K Number
K090971
Device Name
BD PROBETEC NEISSERIA GONORRHOEAE (GC) QX AMPLIFIED DNA ASSAY
Date Cleared
2009-06-05

(60 days)

Product Code
Regulation Number
866.3390
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The BD ProbeTect™ Neisseria gonorrhoeae (GC) Q* Amplified DNA Assay, when tested with the BD Viper™ System in extracted mode, uses Strand Displacement Amplification (SDA) technology for the direct, qualitative detection of Neisseria gonorrhoeae DNA in cliniciancollected female endocervical and male urethral swabs, patient-collected vaginal swab specimens (in a clinical setting), and female and male urine specimens. The assay is indicated for use with asymptomatic and symptomatic female and male individuals to aid in the diagnosis of gonococcal urogenital disease. The BD Viper System, when used with the BD ProbeTec amplified nucleic assay(s), is intended for the in vitro detection of targeted organisms from specimens as identified in the assay-specific reagent package insert(s).
Device Description
The BD ProbeTec GC Q* Amplified DNA Assay is based on the simultaneous amplification and detection of target DNA using amplification primers and a fluorescently-labeled detector probe. The reagents for SDA are dried in two separate disposable microwells: the Priming Microwell contains the amplification primers, fluorescently-labeled detector probe, nucleotides and other reagents necessary for amplification. while the Amplification Microwell contains the two enzymes (a DNA polymerase and a restriction endonuclease) that are required for SDA. The BD Viper "M System pipettes a portion of the purified DNA solution from each Extraction Tube into a Priming Microwell to rehydrate the contents. After a brief incubation, the reaction mixture is transferred to a corresponding, pre-warmed Amplification Microwell which is sealed to prevent contamination and then incubated in one of the two thermally-controlled fluorescent readers. The presence or absence of N. gonorrhoeae DNA is determined by calculating the peak fluorescence (Maximum Relative Fluorescent Units (MaxRFU)) over the course of the amplification process and by comparing this measurement to a predetermined threshold value. In addition to the fluorescent probe used to detect amplified N. gonorrhoeae target DNA, a second labeled oligonucleotide is incorporated in each reaction. The Extraction Control (EC) oligonucleotide is labeled with a different dye than that used for detection of the N. gonorrhoeae -specific target and is used to confirm the validity of the extraction process. The EC is dried in the Extraction Tubes and is rehydrated upon addition of the specimen and extraction reagents. At the end of the extraction process, the EC fluorescence is monitored by the BD Viper System and an automated algorithm is applied to both the EC and N. gonorrhoeae -specific signals to report results as positive, negative, or EC failure.
More Information

No
The device description details a standard nucleic acid amplification test (NAAT) process involving chemical reactions, fluorescence detection, and comparison to a predetermined threshold. While an "automated algorithm" is mentioned for reporting results and checking the extraction control, this is a simple rule-based algorithm, not indicative of AI/ML. There is no mention of training data, complex models, or adaptive learning.

No.
The device is for the diagnosis of gonococcal urogenital disease, not for treatment.

Yes

Explanation: The "Intended Use / Indications for Use" section explicitly states that the assay is "indicated for use with asymptomatic and symptomatic female and male individuals to aid in the diagnosis of gonococcal urogenital disease." This directly aligns with the definition of a diagnostic device, which is used to identify or detect a disease.

No

The device description clearly outlines the use of physical reagents (microwells with dried reagents, enzymes), a physical system (BD Viper™ System) for pipetting, incubation, and fluorescent reading, and the detection of fluorescence signals from physical probes. While software is undoubtedly involved in processing the fluorescence data and applying algorithms, the core functionality relies heavily on physical components and chemical reactions.

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 assay is for the "direct, qualitative detection of Neisseria gonorrhoeae DNA" in various human specimens (swabs and urine) to "aid in the diagnosis of gonococcal urogenital disease." This clearly indicates the device is intended for use in examining specimens derived from the human body to provide information for diagnostic purposes.
  • Device Description: The description details the process of analyzing human specimens (purified DNA solution from Extraction Tubes) using chemical and biological reagents (primers, probes, enzymes) and a system (BD Viper System) to detect the presence of a specific target (Neisseria gonorrhoeae DNA). This aligns with the definition of an in vitro diagnostic device.
  • Performance Studies: The document describes clinical performance studies conducted using human specimens to evaluate the device's accuracy (sensitivity, specificity, etc.) in detecting the target organism. This is a standard requirement for IVD devices.
  • Predicate Device(s): The mention of predicate devices with K numbers (K081825 and K043144) indicates that this device is being compared to previously cleared IVD devices for similar purposes.

