K Number
K211058
Device Name
Lp(a) Ultra
Manufacturer
Date Cleared
2022-12-22

(622 days)

Product Code
Regulation Number
866.5600
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Lp(a) Ultra assay is intended for in vitro diagnostic use in the immunoturbidimetric quantitation of lipoprotein (a) [Lp(a)] in human serum and plasma using an automated analyzer. The measurement of Lp(a) is useful in evaluating lipid metabolism disorders and assessing atherosclerotic cardiovascular disease in specific populations, when used in conjunction with clinical evaluation. For In Vitro Diagnostic use.
Device Description
Lp(a) Ultra assay is composed by 2 ready to use liquid reagents (Reagent 1and Reagent 2) that are supplied in the following configuration: Reagent 1 fill volume 18 mL in a 20 mL wedge and Reagent 2 fill volume 9 mL in a 20 mL wedge, 1 wedge of each/kit. The kit contains one plastic (HDPE) vial of Reagent 1 and one plastic (HDPE) vial of Reagent 2, which allows the customer to perform 86 tests (on AU680 automatic analyzer).
More Information

Not Found

No
The summary describes a standard in vitro diagnostic assay for measuring Lp(a) levels using immunoturbidimetry on an automated analyzer. There is no mention of AI, ML, or any computational analysis beyond standard data processing for quantitative measurements.

No
This device is an in vitro diagnostic assay used for the quantitative measurement of lipoprotein (a) to evaluate lipid metabolism disorders and assess cardiovascular disease risk. It does not provide therapy or treatment.

Yes

The "Intended Use / Indications for Use" section explicitly states that the assay is for "in vitro diagnostic use" and that "The measurement of Lp(a) is useful in evaluating lipid metabolism disorders and assessing atherosclerotic cardiovascular disease". This indicates its purpose is to aid in the diagnosis of medical conditions.

No

The device description clearly states it is composed of "2 ready to use liquid reagents" supplied in plastic vials, which are physical components, not software. It is an in vitro diagnostic assay kit.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section clearly states: "The Lp(a) Ultra assay is intended for in vitro diagnostic use..." and "For In Vitro Diagnostic use."
  • Nature of the Assay: The device is an assay designed to measure a specific substance (lipoprotein (a) [Lp(a)]) in human biological samples (serum and plasma) outside of the body ("in vitro").
  • Purpose: The measurement is intended to be used in evaluating lipid metabolism disorders and assessing atherosclerotic cardiovascular disease, which are clinical purposes.

Therefore, based on the provided information, the Lp(a) Ultra assay is definitively an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Lp(a) Ultra assay is intended for in vitro diagnostic use in the immunoturbidimetric quantitation of lipoprotein (a) [Lp(a)] in human serum and plasma using an automated analyzer. The measurement of Lp(a) is useful in evaluating lipid metabolism disorders and assessing atherosclerotic cardiovascular disease in specific populations, when used in conjunction with clinical evaluation.

For In Vitro Diagnostic use.

Product codes

DFC

Device Description

Lp(a) Ultra assay is composed by 2 ready to use liquid reagents (Reagent 1and Reagent 2) that are supplied in the following configuration: Reagent 1 fill volume 18 mL in a 20 mL wedge and Reagent 2 fill volume 9 mL in a 20 mL wedge, 1 wedge of each/kit.

The kit contains one plastic (HDPE) vial of Reagent 1 and one plastic (HDPE) vial of Reagent 2, which allows the customer to perform 86 tests (on AU680 automatic analyzer).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Precision (Repeatability/Reproducibility)

Inter-Assay Precision (Total Imprecision)

  • Study Type: Inter-Assay Precision study based on CLSI EP05-A3 Guideline.
  • Sample Size: Five samples at different concentrations (20 mg/dL to 100 mg/dL). 2 replicates of each sample performed on 2 different runs per day for 28 testing days.
  • Key Results:
    • Lot 90530, Level 1: Total %CV = 4.6%
    • Lot 90530, Level 2: Total %CV = 3.2%
    • Lot 90530, Level 3: Total %CV = 5.3%
    • Lot 90530, Level 4: Total %CV = 3.3%
    • Lot 90530, Level 5: Total %CV = 2.3%
  • Key Metrics: Good precision across the concentration range from 20 to 100 mg/dL.

