K Number
K101203
Manufacturer
Date Cleared
2010-09-10

(134 days)

Product Code
Regulation Number
866.5040
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Tina-quant Albumin Gen. 2 assay is an immunoturbidimetric assay intended for the quantitative determination of albumin in serum, plasma, urine, and CSF on Roche/Hitachi cobas c systems. Measurement of albumin aids in the diagnosis of kidney and intestinal diseases.

Device Description

The Tina-quant Albumin Gen. 2 assay employs an immunoturbidimetric test in which anti-albumin antibodies react with the antigen in the sample to form antigen/antibody complexes which, following agglutination are determined turbidimetrically.

AI/ML Overview

The provided document describes the Tina-quant Albumin Gen. 2 assay, an immunoturbidimetric test for quantitative determination of albumin in human urine, serum, plasma and CSF on Roche/Hitachi cobas c systems.

Here's an analysis of the acceptance criteria and the studies performed, based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

The document presents separate substantial equivalence comparisons for the urine, serum/plasma, and CSF applications of the Tina-quant Albumin Gen. 2 assay against predicate devices. The "acceptance criteria" are implied by the measured performance parameters, as they are being compared to the predicate device and found to be substantially equivalent.

Table 1: Urine Application Performance Comparison

FeatureAcceptance Criteria (Predicate: Hitachi Microalbumin Urine Assay - K932950)Reported Device Performance (Tina-quant Albumin Gen. 2 - Urine Application)
Precision
Within-run (mg/L)Mean = 9.0, SD = 0.29, CV = 3.2%Mean = 30.7, SD = 0.2, CV = 0.8%
Mean = 22.1, SD = 0.30, CV = 1.4%Mean = 108, SD = 1, CV = 0.7%
Mean = 81.1, SD = 0.67, CV = 0.8%Mean = 14.3, SD = 0.2, CV = 1.6%
Mean = 252 mg/L, SD = 4, CV = 1.6%
Total (mg/L)Mean = 9.0, SD = 0.92, CV = 10.1%Mean = 31.2, SD = 0.5, CV = 1.7%
Mean = 22.1, SD = 1.15, CV = 5.2%Mean = 105, SD = 1, CV = 1.2%
Mean = 81.1, SD = 0.78, CV = 1.0%Mean = 13.6, SD = 0.4, CV = 2.8%
Mean = 60.6, SD = 1.4, CV = 2.3%
Analytical SensitivityLower Detection Limit = 3 mg/LLoB = 2 mg/L, LoD = 3 mg/L, LoQ = 12 mg/L
Analytical SpecificityNo interference from 18 common drugsNo interference at common therapeutic concentrations
No unflagged high-dose hook effect up to 40000 mg/L
InterferencesCriterion: Recovery within ± 10%
IcterusNo significant interference up to 25 mg/dLNo significant interference up to I index of 50 (approx. 50 mg/dL conjugated bilirubin)
HemolysisHemoglobin levels >300 mg/dL cause significant positive interferenceNo significant interference up to H index of 400 (approx. 400 mg/dL hemoglobin)
LipemiaNo significant interference up to an L index of 200No interference by acetone, ammonia chloride, calcium, creatinine, y-globulin, glucose, urea, uric acid, urobilinogen (specific concentrations given)
Method ComparisonLinear Regression: y = 1.028x - 4.13 mg/L, r = 0.999Passing Bablock: y = 1.023x + 3.64 mg/L, $\tau$ = 0.984
(Predicate on Hitachi 917 analyzer)(Tina-quant on c501 analyzer vs. Hitachi Microalbumin on Hitachi 917)

