K Number
K073488
Device Name
DIAZYME APOLIPOPROTEIN B ASSAY, MODEL DZXXX-X; B CALIBRATOR, MODEL DZXXX
Date Cleared
2008-03-07

(137 days)

Product Code
Regulation Number
862.1475
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Diazyme Apolipoprotein B Assay is intended for the quantitative determination of apolipoprotein B (apo B) in serum. It can be used as an aid for assessing the risk of coronary artery disease. For in vitro Diagnostic use.
Device Description
Not Found
More Information

No
The summary describes a quantitative assay for a specific biomarker (apolipoprotein B) and provides performance data typical of laboratory diagnostic tests. There is no mention of AI, ML, image processing, or any other technology commonly associated with AI/ML applications in medical devices.

No.
The device is an in vitro diagnostic assay used for quantitative determination of apolipoprotein B, which aids in assessing the risk of coronary artery disease. It does not directly treat or prevent a disease.

Yes

Explanation: The "Intended Use / Indications for Use" states that the device "can be used as an aid for assessing the risk of coronary artery disease," which is a diagnostic purpose. It also explicitly states "For in vitro Diagnostic use."

No

The device is an in vitro diagnostic assay, which is a chemical reagent-based test, not a software-only device.

Yes, the provided text explicitly states that the Diazyme Apolipoprotein B Assay is an IVD (In Vitro Diagnostic).

The "Intended Use / Indications for Use" section clearly includes the statement: "For in vitro Diagnostic use."

N/A

Intended Use / Indications for Use

The Diazyme Apolipoprotein B Assay is intended for the quantitative determination of apolipoprotein B (apo B) in serum. It can be used as an aid for assessing the risk of coronary artery disease. For in vitro Diagnostic use.
Calibrator: For calibration of the Diazyme Apolipoprotein B Assay in serum. For in vitro Diagnostic Use.
Controls: To monitor the performance of Diazyme Apolipoprotein B Assay in serum. For in vitro Diagnostic Use.

Product codes

MSJ, JIT, JJX

Device Description

Not Found

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)

Reportable Range: Serum: 25.0 – 160 mg/dL
Precision/Serum: Within Run: 1.2% -1.4%; Total: 2.1%–4.8%
Accuracy/Serum: Correlation Coefficient: 0.9864; Slope/Intercept: y = 1.0143x - 4.3806 mg/dL

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

Not Found

Predicate Device(s)

K993354

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.1475 Lipoprotein test system.

(a)
Identification. A lipoprotein test system is a device intended to measure lipoprotein in serum and plasma. Lipoprotein measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes mellitus), atherosclerosis, and various liver and renal diseases.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 862.9.

0

Ko73488

MAR - 7 2008

510(k) Summary

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

Submitter's name:Diazyme Laboratories
Submitter's address:12889 Gregg Court
Poway, CA 92064
USA
Name of Contact Person:Charles Yu
Diazyme Laboratories
12889 Gregg Court
Poway, CA 92064
Phone: 858-455-4761
Fax: 858-455-4750
Date the Summary was Prepared:September 24, 2007
Name of the DeviceDiazyme Apolipoprotein B Assay
Trade Name:Diazyme Apolipoprotein B Assay
Common/Usual NameApolipoprotein B Test System
Device Classification NameAlpha-1-lipoprotein Immunological Test System
Reagents
Product code:MSJ
Submission Type510k
Regulation Number862.1475
Device ClassII

1

Calibrator

Product code:JIT
Submission Type510k
Regulation Number862.1150
Device ClassII
Control
Product code:JJX
Submission Type510k
Regulation Number862.1660
Device ClassI Reserved
Predicate Device:For the Alpha-1-lipoprotein Immunological Test System
Lipoprotein test system, we are claiming equivalence
[807.92(a) (3) to K-ASSAY APO B ASSAY (K993354)
manufactured by Kamiya Biomedical Company

.

