K Number
K981375
Device Name
ACE T UPTAKE REAGENT TU CALIBRATORS
Date Cleared
1998-06-10

(55 days)

Product Code
Regulation Number
862.1715
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
ACE T Uptake Reagent is used in the diagnosis and treatment of thyroid disorders. It is intended for the quantitative determination of unsaturated binding sites on the thyroid-binding proteins in serum using the ACE clinical chemistry analyzer.
Device Description
The ACE T Uptake Regent contains two reagents, and Antibody/Substrate reagent and an Enzyme The assay uses a mixture of enzyme glucose-6-phosphate dehydrogenase Conjugate reagent. conjugated thyroxine (G6PD-T4) and a known amount of exogeneous T4 which is allowed to bind to the thyroxine-binding proteins in the sample. A sample with increased levels of unsaturated thyroxine-binding sites, the exogeneous T4 will bind leaving G6PD-T4 conjugate free. On addition of an anti-thyroxine antibody, the G6PD-T4 conjugate is bound by the antibody and the enzyme activity is inhibited. Conversely, a sample with decreased levels of unsaturated thyroxine-binding sites will leave most exogeneous T4 unbound. Upon addition of anti-T4 antibody, the unbound exogeneous T4 will inhibit the anti-T4 binding to G6PD-T4 conjugate and produce a high G6PD enzyme activity. This phenomenon creates a relationship between unsaturated thyroxine-binding sites concentration (T Uptake) and the enzyme activity. The enzyme G6PD activity is determined bichromatically on the ACE® at 340/505 nm by measuring its ability to convert NAD* to NADH.
More Information

Not Found

No
The device description details a standard enzymatic assay for measuring thyroid-binding protein saturation. There is no mention of AI or ML in the description, performance studies, or key metrics.

No.
This device is a diagnostic reagent, used for determining unsaturated binding sites on thyroid-binding proteins, which aids in the diagnosis of thyroid disorders, not in their treatment.

Yes

The "Intended Use / Indications for Use" section explicitly states, "ACE T Uptake Reagent is used in the diagnosis and treatment of thyroid disorders."

No

The device description clearly describes a chemical reagent kit used in conjunction with a clinical chemistry analyzer, indicating it is a hardware/chemical-based diagnostic device, not software-only.

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

Here's why:

  • Intended Use: The intended use explicitly states it is "used in the diagnosis and treatment of thyroid disorders" and is for the "quantitative determination of unsaturated binding sites on the thyroid-binding proteins in serum". This clearly indicates it is used to analyze a sample taken from the human body (serum) to provide information for medical diagnosis and treatment.
  • Device Description: The description details a chemical assay performed on a serum sample using reagents to measure a specific biological marker (thyroid-binding proteins). This is a hallmark of an in vitro diagnostic test.
  • Performance Studies: The submission includes performance studies like precision and method correlation against other assays, which are standard requirements for demonstrating the analytical performance of an IVD.
  • Predicate Device: The identification of a predicate device (K951586; Diagnostic Reagents, Inc. (DRI) - T Uptake Reagent) which is also a T Uptake Reagent, strongly suggests that this type of device is regulated as an IVD.

All of these factors align with the definition of an In Vitro Diagnostic device, which is a medical device intended for use in vitro for the examination of specimens derived from the human body solely or principally for the purpose of providing information concerning a physiological or pathological state, or inborn abnormality, or to monitor therapeutic measures.

N/A

Intended Use / Indications for Use

ACE® T Uptake Reagent is intended for use in the quantitative determination of unsaturated binding sites on the thyroid-binding proteins in human serum.
ACE T Uptake Reagent is used in the diagnosis and treatment of thyroid disorders. It is intended for the quantitative determination of unsaturated binding sites on the thyroid-binding proteins in serum using the ACE clinical chemistry analyzer.

