K Number
K091361
Device Name
IMMULITE 2000 SYPHILIS SCREEN TEST SYSTEM
Date Cleared
2009-12-16

(222 days)

Product Code
Regulation Number
866.3830
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The IMMULITE® 2000 Syphilis Screen test is a treponemal testing procedure for the qualitative detection of antibodies to Treponema pallidum in human serum or heparinized plasma on the IMMULITE 2000 analyzer as an aid in the diagnosis of syphilis. The IMMULITE 2000 Syphilis Screen is not intended for use in screening blood or plasma donors.
Device Description
The IMMULITE 2000 Syphilis Screen is a solid-phase, one-step chemiluminescent immunoassay. The solid phase (bead) is coated with biotinylated recombinant Treponema pallidum p17 (Tp17) antigen. The liquid phase consists of alkaline phosphatase (bovine calf intestine) conjugated to purified recombinant Treponema pallidum p17 (Tp17) antigen. The patient sample and reagent are incubated together with the coated bead for 30 minutes. During this time, total antibody to Treponema pallidum in the sample forms an antigen sandwich complex with biotinylated recombinant Treponema pallidum pl 7 (Tp17) antigen on the bead and enzyme conjugated purified recombinant Treponema pallidum p17 (Tp17) antigen in the reagent. Unbound patient sample and enzyme conjugate are then removed by centrifugal washes. Finally, chemiluminescent substrate is added to the reaction tube containing the bead and the signal is generated in proportion to the bound enzyme.
More Information

No
The device description details a standard immunoassay process and the performance studies focus on method comparison and agreement, with no mention of AI/ML algorithms or training/test data sets for such technologies.

No
The IMMULITE 2000 Syphilis Screen is an in vitro diagnostic device used to detect antibodies for syphilis. It aids in diagnosis but does not directly treat or cure the condition, which is the function of a therapeutic device.

Yes

The "Intended Use / Indications for Use" section explicitly states that the test is used "as an aid in the diagnosis of syphilis."

No

The device description clearly outlines a solid-phase, one-step chemiluminescent immunoassay involving physical components like beads, reagents, and an analyzer (IMMULITE 2000). This indicates a hardware-based in vitro diagnostic device, not a software-only medical device.

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 device is a "treponemal testing procedure for the qualitative detection of antibodies to Treponema pallidum in human serum or heparinized plasma... as an aid in the diagnosis of syphilis." This clearly indicates that the device is used to test samples taken from the human body (in vitro) to provide information for diagnostic purposes.
  • Device Description: The description details a "solid-phase, one-step chemiluminescent immunoassay" that analyzes patient samples (serum or plasma) to detect antibodies. This is a typical description of an in vitro diagnostic test.
  • Input Imaging Modality: The "Not Applicable (Immunoassay)" for Input Imaging Modality further supports that this is a laboratory-based test performed on biological samples, not an imaging device used directly on the patient.
  • Anatomical Site: The "Not Applicable (In vitro diagnostic)" for Anatomical Site reinforces that the test is performed on samples outside the body.

All of these points align with the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The IMMULITE® 2000 Syphilis Screen test is a treponemal testing procedure for the qualitative detection of antibodies to Treponema pallidum in human serum or heparinized plasma on the IMMULITE 2000 analyzer as an aid in the diagnosis of syphilis.

The IMMULITE 2000 Syphilis Screen is not intended for use in screening blood or plasma donors.

Product codes

LIP

Device Description

The IMMULITE 2000 Syphilis Screen is a solid-phase, one-
step chemiluminescent immunoassay. The solid phase (bead) is
coated with biotinylated recombinant Treponema pallidum p17
(Tp17) antigen. The liquid phase consists of alkaline
phosphatase (bovine calf intestine) conjugated to purified
recombinant Treponema pallidum p17 (Tp17) antigen.
The patient sample and reagent are incubated together with the
coated bead for 30 minutes. During this time, total antibody to
Treponema pallidum in the sample forms an antigen sandwich
complex with biotinylated recombinant Treponema pallidum
pl 7 (Tp17) antigen on the bead and enzyme conjugated purified
recombinant Treponema pallidum p17 (Tp17) antigen in the
reagent. Unbound patient sample and enzyme conjugate are
then removed by centrifugal washes. Finally,
chemiluminescent substrate is added to the reaction tube
containing the bead and the signal is generated in proportion to
the bound enzyme.

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

As part of the clinical study, samples from various patient populations were tested with both the IMMULITE Syphilis Screen and the LIAISON Treponema Assay.

