K Number
K081362
Device Name
PLATELIA LYME IGM
Manufacturer
Date Cleared
2008-06-26

(42 days)

Product Code
Regulation Number
866.3830
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Platelia™ Lyme IgM Assay is a qualitative test intended for use in the presumptive detection of human IgM antibodies to Borrelia burgdorferi in human serum or plasma (K3 EDTA, sodium heparin, or sodium citrate). The EIA test system should be used to test serum or plasma from patients with a history and symptoms of infection with B. burgdorferi. All positive and equivocal specimens should be re-tested with a specific, second-tier test such as Western blot. Positive second-tier results are supportive evidence of infection with B. burgdorferi. The diagnosis of Lyme disease should be made based on history and symptoms (such as erythema migrans), and other laboratory data, in addition to the presence of antibodies to B. burgdorferi. Negative results (either first or second-tier) should not be used to exclude Lyme disease.
Device Description
The Platelia™ Lyme IgM Assay is a qualitative assay for the detection of human IgM antibodies to Borrelia burgdorferi in human serum or plasma.
More Information

Not Found

No
The summary describes a standard qualitative EIA assay for antibody detection, with no mention of AI or ML in the device description, intended use, or performance studies.

No.
This device is a qualitative test used for the detection of human IgM antibodies to Borrelia burgdorferi, which aids in the diagnosis of Lyme disease. It does not provide any treatment or therapy.

Yes

The device is a qualitative test intended for the presumptive detection of human IgM antibodies, which means it helps in identifying a medical condition (Lyme disease) by detecting specific biomarkers. This process of identifying a disease or condition is the definition of a diagnostic device.

No

The device description clearly states it is an "EIA test system" and a "qualitative assay," which are laboratory-based tests involving reagents and physical components, not solely software.

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

Here's why:

  • Intended Use: The intended use explicitly states it's a "qualitative test intended for use in the presumptive detection of human IgM antibodies to Borrelia burgdorferi in human serum or plasma". This involves testing biological samples (serum or plasma) in vitro (outside the body) to provide information about a person's health status (presence of antibodies related to Lyme disease).
  • Device Description: The description reinforces this by stating it's a "qualitative assay for the detection of human IgM antibodies to Borrelia burgdorferi in human serum or plasma".
  • Performance Studies: The performance studies describe testing of serum samples for various characteristics like precision, cross-reactivity, and interference, all of which are typical evaluations for an in vitro diagnostic test.
  • Predicate Device: The mention of a predicate device (Mardx Lyme Disease EIA (IgM) Test) with a K number (K894293) strongly suggests that this device is being compared to a previously cleared IVD.

The core function of the device is to analyze a biological sample in vitro to aid in a medical diagnosis, which is the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Platelia™ Lyme IgM Assay is a qualitative test intended for use in the presumptive detection of human IgM antibodies to Borrelia burgdorferi in human serum or plasma. The EIA system should be used to test serum or plasma from patients with a history and symptoms of infection with B. burgdorferi. All positive and equivocal specimens should be re-tested with a specific, second-tier test such as Western blot. Positive second-tier results are supportive evidence of infection with B. burgdorferi. The diagnosis of Lyme disease should be made based on history and symptoms (such as erythema migrans), and other laboratory data, in addition to the presence of antibodies to B. burgdorferi. Negative results (either first or second-tier) should not be used to exclude Lyme disease.

Product codes

LSR

Device Description

The Platelia™ Lyme IgM Assay is a qualitative assay for the detection of human IgM antibodies to Borrelia burgdorferi in human serum or plasma. The Platelia™ Lyme IgM Assay is an enzyme immunoassay with capture of the IgM on the solid phase. Anti-human u-chains antibodies are coated on the solid phase (wells of the microplate). A mixture of the Borrelia B31 antigen and the monoclonal anti-Borrelia antigen antibody labeled with peroxidase is used as the conjugate.

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)

Intra-Assay Precision:

  • Study Type: Precision study
  • Sample Size: Three samples close to the cut-off value tested 20 times each, various samples spanning the assay range tested 30 times each.
  • Key Results:
    • Samples close to the grey zone (20x):
      • Cut-Off: Mean OD 0.30, SD 0.005, CV 1.7%; Mean RATIO 0.99, SD 0.02, CV 1.8%
      • Grey Zone min: Mean OD 0.27, SD 0.009, CV 3.3%; Mean RATIO 0.87, SD 0.029, CV 3.3%
      • Grey Zone max: Mean OD 0.36, SD 0.009, CV 2.4%; Mean RATIO 1.19, SD 0.029, CV 2.4%
    • Various samples (30x):
      • Negative: Mean OD 0.08, SD 0.013, CV 15%; Mean RATIO 0.24, SD 0.04, CV 15.2%
      • Low positive: Mean OD 0.42, SD 0.019, CV 4.4%; Mean RATIO 1.17, SD 0.052, CV 4.4%
      • Medium: Mean OD 0.67, SD 0.025, CV 3.7%; Mean RATIO 1.88, SD 0.070, CV 3.7%
      • High: Mean OD 1.57, SD 0.038, CV 2.4%; Mean RATIO 4.23, SD 0.104, CV 2.5%
  • Conclusion: The coefficient of variation was less than 5% for positive samples.