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

KHQ, JIS

Device Description

The ACE T Uptake Regent contains two reagents, and Antibody/Substrate reagent and an Enzyme The assay uses a mixture of enzyme glucose-6-phosphate dehydrogenase Conjugate reagent. conjugated thyroxine (G6PD-T4) and a known amount of exogeneous T4 which is allowed to bind to the thyroxine-binding proteins in the sample. A sample with increased levels of unsaturated thyroxine-binding sites, the exogeneous T4 will bind leaving G6PD-T4 conjugate free. On addition of an anti-thyroxine antibody, the G6PD-T4 conjugate is bound by the antibody and the enzyme activity is inhibited. Conversely, a sample with decreased levels of unsaturated thyroxine-binding sites will leave most exogeneous T4 unbound. Upon addition of anti-T4 antibody, the unbound exogeneous T4 will inhibit the anti-T4 binding to G6PD-T4 conjugate and produce a high G6PD enzyme activity. This phenomenon creates a relationship between unsaturated thyroxine-binding sites concentration (T Uptake) and the enzyme activity. The enzyme G6PD activity is determined bichromatically on the ACE® at 340/505 nm by measuring its ability to convert NAD* to NADH.

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)

Non-clinical test results submitted in the premarket notification include within-run and between-run precision and method correlation.
Within-run precision: 3.7 %CV
Between-run precision: 4.1 %CV
Method correlation: vs Hitachi 717 Assay for T Uptake, with a slope of 1.085, intercept of -3.460, r = 0.935, N = 50.

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

Precision:
Within Run: 3.7 %CV
Between Run: 4.1 %CV
Correlation:
Slope: 1.085
Intercept: -3.460
r: 0.935
N: 50

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.

K951586

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.

Not Found

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

§ 862.1715 Triiodothyronine uptake test system.

(a)
Identification. A triiodothyronine uptake test system is a device intended to measure the total amount of binding sites available for binding thyroid hormone on the thyroxine-binding proteins, thyroid-binding globulin, thyroxine-binding prealbumin, and albumin of serum and plasma. The device provides an indirect measurement of thyrkoxine levels in serum and plasma. Measurements of triiodothyronine uptake are used in the diagnosis and treatment of thyroid disorders.(b)
Classification. Class II. 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.

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JUN 1 0 1998

510(k) PREMARKET NOTIFICATION ACE® T Uptake Reagent

K981375

SUMMARY OF SAFETY AND EFFECTIVENESS

In lieu of a 510(k) statement under 513(i) of the Act, this Summary of Safety and Effectiveness is provided as a 510(k) summary for disclosure to any other persons/companies without specific written authorization from Schiapparelli Biosystems, Inc.

Submitter

Schiapparelli Biosystems. Inc. 368 Passaic Avenue Fairfield, NJ 07004 Phone: (973) 882-8630

Contact Person

Steven Dalessio Manager, Quality Assurance/Regulatory Affairs Phone: (973) 882-8630

Device Names

Proprietary Name:ACE® T Uptake Reagent
Common Name:Enzyme immunoassay for T Uptake
Classification Name:T Uptake test
Predicate Device:Diagnostic Reagents, Inc. (DRI) - T Uptake Reagent
[510(k) Number K951586]

Device Description

The ACE T Uptake Regent contains two reagents, and Antibody/Substrate reagent and an Enzyme The assay uses a mixture of enzyme glucose-6-phosphate dehydrogenase Conjugate reagent. conjugated thyroxine (G6PD-T4) and a known amount of exogeneous T4 which is allowed to bind to the thyroxine-binding proteins in the sample. A sample with increased levels of unsaturated thyroxine-binding sites, the exogeneous T4 will bind leaving G6PD-T4 conjugate free. On addition of an anti-thyroxine antibody, the G6PD-T4 conjugate is bound by the antibody and the enzyme activity is inhibited. Conversely, a sample with decreased levels of unsaturated thyroxine-binding sites will leave most exogeneous T4 unbound. Upon addition of anti-T4 antibody, the unbound exogeneous T4 will inhibit the anti-T4 binding to G6PD-T4 conjugate and produce a high G6PD enzyme activity. This phenomenon creates a relationship between unsaturated thyroxine-binding sites concentration (T Uptake) and the enzyme activity. The enzyme G6PD activity is determined bichromatically on the ACE® at 340/505 nm by measuring its ability to convert NAD* to NADH.

