K Number
K073489
Device Name
OLYMPUS IGA REAGENT
Date Cleared
2008-02-11

(61 days)

Product Code
Regulation Number
866.5510
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
System reagent for the quantitative determination of IgA immunoglobulins in human serum and plasma on OLYMPUS analyzers. For in vitro diagnostic use.
Device Description
In this Olympus procedure: When a sample is mixed with R1 buffer and R2 antiserum solution, human IgA reacts specifically with anti-human IgA antibodies to yield insoluble aggregates. Immune complexes formed in solution scatter light in proportion to their size, shape and concentration. Turbidimeters measure the reduction of incidence light due to reflection, absorption or scatter. In the Olympus procedure, the decrease in intensity of light transmitted (increase in absorbance) through particles suspended in solution is as a result of complexes formed during the antigen-antibody reaction.
More Information

Not Found

No
The device description and performance studies focus on standard turbidimetric immunoassay principles and analytical performance characteristics, with no mention of AI or ML.

No
This device is an in vitro diagnostic reagent used to quantitatively determine IgA immunoglobulins in human serum and plasma, not to treat or prevent a disease.

Yes

The device is intended for the quantitative determination of IgA immunoglobulins in human serum and plasma, which is a measurement used to aid in the diagnosis and monitoring of various medical conditions. The "Intended Use / Indications for Use" explicitly states "For in vitro diagnostic use."

No

The device description clearly outlines a system reagent and its interaction with human serum/plasma, involving chemical reactions and measurement of light transmission. This indicates a physical component (reagent) and a hardware component (OLYMPUS analyzers) are integral to the device's function, not just software.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section explicitly states: "For in vitro diagnostic use."
  • Intended Use: The intended use is the "quantitative determination of IgA immunoglobulins in human serum and plasma." This is a test performed on samples taken from the human body, but outside of the body (in vitro).
  • Device Description: The description details a chemical reaction (antigen-antibody reaction) and a measurement method (turbidimetry) used to analyze the sample. This is characteristic of an in vitro diagnostic test.

N/A

Intended Use / Indications for Use

System reagent for the quantitative determination of IgA immunoglobulins in human serum and plasma on OLYMPUS analyzers.
For in vitro diagnostic use.

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

CFN

Device Description

In this Olympus procedure: When a sample is mixed with R1 buffer and R2 antiserum solution, human IgA reacts specifically with anti-human IgA antibodies to yield insoluble aggregates. Immune complexes formed in solution scatter light in proportion to their size, shape and concentration. Turbidimeters measure the reduction of incidence light due to reflection, absorption or scatter. In the Olympus procedure, the decrease in intensity of light transmitted (increase in absorbance) through particles suspended in solution is as a result of complexes formed during the antigen-antibody reaction.

Mentions image processing

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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

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Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Precision:
AU400/400e:
Sample 1: Total CV% 2.43
Sample 2: Total CV% 2.52
Sample 3: Total CV% 2.95

AU600/640/640e:
Sample 1: Total CV% 3.39
Sample 2: Total CV% 3.85
Sample 3: Total CV% 4.01

AU2700/5400:
Sample 1: Total CV% 1.50
Sample 2: Total CV% 1.91
Sample 3: Total CV% 1.83

Assay Range: 10 to 700 mg/dL
LoQ: 10 mg/dL

Method Comparison (Linear Regression):
Intercept 15.1 mg/dL
Slope 0.923
R2 0.999
N 111
Range 38-672 mg/dL

Interfering Substances:
AU400/400e:
Bilirubin: Interference less than 2% up to 40 mg/dL Bilirubin
Hemolysate: Interference less than 1% up to 500 mg/dL Hemolysate
Lipemia: Interference less than 10% up to 1000 mg/dL Intralipid
RF: Interferences less than 8% up to 600 IU/mL

AU600/640/640e:
Bilirubin: Interference less than 3% up to 40 mg/dL Bilirubin
Hemolysate: Interference less than 5% up to 500 mg/dL Hemolysate
Lipemia: Interference less than 6% up to 1000 mg/dL Intralipid
RF: Interferences less than 8% up to 600 IU/mL

AU2700/5400:
Bilirubin: Interference less than 3% up to 40 mg/dL Bilirubin
Hemolysate: Interference less than 4% up to 500 mg/dL Hemolysate
Lipemia: Interference less than 4% up to 1000 mg/dL Intralipid
RF: Interferences less than 4% up to 600 IU/mL

Prozone Capacity: No high dose effect at IgA concentrations up to 10,000 mg/dL

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

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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.