Intra-Assay Precision (Within Run)

  • Study Type: Intra-Assay Precision study based on CLSI EP15-A3 Guideline.
  • Sample Size: Five samples at different concentrations (20 mg/dL to 100 mg/dL). 20 replicates of each sample run on 3 different runs.
  • Key Results: All calculated CV% are lower than 5%.

Linearity

Linearity - Analytical Measuring Range

  • Study Type: Linearity evaluation based on CLSI EP06.
  • Key Results: The assay is linear up to 100 mg/dL. The upper limit of the AMR is 100 mg/dL. The AMR is claimed as 10 mg/dL to 100 mg/dL.

Analytical Sensitivity/Detection Limit

Limit of Blank (LoB) Study

  • Study Type: LoB study based on CLSI EP17-A2.
  • Sample Size: For two reagent lots, 4 saline samples (zero-analyte samples) were tested in 5 replicates in three different runs, for a total of 60 measurements for each lot.
  • Key Results:
    • Lot 90266: LoB = 0.7 mg/dL
    • Lot 90530: LoB = 0.7 mg/dL
  • Key Metrics: The observed LoB supports the claim of 0.7 mg/dL.

Limit of Detection (LoD) Study

  • Study Type: LoD study based on CLSI EP17-A2.
  • Key Results:
    • Reagent 90266: LoD = 1.6 mg/dL
    • Reagent 90530: LoD = 1.9 mg/dL
  • Key Metrics: The LoD value observed supports the claim of 1.9 mg/dL.

Limit of Quantitation (LoQ) Study

  • Study Type: LoQ study based on CLSI EP17-A2.
  • Key Results:
    • Lot 90266: LoQ = 2.5 mg/dL
    • Lot 90530: LoQ = 3.0 mg/dL
  • Key Metrics: The LoQ observed supports the claim of 3.0 mg/dL.

Interference

Endogenous Interferences Study

  • Study Type: Interference study based on EP07 3rd Edition.
  • Key Results: No significant interference observed for Intralipid®, conjugated bilirubin, unconjugated bilirubin, Rheumatoid Factor, Hemoglobin, and Ascorbic Acid up to tested concentrations. Triglycerides showed no significant interference at concentrations ranging from 461 to 715 mg/dL.

Stability

On Board Calibration Study

  • Study Type: Stability study based on CLSI EP25-A Guideline.
  • Sample Size: 5 samples at different concentrations (20 mg/dL to 100 mg/dl).
  • Key Metrics: The Calibration Stability claim is 15 days on the AU 680 Analyzer. The on-board stability claim is 30 days on the AU680 analyzer.

Other Analytical Performance

Prozone Study

  • Study Type: High Dose Hook Effect (Prozone) study.
  • Key Results: No Prozone effect was observed up to a concentration of 500.0 mg/dL. No prozone effect up to the upper limit of the measuring range is claimed.

Comparison Studies

Method Comparison vs. Predicate Device

  • Study Type: Method comparison study based on CLSI document EP09c 3rd Edition.
  • Sample Size: Not explicitly stated, but implicitly involved testing the Lp(a) Ultra assay on Beckman Coulter AU680 against Diazyme® Lipoprotein (a), REF DZ131B-K, on VITROS® 4600.
  • AUC: Not Found
  • MRMC: Not Found
  • Standalone Performance: Not Found
  • Key Results:
    • r = 0.995 (Passing & Bablok fit and Linear fit)
    • Slope (Passing & Bablok fit) = 0.9850 (0.9706 - 1.0000)
    • Slope (Linear fit) = 0.9771 (0.9612 - 0.9929)

Matrix Comparison - Lithium Heparin

  • Study Type: Matrix comparison study based on CLSI document EP09c 3rd Edition.
  • Sample Size: 57 serum and Lithium Heparin plasma samples, derived from the same patients, tested in duplicate.
  • Key Results:
    • r = 0.997 (Passing & Bablok fit and Linear fit)
    • Slope (Passing & Bablok fit) = 0.99 (0.95 - 1.03)
    • Slope (Linear fit) = 0.98 (0.95 – 1.00)

