K Number
K112221
Device Name
EUROIMMUN ANTI-SLA/LP ELISA(LGG)
Manufacturer
Date Cleared
2012-09-11

(406 days)

Product Code
Regulation Number
866.5660
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The EUROIMMUN Anti-SLA/LP ELISA (IgG) test kit is intended for the qualitative detection of IgG class autoantibodies against SLA/LP in human serum and plasma. It is used as an aid in the diagnosis of autoimmune hepatitis, type 1, in coniunction with other laboratory and clinical findings.
Device Description
The EUROIMMUN Anti-SLA/LP ELISA (IgG) consists of a microwell ELISA plate coated with SLA/LP antigen, calibrator, positive and negative control, peroxidase-labelled anti-human IgG conjugate, sample buffer, wash buffer concentrate, TMB chromogen/substrate solution and stop solution.
More Information

Not Found

No
The summary describes a standard ELISA test kit, which is a laboratory assay based on antigen-antibody reactions and colorimetric detection. There is no mention of AI, ML, image processing, or any computational analysis beyond standard data processing for calculating results from optical density readings.

No
This device is an in vitro diagnostic test kit for detecting autoantibodies, used as an aid in diagnosis, not for treatment.

Yes

The device is intended for the "qualitative detection of IgG class autoantibodies against SLA/LP in human serum and plasma" and is "used as an aid in the diagnosis of autoimmune hepatitis, type 1, in conjunction with other laboratory and clinical findings." This directly indicates its role in diagnosis.

No

The device description explicitly lists physical components like a microwell ELISA plate, calibrator, controls, conjugates, buffers, and solutions, indicating it is a hardware-based test kit, not software only.

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

Here's why:

  • Intended Use: The intended use explicitly states it's for the "qualitative detection of IgG class autoantibodies against SLA/LP in human serum and plasma." This is a test performed in vitro (outside the body) on biological samples to provide information for diagnosis.
  • Device Description: The description details a "microwell ELISA plate," "calibrator," "controls," "conjugate," "buffers," and "solutions." These are all components of a laboratory test kit designed to analyze biological samples.
  • Performance Studies: The document describes analytical and clinical performance studies, which are standard for evaluating the performance of IVD devices.
  • Predicate Device: The mention of a "Predicate Device" (K021482; Inova Quanta Lite SLA ELISA) is a strong indicator that this device is being compared to another legally marketed IVD.

The definition of an IVD is a medical device that is used to perform tests on samples such as blood, urine, or tissue to detect diseases or other conditions. This device clearly fits that description.

N/A

Intended Use / Indications for Use

The EUROIMMUN Anti-SLA/LP ELISA (IgG) test kit is intended for the qualitative detection of IgG class autoantibodies against SLA/LP in human serum and plasma. It is used as an aid in the diagnosis of autoimmune hepatitis, type 1, in conjunction with other laboratory and clinical findings.

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

NIY

Device Description

The EUROIMMUN Anti-SLA/LP ELISA (IgG) consists of a microwell ELISA plate coated with SLA/LP antigen, calibrator, positive and negative control, peroxidase-labelled anti-human IgG conjugate, sample buffer, wash buffer concentrate, TMB chromogen/substrate solution and stop solution.

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

For prescription use only.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Analytical performance:

  • Precision/Reproducibility: Intra-assay reproducibility based on 20 determinations and inter-assay reproducibility on 24 determinations performed in 6 different runs. Both were found to be sufficient as no positive sample was found negative and vice versa. Lot to Lot reproducibility was also investigated.
  • Analytical specificity: Cross-reactivity was investigated using a panel of 18 sera serologically positive for antibodies against LKM. All 18 sera were negative in the Anti-SLA/LP ELISA (IgG), indicating no cross-reactivity. Interference from hemoglobin, triglycerides, and bilirubin was investigated with 5 specimens at different anti-SLA/LP concentrations, showing no significant interference up to tested concentrations.
  • Assay cut-off: Ratio 1.0

Comparison studies:

  • Method comparison with predicate device: A study compared the performance of the EUROIMMUN Anti-SLA/LP ELISA (IgG) with an FDA released predicate device using 167 samples (58 from AIH patients, 66 from PBC patients, 15 from AIH/PBC overlap syndrome patients, and 28 from viral hepatitis patients). Additional 23 samples were created by mixing positive samples.
    • Negative agreement: 154 / 159 = 96.9% (95% C.I.: 92.8% - 99.0%)
    • Positive agreement: 31 / 31 = 100.0% (95% C.I.: 88.8% - 100.0%)
    • Overall agreement: 185 / 190 = 97.4% (95% C.I.: 94.0% - 99.1%)
  • Matrix comparison: Usability of plasma was investigated using 16 sample pairs of serum and corresponding plasma. Passing-Bablok regression showed equivalence of concentration between serum and corresponding plasma matrices (EDTA, Heparin, Citrate plasma). Coefficients of determination were above 0.99 and %BIAS from serum was in the range of 88% to 120%.