Table 2: Serum/Plasma Application Performance Comparison

FeatureAcceptance Criteria (Predicate: Behring N Antiserum to Human Albumin Assay - K972929)Reported Device Performance (Tina-quant Albumin Gen. 2 - Serum/Plasma Application)
Precision
Intra-assay (g/L)Mean: 46.5; CV: 4.3%
Inter-assay (g/L)Mean: 44.7; CV: 4.4%
Repeatability (Within-run) (mg/L)Not directly comparable, but predicate shows ~4% CVMean = 39.9, SD = 0.5, CV = 1.2%
Mean = 66.6, SD = 1.4, CV = 1.2%
Mean = 27.6, SD = 0.4, CV = 1.3%
Mean = 62.5 mg/L, SD = 0.9, CV = 1.5%
Intermediate Precision (Total) (mg/L)Not directly comparable, but predicate shows ~4% CVMean = 42.3, SD = 0.9, CV = 2.0%
Mean = 70.5, SD = 1.6, CV = 2.2%
Mean = 7.78, SD = 0.74, CV = 9.5%
Mean = 36.2, SD = 0.7, CV = 2.1%
Analytical SensitivityEstablished by lower limit of reference curve, depends on protein concentrationsLoB = 1 g/dL, LoD = 2 g/dL, LoQ = 3 g/dL
Analytical SpecificityNo interference from commonly used drugs is known.No interference at common therapeutic concentrations
InterferencesTurbidity and particles may interfere. Bovine serum albumin may disturb.Criterion: Recovery within ± 10%
IcterusNot specified in detail, but general interference noted.No significant interference up to I index of 60 (approx. 60 mg/dL conjugated bilirubin)
HemolysisNot specified in detail, but general interference noted.No significant interference up to H index of 1000 (approx. 1000 mg/dL hemoglobin)
LipemiaNot specified in detail, but general interference noted.No significant interference up to L index of 1500 (approx. 1500 mg/dL intralipid)
Rheumatoid factorsNot specified.≤ 1200 IU/mL do not interfere.
Method ComparisonPredicate calibrates by serial dilutionsPassing Bablock: y = -0.1320 + 0.9600x, $\tau$ = 0.919
Linear Regression (provided): y = -0.0095 + 0.9572x, r = 0.993
(Tina-quant on c501 analyzer vs. nephelometric Albumin test)(Tina-quant on c501 analyzer vs. nephelometric Albumin test)

Table 3: CSF Application Performance Comparison

FeatureAcceptance Criteria (Predicate: Behring N Antiserum to Human Albumin Assay - K972929)Reported Device Performance (Tina-quant Albumin Gen. 2 - CSF Application)
PrecisionNot specified for CSF in predicate.
Repeatability (Within-run) (mg/L)Mean = 99.2, SD = 1.4, CV = 1.4%
Mean = 174, SD = 3, CV = 1.7%
Mean = 383, SD = 4, CV = 1.0%
Mean = 454 mg/L, SD = 4, CV = 0.8%
Intermediate Precision (Total) (mg/L)Mean = 91.0, SD = 2.9, CV = 3.2%
Mean = 389, SD = 7, CV = 1.7%
Mean = 166, SD = 4, CV = 2.3%
Mean = 366, SD = 5, CV = 1.3%
Analytical SensitivityEstablished by lower limit of reference curve, depends on protein concentrationsLoB = 20 mg/L, LoD = 36 mg/L, LoQ = 95 mg/L
Analytical SpecificityNo interference from commonly used drugs is known.No interference at common therapeutic concentrations
InterferencesNot specified for CSF.Criterion: Recovery within ± 10%
HemolysisNo significant interference up to H index of 1000 (approx. 1000 mg/dL hemoglobin)
IcterusNo significant interference up to I index 60 (approx. 600 mg/L conjugated and unconjugated bilirubin)
High dose hook-effectNo false result without a flag up to 30000 mg/L albumin concentration
Method ComparisonPredicate calibrates by serial dilutions.Passing Bablock: y = 1.000x - 8.75 mg/L, $\tau$ = 0.936
Linear Regression (provided): y = 0.991x + 0.301 mg/L, r = 0.992
(Tina-quant on c501 analyzer vs. nephelometric Albumin test)(Tina-quant on c501 analyzer vs. nephelometric Albumin test)