Matrix Comparison - Sodium Heparin

  • Study Type: Matrix comparison study based on CLSI document EP09c 3rd Edition.
  • Sample Size: 58 serum and Sodium Heparin plasma samples, derived from the same patients, tested in duplicate.
  • Key Results:
    • r = 0.999 (Passing & Bablok fit and Linear fit)
    • Slope (Passing & Bablok fit) = 0.99 (0.95 – 1.01)
    • Slope (Linear fit) = 0.99 (0.97 - 1.00)

Matrix Comparison - Di-Potassium EDTA

  • Study Type: Matrix comparison study based on CLSI document EP09c 3rd Edition.
  • Sample Size: 57 serum and Di-Potassium EDTA plasma samples, derived from the same patients, tested in duplicate.
  • Key Results:
    • r = 0.997 (Passing & Bablok fit and Linear fit)
    • Slope (Passing & Bablok fit) = 0.97 (0.95 - 1.01)
    • Slope (Linear fit) = 0.98 (0.96 - 1.00)

Matrix Comparison - Tri-Potassium EDTA

  • Study Type: Matrix comparison study based on CLSI document EP09c 3rd Edition.
  • Sample Size: 56 serum and Tri-Potassium EDTA plasma samples, derived from the same patients, tested in duplicate.
  • Key Results:
    • r = 0.998 (Passing & Bablok fit and Linear fit)
    • Slope (Passing & Bablok fit) = 0.99 (0.95 - 1.03)
    • Slope (Linear fit) = 0.99 (0.98 - 1.01)

Key Metrics

  • Total %CV: 2.3% to 5.3% for Inter-Assay Precision.
  • Intra-Assay CV%: Lower than 5% for all tested runs/levels.
  • Analytical Measuring Range (AMR): 10 mg/dL to 100 mg/dL.
  • Limit of Blank (LoB): 0.7 mg/dL.
  • Limit of Detection (LoD): 1.9 mg/dL.
  • Limit of Quantitation (LoQ): 3.0 mg/dL.
  • Correlation Coefficient (r): 0.995 for Method Comparison. Ranging from 0.997 to 0.999 for Matrix Comparisons.
  • Slope: Between 0.97 and 0.99 for all comparison studies.
  • Calibration Stability: 15 days on AU 680 Analyzer.
  • On-board Stability: 30 days on AU680 Analyzer.
  • Prozone Effect: Not observed up to 500.0 mg/dL.

Predicate Device(s)

K180074

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 866.5600 Low-density lipoprotein immunological test system.

(a)
Identification. A low-density lipoprotein immunological test system is a device that consists of the reagents used to measure by immunochemical techniques the low-density lipoprotein in serum and other body fluids. Measurement of low-density lipoprotein in serum may aid in the diagnosis of disorders of lipid (fat) metabolism and help to identify young persons at risk from cardiovascular diseases.(b)
Classification. Class II (performance standards).

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food & Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

December 22, 2022

SENTINEL CH. S.p.A. Patricia Dupé Head of Quality System Via Robert Koch 2 Milan, 20152 Italy

Re: K211058

Trade/Device Name: Lp(a) Ultra Regulation Number: 21 CFR 866.5600 Regulation Name: Low-Density Lipoprotein Immunological Test System Regulatory Class: Class II Product Code: DFC Dated: August 5, 2022 Received: August 5, 2022

Dear Patricia Dupé:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. 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 Part

1

801 and Part 809); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4. Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely, Digitally signed by Paula Caposino -S Date: 2022.12.22 Paula Caposino, Ph.D. Acting Deputy Director Division of Chemistry and Toxicology Devices OHT7: Office of In Vitro Diagnostics Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2023 See PRA Statement below.

