K Number
K071597
Device Name
DIMENSION VISTA (R) AFP FLEX(R) REAGENT CARTRIDGE, MODEL K6454, DIMENSION VISTA (R) LOCI 5 CALIBRATOR, MODEL KC600
Manufacturer
Date Cleared
2008-06-04

(358 days)

Product Code
Regulation Number
866.6010
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The AFP method is an in vitro diagnostic test for the quantitative measurement of alpha-fetoprotein in human serum on the Dimension Vista® system. Measurements of alpha-fetoprotein are used as an aid in managing non-seminomatous testicular cancer when used in conjunction with physical examination, histology/pathology, and other clinical evaluation procedures. For the calibration of the Alpha-Fetoprotein (AFP) method on the Dimension Vista® System.
Device Description
Method: The AFP method is a homogeneous, sandwich chemiluminescent immunoassay based on LOCI™ technology. The LOCT™ reagents include two synthetic bead reagents and a biotinylated anti-AFP monoclonal antibody fragment. The first bead reagent (Chemibeads) is coated with an anti-AFP monoclonal antibody and contains chemiluminescent dye. The second bead reagent (Sensibeads) is coated with streptavidin and contains a photosensitizer dve. Sample is incubated with biotinylated antibody and Chemibeads to form bead-AFP-biotinylated antibody sandwiches. Sensibeads are added and bind to the biotin to form bead-pair immunocomplexes. Illumination of the complex at 680 nm generates singlet oxygen from Sensibeads which diffuses into the Chemibeads, triggering a chemiluminescent reaction. The resulting signal is measured at 612 nm and is a direct function of the AFP concentration in the sample. Calibrator: The LOCI 5 Calibrator is a liquid multi-analyte product containing AFP from human cord serum. An additional analyte (CEA from human tissue culture) is contained in the product and will be included in the submission to FDA with its respective method. The kit consists of ten vials, two each of five levels containing 2 mL per vial. Description of the manufacturing, value assignment and stability testing processes are provided.
More Information

P820060/S019, K981354

Not Found

No
The device description details a standard immunoassay based on chemiluminescent technology, with no mention of AI or ML algorithms for data analysis or interpretation.

No
The device is an in vitro diagnostic test for measuring alpha-fetoprotein, which is used as an aid in managing testicular cancer, not for treating or curing a disease.

Yes

The "Intended Use / Indications for Use" section explicitly states "The AFP method is an in vitro diagnostic test".

No

The device description clearly outlines physical components (reagents, beads, calibrator vials) and a chemical reaction process, indicating it is a hardware-based in vitro diagnostic device, not software-only.

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

Here's why:

  • Intended Use/Indications for Use: The very first sentence explicitly states, "The AFP method is an in vitro diagnostic test for the quantitative measurement of alpha-fetoprotein in human serum..." This directly identifies it as an IVD.
  • Measurement in Human Samples: The test measures alpha-fetoprotein in "human serum," which is a biological sample taken from the human body. This is a key characteristic of IVDs.
  • Aid in Medical Management: The results are used as an "aid in managing non-seminomatous testicular cancer," indicating that the test provides information used for medical purposes.
  • Device Description: The description details a laboratory method (homogeneous, sandwich chemiluminescent immunoassay) and reagents used to analyze the sample outside of the body.
  • Calibrator: The inclusion of a calibrator is typical for quantitative IVD tests to ensure accurate measurements.

All of these points align with the definition and characteristics of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The AFP method is an in vitro diagnostic test for the quantitative measurement of alpha-fetoprotein in human serum on the Dimension Vista® system. Measurements of alpha-fetoprotein are used as an aid in managing non-seminomatous testicular cancer when used in conjunction with physical examination, histology/pathology, and other clinical evaluation procedures.

For the calibration of the Alpha-Fetoprotein (AFP) method on the Dimension Vista® System.

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

LOJ, JIX

Device Description

Method

The AFP method is a homogeneous, sandwich chemiluminescent immunoassay based on LOCI™ technology. The LOCT™ reagents include two synthetic bead reagents and a biotinylated anti-AFP monoclonal antibody fragment. The first bead reagent (Chemibeads) is coated with an anti-AFP monoclonal antibody and contains chemiluminescent dye. The second bead reagent (Sensibeads) is coated with streptavidin and contains a photosensitizer dve. Sample is incubated with biotinylated antibody and Chemibeads to form bead-AFP-biotinylated antibody sandwiches. Sensibeads are added and bind to the biotin to form bead-pair immunocomplexes. Illumination of the complex at 680 nm generates singlet oxygen from Sensibeads which diffuses into the Chemibeads, triggering a chemiluminescent reaction. The resulting signal is measured at 612 nm and is a direct function of the AFP concentration in the sample.

