K Number
K974695
Device Name
COBRAS INTEGRA ACID PROSTATIC PHOSPHATASE (ACPP) COBAD INTEGRA BENZODIAZEPINES WITH B-GLUCURONIDASE (BNZGL)
Date Cleared
1998-05-21

(156 days)

Product Code
Regulation Number
862.1020
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The cassette COBAS INTEGRA Acid / Prostatic Phosphatase contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA for the quantitative determination of the catalytic activity of total and prostatic acid phosphatase in serum. The cassette Roche COBAS INTEGRA Benzodiazepines contains an in vitro diagnostic reagent system intended for use on the COBAS INTEGRA for the semi-quantitative detection of benzodiazepines in human urine using the enzyme ß-glucuronidase.
Device Description
The COBAS INTEGRA Analyzer and COBAS INTEGRA Reagent cassettes together provide an integrated system for in vitro diagnostic testing. The COBAS INTEGRA Analyzer utilizes three measuring principles, i.e., absorbance, fluorescence polarization and ion-selective electrodes. The analyzer has a throughput of up to 600 tests per hour with STAT samples prioritized and tested immediately. Random sample access, robotics and a user interface optimize time management and streamline workflow. The COBAS INTEGRA can store up to 68 COBAS INTEGRA Reagent Cassettes on board, 24 hours a day at 2-8°C. The COBAS INTEGRA Reagent Cassettes are compact and preparation-free with the added convenience of long term on-board stability. Barcode readers are used to identify newly loaded reagent cassettes, samples for patient identification, and rack inserts and to read calibration and control data from the cassette label. COBAS INTEGRA tests include chemistry, drugs of abuse, immunology, ion selective electrodes, therapeutic drug monitoring, and hematology reagents.
More Information

No
The description focuses on the analyzer's hardware, measuring principles, automation features, and reagent cassettes, with no mention of AI or ML algorithms for data analysis or interpretation.

No
The device is described as an in vitro diagnostic reagent system and analyzer used for quantitative determination of substances in serum and urine, which is for diagnostic purposes, not therapeutic intervention.

Yes

The "Intended Use / Indications for Use" section explicitly states that the reagent system is an "in vitro diagnostic reagent system" and is intended for "quantitative determination" or "semi-quantitative detection" of various substances in biological samples, which are functions of a diagnostic device.

No

The device description clearly outlines a physical analyzer (COBAS INTEGRA Analyzer) that utilizes various measuring principles and handles physical reagent cassettes and samples. This is a hardware-based system, not software-only.

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

The "Intended Use / Indications for Use" section explicitly states that the reagent systems are "in vitro diagnostic reagent system intended for use on COBAS INTEGRA for the quantitative determination of the catalytic activity of total and prostatic acid phosphatase in serum" and "in vitro diagnostic reagent system intended for use on the COBAS INTEGRA for the semi-quantitative detection of benzodiazepines in human urine".

The "Device Description" also states that the system is for "in vitro diagnostic testing".

These statements clearly indicate that the device is intended for use in the diagnosis of disease or other conditions, including a determination of the state of health, in order to cure, mitigate, treat, or prevent disease or its sequelae, which is the definition of an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The cassette COBAS INTEGRA Acid / Prostatic Phosphatase contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA for the quantitative determination of the catalytic activity of total and prostatic acid phosphatase in serum.

The cassette Roche COBAS INTEGRA Benzodiazepines contains an in vitro diagnostic reagent system intended for use on the COBAS INTEGRA for the semi-quantitative detection of benzodiazepines in human urine using the enzyme ß-glucuronidase.