2. Sample Size Used for the Test Set and Data Provenance

  • Urine Application Method Comparison:

    • Sample Size: n = 125
    • Provenance: Not explicitly stated (e.g., country of origin, prospective/retrospective). The comparison is between the Tina-quant Albumin Gen. 2 assay on the c501 analyzer and the Hitachi Microalbumin assay on the Hitachi 917 analyzer (K953239). The sample concentrations were between 12.3 and 386 mg/L.
  • Serum/Plasma Application Method Comparison:

    • Sample Size: n = 77
    • Provenance: Not explicitly stated. The comparison is between the Tina-quant Albumin Gen. 2 assay on the cobas c501 analyzer and a nephelometric Albumin test. The sample concentrations were between 5.70 and 100 g/L.
  • CSF Application Method Comparison:

    • Sample Size: n = 85
    • Provenance: Not explicitly stated. The comparison is between the Tina-quant Albumin Gen. 2 assay on the cobas c501 analyzer and a nephelometric Albumin test. The sample concentrations were between 115 and 2640 mg/L.
  • Precision, Sensitivity, Specificity, Interferences:

    • The sample sizes for these internal studies are not explicitly mentioned in the provided text for each specific test, but they are implied to be sufficient for analytical validation. Provenance is also not explicitly stated.

3. Number of Experts Used to Establish Ground Truth and Their Qualifications

  • The document describes an in-vitro diagnostic device for quantitative determination of albumin. The "ground truth" here is the actual albumin concentration in the samples, established by reference methods or predicate devices, rather than expert interpretation of images or other subjective data.
  • Therefore, the concept of "experts" to establish a subjective ground truth (like radiologists for imaging) is not directly applicable to this type of analytical device. The references are to other cleared devices (predicate devices) or established analytical methods.

4. Adjudication Method for the Test Set

  • As the device provides a quantitative measurement, and the "ground truth" is established by a reference method or predicate device performance, there is no mention of an "adjudication method" in the sense of reconciling differences between multiple human interpreters. This concept is typically relevant for subjective assessments (e.g., medical image interpretation).

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

  • No MRMC comparative effectiveness study was done. This type of study is relevant for devices that assist human readers (e.g., AI in radiology). The Tina-quant Albumin Gen. 2 assay is a standalone diagnostic test performed by an automated analyzer, not an assistive technology for human interpreters.

6. Standalone (Algorithm Only Without Human-in-the-Loop Performance)

  • Yes, the performance data presented is for the standalone device (Tina-quant Albumin Gen. 2 assay on the Roche/Hitachi cobas c systems) without human intervention for the measurement itself. The results are quantitative values generated by the automated system. The accuracy is assessed by correlation with predicate devices/methods.

7. The Type of Ground Truth Used

  • The ground truth for the performance studies (specifically method comparisons) was established by comparison to existing, legally marketed predicate devices or established nephelometric albumin tests. This implies that the predicate devices/methods themselves served as the reference standard for the "true" albumin values in the samples.
    • For urine, the predicate was the Hitachi Microalbumin urine assay (K932950).
    • For serum/plasma and CSF, the predicate was the Behring Nephelometric method (K972929).

8. The Sample Size for the Training Set

  • The document describes a 510(k) submission for substantial equivalence. This is for a conventional in-vitro diagnostic (IVD) assay, not a machine learning or AI-based device that typically involves "training sets." Therefore, the concept of a "training set" in the context of machine learning is not applicable here. The assay relies on established immunoturbidimetric principles, and performance is validated through analytical studies on test samples.

9. How the Ground Truth for the Training Set Was Established

  • As explained in point 8, the concept of a "training set" is not applicable to this device submission.