Calibrator

The LOCI 5 Calibrator is a liquid multi-analyte product containing AFP from human cord serum. An additional analyte (CEA from human tissue culture) is contained in the product and will be included in the submission to FDA with its respective method. The kit consists of ten vials, two each of five levels containing 2 mL per vial. Description of the manufacturing, value assignment and stability testing processes are provided.

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)

A split sample method comparison demonstrated good agreement between the Dade Behring Dimension Vista® AFP method and the predicate Abbott AxSYM® AFP method following CLSI Approved Guideline for Method Comparison and Bias Estimation Using Patient Samples; EP9-A2.

The method used to fit the lincar regression line was Passing-Bablok. The range of 317 values in the correlation study was 0.97 - 881.24 ng/mL.

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

Slope: 0.93
Intercept ng/mL: 0.1
Correlation Coefficient: 0.995
n: 317

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.

P820060/S019, K981354

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.

Not Found

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

§ 866.6010 Tumor-associated antigen immunological test system.

(a)
Identification. A tumor-associated antigen immunological test system is a device that consists of reagents used to qualitatively or quantitatively measure, by immunochemical techniques, tumor-associated antigens in serum, plasma, urine, or other body fluids. This device is intended as an aid in monitoring patients for disease progress or response to therapy or for the detection of recurrent or residual disease.(b)
Classification. Class II (special controls). Tumor markers must comply with the following special controls: (1) A guidance document entitled “Guidance Document for the Submission of Tumor Associated Antigen Premarket Notifications (510(k)s) to FDA,” and (2) voluntary assay performance standards issued by the National Committee on Clinical Laboratory Standards.

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510(k) Summary

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

The assigned 510(k) number is: K071597

1. Manufacturer's Name, Address, Telephone, and Contact Person, Date of Preparation

| Manufacturer: | Siemens Healthcare Diagnostics Inc.
P.O. Box 6101
Newark, DE 19714 |
|----------------------|------------------------------------------------------------------------------------------------------------------------|
| Contact Information: | Siemens Healthcare Diagnostics Inc.
P.O. Box 6101
Newark, DE 19714
Attn: Pamela A. Jurga
Tel: 302-631-8891 |
| Date of Preparation: | May 8, 2008 |

2. Device Name / Classification

  • Dimension Vista® AFP reagent cartridge/ Class II .
  • . Dimension Vista® LOCI 5 calibrator/ Class II

3. Identification of the Predicate Device

  • Abbott AxSYM® AFP Method (P820060/S019) .
  • . Beckman Access AFP Calibrators on the Access® Immunoassay System (K981354).

FDA Guidance Document(s):

  • "Bundling Multiple Devices or Multiple Indications in a Single Submission"-. 11/26/2003
  • . "Guidance on Informed Consent for In Vitro Diagnostic Device Studies Using Leftover Human Specimens that are Not Individually Identifiable -Guidance for Sponsors, Institutional Review Boards, Clinical Investigators and FDA Staff "- 4/25/2006

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4. Device Description(s):

Method

The AFP method is a homogeneous, sandwich chemiluminescent immunoassay based on LOCI™ technology. The LOCT™ reagents include two synthetic bead reagents and a biotinylated anti-AFP monoclonal antibody fragment. The first bead reagent (Chemibeads) is coated with an anti-AFP monoclonal antibody and contains chemiluminescent dye. The second bead reagent (Sensibeads) is coated with streptavidin and contains a photosensitizer dve. Sample is incubated with biotinylated antibody and Chemibeads to form bead-AFP-biotinylated antibody sandwiches. Sensibeads are added and bind to the biotin to form bead-pair immunocomplexes. Illumination of the complex at 680 nm generates singlet oxygen from Sensibeads which diffuses into the Chemibeads, triggering a chemiluminescent reaction. The resulting signal is measured at 612 nm and is a direct function of the AFP concentration in the sample.