All these points strongly support the classification of this device as an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The BD ProbeTect™ Neisseria gonorrhoeae (GC) Q* Amplified DNA Assay, when tested with the BD Viper™ System in extracted mode, uses Strand Displacement Amplification (SDA) technology for the direct, qualitative detection of Neisseria gonorrhoeae DNA in cliniciancollected female endocervical and male urethral swabs, patient-collected vaginal swab specimens (in a clinical setting), and female and male urine specimens. The assay is indicated for use with asymptomatic and symptomatic female and male individuals to aid in the diagnosis of gonococcal urogenital disease.

The BD Viper System, when used with the BD ProbeTec amplified nucleic assay(s), is intended for the in vitro detection of targeted organisms from specimens as identified in the assay-specific reagent package insert(s).

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

LSL

Device Description

The BD ProbeTec GC Q* Amplified DNA Assay is based on the simultaneous amplification and detection of target DNA using amplification primers and a fluorescently-labeled detector probe. The reagents for SDA are dried in two separate disposable microwells: the Priming Microwell contains the amplification primers, fluorescently-labeled detector probe, nucleotides and other reagents necessary for amplification. while the Amplification Microwell contains the two enzymes (a DNA polymerase and a restriction endonuclease) that are required for SDA. The BD Viper "M System pipettes a portion of the purified DNA solution from each Extraction Tube into a Priming Microwell to rehydrate the contents. After a brief incubation, the reaction mixture is transferred to a corresponding, pre-warmed Amplification Microwell which is sealed to prevent contamination and then incubated in one of the two thermally-controlled fluorescent readers. The presence or absence of N. gonorrhoeae DNA is determined by calculating the peak fluorescence (Maximum Relative Fluorescent Units (MaxRFU)) over the course of the amplification process and by comparing this measurement to a predetermined threshold value.

In addition to the fluorescent probe used to detect amplified N. gonorrhoeae target DNA, a second labeled oligonucleotide is incorporated in each reaction. The Extraction Control (EC) oligonucleotide is labeled with a different dye than that used for detection of the N. gonorrhoeae -specific target and is used to confirm the validity of the extraction process. The EC is dried in the Extraction Tubes and is rehydrated upon addition of the specimen and extraction reagents. At the end of the extraction process, the EC fluorescence is monitored by the BD Viper System and an automated algorithm is applied to both the EC and N. gonorrhoeae -specific signals to report results as positive, negative, or EC failure.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Female endocervical, male urethral, vaginal, female urine, male urine

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Clinician-collected, patient-collected vaginal swab specimens (in a clinical setting)

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

Clinician-collected endocervical and male urethral swab specimens, patient-collected vaginal swab specimens (in a clinical setting), and male and female Or UPT and neat urine specimens were collected from 1059 symptomatic and asymptomatic female subjects and 787 symptomatic and asymptomatic male subjects attending OB/GYN, sexually transmitted disease (STD) and family planning clinics at seven geographically diverse clinical sites in North America. Subjects were classified as symptomatic if they reported symptoms such as dysuria, urethral discharge, coital pain/difficulty/bleeding. testicular or scrotum pain/swelling. abnormal vaginal discharge, or pelvic/uterine/adnexal pain. Subjects were classified as asymptomatic if they did not report symptoms. Sixty five female subjects and 13 male subjects were excluded from the data analysis due to age requirement violations, antibiotic treatment in the last 21 days, opting to withdraw from the study after initially consenting, failure to obtain paired swab and urine specimens, urine quantity less than 20 mL, or transport and storage errors related to specimen collection. Therefore, the final data analysis included 994 compliant female subjects and 774 compliant male subjects.

Five specimens were collected from each of the 994 eligible female subjects. A urine specimen was collected and split into Q* UPT, neat urine and the two reference urine specimen collection devices followed by a vaginal swab specimen and three randomized endocervical swab specimens. Up to four specimens were collected from each of the 774 eligible male subjects. Up to three randomized urethral swab specimens were collected followed by a urine specimen that was split into O UPT, neat urine and the two reference urine specimen collection devices.

