K Number
K211256
Date Cleared
2022-05-20

(389 days)

Product Code
Regulation Number
866.2390
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The NEST Disposable Sampler (Viral Transport Medium) is intended for the collection and transport of upper respiratory clinical specimens to the laboratory for standard diagnostic or identification techniques. The Viral Transport Medium can be used in the laboratory to perform culture, isolation and detection of upper respiratory viruses including Influenza A, Rhinovirus, and Respiratory Syncytial Virus (RSV).

Device Description

The Disposable Sampler Viral Transport Media is composed of preservation tubes filled with VTM (Viral Transport Media), kitted with or without swabs, depending on the product type. The Disposable Sampler Viral Transport Media is composed of Sodium chloride, Disodium hydrogen phosphate dodecahydrate, Potassium chloride, Potassium dihydrogen phosphate, Magnesium sulfate heptahydrate, Glucose, HEPES, Sodium bicarbonate, Fluconazole, Gentamicin sulfate, Griseofulvin, Polymyxin sulfate, Phenol red (optional), Sodium hydroxide, Calcium chloride, Bovine serum albumin and L-Cysteine. The preservation tube is made of medical-grade polypropylene materials. For both oropharyngeal and nasopharyngeal swabs, the swab head is made of flocked nylon fiber, and the rod is made of ABS (acrylonitrile butadiene styrene).

AI/ML Overview

The document describes a 510(k) premarket notification for the "Disposable Sampler Viral Transport Media" by Wuxi NEST Biotechnology Co., Ltd. The study conducted is a non-clinical performance test focusing on culture-based viral recovery.

Here's an analysis of the provided information according to your requested components:

1. Table of Acceptance Criteria and Reported Device Performance

Parameter / Acceptance CriteriaReported Device Performance
Viral Recovery (Implicit)The NEST Disposable Samplers "preserved the samples of all the viruses tested for up to 48 hours at both room temperature and when refrigerated." The results "confirm that the media stabilizes the target viruses meeting the performance specifications for the subject device." No specific quantitative threshold (e.g., maximum attenuation rate) is explicitly stated as an "acceptance criterion" but the performance data (Table 2) shows varying attenuation rates for different viruses, temperatures, and timepoints, all of which are presented as acceptable evidence of performance.

Note: The document states the device "meets the performance specifications," but does not explicitly list what those specifications are in a quantitative manner (e.g., "attenuation rate must be <X%"). The reported data (Table 2) implicitly serves as the performance demonstration against an unstated or assumed acceptance level for viral viability.

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

  • Test Set Description: The test set comprised commercial strains of three viruses: Influenza A virus A/PR/8/34 H1N1, Rhinovirus Type 16, and Respiratory syncytial virus Type A.
  • Sample Size for each virus: For each virus, three different lots of the preservation solution (080921ES1, 040121PS, 101020E01) were tested. For each lot, an initial virus titer was established at 0 hours. Then, at two different temperatures (23-25 ℃ and 2-8 ℃) and two different time points (24 and 48 hours), the viral recovery was assessed. Each time point was assessed in triplicate.
    • Calculation: 3 viruses * 3 lots * (1 initial + 2 temperatures * 2 timepoints) * 3 replicates = 3 * 3 * (1 + 4) * 3 = 135 samples (or measurements) per lot, for a total of 405 samples/measurements across all lots and viruses.
  • Data Provenance: The data appears to be prospective, generated specifically for this premarket notification. The clinical matrix (negative clinical nasopharyngeal matrix) was collected from healthy subjects. The country of origin of the data is not explicitly stated, but the company is Wuxi NEST Biotechnology Co., Ltd., which is based in Wuxi, China.

3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications of Those Experts

This study does not involve human readers or experts establishing ground truth in the traditional sense for diagnostic performance. Ground truth for viral recovery is based on laboratory measurements of viral activity (plaque-forming units) after exposure to the transport media.

4. Adjudication Method for the Test Set

Not applicable. This is a non-clinical, laboratory-based viral recovery study, not a study involving human interpretation or adjudication of diagnostic images/results.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was Done

No. This is a non-clinical laboratory study of a viral transport medium, not a study evaluating human reader performance with or without AI assistance.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was Done

No. This device is a viral transport medium, not an algorithm or AI device. The study evaluates the standalone performance of the transport medium in preserving viral viability.

7. The Type of Ground Truth Used

The ground truth used is laboratory culture results, specifically the measurement of Mean Virus Titer (x10^4 PFU/mL - Plaque-Forming Units per Milliliter). This directly quantifies the viable viral particles recovered.

8. The Sample Size for the Training Set

No training set is mentioned or applicable. This is a non-clinical performance evaluation of a medical device, not an AI/machine learning model that requires training data.

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

Not applicable, as there is no training set for this type of device and study.

