IMMUNOCAP RAPID READER, MODEL 12-3600-10

• K Number: K092978
• Device Name: IMMUNOCAP RAPID READER, MODEL 12-3600-10
• Manufacturer: PHADIA US INC.
• Date Cleared: 2010-01-19 ( 113 days)
• Product Code: DHB
• Regulation Number: 866.5750

Intended Use

ImmunoCAP Rapid Reader, part of ImmunoCAP Rapid System, is an instrument including software to be used for reading and scoring ImmunoCAP Rapid assay results. It is intended for in vitro diagnostic use and is to be used in clinical laboratories, licensed under CLIA to perform non-waived assays.

Device Description

The ImmunoCAP® Rapid Reader is part of ImmunoCAP® Rapid System, which is a combination of lateral flow immunoassay reagents and instrument/software for semi-quantitative determination of IgE antibodies in human capillary whole blood, heparinized venous whole blood or heparinized plasma. The Rapid Reader is a stand alone instrument to be used with ImmunoCAP Rapid Assay Device. It consists of the Rapid Reader instrument and associated software. The user interface consists of a LCD display with a touch screen and a slot for insertion of the ImmunoCAP Rapid Assay Device. The Reader includes functions for photometric reading and scoring of the test results. The Assay Device is illuminated with white color spectrum LED's. A sensor records an image of the Assay Device including Test and Control Windows, and reads the color saturation (Color Units).

Predicate Devices

K081830

Reference Devices

K081830

AI/ML (Artificial Intelligence / Machine Learning)

No
The description focuses on photometric reading and color saturation analysis, which are standard image processing techniques, not indicative of AI/ML. There is no mention of AI, ML, or related concepts like training data or complex algorithms typically associated with AI/ML in medical devices.

Therapeutic

No
This device is for in vitro diagnostic use, intended for reading and scoring assay results, not for directly treating or diagnosing patients.

Diagnostic

Yes

Explanation: The device is described as an "instrument including software to be used for reading and scoring ImmunoCAP Rapid assay results. It is intended for in vitro diagnostic use and is to be used in clinical laboratories". This clearly states its purpose as assisting in diagnoses.

SaMD (Software as a Medical Device)

No

The device description explicitly states it is a "stand alone instrument" and includes hardware components like an LCD display, touch screen, slot for insertion, LED's for illumination, and a sensor for image recording. While it includes software, it is not solely software.

IVD (In Vitro Diagnostic)

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

Here's why:

• Explicit Statement: The "Intended Use / Indications for Use" section explicitly states: "It is intended for in vitro diagnostic use".
• Function: The device is used for "reading and scoring ImmunoCAP Rapid assay results," which are used for the "semi-quantitative determination of IgE antibodies in human capillary whole blood, heparinized venous whole blood or heparinized plasma." This is a diagnostic test performed on biological samples outside of the body.
• Care Setting: It is intended for use in "clinical laboratories," which are typical settings for performing in vitro diagnostic tests.

PCCP (Predetermined Change Control Plan) Authorized

N/A

Overview

Intended Use / Indications for Use

ImmunoCAP Rapid Reader, part of ImmunoCAP Rapid System, is an instrument including software to be used for reading and scoring ImmunoCAP Rapid assay results. It is intended for in vitro diagnostic use and is to be used in clinical laboratories, licensed under CLIA to perform non-waived assays.

Product codes

DHB

Device Description

The ImmunoCAP® Rapid Reader is part of ImmunoCAP® Rapid System, which is a combination of lateral flow immunoassay reagents and instrument/software for semi-quantitative determination of IgE antibodies in human capillary whole blood, heparinized venous whole blood or heparinized plasma. The Rapid Reader is a stand alone instrument to be used with ImmunoCAP Rapid Assay Device. It consists of the Rapid Reader instrument and associated software. The user interface consists of a LCD display with a touch screen and a slot for insertion of the ImmunoCAP Rapid Assay Device. The Reader includes functions for photometric reading and scoring of the test results. The Assay Device is illuminated with white color spectrum LED's. A sensor records an image of the Assay Device including Test and Control Windows, and reads the color saturation (Color Units).

Software: The built in software performs the control checks and the necessary calculations to convert Color Units to Class scores. Patient or external control results are displayed and printed only if internal Reader controls and Assay Device controls are valid.

Assay Device docking system: The slot for the ImmunoCAP Ravid Assay Device has one optical switch for interaction with the Assay Device to initiate reading and system checks.

Camera, optics, and light source: The camera is a CMOS camera with a pixel resolution of 2048 x 1536. The light source consists of four, white color spectrum LEDs placed behind four diffusers, to ensure even illumination of the reading area on the Assay Device.

Computer system and power supply: Integrated microprocessor with a 45W input 100-240V ~ 1.2A 50-60 Hz power supply.

Display and touch screen: The user interface consists of a LCD panel with 480 x 272 pixel resolution, with included touch interface functionality.

Printer: Built in thermal printer for automatic printing of assay results.

Mentions image processing

A sensor records an image of the Assay Device including Test and Control Windows, and reads the color saturation (Color Units).

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

clinical laboratories, licensed under CLIA to perform non-waived assays.

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

Whole Blood Comparison Study: Heparinized capillary whole blood was i) collected from 134 donors. Each sample was tested with one ImmunoCAP Rapid Inhalant Profile 1 Assay Device according to Directions for Use. After completion of the assay, each Assay Device was read in both the New and the Predicate Device.

Plasma Comparison Study: In-house plasma samples from 239 sensitized donors with measurable specific IgE levels to one or more of the allergens in ImmunoCAP Rapid Inhalant Profile 1. All samples were run according to ImmunoCAP Rapid Inhalant Profile 1 Directions for Use. After completion of the assay, each Assay Device was read in both the New and the Predicate Device.

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

Method Comparison:
Whole Blood Comparison Study: Heparinized capillary whole blood was collected from 134 donors. Each sample was tested with one ImmunoCAP Rapid Inhalant Profile 1 Assay Device. Devices were read in both the New and Predicate Device. Overall agreement between the new device and predicate device was 97% across 1340 measurements.
Plasma Comparison Study: In-house plasma samples from 239 sensitized donors were run. Each Assay Device was read in both the New and the Predicate Device. Overall agreement between the new device and predicate device was 98% across 2390 measurements.

Precision/Reproducibility: The sponsor performed a precision study using a special pre-prepared Assay Device with 5 defined colored areas. The same pre-prepared Assay Device was read by 3 different Readers in 30 replicates (90 measurements per allergen position). The Color Units (CU) values were recorded for each reading and the variation within and between Readers was estimated using a one-way analysis of variance model and the estimated components expressed as CV%. % CV between readers varied from 0.46 to 2.69 and within readers varied from 0.3 to 2.43. The total CV% varied from 0.59 to 3.63.

Limit of Blank/Limit of Detection (LoD and LoB for each allergen and total) were provided for the new device and compared to the predicate device. For the new device, the total LoB (Mean CU) was 0.13 and the LoD (Mean CU) was 0.18.