Clinical studies:
A clinical study investigated 515 clinically characterized samples (65 from AIH-1 patients, 68 from AIH-2 patients, 15 from AIH/PBC overlap syndrome patients, and 367 from other control groups) for anti-SLA/LP antibodies (IgG).

  • Clinical sensitivity: For AIH type 1, it was 27.7% (95% C.I.: 17.3 - 40.2%).
  • Clinical specificity:
    • 100.0% (95% C.I.: 99.2 - 100.0%) without the AIH/PBC overlap samples.
    • 99.3% (95% C.I.: 98.1 - 100%) when these samples were included.

Expected values/Reference range:
Levels of anti-SLA/LP antibodies (IgG) were analyzed in a panel of 150 apparently healthy blood donors. With a cut-off of ratio 1.0, all blood donors were found negative.

  • Positives: 0
  • Negatives: 150
  • Lowest value: Ratio 0.0
  • Highest value: Ratio 0.8
  • Mean value: Ratio 0.1
  • Std dev. (SD): Ratio 0.11
  • 95th percentile: 0.3
  • 99th percentile: 0.6

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

Clinical sensitivity for AIH type 1: 27.7% (95% C.I.: 17.3 - 40.2%)
Clinical specificity (without AIH/PBC overlap samples): 100.0% (95% C.I.: 99.2 - 100.0%)
Clinical specificity (including AIH/PBC overlap samples): 99.3% (95% C.I.: 98.1 - 100%)
Method comparison:
Negative agreement: 96.9%
Positive agreement: 100.0%
Overall agreement: 97.4%

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K021482

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 866.5660 Multiple autoantibodies immunological test system.

(a)
Identification. A multiple autoantibodies immunological test system is a device that consists of the reagents used to measure by immunochemical techniques the autoantibodies (antibodies produced against the body's own tissues) in serum and other body fluids. Measurement of multiple autoantibodies aids in the diagnosis of autoimmune disorders (disease produced when the body's own tissues are injured by autoantibodies).(b)
Classification. Class II (performance standards).

0

EUROIMMUN US INC.

ATTACHMENT 1

1 - 1 - 2012

PREMARKET NOTIFICATION 510(K) SAFETY AND EFFECTIVENESS SUMMARY (as required by 21 CFR § 807.92)

  • A. 510(k)Number: K112221
  • B. Purpose for Submission: New device
  • ું Measurand: Anti-SLA/LP autoantibodies
  • D. Type of Test: Qualitative enzyme immunoassay
  • E. Applicant: EUROIMMUN US INC.
  • F. Proprietary and Established Names: EUROIMMUN Anti-SLA/LP ELISA (IgG)
  • G. Regulatory Information:
      1. Requlation:

·

  • 21 CFR 866.5660 Multiple autoantibodies immunological test system
    1. Classification: Class II
  • Product code: 3.
  • NIY 4. Panel:
    • Immunology

H. Intended Use:

    1. Intended use(s):
      The EUROIMMUN Anti-SLA/LP ELISA (IgG) test kit is intended for the qualitative detection of IgG class autoantibodies against SLA/LP in human serum and plasma. It is used as an aid in the diagnosis of autoimmune hepatitis, type 1, in coniunction with other laboratory and clinical findings.
    1. Indication(s) for use: Same as intended use.
    1. Special conditions for the use statement(s):

For prescription use only.

  • Special instrument requirements: র্ব
    Microwell plate reader capable of measuring OD at 450nm for dual wavelength readings.

l. Device Description:

The EUROIMMUN Anti-SLA/LP ELISA (IgG) consists of a microwell ELISA plate coated with SLA/LP antigen, calibrator, positive and negative control, peroxidase-labelled anti-human IgG conjugate, sample buffer, wash buffer concentrate, TMB chromogen/substrate solution and stop solution.

1

Image /page/1/Picture/1 description: The image shows a repeating pattern of black shapes against a white background. The black shapes are vertically oriented and have a rounded, almost oval-like form, with a narrower section in the middle. The black shapes are connected by horizontal black bars at the top and bottom, creating a grid-like structure with white spaces in between.