BD ProbeTec GC Q* assay results were generated from the Q* UPT and neat urine specimens, the vaginal swab specimen, one endocervical swab specimen and one male urethral swab specimen. The remaining two endocervical swab specimens, up to two male urethral swab specimens, and the two reference urine specimens for each male and female subject were tested using two reference methods: the BD ProbeTec ET GC/AC assay and another commercially available NAAT (Nucleic Acid Amplification Test). Specimen testing was conducted either at the site of collection or at a designated BD Viper testing site.

All performance calculations were based on the total number of BD ProbeTec GC Q* assays results for endocervical, vaginal and male urethral swab specimens, and male and female Q UPT and neat urine specimens compared to a patient infected status (PIS) algorithm for each gender. In the algorithm, the designation of a subject as being infected with GC or not was based on endocervical swab and urine specimen results from the commercially available BD ProbeTec ET GC/AC assay and the other commercially available NAAT. Subjects were considered infected with GC if two of the four endocervical swab and urine specimens (or two of the three or four urethral swab and urine specimens) tested positive in the BD ProbeTec ET GC/AC assay and the other reference NAAT (one specimen testing positive in each NAAT). Subjects were considered non-infected if less than two reference NAAT results were positive. A total of 6284 BD ProbeTec GC Q* assay results from symptomatic female and male were used to calculate sensitivity and specificity.

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

A total of 6284 BD ProbeTec GC Q* assay results from symptomatic female and male were used to calculate sensitivity and specificity. Sensitivity and specificity by specimen type and symptomatic status are presented in Table 3.
Key Results from Table 3:
Female Endocervical Swabs (FS):

  • Asymptomatic: N=450, Sensitivity 96.3% (26/27), Specificity 99.5% (421/423)
  • Symptomatic: N=542, Sensitivity 100.0% (38/38), Specificity 99.8% (503/504)
  • Total: N=992, Sensitivity 98.5% (64/65), Specificity 99.7% (924/927)

Female Vaginal Swabs (FV):

  • Asymptomatic: N=449, Sensitivity 100.0% (27/27), Specificity 98.6% (416/422)
  • Symptomatic: N=544, Sensitivity 100.0% (38/38), Specificity 99.6% (504/506)
  • Total: N=993, Sensitivity 100.0% (65/65), Specificity 99.1% (920/928)

Female Neat Urine (FNU):

  • Asymptomatic: N=450, Sensitivity 96.3% (26/27), Specificity 99.3% (420/423)
  • Symptomatic: N=543, Sensitivity 97.4% (37/38), Specificity 99.6% (503/505)
  • Total: N=993, Sensitivity 96.9% (63/65), Specificity 99.5% (923/928)

Female Urine in Q* UPT (FUPT):

  • Asymptomatic: N=450, Sensitivity 100.0% (27/27), Specificity 99.5% (421/423)
  • Symptomatic: N=543, Sensitivity 97.4% (37/38), Specificity 99.8% (504/505)
  • Total: N=993, Sensitivity 98.5% (64/65), Specificity 99.7% (925/928)

Male Urethral Swabs (MS):

  • Asymptomatic: N=508, Sensitivity 100.0% (12/12), Specificity 99.2% (492/496)
  • Symptomatic: N=257, Sensitivity 100.0% (100/100), Specificity 98.7% (155/157)
  • Total: N=765, Sensitivity 100.0% (112/112), Specificity 99.1% (647/653)

Male Neat Urine (MNU1):

  • Asymptomatic: N=517, Sensitivity 100.0% (12/12), Specificity 99.2% (501/505)
  • Symptomatic: N=257, Sensitivity 100.0% (100/100), Specificity 98.1% (154/157)
  • Total: N=774, Sensitivity 100.0% (112/112), Specificity 98.9% (655/662)

Male Urine in Q* UPT (MUPT1):

  • Asymptomatic: N=517, Sensitivity 100.0% (12/12), Specificity 99.2% (501/505)
  • Symptomatic: N=257, Sensitivity 100.0% (100/100), Specificity 98.7% (155/157)
  • Total: N=774, Sensitivity 100.0% (112/112), Specificity 99.1% (656/662)

Overall Total: N=6284, Sensitivity 99.3% (592/596), Specificity 99.3% (5650/5688)

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

Sensitivity, Specificity, PPV, NPV are provided in the "Summary of Performance Studies" section.