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

Whole Blood Comparison Study:
e1: NPA % 96, PPA % 97, Overall agreement % 96
d1: NPA % 96, PPA % 98, Overall agreement % 97
g2: NPA % 99, PPA % 100, Overall agreement % 99
w1: NPA % 95, PPA % 92, Overall agreement % 94
t7: NPA % 99, PPA % 95, Overall agreement % 97
m6: NPA % 100, PPA % 98, Overall agreement % 99
g6: NPA % 98, PPA % 98, Overall agreement % 98
t8: NPA % 93, PPA % 100, Overall agreement % 96
e5: NPA % 98, PPA % 91, Overall agreement % 96
d2: NPA % 100, PPA % 97, Overall agreement % 99
All: NPA % 97, PPA % 97, Overall agreement % 97

Plasma Comparison Study:
e1: NPA % 100, PPA % 97, Overall agreement % 99
d1: NPA % 99, PPA % 89, Overall agreement % 95
g2: NPA % 98, PPA % 94, Overall agreement % 97
w1: NPA % 98, PPA % 99, Overall agreement % 99
t7: NPA % 98, PPA % 96, Overall agreement % 97
m6: NPA % 100, PPA % 100, Overall agreement % 100
g6: NPA % 97, PPA % 99, Overall agreement % 98
t8: NPA % 99, PPA % 98, Overall agreement % 99
e5: NPA % 99, PPA % 99, Overall agreement % 99
d2: NPA % 100, PPA % 98, Overall agreement % 99
All: NPA % 99, PPA % 97, Overall agreement % 98

Predicate Device(s)

ImmunoCAP Rapid Reader, K081830

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

Regulation Number and Section

§ 866.5750 Radioallergosorbent (RAST) immunological test system.

