K Number
K993102
Device Name
DRIED GRAM-POSITIVE MIC/COMBO PANELS
Date Cleared
1999-12-02

(77 days)

Product Code
Regulation Number
866.1640
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
To determine gram-positive bacterial susceptibility to the antimicrobial agent Synercid. Organisms with indications for testing include: FROM THE INDICATION FOR USE SECTION OF THE MANUFACTURER'S PACKAGE INSERT (7-14-99) Methicillin-susceptible Staphylococcus aureus Vancomycin resistant Enterococcus faecium Streptococcus pyogenes (Gp.A) FROM THE MICROBIOLOGY SECTION OF THE MANUFACTURER'S PACKAGE INSERT (7-14-99). Streptococcus agalactiae (Gp.B) Methicillin-resistant Staphylococcus aureus Staphylococcus epidermidis The MicroScan® Dried Gram-Positive MIC/Combo Panels with Synercid are not intended for use with Streptococcus pneumoniae and viridans streptococci.
Device Description
Microdilution Minimum Inhibitory Concentration (MIC) Panel
More Information

Not Found

No
The summary describes a standard microdilution panel for antimicrobial susceptibility testing and does not mention any AI or ML components.

No
The device is an in vitro diagnostic (IVD) device used to determine bacterial susceptibility to antimicrobial agents, not to treat a disease or condition in a patient.

Yes
The device determines the susceptibility of bacteria to an antimicrobial agent, which is a diagnostic function used to guide treatment decisions.

No

The device description explicitly states "Microdilution Minimum Inhibitory Concentration (MIC) Panel," which is a physical laboratory panel used for testing. The performance studies also refer to "Dried Synercid panels," further indicating a hardware component.

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

Here's why:

  • Intended Use: The intended use is to "determine gram-positive bacterial susceptibility to the antimicrobial agent Synercid." This is a diagnostic test performed in vitro (outside the body) on a biological sample (bacterial culture) to provide information about a patient's potential response to a specific treatment.
  • Device Description: It is described as a "Microdilution Minimum Inhibitory Concentration (MIC) Panel." MIC panels are standard tools used in clinical microbiology laboratories for determining the susceptibility of bacteria to antibiotics, which is a key aspect of in vitro diagnostics.
  • Performance Studies: The document describes performance studies comparing the device to a "NCCLS frozen Synercid Reference panel," which is a common practice for validating the performance of IVD devices. The metrics reported (Essential Agreement) are also typical for evaluating the performance of antimicrobial susceptibility testing devices.
  • Predicate Device: A predicate device (K983408; Microscan Dried Panels e.g. Trovafloxacin) is listed, which is another strong indicator that this device is being submitted for regulatory review as an IVD, as predicate devices are used to demonstrate substantial equivalence to previously cleared IVDs.

All of these factors point to this device being an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

To determine gram-positive bacterial susceptibility to the antimicrobial agent Synercid. Organisms with indications for testing include: Methicillin-susceptible Staphylococcus aureus Vancomycin resistant Enterococcus faecium Streptococcus pyogenes (Gp.A) Streptococcus agalactiae (Gp.B) Methicillin-resistant Staphylococcus aureus Staphylococcus epidermidis The MicroScan® Dried Gram-Positive MIC/Combo Panels with Synercid are not intended for use with Streptococcus pneumoniae and viridans streptococci.

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

LTT

Device Description

Not Found

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)

The proposed MicroScan® Dried Gram-Positive MIC/Combo Panel with Synercid demonstrated substantially equivalent performance when compared with an NCCLS frozen Synercid Reference Panel, as defined in the FDA DRAFT document "Review Criteria for Assessment of Antimicrobial Susceptibility Devices" (dated May 31, 1991). The gram-positive external evaluations were conducted with fresh and stock Efficacy isolates and stock Challenge strains. The external evaluations were designed to confirm the acceptability of the proposed Dried Synercid panels by comparing their performance with an NCCLS frozen Synercid Reference panel. The Dried gram-positive Synercid panel demonstrated acceptable performance with an overall Essential Agreement of 98.4% when compared with the frozen Synercid Reference panel. Inoculum and instrument reproducibility testing was conducted; the gram-positive Dried Synercid panels demonstrated acceptable reproducibility and precision, regardless of which inoculum method (i.e., Turbidity and Prompt), or instrument (autoScan-4 and WalkAway®) was used. Quality Control performance was acceptable for the gram-positive Dried Synercid panels.

