K Number
K081767
Device Name
AMNISURE FETAL MEMBRANES RUPTURE TEST, MODEL FMRT-1
Date Cleared
2009-01-09

(203 days)

Product Code
Regulation Number
862.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Amnisure® ROM (rupture of fetal membrane) Test is a rapid, non-instrumented, qualitative immunochromatographic test for the in vitro detection of ammiotic fluid in vaginal secretion of pregnant women. Amnisure® detects PAMG-1 protein marker of the amnictic fluid in vaginal secretions. The test is for use by health care professionals to aid in the detection of ROM when patients report signs, symptoms or complaints suggestive of ROM.
Device Description
The Amnisure® ROM (rupture of fetal membrane) Test is a rapid, non-instrumented, qualitative immunochromatographic test for the in vitro detection of ammiotic fluid in vaginal secretion of pregnant women. Amnisure® detects PAMG-1 protein marker of the amnictic fluid in vaginal secretions.
More Information

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No
The description focuses on a rapid, non-instrumented, qualitative immunochromatographic test detecting a specific protein marker, with no mention of AI or ML.

No
The device aids in the detection of ROM but does not treat or cure any condition.

Yes
The device is described as an "in vitro detection" test used "to aid in the detection of ROM when patients report signs, symptoms or complaints suggestive of ROM." This indicates its purpose is to identify a medical condition (rupture of fetal membrane), which is the definition of a diagnostic device.

No

The device description explicitly states it is an "immunochromatographic test," which is a physical test kit involving reagents and a test strip, not a software-only device.

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

Here's why:

  • "in vitro detection": The intended use and device description explicitly state that the test is for "in vitro detection". This means the test is performed on a sample taken from the body (vaginal secretion) outside of the body.
  • "detection of ammiotic fluid in vaginal secretion": The test analyzes a biological sample (vaginal secretion) to detect a specific substance (amniotic fluid).
  • "immunochromatographic test": This describes a type of laboratory test commonly used for in vitro diagnostics.
  • "for use by health care professionals": This indicates the test is intended for use in a healthcare setting, which is typical for IVDs.

The definition of an IVD generally includes devices intended for use in vitro for the examination of specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The Amnisure® ROM Test fits this description perfectly.

N/A

Intended Use / Indications for Use

The Amnisure® ROM (rupture of fetal membrane) Test is a rapid, non-instrumented, qualitative immunochromatographic test for the in vitro detection of ammiotic fluid in vaginal secretion of pregnant women. Amnisure® detects PAMG-1 protein marker of the amnictic fluid in vaginal secretions. The test is for use by health care professionals to aid in the detection of ROM when patients report signs, symptoms or complaints suggestive of ROM.

Product codes

NOM

Device Description

The Amnisure® ROM (rupture of fetal membrane) Test is a rapid, non-instrumented, qualitative immunochromatographic test for the in vitro detection of ammiotic fluid in vaginal secretion of pregnant women.

Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

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Anatomical Site

vaginal secretion

Indicated Patient Age Range

pregnant women

Intended User / Care Setting

health care professionals

Description of the training set, sample size, data source, and annotation protocol

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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)

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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.

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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.

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Predetermined Change Control Plan (PCCP) - All Relevant Information

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§ 862.1550 Urinary pH (nonquantitative) test system.

(a)
Identification. A urinary pH (nonquantitative) test system is a device intended to estimate the pH of urine. Estimations of pH are used to evaluate the acidity or alkalinity of urine as it relates to numerous renal and metabolic disorders and in the monitoring of patients with certain diets.(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.

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Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

AmniSure® International, LLC c/o Mr. Michael Friedman Director of Regulatory Affairs 30 JFK Street, 4th Floor Cambridge, MA 02138

JAN - 9 2009

Re: K081767

Trade/Device Name: Amnisure® ROM (rupture of fetal membrane) test Regulation Number: 21 CFR 862.1550 Regulation Name: Urinary pH test system Regulatory Class: Class I, meets limitations of exemptions 862.9 (a) Product Code: NOM Dated: December 22, 2008 Received: December 29, 2008

Dear Mr. Friedman:

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. Yourse us 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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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 10gally marketed predicate device results in a classification for your device and thus, bereat to 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 Officer of In Vitro Diagnostic Device Evaluation and Safety at (301) 594-3084. Also, please othe 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 tolly free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely yours,

Corg C. He

Courtney C. Harper, Ph.D. Acting Director Division of Chemistry and Toxicology Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

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Indications for Use

510(k) Number (if known): K081767

Device Name: Amnisure® ROM (rupture of fetal membrane) test

Indications For Use:

The Amnisure® ROM (rupture of fetal membrane) Test is a rapid, non-instrumented, qualitative immunochromatographic test for the in vitro detection of ammiotic fluid in vaginal secretion of pregnant women. Amnisure® detects PAMG-1 protein marker of the amnictic fluid in vaginal secretions. The test is for use by health care professionals to aid in the detection of ROM when patients report signs, symptoms or complaints suggestive of ROM.

Prescription Use_______________________________ (Part 21 CFR 801 Subpart D) (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 Diagnostics Devices (OIVD)

Carol Benson

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

510(k) K081767