(a)
Identification. A radioallergosorbent immunological test system is a device that consists of the reagents used to measure by immunochemical techniques the allergen antibodies (antibodies which cause an allergic reaction) specific for a given allergen. Measurement of specific allergen antibodies may aid in the diagnosis of asthma, allergies, and other pulmonary disorders.(b)
Classification. Class II (special controls). The device, when intended to detect any of the allergens included in Table 1 in this paragraph, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 866.9. Table 1—Class II Exempt Allergens Under § 866.5750—Radioallergosorbent (RAST) Immunological Test Systems
Allergen code Allergen product Source (taxonomical name) Grass Pollens g1 Sweet vernal grass Anthoxanthum odoratum. g3 Cocksfoot grass, Orchard grass Dactylis glomerata. g4 Meadow fescue Festuca elatior. g5 Rye-grass (perennial rye grass) Lolium perenne. g7 Common reed (common reed grass) Phragmites communis. g8 Meadow grass, Kentucky blue (June grass) Poa pratensis. g9 Redtop, Bentgrass Agrostis stolonifera ,Agrostis gigantea (Agrostis alba ). g11 Brome grass Bromus inermis. g12 Cultivated rye (cultivated rye grass) Secale cereale. g13 Velvet grass Holcus lanatus. g14 Cultivated oat (cultivated oat grass) Avena sativa. g15 Cultivated wheat (cultivated wheat grass) Triticum aestivum (Triticum spp.). g16 Meadow foxtail (meadow foxtail grass) Alopecurus pratensis. g17 Bahia grass Paspalum notatum. g24 Wheat grass, Western Agropyron smithii (Elymus smithii ). g30 Bluegrass, annual Poa annua. g70 Wild rye grass Elymus triticoides Elymus condensatus. g71 Canary grass Phalaris arundinacea. g201 Barley, cultivated Hordeum vulgare. g202 Maize, corn (cultivated corn) Zea mays. g203 Salt grass Distichlis spicata. g204 False oat-grass Arrhenatherum elatius. g216 Cyn d 1 Cynodon dactylon. g701 Phl p 1.0102, Phl p 5.0101 Phleum pratense. g702 Phl p 7.0101 Phleum pratense. g703 Phl p 12.0101 Phleum pratense. Weed Pollens w2 Western ragweed Ambrosia psilostachya. w4 False ragweed Ambrosia acanthicarpa (Franseria acanthicarpa ). w5 Wormwood Artemisia absinthium Artemisia annua. w6 Mugwort Artemisia vulgaris. w7 Marguerite, ox-eye daisy Chrysanthemum leucanthemum. w8 Dandelion Taraxacum vulgare ,Taraxacum officinale. w9 Plantain (English), Ribwort Plantago lanceolata. w10 Goosefoot, lamb's quarters Chenopodium album. w11 Saltwort (prickly), Russian thistle Salsola kali (Salsola pestifer ). w12 Goldenrod Solidago virgaurea (Solidago spp.). w13 Cocklebur, common Xanthium commune. w14 Common pigweed (rough pigweed) Amaranthus retroflexus. w15 Scale, Lenscale Atriplex lentiformis. w16 Rough marsh elder Iva ciliate ,Iva annua. w17 Firebush (Kochia) Kochia scoparia. w18 Sheep sorrel Rumex acetosella. w19 Wall pellitory Parietaria officinalis. w20 Nettle (Common stinging nettle) Urtica dioica. w21 Wall pellitory Parietaria judaica. w22 Japanese hop (careless weed) Humulus japonicas (Humulus scandens ). w23 Yellow dock, Yellow dockweed Rumex crispus. w24 Spiny pigweed Amaranthus spinosus. w27 Carnation Dianthus spp. w28 Rose Rosa rugosa. w33 Clover Trifolium pratense. w35 Mexican tea Chenopodium ambrosioides. w36 Rabbit bush Ambrosia deltoidea (Franseria deltoides ). w37 Salt bush, annual Atriplex wrightii. w39 Water hemp, Western Amaranthus rudis (Acnida tamariscina ). w41 Burrobrush Hymenoclea salsola. w42 Poverty weed Baccharis neglecta. w43 Common sagebrush Artemisia tridentata. w45 Alfalfa Medicago sativa. w46 Dog fennel Eupatorium capillifolium. w53 Geranium Geranium spp. w67 Groundsel bush Baccharis halimifolia. w69 Iodine bush Allenrolfea occidentalis. w70 Ragweed, slender Ambrosia confertiflora. w75 Wing scale (wingscale) Atriplex canescens. w82 Careless weed Amaranthus palmeri ,Amaranthus hybridus. w90 Japanese hop Humulus japonicas (Humulus scandens ). w203 Rape (rape pollen) Brassica napus. w204 Sunflower Helianthus annuus. w206 Camomile Matricaria chamomilla. w207 Lupin Lupinus spp. w210 Sugar-beet Beta vulgaris. w211 Par j 2.0101 Parietaria judaica. w231 Art v 1 Artemisia vulgaris (Mugwort). w232 Sal k 1 Salsola kali. w233 Art v 3 Artemisa vulgaris (LTP, Mugwort). w234 Pla l 1 Plantago lanceolata. w235 Che a 1.0101 Chenopodium album. w236 Mer a 1.0101 Mercurialis annua. a753 Art v 1 Artemisia vulgaris (Mugwort weed). Tree Pollens t1 Box-elder (Maple) Acer negundo ,Acer saccharum. t2 Gray alder, speckled alder (alder) Alnus incana. t4 Hazel, hazelnut Corylus avellana ,Corylus americana. t5 American beech (beech) Fagus grandifolia (Fagus americana ). t6 Mountain juniper, Mountain cedar Juniperus ashei (Juniperus sabinoides ). t8 Elm Ulmus americana. t9 Olive Olea europaea. t10 Walnut Juglans californica ,Juglans nigra. t11 Maple leaf sycamore, London plane, Plane tree Platanus acerifolia. t61 Sycamore Platanus occidentalis. t12 Willow Salix caprea ,Salix nigra. t14 Cottonwood (Eastern Cottonwood/Black Cottonwood) Populus deltoides. t15 White ash Fraxinus americana. t16 White pine Pinus strobus. t18 Eucalyptus, gum-tree Eucalyptus globulus (Eucalyptus spp.). t19/t26 Acacia Acacia longifolia (Acacia spp.). t20 Mesquite Prosopis glandulosa/ Prosopis juliflora. t21 Melaleuca, cajeput tree Melaleuca quinquenervia (Melaleuca leucadendron ). t22 Pecan, hickory Carya illinoinensis (Carya pecan ). t23 Italian/Mediterranean/funeral cypress Cupressus sempervirens. t24 Japanese cypress Chamaecyparis obtusa (Chamaecyparis spp.). t25 Ash Fraxinus excelsior. t27 Maple, red Acer rubrum. t29 Acacia Acacia spp. t30 Birch, white Betula populifolia. t32 Willow, black Salix nigra. t33 Ash, Arizona Fraxinus velutina. t35 Cedar, salt Tamarix gallica. t37 Bald cypress (white bald cypress) Taxodium distichum. t38 Elm, Chinese/Siberian Ulmus pumila. t40 Hazelnut tree Corylus americana. t41 White hickory Carya alba (Carya tomentosa ). t42 Oak, red Quercus rubra. t43 Loblolly pine Pinus taeda. t44 Hackberry Celtis occidentalis. t45 Cedar elm Ulmus crassifolia. t47 Juniper, one seed Juniperus monosperma. t48 Pine, lodgepole Pinus contorta. t49 Pine, ponderosa Pinus ponderosa. t50 Beech, European Fagus sylvatica. t51 Tree of Heaven Ailanthus altissima. t52 Western white pine Pinus monticola. t54 Russian olive Elaeagnus angustifolia. t55 Scotch broom Cytisus scoparius. t56 Bayberry Myrica cerifera. t57 Red cedar Juniperus virginiana. t60 Western juniper Juniperus occidentalis. t61 Sycamore Platanus occidentalis. t70 Mulberry (white mulberry) Morus alba. t71 Red mulberry Morus rubra. t72 Queen palm Arecastrum romanzoffiamon. t73 Australian pine Casuarina equisetifolia. t77 Oak mix (red, white, black) Quercus spp. t80 Japanese cypress Chamaecyparis obtusa. t81 Japanese alder Alnus japonica. t83 Mango tree Mangifera indica. t90 Walnut, black Juglans nigra. t96 Poplar, white (poplar) Populus alba. t103/t218 Virginia live oak (live oak) Quercus virginiana. t105 Pepper tree Schinus molle. t110 Orange tree Citrus sinensis. t201 Spruce, Norway spruce Picea abies (Picea excelsa ). t202 Alder, smooth Alnus incana spp.Rugosa (Alnus rugosa ). t203 Horse chestnut Aesculus hippocastanum. t205 Elder Sambucus nigra. t206 Chestnut Castanea sativa. t207 Douglas fir Pseudotsuga menziesii (Pseudotsuga taxifolia ). t208 Linden Tilia cordata. t209 Horn beam Carpinus betulus. t210 Privet Ligustrum vulgare. t211 Sweet gum Liquidambar styraciflua. t212 Cedar Libocedrus decurrens. t213 