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.

BD ProbeTec"1d Neisseria gonorrhoeae (GC) O* Amplified Predicate Devices DNA Assay (K081825), Gen-Probe Amplified Neisseria gonorrhoeae Assay (K043144)

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

§ 866.3390

Neisseria spp. direct serological test reagents.(a)
Identification. Neisseria spp. direct serological test reagents are devices that consist of antigens and antisera used in serological tests to identifyNeisseria spp. from cultured isolates. Additionally, some of these reagents consist ofNeisseria spp. antisera conjugated with a fluorescent dye (immunofluorescent reagents) which may be used to detect the presence ofNeisseria spp. directly from clinical specimens. The identification aids in the diagnosis of disease caused by bacteria belonging to the genusNeisseria, such as epidemic cerebrospinal meningitis, meningococcal disease, and gonorrhea, and also provides epidemiological information on diseases caused by these microorganisms. The device does not include products for the detection of gonorrhea in humans by indirect methods, such as detection of antibodies or of oxidase produced by gonococcal organisms.(b)
Classification. Class II (performance standards).

0

JUN - 5 2009

Image /page/0/Picture/2 description: The image shows the logo for BD, a medical technology company. The logo consists of a stylized sun-like graphic to the left of the letters "BD". Below the letters is the tagline "Helping all people live healthy lives". The logo is simple and professional, conveying a sense of health and well-being.

BD ProbeTec™ Neisseria gonorrhoeae (GC) Q* Amplified DNA Assay 1690971

BD Diagnostic Systems Applicant 7 Loveton Circle Sparks, MD 21152 Establishment Registration No. 1119779 Kathryn Babka Carr, RAC Contact Person tel. 410-316-4260 fax. 410-316-4041 Kathy Carr@bd.com April 3, 2009 Summary Date BD ProbeTec" Neisseria gonorrhoeae (GC) Q* Amplified Proprietary Name DNA Assay DNA probe, nucleic acid amplification, Neisseria Generic Name Classification Class II Neisseria spp. direct serological test reagents Classification Name Regulation Number 866.3390 Product Code LSL BD ProbeTec"1d Neisseria gonorrhoeae (GC) O* Amplified Predicate Devices DNA Assay (K081825) Gen-Probe Amplified Neisseria gonorrhoeae Assay (K043144) Device Description

The BD ProbeTec GC Q* Amplified DNA Assay is based on the simultaneous amplification and detection of target DNA using amplification primers and a fluorescently-labeled detector probe. The reagents for SDA are dried in two separate disposable microwells: the Priming Microwell contains the amplification primers, fluorescently-labeled detector probe, nucleotides and other reagents necessary for amplification. while the Amplification Microwell contains the two enzymes (a DNA polymerase and a restriction endonuclease) that are required for SDA. The BD Viper "M System pipettes a portion of the purified DNA solution from each Extraction Tube into a Priming Microwell to rehydrate the contents. After a brief incubation, the reaction mixture is transferred to a corresponding, pre-warmed Amplification Microwell which is sealed to prevent contamination and then incubated in one of the two thermally-controlled fluorescent readers. The presence or absence of N. gonorrhoeae DNA is determined by calculating the peak fluorescence (Maximum Relative Fluorescent Units (MaxRFU)) over the course of the amplification process and by comparing this measurement to a predetermined threshold value.

1

Image /page/1/Picture/1 description: The image shows the logo for BD, a global medical technology company. The logo consists of a stylized sunburst above a figure with outstretched arms, followed by the letters "BD" in bold, sans-serif font. Below the logo is the tagline "Helping all people live healthy lives" in a smaller font.

BD ProbeTec™ Neisseria gonorrhoeae (GC) Q* Amplified DNA Assay

In addition to the fluorescent probe used to detect amplified N. gonorrhoeae target DNA, a second labeled oligonucleotide is incorporated in each reaction. The Extraction Control (EC) oligonucleotide is labeled with a different dye than that used for detection of the N. gonorrhoeae -specific target and is used to confirm the validity of the extraction process. The EC is dried in the Extraction Tubes and is rehydrated upon addition of the specimen and extraction reagents. At the end of the extraction process, the EC fluorescence is monitored by the BD Viper System and an automated algorithm is applied to both the EC and N. gonorrhoeae -specific signals to report results as positive, negative, or EC failure.

