K Number
K073501
Device Name
ROCHE ELECSYS TOXO IGG TEST SYSTEM, ROCHE ELECSYS PRECICONTROL TOXO IGG
Date Cleared
2008-06-09

(179 days)

Product Code
Regulation Number
866.3780
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Elecsys Toxo IgG immunoassay is for the in vitro quantitative determination of IgG antibodies to Toxoplasma gondi in human serum and Li-heparin, K3-EDTA, and sodium citrate plasma. This assay is intended for use as an aid in the assessment of immune status and as an aid in the diagnosis of primary infection. The electrochemiluminescence immunoassay "ECLIA" is intended for use on the Elecsys and cobas e immunoassay analyzers. NOTE: This assay has not been cleared by the FDA for blood/plasma donor screening. Elecsys PreciControl Toxo IgG is used for quality control of the Elecsys Toxo IgG immunoassay on the Elecsys and cobas e immunoassay analyzers.
Device Description
(1) The Elecsys Toxo IgG Immunoassay is a two-step sandwich immunoassay with streptavidin microparticles and electrochemiluminescence detection. In the first incubation, 10 µL of sample, a biotinylated recombinant T. gondii- specific antigen, and a T. gondii-specific recombinant antigen labeled with a ruthenium complex a form a sandwich complex. Then, after addition of streptavidin-coated microparticles, the complex becomes bound to the solid phase via interaction of biotin and streptavidin. The reaction mixture is aspirated into the measuring cell where the microparticles are magnetically captured onto the surface of the electrode. Unbound substances are then removed with ProCell. Application of a voltage to the electrode then induces chemiluminescent emission which is measured by a photomultiplier. Results are determined via a calibration curve which is instrument-specifically generated by 2-point calibration and a master curve provided via the reagent barcode. A human serum-based calibrator is provided with the test kit, and the recommended control material is PreciControl Toxo IgG. (2) The Elecsys Precicontrol Toxo IgG contains two levels of human serum with Toxo IgG antibodies.
More Information

Not Found

No
The device description details a standard immunoassay process using electrochemiluminescence detection and a calibration curve. There is no mention of AI or ML in the intended use, device description, or any other section.

No
This device is an immunoassay kit for in vitro diagnostic use, intended to determine IgG antibodies for the assessment of immune status and as an aid in diagnosing primary infection, not to treat a disease or condition.

Yes

Explanation: The "Intended Use / Indications for Use" section states that the assay is "intended for use as an aid in diagnosis of primary infection," which directly indicates its role as a diagnostic device.

No

The device description clearly outlines a complex immunoassay process involving reagents, microparticles, electrodes, and a photomultiplier, indicating a hardware-based system. While software is likely used for data analysis and instrument control, the core functionality relies on physical and chemical reactions and hardware components.

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

Here's why:

  • Intended Use: The "Intended Use / Indications for Use" section explicitly states that the Elecsys Toxo IgG immunoassay is "for the in vitro quantitative determination of IgG antibodies to Toxoplasma gondi in human serum and Li-heparin, K3-EDTA, and sodium citrate plasma." The phrase "in vitro" is a key indicator of an IVD.
  • Device Description: The description details a laboratory-based immunoassay process involving sample incubation, reagent addition, and detection using an analyzer. This is typical of an IVD.
  • Performance Studies: The inclusion of performance studies like "Method Comparison" with metrics like "Negative Agreement" and "Positive Agreement" are standard for demonstrating the analytical performance of an IVD.
  • Predicate Device: The mention of a "Predicate Device" (K993319 VIDAS TOXO IgG II Test System) is a regulatory requirement for demonstrating substantial equivalence to a legally marketed IVD.

All of these elements strongly indicate that this device is intended for use outside of the body to examine specimens for diagnostic purposes, which is the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

(1) The Elecsys Toxo IgG immunoassay is for the in vitro quantitative determination of IgG antibodies to Toxoplasma gondi in human serum and Li-heparin, K3-EDTA, and sodium citrate plasma. This assay may be used as an aid in the assessment of immune status and as an aid in the diagnosis of primary infection. The electrochemiluminescence immunoassay "ECLIA" is intended for use on the Elecsys and cobas e immunoassay analyzers.
(2) Elecsys PreciControl Toxo IgG is used for quality control of the Elecsys Toxo IgG immunoassay on the Elecsys and cobas e immunoassay analyzers.