K951055

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

§ 866.5510 Immunoglobulins A, G, M, D, and E immunological test system.

(a)
Identification. An immunoglobulins A, G, M, D, and E immunological test system is a device that consists of the reagents used to measure by immunochemical techniques the immunoglobulins A, G, M, D, an E (serum antibodies) in serum. Measurement of these immunoglobulins aids in the diagnosis of abnormal protein metabolism and the body's lack of ability to resist infectious agents.(b)
Classification. Class II (performance standards).

0

510(k) Summary

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. The assigned 510(k) number is: KOJ3489

| 1. Submitter name, address, contact | Olympus America Inc.
3500 Corporate Parkway
Center Valley, PA 18034 |
|-------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | U.S. Telephone: 469-230-0959
U.S. Fax: 972-317-7861 |
| | Contact Person: Stephanie G. Donnelly |
| | Date Prepared: December 10, 2007 |
| 2. Device name | Proprietary Name: Olympus IgA Reagent (OSR6X171) |
| | Common Name: IgA reagent |
| | Classification Name: IgA, Antigen, Antiserum, Control |
| 3. Predicate device | Reagent: Olympus (OSR6X44) IgA Reagent
Submitted K951055 |
| 4. Device description | In this Olympus procedure: When a sample is mixed with R1 buffer and R2 antiserum solution, human IgA reacts specifically with anti-human IgA antibodies to yield insoluble aggregates.Immune complexes formed in solution scatter light in proportion to their size, shape and concentration.Turbidimeters measure the reduction of incidence light due to reflection, absorption or scatter.In the Olympus procedure, the decrease in intensity of light transmitted (increase in absorbance) through particles suspended in solution is as a result of complexes formed during the antigen-antibody reaction. |
| 5. Intended use | System reagent for the quantitative determination of IgA immunoglobulins in human serum and plasma on OLYMPUS analyzers.
For in vitro diagnostic use. |

1

The following Tables compare the new Olympus IgA (OSR6X171)
reagent with the predicate devices outlined in point 3 above.

Similarities
ItemOlympus IgA (OSR6X171) reagentPredicate System
Intended UseSystem reagent for the quantitative
determination of IgA immunoglobulins in
human serum and plasma on Olympus
analyzersSystem reagent for the quantitative
determination of IgA immunoglobulins in
human serum on Olympus analyzers
MeasurementQuantitativeSame
Instrument RequiredOlympus AU400/400e, 600/640/640e and
2700/5400Same
Reagent handlingReady for useSame
Assay
Methodology/Operating
PrincipleImmunoturbidimetricSame
Reagent storage formLiquid
On --board storageSame
CalibratorOlympus Serum Protein Mulit-Calibrator
(ODR3021)Same
Calibration TraceabilityThis method is traceable to the International
Reference Preparation CRM 470 (US
designation RPPHS lot 91/0619)Same
AntibodyGoat Anti-IgA antiserumSame
Expected Values66-433 mg/dLSame
Reagent On Board StabilityOpened reagents are stable for 90 days
when stored in the refrigerated
compartment of the analyzer.Same
Differences
ItemOlympus IgA (OSR6X171) reagentPredicate System
Specimen TypeSerum, EDTA Plasma and Li-Heparinized
PlasmaSerum
Calibration Frequency90 days7 days
Performance Characteristics
ItemOlympus IgA (OSR6X171) reagentPredicate System
PrecisionAU400/400eAU400/400e
SampleTotal CV%SampleTotal CV%
12.4311.53
22.5221.63
32.9531.26
AU600/640/640eAU600
SampleTotal CV%SampleTotal CV%
13.3911.38
23.8521.08
34.0131.81
AU2700/5400AU640/640e
SampleTotal CV%SampleTotal CV%
11.5011.8
21.9121.3
31.83
AU2700/5400
SampleTotal CV%
12.64
22.05
33.29