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

May 20, 2022

Wuxi Nest Biotechnology Co., Ltd. % Randy Jiang Senior Technical Consultant Emergo Global Consulting, LLC 2500 Bee Cave Road, Building 1, Suite 300 Austin, Texas 78746

Re: K211256

Trade/Device Name: Disposable Sampler Viral Transport Media Regulation Number: 21 CFR 866.2390 Regulation Name: Transport culture medium Regulatory Class: Class I, reserved Product Code: JSM Dated: April 23, 2021 Received: April 26, 2021

Dear Randy Jiang:

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

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requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 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 (OS) 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 mediation-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,

Ribhi Shawar, Ph.D. (ABMM) Branch Chief General Bacteriology and Antimicrobial Susceptibility Branch Division of Microbiology Devices OHT7: Office of In Vitro Diagnostics Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known)

Device Name

Indications for Use (Describe)

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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510(k) Summary

The following information is provided in accordance with 21 CFR 807.92 for the Premarket 510(k) Summary:

Submitter Information
Company:Cheng Zhiwei
RA Manager
Wuxi NEST Biotechnology Co., Ltd.
No.530 Xida Road, New District, Wuxi214112 China
Telephone: 0086-510-68006788
Email: project01@nest-wuxi.com
Contact:Randy Jiang
Senior Technical Consultant
Emergo Global Consulting, LLC
2500 Bee Cave Road, Building 1, Suite 300
Austin, Texas, 78746, USA
Telephone: (512) 327-9997
Fax: (512) 327-9998
LST.AUS.ProjectManagement@ul.com
Date Summary Prepared:March 29, 2022
Name of the Device
Trade Name:Common Name:Disposable Sampler Viral Transport MediaTransport culture medium
Classification Name:Microbiology
Review Panel:Microbiology (MI)
Regulation:866.2390
Class:Class I
Product Code:JSM

Equivalence Claimed to Predicate Device

The Disposable Sampler Viral Transport Media is equivalent to the COPAN UNIVERSAL TRANSPORT MEDIUM (UTM-RT) SYSTEM (K042970), manufactured by COPAN DIAGNOSTICS, INC.

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Device Description

The Disposable Sampler Viral Transport Media is composed of preservation tubes filled with VTM (Viral Transport Media), kitted with or without swabs, depending on the product type. The Disposable Sampler Viral Transport Media is composed of Sodium chloride, Disodium hydrogen phosphate dodecahydrate, Potassium chloride, Potassium dihydrogen phosphate, Magnesium sulfate heptahydrate, Glucose, HEPES, Sodium bicarbonate, Fluconazole, Gentamicin sulfate, Griseofulvin, Polymyxin sulfate, Phenol red (optional), Sodium hydroxide, Calcium chloride, Bovine serum albumin and L-Cysteine. The preservation tube is made of medical-grade polypropylene materials. For both oropharyngeal and nasopharyngeal swabs, the swab head is made of flocked nylon fiber, and the rod is made of ABS (acrylonitrile butadiene styrene).

Indication for Use Statement

The NEST Disposable Sampler (Viral Transport Medium) is intended for the collection and transport of upper respiratory clinical specimens to the laboratory for standard diagnostic or identification techniques. The Viral Transport Medium can be used in the laboratory to perform culture, isolation and detection of upper respiratory viruses including Influenza A, Rhinovirus, and Respiratory Syncytial Virus (RSV).

Substantial Equivalence Discussion

The following table compares the Disposable Sampler Viral Transport Media to the predicate device with respect to indications for use, principles of operation, technological characteristics, materials, and performance, and forms the basis for the determination of substantial equivalence. The subject device does not raise any new questions of safety or effectiveness as compared to the predicate device.

Device & PredicateDevice(s):Device K211256Predicate K042970
Device Trade NameNEST DisposableSampler ViralTransport MediaCopan universaltransport medium(UTM-RT) system
General DeviceCharacteristic Similarities
IntendedUse/Indications ForUseThe NESTDisposableSampler (ViralTransportMedium) isCopan UniversalTransport Medium(UTM-RT) Systemis intended for thecollection and
intended for thecollection andtransport of upperrespiratory clinicalspecimens to thelaboratory forstandard diagnosticor identificationtechniques. TheViral TransportMedium can beused in thelaboratory toperform culture,isolation anddetection of upperrespiratory virusesincludingInfluenza A,Rhinovirus, andRespiratorySyncytial Virus(RSV).transport ofclinical specimenscontaining viruses,chlamydiae,mycoplasma orureaplasma fromthe collection siteto the testinglaboratory. UTM-RT can beprocessed usingstandard clinicallaboratoryoperatingprocedures forviral, chlamydial,mycoplasma andureaplasmaculture.
Device Product Codeand ClassificationJSM, Class IJSM, Class I
Shelf Life12 months12 months
pHpH 7.3 ± 0.2 at25°CpH 7.3 ± 0.2 at25°C
General DeviceCharacteristicDifferences
Media formulationHANK's BalancedSalts Solution,HEPES, SodiumbicarbonateHANK's BalancedSalts, BSA, L-cysteine, gelatin,sucrose, L-
Fluconazole,Gentamicinsulfate,Griseofulvin,Polymyxin sulfate,Phenol red,Sodium hydroxide,glucose, BSA andL-cysteine.glutamic acid,HEPES buffer,vancomycin,amphotericin B,colistin, phenol red
Vial Specification5 mL vial: 2.5 mL VTM10 mL vial: 3.0 mL VTM1 mL UTM in12x80 mm tube3 mL UTM in16x100 mm tube10 mL UTM in25x90 mm tube
Supported claims toperform culture,isolation and detectionof:Influenza A,Rhinovirus, andRespiratorySyncytial Virus(RSV)chlamydiae,mycoplasma orureaplasma andviruses
pH indicatorOptionalNone