510(k) Number (if known) K211058

Device Name Lp(a) Ultra

Indications for Use (Describe)

The Lp(a) Ultra assay is intended for in vitro diagnostic use in the immunoturbidimetric quantitation of lipoprotein (a) [Lp(a)] in human serum and plasma using an automated analyzer. The measurement of Lp(a) is useful in evaluating lipid metabolism disorders and assessing atherosclerotic cardiovascular disease in specific populations, when used in conjunction with clinical evaluation.

For In Vitro Diagnostic use.

Type of Use (Select one or both, as applicable)

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

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3

510(k) SUMMARY

1. Applicant Name

SENTINEL CH. S.p.A. Via Robert Koch, 2 Milano (MI) 20152, Italy +39 02 345 514 1

Primary contact person for all communications:

Patricia Dupé Head of Quality System Phone: +39 02 34 551 496 Fax: +39 02 34 551 464 Email: patriciadupe@sentinel.it

2. Device Name and Classification

Trade name: Lp(a) Ultra Device Classification: Class II Regulation: 21CFR 866.5600 Regulation Name: Low-density lipoprotein immunological test system Product Code: DFC Device Name: Lipoprotein, Low-Density, Antigen, Antiserum, Control Medical Specialty: Immunology

3. Predicate Device

Diazyme Lipoprotein (a) Assay (K180074)

4. Indications for Use

The Lp(a) Ultra assay is intended for in vitro diagnostic use in the immunoturbidimetric quantitative determination of lipoprotein (a) [Lp(a)] in human serum and plasma using an automated analyzer. The measurement of Lp(a) is useful in evaluating lipid metabolism disorders and assessing atherosclerotic cardiovascular disease in specific populations, when used in conjunction with clinical evaluation.

For In Vitro Diagnostic use.

4

5. Intended Use

The Lp(a) Ultra assay is intended for in vitro diagnostic use in the immunoturbidimetric quantitative determination of lipoprotein (a) [Lp(a)] in human serum and plasma using an automated analyzer. The measurement of Lp(a) is useful in evaluating lipid metabolism disorders and assessing atherosclerotic cardiovascular disease in specific populations, when used in conjunction with clinical evaluation.

For In Vitro Diagnostic use.

6. Description

Lp(a) Ultra assay is composed by 2 ready to use liquid reagents (Reagent 1and Reagent 2) that are supplied in the following configuration: Reagent 1 fill volume 18 mL in a 20 mL wedge and Reagent 2 fill volume 9 mL in a 20 mL wedge, 1 wedge of each/kit.

The kit contains one plastic (HDPE) vial of Reagent 1 and one plastic (HDPE) vial of Reagent 2, which allows the customer to perform 86 tests (on AU680 automatic analyzer).

7. Principles of the Procedure

Lp(a) Ultra is a latex-based immunoturbidimetric assay developed to measure Lp(a) levels in serum and plasma.

When an antigen-antibody reaction occurs between Lp(a) in a sample and anti-Lp(a) antibody which has been adsorbed to latex particles, agglutination results. This agglutination is detected as an absorbance change, with the magnitude of the change being proportional to the quantity of La(a) contained in the sample.

8. Comparison with Predicate Device

The comparison between Lp(a) Ultra and the predicate device Diazyme Lipoprotein (a) Assay is reported in Table 8.1.

5

Table 8.1. Comparison Lp(a) Ultra vs. Predicate Device Diazyme Lipoprotein (a) Assay

CharacteristicsSubject DevicePredicate Device K180074
Lp(a) UltraDiazyme Lipoprotein (a) Assay
Technical Characteristics
ClassificationRegulation Description: Low-density lipoprotein
immunological test systemSame
Method PrincipleQuantitative immunoturbidimetric assaySame
Intended UseThe Lp(a) assay is intended for in vitro diagnostic use in
the immunoturbidimetric quantitative determination of
lipoprotein (a) [Lp(a)] in human serum and plasma using
an automated analyzer.
The measurement of Lp(a) is useful in evaluating lipid
metabolism disorders and assessing atherosclerotic
cardiovascular disease in specific populations, when used
in conjunction with clinical evaluation.
For In Vitro Diagnostic use.The Diazyme Lipoprotein (a) Assay is intended as a latex particle
enhanced immunoturbidimetric assay for the in vitro quantitative
determination of Lipoprotein (a) [Lp(a)] concentration in human
serum or plasma on Clinical Chemistry Systems. The
measurement of Lipoprotein (a) is useful in evaluating lipid
metabolism disorders and assessing atherosclerotic
cardiovascular diseases in specific populations, when used in
conjunction with clinical evaluation. For in vitro diagnostic use
only.
Analyte MeasuredLipoprotein (a)Same
Instrument UsedBeckman Coulter AU680Ortho Clinical Diagnostics VITROS 4600
MeasurementQuantitativeSame
Specimen TypeSerum, plasma (Na-heparin, Li-heparin, K2-EDTA, K3-
EDTA)Serum, plasma (Li-Heparin, K2EDTA)
Reference ValuesLp(a) 2nd aliquot: Control Sample (Low Test Sample)

