K Number
K954576
Device Name
AXSYM TOXO IGM
Date Cleared
1996-08-23

(326 days)

Product Code
Regulation Number
866.3780
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The AxSYM Toxo IgM assay is a Microparticle Enzyme Immunoassay (MEIA) for the qualitative measurement of IgM antibodies to Toxoplasma gondii in human serum and plasma (EDTA, heparin, or sodium citrate) to aid in the diagnosis of primary infection. The AxSYM Toxo IgM assay is not for use with cord blood or neonatal specimens. This product is not FDA cleared for use in testing blood or plasma donors.
Device Description
The AxSYM Toxo IgM assay is a Microparticle Enzyme Immunoassay (MEIA) for the qualitative measurement of IgM antibodies to Toxoplasma gondii in human serum and plasma (EDTA, heparin, or sodium citrate). It utilizes polystyrene microparticles coated with Toxoplasma gondii antigen and a conjugate containing goat anti-human IgM antibody conjugated to alkaline phosphatase. The assay is performed on an automated instrument and utilizes a rheumatoid neutralization buffer.
More Information

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No
The document describes a standard immunoassay performed on an automated instrument, with no mention of AI or ML in the device description, intended use, or performance studies.

No
The device is an in vitro diagnostic assay used for qualitative measurement of IgM antibodies to Toxoplasma gondii to aid in diagnosis, not for treatment or therapy.

Yes

Explanation: The "Intended Use / Indications for Use" section states that the assay is used "to aid in the diagnosis of primary infection," which directly indicates its diagnostic purpose.

No

The device description clearly indicates it is a Microparticle Enzyme Immunoassay (MEIA) which involves physical reagents (polystyrene microparticles, conjugate) and is performed on an automated instrument, indicating a hardware component.

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

Here's why:

  • Intended Use: The intended use explicitly states it's for the "qualitative measurement of IgM antibodies to Toxoplasma gondii in human serum and plasma... to aid in the diagnosis of primary infection." This clearly indicates it's used to test specimens taken from the human body to provide information for diagnostic purposes.
  • Device Description: The description details a "Microparticle Enzyme Immunoassay (MEIA)" which is a laboratory-based test method performed on biological samples.
  • Sample Type: It specifies the use of "human serum and plasma," which are biological specimens.
  • Performance Studies: The performance studies involve testing "samples from pregnant women, non-pregnant individuals and individuals positive for IgM antibodies to T. gondii," further confirming its use with human biological samples for diagnostic evaluation.

All these points align with the definition of an In Vitro Diagnostic device, which is a medical device intended for use in vitro for the examination of specimens derived from the human body solely or principally for the purpose of providing information concerning a physiological or pathological state, or congenital abnormality, or to determine the safety or suitability of a transfusion or transplantation.

N/A

Intended Use / Indications for Use

The AxSYM Toxo IgM assay is a Microparticle Enzyme Immunoassay (MEIA) for the qualitative measurement of IgM antibodies to Toxoplasma gondii in human serum and plasma (EDTA, heparin, or sodium citrate) to aid in the diagnosis of primary infection. The AxSYM Toxo IgM assay is not for use with cord blood or neonatal specimens. This product is not FDA cleared for use in testing blood or plasma donors.

Product codes

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Device Description

The AxSYM Toxo IgM assay is a Microparticle Enzyme Immunoassay (MEIA).
The AxSYM Toxo IgM assay utilizes a rheumatoid neutralization buffer to remove rheumatoid factor interference antibodies.
The solid phase in the AxSYM Toxo IgM assay contains polystyrene microparticles coated with Toxoplasma gondii antigen.
The conjugate in the AxSYM Toxo IgM assay contains goat anti-human IgM antibody conjugated to alkaline phosphatase.

Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

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Anatomical Site

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Indicated Patient Age Range

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Intended User / Care Setting

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

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

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

The AxSYM Toxo IgM assay was compared to the VIDAS Toxo IgM assay using 1,400 samples from pregnant women, non-pregnant individuals and individuals positive for IgM antibodies to T. gondii in two U.S. sites and one European site. Discordant results were resolved by testing with Platelia Toxo IgM (Sanofi) and Abbott IMx Toxo IgM Antibody assay, both of which are legally marketed devices in the United States. Based on this study, the AxSYM Toxo IgM assay showed relative sensitivity of 96.3%, relative specificity of 99.8% and relative agreement of 99.3%. Specimens giving equivocal results were not included in the calculation of relative agreement, relative sensitivity, or relative specificity. Percent CV's on positive panel members and positive control was 6.0% to 10.1%.

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

Relative sensitivity of 96.3%, relative specificity of 99.8% and relative agreement of 99.3%. Percent CV's on positive panel members and positive control was 6.0% to 10.1%.

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.

The predicate device for determination of substantial equivalence is the bioMerieux VIDAS Toxo-M.

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.

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Predetermined Change Control Plan (PCCP) - All Relevant Information

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§ 866.3780

Toxoplasma gondii serological reagents.(a)
Identification. Toxoplasma gondii serological reagents are devices that consist of antigens and antisera used in serological tests to identify antibodies toToxoplasma gondii in serum. Additionally, some of these reagents consist of antisera conjugated with a fluorescent dye (immunofluorescent reagents) used to identifyToxoplasma gondii from clinical specimens. The identification aids in the diagnosis of toxoplasmosis caused by the parasitic protozoanToxoplasma gondii and provides epidemiological information on this disease. Congenital toxoplasmosis is characterized by lesions of the central nervous system, which if undetected and untreated may lead to brain defects, blindness, and death of an unborn fetus. The disease is characterized in children by inflammation of the brain and spinal cord.(b)
Classification. Class II (performance standards).

