K Number
K070453
Device Name
OLYMPUS D-DIMER REAGENT, MODEL OSR6X135, OLYMPUS D-DIMER CALIBRATOR, MODEL ODR3033, OLYMPUS D-DIMER CONTROL
Date Cleared
2007-06-11

(115 days)

Product Code
Regulation Number
864.7320
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
System reagent for the quantitative determination of D-Dimer in human plasma on OLYMPUS analyzers. Aid in detecting the presence and degree of intravascular coagulation and fibrinolysis, and in monitoring therapy for disseminated intravascular coagulation.
Device Description
In this Olympus procedure, the decrease in light intensity transmitted (increase in absorbance) through particles suspended in solution is as a result of complexes formed during the immunological reaction between the D-Dimer of the patient serum and the anti-human D-Dimer antibodies coated on the latex particles
More Information

Roche Tina-Quant® D-Dimer, Roche D-Dimer Calibrator, Roche D-Dimer Control I/II

No
The device description details a standard immunological reaction and photometric measurement, with no mention of AI/ML algorithms for analysis or interpretation.

No

The device is intended for diagnostic purposes (detection and monitoring of a condition), not for treating or preventing a disease.

Yes

This device aids in detecting the presence and degree of intravascular coagulation and fibrinolysis, which is a diagnostic function, and is used on human plasma to determine D-Dimer levels to provide information about a patient's health status.

No

The device description clearly indicates it is a system reagent used with an analyzer, describing a chemical reaction involving latex particles and antibodies, which are physical components, not software.

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

Here's why:

  • Intended Use: The intended use explicitly states "System reagent for the quantitative determination of D-Dimer in human plasma". This indicates the device is used to test a sample taken from the human body (plasma) in vitro (outside the body) to obtain diagnostic information (quantitative determination of D-Dimer).
  • Device Description: The description details an "immunological reaction between the D-Dimer of the patient serum and the anti-human D-Dimer antibodies coated on the latex particles". This describes a laboratory test performed on a biological sample.
  • Aid in Diagnosis/Monitoring: The intended use also mentions aiding in "detecting the presence and degree of intravascular coagulation and fibrinolysis, and in monitoring therapy for disseminated intravascular coagulation." This clearly links the test results to diagnostic and monitoring purposes for medical conditions.

All these points align with the definition of an In Vitro Diagnostic device, which is used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes.

N/A

Intended Use / Indications for Use

System reagent for the quantitative determination of D-Dimer in human plasma on OLYMPUS analyzers.

Aid in detecting the presence and degree of intravascular coagulation and fibrinolysis, and in monitoring therapy for disseminated intravascular coagulation.

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

GHH

Device Description

In this Olympus procedure, the decrease in light intensity transmitted (increase in absorbance) through particles suspended in solution is as a result of complexes formed during the immunological reaction between the D-Dimer of the patient serum and the anti-human D-Dimer antibodies coated on the latex particles

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)

Precision:
AU400/400e:
Sample 1: Total CV% 9.44
Sample 2: Total CV% 7.99
Sample 3: Total CV% 2.48

AU600/640/640e:
Sample 1: Total CV% 9.14
Sample 2: Total CV% 7.95
Sample 3: Total CV% 3.02

AU2700/5400:
Sample 1: Total CV% 8.17
Sample 2: Total CV% 4.44
Sample 3: Total CV% 2.52

Assay Range: 0.15 - 8.00 µg FEU/mL

Analytical Sensitivity: 0.08 µg FEU/mL

Method Comparison (Linear Regression):
Intercept 0.079
Slope 1.010
R2 0.996
Range 0.28-7.53 µg FEU/mL

Interfering Substances (Interference less than 10%):
AU400/400e, 600/640/640e & 2700/5400:
Bilirubin: up to 40 mg/dL Bilirubin
Hemolysis: up to 500 mg/dL Hemolysate
Rheumatoid Factor: up to 100IU/mL
Heparin: up to 1.5 IU/mL

AU400/400e & 600/640/640e:
Lipemia: up to 1000 mg/dL Intralipid

2700/5400:
Lipemia: up to 700 mg/dL Intralipid

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

Not Found

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.