Cross Reactivity:

  • Study Type: Cross-reactivity study
  • Sample Size: Varies by disease condition (e.g., 34 for Syphilis, 5 for CMV IgM, etc.)
  • Key Results:
    • Syphilis: N=34, 1 Positive / Equivocal
    • CMV IgM: N=5, 1 Positive / Equivocal
    • EBV IgM: N=5, 5 Positive / Equivocal
    • HSV IgM: N=10, 0 Positive / Equivocal
    • Toxoplasmosis IgM: N=10, 0 Positive / Equivocal
    • Rubella IgM: N=10, 0 Positive / Equivocal
    • Measles IgM: N=10, 0 Positive / Equivocal
    • Mumps IgM: N=10, 2 Positive / Equivocal
    • VZV IgM: N=6, 0 Positive / Equivocal
    • HIV: N=10, 0 Positive / Equivocal
    • Antinuclear Antibodies (ANA): N=10, 1 Positive / Equivocal
    • Heterophile Antibodies (HAMA): N=10, 0 Positive / Equivocal
    • CRP: N=5, 2 Positive / Equivocal
    • SLE: N=2, 0 Positive / Equivocal
    • Rheumatoid Factor: N=9, 0 Positive / Equivocal

Interfering Substances:

  • Study Type: Interfering substances study
  • Key Results:
    • Hemoglobin: Slope (a)=0.907, Y axis intercept (b)=0.071, Correlation coeff=0.999, a+b=0.978
    • Bilirubin: Slope (a)=0.916, Y axis intercept (b)=0.050, Correlation coeff=0.999, a+b=0.966
    • Triolein: Slope (a)=0.889, Y axis intercept (b)=0.061, Correlation coeff=0.997, a+b=0.950
    • Albumin: Slope (a)=0.893, Y axis intercept (b)=0.073, Correlation coeff=0.999, a+b=0.966
    • All results met acceptance criteria: 0.85 0.975 for Correlation coeff, 0.85 1 Year:**
      • Platelia™ Lyme IgM: 4 Positive/equivocal, 4 Negative, 8 Total; 50.0% agreement with clinical diagnosis (4/8)
      • Western Blot IgM: 3 Positive, 5 Negative, 8 Total; 37.5% agreement with clinical diagnosis (3/8)
    • Total:
      • Platelia™ Lyme IgM: 29 Positive/equivocal, 14 Negative, 43 Total; 74.4% agreement with clinical diagnosis (32/43)
      • Western Blot IgM: 19 Positive, 25 Negative, 44 Total; 54.5% agreement with clinical diagnosis (24/44)

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

Not Found

Predicate Device(s)

K894293

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 866.3830

Treponema pallidum treponemal test reagents.(a)
Identification. Treponema pallidum treponemal test reagents are devices that consist of the antigens, antisera and all control reagents (standardized reagents with which test results are compared) which are derived from treponemal sources and that are used in the fluorescent treponemal antibody absorption test (FTA-ABS), theTreponema pallidum immobilization test (T.P.I.), and other treponemal tests used to identify antibodies toTreponema pallidum directly from infecting treponemal organisms in serum. The identification aids in the diagnosis of syphilis caused by bacteria belonging to the genusTreponema and provides epidemiological information on syphilis.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image shows the logo for Bio-Rad Laboratories, a company that manufactures and distributes products for the life science research and clinical diagnostics markets. The logo is displayed in white text on a black background. The text is bold and easy to read.