Intended Use

The BD ProbeTec"11 Neisseria gonorrhoeae (GC) Q* Amplified DNA Assay, when tested with the BD Viper™ System in extracted mode, uses Strand Displacement Amplification (SDA) technology for the direct, qualitative detection of Neisseria gonorrhoeae DNA in cliniciancollected female endocervical and male urethral swabs, patient-collected vaginal swab specimens (in a clinical setting), and female and male urine specimens. The assay is indicated for use with asymptomatic and symptomatic female and male individuals to aid in the diagnosis of gonococcal urogenital disease.

Clinical Performance Characteristics

Clinician-collected endocervical and male urethral swab specimens, patient-collected vaginal swab specimens (in a clinical setting), and male and female Or UPT and neat urine specimens were collected from 1059 symptomatic and asymptomatic female subjects and 787 symptomatic and asymptomatic male subjects attending OB/GYN, sexually transmitted disease (STD) and family planning clinics at seven geographically diverse clinical sites in North America. Subjects were classified as symptomatic if they reported symptoms such as dysuria, urethral discharge, coital pain/difficulty/bleeding. testicular or scrotum pain/swelling. abnormal vaginal discharge, or pelvic/uterine/adnexal pain. Subjects were classified as asymptomatic if they did not report symptoms. Sixty five female subjects and 13 male subjects were excluded from the data analysis due to age requirement violations, antibiotic treatment in the last 21 days, opting to withdraw from the study after initially consenting, failure to obtain paired swab and urine specimens, urine quantity less than 20 mL, or transport and storage errors related to specimen collection. Therefore, the final data analysis included 994 compliant female subjects and 774 compliant male subjects.

Five specimens were collected from each of the 994 eligible female subjects. A urine specimen was collected and split into Q* UPT, neat urine and the two reference urine specimen collection devices followed by a vaginal swab specimen and three randomized endocervical swab specimens. Up to four specimens were collected from each of the 774 eligible male subjects. Up to three randomized urethral swab specimens were collected followed by a urine specimen that was split into O UPT, neat urine and the two reference urine specimen collection devices.

2

Image /page/2/Picture/1 description: The image shows the logo for BD, a medical technology company. The logo consists of two parts: a stylized graphic on the left and the letters "BD" on the right. Below the letters, there is a tagline that reads "Helping all people live healthy lives." The logo is simple and professional, conveying a sense of health and well-being.

BD ProbeTec™ Neisseria gonorrhoeae (GC) Q* Amplified DNA Assay

BD ProbeTec GC Q* assay results were generated from the Q* UPT and neat urine specimens, the vaginal swab specimen, one endocervical swab specimen and one male urethral swab specimen. The remaining two endocervical swab specimens, up to two male urethral swab specimens, and the two reference urine specimens for each male and female subject were tested using two reference methods: the BD ProbeTec ET GC/AC assay and another commercially available NAAT (Nucleic Acid Amplification Test). Specimen testing was conducted either at the site of collection or at a designated BD Viper testing site.

All performance calculations were based on the total number of BD ProbeTec GC Q* assays results for endocervical, vaginal and male urethral swab specimens, and male and female Q UPT and neat urine specimens compared to a patient infected status (PIS) algorithm for each gender. In the algorithm, the designation of a subject as being infected with GC or not was based on endocervical swab and urine specimen results from the commercially available BD ProbeTec ET GC/AC assay and the other commercially available NAAT. Subjects were considered infected with GC if two of the four endocervical swab and urine specimens (or two of the three or four urethral swab and urine specimens) tested positive in the BD ProbeTec ET GC/AC assay and the other reference NAAT (one specimen testing positive in each NAAT). Subjects were considered non-infected if less than two reference NAAT results were positive. A total of 6284 BD ProbeTec GC Q* assay results from symptomatic female and male were used to calculate sensitivity and specificity. Sensitivity and specificity by specimen type and symptomatic status are presented in Table 3.

3

Image /page/3/Picture/1 description: The image shows the logo for BD, a medical technology company. The logo consists of two parts: a graphic on the left and the letters "BD" on the right. The graphic appears to be a stylized representation of a person with arms raised under a sun-like shape. Below the letters "BD" is the tagline "Helping all people live healthy lives" in a smaller font.