{0}------------------------------------------------


510(k) Summary

IntroductionAccording to the requirements of 21 CFR 807.92, the following information provides sufficient detail to understand the basis for a determination of substantial equivalence.
Submitter name, address, contactRoche Diagnostics9115 Hague RoadIndianapolis, IN 46250Phone: (317) 521 - 3831Fax: (317) 521 - 2324Contact Person: Kathie J. GoodwinDate Prepared: April 23 rd , 2010
Device NameProprietary names: Tina-Quant Albumin Gen. 2Common names: Albumin Gen. 2 assayRegulation: 21 CFR 866.5040Classification names: Albumin Immunological Test SystemProduct codes: DCF
Device DescriptionThe Tina-quant Albumin Gen. 2 assay employs an immunoturbidimetric test in which anti-albumin antibodies react with the antigen in the sample to form antigen/antibody complexes which, following agglutination are determined turbidimetrically.
Intended useImmunoturbidimetric assay for the quantitative, in vitro determination of albumin in human urine, serum, plasma and CSF on Roche/Hitachi cobas c systems.
Indications for UseThe Tina-quant Albumin Gen. 2 assay is an immunoturbidimetric assay intended for the quantitative determination of albumin in serum, plasma, urine, and CSF on Roche/Hitachi cobas c systems. Measurement of albumin aids in the diagnosis of kidney and intestinal diseases.

{1}------------------------------------------------

Substantial The urine application of the Tina-quant Albumin Gen. 2 assay is substantially equivalence equivalent to the Hitachi Microalbumin urine assay. The Hitachi Microalbumin urine assay was cleared under K932950.

The Serum/plasma and CSF applications of the Tina-quant Albumin Gen. 2 assays are substantially equivalent to the Behring Nephelometric method cleared in K972929.

Substantial equivalence – comparison

FeatureTina-quant Albumin Gen. 2 AssayUrine ApplicationPredicate Device: HitachiMicroalbumin Urine Assay(K932950)
Intended UseIn vitro test for the quantitativedetermination of albumin in humanurine, serum, plasma and CSF(albumin CSF/serum ratio) onRoche/Hitachi cobas c systems.For the quantitative determination oflow levels of albumin in urine(Microalbumin, MAU).
Assay ProtocolImmunoturbidimetricSame
Sample TypeUrineSame
LabeledInstrumentPlatformRoche/Hitachi cobas c analyzer -cobas c501Boehringer Mannheim/Hitachi 747analyzer
CalibratorC.f.a.s. PUCMicroalbumin calibrators (included inkit)
CalibrationFrequencyCalibrate after reagent lot changeand as required following qualitycontrol proceduresPerform full calibration every twoweeks.
ControlsPrecinorm PUC and Precipath PUCorPrecinorm Protein and PrecipathProteinPrecinorm Albumin and PrecipathAlbumin
Reagent StabilityOn-board in use:12 weeks at 2-8 Deg. COn-board in use:4 weeks at 2-12 Deg. C