510(k) SUMMARY

K081362

Date of SummaryMay 13, 2008JUN 2 6 2008
Product NamePlatelia™ Platelia™ Lyme IgM
SponsorBio-Rad
3 Boulevard Raymond Poincaré
92430 Marnes-la-Coquette
France
CorrespondentMDC Associates, LLC
Fran White, Regulatory Consultant
163 Cabot Street
Beverly, MA 01915
Substantially Equivalent DeviceThe Platelia™ Lyme IgM Assay is substantially equivalent
to the Mardx B. burgdorferi EIA.
Manufacturer: Mardx Diagnostics, Inc.
Product: Mardx Lyme Disease EIA (IgM) Test -

K894293

Bio-Rad Platelia" Lyme Substantial Product Attribute Mardx Lyme Disease Test IgM Assay Equivalent The Platelia™ Lyme IgM Intended use The MarDx B. burgdorferi ﮯ ﮨﮯ Assay is a qualitative test Disease Enzyme intended for use in the Immunoassay (EIA) IgM presumptive detection of Test Systems is a human IgM antibodies to qualitative test intended for Borrelia burgdorferi in use in the presumptive human serum or plasma. detection of human IgM The EIA system should be antibodies to Borrelia used to test serum or plasma burgdorferi in human from patients with a history serum. This EIA system and symptoms of infection should be used to test with B. burgdorferi. All serum from patients with a positive and equivocal history and symptoms of specimens should be reinfection with B.

1

Image /page/1/Picture/0 description: The image shows the logo for Bio-Rad. The logo is white text on a black rounded rectangle. The text is "BIO+RAD" with a plus sign in between the two words.

tested with a specific, second-tier test such as Western blot. Positive second-tier results are supportive evidence of infection with B. burgdorferi. The diagnosis of Lyme disease should be made based on history and symptoms (such as erythema migrans), and other laboratory data, in addition to the presence of antibodies to B. burgdorferi. Negative results (either first or second-tier) should not be used to exclude Lyme disease.burgdorferi. All positive and equivocal specimens should be re-tested with a highly specific, second-tier test such as Western blot. Positive second-tier results are supportive evidence of infection with B. burgdorferi. The diagnosis of Lyme disease should be made based on history and symptoms (such as erythema migrans), and other laboratory data, in addition to the presence of antibodies to B. burgdorferi. Negative results (either first or second-tier) should not be used to exclude Lyme disease.
SamplePlasma or serumSerum
Test
methodologyELISAELISA

PRODUCT DESCRIPTION

The Platelia™ Lyme IgM Assay is a qualitative assay for the detection of human IgM antibodies to Borrelia burgdorferi in human serum or plasma.

INTENDED USE

The Platelia™ Lyme IgM Assay is a qualitative test intended for use in the presumptive detection of human IgM antibodies to Borrelia burgdorferi in human serum or plasma. The EIA system should be used to test serum or plasma from patients with a history and symptoms of infection with B. burgdorferi. All positive and equivocal specimens should be re-tested with a specific, second-tier test such as Western blot. Positive second-tier results are supportive evidence of infection with B. burgdorferi. The diagnosis of Lyme disease should be made based on history and symptoms (such as erythema migrans), and other laboratory data, in addition to the presence of antibodies to B. burgdorferi. Negative results (either first or second-tier) should not be used to exclude Lyme disease.

2

Image /page/2/Picture/0 description: The image shows the logo for BIO-RAD. The logo is white text on a black rounded rectangle. The text is in all caps and bolded.

SUMMARY OF TECHNOLOGY

The Platelia™ Lyme IgM Assay is an enzyme immunoassay with capture of the IgM on the solid phase. Anti-human u-chains antibodies are coated on the solid phase (wells of the microplate). A mixture of the Borrelia B31 antigen and the monoclonal anti-Borrelia antigen antibody labeled with peroxidase is used as the conjugate.

3

Image /page/3/Picture/0 description: The image shows the logo for Bio-Rad Laboratories, a company that manufactures and distributes products for the life science research and clinical diagnostics markets. The logo is in black and white and features the text "BIO-RAD" in a bold, sans-serif font. The text is enclosed in a rounded rectangle.

PERFORMANCE DATA

Bio-Rad confirms that any/all data provided in this submission may be released upon request.

Intra-Assay Precision

To confirm the intra assay precision of the Platelia™ Lyme assay two studies were run.

  • Three samples close to the cut off value were tested 20 times during the same run, O according to the assessed kit's protocol.
  • Various samples spanning the assay range were tested 30 times during the same run, o according to the assessed kit's protocol.

Samples close to the grey zone (20x)

SampleODRATIO
MeanSDCVMeanSDCV
Cut-Off0.300.0051.7%0.990.021.8%
Grey Zone min0.270.0093.3%0.870.0293.3%
Grey Zone max0.360.0092.4%1.190.0292.4%

Various samples (30x)

SampleODRATIO
MeanSDCVMeanSDCV
Negative0.080.01315%0.240.0415.2%
Low positive0.420.0194.4%1.170.0524.4%
Medium0.670.0253.7%1.880.0703.7%
High1.570.0382.4%4.230.1042.5%

Conclusion:

The coefficient of variation was less than 5% for positive samples.