2

Assay Range10 to 700 mg/dL10 to 700 mg/dL
LoQ10 mg/dLNot specified
Method Comparison
(Linear Regression)Intercept 15.1 mg/dL
Slope 0.923
R2 0.999
N 111
Range 38-672 mg/dLIntercept 1.3 mg/dL
Slope 0.957
R2 0.99
N 94
Range 54-660 mg/dL
Interfering SubstancesAU400/400e
Bilirubin: Interference less than 2% up to
40 mg/dL Bilirubin
Hemolysate: Interference less than 1% up
to 500 mg/dL Hemolysate
Lipemia: Interference less than 10% up to
1000 mg/dL Intralipid
RF: Interferences less than 8% up to 600
IU/mL
Not testedAU400/400e
Bilirubin: Interference less than 2% up to
40 mg/dL Bilirubin
Hemolysate: Interference less than 2%
up to 500 mg/dL Hemolysate
Lipemia: Interference less than 10% up
to 600 mg/dL Intralipid
Not Specified
Ascorbic Acid: Interferences less than
2% up to 20 mg/dL Ascorbate
AU600/640/640e
Bilirubin: Interference less than 3% up to
40 mg/dL Bilirubin
Hemolysate: Interference less than 5% up
to 500 mg/dL Hemolysate
Lipemia: Interference less than 6% up to
1000 mg/dL Intralipid
RF: Interferences less than 8% up to 600
IU/mL
Not testedAU600/640/640e
Bilirubin: Interference less than 5% up to
40 mg/dL Bilirubin
Hemolysate: Interference less than 2%
up to 500 mg/dL Hemolysate
Lipemia: Interference less than 7% up to
1000 mg/dL Intralipid
Not Specified
Ascorbic Acid: Interferences less than
2% up to 20 mg/dL Ascorbate
AU2700/5400
Bilirubin: Interference less than 3% up to
40 mg/dL Bilirubin
Hemolysate: Interference less than 4% up
to 500 mg/dL Hemolysate
Lipemia: Interference less than 4% up to
1000 mg/dL Intralipid
RF: Interferences less than 4% up to 600
IU/mL
Not testedAU2700/5400
Bilirubin: Interference less than 5% up to
40 mg/dL Bilirubin
Hemolysate: Interference less than 3%
up to 500 mg/dL Hemolysate
Lipemia: Interference less than 10% up
to 1000 mg/dL Intralipid
Not Specified
Ascorbic Acid: Interferences less than
3% up to 20 mg/dL Ascorbate
Prozone CapacityNo high dose effect at IgA concentrations
up to 10, 000 mg/dLNo high dose effect at IgA
concentrations up to 3,200 mg/dL

.


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Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services (HHS). The logo consists of a stylized graphic of an eagle or bird-like figure with three curved lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the graphic.

Public Health Service

FEB 11 2008

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Olympus America, Inc. c/o Ms. Stephanie Donnelly Regulatory Affairs/Quality Assurance Manager Olympus Life Science Research Europa GmbH Lismeehan, O. Callaghan's Mills Co. Claire, Ireland.

Re: K073489

Trade/Device Name: Olympus IgA reagent Regulation Number: 21 CFR 866.5510 Regulation Name: Immunoglobulins A, G, M, D, E immunological test systems Regulatory Class: Class II Product Code: CFN Dated: December 11, 2007 Received: December 12, 2007

Dear Ms. Donnelly:

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 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

4

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 H. Baker

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

5

Indication for Use

510(k) Number (if known): K073489

Device Name: The Olympus IgA reagent (OSR6X171).

Indication For Use: System reagent for the quantitative determination of IgA immunoglobulins in human serum and plasma on OLYMPUS analyzers.

The spectrum of abnormalities in serum immunoglobulin concentrations is broad. Abnormal concentrations range from a virtual absence of one or more of the three major classes of immunoglobulin (IgG, IgA, and IgM) to polyclonal increases in one or more immunoglobulins. Measurement of these immunoglobulins aids in the diagnosis of abnormal protein metabolism and the body's lack of ability to resist infectious agents.

For in vitro diagnostic use.

V Prescription Use (21 CFR Part 801 Subpart D) And/Or

Over the Counter Use (21 CFR Part 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE; CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of In Vitro Diagnostic Device Evaluation and Safety (OIVD)

Maria M Chan

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

510(k) K073489