MeasuringRangec501:12-400 mg/L3 mg/L up to the value of the highestcalibrator
Precisioncobas c501:Repeatability (Within-run) (mg/L):Mean = 30.7, SD = 0.2, CV = 0.8%Mean = 108, SD = 1, CV = 0.7%Mean = 14.3, SD = 0.2, CV = 1.6%Mean = 252 mg/L, SD = 4, CV =1.6%Within-run (mg/L):Mean = 9.0, SD = 0.29, CV = 3.2%Mean = 22.1, SD = 0.30, CV = 1.4%Mean = 81.1, SD = 0.67, CV = 0.8%
Intermediate Precision (Total)(mg/L):Mean = 31.2, SD = 0.5, CV = 1.7%Mean = 105, SD = 1, CV = 1.2%Mean = 13.6, SD = 0.4, CV = 2.8%Mean = 60.6, SD = 1.4, CV = 2.3%Total (mg/L):Mean = 9.0, SD = 0.92, CV = 10.1%Mean = 22.1, SD = 1.15, CV = 5.2%Mean = 81.1, SD = 0.78. CV = 1.0%
AnalyticalSensitivityLimit of Blank (LoB) =2 mg/LLimit of Detection (LoD) =3 mg/LLimit of Quantitation (LoQ) =12 mg/LLower Detection Limit = 3 mg/L
AnalyticalSpecificityNo interference was found atcommon therapeutic concentrationsusing common drug panels.Due to the antigen excess checkreagent R3, no unflagged high-dosehook effect will occur up to analbumin concentration of 40000mg/L.No interference was observed from 18common drugs.
Note: calibrator values were lotspecific. In one representative lot,values (mg/L) were:Cal 3a: 0.0Cal 3b: 10.5Cal 3c: 62.6Cal 3d: 154.0Cal 3e: 347.0
InterferencesCriterion: Recovery within ± 10%No significant interference observed fromcalcium levels up to 100 mg/dL.
Icterus: no significant interference upto an I index of 50 (approximateconjugated bilirubin concentration: 50mg/dL)Icterus: no significant interference frombilirubin up to 25 mg/dL.
Hemolysis: No significant interferenceup to an H index of 400 (approximatehemoglobin concentration: 400 mg/dL)Hemolysis: Hemoglobin levels >300mg/dL cause significant positiveinterference.
No interference by acetone ≤ 60mmol/L, ammonia chloride ≤0.11mol/L, calcium ≤40 mmol/L, Creatinine≤0.18 mol/L, y-globulin ≤500 mg/L,glucose ≤0.19 mol/L, urea ≤0.8 mol/L,uric acid <5.95 mmol/L andurobilinogen ≤378 umol/L.Lipemia (Intralipid): No significantinterference up to an L index of 200.There is poor correlation between the Lindex (corresponds to turbidity) andtriglyceride concentration.
Expected Values2nd morning urine:Adults:<20 mg albumin/g creatinine or<2.26 g albumin/mol creatinineChildren (3-5 years):<20 mg/L albumin<37 mg albumin/g creatinine2nd morning urine:Adults:sameChildren (3-5 years):same
24 hour urine:<20 mg/L<30 mg/24 h24 hour urine:Microalbuminuria: 30-300 mgalbumin/24 hr
MethodComparisonsA comparison of the Roche Tina-quant Albumin Gen. 2 assay on the c501analyzer(x) with the Hitachi Microalbumin assay on the Hitachi 917 analyzer(K953239) (y) gave the following correlation:
Passing Bablocky = 1.023x + 3.64 mg/L$\tau$ = 0.984Linear Regressiony = 1.028x - 4.13 mg/Lr = 0.999
n = 125Sample concentrations were between 12.3 and 386 mg/L

