K Number
K961929
Date Cleared
1996-10-10

(146 days)

Product Code
Regulation Number
864.7290
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Indicated use - Factor deficient plasma, Factor - II, V, VII, VIII, IX, XI, XII, XII, is a human plasma immunodepleted of the specific factor and intended for use in the quantitative determination of the specific factor levels in patients suspected of congenital or acquired deficiency of this specific coagulation protein and is performed by clotting assay. Factor VIII is human plasma and bovine material.

Device Description

Factor deficient plasma to be free of antigen of Factor II, V, VII, VIII, IX, X, XI, XII, respectively, utilized in in vitro diagnostic use.

AI/ML Overview

The provided document is a summary of safety and effectiveness for Factor Deficient Coagulation Plasma, intended for use in determining specific factor levels in patients.

Here's an analysis of the acceptance criteria and the study that proves the device meets them, based on the information provided:

1. Table of Acceptance Criteria and Reported Device Performance

The document does not explicitly state numerical acceptance criteria with corresponding performance data in the typical sense of accuracy, sensitivity, or specificity. Instead, it focuses on attributes and features that are compared to predicate devices, inferring that meeting these attributes constitutes acceptable performance. The "Performance Testing" section outlines criteria related to safety and functionality.

Acceptance Criteria (Inferred from "Performance Testing" and "Donor Criteria")Reported Device Performance (Intended Products)
Compare assay to known sampleYes
Negative by FDA approved test for HIV 1/2 and HBsAgYes
Negative by FDA approved test for HCV and HIV-1agYes
Deficiency of relevant factor less than 1%Yes
Negative for HIV and HBsAgYes
Negative for HCV, HIV-1agYes
No inhibitor presentYes
Indicated for use in determination of coagulation of plasmaYes
In vitro diagnostic useYes
Used as a quantitative assayYes
Factor deficient plasmas offered - II, V, VII, VIII, IX, X, XI, XIIYes
Packaging either - Frozen or Dry / lyophilizedYes
Can be used with different instruments and reagents per manufacturer instructionsYes
Donor human plasma materialYes
Bovine enhanced factor VIII materialYes
Various buffers used in materialsYes

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

The document does not specify the sample size used for any test set or the data provenance (e.g., country of origin, retrospective or prospective). It mentions "known samples" for assay comparison but provides no details on their number or characteristics.

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

The document does not provide any information regarding the number or qualifications of experts used to establish ground truth.

4. Adjudication Method for the Test Set

The document does not describe an adjudication method for a test set.

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

The document does not mention a multi-reader multi-case (MRMC) comparative effectiveness study, nor does it discuss the effect size of human reader improvement with or without AI assistance. This is expected as the device is a reagent, not an AI-powered diagnostic tool.

6. Standalone (Algorithm Only) Performance Study

The document does not describe a standalone performance study in the context of an algorithm. This is not applicable as the device is a reagent for in-vitro diagnostic use, not an algorithm. Performance is assessed through its functional characteristics in laboratory tests.

7. Type of Ground Truth Used

The type of ground truth can be inferred from the "Performance Testing" section:

  • Comparison to known samples: This suggests that the ground truth for some performance aspects (e.g., accuracy of coagulation determination) was based on pre-established values or characteristics of control samples.
  • Negative by FDA approved tests for specific viruses and contaminants: The ground truth for safety aspects (e.g., HIV, HBsAg, HCV) was based on results from validated FDA-approved diagnostic tests.
  • Deficiency of relevant factor less than 1% and no inhibitor present: The ground truth for the purity and specificity of the deficient plasma was likely established through quantitative laboratory assays designed to measure factor levels and detect inhibitors.

8. Sample Size for the Training Set

The document does not mention a training set sample size. This concept is typically relevant for machine learning algorithms, which is not what this device is.

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

Since there is no mention of a training set, the document does not describe how ground truth for a training set was established.

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UNIVERSAL REAGENTS, INC.