Product codes (comma separated list FDA assigned to the subject device)

CKB, JXM

Device Description

The COBAS INTEGRA Analyzer utilizes three measuring principles, i.e., absorbance, fluorescence polarization and ion-selective electrodes. The analyzer has a throughput of up to 600 tests per hour with STAT samples prioritized and tested immediately. Random sample access, robotics and a user interface optimize time management and streamline workflow. The COBAS INTEGRA can store up to 68 COBAS INTEGRA Reagent Cassettes on board, 24 hours a day at 2-8°C. The COBAS INTEGRA Reagent Cassettes are compact and preparation-free with the added convenience of long term on-board stability. Barcode readers are used to identify newly loaded reagent cassettes, samples for patient identification, and rack inserts and to read calibration and control data from the cassette label. COBAS INTEGRA tests include chemistry, drugs of abuse, immunology, ion selective electrodes, therapeutic drug monitoring, and hematology reagents.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

COBAS INTEGRA Acid / Prostatic Phosphatase:
Study Type: Performance Characteristics
Sample Size: Accuracy: 260
Key Results: Assay range 0 - 100 U/L. Sensitivity 8.5 x 10^4 △A/min per U/L of total acid phosphatase. Precision (total): Level 1, Mean 4 U/L, CV 5.7 %. Level 2, Mean 11 U/L, CV 4.6 %. Accuracy: Corr. Coefficient 0.978. Linear regression 1.54x - 0.1 U/L.
Prostatic Acid Phosphatase: Precision: Level 1, Mean 1 U/L, CV 25 %. Level 2, Mean 3 U/L, CV 15 %. Accuracy: Sample size 264, Corr. Coefficient 0.996, Linear regression 1.83x + 0.5 U/L.

COBAS INTEGRA Benzodiazepines with β-glucuronidase:
Study Type: Performance Characteristics
Sample Size: Not specified for accuracy/positive samples beyond the number of positive/negative samples.
Key Results: Assay range 0 - 200 ng/mL. Precision: L1, Mean 52 ng/mL, % CV 5.1; L2, Mean 86 ng/mL, % CV 3.0; L3, Mean 108 ng/mL, % CV 5.2; L4, Mean 139 ng/mL, % CV 4.4; L5, Mean 171 ng/mL, % CV 3.4. Sensitivity: 5.0 ng/mL of nordiazepam at > 95% confidence. Accuracy (Positive Samples): INTEGRA with β-gluc. had 50 positive and 0 negative. GC/MS had 50 positive and 0 negative. INTEGRA (100 ng/mL cutoff) had 50 positive and 0 negative. GC/MS had 50 positive and 0 negative.

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

COBAS INTEGRA Acid / Prostatic Phosphatase:
Sensitivity: 8.5 x 10^4 △A/min per U/L of total acid phosphatase.
Precision: For total acid phosphatase: CV (within-run) Level 1: 4.5 %, Level 2: 2.5 %. CV (total) Level 1: 5.7 %, Level 2: 4.6 %.
For prostatic acid phosphatase: CV (within-run) Level 1: 23 %, Level 2: 9.4 %. CV (total) Level 1: 25 %, Level 2: 15 %.
Accuracy: For total acid phosphatase: Corr. Coefficient 0.978. Linear regression 1.54x - 0.1 U/L.
For prostatic acid phosphatase: Corr. Coefficient 0.996. Linear regression 1.83x + 0.5 U/L.

COBAS INTEGRA Benzodiazepines with β-glucuronidase:
Precision: % CV (within-run) L1: 5.1, L2: 3.0, L3: 5.2, L4: 4.4, L5: 3.4.
Sensitivity: 5.0 ng/mL of nordiazepam at > 95% confidence.
Accuracy: Positive Samples (INTEGRA with β-glucuronidase vs GC/MS): 50 positive, 0 negative for both.

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.

K831834, K951595

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.

K951595, K954992, K961824, K963292, K964457, K972250

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 862.1020 Acid phosphatase (total or prostatic) test system.

(a)
Identification. An acid phosphatase (total or prostatic) test system is a device intended to measure the activity of the acid phosphatase enzyme in plasma and serum.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9.

0

K974695

MAY 2 | 1998

510(k) Summary

Roche COBAS® INTEGRA Reagent Cassettes

In accordance with the Safe Medical Devices Act of 1990, a 510(k) summary is provided as outlined in 21 CFR 807.92.