BD ProbeTec™ Neisseria gonorrhoeae (GC) Q* Amplified DNA Assay

Table 3: GC Q* Assay Performance Compared to Patient Infected Status (by specimen type and symptomatic status)

| | | | Performance Compared to Patient Infected
Status | | | | | | |
|------------------|-------------|------|----------------------------------------------------|---------------------|----------------------|---------------------|-------|--------|------------------------|
| Specimen
Type | Symptomatic | N | Sensitivity | 95%
C.I. | Specificity | 95%
C.I. | PPV | NPV | Error
Initial/Final |
| FS | A | 450 | 96.3%
(26/27) | (81.0% -
99.9%) | 99.5%
(421/423) | (98.3% -
99.9%) | 92.5% | 99.8% | 3/0 |
| | S | 542 | 100.0%
(38/38) | (90.7% -
100.0%) | 99.8%
(503/504) | (98.9% -
100.0%) | 97.4% | 100.0% | 2/2 |
| | Total | 992 | 98.5%
(64/65) | (91.7% -
100.0%) | 99.7%
(924/927) | (99.1% -
99.9%) | 95.9% | 99.9% | 5/2 |
| FV | A | 449 | 100.0%
(27/27) | (87.2% -
100.0%) | 98.6%
(416/422) | (96.9% -
99.5%) | 82.0% | 100.0% | 0/0 |
| | S | 544 | 100.0%
(38/38) | (90.7% -
100.0%) | 99.6%
(504/506) | (98.6% -
100.0%) | 95.0% | 100.0% | 0/0 |
| | Total | 993 | 100.0%
(65/65) | (94.5% -
100.0%) | 99.1%
(920/928) | (98.3% -
99.6%) | 88.5% | 100.0% | 0/0 |
| FNU | A | 450 | 96.3%
(26/27) | (81.0% -
99.9%) | 99.3%
(420/423) | (97.9% -
99.9%) | 89.8% | 99.8% | 0/0 |
| | S | 543 | 97.4%
(37/38) | (86.2% -
99.9%) | 99.6%
(503/505) | (98.6% -
100.0%) | 94.8% | 99.8% | 0/0 |
| | Total | 993 | 96.9%
(63/65) | (89.3% -
99.6%) | 99.5%
(923/928) | (98.7% -
99.8%) | 93.1% | 99.8% | 0/0 |
| FUPT | A | 450 | 100.0%
(27/27) | (87.2% -
100.0%) | 99.5%
(421/423) | (98.3% -
99.9%) | 92.7% | 100.0% | 0/0 |
| | S | 543 | 97.4%
(37/38) | (86.2% -
99.9%) | 99.8%
(504/505) | (98.9% -
100.0%) | 97.3% | 99.8% | 0/0 |
| | Total | 993 | 98.5%
(64/65) | (91.7% -
100.0%) | 99.7%
(925/928) | (99.1% -
99.9%) | 95.8% | 99.9% | 0/0 |
| MS | A | 508 | 100.0%
(12/12) | (73.5% -
100.0%) | 99.2%
(492/496) | (97.9% -
99.8%) | 75.5% | 100.0% | 0/0 |
| | S | 257 | 100.0%
(100/100) | (96.4% -
100.0%) | 98.7%
(155/157) | (95.5% -
99.8%) | 98.0% | 100.0% | 1/0 |
| | Total | 765 | 100.0%
(112/112) | (96.8% -
100.0%) | 99.1%
(647/653) | (98.0% -
99.7%) | 95.0% | 100.0% | 1/0 |
| Specimen
Type | Symptomatic | N | Sensitivity | 95%
C.I. | Specificity | 95%
C.I. | PPV | NPV | Error
Initial/Final |
| MNU1 | A | 517 | 100.0%
(12/12) | (73.5% -
100.0%) | 99.2%
(501/505) | (98.0% -
99.8%) | 74.6% | 100.0% | 0/0 |
| MNU1 | S | 257 | 100.0%
(100/100) | (96.4% -
100.0%) | 98.1%
(154/157) | (94.5% -
99.6%) | 97.1% | 100.0% | 0/0 |
| MNU1 | Total | 774 | 100.0%
(112/112) | (96.8% -
100.0%) | 98.9%
(655/662) | (97.8% -
99.6%) | 93.9% | 100.0% | 0/0 |
| MUPT1 | A | 517 | 100.0%
(12/12) | (73.5% -
100.0%) | 99.2%
(501/505) | (98.0% -
99.8%) | 74.6% | 100.0% | 1/0 |
| MUPT1 | S | 257 | 100.0%
(100/100) | (96.4% -
100.0%) | 98.7%
(155/157) | (95.5% -
99.8%) | 98.0% | 100.0% | 0/0 |
| MUPT1 | Total | 774 | 100.0%
(112/112) | (96.8% -
100.0%) | 99.1%
(656/662) | (98.0% -
99.7%) | 95.0% | 100.0% | 1/0 |
| Total | | 6284 | 99.3%
(592/596) | (98.3% -
99.8%) | 99.3%
(5650/5688) | (99.1% -
99.5%) | 93.7% | 99.9% | 7/2 |