0

K954576

AUG 23 1996

ATTACHMENT A

[510(k)] Summary Of Safety And Effectiveness Information Supporting A

Substantially Equivalent Determination

1

[510(k)] Summary Of Safety And Effectiveness Information Supporting A Substantially Equivalent Determination

The following information as presented in the [510(k)] notification for the AxSYM Toxo IqM assay constitutes data supporting a substantially equivalent determination:

[510(k)] Summary of Device Performance

The AxSYM Toxo IgM assay is a Microparticle Enzyme Immunoassay (MEIA) for the qualitative measurement of IgM antibodies to Toxoplasma gondii in human serum and plasma (EDTA, heparin, or sodium citrate) to aid in the diagnosis of primary infection. The AxSYM Toxo IgM assay is not for use with cord blood or neonatal specimens. This product is not FDA cleared for use in testing blood or plasma donors.

The predicate device for determination of substantial equivalence is the bioMerieux VIDAS Toxo-M. The VIDAS Toxo IgM (TXM) assay is intended for use with a VIDAS (Vitek ImmunoDiagnostic Assay System) instrument as an automated enzyme-linked fluorescent immunoassay (ELFA) for the qualitative detection of anti-Toxoplasma gondii IgM antibodies in human serum, as an aid in the diagnosis of toxoplasmosis. It is not intended for use in testing (screening) blood or plasma donors.

In two U.S. sites and one European site, the AxSYM Toxo IgM assay was compared to the VIDAS Toxo IgM assay using 1,400 samples from pregnant women, non-pregnant individuals and individuals positive for IgM antibodies to T. gondii. Discordant results were resolved by testing with Platelia Toxo IgM (Sanofi) and Abbott IMx Toxo IgM Antibody assay, both of which are legally marketed devices in the United States. Based on this study, the AxSYM Toxo IgM assay showed relative sensitivity of 96.3%, relative specificity of 99.8% and relative agreement of 99.3%. Specimens giving equivocal results were not included in the calculation of relative agreement, relative sensitivity, or relative specificity. Percent CV's on positive panel members and positive control was 6.0% to 10.1%.

In conclusion, the AxSYM Toxo IgM Assay is substantially equivalent to the VIDAS Toxo IgM assay for the detection of IgM antibodies to T. gondii in human serum and plasma (EDTA, heparin, or sodium citrate) specimens.

2

[510(k)] Summary Of Technological Comparison

The AxSYM Toxo IgM Antibody assay and the bioMerieux VIDAS Toxo IgM are substantially equivalent in that:

  • A. Both are in vitro immunologic test methods.
  • B. Both are intended for use in the detection of IgM antibody to T. gondii in human serum.
  • C. Both are based on information of immune complexes between T. gondii antigens and antibody.
  • D. Both use a polystyrene solid phase.
  • E. Both are qualitative assays.
  • F. Both use automated immunoassay analyzers.
  • G. Both use 4 methylumbelliferyl phosphate (MUP) as the enzyme substrate.

The AxSYM Toxo IgM Antibody assay and the VIDAS Toxo IgM assay differ in that:

  • A. The solid phase in the AxSYM Toxo IgM assay contains polystyrene microparticles coated with Toxoplasma gondii antigen. The VIDAS Toxo IgM assay is coated with goat anti-u chain antibodies inside of the SPR (solid phase receptacle).
  • B. The conjugate in the AxSYM Toxo IgM assay contains goat anti-human IgM antibody conjugated to alkaline phosphatase. The conjugate in the VIDAS Toxo IgM assay contains an immune complex of T. gondii antigen and anti-P30 mouse monoclonal antibody conjugated to alkaline phosphatase.
  • C. Serum and plasma (EDTA, heparin, sodium citrate) specimens may be tested in the AxSYM Toxo IgM assay. The use of plasma specimens has not been validated in the VIDAS Toxo IqM Assay.
  • D. The AxSYM Toxo IgM assay utilizes a rheumatoid neutralization buffer to remove rheumatoid factor interference antibodies. The VIDAS Toxo IgM assay does not utilize a buffer for rheumatoid factor interference antibodies.

3

Comparison Of Methods

Assay CharacteristicAxSYM Toxo IgM AssayVIDAS Toxo IgM Assay
Assay TypeQualitativeQualitative
Antibody MeasuredSpecific IgMSpecific IgM
Assay PrincipleMEIAEIA (ELFA)
Solid Phasepolystyrene microparticlepolystyrene solid phase
receptacle
Solid Phase CoatingToxoplasma antigen, RH
strain derived from HeLa
cell culturegoat anti-μ chain antibodies
Conjugategoat anti-human IgM
antibodies conjugated to
alkaline phosphatasemouse anti-P30 monoclonal
antibody conjugated to
alkaline phosphatase
SpecimenHuman serum and plasma
(EDTA, heparin, citrate)Human serum
Automationperformed on an
automated instrumentperformed on an
automated instrument
Relative Specificity99.8%
( European & U.S. )93.0% - 94.3% ( U.S. )
99.4% - 99.6% ( European )
Relative Sensitivity96.3%
( European & U.S. )87.9% - 99.5% ( U.S. )
97.7% - 100.0% ( European )