K Number
K071002
Device Name
IMMAGE IMMUNOCHEMISTRY SYSTEMS HIGH SENSITIVITY CARDIAC C-REACTIVE PROTEIN (CCRP) REAGENT
Date Cleared
2007-06-21

(73 days)

Product Code
Regulation Number
866.5270
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
High Sensitivity Cardiac C-Reactive Protein (CCRP) reagent, when used in conjunction with IMMAGE® 800 Immunochemistry Systems and Calibrator 5 Plus, is intended for the quantitative determination of C-Reactive protein in human serum or plasma by rate turbidimetry. Measurement of C-Reactive protein (CRP) aids in evaluation of stress, trauma, infection, inflammation, surgery, and associated diseases. Cardiac CRP assays are indicated for use as an aid in the identification and stratification of individuals at risk for future cardiovascular disease. When used in conjunction with traditional clinical laboratory evaluation of acute coronary syndromes, CRP may be useful as an independent marker of prognosis for recurrent events in patients with stable coronary disease or acute coronary syndrome. CAL 5 Plus (Calibrator 5 Plus), when used in conjunction with Beckman Coulter reagents, is intended for use on IMMAGE® Immunochemistry Systems for the calibration of Anti-Streptolysin O (ASO), C-Reactive Protein (CRP) and Rheumatoid Factor (RF).
Device Description
High Sensitivity Cardiac C-Reactive Protein (CCRP) reagent is intended for the quantitative determination of C-Reactive protein in human serum or plasma by rate turbidimetry. The IMMAGE® 800 Immunochemistry Systems CCRP reagent is based on the highly sensitive Near Infrared Particle Immunoassay rate methodology. An anti-CRP antibody-coated particle binds to CRP in the patient sample resulting in the formation of insoluble aggregates causing turbidity. The rate of aggregate formation is directly proportional to the concentration of CRP in the sample. CAL 5 Plus (Calibrator 5 Plus) is a frozen liquid serum matrix intended for use on IMMAGE® Immunochemistry Systems for the calibration of Anti-Streptolysin O (ASO), C-Reactive Protein (CRP) and Rheumatoid Factor (RF).
More Information

Not Found

No
The summary describes a traditional immunoassay reagent and calibrator used with an immunochemistry system, relying on rate turbidimetry. There is no mention of AI or ML in the device description, intended use, or performance studies.

No.
The device is an in vitro diagnostic (IVD) reagent and calibrator used for the quantitative determination of C-Reactive protein in human serum or plasma, which aids in evaluation and identification of risk, but does not itself provide therapy or treatment.

Yes

The device aids in the identification and stratification of individuals at risk for future cardiovascular disease and helps in the evaluation of various medical conditions, indicating its role in diagnosis.

No

The device is a reagent and calibrator used with an immunochemistry system, 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 the device is for the "quantitative determination of C-Reactive protein in human serum or plasma." This involves testing biological samples in vitro (outside the body).
  • Device Description: The description details a "reagent" and a "calibrator" used on an "Immunochemistry System." These are all components typical of IVD devices used for laboratory testing of biological samples.
  • Performance Studies: The performance studies describe "method comparison," "stability," "linearity," and "imprecision experiments" conducted on the reagent and calibrator, which are standard evaluations for IVD devices.
  • Predicate Devices: The listed predicate devices (Dade Behring CardioPhase hsCRP, IMMAGE Immunochemistry Systems High Sensitivity CRPH Reagent, Beckman Cal 5 Plus) are all known IVD products.

The entire context of the provided information points to a device designed for laboratory testing of human biological samples to provide diagnostic information, which is the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

High Sensitivity Cardiac C-Reactive Protein (CCRP) reagent, when used in conjunction with IMMAGE® 800 Immunochemistry Systems and Calibrator 5 Plus, is intended for the quantitative determination of C-Reactive protein in human serum or plasma by rate turbidimetry.
Measurement of C-Reactive protein (CRP) aids in evaluation of stress, trauma, infection, inflammation, surgery, and associated diseases. Cardiac CRP assays are indicated for use as an aid in the identification and stratification of individuals at risk for future cardiovascular disease. When used in conjunction with traditional clinical laboratory evaluation of acute coronary syndromes, CRP may be useful as an independent marker of prognosis for recurrent events in patients with stable coronary disease or acute coronary syndrome.
CAL 5 Plus (Calibrator 5 Plus), when used in conjunction with Beckman Coulter reagents, is intended for use on IMMAGE® Immunochemistry Systems for the calibration of Anti-Streptolysin O (ASO), C-Reactive Protein (CRP) and Rheumatoid Factor (RF).