Pine Pinus radiata. t214 Date palm Phoenix canariensis. t215 Lilac Syringa vulgaris. t217 Pepper tree Schinus molle. t217 Red alder Alnus rubra. t218 Virginia live oak Quercus virginiana. t218 Bayberry (bayberry/sweet gale) Myrica gale. t219 Palo verde Cercidium floridum. t219 Red cedar Juniperus virginiana. t220 Bet v 4 Betula verrucosa (Birch). t221 Bet v 2.0101, Bet v 4 Betula verrucosa (Birch). t222 Cypress (Arizona cypress) Cupressus arizonica. t223 Oil palm Elaeis guineensis. t224 Ole e 1 Olea europaea. t225 Bet v 6 Betula verrucosa (Birch). t226 Cup a 1 Cupressus arizonica. t227 Ole e 7 Olea Europaea. t228 Aspen, quaking Populus tremuloides. t229 Eastern hemlock Tsuga canadensis. t230 Redwood (sequoia) Sequoia sempervirens. t232 Pussy willow Salix discolor. t240 Ole e 9.0101 Olea Europaea. t241 Pla a 1.0101 Platanus acerifolia. t242 Pla a 2 Platanus acerifolia. t243 Pla a 3.0101 Platanus acerifolia. t244 Cor a 1.0103 Corylus avellana. t245 Aln g 1.0101 Alnus glutinosa. t246 Cry j 1 Cryptomeria japonica. t280 Locust tree Robinia pseudoacacia. t401 Brazilian peppertree Schinus terebinthifolius. t402 Mastic tree Pistacia lentiscus. t404 Tree of heaven Ailanthus altissima. t406 Date palm Phoenix dactylifera. a482 Ole e 1 Olea europaea (Olive Oil). Mites d207 Blo t 5.0101 Blomia tropicalis. d208 Lep d 2.0101 Lepidoglyphus destructor. Microorganisms, Molds, Yeast m1 Penicillium chrysogenum (Penicillium notatum ) Penicillium chrysogenum (Penicillium notatum ). m2 Cladosporium herbarum (Hormodendrum ) Cladosporium herbarum (Hormodendrum ). m3 Aspergillus fumigatus Aspergillus fumigatus. m4 Mucor racemosus Mucor racemosus. m5 Candida albicans Candida albicans. m7 Botrytis cinerea Botrytis cinerea. m8 Drechslera halodes (Setomelanomma rostrata, Helminthosporium halodes, Helminthosporium interseminatum ) Drechslera halodes (Setomelanomma rostrata, Helminthosporium halodes. m9 Fusarium moniliforme (Fusarium proliferatum ) Fusarium moniliforme (Fusarium proliferatum ). m10 Stemphylium botryosum Stemphylium herbarum (Stemphylium botryosum ). m11 Rhizopus nigricans Rhizopus nigricans. m12 Aureobasidium pullulans Aureobasidium pullulans. m13 Phoma betae Phoma betae. m14 Epicoccum purpurascens Epicoccum purpurascens (Epicoccum nigrum ). m15 Trichoderma viride Trichoderma viride. m16 Curvularia lunata Curvularia lunata ,Curvularia specifera (K923044 ). m17 Cladosporium fulvum Cladosporium fulvum. m18 Fusarium culmorum Fusarium culmorum. m19 Aspergillus versicolor Aspergillus versicolor. m20 Mucor mucedo Mucor mucedo. m21 Aspergillus clavatus Aspergillus clavatus. m22 Micropolyspora faeni Saccharopolyspora rectivirgula (Micropolyspora faeni ). m23 Thermoactinomyces vulgaris Thermoactinomyces vulgaris. m24 Stachybotrys atra Stachybotrys chartarum (Stachybotrys atra ). m24 Paecilomyces spp Paecilomyces spp. m25 Aspergillus versicolor Aspergillus versicolor. m25 Penicillium brevicompactum Penicillium brevicompactum. m26 Cladosporium cladosporioides Cladosporium cladosporioides. m26 Penicillium citrinum Penicillium citrinum. m27 Penicillium spp Penicillium spp. m29 Aspergillus repens Aspergillus repens. m30 Penicillium roqueforti Penicillium roqueforti. m32 Cladosporium cladosporioides Cladosporium cladosporioides. m34 Serpula lacrymans Serpula lacrymans. m36 Aspergillus terreus Aspergillus terreus. m37 Trichophyton mentagrophytes Trichophyton mentagrophytes. m40 Aspergillus amstelodami Aspergillus amstelodami. m43 Saccharomyces Carlsberg Saccharomyces carlsbergensis. m44 Saccharomyces cerevisiae Saccharomyces cerevisiae. m45 Hormodendrum hordei Hormodendrum hordei. m46 Bipolaris spicifera Bipolaris spicifera. m47 Aspergillus nidulans Aspergillus nidulans. m48 Aspergillus oryzae Aspergillus oryzae. m49 Fusarium oxysporum Fusarium oxysporum. m50 Micropolyspora faeni Saccharopolyspora rectivirgula (Micropolyspora faeni ). m51 Thermoactinomyces vulgaris Thermoactinomyces vulgaris. m53 Microspora canis Microsporum canis (Microspora canis ). m54 Aspergillus flavus Aspergillus flavus. m63 Helminthosporium intersemin Helminthosporium intersemin. m66 Mucor plumbeus Mucor plumbeus. m67 Mycogone Mycogone perniciosa. m68 Nigrospora oryzae Nigrospora oryzae. m69 Rhodotorula Rhodotorula rubra (Rhodotorula mucilaginosa ). m70 Malassezia furfur (Pityrosporum orbiculare ) Malassezia furfur (Pityrosporum orbiculare ). m71 Spondylocladium Spondylocladium spp. m72 Epidermophyton Epidermophyton floccosum. m73 Epicoccum nigrum Epicoccum purpurascens (Epicoccum nigrum ). m80 Staphylococcal enterotoxin A (Sta a SEA ) Staphylococcus aureus. m80 Helminthosporium spp Helminthosporium spp. m81 Staphylococcal enterotoxin B (Sta a SEB ) Staphylococcus aureus. m88 Stemphylium solani Stemphylium solani. m93 Gliocladium fimbriatum Gliocladium fimbriatum. m94 Phycomyces blakesleeanus Phycomyces blakesleeanus. m201 Tilletia tritici (Ustilago nuda, Ustilago tritici ) (Barley smut) Tilletia tritici (Ustilago nuda, Ustilago tritici ). m202 Acremonium kiliense (Cephalosporium acremonium ) Acremonium kiliense (Cephalosporium acremonium ). m203 Trichosporon pullulans Trichosporon pullulans. m204 Ulocladium chartarum Ulocladium chartarum. m205 Trichophyton rubrum Trichophyton rubrum. m207 Aspergillus niger Aspergillus niger. m208 Chaetomium globosum Chaetomium globosum. m209 Penicillium frequentans Penicillium glabrum (Penicillium frequentans ). m209 Stachybotrys chartarum Stachybotrys chartarum (Stachybotrys atra ). m210 Trichophyton mentagrophytes var. goetzii Trichophyton mentagrophytes var. goetzii. m211 Trichophyton mentagrophytes var. interdigitale Trichophyton mentagrophytes var. interdigitale. m211 Oat smut Ustilago avenae. m212 Micropolyspora faeni Saccharopolyspora rectivirgula (Micropolyspora faeni ). m212 Geotrichum candidum Geotrichum candidum. m213 Bermuda grass smut Ustilago cynodontis. m214 Johnson grass smut Sphacelotheca cruenta. m215 Corn smut Ustilago maydis. m218 Asp f 1.0101 Aspergillus fumigatus. a3050 Asp r 1 Aspergillus restrictus. m219 Asp f 2 Aspergillus fumigatus. m220 Asp f 3.0101 Aspergillus fumigatus. m221 Asp f 4 Aspergillus fumigatus. m222 Asp f 6.0101 Aspergillus fumigatus. m223 Staphylococcal enterotoxin C (Sta a SEC ) Staphylococcus aureus. m224 Staphylococcal enterotoxin D (Sta a SED ) Staphylococcus aureus. m226 Staphylococcal enterotoxin TSST (Sta a TSST ) Staphylococcus aureus. m227 Malassezia spp. (Pityrosporum spp.) Malassezia spp. (Pityrosporum spp.). m228 Aspergillus flavus. m229 Alt a 1.0101 Alternaria alternata (Alternaria tenuis ). m230 Alt a 6.0101 Alternaria alternata (Alternaria tenuis ). m231 Cla h 8.0101 Cladosporium herbarum (Hormodendrum ). m300 Eurotium spp Eurotium spp. m304 Aspergillus oryzae Aspergillus oryzae. m305 Penicillium brevicompactum Penicillium brevicompactum. m309 Aspergillus terreus Aspergillus terreus. m310 Aspergillus nidulans Aspergillus nidulans. m311 Aspergillus flavus Aspergillus flavus. m312 Aspergillus clavatus Aspergillus clavatus. Epidermal & Animal e6 Guinea pig epithelium Cavia porcellus. e7 Pigeon droppings Columba palumbus ,Columba livia. e25 Chicken serum Gallus domesticus (Gallus gallus domesticus; Gallus spp.). e26 Parrot serum Psittacoidea spp. e62 Camel Camelus dromedaries. e70 Goose feathers Anser anser. e71 Mouse epithelium Mus musculus (Mus spp.). e73 Rat epithelium Rattus norvegicus. e74 Rat urine proteins Rattus norvegicus ,Rattus rattus. e75 