Product codes

LGD, JJX

Device Description

(1) The Elecsys Toxo IgG Immunoassay is a two-step sandwich immunoassay with streptavidin microparticles and electrochemiluminescence detection. In the first incubation, 10 µL of sample, a biotinylated recombinant T. gondii- specific antigen, and a T. gondii-specific recombinant antigen labeled with a ruthenium complex a form a sandwich complex. Then, after addition of streptavidin-coated microparticles, the complex becomes bound to the solid phase via interaction of biotin and streptavidin. The reaction mixture is aspirated into the measuring cell where the microparticles are magnetically captured onto the surface of the electrode. Unbound substances are then removed with ProCell. Application of a voltage to the electrode then induces chemiluminescent emission which is measured by a photomultiplier. Results are determined via a calibration curve which is instrument-specifically generated by 2-point calibration and a master curve provided via the reagent barcode. A human serum-based calibrator is provided with the test kit, and the recommended control material is PreciControl Toxo IgG.
(2) The Elecsys Precicontrol Toxo IgG contains two levels of human serum with Toxo IgG antibodies.

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

Method Comparison:
US Routine Clinical Specimens
Negative Agreement: 93.4 % (310/332) 90.1%-95.8%
Positive Agreement 100 % (183/183) 98.0% - 100.0%
European Site Prospective study results:
Negative Agreement: 91.1% (288/316) 87.5 - 94.0 %
Positive Agreement: 99.3% (151/152) 96.4-100.0%
European Site Frozen sample results:
Negative Agreement: 68.1 (32/47) 52.9 -80.9%
Positive Agreement: 9999.7% (378/379) 98.5-100.0

Key Metrics

Not Found

Predicate Device(s)

K993319

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 866.3780

Toxoplasma gondii serological reagents.(a)
Identification. Toxoplasma gondii serological reagents are devices that consist of antigens and antisera used in serological tests to identify antibodies toToxoplasma gondii in serum. Additionally, some of these reagents consist of antisera conjugated with a fluorescent dye (immunofluorescent reagents) used to identifyToxoplasma gondii from clinical specimens. The identification aids in the diagnosis of toxoplasmosis caused by the parasitic protozoanToxoplasma gondii and provides epidemiological information on this disease. Congenital toxoplasmosis is characterized by lesions of the central nervous system, which if undetected and untreated may lead to brain defects, blindness, and death of an unborn fetus. The disease is characterized in children by inflammation of the brain and spinal cord.(b)
Classification. Class II (performance standards).

0

Elecsys Toxo IgG Test System

510(k) Summary

(07350)

IntroductionAccording to the requirements of 21 CFR 807.92, the following information provides sufficient detail to understand the basis for a determination of substantial equivalence.
Submitter name, address, contactRoche Diagnostics 9115 Hague Road Indianapolis, IN 46250 (317) 521 - 3723
Contact Person: Theresa A. Bush
Date PreparedJune 6, 2008
Device Name
Proprietary name: (1) Elecsys Toxo IgG Immunoassay (2) Elecsys PreciControl Toxo IgG
Common name: (1) Toxoplasma IgG assay (2) PreciControl Toxo IgG
Classification name: (1) Toxoplasma gondi serological reagents (2) Single (specified) analyte controls (assayed and unassayed)

1

.

Device Description(1) The Elecsys Toxo IgG Immunoassay is a two-step sandwich immunoassay with streptavidin microparticles and electrochemiluminescence detection. In the first incubation, 10 µL of sample, a biotinylated recombinant T. gondii- specific antigen, and a T. gondii-specific recombinant antigen labeled with a ruthenium complex a form a sandwich complex. Then, after addition of streptavidin-coated microparticles, the complex becomes bound to the solid phase via interaction of biotin and streptavidin. The reaction mixture is aspirated into the measuring cell where the microparticles are magnetically captured onto the surface of the electrode. Unbound substances are then removed with ProCell. Application of a voltage to the electrode then induces chemiluminescent emission which is measured by a photomultiplier. Results are determined via a calibration curve which is instrument-specifically generated by 2-point calibration and a master curve provided via the reagent barcode. A human serum-based calibrator is provided with the test kit, and the recommended control material is PreciControl Toxo IgG. (2) The Elecsys Precicontrol Toxo IgG contains two levels of human serum with Toxo IgG antibodies.
Intended use(1) The Elecsys Toxo IgG immunoassay is for the in vitro quantitative determination of IgG antibodies to Toxoplasma gondi in human serum and Li-heparin, K3-EDTA, and sodium citrate plasma. This assay may be used as an aid in the assessment of immune status and as an aid in the diagnosis of primary infection. The electrochemiluminescence immunoassay "ECLIA" is intended for use on the Elecsys and cobas e immunoassay analyzers. (2) Elecsys PreciControl Toxo IgG is used for quality control of the Elecsys Toxo IgG immunoassay on the Elecsys and cobas e immunoassay analyzers.
Indications for Use(1) The Elecsys Toxo IgG assay may be used as an aid in the assessment of immune status and as an aid in the diagnosis of primary infection.
Substantial equivalenceThe Elecsys Toxo IgG Test System is substantially equivalent to the VIDAS TOXO IgG II Test System cleared in K993319

510(k) Summary, Continued
Substantial equivalence -

equivalence
similarities

ar

.