The assigned 510(k) number is:________________________________________________________________________________________________________________________________________________

I. Identification of 510(k) Sponsor:

Roche Diagnostic Systems, Inc. a subsidiary of Hoffmann-La Roche, Inc. Branchburg Township 1080 U.S. Highway 202 Somerville, New Jersey 08876-3771

510(k) Submission dated December 12, 1997

James W. Haynes Contact: Regulatory Affairs Associate Phone: (908) 253-7569 (908) 253-7547 Fax:

1

Device Name: II.

The device name, including both the trade/proprietary name and the classification name are provided in the table below.

Table1
------------------------
Proprietary NameClassification NameProduct CodeRegulation Number
COBAS INTEGRA Acid/ Prostatic
Phosphatase (ACPP)Acid phosphatase (total or
prostatic) test systemCKB862.1020
COBAS INTEGRA
Benzodiazepines with β-
glucuronidase (BNZGL)Benzodiazepine test systemJXM862.3170

2

III. Identification of the legally marketed device to which the 510(k) sponsor claims equivalence:

The following table identifies the legally marketed devices to which Roche Diagnostic Systems, Inc. claims equivalence.

| able
C

C1
-------------------

| Product Name | Predicate Product Name | K number | Date of substantial
equivalence |
|---------------------------------------------------------------|------------------------------------------------------------------------------|----------|------------------------------------|
| COBAS INTEGRA Acid/ Prostatic
Phosphatase (ACPP) | Roche Reagent for Acid Phosphatase
(OEM from Reagents Applications, Inc.) | K831834 | 8/26/83 |
| COBAS INTEGRA Benzodiazepines
with β-glucuronidase (BNZGL) | COBAS INTEGRA Benzodiazepines
(BENZ) | K951595 | 9/8/95 |

IV. Description of the Device/Statement of Intended Use:

The COBAS INTEGRA test applications contained in this submission are intended for use with the COBAS INTEGRA Analyzer. The COBAS INTEGRA Analyzer and COBAS INTEGRA Reagent cassettes together provide an integrated system for in vitro diagnostic testing. The COBAS INTEGRA Analyzer along with 107 other Roche COBAS INTEGRA Reagent Cassettes were previously cleared on September 8, 1995 (K951595); January 25, 1996 (K954992); July 23, 1996 (K961824); October 31,1996 (K963292); January 21, 1997 (K964457), and August 12, 1997 (K972250). COBAS INTEGRA Benzodiazepines was previously cleared on September 8, 1995.

The COBAS INTEGRA Analyzer utilizes three measuring principles, i.e., absorbance, fluorescence polarization and ion-selective electrodes. The analyzer has a throughput of up to 600 tests per hour with STAT samples prioritized and tested immediately. Random sample access, robotics and a user interface optimize time management and streamline workflow. The COBAS INTEGRA can store up to 68 COBAS INTEGRA Reagent Cassettes on board, 24 hours a day at 2-8°C. The COBAS INTEGRA Reagent Cassettes are compact and preparation-free with the added convenience of long term on-board stability. Barcode readers are used to identify newly loaded reagent cassettes, samples for patient identification, and rack inserts and to read calibration and control data from the cassette label. COBAS INTEGRA tests include chemistry, drugs of abuse, immunology, ion selective electrodes, therapeutic drug monitoring, and hematology reagents. For additional information on the COBAS INTEGRA Analyzer and its constituent modules, please refer to the Operator's Manual in Volumes 1 through 2, pages 92-703, of the original 510(k) submission (K951595).

3

Through this submission, it is the intention of Roche to gain clearance for one additional COBAS Reagent Cassette and one optional application for a previously approved COBAS Reagent These are the COBAS INTEGRA Acid / Prostatic Phosphatase and the COBAS Cassette. INTEGRA Benzodiazepines with ß-glucuronidase, respectively.

COBAS INTEGRA Acid / Prostatic Phosphatase:

The cassette COBAS INTEGRA Acid / Prostatic Phosphatase contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA for the quantitative determination of the catalytic activity of the total and prostatic acid phosphatase in serum.