Rat serum proteins Rattus norvegicus ,Rattus rattus. e76 Mouse serum proteins Mus musculus (Mus spp.). e77 Budgerigar droppings Melopsittacus undulatus. e78 Budgerigar feathers Melopsittacus undulatus. e79 Budgerigar serum proteins Melopsittacus undulatus. e80 Goat epithelium Capra hircus. e81 Sheep epithelium Ovis aries (Ovis spp.). e82 Rabbit epithelium Oryctolagus cuniculus (Oryctolagus spp.). e83 Swine epithelium Sus scrofa (Sus scrofa domesticus; Sus spp.). e84 Hamster epithelium Cricetus cricetus, Mesocricetus auratus, and Phodopus sungorus. e85 Chicken feathers Gallus domesticus (Gallus gallus domesticus; Gallus spp.). e86 Duck feathers Anas platyrhynchos. e87 Rat epithelium, serum proteins, and urine proteins Rattus norvegicus Rattus rattus. e88 Mouse epithelium, serum proteins, and urine proteins (mouse) Mus musculus (Mus spp.). e89 Turkey feathers Meleagris gallopavo. e90 Budgerigar serum proteins, feathers, and droppings Melopsittacus undulatus. e91 Pigeon serum proteins, feathers, and droppings Streptopelia roseogrisea ,Psittacidae spp. e92 Parrot serum proteins, feathers, and droppings Ara spp. e93 Pigeon serum proteins Streptopelia roseogrisea. e94 Fel d 1.0101 Felis domesticus. a345 Fel d 1 Felis domesticus. e98 Parrot droppings Psittacoidea spp. e101 Can f 1.0101 Canis familiaris (Canis domesticus ). a174 Can f 1 Canis familiaris (Canis domesticus ). e102 Can f 2.0101 Canis familiaris (Canis domesticus ). e196 Parakeet feathers Nymphicus hollandicus. e197 Parakeet droppings Nymphicus hollandicus. e198 Parakeet serum Nymphicus hollandicus. e199 Canary bird serum Serinus canarius. e200 Canary bird droppings Serinus canarius. e201 Canary bird feathers (Canary feathers) Serinus canarius. e202 Reindeer epithelium Rangifer tarandus. e203 Mink epithelium Mustela spp. e204 Bos d 6 Bos domesticus (Bos taurus; Bos spp.). e205 Horse, serum proteins Equus caballus (Equus spp.). e206 Rabbit, serum proteins Oryctolagus cuniculus (Oryctolagus spp.). e208 Chinchilla epithelium Chinchilla laniger. e209 Gerbil epithelium Meriones unguiculatus. e210 Fox epithelium Vulpes vulpes. e211 Rabbit, urine proteins Oryctolagus cuniculus (Oryctolagus spp.). e212 Swine, urine proteins Sus scrofa (Sus scrofa domesticus; Sus spp.). e213 Parrot feathers Ara spp. e214 Finch feathers Lonchura domestica. e215 Pigeon feathers Streptopelia roseogrisea (Streptopelia spp.),Columbia spp. e216 Deer epithelium Dama dama. e217 Ferret epithelium Mustela putorius. e218 Chicken droppings Gallus domesticus (Gallus gallus domesticus; Gallus spp.). e219 Chicken, serum proteins Gallus domesticus (Gallus gallus domesticus; Gallus spp.). e220 Fel d 2, Cat serum albumin Felis domesticus. e221 Can f 3 Canis familiaris (Canis domesticus ) (Dog serum albumin ). e222 Swine serum albumin (Sus s PSA) Sus scrofa (Sus scrofa domesticus; Sus spp.). e225 Lovebird feathers Psittacoidea agapomis. e226 Can f 5.0101 Canis familiaris. e227 Equ c 1.0101 Equus caballus. e228 Fel d 4.0101 Felis domesticus. e230 Equ c 3 Equus caballus. e231 Mus m 1 Mus musculus. Food f9 Rice Oryza sativa. f12 Pea (green pea) Pisum sativum. f15 White bean Phaseolus vulgaris. f19 Cayenne pepper Capsicum frutescens (Capsicum annum ). f21 Sugar cane Saccharum officinarum. f22 Raspberry Rubus idaeus. f26 Pork Sus scrofa (Sus scrofa domesticus; Sus spp.). f29 Watermelon Citrullus lanatus (Citrullus vulgaris ). f31 Carrot Daucus carota. f32 Oyster mushroom Pleurotus ostreatus. f33 Orange Citrus sinensis. f35 Potato Solanum tuberosum. f43 Mother's milk Homo sapiens. f44 Strawberry Fragaria vesca (Fragaria spp.). f45 Yeast, baker's Saccharomyces cerevisiae. f46 Pepper, Red Capsicum annuum. f47 Garlic Allium sativum. f48 Onion Allium cepa. f49 Apple Malus x domestica (Malus spp.). f51 Bamboo shoot Phyllostachys pubescens. f52 Cacao/chocolate Theobroma cacao. f54 Sweet potato Ipomoea batatas. f55 Common millet Panicum miliaceum. f56 Foxtail millet Setaria italica. f57 Japanese millet Echinochloa crus-galli. f58 Pacific squid Todarodes pacificus. f59 Octopus Octopus vulgaris (Octopus spp.). f63 Kefir NA. f67 Parmesan cheese NA. f81 Cheese, cheddar type NA. f82 Cheese, mold type NA. f83 Chicken Gallus domesticus (Gallus gallus domesticus; Gallus spp.). f86 Parsley Petroselinum crispum. f87 Melon Cucumis melo Cucumis melo + Citrullus lanatus. f88 Mutton (lamb) Ovis aries (Ovis spp.). f90 Malt Hordeum vulgare. f92 Banana Musa spp. f93 Cacao Theobroma cacao. f94 Pear Pyrus communis (Pyrus spp.). f97 Yam Dioscorea spp.Dioscorea opposita. f97 Chamomile tea Matricaria chamomilla. f98 Gliadin Triticum aestivum (Triticum spp.). f102 Cantaloupe Cucumis melo var. cantalupensis. f105 Chocolate Theobroma cacao. f109 Cottonseed Gossypium hirsutum. f110 Giant radish Raphanus sativus. f118 Zucchini Cucurbita pepo. f119 Radish Raphanus sativus. f120 Venison Capreolus capeolus. f121 Pinto bean Phaseolus vulgaris. f122 Cheese, American NA. f127 Black-eyed pea Vigna unguiculata. f131 Black Olive Olea europaea. f136 Red beet Beta vulgaris var. conditiva. f139 Goat's Cheese Capra aegagrus. f140 Bran NA. f141 Corn (vegetables) Zea mays. f152 Green bell pepper Capsicum annuum. f155 Brewer's yeast Saccharomyces carlsbergensis. f157 Duck Anas domesticus. f158 Goose Anser anser. f160 Camembert cheese NA. f162 Nectarine Prunus persica var. nucipersica. f163 Kohlrabi Brassica oleracea var. gongylodes. f65 Perch f166 Leek Allium porrum. f170 Cheese (Switzerland) (Swiss cheese) NA. f174 Fig Ficus carica. f177 Cranberry Vaccinium macrocarpon. f179 Raisin Vitis spp. f182 Lima bean Phaseolus lunatus. f198 Flaxseed (bruised grain) Linum usitatissimum. f199 Untreated native milk Bos domesticus (Bos taurus; Bos spp.). f208 Lemon Citrus limon. f209 Grapefruit Citrus paradisi. f210 Pineapple Ananas comosus. f211 Blackberry Rubus fruticosus. f212 Mushroom (champignon) Agaricus hortensis (Agaricus spp.). f213 Rabbit Oryctolagus cuniculus (Oryctolagus spp.). f214 Spinach Spinacia oleracea. f215 Lettuce Lactuca sativa. f216 Cabbage Brassica oleracea var. capitata. f217 Brussels sprouts Brassica oleracea var. gem. f218 Paprika, sweet pepper Capsicum annuum. f219 Fennel seed Foeniculum vulgare. f219 Sage Salvia officinalis. f220 Cinnamon Cinnamomum spp. f221 Coffee Coffea spp. f222 Tea Camellia sinensis. f223 Green olive Olea europaea. f225 Summer squash, pumpkin Cucurbita pepo. f225 Pumpkin Cucurbita maxima. f226 Pumpkin seed Cucurbita pepo. f227 Sugar-beet seed Beta vulgaris. f229 Safflower Seed Carthamus tinctorius. f231 Milk, boiled Bos domesticus (Bos taurus; Bos spp.). f234 Vanilla Vanilla planifolia. f237 Apricot Prunus armeniaca. f241 Gouda cheese NA. f242 Cherry Prunus avium. f244 Cucumber Cucumis sativus. f246 Guar, guar gum Cyamopsis tetragonoloba. f247 Honey NA. f248 Rosemary Rosmarinus officinalis. f254 Plaice Pleuronectes platessa. f255 Plum Prunus domestica ,Prunus americana. f258 Squid Loligo spp. f259 Grape Vitis vinifera (Vitis spp.). f260 Broccoli Brassica oleracea var. italica (Brassica oleracea var. cultivar ). f261 Asparagus Asparagus officinalis. f262 Aubergine, eggplant Solanum melongena. f263 Green pepper Piper nigrum ,Capsicum annuum. f264 Eel Anguilla anguilla. f265 Caraway Carum carvi. f265 Cumin Cuminum cyminum. f266 Mace Myristica fragrans. f267 Cardamon Elettaria cardamomum. f268 Clove Syzygium aromaticum. f269 Basil Ocimum basilicum. f270 Ginger Zingiber officinale. f271 Anise