Calibrator

The LOCI 5 Calibrator is a liquid multi-analyte product containing AFP from human cord serum. An additional analyte (CEA from human tissue culture) is contained in the product and will be included in the submission to FDA with its respective method. The kit consists of ten vials, two each of five levels containing 2 mL per vial. Description of the manufacturing, value assignment and stability testing processes are provided.

5. Device Intended Use:

Method

The AFP method is an in vitro diagnostic test for the quantitative measurement of alpha-fetoprotein in human on the Dimension Vista® System. Measurements of alpha-fetoprotein are used as an aid in managing non-seminomatous testicular cancer when used in conjunction with physical examination, histology/pathology, and other clinical evaluation procedures.

Calibrator

For the calibration of Alpha-Fetoprotein (AFP) method on the Dimension Vista® System.

6. Medical device to which equivalence is claimed:

Substantial Equivalence:

These products are substantially equivalent to other AFP test systems, such as the Abbott AxSYM® AFP Method (P820060/S019) and calibrators; Beckman Access AFP Calibrators on the Access® Immunoassay System (K981354).

Comparison to Predicate Device:

The proposed Dade Behring Dimension Vista® AFP method and the predicate Abbott AxSYM® AFP method are both in vitro diagnostic immunoassays intended for the measurement of alphafetoprotein (AFP) as an aid in managing non-seminomatous testicular cancer when used in conjunction with physical examination, histology/pathology, and other clinical evaluation procedures.

2

The Dade Behring Dimension Vista® LOCI 5 calibrator and the predicate Beckman Access AFP Calibrators are both calibrators intended to calibrate their associated AFP methods.

A comparison summary of the features of the products is included in the following table.

Method:

Similarities
ItemDevicePredicate
Intended UseThe AFP method is an in vitro
diagnostic test for the
quantitative measurement of
alpha-fetoprotein in human
serum on the Dimension Vista®
System. Measurements of alpha-
fetoprotein are used as an aid in
managing non-seminomatous
testicular cancer when used in
conjunction with physical
examination,
histology/pathology, and other
clinical evaluation procedures.AxSYM AFP is a Microparticle
Enzyme Immunoassay (MEIA)
for the quantitative
determination of alpha-
fetoprotein (AFP) in:
  1. Human serum or plasma to
    aid in the management of
    patients with non-
    seminomatous testicular
    cancer. |
    | Standardization | Traceable to the World Health
    Organization (WHO) Reference
    preparation for human AFP
    (72/225). | Traceable to the World Health
    Organization (WHO)
    Reference preparation for
    human AFP (72/225). |
    | Measurement
    method | Chemiluminescent:
    Homogenous sandwich
    immunoassay based on LOCITM
    technology | Microparticle Enzyme
    Immunoassay (MEIA)
    technology |
    | Differences | | |
    | Item | Device | Predicate |
    | Intended Use | Same as above | for the quantitative
    determination of alpha-
    fetoprotein (AFP) in:
    Human serum, plasma and
    amniotic fluid at 15 to 21
    weeks gestation to aid in the
    detection of fetal open neural
    tube defects (NTD). Test
    results when used in
    conjunction with
    ultrasonography or |
    | | | amniography are a safe and
    effective aid in the detection of
    fetal open NTD. |
    | Measuring Range | 0.5-1000.0 ng/mL | 0.4-350.0 ng/mL |
    | Sample Types | Serum | Serum, plasma
    Amniotic fluid |
    | Sample Size | 2 uL | 58 uL |

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Calibrator:

Similarities
ItemDevicePredicate
Intended UseFor the calibration of Alpha-
Fetoprotein (AFP) method on the
Dimension Vista® system.The Access AFP Calibrators are
intended to calibrate the Access
AFP assay for the quantitative
determination of AFP levels in
human serum, using the Access
Immunoassay System.
TraceabilityAFP- World Health
Organization (WHO) Reference
Preparation 72/225AFP- World Health
Organization (WHO) Reference
Preparation 72/225
MatrixBSA-based matrixBSA-based matrix
PreparationLiquid:
Provided ready to use.Liquid:
Provided ready to use.
Differences
ItemDevicePredicate
Target
Concentrations
AFPLevel 1 (CAL A): 0 ng/mL
Level 2 (CAL B): 8 ng/mL
Level 3 (CAL C): 100 ng/mL
Level 4 (CAL D): 500 ng/mL
Level 5 (CAL E): 1050 ng/mLLevel 1 : 0 ng/mL
Level 2: 2.5 ng/mL
Level 3 5 ng/mL
Level 4 25 ng/mL
Level 5: 100 ng/mL
Level 6: 500 ng/mL
Level 7: 3000 ng/mL
StorageStore at 2 to 8°C.Store at 2 to 10°C.