2

Substantial Equivalence Information

1. Predicate device name(s):

K-Assay Apo B Assay

    1. Predicate 510(k) number(s): K993354

3. Comparison with predicate:

Indications for Use

Diazyme Apolipoprotein B AssayK-Assay Apo B AssayEquivalency
The Diazyme Apolipoprotein B Assay is intended for the quantitative determination of apolipoprotein B (apo B) in serum. It can be used as an aid for assessing the risk of coronary artery disease.For the quantitative determination of human Apolipoprotein B (Apo B) in serum by immunoturbidimetric assay.Same

Principle

Diazyme Apolipoprotein B AssayK-Assay AssayEquivalency
This method is based on the reaction of a
sample containing human Apo B and a spe-
cific antiserum to form an insoluble complex
which can be measured turbidimetrically at
340nm. By constructing a standard curve
from the absorbance of standards the concen-
tration of Apo B can be determined.This method quantifies Apolipoprotein AI
based on immunoturbidimetric assay. The
reagent uses a goat polyclonal antibody
specific for human Apolipoprotein B. The
antibody binds to the Apo B in the serum
forming light scattering immune com-
plexes, which increase the turbidity of the
sample. Since the turbidity is proportional
to the amount of Apo B in the sample, the
Apolipoprotein B concentration can be de-
termined by measuring this increase in tur-
bidity. The increase in turbidity is meas-
ured at 600 nm. Apolipoprotein B in the
sample is quantitatively determined.Similar

Test Objective

Diazyme Apolipoprotein B AssayK-Assay Apo B AssayEquivalency
The Diazyme Apolipoprotein B Assay is
intended for the quantitative
determination of apolipoprotein B (apo
B) in serum. It can be used as an aid for
assessing the risk of coronary artery
disease.For the quantitative determination of hu-
man Apolipoprotein B (Apo B) in serum by
immunoturbidimetric assay.Same
Diazyme Apolipoprotein B Assay
a verse some and a video a video a management - from the management of the responsible of the same of the same ofApo B Assay1
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------IK-AssavEquivalency

3

QuantitativeQuantitativeSame
----------------------------------

Specimen Type

Diazyme Apolipoprotein B AssayK-Assay Apo B AssayEquivalency
Human serumHuman serumSame

Product Type

'

Diazyme Apolipoprotein B AssayK-Assay Apo B AssayEquivalency
Calibrator, Reagent, InstrumentCalibrator, Reagent, InstrumentSame

Performance

Diazyme Apolipoprotein B AssayK-Assay Apo B Assay
Reportable Range:Reportable Range:
Serum: 25.0 – 160 mg/dLSerum: 25 – 250 mg/dL
Precision/Serum:Precision/Serum:
Within Run: 1.2% -1.4%Within Run: 1.44% -2.12%
Total: 2.1%–4.8%Total: 1.09%–2.33%
Accuracy/Serum:Accuracy/Serum:
Correlation Coefficient: 0.9864Correlation Coefficient: 0.885
Slope/Intercept:Slope/Intercept:
$y = 1.0143x - 4.3806$ mg/dL$y = 1.442x + 0.00$ mg/dL

Calibrator Comparison

Diazyme Apolipoprotein B AssayK-Assay Apo B AssayEquivalency
Lyophilized formLyophilized formSame
Diazyme Apolipoprotein B calibrator value is
traceable to the WHO/IFCC Reference Stan-
dard.K-Assay Apo B calibrator value is traceable
to the WHO International Reference
Material for Apo B, SP3-07.Same

4

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/4/Picture/1 description: The image shows the logo for the Department of Health & Human Services (HHS). The logo features a stylized eagle with three stripes representing the three levels of government. The eagle is surrounded by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

General Atomics Diazyme Laboratories Division, c/o Mr. Charles Yu

MAR - 7 2008

Quality System Manager 12889 Gregg Court Poway, CA 92064

Re: K073488

Trade Name: Diazyme Apolipoprotein B Assay Regulation Number: 21 CFR 862.1475 Regulation Name: Lipoprotein test system Regulatory Class: Class II Product Codes: MSJ, JIT, JJX Dated: February 21, 2008 Received: February 22, 2008

Dear Mr. Yu:

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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Page 2 -

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 vou 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.

Jean 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

6

Indications for Use

510(k) Number:K073488
Device Name:Diazyme Apolipoprotein B Assay
Indications for Use:The Diazyme Apolipoprotein B Assay is intended for the quantitative
determination of apolipoprotein B (apo B) in serum. It can be used as an aid
for assessing the risk of coronary artery disease. For in vitro Diagnostic use.
Calibrator:For calibration of the Diazyme Apolipoprotein B Assay in serum. For in vitro
Diagnostic Use.
Controls:To monitor the performance of Diazyme Apolipoprotein B Assay in serum. For
in vitro Diagnostic Use.

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 IF NEEDED)

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

A

Division Sign-Off Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K073488