Pimpinella anisum. f272 Tarragon Artemisia dracunculus. f273 Thyme Thymus vulgaris. f274 Marjoram Origanum majorana. f275 Lovage Levisticum officinale. f276 Fennel, fresh Foeniculum vulgare. f277 Dill Anethum graveolens. f278 Bay leaf Laurus nobilis. f279 Chili pepper Capsicum frutescens. f280 Black pepper Piper nigrum. f281 Curry (Santa Maria) NA. f282 Nutmeg Myristica fragrans. f283 Oregano Origanum vulgare. f284 Turkey meat Meleagris gallopavo. f285 Elk/moose meat Alces spp. f286 Mare's milk Equus caballus (Equus spp.). f287 Red kidney bean Phaseolus vulgaris. f288 Blueberry Vaccinium myrtillus (Vaccinium spp.). f289 Date Phoenix dactylifera. f291 Cauliflower Brassica oleracea var. botrytis. f292 Guava Psidium guajava. f293 Papaya Carica papaya. f294 Passion fruit, Maracuja Passiflora edulis (Passiflora spp.). f295 Carambola Averrhoa carambola. f296 Carob Ceratonia siliqua. f297 Gum Arabic Acacia senegal (Acacia spp.). f298 Tragacanth Astragalus spp. f299 Sweet chestnut (chestnut) Castanea sativa. f300 Pinto bean Phaseolus spp. f301 Persimmon (kaki fruit, sharon) Diospyros kaki. f302 Mandarin (tangerine, clementine, satsumas) Citrus reticulata. f305 Fenugreek Trigonella foenum-graecum. f306 Lime Citrus aurantifolia. f307 Hake Merluccius merluccius. f308 Sardine (pilchard) Sardina pilchardus. f310 Blue vetch Lathyrus sativus. f311 Megrim Lepidorhombus whiffiagonis. f315 Green bean Phaseolus vulgaris. f316 Rape seed Brassica napus. f317 Coriander Coriandrum sativum. f318 Jack fruit Artocarpus heterophyllus. f319 Beetroot Beta vulgaris. f320 Crayfish Astacus astacus. f321 Horse meat Equus caballus (Equus spp.). f322 Red currant Ribes sylvestre. f324 Hop (fruit cone) Humulus lupulus. f325 Saffron Colchicum autumnale. f328 Fig Ficus carica. f329 Watermelon Citrullus lanatus. f330 Rose hip Rosa spp. f331 Saffron Crocus sativus. f332 Mint Mentha piperita. f333 Linseed Linum usitatissimum. f336 Jujube Ziziphus jujuba. f336 Wine vinegar Vitis vinifera (Vitis spp.). f337 Sole Solea solea. f337 English sole Parophrys vetulus. f338 Wine, white Vitis vinifera (Vitis spp.). f339 Allspice Pimenta dioica. f339 Wine, red Vitis vinifera (Vitis spp.). f341 Cranberry Vaccinium oxycoccus ,Vaccinium macrocarpon. f342 Olive (black, fresh) Olea europaea. f343 Raspberry Rubus idaeus. f344 Sage Salvia officinalis. f346 Chives Allium schoenoprasum. f347 Quinoa Chenopodium quinoa. f348 Litchi Litchi chinensis. f349 Chum salmon roe Oncorhynchus keta. f358 Artichoke Cynara scolymus. f360 Yogurt NA. f368 Black bass Micropterus dolomieu (Micropterus dolomieui ). f374 Karaya gum Sterculia urens. f375 Horseradish Armoracia rusticana. f377 Maple syrup NA. f379 Okra Abelmoschus esculentus. f382 Beet, sugar Beta vulgaris var. altissima. f401 Loquat Eriobotrya japonica. f402 Fig Ficus carica. f403 Brewer's yeast Saccharomyces cerevisiae. f405 Mint Mentha spp. f406 Arugula Eruca vesicaria. House Dust h1 Greer Labs., Inc NA. h2 Hollister-Stier Labs NA. h6 Japan NA. Venoms & Insects i7 Midge Chironomus yoshimatsui. i8 Moth Bombyx mori ,Heterocera spp. i47 Water flea Daphnia spp. i49 Deer fly Chrysops spp. i51 Black ant Camponotus pennsylvanicus. i54 Flea mix (dog/cat), common flea Ctenocephalides spp. i71 Mosquito Aedes communis ,Aedes spp.and Culex spp. i72 Green nimitti Cladotanytarsus lewisi. i73 Blood worm Chironomus thummi ,Chironomusri parius ,Chironomus spp. i75 European hornet Vespa crabro. i76 Berlin beetle Trogoderma angustum. i77 European paper wasp Polistes dominulus. i78 Fly Musca domestica. i80 Bumblebee Bombus pennsylvanicus. i201 Horse bot fly Gasterophilus intestinalis. i202 Grain weevil Sitophilus granarius. i203 Mediterranean flour moth Ephestia kuehniella (Anagasta kuehniella ). i204 Horse fly Tabanus spp. i205 Bumblebee Bombus terrestris. i208 Api m 1.0101 Apis mellifera. a45 Api m 1 Apis mellifera. i209 Ves v 5.0101 Vespula vulgaris. a670 Ves v 5 Vespula vulgaris. i210 Pol d 5.0101 Polistes dominulus. i211 Ves v 1.0101 Vespula vulgaris. i213 Api m 4 Apis mellifera. i214 Api m 2 Apis mellifera. i215 Api m 3 Apis mellifera. i216 Api m 5 Apis mellifera. i217 Api m 10 Apis mellifera. i220 Bla g 1.0101 Blattella germanica. i221 Bla g 2.0101 Blattella germanica. i222 Bla g 5.0101 Blattella germanica. i223 Bla g 7 Blattella germanica. a46 Api m 2 Apis mellifera. Miscellaneous o1 Cotton, crude fibers Gossypium spp. o3 Cotton (treated) Gossypium spp. o70 Seminal fluid Homo sapiens. o71 Staphylococcus aureus Staphylococcus aureus. o72 Pichia pastoris crude extract customer specific Pichia pastoris. o72 Sperm-sediment Homo sapiens. o73 Pichia pastoris crude extr. vector customer specific Pichia pastoris. o74 Pichia pastoris with vector customer specific Pichia pastoris. o201 Tobacco leaf, tobacco dust Nicotiana tabacum. o202 Artemia salina, fish feed Artemia salina. o203 Tetramin, fish feed NA. o207 Daphnia, fish feed Daphnia spp. o211 Mealworm Tenebrio molitor. o212 Streptavidin Streptomyces avidini. o213 MBP (maltose binding protein) Escherichia coli. o214 CCD; MUXF3 from bromelain Ananas comosus. o72 Enterotoxin A (Sta a SEA) Staphylococcus aureus. o73 Enterotoxin B (Sta a SEB) Staphylococcus aureus. Parasites p1 Ascaris Ascaris suum. p2 Echinococcus Echinococcus granulosus. p3 Schistosoma Schistosoma mansoni. p4 Anisakis (Herring Worm) Anisakis simplex (Anisakis spp.). p5 Toxocara canis Toxocara canis. p10 Ani s 3.0101 Anisakis simplex (Anisakis spp.). p11 Ani s 1 Anisakis simplex (Anisakis spp.). Occupational k4 Threshing dust NA. k5 Flax NA. k7 Hay Dust NA. k8 Hop (hops) Humulus lupulus. k12 Grain mill dust NA. k14 Kapok NA. k20 Sheep's wool (treated) (wool) Ovis aries (Ovis spp.). k21 Sheep's wool (Untreated) Ovis aries (Ovis spp.). k23 Straw Dust NA. k33 Oak NA. k70 Green coffee bean Coffea spp. k71 Castor bean Ricinus communis. k72 Ispaghula Plantago psyllium/Plantago ovata. k73 Silk waste NA. k74 Silk Bombyx mori. k75 Isocyanate TDI (Toluene diisocyanate) NA. k76 Isocyanate MDI (Diphenylmethane diisocyanate) NA. k77 Isocyanate HDI (Hexamethylen diisocyanate) NA. k78 Ethylene oxide NA. k79 Phthalic anhydride NA. k80 Formaldehyde/Formalin NA. k81 Ficus Ficus benjamina (Ficus spp.). k83 Cotton seed Gossypium hirsutum. k84 Sunflower seed Helianthus annuus. k85 Chloramin T NA. k86 Trimellitic anhydride, TMA NA. k87 Asp o 21, alpha-amylase Aspergillus oryzae. k89 Orris root Iris florentina. k99 HSA (Human Serum Albumin) (Hom s HSA) Homo sapiens. k201 Car p 1, Papain Carica papaya. k202 Ana c 2, Bromelain Ananas comosus. k204 Maxatase Bacillus licheniformis. k205 Alcalase Bacillus spp. k206 Savinase, Protease 1 (Bac l Subtilisin) Bacillus spp. k208 Gal d 4, Lysozyme Gallus domesticus (Gallus gallus domesticus; Gallus spp.). k209 Hexahydrophtalic anhydrid NA. k210 Maleic anhydride NA. k211 Methyltetrahydrophtalic anhydrid NA. k212 Abachi wood dust Triplochiton scleroxylon. k213 Pepsin (Sus s Pepsin) Sus scrofa (Sus scrofa domesticus; Sus spp.). k213 TCPA NA. k214 Bougainvillea Bougainvillea spp. k225 Horse radish peroxidase (Arm r HRP) Armoracia rusticana. k226 Ascorbate oxidase (Cuc p ascorbate oxidase) Cucurbita pepo. k301 Flour dust Triticum spp. k501 Savinase customer specific Proprietary knowledge of customer. k502 Lipolase customer specific Proprietary knowledge of customer. k503 Termamyl customer specific Proprietary knowledge of customer. k504 Clazinase customer specific Proprietary knowledge of customer.