Cross Reactivity

The following potentially cross-reactive sera were run on the Platelia Lyme IgM assay.

Platelia™ Lyme IgM

Disease ConditionNPositive / Equivocal
Syphilis341
CMV IgM51
EBV IgM55
HSV IgM100

4

Image /page/4/Picture/0 description: The image shows the logo for Bio-Rad Laboratories, a company that manufactures and distributes products for the life science research and clinical diagnostics markets. The logo is in a rounded rectangle shape with the words "BIO-RAD" in bold, white letters against a black background. The logo is simple and recognizable.

Disease ConditionNPositive / Equivocal
Toxoplasmosis IgM100
Rubella IgM100
Measles IgM100
Mumps IgM102
VZV IgM60
HIV100
Antinuclear Antibodies (ANA)101
Heterophile Antibodies (HAMA)100
CRP52
SLE20
Rheumatoid Factor90

Interfering Substances

The following potentially interfering substances were tested on the Platelia Lyme IgM.

Platelia™ Lyme IgM

| | Acceptance
Criteria | Hemoglobin | Bilirubin | Triolein | Albumin |
|----------------------|------------------------|------------|-----------|----------|---------|
| Slope (a) | $0.850.975$ | 0.999 | 0.999 | 0.997 | 0.999 |
| a+b | $0.85 1 Year | 4 | 4 | 8 | 50.0%
(4/8) | 3 | 5 | 8 | 37.5%
(3/8) |
| Total | 29 | 14 | 43 (2) | 74.4%
(32/43) | 19 | 25 | 44 | 54.5%
(24/44) |

Performance of Platelia™ Lyme IgM Assay on Lyme CDC panel

(1) Equivocal samples considered as positive; 10 One sample not tested due to insufficient sample volume

6

Image /page/6/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with its wings spread, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the eagle. The eagle is black, and the text is also black. The logo is simple and recognizable.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Ms. Fran White Regulatory Consultant Bio-Rad 163 Cabot Street Beverly, MA 01915

JUN 2 6 2008

K081362 Re: Trade/Device Name: Platelia™ Lyme IgM Regulation Number: 21 CFR 866.3830 Regulation Name: Treponema pallidum treponemal test reagent Regulatory Class: Class II Product Code: LSR Dated: May 14, 2008 Received: May 15, 2008

Dear Ms. White:

We have reviewed your Section 510(k) premarket notification of intent to market the we have feviewed your bookers a determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices the increations for abo bannerce prior to May 28, 1976, the enactment date of the marketed in meerstate oominered prob wies 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 approval of a promation applicans of the Act. The general controls uevice, subject to the general convirements for annual registration, listing of devices, provisions of the Free ractice, 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 (I MA), it may be subject to sam adallitie 21, Code of Federal Regulations (CFR), Parts arrecting your act 1100 cc, 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 I lease be advisod that I 27 b issueser ination that your device complies with other from that FDA has made a leveral statutes and regulations administered by other requirements of the Precess of the Act's requirements, including, but not I cacrai agencies: "Four mass compey 1 CFR Part 807); labeling (21 CFR Parts 801 and minted to: registration and nothing (2) == == ================================================================================================================================ (QS) regulation (21 CFR Part 820).

7

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 you desire specific advice for your device on our labeling regulation (21 CFR Part 801), 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" (21CFR 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.

Sally attaym

Sally A. Hojvat, M.Sc., Ph.D. Director Division of Microbiology Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

8

Indications for Use

510(k) Number (if known):

KO81362

Device Name:

Platelia™ Lyme IgM

Indications for Use:

The Platelia™ Lyme IgM Assay is a qualitative test intended for use in the presumptive detection of human IgM antibodies to Borrelia burgdorferi in human serum or plasma (K3 EDTA, sodium heparin, or sodium citrate). The EIA test system should be used to test serum or plasma from patients with a history and symptoms of infection with B. burgdorferi. All positive and equivocal specimens should be re-tested with a specific, second-tier test such as Western blot. Positive second-tier results are supportive evidence of infection with B. burgdorferi. The diagnosis of Lyme disease should be made based on history and symptoms (such as erythema migrans), and other laboratory data, in addition to the presence of antibodies to B. burgdorferi. Negative results (either first or second-tier) should not be used to exclude Lyme disease.

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 OF NEEDED)

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

Ludlow M. Cook

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

510(k) KD81362

Page 1 of 1