2

Elecsys Toxo IgG Test System

| Feature | Elecsys Toxo IgG Immunoassay | Predicate Device: VIDAS TOXO
IgG II Test System (K993319) |
|--------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use | The Elecsys Toxo IgG immunoassay is for
the in vitro quantitative determination of
IgG antibodies to Toxoplasma gondi in
human serum and Li-heparin, K3-EDTA,
and sodium citrate plasma. This assay is
intended for use as an aid in the assessment
of immune status and as an aid in the
diagnosis of primary infection.
The electrochemiluminescence
immunoassay "ECLIA" is intended for use
on the Elecsys and cobas e immunoassay
analyzers.
NOTE: This assay has not been cleared by
the FDA for blood/plasma donor screening. | The VIDAS Toxo IgG II (TXG) assay
is an automated quantitative test for use
on the VIDAS analyzer for the
measurement of anti-toxoplasma IgG
in human serum using the ELFA
technique (Enzyme Linked
Fluorescence Assay). It is intended for
use as an aid in determination of
immune status. This test is not intended
for use in screening blood donors. |
| Indication for
Use | aid in the assessment of immune status and
as an aid in the diagnosis of primary
infection. | an aid in determination of immune
status |
| Assay Protocol | Electrochemiluminescent Immunoassay | enzyme-linked fluorescent
immunoassay (ELFA) |
| Sample Type | Human serum, lithium heparin plasma,
potassium EDTA plasma and sodium citrate
plasma.
When citrated plasma is used, the values found
are approximately 15% lower | Serum |
| Instrument
Platform | Roche Elecsys 2010/ cobas e 411 and
MODULAR ANALYTICS E170 (Elecsys
module)/ cobas e 601 analyzers. | VIDAS ® Instrument |
| Calibrator | Included in kit | Included in kit |
| Calibrator levels | Two | One |
| Format | Human serum | Human serum |
| Calibrator
Stability | After opening at 2-8C: 8 weeks
On Elecsys 2010/ cobas e 411: up to 5
hours
On E170/ cobas e 601: use only once | Store between 2-8 °C. |
| Calibration
frequency | Once per reagent lot and
• After 1 month when using same
reagent lot
• After 7 days when using same
reagent kit
• As required per QC findings or
pertinent regulations | • Every new reagent lot
• Every 14 days |
| Controls | PreciControl Toxo IgG (sold separately) | Positive and negative control included in kit. |
| Traceability | 3rd International Standard for Anti-
Toxoplasma serum (TOXM) from NIBSC,
UK | WHO standard |
| Reagent Stability | Unopened 2-8°C - up to expiration
Opened 2-8°C - 12 weeks
Onboard- 2 weeks or 12 weeks (if stored
alternately in refrigerator and on the
analyzer- ambient temperature 20-25°C; up
to 84 hours opened in total.) | Unopened kit: Store at 2-8°C. Do not
freeze
After opening: Store at 2-8°C . Pouch
should be immediately resealed with
dessicant ; stable until expiration date |
| Measuring
Range | 0.125-650 IU/mL | Linear up to 250 or 300 IU/mL |
| Precision | Intrassay: (range of values)
Low Control: SD = 0.02-0.05 IU/mL
High Control: 2.02-4.78 CV %
Plasma Samples 1 IU/mL:
CV 1.76-3.09%
Inter-assay:
Low Control: SD 0.047 -0.077 IU/mL
High Control: CV 2.9-5.1 %
Plasma Samples 5 IU/mL:
CV 2.7-5.3% | Within-run:
Negative: SD = 0.25 IU/mL
Low positive: 5.13% CV
High positive: 7.21 % CV
Total:
Negative: SD = 0.43 IU/mL
Low positive: 6.70% CV
High positive: 10.88 % CV |
| Limit of Blank | 0.130 IU/mL | Not stated. |
| Limit of
Detection | 0.175 IU/mL | Not stated. |

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Analytical Specificity193 specimens were tested representing a variety of disease. Results shown in table:No crossreactivity or interference due to RF, ANA and EBV.
Cross-reactantNo. testedElecsys Toxo IgG/Reference Neg/NegElecsys Toxo IgG/Reference Pos/NegElecsys Toxo IgG/Reference Neg/PosElecsys Toxo IgG/Reference Pos/Pos
AMAf1530011
ANAg2681015
Chlamydia42002
CMV80008
EBVh94004
Gonorrhea52003
HAV107003
HBV2314108
HCVi115006
HIV1310102
HSVj81006
Influenza1612004
Malaria104006
Parvo B19109001
Rubella104006
Syphilis53002
TPAH31001
VZV74102
Sub-total186934089
Total193
f. One sample was repeatedly equivocal by the Elecsys Toxo IgG immunoassay
g. Two samples were repeatedly equivocal by the reference method
h One sample was repeatedly equivocal by the reference method
i One sample was repeatedly equivocal by the Elecsys Toxo IgG immunoassay
j One equivocal sample was not repeated on the reference method
InterferencesThe assay is unaffected by icterus (bilirubin $