Product codes

NQD, JIX

Device Description

High Sensitivity Cardiac C-Reactive Protein (CCRP) reagent is intended for the quantitative determination of C-Reactive protein in human serum or plasma by rate turbidimetry. The IMMAGE® 800 Immunochemistry Systems CCRP reagent is based on the highly sensitive Near Infrared Particle Immunoassay rate methodology. An anti-CRP antibody-coated particle binds to CRP in the patient sample resulting in the formation of insoluble aggregates causing turbidity. The rate of aggregate formation is directly proportional to the concentration of CRP in the sample.

CAL 5 Plus (Calibrator 5 Plus) is a frozen liquid serum matrix intended for use on IMMAGE® Immunochemistry Systems for the calibration of Anti-Streptolysin O (ASO), C-Reactive Protein (CRP) and Rheumatoid Factor (RF).

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)

The data in the Premarket Notification on safety and effectiveness supports a finding of substantial equivalence to chemistry test systems already in commercial distribution. Equivalence is demonstrated through method comparison, stability, linearity, and imprecision experiments.

Method Comparison Study Results:
IMMAGE High Sensitivity Cardiac CCRP Reagent (0.2 to 60 mg/L) compared to Dade Behring CardioPhase hsCRP: Slope = 0.965, Intercept = 0.334, R = 0.9962, N = 157.
IMMAGE High Sensitivity Cardiac CCRP Reagent (0.2 to 10 mg/L) compared to Dade Behring CardioPhase hsCRP: Slope = 1.013, Intercept = -0.026, R = 0.9939, N = 98.

IMMAGE High Sensitivity Cardiac CCRP Reagent Imprecision Results:
Within-Run Imprecision:
Level 1 (Mean 0.807 mg/dL): S.D. 0.0229 mg/dL, %C.V. 2.8, N=80.
Level 2 (Mean 13.56 mg/dL): S.D. 0.4109 mg/dL, %C.V. 3.0, N=80.
Level 3 (Mean 51.538 mg/dL): S.D. 1.7181 mg/dL, %C.V. 3.3, N=80.
Total Imprecision:
Level 1 (Mean 0.807 mg/dL): S.D. 0.0279 mg/dL, %C.V. 3.5, N=80.
Level 2 (Mean 13.56 mg/dL): S.D. 0.4248 mg/dL, %C.V. 3.1, N=80.
Level 3 (Mean 51.538 mg/dL): S.D. 2.1933 mg/dL, %C.V. 4.3, N=80.

Beckman CAL 5 Plus Stability Testing Summary:
Stress Temperature 32°C, Duration of Incubation 40 days, Predicted Stability 32 months, Beckman Stability Claim 24 months.
Stress Temperature 37°C, Duration of Incubation 24 days, Predicted Stability 33 months, Beckman Stability Claim 24 months.
Stress Temperature 41°C, Duration of Incubation 15.5 days, Predicted Stability 32 months, Beckman Stability Claim 24 months.

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

Not Found

Predicate Device(s)

K033908, K010236, K926236/A

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 866.5270 C-reactive protein immunological test system.

(a)
Identification. A C-reactive protein immunological test system is a device that consists of the reagents used to measure by immunochemical techniques the C-reactive protein in serum and other body fluids. Measurement of C-reactive protein aids in evaluation of the amount of injury to body tissues.(b)
Classification. Class II (performance standards).