Table 1: Subject and Predicate Device Comparison Table

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Non-Clinical Performance Data

Culture-Based Viral Recovery Studies

To demonstrate safety and effectiveness of Disposable Sampler Viral Transport Media and to show substantial equivalence to the predicate device, Wuxi Nest completed the following nonclinical tests. Performance of the NEST Disposable Samplers were evaluated for viral recovery using commercial strains of Influenza A virus A/PR/8/34 H1N1, Rhinovirus Type 16, and Respiratory syncytial virus Type A. A 100ul aliquot of virus culture with 10° TCID50ml virus was added into 900ul of different batches of preservation solution (three lots) with negative clinical nasopharyngeal matrix collected from healthy subjects. After mixing, the samples were then stored at 23-25 ℃ (room temperature) and 2-8 ℃ (refrigerated) for 0, 24, and 48 hours. Different lots of preservation solution without virus dilution were used as controls with negative

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clinical nasopharyngeal matrix collected from healthy subjects. At each timepoint, an aliquot of the preservation solution, matrix and organism suspension was inoculated into the appropriate host cell line. Finally, the number of plaques formed on the host cells by the recovered viable virus were calculated. All the cultures were processed using standard laboratory culture techniques. Each time point was assessed in triplicate and the average value was taken as the final value. The results of the viral recovery studies are represented in Table 2 below and show the attenuation rate of the viruses tested at different temperatures and times.

The test virusTest samples(Lot No.)Test conditionsMean Virus Titer(x104 PFU/mL)Attenuation rate(%)
Influenza Avirus A/PR/8/34H1N1080921ES10h83.4-
4°C, 24h70.515.47
4°C, 48h61.326.50
080921ES125°C, 24h66.420.38
25°C, 48h44.746.40
Influenza Avirus A/PR/8/34H1N1040121PS0h79.2-
4°C, 24h71.89.34
4°C, 48h63.719.57
040121PS25°C, 24h66.915.53
25°C, 48h44.443.94
101020E010h92.3-
4°C, 24h79.114.3
4°C, 48h73.520.37
101020E0125°C, 24h74.319.50
25°C, 48h60.234.78
Rhinovirus Type16080921ES10h231.7-
4°C, 24h213.87.73
4°C, 48h204.511.74
080921ES125°C, 24h168.527.28
25°C, 48h124.746.18
Rhinovirus Type16040121PS0h203.7-
4°C, 24h183.49.97
101020E014°C, 48h169.316.89
25°C, 24h200.21.72
25°C, 48h157.822.53
0h176.5-
4°C, 24h169.83.80
4°C, 48h154.312.58
101020E0125°C, 24h114.035.41
25°C, 48h93.846.86
080921ES10h26.8-
4°C, 24h22.017.91
4°C, 48h20.025.37
25°C, 24h23.213.43
25°C, 48h21.021.64
0h31.0-
4°C, 24h24.022.58
Respiratorysyncytial virusType A040121PS4°C, 48h21.231.61
25°C, 24h24.820.00
25°C, 48h16.247.74
0h33.5-
4°C, 24h26.321.49
4°C, 48h25.723.28
101020E0125°C, 24h23.828.96
25°C, 48h26.720.30

Table 2: Viral viability study results

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The NEST Disposable Samplers preserved the samples of all the viruses tested for up to 48 hours at both room temperature and when refrigerated. The results confirm that the media stabilizes the target viruses meeting the performance specifications for the subject device.

Statement of Substantial Equivalence

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Based on the indications for use, technological characteristics, safety, and performance testing, the subject device, the Disposable Sampler Viral Transport Media, meets the requirements that are considered essential for its intended use and is substantially equivalent to the legally marketed predicate device, the Copan Universal Transport Medium (UTM-RT) system, K042970.

§ 866.2390 Transport culture medium.

(a)
Identification. A transport culture medium is a device that consists of a semisolid, usually non-nutrient, medium that maintains the viability of suspected pathogens contained in patient specimens while in transit from the specimen collection area to the laboratory. The device aids in the diagnosis of disease caused by pathogenic microorganisms and also provides epidemiological information on these diseases.(b)
Classification. Class I (general controls).