Summary

0

510(k) SUBSTANTIAL EQUIVALENCE DETERMINATION DECISION SUMMARY

A. 510(k) Number: K092978

• B. Purpose for Submission: Device modification to K081830. New imaging aid to the existing device.
• C. Manufacturer and Instrument Name: Phadia AB, ImmunoCAP® Rapid Reader

D. Type of Test or Tests Performed:

Semi-quantitative, lateral flow immunoassay

E. System Descriptions:

1. Device Description:

The ImmunoCAP® Rapid Reader is part of ImmunoCAP® Rapid System, which is a combination of lateral flow immunoassay reagents and instrument/software for semi-quantitative determination of IgE antibodies in human capillary whole blood, heparinized venous whole blood or heparinized plasma. The Rapid Reader is a stand alone instrument to be used with ImmunoCAP Rapid Assay Device. It consists of the Rapid Reader instrument and associated software. The user interface consists of a LCD display with a touch screen and a slot for insertion of the ImmunoCAP Rapid Assay Device. The Reader includes functions for photometric reading and scoring of the test results. The Assay Device is illuminated with white color spectrum LED's. A sensor records an image of the Assay Device including Test and Control Windows, and reads the color saturation (Color Units).

Software: The built in software performs the control checks and the necessary calculations to convert Color Units to Class scores. Patient or external control results are displayed and printed only if internal Reader controls and Assay Device controls are valid.

Assay Device docking system: The slot for the ImmunoCAP Ravid Assay Device has one optical switch for interaction with the Assay Device to initiate reading and system checks.

Camera, optics, and light source: The camera is a CMOS camera with a pixel resolution of 2048 x 1536. The light source consists of four, white color spectrum LEDs placed behind four diffusers, to ensure even illumination of the reading area on the Assay Device.

Computer system and power supply: Integrated microprocessor with a 45W input 100-240V ~ 1.2A 50-60 Hz power supply.

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Display and touch screen: The user interface consists of a LCD panel with 480 x 272 pixel resolution, with included touch interface functionality.

Printer: Built in thermal printer for automatic printing of assay results.

• 2. Principles of Operation:
     The Reader includes functions for photometric reading and scoring of the test results. The Assay Device is illuminated with white color spectrum LED's. A sensor records an image of the Assay Device including Test and Control Windows, and reads the color saturation (Color Units). The built in software performs the control checks and the necessary calculations to convert Color Units to Class scores. Patient or external control results will be displayed and printed only if internal Reader controls and Assay Device controls are valid. The ImmunoCAP Rapid Reader quantitatively measures the color saturation and converts the signal into Color Units (CU). The higher the concentration of IgE antibodies in the sample the stronger the color of the red lines, i.e. higher CU values. CU values are then categorized semiquantitatively into Class 1, 2 or 3. The user performs the Rapid assay according to the instructions for use and inserts the Assay Device into the Rapid Reader as shown on the screen of the Reader. If the necessary control conditions are met, assay results will be displayed on the screen and automatically printed. If the Reader does not detect the blood sample or the assay control lines are missing, the Rapid Reader will not report or print any results. The Reader displays results as Class 1, 2 or 3 for each allergen.
• 3. Modes of Operation:
     Semi-automated. No change from the predicate device.

• Specimen Identification: 4. Manual input by user.. No changes from the Predicate Device.

• 5. Specimen Sampling and Handling:

Samples should be obtained and handled according to the laboratory's standard operating procedures and following the protocol described in the package insert. No changes from the Predicate Device.

• 6. Calibration:
     ImmunoCAP Rapid Reader is calibrated at manufacturing and does not require any user calibration. No changes from the Predicate Device.
• 7. Quality Control:
     The performance of ImmunoCAP Rapid Reader is verified at regular intervals through the use of the Check Device. No changes from the Predicate Device.
• 8. Software:
     FDA has reviewed applicant's Hazard Analysis and Software Development processes for this line of product types:

Yes__X___ or No

F. Regulatory Information:

• 1. Regulation section:
     21 CFR § 866.5750, Radioallergosorbent (RAST) immunological test system
• 2. Classification:
     Class II

2

• 3. Product code: DHB System, Test, Radioallergosorbent (RAST), Immunological
• 4. Panel: Immunology (82)

G. Intended Use:

• 1. Indication(s) for Use:
     ImmunoCAP Rapid Reader, part of ImmunoCAP Rapid System, is an instrument including software to be used for reading and scoring ImmunoCAP Rapid assay results. It is intended for in vitro diagnostic use and is to be used in clinical laboratories, licensed under CLIA to perform non-waived assays.
• 2. Special Conditions for Use Statement(s): For prescription only

H. Substantial Equivalence Information:

• 1. Predicate Device Name(s) and 510(k) numbers: ImmunoCAP Rapid Reader, K081830
• 2. Comparison with Predicate Device:

Similarities
Item	Device	Predicate
Intended Use	ImmunoCAP Rapid Reader, part of ImmunoCAP Rapid System, is an instrument including software to be used for reading and scoring ImmunoCAP Rapid assay results. It is intended for in vitro diagnostic use and is to be used in clinical laboratories, licensed under CLIA to perform non-waived assays.	same
System Configuration	ImmunoCAP® Rapid System, is an in vitro semi-quantitative assay for measurement of allergen specific IgE to inhalant in heparinized human capillary whole blood, heparinized venous whole blood, or heparinized plasma. ImmunoCAP® Rapid System consists of the ImmunoCAP® Rapid	same
Similarities
Item	Device	Predicate
Reader, ImmunoCAP® Rapid Reader Check device, ImmunoCAP® Rapid Inhalant Profile 1, and ImmunoCAP® RapidQC 1.	The Reader is a stand alone instrument to be used with ImmunoCAP Rapid Assay Device. The user interface consists of a LCD display with a touch screen and a slot for insertion of the ImmunoCAP Rapid Assay Device.	same
Reader Functionalities	The Reader is a stand alone instrument to be used with ImmunoCAP Rapid Assay Device. The user interface consists of a LCD display with a touch screen and a slot for insertion of the ImmunoCAP Rapid Assay Device.	same
Analysis of assay results from a whole blood sample	Performed in default mode by measuring color saturation of assay results	Same
Analysis of assay results from a QC/plasma sample	Performed in QC/plasma mode (after pressing the QC/plasma button) by measuring color saturation of assay results	Same
Reader performance check	Mandatory after 7 days and is performed by inserting the Check Device	Same
Setting of date and time	Performed from Settings menu displayed on the touch screen	Same

3

Differences
Item	Device	Predicate
Reader hardware components	Hardware updated Reader	Hardware current Reader
Assay Device docking system	One optical switch	Two mechanical switches
Light source	Four white color spectrum LED's and four diffusers	Four white color spectrum LED's and two optical diffusers
Camera	CMOS camera with	CCD camera with

