(47 days)
The DSL C2700 DHEA-S-7 RIA assay is intended for the quantitative determination of DHEA-S in human serum. The measurement of DHEA-S is used for in vitro diagnostic use in the diagnosis and treatment of DHEA-secreting adrenal carcinomas.
The DSL C2700 DHEA-S-7 RIA kit was developed for the quantitative measurement of DHEA-S in human serum. The RIA format is a competitive binding protein assay. Radio-labeled DHEA-S competes with un-labeled DHEA-S in the serum sample for binding sites to the DHEA-S antiserum provided with the kit. Separation of free from bound DHEA-S is achieved by the centrifugation and decantation of the tubes. The resultant is analyzed in a gamma counter for bound counts per minute. The amount of radio-labeled DHEA-S bound to the antibody is inversely proportional to the concentration of the DHEA-S present in the sample.
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Table of Acceptance Criteria and Reported Device Performance:
Performance Metric Acceptance Criteria Reported Device Performance (DSL C2700 DHEA-S-7 RIA kit vs. DSL 2700 DHEA-S RIA) Correlation (r) Implied satisfactory correlation between the two assays to demonstrate substantial equivalence. r = 0.98 Linear Regression Implied satisfactory linear relationship between the two assays to demonstrate substantial equivalence. Y = 0.76(X) + 36.2 (where Y is the DSL C2700 DHEA-S-7 RIA kit result and X is the DSL 2700 DHEA-S RIA result). This indicates a strong linear relationship. Note: The document does not explicitly state numerical acceptance criteria for 'r' or the linear regression equation. The reported performance implies that these results were considered acceptable for demonstrating substantial equivalence.
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Sample Size Used for the Test Set and Data Provenance:
- Sample Size: 418 patient samples.
- Data Provenance: Not explicitly stated, but based on the overall context of a medical device submission in the USA, it is likely that the samples were collected in the USA. The study design appears to be retrospective or a cross-sectional comparison using pre-collected samples.
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Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications of Those Experts:
- This section is not applicable as the study described is a comparison of two assays for quantitative measurement, not a ground truth establishment by human experts for diagnostic imaging or similar tasks. The "ground truth" in this context is the result obtained from the predicate device (DSL 2700 DHEA-S RIA).
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Adjudication Method for the Test Set:
- This section is not applicable. The study involves quantitative measurements from two different assays, not subjective interpretations requiring adjudication.
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Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study:
- No, a multi-reader multi-case (MRMC) comparative effectiveness study was not performed. This study compared two immunoassay kits, not human readers with and without AI assistance.
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Standalone (Algorithm Only) Performance:
- Yes, a standalone performance evaluation was conducted. The DSL C2700 DHEA-S-7 RIA kit's performance was directly compared against the predicate device (DSL 2700 DHEA-S RIA) by running the same patient samples on both kits independently to assess their agreement and correlation. There is no human-in-the-loop component described for the measurement itself.
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Type of Ground Truth Used:
- The "ground truth" in this context is the quantitative measurement of DHEA-S levels obtained from the predicate device, the DSL 2700 DHEA-S RIA kit. The study aimed to demonstrate substantial equivalence to an already approved and established method.
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Sample Size for the Training Set:
- This information is not provided in the summary. The document describes a comparison study for substantial equivalence, not the development or training of a de novo algorithm.
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How Ground Truth for the Training Set Was Established:
- This information is not provided as the document does not describe the development or training phase for a new algorithm, but rather a comparative study for a new iteration of an existing assay against a predicate.
§ 862.1245 Dehydroepiandrosterone (free and sulfate) test system.
(a)
Identification. A dehydroepiandrosterone (free and sulfate) test system is a device intended to measure dehydroepiandrosterone (DHEA) and its sulfate in urine, serum, plasma, and amniotic fluid. Dehydroepiandrosterone measurements are used in the diagnosis and treatment of DHEA-secreting adrenal carcinomas.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 862.9.