COBAS INTEGRA Benzodiazepines with ß-glucuronidase:

The cassette COBAS INTEGRA Benzodiazepines contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA for the semi-quantitative detection of benzodiazepines in human urine using the enzyme ß-glucuronidase. B-glucuronidase is added automatically as a diluent for sample pre-treatment enabling enhanced detection of metabolites of certain low-dose, short-acting benzodiazepines.

The intended use, clinical utility and methodology of each reagent cassette are further described in the test specific COBAS INTEGRA Method Manual sheets, contained in the test specific sections of this submission.

V. Summary of the technological characteristics of the new device in comparison to those of the predicate.

Tables 3-4 outline the technological characteristics (methodologies) of the COBAS INTEGRA Reagents in comparison to those of legally marketed predicate products.

VI. Brief discussion of the clinical and nonclinical tests relied on for a determination of substantial equivalence:

Tables 3-4 demonstrate the results of clinical and nonclinical studies performed using the COBAS INTEGRA Reagent Cassettes. The significant performance characteristics relied upon for a determination of substantial equivalence are summarized in this chart. This information concludes that the performance of this device is essentially equivalent to other legally marketed devices of a similar kind.

4

| | COBAS INTEGRA Acid/
Prostatic Phosphatase | Roche Reagent for Acid
Phosphatase |
|---------------------------------------------------------|-----------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------|
| Intended Use | quantitative determination of both
total and prostatic acid phosphatase | quantitative determination of both
total and prostatic acid phosphatase |
| Methodology | Hillmann method with
naphthylphosphate.
Inhibition of prostatic acid
phosphatase by tartrate | Hillmann method with
naphthylphosphate.
Inhibition of prostatic acid
phosphatase by tartrate |
| Sample type | Serum | Serum |
| Calibrator | Fixed calibration factor
-no calibrator required | Fixed calibration factor
-no calibrator required |
| Controls | Roche Control Serum N and P
(human) | Not specified in labeling |
| Reagent
(active ingredients) | R1: Citrate (liquid)
1,5 Pentanediol
R2: Tartrate (liquid)
R3: 1-napthylphosphate
(granulate) | 1. α-naphthylphosphate (granulate)
2. L-Tartrate / Sodium citrate
(granulate)
3. Acetate Buffer |
| Performance Characteristics: Total Acid Phosphatase | | |
| Assay range | 0 - 100 U/L | Linear to 40 U/L |
| Sensitivity | $8.5 x 10^4$ △A/min per U/L of total
acid phosphatase | Not specified in labeling |
| Precision: | Level 1              Level 2 | Level 1              Level 2 |
| Mean | 4 U/L              11 U/L | 3.1 U/L              22.6 U/L |
| CV (within-run) | 4.5 %              2.5 % | 2.7 %              0.51 % |
| CV (total) | 5.7 %              4.6 % | NA              NA |
| Accuracy: | | |
| Sample size (n) | 260 | 118 |
| Corr. Coefficient | 0.978 | 0.990 |
| Linear regression | $1.54x$ - 0.1 U/L | 1.02 + 0.43 U/L |
| Performance Characteristics: Prostatic Acid Phosphatase | | |
| Precision: | Level 1              Level 2 | Not specified in labeling |
| Mean (U/L) | 1 U/L              3 U/L | |
| CV (within-run) | 23 %              9.4 % | |
| CV (total) | 25 %              15 % | |
| Accuracy: | | |
| Sample size (n) | 264 | 118 |
| Corr. Coefficient | 0.996 | 0.997 |
| Linear regression | $1.83x$ + 0.5 U/L | 1.00 - 0.07 U/L |