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

Essential Agreement of 98.4%

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.

K983408

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

§ 866.1640 Antimicrobial susceptibility test powder.

(a)
Identification. An antimicrobial susceptibility test powder is a device that consists of an antimicrobial drug powder packaged in vials in specified amounts and intended for use in clinical laboratories for determining in vitro susceptibility of bacterial pathogens to these therapeutic agents. Test results are used to determine the antimicrobial agent of choice in the treatment of bacterial diseases.(b)
Classification. Class II (performance standards).

0

DEC - 2 1999

510(k) Summary

510(k) Submission Information:

Device Manufacturer:Dade MicroScan Inc.
Contact name:Trevor Wall, Regulatory Affairs Manager
Fax:916-374-3144
Date prepared:September 10, 1999
Product Name:Microdilution Minimum Inhibitory Concentration (MIC) Panel
Trade Name:MicroScan® Dried Gram-Positive MIC/Combo Panels
Intended Use:To determine microbial susceptibility to Synercid
510(k) Notification:New antimicrobial - Synercid
Predicate device:Microscan Dried Panels e.g. Trovafloxacin (K983408)

510(k) Summary:

The proposed MicroScan® Dried Gram-Positive MIC/Combo Panel with Synercid demonstrated substantially equivalent performance when compared with an NCCLS frozen Synercid Reference Panel, as defined in the FDA DRAFT document "Review Criteria for Assessment of Antimicrobial Susceptibility Devices" (dated May 31, 1991).

The Premarket Notification (510[k]) presents data in support of the new antimicrobial, Quinupristin/Dalfopristin (Synercid), for the MicroScan® Dried Gram Positive MIC/Combo Panels.

The gram-positive external evaluations were conducted with fresh and stock Efficacy isolates and stock Challenge strains. The external evaluations were designed to confirm the acceptability of the proposed Dried Synercid panels by comparing their performance with an NCCLS frozen Synercid Reference panel.

The Dried gram-positive Synercid panel demonstrated acceptable performance with an overall Essential Agreement of 98.4% when compared with the frozen Synercid Reference panel.

Inoculum and instrument reproducibility testing was conducted; the gram-positive Dried Synercid panels demonstrated acceptable reproducibility and precision, regardless of which inoculum method (i.e., Turbidity and Prompt), or instrument (autoScan-4 and WalkAway®) was used.

Quality Control performance was acceptable for the gram-positive Dried Synercid panels.

1

Image /page/1/Picture/1 description: The image is a black and white seal for the Department of Health & Human Services - USA. The seal is circular with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle with three lines representing its wings and head.

DEC - 2 1999

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Mr. Trevor Wall Regulatory Affairs Manager Dade Microscan, Inc. 1584 Enterprise Boulevard West Sacramento, California 95691

Re: K993102 Trade Name: MicroScan® Dried Gram-Positive MIC/Combo Panels (Synercid) Regulatory Class: II Product Code: LTT Dated: September 14, 1999 Received: September 16, 1999

Dear Mr. Wall:

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 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.

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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 at (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html"

Sincerely yours,

Steven Autman

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

Intended Use Statement

510(k) No.:

Device Name:

Indications for Use:

K993102

MicroScan® Dried Gram-Positive MIC/Combo Panels with Synercid (0.06 - 4 mcg/ml on the gram-positive panels)

To determine gram-positive bacterial susceptibility to the antimicrobial agent Synercid.

Organisms with indications for testing include:

FROM THE INDICATION FOR USE SECTION OF THE MANUFACTURER'S PACKAGE INSERT (7-14-99)

Methicillin-susceptible Staphylococcus aureus Vancomycin resistant Enterococcus faecium Streptococcus pyogenes (Gp.A)

FROM THE MICROBIOLOGY SECTION OF THE MANUFACTURER'S PACKAGE INSERT (7-14-99).

Streptococcus agalactiae (Gp.B) Methicillin-resistant Staphylococcus aureus Staphylococcus epidermidis

The MicroScan® Dried Gram-Positive MIC/Combo Panels with Synercid are not intended for use with Streptococcus pneumoniae and viridans streptococci.

Woody Dubois

PRESCRIPTION USE X
(PER CFR 801.109)

syn510k.doc.DOC