(23 days)
AimStep™ Pregnancy is intended for the qualitative identification of hCG (human Chorionic Gonadotropin) in urine to aid in the early determination of pregnancy. This test is for professional use.
The test utilizes a combination of monoclonal and polyclonal antibodies to selectively detect elevated levels of hCG. The assay is conducted by dipping the test strip into urine and observing for the formation of colored bands. The specimen migrates via capillary action along the membrane to react with the colored conjugate. Positive specimens react with the specific antibody-hCG-colored conjugate and form a colored band on the Specimen portion of the membrane. Absence of this colored band suggests a negative result. To serve as a procedural control, a colored band at the Control Zone will always appear regardless of the presence or absence of hCG.
Here's a breakdown of the acceptance criteria and the study details for the AimStep Pregnancy device, based on the provided text:
1. Table of Acceptance Criteria and Reported Device Performance:
The document doesn't explicitly state quantitative acceptance criteria (e.g., "sensitivity must be >X%"). Instead, the primary acceptance criterion appears to be 100% concordance with a commercially available predicate device.
| Acceptance Criteria | Reported Device Performance |
|---|---|
| 100% concordance with a commercially available test for positive and negative hCG detection in urine. | Concordance: 100% - AimStep™ positive results: 64 - Commercially available test positive results: 64 - AimStep™ negative results: 84 - Commercially available test negative results: 84 |
| Detects hCG concentrations of 20 mIU/ml and greater. | Detection Limit: 20 mIU/ml (This is stated as a capability, not directly verified against a specific acceptance threshold in the study summary, but it's part of the standard performance claim). |
| No cross-reactivity with hLH (300 mIU/ml), hFSH (1000 mIU/ml), and hTSH (1000 ulU/ml) in negative and positive urine. | No cross-reactivity observed. (This is stated as a direct finding, not a specific criterion in the table, but it's an important performance characteristic.) |
2. Sample Size and Data Provenance for the Test Set:
- Sample Size: 148 urine specimens
- Data Provenance: "A multi-center clinical evaluation was conducted." The document does not specify the country of origin or whether the data was retrospective or prospective.
3. Number of Experts and Qualifications for Ground Truth:
The document does not explicitly state the number of experts used or their qualifications to establish the ground truth. The "ground truth" for the comparative study was based on the results of "another commercially available test." This implies that the commercially available test itself served as the reference standard.
4. Adjudication Method for the Test Set:
There is no mention of an adjudication method. The comparison was a direct concordance between the AimStep™ device and the commercially available test.
5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study:
No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. This study compares the performance of a device against another commercially available test, not human readers with and without AI assistance.
6. Standalone (Algorithm Only) Performance:
Yes, a standalone performance assessment was effectively done. The study directly evaluated the performance of the AimStep (device only) against another commercially available test. There is no human interpretation component described in the test procedure or the study, other than reading the colored bands. Therefore, the reported performance is the "algorithm only" or device-only performance.
7. Type of Ground Truth Used:
The ground truth used was concordance with an existing "commercially available test." This suggests that the predicate device's results were accepted as the known state (positive or negative for hCG).
8. Sample Size for the Training Set:
The document does not provide any information about a training set size. This type of diagnostic device (lateral flow immunoassay) typically does not involve a "training set" in the machine learning sense. Its development relies on biochemical engineering and validation, not algorithms trained on data.
9. How Ground Truth for the Training Set Was Established:
As there is no mention of a "training set" in the context of machine learning, this information is not applicable and therefore not provided in the document. The device's underlying mechanism is based on antigen-antibody reactions, where the "ground truth" for its development would be based on the known biochemical properties of hCG and the specificity/sensitivity of the antibodies used.
{0}------------------------------------------------
"Summary of Safety & Effectiveness"
MAR - 6 1998
AimStep Pregnancy is intended for the qualitative identification of hCG (human Chorionic Gonadotropin) in urine to aid in the early determination of pregnancy. The test utilizes a combination of monoclonal and polyclonal antibodies to selectively detect elevated levels of hCG. The assay is conducted by dipping the test strip into urine and observing for the formation of colored bands. The specimen migrates via capillary action along the membrane to react with the colored conjugate. Positive specimens react with the specific antibody-hCG-colored conjugate and form a colored band on the Specimen portion of the membrane. Absence of this colored band suggests a negative result. To serve as a procedural control, a colored band at the Control Zone will always appear regardless of the presence or absence of hCG.
A multi-center clinical evaluation was conducted comparing the results obtained using AimStep™ Pregnancy and another commercially available test. The study included 148 urine specimens tested with both assays. The following results were found:
| Positive Results | Negative Results | |
|---|---|---|
| AimStep™ | 64 | 84 |
| CommerciallyAvailable Test | 64 | 84 |
AimStep™ Pregnancy showed a 100% concordance with the other commercially available test.
AimStep™ Pregnancy detects hCG concentrations of 20 mIU/ml and greater. The test has been standardized to the World Health Organization Third International Standard. The addition of hLH (300 mIU/ml), hFSH (1000 mIU/ml), and hTSH (1000 ulU/ml) to negative (0 mIU/ml hCG) and positive (20 mIU/ml hCG) urine showed no cross-reactivity.
Whate O'Conne
Martin O'Connor, Regulatory Affairs
Martin O'Connor, Regul Germaine Laboratories. In 4203 Gardendale Center, Suite 230
2-9-98
Date
Premarket Notification 510(k) Number
Page 1 of 17
{1}------------------------------------------------
Image /page/1/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo consists of a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is an image of an eagle.
Food and Drug Administration 2098 Gaither Road Rockville MD 20850
MAR - 6 1998
Martin O'Connor . General Manager Germaine Laboratories, Inc. 4203 Gardenale Center Suite 230 San Antonio, Texas 78229
Re : K980531 AimStep™ Pregnancy Regulatory Class: II Product Code: JHI February 9, 1998 Dated: Received: February 11, 1998
Dear Mr. O'Connor:
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 of the Act. 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.
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 regulations 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 Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in requlatory 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.
{2}------------------------------------------------
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 Bitman
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
{3}------------------------------------------------
Indications For Use
510(k) Number: K980631
Device Name: AimStep™ Pregnancy
"Indications For Use" -
AimStep™ Pregnancy is intended for the qualitative identification of hCG (human Chorionic Gonadotropin) in urine to aid in the early determination of pregnancy. This test is for professional use.
(Please do not write below this point)
Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off)
Division of Clinical Laboratory Devices
Prescription Use
(per 21 CFR 801.109)
or
Over-The-Counter-Use
§ 862.1155 Human chorionic gonadotropin (HCG) test system.
(a)
Human chorionic gonadotropin (HCG) test system intended for the early detection of pregnancy —(1)Identification. A human chorionic gonadotropin (HCG) test system is a device intended for the early detection of pregnancy is intended to measure HCG, a placental hormone, in plasma or urine.(2)
Classification. Class II.(b)
Human chorionic gonadotropin (HCG) test system intended for any uses other than early detection of pregnancy —(1)Identification. A human chorionic goadotropin (HCG) test system is a device intended for any uses other than early detection of pregnancy (such as an aid in the diagnosis, prognosis, and management of treatment of persons with certain tumors or carcinomas) is intended to measure HCG, a placental hormone, in plasma or urine.(2)
Classification. Class III.(3)
Date PMA or notice of completion of a PDP is required. As of the enactment date of the amendments, May 28, 1976, an approval under section 515 of the act is required before the device described in paragraph (b)(1) may be commercially distributed. See § 862.3.