Table 3 - COBAS INTEGRA Acid/ Prostatic Phosphatase

5

| | COBAS INTEGRA
Benzodiazepines with β-
glucuronidase | | | | COBAS INTEGRA
Benzodiazepines | | | | |
|-------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----|-------|-----|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------|---------|---------|---------|
| Methodology | Kinetic interaction of microparticles
in a solution | | | | Kinetic interaction of microparticles
in a solution | | | | |
| Sample type | Urine | | | | Urine | | | | |
| Calibrator | Abuscreen OnLine Calibration Pack | | | | Abuscreen OnLine Calibration Pack | | | | |
| Controls | Abuscreen OnLine 1.5x Calibrator /
Positive Control
Abuscreen OnLine Negative
Control | | | | Abuscreen OnLine 1.5x Calibrator /
Positive Control
Abuscreen OnLine Negative Control | | | | |
| Cutoff | 100 ng/mL | | | | 100, 200 and 300 ng/mL | | | | |
| Reagent
(active ingredients) | R1: Sample Diluent
R2: Antibody reagent:
Benzodiazepines polyclonal
antibody (sheep) in buffer
R3: Microparticle reagent:
conjugated benzodiazepine
derivative microparticles in
buffer
β-glucuronidase (not provided) | | | | R1: Sample Diluent
R2: Antibody reagent:
Benzodiazepines polyclonal
antibody (sheep) in buffer
R3: Microparticle reagent:
conjugated benzodiazepine
derivative microparticles in
buffer | | | | |
| Performance Characteristics: | | | | | | | | | |
| Assay range | 0 - 200 ng/mL | | | | 0 - 300 ng/mL | | | | |
| Precision: | L1 | L2 | L3 | L4 | L5 | Level 1 | Level 2 | Level 3 | Level 4 |
| Mean (ng/mL) | 52 | 86 | 108 | 139 | 171 | 49 | 80 | 101 | 126 |
| % CV (within-run) | 5.1 | 3.0 | 5.2 | 4.4 | 3.4 | 7.1 | 4.3 | 4.4 | 4.4 |
| Sensitivity | 5.0 ng/mL of nordiazepam at > 95% confidence | | | | | 5.0 ng/mL of nordiazepam at > 95% confidence | | | |
| Accuracy
Positive Samples | INTEGRA
with β-gluc. | | GC/MS | | INTEGRA
(100 ng/mL cutoff) | | GC/MS | | |
| | + | - | + | - | + | - | + | - | |
| | 50 | 0 | 50 | 0 | 50 | 0 | 50 | 0 | |

Table 4 - COBAS INTEGRA Benzodiazepines with ß-glucuronidase

: 、

6

Image /page/6/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three stripes forming its body and wings. The eagle is encircled by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA".

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

MAY 21 1996

Mr. James W. Haynes · Requlatory Affairs Associate Roche Diagnostic Systems, Inc. 1080 U.S. Highway 202 Somerville, New Jersey 08876-3771

Re: K974695/S001 COBAS INTEGRA Acid/Prostatic Phosphatase (ACPP)/COBAS INTEGRA Benzodiazepines with ß-Glucuronidase (BNZGL) Regulatory Class: II Product Code: CKB, JXM March 18, 1998 Dated: Received: March 19, 1998

Dear Mr. Haynes:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major requlations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Read Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory In addition, FDA may publish further announcements action. concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

7

Page 2

Under the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88), this device may require a CLIA complexity categorization. To determine if it does, you should contact the Centers for Disease Control and Prevention (CDC) at (770) 488-7655.

This letter will allow you to begin marketing your device as described in your 510 (k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4588. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,
Steven Gutman

Steven I. Gutman, M.D., M.B.A. Director Division of Clinical Laboratory Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

8

Page 1 _of _1

9741,95 510(k) Number (if known)

Device Name:

Roche COBAS INTEGRA Acid / Prostatic Phosphatase Reagent Cassette

Roche COBAS INTEGRA Benzodiazepines with β-glucuronidase

Indications for Use:

ﺐ ﺍﻟ

The cassette COBAS INTEGRA Acid / Prostatic Phosphatase contains an in vitro diagnostic reagent system intended for use on COBAS INTEGRA for the quantitative determination of the catalytic activity of total and prostatic acid phosphatase in serum.

The cassette Roche COBAS INTEGRA Benzodiazepines contains an in vitro diagnostic reagent system intended for use on the COBAS INTEGRA for the semi-quantitative detection of benzodiazepines in human urine using the enzyme ß-glucuronidase.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division: Medical Laboratory Devices
510(k) Number. K97495

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use (Optional Format 1-2-96)