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K07/002

Summary of Safety & Effectiveness Immage® 800 Immunochemistry Systems High Sensitivity Cardiac C-Reactive Protein (CCRP) Reagent

1.0 Submitted By:

Tara Viviani Senior Regulatory Affairs Specialist Beckman Coulter, Inc. 200 S. Kraemer Blvd., W-110 Brea, California 92822-8000 Telephone: (714) 961-3626 FAX: (714) 961-4234

JUN 2 1 2007

Date Submitted: 2.0

April 6, 2007

3.0 Device Name(s):

3.1 Proprietary Names

Immage® Immunochemistry Systems High Sensitivity Cardiac C-Reactive Protein (CCRP) Reagent Beckman CAL 5 Plus

Classification Name 3.2

C-Reactive Protein immunological test system (21 CFR § 866.5270) Calibrator, multi-analyte mixture (21 CFR § 862.1150)

4.0 Predicate Device:

| Candidate(s) | Predicate | Manufacturer | Docket
Number |
|----------------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------|------------------|
| IMMAGE Immunochemistry
Systems High Sensitivity
Cardiac CCRP Reagent | Dade Behring
CardioPhase hsCRP | Dade Behring
Inc.* | K033908 |
| IMMAGE Immunochemistry
Systems High Sensitivity
Cardiac CCRP Reagent | IMMAGE Immunochemistry
Systems High Sensitivity
CRPH Reagent | Beckman
Coulter, Inc | K010236 |
| Beckman CAL 5 Plus | Beckman Cal 5 Plus | Beckman
Coulter, Inc. | K926236/A |

*Dade Behring Inc. (Newark, DE)

5.0 Description:

High Sensitivity Cardiac C-Reactive Protein (CCRP) reagent is intended for the quantitative determination of C-Reactive protein in human serum or plasma by rate turbidimetry. The IMMAGE® 800 Immunochemistry Systems CCRP reagent is based on the highly sensitive Near Infrared Particle Immunoassay rate methodology. An anti-CRP antibody-coated particle binds to CRP in the patient sample resulting in the formation of insoluble aggregates causing turbidity. The rate of aggregate formation is directly proportional to the concentration of CRP in the sample.

CAL 5 Plus (Calibrator 5 Plus) is a frozen liquid serum matrix intended for use on IMMAGE® Immunochemistry Systems for the calibration of Anti-Streptolysin O (ASO), C-Reactive Protein (CRP) and Rheumatoid Factor (RF).

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6.0 Intended Use:

High Sensitivity Cardiac C-Reactive Protein (CCRP) reagent, when used in conjunction with IMMAGE® 800 Immunochemistry Systems and Calibrator 5 Plus, is intended for the quantitative determination of C-Reactive protein in human serum or plasma by rate turbidimetry.

CAL 5 Plus (Calibrator 5 Plus). when used in coniunction with Beckman Coulter reagents. is intended for use on IMMAGE® Immunochemistry Systems for the calibration of Anti-Streptolysin O (ASO), C-Reactive Protein (CRP) and Rheumatoid Factor (RF).

Clinical Significance:

Measurement of C-Reactive protein (CRP) aids in evaluation of stress, trauma, infection, inflammation, surgery, and associated diseases. Cardiac CRP assays are indicated for use as an aid in the identification and stratification of individuals at risk for future cardiovascular disease. When used in conjunction with traditional clinical laboratory evaluation of acute coronary syndromes, CRP may be useful as an independent marker of prognosis for recurrent events in patients with stable coronary disease or acute coronary syndrome.

7.0 Comparison to Predicate(s):

The following table shows similarities and differences between the predicates identified in Section 4.0 of this summary.

Similarities
Immage
Cardiac CCRP
ReagentIntended UseSame as Behring
CardioPhase hsCRP
Use of Latex
particle technologySame as
Dade Behring CardioPhase hsCRP and Immage
CRPH
Liquid stable
reagentThe formulation is identical to Immage CRPH
Reagent.
Single point
adjusted
Calibration modelSame as IMMAGE CRPH Reagent
Beckman CAL
5 PlusFormulationIdentical to Beckman CAL 5 Plus
Differences
Immage
Cardiac CCRP
ReagentAntibody sourceIMMAGE CCRP uses goat and mouse while the
Dade Behring Kit uses mouse only.
Initial dilution rangeThe IMMAGE initial dilution range covers from 0.2
to 60.0 mg/L while the Dade Behring Kit covers
from 3.0 to 220 mg/L
Extended dilution
rangeThe IMMAGE extended dilution range covers up to
1440.0 mg/L while the Dade Behring Kit covers the
range from 0.16 to 16000.0 mg/L
Calibration modelIMMAGE High Sensitivity Cardiac CCRP uses a
different model equation for the predetermined
calibration curve than IMMAGE CRPH.

