feature Predicate Device Modified Device Elecsys PTH Assay Elecsys PTH STAT 9 minute application Reagent Immunoassay for the in vitro Same Intended quantitative determination of intact Use/Indications parathyroid hormone in human for Use serum and plasma for the differential diagnosis of hypercalcemia and hypocalcemia. Calibrator Elecsys PTH CalSet is used for Elecsys PTH CalSet STAT is used for Intended Use calibrating the quantitative Elecsys calibrating the quantitative Elecsys PTH PTH assay for intact PTH STAT assay for intact PTH (parathyroid (parathyroid hormone) on the hormone) on the Elecsys and cobas e Elecsys immunoassay analyzers immunoassay analyzers Platform(s) Elecsys 1010, Elecsys 2010, Elecsys 1010, Elecsys 2010, cobas e 411 MODULAR ANALYTICS E170, analyzers cobas e 411 and cobas e 601 analyzers.

Comparison Table

2

Comparison Table
FeaturePredicate Device
Elecsys PTH AssayModified Device
Elecsys PTH STAT
9 minute application
Assay ProtocolSandwich assaySame
DetectionElectrochemiluminescentSame
Total Assay
DurationElecsys 1010: 9 minute application
Elecsys 2010, cobas e 411 E170,
and cobas e 601: 18 minute
application9 minute application only
Sample TypeHuman serum and plasma treated
with K3-EDTA.Same
CalibratorElecsys PTH CalSetElecsys PTH STAT CalSet
CalSet LevelsTwoSame
Measuring
Range1.20 – 5,000 pg/mLSame
Analytical
sensitivity1.20 pg/mL
(0.127 pmol/L)Same
CalSet MatrixHuman serum w/ synthetic PTHSame
CalSet StorageLyophilizedSame
CalSet Target
Conc.Cal 1: ~0.05 pg/mL
Cal 2: ~4500 pg/mLSame
Traceability /
StandardizationStandardized against a
commercially available PTH test
(RIA).Standardized against Elecsys PTH (Cat.
No. 11972103). This in turn was
Standardized against a commercial PTH
test (RIA).
Hook EffectNo high dose hook effect at PTH
concentrations up to 17,000 pg/mL.Same
Analytical
SpecificityFor the monoclonal antibodies used,
the following cross-reactivities were
found: Osteocalcin, PTH fragment
1-37, bone-specific alkaline
phosphatase, and β-Crosslaps: no
cross-reactivity detectable.Same – reworded to be more clear

No cross-reactivities were found for:
Osteocalcin, PTH fragment 1-37,
bone-specific alkaline phosphatase, and
β-CrossLaps. |
| Comparison Table | | |
| Feature | Predicate Device
Elecsys PTH Assay | Modified Device
Elecsys PTH STAT
9 minute application |
| Reagent Stability | Unopened:
2-8°C -- Up to the stated expiration date
Opened:
2-8°C – 12 weeks
On the E170/cobas e 601 and
Elecsys 2010/cobas e 411:
8 weeks
On the Elecsys 1010:
4 weeks (stored alternately in the
refrigerator and on the analyzer- ambient temperature 20-25°C; up to 20 hours opened in total.) | Same

Opened:
2-8°C – 12 weeks
On Elecsys 2010/cobas e 411: 8 weeks
On the Elecsys 1010:
4 weeks (stored alternately in the refrigerator and on the analyzer- ambient temperature 20-25°C; up to 20 hours opened in total.) |
| Calibration
Interval | Calibration must be performed once per reagent lot using fresh reagent (i.e. not more than 24 hours since the reagent kit was registered on the analyzer). | Same |
| Calibration
Interval,
continued | Renewed calibration is recommended as follows:
E170/cobas e 601 and Elecsys 2010/cobas e 411:
After 1 month (28 days) when using the same reagent lot.
After 7 days (when using the same reagent kit on the analyzer).

Elecsys 1010:
With every reagent kit.
After 7 days (20-25°C).
After 3 days (25-32°C). | Elecsys 2010/cobas e 411:
After 1 month (28 days) when using the same reagent lot.
After 7 days (when using the same reagent kit on the analyzer).

Elecsys 1010:
With every reagent kit.
After 7 days (20-25°C).
After 3 days (25-32°C). |
| Feature | Predicate Device
Elecsys PTH Assay | Modified Device
Elecsys PTH STAT
9 minute application |
| Precision | Elecsys 1010/ 2010:
Within-run
5.4% CV @ 30.0 pg/mL
4.0% CV @ 62.2 pg/mL
4.0% CV @ 271 pg/mL
5.8% CV @ 44.3 pg/mL
3.4% CV @ 161 pg/mL
3.9% CV @ 702 pg/mL

Total
5.9% CV @ 30.0 pg/mL
4.3% CV @ 62.2 pg/mL
4.3% CV @ 271 pg/mL
7.1% CV @ 44.3 pg/mL
5.0% CV @ 161 pg/mL
5.4% CV @ 702 pg/mL

E170:
Within-run
2.0% CV @ 25.0 pg/mL
1.2% CV @ 39.8 pg/mL
1.1% CV @ 139 pg/mL
2.2% CV @ 82.2 pg/mL
2.8% CV @ 265 pg/mL
0.6% CV @ 1,215 pg/mL

Total
3.4% CV @ 26.4 pg/mL
2.5% CV @ 91.5 pg/mL
2.8% CV @ 269 pg/mL
1.7% CV @ 82.7 pg/mL
1.6% CV @ 267 pg/mL
1.6% CV @ 1,222 pg/mL | Elecsys 1010:
Same

Same

Elecsys 2010/cobas e411
Within-run
2.1% CV @ 53.4 pg/mL
1.7% CV @ 215 pg/mL
1.7% CV @ 980 pg/mL
1.6% CV @ 52.6 pg/mL
2.0% CV @ 182 pg/mL
1.8% CV @ 744 pg/mL

Total
3.8% CV @ 53.4 pg/mL
2.8% CV @ 215 pg/mL
2.5% CV @ 980 pg/mL
1.9% CV @ 52.6 pg/mL
2.5% CV @ 182 pg/mL
2.2% CV @ 744 pg/mL

E170:
Not applicable |
| Feature | Predicate Device
Elecsys PTH Assay | Modified Device
Elecsys PTH STAT
9 minute application |
| Limitations | The assay is unaffected by:
Icterus (bilirubin 5 mg/day), no sample should be taken until at least 8 hours after the last biotin administration In vitro tests were performed on 16 commonly used pharmaceuticals. No interference with the assay was found. As with all tests containing monoclonal mouse antibodies, erroneous findings may be obtained from samples taken from patients who have been tested with monoclonal mouse antibodies or have received them for diagnostic purposes. In rare cases, interference due to extremely high titers of antibodies to ruthenium can occur. | Same except,
Hemolysis (Hb