K Number
K980810
Device Name
SERAQUEST ANTI-SSA
Manufacturer
Date Cleared
1998-05-12

(70 days)

Product Code
Regulation Number
866.5100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
For the qualitative and semi-quantitative detection of human antibodies to SSA nuclear antigen in human serum by enzyme immunoassay. For use as an aid in the diagnosis of systemic rheumatic disease, particularly Sjogren's Syndrome. For manual use, or for use with the HyPrep System Plus. For In Vitro Diagnostic Use Only. For in vitro diagnostic use only. For the qualitative and semi-quantitative detection of IgG antibodies to SSA in human serum by enzyme immunoassay. For use as an aid in the diagnosis of systemic rheumatic disease, particularly Sjogren's Syndrome. For manual use, or for use with the HyPrep System Plus semi-automated fluid handler.
Device Description
The SeraQuest Anti-SSA test is a solid-phase enzyme immunoassay (EIA), which is performed in microwells, at room temperature, in three thirty minute incubations. It has been developed to detect IgG antibodies which are directed against SSA nuclear antigen (Anti-SSA) , in human serum. The Calibrators in the SeraQuest Anti-SSA test set have been assigned Index values based on an in-house standard. Test results are reported as Index values.
More Information

Not Found

Not Found

No
The description details a standard enzyme immunoassay (EIA) for detecting antibodies. There is no mention of AI or ML in the device description, intended use, or performance studies. The "Not Found" entries for "Mentions AI, DNN, or ML" and "Description of the training set..." further support this conclusion.

No.
The device is an in vitro diagnostic (IVD) test used to detect antibodies for diagnostic purposes, not to treat a disease.

Yes
The "Intended Use / Indications for Use" section explicitly states, "For use as an aid in the diagnosis of systemic rheumatic disease, particularly Sjogren's Syndrome."

No

The device description clearly states it is a solid-phase enzyme immunoassay (EIA) performed in microwells, indicating a physical kit with reagents and components, not solely software. It also mentions use with a semi-automated fluid handler (HyPrep System Plus), which is a hardware component.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section clearly states: "For In Vitro Diagnostic Use Only."
  • Nature of the Test: The device performs a test on human serum (a biological sample taken from the body) to detect antibodies. This is a classic characteristic of an in vitro diagnostic test, as it is performed outside of the living organism.
  • Purpose of the Test: The test is intended as an "aid in the diagnosis of systemic rheumatic disease, particularly Sjogren's Syndrome." This diagnostic purpose is a key function of IVD devices.
  • Device Description: The description details a "solid-phase enzyme immunoassay (EIA)," which is a common laboratory technique used in IVD testing.

All of these factors strongly indicate that this device is an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

For the qualitative and semi-quantitative detection of human antibodies to SSA nuclear antigen in human serum by enzyme immunoassay. For use as an aid in the diagnosis of systemic rheumatic disease, particularly Sjogren's Syndrome. For manual use, or for use with the HyPrep System Plus. For In Vitro Diagnostic Use Only.

Product codes

LJM

Device Description

The SeraQuest Anti-SSA test is a solid-phase enzyme immunoassay (EIA), which is performed in microwells, at room temperature, in three thirty minute incubations. It has been developed to detect IgG antibodies which are directed against SSA nuclear antigen (Anti-SSA) , in human serum.

The Calibrators in the SeraQuest Anti-SSA test set have been assigned Index values based on an in-house standard. Test results are reported as Index values.

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

For manual use, or for use with the HyPrep System Plus.

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

Summary of Clinical Testing:
Of the 288 specimens tested, 74 were positive, and 200 were negative in both the SeraQuest and Shield tests (please see Table C-3). Of the remaining specimens which were negative by the Shield test, 8 were positive and 2 equivocal by the SeraQuest test; 4 specimen which were positive by the Shield test, one was equivocal and 3 negative in the SeraQuest test. Refer to table 1 below.

Key Metrics

Relative sensitivity: 96.1%
Relative specificity: 96.1%
Overall agreement: 93.9%
95% CI for Relative sensitivity: 91.8 to 100
95% CI for Relative specificity: 93.5 to 98.8
95% CI for Overall agreement: 93.9 to 98.4

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 866.5100 Antinuclear antibody immunological test system.

(a)
Identification. An antinuclear antibody immunological test system is a device that consists of the reagents used to measure by immunochemical techniques the autoimmune antibodies in serum, other body fluids, and tissues that react with cellular nuclear constituents (molecules present in the nucleus of a cell, such as ribonucleic acid, deoxyribonucleic acid, or nuclear proteins). The measurements aid in the diagnosis of systemic lupus erythematosus (a multisystem autoimmune disease in which antibodies attack the victim's own tissues), hepatitis (a liver disease), rheumatoid arthritis, Sjögren's syndrome (arthritis with inflammation of the eye, eyelid, and salivary glands), and systemic sclerosis (chronic hardening and shrinking of many body tissues).(b)
Classification. Class II (performance standards).

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33181 Quest International, Inc., 1938 N.E. 148th Terrace, N. Miami, FL Page No. 125

MAY 1 2 1998

510(k) SUMMARY

| Applicant: | Quest International, Inc.
1938 N.E. 148th Terrace
North Miami, FL 33181 |
|---------------------|-------------------------------------------------------------------------------|
| Registration No. | 1061839 |
| Contact Person: | Robert A. Cort, V.P., Quality Assurance |
| Telephone: | (305) 948-8788 |
| Telefax: | (305) 948-4876 |
| Manufacturing Site: | Same as above |
| Device: | SeraQuest® Anti-SSA |
| Device Name: | Antinuclear antibody immunological test system (21CFR § 866.5100) |

Device Classification: Class II (performance standards)

Description:

The SeraQuest Anti-SSA test is a solid-phase enzyme immunoassay (EIA), which is performed in microwells, at room temperature, in three thirty minute incubations. It has been developed to detect IgG antibodies which are directed against SSA nuclear antigen (Anti-SSA) , in human serum.