J. Substantial Equivalence Information:

  • Predicate device name (s): 1. Inova Quanta Lite SLA ELISA
    1. Predicate 510(k) number(s):. K021482
    1. Comparison with predicate:
Similarities
ItemNew DevicePredicate Device
Intended useDetection of IgG antibodies to SLA/LP* as an aid in
diagnosis of autoimmune hepatitis.Detection of IgG antibodies to SLA* as an aid in
diagnosis of autoimmune hepatitis.
TechnologyELISASame
Assay platform96-well microtiter platesSame
Assay formatQualitativeSame
CalibrationRelativeSame
AntigenRecombinant SLA/LP* antigenRecombinant SLA* antigen
SubstrateTMBSame
Reagent preparationAll reagents, calibrator and controls are ready to use,
except for the wash buffer.Same
ProcedureSample incubation with micro-well antigen coated plate,
followed by a wash step, incubation with an anti-human
IgG enzyme conjugate; wash step, incubation with
substrate; then the addition of a stop solution and
reading at 450nm.Same
Differences
ItemNew DevicePredicate Device
ConjugateRabbit anti-human IgG labeled with horseradish
peroxidaseGoat anti-human IgG labeled with horseradish
peroxidase
Calibrators and
controls1 calibrator
2 controls: 1 positive, 1 negative3 controls: 1 high positive, 1 low positive, 1 negative
Wash buffer10x concentrate40x concentrate
Stop solution0.5 M sulphuric acid0.344 M sulphuric acid
Sample types and
dilutionSerum or plasma
1:101 dilutionSerum
1:101 dilution
Reported resultsRatioUnits
Cut off levelRatio 1.025 Units
  • Although named differently, the antigen used predicate device is not different. Wies et al. have found that the antigens soluble liver antigen (SLA) and liver-pancreas antigen (LP) are the same and suggested to use the combined name "SLA/LP". Inova does not follow this recommendation.

Wies I. Brunner S. Henninger J. et al. Identification of target antigen for SLA/LP autoantibodies in autoimmune hepalitis. Lancet 2000; 355: 1510-15.

K. Standard/Guidance Document Referenced (if applicable):

None referenced.

L. Test Principle:

Patient samples are diluted 1:101 in sample buffer, 100 pl of each diluted patient sample and pre-diluted controls and calibrator are added to the antigen coated microtiter wells and incubated for 30 minutes at room temperature. After incubation the microtiter well strips are washed with wash buffer to remove unbound antibodies and 100 ul of the anti-human IgG enzyme conjugate reagent is added to each microtiter well. After an additional 30-minutes incubation at room temperature, the microiter wells are again washed 3 times with 300 µl of wash buffer to remove any unbound enzyme conjugate and 100 µi of the chromogen substrate is added. The strips are incubated for 15 minutes at room temperature and 100 µl stop solution is added. The microtiter plates are placed in an ELISA reader and read at a wavelength of 450 nm and a reference wavelength of between 620 nm and 650 nm within 30 minutes.

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M. Performance Characteristics (where applicable):

  • Analytical performance: 1.
    • a. Precision/Reproducibility:

The reproducibility of the test was investigated with samples at different points on the calibration curve. Intra-assay reproducibility is based on 20 determinations and inter-assay reproducibility on 24 determinations performed in 6 different runs (days) according to the package insert. Both intra-assay and inter-assay reproducibility were found to be sufficient as no positive sample was found negative and vice versa. The following results were obtained:

Anti-SLA/LP ELISA (IgG)
n = 20Ratio
Sample 1Sample 2Sample 3Sample 4Sample 5Sample 6Sample 7Sample 8
Mean value (x):0.20.40.91.11.31.63.64.9
Range of values:0.2 - 0.20.4 - 0.40.8 - 0.91.1 - 1.21.1 - 1.41.5 - 1.73.4 - 3.74.6 - 5.3
Expected result:negnegnegpospospospospos
% positive:0%0%0%100%100%100%100%100%
% negative:100%100%100%0%0%0%0%0%

Intra-assav reproducibility

Inter-assay reproducibility

| n = 24 | Anti-SLA/LP ELISA (IgG)
Ratio | | | | | | | |
|------------------|----------------------------------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|
| | Sample 1 | Sample 2 | Sample 3 | Sample 4 | Sample 5 | Sample 6 | Sample 7 | Sample 8 |
| Mean value (x): | 0.2 | 0.4 | 0.8 | 1.2 | 1.2 | 1.7 | 3.9 | 5.4 |
| Range of values: | 0.2 - 0.3 | 0.3 - 0.4 | 0.8 - 0.9 | 1.0 - 1.3 | 1.0 - 1.3 | 1.6 - 1.8 | 3.4 - 4.2 | 4.7 - 5.8 |
| Expected result: | neg | neg | neg | pos | pos | pos | pos | pos |
| % positive: | 0% | 0% | 0% | 100% | 100% | 100% | 100% | 100% |
| % negative: | 100% | 100% | 100% | 0% | 0% | 0% | 0% | 0% |