Intended Use of the Device

ACE® T Uptake Reagent is intended for use in the quantitative determination of unsaturated binding sites on the thyroid-binding proteins in human serum.

1

510(k) PREMARKET NOTIFICATION ACE® T Uptake Reagent

SUMMARY OF SAFETY AND EFFECTIVENESS

COMPARATIVE FEATURES OF PREDICATE AND PROPOSED DEVICES

PARAMETERPREDICATE DEVICEPROPOSED DEVICE
Trade NameDRI T Uptake Enzyme ImmunoassayACE® T Uptake Reagent
Reference No.K951586TBD
AnalyteT UptakeT Uptake
Intended UseQuantitative determination of
unsaturated binding sites on the
thyroid-binding proteinsQuantitative determination of
unsaturated binding sites on
the thyroid-binding proteins
MethodologyEnzyme immunoassayEnzyme immunoassay
Reagents
Reagent 1
VolumeLiquid; Enzyme conjugate
210 µLLiquid; Enzyme conjugate
210 µL
Reagent 2
VolumeLiquid; Antibody/Substrate
70 µLLiquid; Antibody/Substrate
70 µL
Specimen
Type
VolumeSerum and plasma
9 µLSerum
9 µL
Assay System
Reagent 1 + Sample
Reagent 2
TemperatureIncubate 288 sec
Read 120 to 192 sec (12 sec intervals)
37 °CIncubate 240 sec
Read 63 and 273 sec
37 °C
Detection Method
Type
Wavelength, nmSpectrophotometric
Bichromatic: 340/415Spectrophotometric
Bichromatic: 340/505

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510(k) PREMARKET NOTIFICATION ACE® T Uptake Reagent

SUMMARY OF SAFETY AND EFFECTIVENESS

PERFORMANCE ASSESSMENT

Non-clinical test results submitted in the premarket notification include within-run and between-run precision and method correlation. Following is a data summary.

PARAMETERPREDICATE DEVICEPROPOSED DEVICE
Performance Summary
Assay Range15% to 50%15% to 50%
Precision
Within Run3.6 %CV3.7 %CV
Between Run3.3 %CV4.1 %CV
Correlation vsCommercial EIA assay for FTIHitachi 717 Assay for T Uptake
Slope0.921.085
Intercept0.69-3.460
r0.90.935
N11050

Based on these data, the Schiapparelli Biosystems ACE® T Uptake Reagent is substantially equivalent to the predicate device (Diagnostic Reagents, Inc. T Uptake Enzyme Immunoassay). On this basis, the reagent is determined to be safe and effective for its intended use. Performance details are included in the reagent product labeling.

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Image /page/3/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 lines forming its body and wings. The eagle is enclosed within a circle, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is written around the circle. The text is in all caps and is evenly spaced around the circle.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

JUN 1 0 1998

Steven Dalessio . Manager, Quality Assurance/Regulatory Affairs Schiapparelli Biosystems, Inc. 368 Passaic Avenue Fairfield, New Jersey 07004

Re : K981375 ACE® T Uptake Reagent Requlatory Class: II Product Code: KHQ, JIS Dated: April 15, 1998 Received: April 16, 1998

Dear Mr. Dalessio:

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 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 Failure to Administration (FDA) will verify such assumptions. 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.

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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

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1375 510(k) Number (if Known):

ACE T Uptake Reagent Device Name:__________________________________________________________________________________________________________________________________________________________________

Indications For Use:

ACE T Uptake Reagent is used in the diagnosis and treatment of thyroid disorders. It is intended for the quantitative determination of unsaturated binding sites on the thyroid-binding proteins in serum using the ACE clinical chemistry analyzer.

510(k) Number: k 981375

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter Use_

(Optional Format 1-2-96)