The Calibrators in the SeraQuest Anti-SSA test set have been assigned Index values based on an in-house standard. Test results are reported as Index values.

Principle:

Diluted samples are incubated in wells coated with SSA antigen. Antibodies against SSA (if present) are immobilized in the wells. Residual sample is eliminated by washing and conjugate (enzyme-labeled antibodies to human IgG) is added and incubated. If IgG antibodies to SSA are present, the conjugate will be immobilized in the wells. Residual conjugate is eliminated by washing and draining, and the enzyme substrate is added and incubated. In the presence of the enzyme, the substrate is converted to a yellow end-product which is read photometrically at 405 nm.

Intended Use:

For the qualitative and semi-quantitative detection of human antibodies to SSA nuclear antigen in human serum by enzyme immunoassay. For use as an aid in the diagnosis of systemic rheumatic

1

disease, particularly Sjogren's Syndrome. For manual use, or for use with the HyPrep System Plus. For In Vitro Diagnostic Use Only.

Predicate Device:

The SeraQuest Anti-SSA test is substantially equivalent in intended use and performance, to the Shield Diastat Anti-SSA test, Shield Diagnostics, Dundee, DD2 1SW.

Summary of technological characteristics:

CharacteristicSeraQuest Anti-SSAShield Diastat Anti-SSA
Description:Enzyme ImmunoassayEnzyme Immunoassay
Intended Use:The detection of
antibodies against SSA
in human serum.The detection of
antibodies against SSA
in human serum.
Solid Phase:Plastic MicrowellPlastic Microwell
Antigen Source:Calf ThymusCalf Thymus
Number of Incubation Periods:ThreeThree
Sample Dilution:1:501:500
Sample Incubation
Duration:30 minutes60 minutes
Incubation Temperature:Room temperatureRoom temperature
Enzyme-labeled Conjugate:
AntibodyGoat anti-human IgGGoat anti-human IgG
EnzymeAlkaline phosphataseAlkaline phosphatase
Conjugate Volume:100 μl100 μl
Conjugate Incubation
Duration:30 minutes30 minutes
Substrate:p-Nitrophenyl
phosphatephenolthalein
monophosphate

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Quest International, Inc., 1938 N.E. 148th Terrace, N. Miami, FL 33181 Page No. / 27

... .. .

Subtrate Volume:100 µl100 µl
Substrate Incubation
Duration:30 minutes30 minutes
Stop Reagent:0.5 M Trisodium
phosphateSodium
Hydroxide
Stop Reagent Volume:100 µl100 µl
Readout:Spectrophotometric
405 nmSpectrophotometric
540-565 nm

Summary of Clinical Testing:

Of the 288 specimens tested, 74 were positive, and 200 were negative in both the SeraQuest and Shield tests (please see Table C-3). Of the remaining specimens which were negative by the Shield test, 8 were positive and 2 equivocal by the SeraQuest test; 4 specimen which were positive by the Shield test, one was equivocal and 3 negative in the SeraQuest test. Refer to table 1 below.

TABLE 1.

RESULTS OF SeraQuest Anti-SSA ASSAYS AND SHIELD Anti-SSA ASSAYS OF 288 SERUM SPECIMENS.

SeraQuest ANTI-SSA

Shields ANTI-SSA

PositiveEquivocalNegative%95% CI*
Positive7413Relative sensitivity√96.191.8 to 100
Negative82200Relative specificity√
Overall agreement√96.193.5 to 98.8
93.9 to 98.4
  • イ Excluding equivocal results.
  • ★ Calculated by the exact method.
  • ** Calculated by the normal method.

Reference: Gardner, M.J. and Altman, D.G., Confidence Intervals Rather Than Hypothesis Testing. Brit. Med. J., 292: 746-750. 1986.

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Image /page/3/Picture/1 description: The image shows the seal of the Department of Health & Human Services - USA. The seal features a stylized eagle with three lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle.

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

MAY 1 2 1998

Robert A. Cort Vice President, Quality Assurance QUEST INTERNATIONAL, INC. 1938 N.E. 148th Terrace North Miami, FL 33181

Re: K980810 Trade Name: SeraQuest® Anti-SSA Regulatory Class: II Product Code: LJM Dated: April 28, 1998 Received: April 28, 1998

Dear Mr. Cort:

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 to legally marketed predicate 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 Regulations, 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 regulatory action. In addition, FDA may publish further announcements 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.

4

Page 2 -

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/dsma/dsmamain.html".

Sincerely yours,

Steven Butman

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

5

Quest International, Inc., 1938 N.E. 148th Terrace, N. Miami, FL 33181

APPENDIX 8

Page of

510(k) Number (if known): _

Device Name: __SeraQuest Anti-SSA

Indications For Use:

  • For in vitro diagnostic use only. 1.
  • For the qualitative and semi-quantitative detection of IgG antibodies to SSA in 2. human serum by enzyme immunoassay.
    1. For use as an aid in the diagnosis of systemic rheumatic disease, particularly Sjogren's Syndrome.
  • For manual use, or for use with the HyPrep System Plus semi-automated fluid 4. handler.

(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 of Clinical Laboratory Devices
510(k) Number1988810
Prescription Use
(Per 21 CFR 801.109)

OR

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