{2}------------------------------------------------

Page 3 of 9

.

.

:

{3}------------------------------------------------

{4}------------------------------------------------

Substantialequivalence -comparisonFeatureTina-quant Albumin Gen. 2 AssaySerum/Plasma ApplicationPredicate Device: Behring NAntiserum to Human AlbuminAssay (K972929)
Intended UseIn vitro test for the quantitativedetermination of albumin in humanurine, serum, plasma and CSF(albumin CSF/serum ratio) onRoche/Hitachi cobas c systems.
Assay ProtocolImmunoturbidimetricSame
Sample TypeSerumPlasma: Li-heparin and K2-EDTASerum
LabeledInstrumentPlatformRoche/Hitachi cobas c analyzer –cobas c501BN Systems
CalibratorC.f.a.s. PUCN Protein Standard SL (human)
CalibrationfrequencyFull calibration is recommended afterreagent lot change and as requiredfollowing quality control procedures.Same
ControlsPrecinorm PUC and Precipath PUCorPrecinorm Protein and PrecipathProteinN/T Protein Controls SL/L, M and HorN/T Protein Control LC
MeasuringRangec501:3 – 101 g/LReference curves are generated bymulti-point calibration. Serialdilutions on N Protein Standard SLare automatically prepared by theinstrument using N Diluent.
Precisioncobas c501:Repeatability (Within-run) (mg/L):Mean = 39.9, SD = 0.5, CV = 1.2%Mean = 66.6, SD = 1.4, CV = 1.2%Mean = 27.6, SD = 0.4, CV = 1.3%Mean = 62.5 mg/L, SD = 0.9, CV = 1.5%Intermediate Precision (Total) (mg/L):Mean = 42.3, SD = 0.9, CV = 2.0%Mean = 70.5, SD = 1.6, CV = 2.2%Mean = 7.78, SD = 0.74, CV = 9.5%Mean = 36.2, SD = 0.7, CV = 2.1%Intra-assay (g/L):Mean: 46.5; CV: 4.3%Inter-assay (g/L)Mean: 44.7; CV: 4.4%
AnalyticalSensitivityLimit of Blank (LoB) = 1 g/dLLimit of Detection (LoD) = 2 g/dLLimit of Quantitation (LoQ) = 3 g/dLEstablished by the lower limit of thereference curve and dependstherefore upon the concentrations ofthe proteins in the N ProteinStandard SL.
AnalyticalSpecificityNo interference was found at commontherapeutic concentrations usingcommon drug panels.No interference from commonly useddrugs is known.
InterferencesCriterion: Recovery within ± 10%Icterus: no significant interference up toan I index of 60 (approximate conjugatedbilirubin concentration: 60 mg/dL)Hemolysis: No significant interferenceup to an H index of 1000 (approximatehemoglobin concentration: 1000 mg/dL)Lipemia: No significant interference upto an L index of 1500 (approximateIntralipid concentration: 1500 mg/dL).There is poor correlation between theIntralipid concentration (corresponds toturbidity) and triglycerides concentration.Rheumatoid factors ≤ 1200 IU/mL do notinterfere.Turbidity and particles in the samplemay interfere with the determination.Therefore, samples containing particlesmust be centrifuged prior to testing.Bovine serum albumin in the sample(e.g. control sample) may disturb thedetermination.
Expected ValuesReference Range Study:Adults: 3.56-4.61 g/dLAdults: 35.0 - 52.0 g/L
Consensus Values:
Adults: 3.5 - 5.2 g/dL
Reference Intervals according toTietz:
Newborns 0-4d: 2.8 - 4.4 g/dL
Children 4d-14yr: 3.8 - 5.4 g/dL
Children 14-18yr: 3.2-4.5 g/dL
A comparison of the Roche Tina-quant Albumin Gen. 2 assay on the cobas
Methodc501 analyzer(x) with the nephelometric Albumin test gave the following
Comparisoncorrelation:
Passing BablockLinear Regression
y = -0.1320 + 0.9600xy = -0.0095 + 0.9572x
$\tau$ = 0.919r = 0.993
n = 77
Sample concentrations were between 5.70 and 100 g/L

,

{5}------------------------------------------------

{6}------------------------------------------------

:

Substantial

equivalence –
comparison

،

FeatureTina-quant Albumin Gen. 2 AssayCSF ApplicationPredicate Device: Behring NAntiserum to Human AlbuminAssay (K972929)
Intended UseIn vitro test for the quantitativedetermination of albumin in humanurine, serum, plasma and CSF(albumin CSF/serum ratio) onRoche/Hitachi cobas c systems.In vitro diagnostic reagent for thequantitative determination ofalbumin, prealbumin (transthyretin)and retinol-binding protein (RbP) inhuman serum as well as of albuminin human urine and cerebrospinalfluid (CSF) using the BN Systems
Assay ProtocolImmunoturbidimetricSame
Sample TypeCSFSame
LabeledInstrumentPlatformRoche/Hitachi analyzer - cobas c501BN Systems

:

{7}------------------------------------------------

CalibratorC.f.a.s. PACN Protein Standard SL (human)
ControlsCommercially available controlN/T Protein Controls SL/L, M and HorN/T Protein Control LC
MeasuringRangec501:95 - 3000 mg/LReference curves are generated bymulti-point calibration. Serialdilutions on N Protein Standard SLare automatically prepared by theinstrument using N Diluent.
PrecisionRepeatability (Within-run) (mg/L):Mean = 99.2, SD = 1.4, CV = 1.4%Mean = 174, SD = 3, CV = 1.7%Mean = 383, SD = 4, CV = 1.0%Mean = 454 mg/L, SD = 4, CV =0.8%Intermediate Precision (Total) (mg/L):Mean = 91.0, SD=2.9, CV = 3.2%Mean = 389, SD = 7, CV = 1.7%Mean = 166, SD = 4, CV = 2.3%Mean = 366, SD = 5, CV = 1.3%Not specified for CSF
AnalyticalSensitivityLimit of Blank (LoB) = 20 mg/LLimit of Detection (LoD) = 36 mg/LLimit of Quantitation (LoQ) = 95 mg/LEstablished by the lower limit of thereference curve and dependstherefore upon the concentrations ofthe proteins in the N ProteinStandard SL.
AnalyticalSpecificityNo interference was found at commontherapeutic concentrations usingcommon drug panels.No interference from commonly useddrugs is known.

{8}------------------------------------------------

InterferencesCriterion: Recovery within ± 10%Not specified for CSF.
Hemolysis: No significant interferenceup to an H index of 1000 (approximatehemoglobin concentration: 1000 mg/dL)
Icterus: No significant interference up toan I index 60 (approximate conjugatedand unconjugated bilirubin concentration:600 mg/L)
High dose hook-effect: Using theprozone check, no false result without aflag was observed up to an albuminconcentration of 30000 mg/L.
Expected ValuesAlbumin in CSF:3 months to 4 year: < 450 mg/L> 4 years: 100 - 300 mg/LAlbumin in CSF: up to 350 mg/L
MethodComparisonsA comparison of the Roche Tina-quant Albumin Gen. 2 assay on the cobasc501 analyzer(x) with the nephelometric Albumin test gave the followingcorrelation:
Passing Bablock$y = 1.000x - 8.75$ mg/L$\tau = 0.936$Linear Regression$y = 0.991x + 0.301$ mg/L$r = 0.992$
n = 85
Sample concentrations were between 115 and 2640 mg/L

.

.

End of Document

·

.

.

{9}------------------------------------------------

Image /page/9/Picture/0 description: The image shows a partial view of a document with the words "DEPARTMENT OF" visible. The text is in a bold, sans-serif font. To the left of the text is a logo or symbol consisting of three curved lines.

Roche Diagnostics c/o Kathie Goodwin 9115 Hague Road PO Box 50416 Indianapolis, IN 46250-0416

Food & Drug Administration 10903 New Hampshire Avenue Building 66 Silver Spring, MD 20993

Re: K101203

Trade Name: Tina-quant albumin gen 2 Regulation Number: 21 CFR §866.5040 Regulation Name: Albumin immunological test system Regulatory Class: Class II Product Code: DCF Dated: September 9, 2010 Received: September 10, 2010

SEP 1 0 2010

Dear Ms. Goodwin:

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

{10}------------------------------------------------

Page 2 -

If you desire specific advice for your device on our labeling regulation (21 CFR Parts 801 and 809), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 796-5450. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 (301) 796-7100 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

CJC.

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

Enclosure

{11}------------------------------------------------

Indications for Use Form

K101203 510(k) Number (if known):

K101203

SEP 10 2010

Device Name: Tina-quant Albumin Gen. 2

Indications for Use:

The Tina-quant Albumin Gen. 2 assay is an immunoturbidimetric assay intended for the quantitative determination of albumin in serum, plasma, urine, and CSF on Roche/Hitachi cobas c systems. Measurement of albumin aids in the diagnosis of kidney and intestinal diseases.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Signature

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

510(k) K101203

Page 1 of 1

§ 866.5040 Albumin immunological test system.

(a)
Identification. An albumin immunological test system is a device that consists of the reagents used to measure by immunochemical techniques the albumin (a plasma protein) in serum and other body fluids. Measurement of albumin aids in the diagnosis of kidney and intestinal diseases.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 866.9.