The Lot to Lot reproducibility was investigated during the validaton and quality control of the kit using different lots with QC samples distributed over the measurement range. Lot to lot reproducibility was found to be sufficient as no positive sample was found negative and vice versa. The following results were obtained:

| Anti-SLA/LP ELISA (IgG)

Ratio
Sample 1Sample 2Sample 3Sample 4
n6*6*6*6*
Mean value (x):5.67.69.70.9
Range of values:5.4 - 6.07.3 - 8.09.5 - 9.90.9 - 0.9
Expected result:pospospospos
% positive:100%100%100%100%
% negative:0%0%0%0%
Anti-SLA/LP ELISA (IgG)
Ratio
Sample 5Sample 6Sample 7Sample 8Sample 9
n38**38**16**10**10**
Mean value (x):3.13.90.10.10.1
Range of values:2.1 - 4.13.2 - 4.60.1 - 0.20.1 - 0.20.1 - 0.2
Expected result:posposnegnegneg
% positive:100%100%0%0%0%
% negative:0%0%100%100%100%

Lot to lot reproducibility

*3 lots x 2 runs ** n lots x 1 run

Linearity/assay reportable range: b.

Not applicable.

  • Traceability, Stability, Expected values (controls, calibrators or methods): C.
    • There is no recognized standard or reference material for antibodies. Results are given as ratios.

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  • d. Limit of detection:
    Not applicable.

  • Analytical specificity: e.
    Cross-reactivity: The quality of the antigen used and the antigen source a high specificity of the ELISA. Cross reactivity was investigated using a panel of 18 sera serologically positive for antibodies against LKM. All 18 sera were negative in the Anti-SLA/LP ELISA (lgG), so no cross reactivity is expected.

Interference: To investigate the influence from hemoglobin, triglycerides and bilirubin, 5 different specimens at different anti-SLA/LP concentrations (ratio 0.4 - 10.0) were spiked with potential interfering substances and were incubated with the test system. The recovery in relation to the unspiked sample without interferent was calculated. The individual recovery was within the range of 90 - 119%. No significant interference was observed for concentrations of up to 1000 mg/d for hemoglobin, 2000 mg/dl for triglyceride and 40 mg/dl for bilirubin.

  • f. Assay cut-off:
    Ratio 1.0

2. Comparison studies:

  • a. Method comparison with predicate device:
    A study was performed in cooperation with a university clinical hospital comparing the performance of the EUROIMMUN Anti- SLA/LP ELISA (IgG) and an FDA released predicate device. 167 samples were investigated (58 from AlH patients, 66 from PBC patients, 15 from patients with AIH/PBC overlap syndrome and 28 from patients with viral hepatitis). The panel consisted of 30 men and 137 women. Age ranged from 1 to 87 years with an average age of 50 years. To cover the lower range with more samples, additional 23 samples were created by mixing of positive samples. Borderline samples were considered for positive agreement.
n = 190Predicate ELISA
positiveborderlinenegative
EUROIMMUN
Anti-SLA/LP ELISA (IgG)positive3015
EUROIMMUN
Anti-SLA/LP ELISA (IgG)negative00154
Negative agreement154 / 159 = 96.9%95% C.I.: 92.8% - 99.0%
Positive agreement31 / 31 = 100.0%95% C.I.: 88.8% - 100.0%
Overall agreement185 / 190 = 97.4%95% C.I.: 94.0% - 99.1%

Matrix comparison: b.

The usability of plasma was investigated using 16 sample pairs each of serum and corresponding plasma. The samples cover concentrations in the diagnostically important range and the cut-off. Passing-Bablok regression was calculated for the comparison of serum to plasma. The results are shown in the table below.

EDTA plasmaHeparin plasmaCitrate plasma
Regression equation
(y = plasma, x = serum)$y = -0.02 + 1.00 x$$y = 0.02 + 1.00 x$$y = 0.04 + 0.99 x$
95% C.I. of intercept-0.14 to 0.18-0.06 to 0.21-0.18 to 0.16
95% C.I. of slope0.94 to 1.060.94 to 1.030.94 to 1.05

A comparison in which the 95% C.I. of the slope contains 1.0 and the 95% C.I. of the intercept contains 0 indicates equivalence of concentration between serum and the corresponding plasma matrices. The comparisons above satisfy this condition.

Coefficients of determination were found to be above 0.99 and %BIAS from serum was in the range of 88 to 120 % (serum = 100 %).