2858 North Pennsylvania Street Indianapolis, Indiana 46205 PHONE: (317) 926-0015 FAX: (317) 926-0014

OCT 1 0 1996

K961929

Non-Confidential Summary of Safety and Effectiveness

May 15, 1996

page 1 of 3

Universal Reagents, Inc. 2858 N. Pennsylvania St. Indianapolis, IN 46205

Tel - (317) 926-0006 Fax - (317) 926-0014

Official contact:Jorge Miller, Director, Coagulation Products
Proprietary or Trade Name:Factor deficient coagulation plasma - II, V, VII, VIII, IX, X, XI, XII
Common/Usual Name:Factor deficient coagulation plasma - II, V, VII, VIII, IX, X, XI, XII
Classification Name:Factor deficient coagulation plasma
Intended device:Factor deficient coagulation plasma - II, V, VII, VIII, IX, X, XI, XII
Predicate devices:Behring Factor Deficient Plasmas -K924394 - Factor V, K924396 - Factor VIII, IX, XI, XIIK924400 - Factor II, VII, X
and
Medical Diagnostics Technologies -K893523 - Factor X, K893524 - Factor IX, K893525 - Factor VIII,K893533 - Factor V, K893534 - Factor XII, K893535 - Factor VII,K893536 - Factor XI, K900133 - Factor II.
Device description:Factor deficient plasma to be free of antigen of Factor II, V, VII,VIII, IX, X, XI, XII, respectively, utilized in in vitro diagnostic use.
Intended use

Indicated use - Factor deficient plasma, Factor - II, V, VII, VIII, IX, XI, XII, XII, is a human plasma immunodepleted of the specific factor and intended for use in the quantitative determination of the specific factor levels in patients suspected of congenital or acquired deficiency of this specific coagulation protein and is performed by clotting assay. Factor VIII is human plasma and bovine material.

Environment of use - Hospital, laboratories

page 3 of 25

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Non-Confidential Summary of Safety and Effectiveness (continued)

May 15, 1996

page 2 of 3

Comparison to predicate devices: (continued)

AttributeIntendedproductsBehringMedical DiagnosticsTechnologies
Use
Indicated for use in determinationof coagulation of plasmaYesYesYes
In vitro diagnostic useYesYesYes
Used as a quantitative assayYesYesYes
Design
Factor deficient plasmas offered -II, V, VII, VIII, IX, X, XI, XIIYesYesYes
Packaging either -Frozen or Dry / lyophilizedYesYesYes
Can be used with differentinstruments and reagents permanufacturer instructionsYesYesYes
Materials
Donor human plasmaYesYesYes
Bovine enhanced factor VIIIYesYesYes
Various buffersYesYesYes
Performance Testing
Compare assay to known sampleYesYesYes
Negative by FDA approved test forHIV 1/2 and HBsAGYesYesYes

page 4 of 25

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Non-Confidential Summary of Safety and Effectiveness (continued)

May 15, 1996

page 3 of 3

Comparison to predicate devices: (continued)

AttributeIntendedproductsBehringMedical DiagnosticTechnologies
Performance Testing (continued)
Negative by FDA approved test forHCV and HIV-1agYesnot knownnot known
Donor criteria
Deficiency of relevant factorless than 1%Yesnot knownYes
Negative for HIV and HBSAGYesYesYes
Negative for HCV, HIV-1agYesnot knownnot known
No inhibitor presentYesnot knownYes

B. Differences

(

The only difference is that the intended products are claimed to be negative for HCV and HIV-1ag by an FDA approved test.

Any differences that do exist would not have a significant effect on the safety or effectiveness of the device.

page 5 of 25

ﺴﺴﺴﺴﺴ

§ 864.7290 Factor deficiency test.

(a)
Identification. A factor deficiency test is a device used to diagnose specific coagulation defects, to monitor certain types of therapy, to detect coagulation inhibitors, and to detect a carrier state (a person carrying both a recessive gene for a coagulation factor deficiency such as hemophilia and the corresponding normal gene).(b)
Classification. Class II (performance standards).