Table 2: Method Comparison, Medically Diagnosed Syphilis Patients
Sample Size: 281
Study type: Method Comparison
Key Results:
Positive Agreement: 270/272 = 99.3% (95% Confidence Interval: 97.4% - 99.9%)
Negative Agreement: 6/8 = 75% (95% Confidence Interval: 34.9% - 96.8%)
Overall Agreement: 276/281 = 98.2% (95% Confidence Interval: 95.9% - 99.4%)

Table 3: Method Comparison, Samples Sent for Syphilis Testing
Sample Size: 924
Study type: Method Comparison
Key Results:
Positive Agreement: 359/361 = 99.4% (95% Confidence Interval: 98.0% - 99.9%)
Negative Agreement: 558/563 = 99.1% (95% Confidence Interval: 97.9% - 99.7%)
Overall Agreement: 917/924 = 99.2% (95% Confidence Interval: 98.4% - 99.7%)

Precision/ reproducibility information from product insert:
The reproducibility of the IMMULITE Syphilis Screen as measured by between-site CV ranged from 7.1% to 22.6% for Lot 1 and from 6.1% to 29.7% for Lot 2. Seven samples were tested with both IMMULITE lots.

Key Metrics

Positive Agreement, Negative Agreement, Overall Agreement, Coefficients of Variation (CV)

Predicate Device(s)

K061247

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 word "SIEMENS" in bold, black letters. The letters are large and evenly spaced, filling most of the frame. The background is plain white, providing a stark contrast to the bold text.

K091361/

!
・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・

....

DEC 1 6 2009

510(k) Summary as Required by 21 CFR 807.92
Submitter:Siemens Healthcare Diagnostics Inc.
5210 Pacific Concourse Drive
Los Angeles, CA 90045-6900
Contact Person:Robert C. Eusebio
Director Regulatory Affairs
1584 Enterprise Blvd
West Sacramento, CA 95691
(916) 374-3183
Date Prepared:September 10, 2009
Device Trade Name:IMMULITE® 2000 Syphilis Screen
Common Name:Immunoassay for Treponema pallidum
21 CFR 866.3830
Substantial Equivalence:K061247
DiaSorin LIASION® Treponema Assay
Device Description:The IMMULITE 2000 Syphilis Screen is a solid-phase, one-
step chemiluminescent immunoassay. The solid phase (bead) is
coated with biotinylated recombinant Treponema pallidum p17
(Tp17) antigen. The liquid phase consists of alkaline
phosphatase (bovine calf intestine) conjugated to purified
recombinant Treponema pallidum p17 (Tp17) antigen.
The patient sample and reagent are incubated together with the
coated bead for 30 minutes. During this time, total antibody to
Treponema pallidum in the sample forms an antigen sandwich
complex with biotinylated recombinant Treponema pallidum
pl 7 (Tp17) antigen on the bead and enzyme conjugated purified
recombinant Treponema pallidum p17 (Tp17) antigen in the
reagent. Unbound patient sample and enzyme conjugate are
then removed by centrifugal washes. Finally,
chemiluminescent substrate is added to the reaction tube
containing the bead and the signal is generated in proportion to
the bound enzyme.

.

Ji

1

| Intended Use: | The IMMULITE® 2000 Syphilis Screen test is a
treponemal testing procedure for the qualitative
detection of antibodies to Treponema pallidum in human
serum or heparinized plasma on the IMMULITE 2000
analyzer as an aid in the diagnosis of syphilis.

The IMMULITE 2000 Syphilis Screen is not intended
for use in screening blood or plasma donors. |
|------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Technological Aspects: | A comparison of the device features, intended use, laboratory
data and other information demonstrate that the IMMULITE®
2000 Syphilis Screen is substantially equivalent to the
currently marketed DiaSorin LIASION® Treponema Assay,
as summarized in the following tables. |

Table 1: Comparison of IMMULITE® with LIAISON® Assay
IMMULITE 2000LIAISON
Indications for UseThe IMMULITE® 2000 Syphilis
Screen test is a treponemal testing
procedure for the qualitative
detection of antibodies to Treponema
pallidum in human serum or
heparinized plasma on the
IMMULITE 2000 analyzer as an aid
in the diagnosis of syphilis.

The IMMULITE 2000 Syphilis
Screen is not intended for use in
screening blood or plasma donors. | The LIAISON Treponema assay uses
chemiluminescence immunoassay
(CLIA) technology for the qualitative
detection of total antibodies directed
against Treponema pallidum in
human serum. The presence of
antibodies to Treponema pallidum
specific antigen, in conjunction with
non-treponemal laboratory tests and
clinical findings, may aid in the
diagnosis of syphilis infection.

The LIAISON Treponema Assay is
not intended for use in screening
blood or plasma donors. |
| Assay Type | Enzyme labeled, one-step
chemiluminescent immunoassay | One-step sandwich chemiluminescent
immunoassay |
| Capture/Detection
Antigen/Antibody | Beads coated with purified
recombinant Treponema pallidum p17
(TpN17) antigens are linked to
enzyme conjugated purified
recombinant Treponema pallidum p17
antigen in the reagent. | Magnetic particles coated with Tp17
DNA recombinant protein specific for
Treponema pallidum are linked to an
isoluminol derivative (isoluminol-
antigen conjugate). |
| Cut-Offs | Test value = ratio of signal from
sample to that of signal of adjustor
curve parameter P1. | Index value = ratio of signal from
sample to that of the standard |
| | $\geq$ 1.1 Reactive
0.9 to $