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3. Clinical studies:

In a clinical study, performed in cooperation with several university, hospital and private laboratories, in total 515 clinically characterized samples (65 from AlH-1 patients, 68 from AlH-2 patients, 15 from patiens with AIH/PBC overlap syndrome and 367 from other control groups) were investigated for anti-SLA/LP antibodies (IgG). The EUROIMMUN Anti-SLA/LP ELISA (IgG) showed a sensitivity for AIH type 1 of 27.7% (95% C.I.: 17.3 - 40.2%). The specificity was 100.0% (95% C.I.: 99.2 - 100.0%) without the AIH/PBC overlap samples; specificity was 99.3% (95% C.I.: 98.1 - 100%) when these samples were included.

  • Clinical sensitivity: a.

| | Panel | | Acres of the compress
Anti-SLA/LP ELISA (IgG) | | |
|-----|-------------------------------------|----|--------------------------------------------------|-------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| No. | | | positive | 0 | 95% C.I. |
| | Autoimmune hepatitis type 1 (AIH-1) | 65 | | 27.7% | 3 - 40.2%
the first of the first of the first of the first of the first of the first of the first of the first of the first of the first of the first of the first of the first of the f |

b. Clinical specificity:

No.PanelnAnti-SLA/LP ELISA (IgG)
negative%95% C.I.
2AIH/PBC overlap syndrome151280.0%51.9 - 95.7%
3Autoimmune hepatitis type 2 (AIH-2)6868100.0%91.0 - 100.0%
4Viral hepatitis118118100.0%96.9 - 100.0%
5Toxic liver damages1414100.0%76.8 - 100.0%
6Steatohepatitis2424100.0%85.8 - 100.0%
7Primary biliary liver cirrhosis (PBC)111111100.0%96.7 - 100.0%
8Primary sclerosing cholangiitis (PSC)1919100.0%82.4 - 100.0%
9Other autoimmune diseases*8181100.0%95.5 - 100.0%
Total (without panel 2)435435100.0%99.2 - 100.0%
Total (including panel 2)45044799.3%98.1 - 99.9%

*from the following groups: MCTD (n = 20), celiac disease (n = 11), Diabetes Type I (n = 12), Hashimoto (n = 11), Grave's C. . disease (n = 12), ulcerative colitis (n = 15)

  • Other clinical supportive data (when a. and b. are not applicable): d. Not applicable.

4. Clinical cut-off:

See Assay cut-off.

  • ട്. Expected values/Reference range:
    The levels of anti-SLA/LP antibodies (IgG) were analyzed with the EUROIMMUN Anti-SLA/LP ELISA (IgG) in a panel of 150 apparently healthy blood donors (mixed age and sex). With a cut-off of ratio 1.0, all blood donors were found negative.
Positives0
Negatives150
Lowest valueRatio 0.0
Highest valueRatio 0.8
Mean valueRatio 0.1
Std dev. (SD)Ratio 0.11
95th percentile0.3
99th percentile0.6

N. Proposed Labeling:

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

். Conclusion:

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

Date

Signature

Kathryn Kohl, Managing Director Typed Name, Title

5

Image /page/5/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is an abstract symbol that resembles a stylized caduceus or a representation of human figures.

Food and Drug Administration

10903 New Hampshire Avenue Silver Spring, MD 20993

SEP 1 1 2012

EUROIMMUN US, Inc. c/o Ms. Kathryn Kohl Managing Director 1100 The American Road Morris Plains, NJ 07950

Re: K112221

Trade/Device Name: EUROIMMUN Anti-SLA/LP (IgG) Regulation Number: 21 CFR §866.5660 Regulation Name: Multiple autoantibodies immunological test system Regulatory Class: II Product Code: NIY Dated: September 5, 2012 Received: September 7, 2012

Dear Ms. Kohl:

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 class II (Special Controls), 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

6

Page 2 - Ms. Kathryn Kohl

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). This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR 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,

Reena Philip

Maria Chan, Ph.D. ্র দ Director Division of Immunology and Hematology Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

7

Indications for Use

510(k) Number (if known): K112221

Device Name: Anti-SLA/LP ELISA (IgG)

Indications For Use:

The EUROIMMUN Anti-SLA/LP ELISA (IgG) test kit is intended for the qualitative detection of IgG class autoantibodies against SLA/LP (soluble liver antigen/liverpancreas antigen) in human serum and plasma. It is used as an aid in the diagnosis of autoimmune hepatitis, type 1, in conjunction with other laboratory and clinical findings.

Prescription Use × (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

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

signature

Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

510K K11222