4

Differences
Item	Device	Predicate
2048x1536 pixel
resolution	Microprocessor	Mini-PC
Computer system, hard disk
Power supply	45W input 100-240V ~
1.2A
50-60 Hz	65W input 100-240V ~
1.6A
50-60 Hz
Display and Touch
screen	LCD panel resolution
480x272	LCD panel resolution
640x480
Printer	Built-in thermo printer	Separate thermo printer
Weight and Footprint
(WxDxH in mm)	1.0 kg
237x117x147	5.8 kg
214x178x252
Software Feature	Updated Reader Software	Current Reader Software
Printing of results	Automatic after
completion of analysis	User initiated printing
Programming language	C and C++	C and Octave
Setting
up/communicating
with peripheral
components, handle file
systems, signals and task
scheduling	Linux kernel 2.6.22.6	Linux kernel 2.6.20
Set up RAM, CPU
registers and clocks, and
start Linux kernel	Redboot	BIOS (Basic input/output
system) in PC
Framework for Graphical
User Interface.	Qt	GTK+ and Cairo
Library to convert to
printer data format	Ghostscript	CUPS

I. Special Control/Guidance Document Referenced (if applicable):

CLSI EP17- Protocols for Determination of Limits of Detection and Limits of Quantitation Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices - Guidance for Industry and FDA Staff

Radioallergosorbent Test (RAST) Methods for Allergen-Specific Immunoglobulin E (IgE) 510(k)s; Final Guidance for Industry and FDA

J. Performance Characteristics:

1. Analytical Performance:

a. Method Comparison:

The performance of the Reader in reading the level of IgE antibodies to each of ten allergens (house dust mite, cat, dog, mold, and pollen from common ragweed, Bermuda grass, timothy grass, oak, and elm) was compared to the predicate device and agreement between the two methods was assessed. The comparison

5

study shows that the new device is in agreement with the predicate device when measuring IgE levels in either whole blood or plasma.

• Whole Blood Comparison Study: Heparinized capillary whole blood was i) collected from 134 donors. Each sample was tested with one ImmunoCAP Rapid Inhalant Profile 1 Assay Device according to Directions for Use. After completion of the assay, each Assay Device was read in both the New and the Predicate Device.

Allergen	NPA %	Lower 95% CI %	Upper 95% CI %	PPA %	Lower 95% CI %	Upper 95% CI %	Overall agreement %	Number Of measurements
e1	96	88	99	97	89	100	96	134
d1	96	88	99	98	91	100	97	134
g2	99	93	100	100	94	100	99	134
w1	95	88	99	92	81	98	94	134
t7	99	93	100	95	86	99	97	134
m6	100	96	100	98	87	100	99	134
g6	98	88	100	98	92	100	98	134
t8	93	86	98	100	92	100	96	134
e5	98	92	100	91	78	97	96	134
d2	100	95	100	97	89	100	99	134
All	97	96	98	97	95	98	97	1340

New Device compared to Predicate Device using whole blood samples.

ii. Plasma Comparison Study: In-house plasma samples from 239 sensitized donors with measurable specific IgE levels to one or more of the allergens in ImmunoCAP Rapid Inhalant Profile 1. All samples were run according to ImmunoCAP Rapid Inhalant Profile 1 Directions for Use. After completion of the assay, each Assay Device was read in both the New and the Predicate Device.

Allergen	NPA %	Lower 95% CI %	Upper 95% CI %	PPA %	Lower 95% CI %	Upper 95% CI %	Overall agreement %	Number of measurements
e1	100	97	100	97	92	99	99	239
d1	99	96	100	89	80	94	95	239

New Device compared to Predicate Device using plasma samples.

6

g2	98	94	100	94	87	98	97	239
w1	98	94	100	99	96	100	99	239
t7	98	94	100	96	90	99	97	239
m6	100	98	100	100	94	100	100	239
g6	97	91	99	99	95	100	98	239
t8	99	97	100	98	91	100	99	239
e5	99	97	100	99	92	100	99	239
d2	100	98	100	98	891	100	99	239
All	99	96	99	97	95	98	98	2390

b. Precision/Reproducibility:

The sponsor performed a precision study using a special pre-prepared Assay Device to estimate the variation within and between Readers. The Assay Device was constructed using the same plastic housing device as in ImmunoCAP Rapid Inhalant Profile 1, but replacing the allergen strips with pre-prepared strips with 5 defined colored areas. The same pre-prepared Assay Device was read by 3 different Readers in 30 replicates. The Color Units (CU) values were recorded for each reading and the variation within and between Readers was estimated using a one-way analysis of variance model and the estimated components expressed as CV%.

Table below show the Coefficients Variance (CV%) for a pre-colored Assay Device read in 3 different Readers in 30 replicates and measured as Color Units (CU). As shown in the table below, % CV between readers varied from 0.46 to 2.69 and within readers varied from 0.3 to 2.43. The total CV% varied from 0.59 to 3.63.

| Line | Corresponding
allergen
position | Number of
Readings | CU
Mean | CV%
Between
Readers | CV%
Within
Readers | CV%
Total | CV%
Total |
|---------|---------------------------------------|-----------------------|------------|---------------------------|--------------------------|--------------|--------------|
| Left 1 | e1 | 90 | 24.02 | 1.09 | 0.41 | 1.06 | 1.06 |
| Left 2 | d1 | 90 | 11.92 | 0.81 | 0.42 | 0.59 | 0.59 |
| Left 3 | g2 | 90 | 7.64 | 0.75 | 0.40 | 0.91 | 0.91 |
| Left 4 | w1 | 90 | 2.74 | 0.97 | 0.78 | 1.14 | 1.14 |
| Left 5 | t7 | 90 | 0.57 | 0.74 | 2.29 | 3.63 | 3.63 |
| Right 1 | m6 | 90 | 23.27 | 1.01 | 0.30 | 1.16 | 1.16 |
| Right 2 | g6 | 90 | 11.89 | 0.46 | 0.37 | 0.91 | 0.91 |

7

Right 3	t8	90	7.42	0.81	0.42	0.85	0.85
Right 4	e5	90	2.72	0.92	0.68	1.25	1.25
Right 5	d2	90	0.58	2.69	2.43	2.41	2.41
Total		900		1.18	1.15	1.64	1.64

• c. Linearity: Not applicable.
• d. Carryover: Not applicable (This device does not come into contact with analytical samples.)
• Interfering Substances: Not applicable (Interfering substances are a property e. of the Assay Device and not the Reader.)
• 2. Other Supportive Instrument Performance Data Not Covered Above:

Limit of Blank/Limit of Detection (LoD and LoB for each allergen and total)

| Allergen | LoB
(Mean CU) | LoD
(Mean CU) |
|----------|------------------|------------------|
| e1 | 0.056 | 0.073 |
| d1 | 0.192 | 0.256 |
| g2 | 0.086 | 0.123 |
| w1 | 0.112 | 0.159 |
| t7 | 0.106 | 0.146 |
| m6 | 0.129 | 0.181 |
| g6 | 0.085 | 0.123 |
| t8 | 0.092 | 0.129 |
| e5 | 0.077 | 0.107 |
| d2 | 0.118 | 0.157 |
| Total | 0.131 | 0.183 |

Comparison of total LoB and total LoD as measured by New and Predicate Device

| Reader | LoB (CU)
Mean | LoB (CU)
95th
Percentile | LoD (CU)
Mean | LoD (CU)
95th Percentile |
|------------------|------------------|--------------------------------|------------------|-----------------------------|
| New device | 0.13 | 0.15 | 0.18 | 0.20 |
| Predicate device | 0.16* | 0.16* | 0.22* | 0.22* |

*Values from K081830

K. Proposed Labeling:

The labeling is sufficient and it satisfies the requirements of 21 CFR Part 809.10.

L. Conclusion:

The submitted information in this premarket notification is complete and supports a substantial equivalence decision.