1 Clinical Trial enrollment for asymptomatic male subjects was extended to obtain the total number of clinical positives for this sub-population.

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BD ProbeTec™ Neisseria gonorrhoeae (GC) Q* Amplified DNA Assay

Asymptomalic Chi
Film
Fürft Confidence Interval Female Neat Urine
Female endocervical swab Female urine in Q* UPT FV
MNU Female vaginal swab r omato vaginal Swas
Male urethral swab
Male urethrall swab
Male urine in Q* UPT
number MS
MUPT ហ S Symptomatic

5

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BD ProbeTec™ Neisseria gonorrhoeae (GC) Q* Amplified DNA Assay

A total of 6284 GC Q* Assay results was evaluated at seven geographically diverse clinical sites. A frequency distribution of the initial MaxRFU values for the GC Q" assay with an assay cutoff of 125 MaxRFU is shown in Figure A.

Image /page/5/Figure/4 description: The image shows the title of a figure. The title is "Figure A: Frequency Distribution of MaxRFU for the GC Q* Assay." The title is written in a bold, sans-serif font.

Image /page/5/Figure/5 description: The image is a bar graph that shows the frequency of MaxRFU values. The x-axis represents the MaxRFU ranges, and the y-axis represents the frequency. The highest frequency is in the 0-49 range, with a value of 5636. The frequency for >=800 is 617.

Conclusions

The clinical study results for the BD ProbeTec Neisseria gonorrhoeae (GC) Q* Amplified DNA Assay support the determination of substantial equivalence with the intended use as stated in the product labeling for the addition of asymptomatic males specimens.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/6/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an abstract depiction of an eagle, with three stylized wing segments.

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

JUN - 5 2009

Ms. Kathryn Babka Carr Regulatory Affairs Specialist BD Diagnostics Systems Becton, Dickinson and Company 7 Loveton Circle Sparks, MD 21152 ·

K090971 Re:

Trade/Device Name: BD Probetec ™ Nesseria gonorrhoeae (GC) Qx Amplified DNA Assay

Regulation Number: 21 CFR 866.3390 Regulation Name: Nesseria spp. Direct serological test reagents Regulatory Class: Class II Product Code: LSL Dated: April 3, 2009 Received: April 6, 2009

Dear Ms. Carr:

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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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 vours,

Sally attapra

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

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Indications for Use

60999971 510(k) Number (if known):

Device Name: BD ProbeTec™ Neisseria gonorrhoeae (GC) Q* Amplified DNA Assay

Indications For Use:

The BD ProbeTect™ Neisseria gonorrhoeae (GC) Q* Amplified DNA Assay, when tested with the BD Viper™ System in extracted mode, uses Strand Displacement Amplification (SDA) technology for the direct, qualitative detection of Neisseria gonorrhoeae DNA in cliniciancollected female endocervical and male urethral swabs, patient-collected vaginal swab specimens (in a clinical setting), and female and male urine specimens. The assay is indicated for use with asymptomatic and symptomatic female and male individuals to aid in the diagnosis of gonococcal urogenital disease.

The BD Viper System, when used with the BD ProbeTec amplified nucleic assay(s), is intended for the in vitro detection of targeted organisms from specimens as identified in the assay-specific reagent package insert(s).

Prescription Use V (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 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)

Vhe Schef

Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

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BD Diagnostic Systems Becton, Dickinson and Company

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