Comments on Substantial Equivalence:

Method

The Dade Behring Dimension Vista® AFP method and the predicate Abbott AxSYM® AFP method are both in vitro diagnostic immunoassays intended for the measurement of alpha-fetoprotein (AFP)

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as an aid in managing non-seminomatous testicular cancer when used in conjunction with physical examination, histology/pathology, and other clinical evaluation procedures.

Comparative data for human serum samples demonstrate good analytical and clinical agreement between the methods including the split sample method comparison described below:

A split sample method comparison demonstrated good agreement between the Dade Behring Dimension Vista® AFP method and the predicate Abbott AxSYM® AFP method following CLSI Approved Guideline for Method Comparison and Bias Estimation Using Patient Samples; EP9-A2.

| Comparative Method | Slope | Intercept
ng/mL | Correlation
Coefficient | n |
|--------------------|-------|--------------------|----------------------------|-----|
| AxSYM® AFP | 0.93 | 0.1 | 0.995 | 317 |

AxSYM® is a registered trademark of Abbott Laboratories, Abbott Park, III 60064 USA

The method used to fit the lincar regression line was Passing-Bablok. The range of 317 values in the correlation study was 0.97 - 881.24 ng/mL.

Calibrator

The Dade Bchring Dimension Vista® LOCI 5 calibrator and the predicate Beckman Access AFP Calibrators are both calibrators intended to calibrate their associated AFP methods.

Conclusion:

The Dade Behring Dimension Vista® AFP method and the predicate Abbott AxSYM® AFP method (P820060/S019) are substantially equivalent based on their intended use and performance characteristics as described above. The calibrator products, the Dade Behring Dimension Vista® LOCI 5 calibrator and the predicate Beckman Access AFP calibrators are also substantially equivalent in its design and intended use with their respective assay systems (K981354).

Pamela A. Ivez

Pamela A area Regulatory Affairs and Compliance Manager May 8, 2008

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Image /page/5/Picture/0 description: The image shows the logo for the Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES" around the perimeter. Inside the circle is a stylized symbol that resembles a caduceus, a traditional symbol of medicine, but with three parallel lines instead of a single staff.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Siemens Healthcare Diagnostics Inc. c/o Ms. Pamela A Jurga Regulatory Affairs and Compliance Manager P.O. Box 6101, M/S 514 Newark, DE 19714-6101

Re: K071597

Trade/Device Name: Dimension Vista® AFP reagent cartridge Dimension Vista® LOCI 5 calibrator Regulation Number: 21 CFR 866.6010 Regulation Name: Tumor-associated antigen immunological test system Regulatory Class: Class II Product Code: LOJ, JIX Dated: May 28, 2008 Received: May 29, 2008

Dear Ms. Jurga:

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.

JUN - 4 2008

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 the Code of Federal Regulations, Title 21, Parts 800 to 898. 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 Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820). This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The

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Page 2 -

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" (21 CFR Part 807.97), For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For 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,

Robert Becker

Robert L. Becker, Jr., M.D., PH.D. Director Division of Immunology and Hematology 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): K071597

Indications For Use:

The AFP method is an in vitro diagnostic test for the quantitative measurement of alpha-fetoprotein in human serum on the Dimension Vista® system. Measurements of alpha-fetoprotein are used as an aid in managing non-seminomatous testicular cancer when used in conjunction with physical examination, histology/pathology, and other clinical evaluation procedures.

Prescription Use _____________________________________________________________________________________________________________________________________________________________ (Per 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 IF NEEDED)

Concurrence of CDRH, Office of -In Vitro Diagnostic Devices (OIVD)

Page 1 of 1

Mana M. Chan

Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K071597

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Dade Behring Inc. Dimension Vista® AFP Method and LOCI 5 Calibrator Updated 510(k) Premarket Notification - K071597

Indications for Use

Device Name:

Dimension Vista® LOCI 5 Calibrator

Indications for Use:

For the calibration of the Alpha-Fetoprotein (AFP) method on the Dimension Vista® System.

Prescription Use J (Per 21 CFR 801 Subpart D)

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AND/OR

Over-the-counter Use (21 CFR 801 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)

Page 1 of 1

Mana M. Chan
Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

10/1) Ko 71597