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8.0 Summary of Performance Data:

The data in the Premarket Notification on safety and effectiveness supports a finding of substantial equivalence to chemistry test systems already in commercial distribution. Equivalence is demonstrated through method comparison, stability, linearity, and imprecision experiments.

CandidateSlopeInterceptRNPredicate Method
IMMAGE High Sensitivity
Cardiac CCRP Reagent
(0.2 to 60 mg/L)0.9650.3340.9962157Dade Behring
CardioPhase hsCRP
IMMAGE High Sensitivity
Cardiac CCRP Reagent
(0.2 to 10 mg/L)1.013-0.0260.993998Dade Behring
CardioPhase hsCRP

Method Comparison Study Results

IMMAGE High Sensitivity Cardiac CCRP Reagent Imprecision Results

SampleMean (mg/dL)S.D. (mg/dL)%C.V.N
Within-Run Imprecision
Level 10.8070.02292.880
Level 213.560.41093.080
Level 351.5381.71813.380
Total Imprecision
Level 10.8070.02793.580
Level 213.560.42483.180
Level 351.5382.19334.380

Beckman CAL 5 Plus Stability Testing Summary

| Stress
Temperature | Duration of
Incubation | Predicted
Stability | Beckman Stability
Claim* |
|-----------------------|---------------------------|------------------------|-----------------------------|
| 32°C | 40 days | 32 months | 24 months |
| 37°C | 24 days | 33 months | 24 months |
| 41°C | 15.5 days | 32 months | 24 months |

  • expiration dating placed on the packaging based in date of manufacture

This summary of safety and effectiveness is being submitted in accordance with the requirements of the Safe Medical Device Act of 1990 and the implementing regulation 21 CFR 807.92.

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Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Beckman Coulter, Inc. Diagnostics Development Center c/o Ms. Tara Viviani Sr. Regulatory Affair Specialist 200 S. Kraemer Boulevard, W-110 P.O. Box 8000 Brea, CA 92822-8000

JUN 2 1 2007

Re: K071002

Trade/Device Name: Immage® Immunochemistry Systems High Sensitivity Cardiac C-Reactive Protein (CCRP), Cal 5 Plus (Calibrator 5 Plus) Regulation Number: 21 CFR 862.1150 Regulation Name: Calibrator Regulatory Class: Class II Product Code: NQD, JIX Dated: April 06, 2007 Received: April 09, 2007

Dear Ms. Viviani:

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) 276-0490. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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 at http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours.

Jean M. Cooper, M.S., D.V.M.

Yéan M. Cooper, M.S., D.V.M. Director Division of Chemistry and Toxicology Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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510(k) Number (if known): K071002

Device Name: Immage® Immunochemistry Systems High Sensitivity Cardiac C-Reactive Protein (CCRP) Beckman CAL 5 Plus

Reagent:

Indications for Use:

High Sensitivity Cardiac C-Reactive Protein (CCRP) reagent, when used in conjunction with IMMAGE® 800 Immunochemistry Systems and Calibrator 5 Plus, is intended for the quantitative determination of C-Reactive protein in human serum or plasma by rate turbidimetry.

Clinical Significance:

Measurement of C-Reactive protein (CRP) aids in evaluation of stress, trauma, infection, inflammation, surgery, and associated diseases. Cardiac CRP assays are indicated for use as an aid in the identification and stratification of individuals at risk for future cardiovascular disease. When used in conjunction with traditional clinical laboratory evaluation of acute coronary syndromes, CRP may be useful as an independent marker of prognosis for recurrent events in patients with stable coronary disease or acute coronary syndrome.

Calibrator:

Indications for use:

CAL 5 Plus (Calibrator 5 Plus), when used in conjunction with Beckman Coulter reagents, is intended for use on IMMAGE® Immunochemistry Systems for the calibration of Anti-Streptolysin O (ASO), C-Reactive Protein (CRP) and Rheumatoid Factor (RF).

Prescription Use (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)

Carol C. Benam
ion Sign-Off

ion Sign-Off

Office of In Vitro Diagnostic Device
Evaluation and Safety

K07/002

Page 1 of 1

Beckman Coulter, Inc., Section 510(k) Notification IMMAGE® System High Sensitivity Cardiac C-Reactive Protein (CRPH) Reagent, Immage CCRP510k_Summary UPDATED.doc, April 2007

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