The study was divided in two procedures:

    1. Paired Difference Tests
      Test Sample and Control Sample were tested in different replicates. If there is no interferences the study was concluded. If Interference is confirmed, proceed with the 'Interference test'
    1. Interference test
      The Test Sample aliquots were diluted using the Control Sample to obtain additional dilution levels in the ratio ranging from 100% to 0%

9.4.1.1. Results

A summary of the results is presented in Table 9.4.1.

| Interfering substance | Tested
concentration
up to | Observed
concentration
without
Interferences
Pool Low | Observed
concentration
without
Interferences
Pool High |
|-------------------------------------|----------------------------------|-------------------------------------------------------------------|--------------------------------------------------------------------|
| Intralipid® Sterile Fat
Emulsion | 1000 mg/dL | 1000 mg/dL | 1000 mg/dL |
| Triglycerides | 1000 mg/dL | 715 mg/dL * | 715 mg/dL * |
| Conjugated bilirubin | 60 mg/dL | 60 mg/dL | 60 mg/dL |
| Unconjugated bilirubin | 60 mg/dL | 60 mg/dL | 60 mg/dL |
| Rheumatoid Factor | 500 UI/mL | 500 UI/mL | 500 UI/mL |
| Hemoglobin | 1000 mg/dL | 1000 mg/dL | 1000 mg/dL |
| Ascorbic Acid | 180 mg/dL | 180 mg/dL | 180 mg/dL |

Table 9.4.1. Interferences Results Summary

  • Triglycerides was tested in patient serum samples without significant interference at triglycerides concentration ranging from 461 to 715 mg/dL.
510(k) SUMMARYPage 9 of 13
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9.5. Stability

9.5.1. On Board Calibration Study

The Stability study allows to verify the On Board and the Calibration Stability of the product.

The On Board and the Calibration Stability were determined on the basis of CLSI EP25-A Guideline (Evaluation of Stability of in Vitro Diagnostics Reagents).

For the study, 5 samples were used at different concentration ranging from 20 mg/dL to 100 mg/dl.

9.5.1.1. Results

A summary of the results is presented in Table 9.5.1.

| Reagent | Material | %bias
Min | % bias
Max |
|-----------|----------|--------------|---------------|
| Lot 90530 | Level 1 | -2.7% | 5.1% |
| | Level 2 | -0.7% | 1.4% |
| | Level 3 | -4.8% | 0.7% |
| | Level 4 | -3.4% | 1.0% |
| | Level 5 | -1.3% | 1.1% |

Table 9.5.1. On Board Calibration Results

The Calibration Stability claim is 15 days on the AU 680 Analyzer. The on-board stability claim is 30 days on the AU680 analyzer.

9.6. Other Analytical Performance

9.6.1. Prozone Study

The High Dose Hook Effect (Prozone) study was performed to determine the analyte concentration at which false negatives results may occur.

For the study, the last calibrator level of calibrator set reconstituted with 191 µL was used to reach a high concentration (approx. 500.0 mg/dL).

The sample was diluted in saline to obtain some concentration points within the analytical measuring range.

9.6.1.1. Results

No Prozone effect was observed up to concentration of 500.0 mg/dL. No prozone effect up to the upper limit of the measuring range is claimed.