Roche Tina-Quant® D-Dimer, Roche D-Dimer Calibrator, Roche D-Dimer Control I/II

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.

K030740, K002706

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).

Not Found

§ 864.7320 Fibrinogen/fibrin degradation products assay.

(a)
Identification. A fibrinogen/fibrin degradation products assay is a device used to detect and measure fibrinogen degradation products and fibrin degradation products (protein fragments produced by the enzymatic action of plasmin on fibrinogen and fibrin) as an aid in detecting the presence and degree of intravascular coagulation and fibrinolysis (the dissolution of the fibrin in a blood clot) and in monitoring therapy for disseminated intravascular coagulation (nonlocalized clotting in the blood vessels).(b)
Classification. Class II (performance standards).

0

510(k) Summary

UN 1 2007

The assigned 510(k) number is: _ K070453 S


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

| 1. Submitter name, address, contact | Olympus Life and
Material Science
Europa GmbH
Lismeehan,
O'Callaghan's Mills
Co. Clare, Ireland | |
|-------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------|
| | U.S. Telephone:
U.S. Fax:
Telephone: | 469-230-0959
972-317-7861
011-353-65-683-1100 |
| | Contact Person: | Stephanie G. Schwartz |
| | Date Prepared: | April 25, 2007 |
| 2. Device name | Proprietary Name: | Olympus D-Dimer Reagent (OSR6x135)
Olympus D-Dimer Calibrator (ODR3033)
Olympus D-Dimer Control (ODC0029) |
| | Common Name: | D-Dimer Reagent, Calibrator and Control |
| | Classification Name: | Fibrinogen/fibrin degradation products
assay |
| 3. Predicate device | Reagent:
Calibrator
Control | Roche Tina-Quant® D-Dimer
Roche D-Dimer Calibrator
Roche D-Dimer Control I/II |
| | | Submitted (K030740 & K002706) |
| 4. Device description | In this Olympus procedure, the decrease in light intensity
transmitted (increase in absorbance) through particles suspended
in solution is as a result of complexes formed during the
immunological reaction between the D-Dimer of the patient serum
and the anti-human D-Dimer antibodies coated on the latex
particles | |
| 5. Intended use | System reagent for the quantitative determination of D-Dimer in
human plasma on Olympus analyzers | |
| | The Olympus D-Dimer Calibrator is designed to provide suitable
calibration levels for Olympus analyzers employing the immuno-
turbidimetric assays for D-Dimer determinations | |
| | The Olympus D-Dimer Control is a lyophilized human control.
These assayed controls are designed to monitor the accuracy and
precision of the quantitative Olympus D-Dimer reagents. | |

1

510(k) Summary

The assigned 510(k) number is: _______________________________________________________________________________________________________________________________________________

P
)

The following Tables compare the new Olympus D-Dimer Test
System with the Roche Tina-Quant® D-Dimer Test System.

| System with the Roche Tina-Quant ® D-Dimer Test System.

Similarities
ItemOlympus D-Dimer Test SystemPredicate System
Intended UseReagent for the quantitative determination of D-Dimer in human plasmaAssay for quantitative determination of D-Dimer in human plasma
TraceabilityAnother Commercially available assaySame
MeasurementQuantitativeSame
Specimen TypeCitrate and Lithium Heparin PlasmaSame
Assay MethodologyLatex enhanced ImmunoturbidimetricSame
AntibodyMonoclonal anti human D-Dimer mouse antibodiesSame
Solid PhaseLatex ParticleSame
Reagent storage formLiquid
On-board storageSame
Reagent HandlingR1 Ready for use
R2: Mix before placing on instrument and at weekly intervals thereafterSame
Calibrator and Control
ConstituentsSingleSame
Calibrator and Control
MaterialHuman OriginSame
Calibrator Storage formCalibrator 1 : Liquid ready to use
Calibrator 2 : Lyophilized PowderSame
Calibration6 pointsSame
Quality Controls2 LevelsSame
Control Storage FormLyophilized PowderSame
Expected Values