13

9.7. Comparison Studies

9.7.1. Method Comparison vs. Predicate Device

Purpose of this study is to evaluate the performances of Lp(a) Ultra assay on Beckman Coulter AU680 Analyzer, compared to the predicate device Diazyme® Lipoprotein (a), REF DZ131B-K, on VITROS® 4600, Ortho Clinical Diagnostics.

The method comparison study was performed based on guidance from the CLSI document EP09c 3rd Edition.

9.7.1.1. Results

A summary of the results is presented in Table 9.7.1.

| | Results

  • Passing & Bablok fit | Results
  • Linear fit- |
    |-------|-----------------------------------|-----------------------------|
    | r | 0.995 | 0.995 |
    | Slope | 0.9850
    (0.9706 - 1.0000) | 0.9771
    (0.9612 - 0.9929) |

Table 9.7.1. Method Comparison vs. Predicate Device Results

9.7.2. Matrix Comparison - Lithium Heparin

This study was performed to demonstrate correlation between Serum samples and Plasma Lithium Heparin samples.

The Matrix Comparison study was performed based on guidance from the CLSI document EP09c 3rd Edition.

57 serum and Lithium Heparin plasma samples, derived from the same patients were tested in duplicate.

9.7.2.1. Results

A summary of the results is presented in Table 9.7.2.

Table 9.7.2. Matrix Comparison - Lithium Heparin Results

| | Results

  • Passing & Bablok fit - | Results
  • Linear fit- |
    |-------|-------------------------------------|--------------------------|
    | r | 0.997 | 0.997 |
    | Slope | 0.99
    (0.95 - 1.03) | 0.98
    (0.95 – 1.00) |

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9.7.3. Matrix Comparison - Sodium Heparin

This study was performed to demonstrate correlation between Serum samples and Plasma Sodium Heparin samples.

The method comparison study was performed based on guidance from the CLSI document EP09c 3tt Edition.

58 serum and Sodium Heparin plasma samples, derived from the same patients were tested in duplicate.

Results 9.7.3.1.

A summary of the results is presented in Table 9.7.3.

| | Results

  • Passing & Bablok fit - | Results
  • Linear fit- |
    |-------|-------------------------------------|--------------------------|
    | r | 0.999 | 0.999 |
    | Slope | 0.99
    (0.95 – 1.01) | 0.99
    (0.97 - 1.00) |

Table 9.7.3. Matrix Comparison - Sodium Heparin Results

9.7.4. Matrix Comparison - Di-Potassium EDTA

This study was performed to demonstrate correlation between Serum samples and Plasma Di-Potassium EDTA samples.

The Matrix Comparison study was performed based on guidance from the CLSI document EP09c 3rd Edition.

57 serum and Di-Potassium EDTA plasma samples, derived from the same patients were tested in duplicate.

9.7.4.1. Results

A summary of the results is presented in Table 9.7.4.

Table 9.7.4. Matrix Comparison - Di-Potassium EDTA Results

| | Results

  • Passing & Bablok fit - | Results
  • Linear fit- |
    |-------|-------------------------------------|--------------------------|
    | r | 0.997 | 0.997 |
    | Slope | 0.97
    (0.95 - 1.01) | 0.98
    (0.96 - 1.00) |

15

9.7.5. Matrix Comparison - Tri-Potassium EDTA

This study was performed to demonstrate correlation between Serum samples and Plasma Tri-Potassium EDTA samples.

The method comparison study was performed based on guidance from the CLSI document EP09c 3rd Edition.

56 serum and Tri-Potassium EDTA plasma samples, derived from the same patients were tested in duplicate.

9.7.5.1. Results

A summary of the results is presented in Table 9.7.5.

ResultsResults
- Passing & Bablok fit -- Linear fit-
r0.9980.998
Slope0.99
(0.95 - 1.03)0.99
(0.98 - 1.01)

Table 9.7.5. Matrix Comparison – Tri-Potassium EDTA Results

CONCLUSIONS 10.

Testing results indicate that the proposed device Lp(a) Ultra is substantially equivalent to the predicate device.

510(k) SUMMARYPage 13 of 13
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