K Number
K993109
Device Name
VARELISA RECOMBI ANA PROFILE
Date Cleared
1999-11-12

(56 days)

Product Code
Regulation Number
866.5100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Varelisa ReCombi ANA Profile EIA kit is designed for the qualitative determination of eight antinuclear antibodies in human serum or plasma to aid in the diagnosis of systemic rheumatic diseases such as SLE (Systemic Lupus Erythematosus), Scleroderma (Progressive Systemic Sclerosis), MCTD (Mixed Connective Tissue Disease), SS (Sjögren's Syndrome) and Polymyositis/ Dermatomyositis. The Varelisa ReCombi ANA Profile individually detects antibodies against dsDNA, RNP(68 kDa, A, C), Sm(B,B',D) SS-A/Ro(52 kDa, 60 kDa), SS-B/La, Scl-70, Centromere and Jo-1.
Device Description
The Varelisa ReCombi ANA Profile is an enzyme immunoassay for the individual qualitative determination of 8 antinuclear antibodies in serum or plasma.
More Information

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No
The summary describes a standard enzyme immunoassay (EIA) kit for detecting antibodies. There is no mention of AI, ML, or any computational analysis beyond basic qualitative determination based on the assay results.

No.
The device is an in vitro diagnostic (IVD) test designed for qualitative determination of antibodies to aid in the diagnosis of diseases, not to treat them.

Yes

The device is designed for the qualitative determination of antinuclear antibodies in human serum or plasma to "aid in the diagnosis of systemic rheumatic diseases." This explicitly states its purpose in assisting with diagnosis.

No

The device description clearly states it is an enzyme immunoassay, which is a laboratory test involving physical reagents and procedures, not a software-only device.

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

Here's why:

  • Intended Use: The intended use explicitly states that the kit is designed for the "qualitative determination of eight antinuclear antibodies in human serum or plasma to aid in the diagnosis of systemic rheumatic diseases". This involves testing biological samples (serum or plasma) in vitro (outside the body) to provide information for diagnosis.
  • Device Description: The description confirms it is an "enzyme immunoassay for the individual qualitative determination of 8 antinuclear antibodies in serum or plasma". This further reinforces that it's a test performed on biological samples in vitro.

The core function of the device is to analyze components of human biological samples to provide diagnostic information, which is the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Varelisa ReCombi ANA Profile EIA kit is designed for the qualitative determination of eight antinuclear antibodies in human serum or plasma to aid in the diagnosis of systemic rheumatic diseases such as SLE (Systemic Lupus Erythematosus), Scleroderma (Progressive Systemic Sclerosis), MCTD (Mixed Connective Tissue Disease), SS (Sjögren's Syndrome) and Polymyositis/ Dermatomyositis. The Varelisa ReCombi ANA Profile individually detects antibodies against dsDNA, RNP(68 kDa, A, C), Sm(B,B',D) SS-A/Ro(52 kDa, 60 kDa), SS-B/La, Scl-70, Centromere and Jo-1.

Product codes

82LJM

Device Description

The Varelisa ReCombi ANA Profile is an enzyme immunoassay for the individual qualitative determination of 8 antinuclear antibodies in serum or plasma.

Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

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Anatomical Site

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Indicated Patient Age Range

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Intended User / Care Setting

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Description of the training set, sample size, data source, and annotation protocol

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Description of the test set, sample size, data source, and annotation protocol

A correlation study was performed comparing the new device, Varelisa ReCombi ANA Profile Assay, to the predicate devices, Varelisa ANA Profile and Varelisa dsDNA Antibodies Assay. 112 samples, including 20 apparently healthy blood donors were assayed using both tests.

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

A correlation study was performed comparing the new device, Varelisa ReCombi ANA Profile Assay, to the predicate devices, Varelisa ANA Profile and Varelisa dsDNA Antibodies Assay. 112 samples, including 20 apparently healthy blood donors were assayed using both tests.
A high degree of correlation is demonstrated in the correlation study. 107 out of 112 samples were found with the same result (96% agreement). Considering the individual parameters, 845 of 876 single determinations (96%) were in agreement between the new device and the predicate devices.
In addition a total agreement is observed when comparing the results obtained for the ANA Reference Sera CDC-1 to CDC-10 from the Centers of Disease Control and Prevention. With both the new device and predicate devices, all 10 sera were found with the correct specificities.

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

96% agreement

Predicate Device(s)

Varelisa® ANA Profile, Varelisa® dsDNA Antibodies Assays

Reference Device(s)

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Predetermined Change Control Plan (PCCP) - All Relevant Information

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§ 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).

0

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS 9.

This summary of safety and effectiveness information is being submitted in accordance with the requirements of The Safety Medical Devices Act of 1990 (SMDA 1990) and 21 CFR Part 807.92.

Assigned 510(k) Number:K993109
Date of Summary Preparation:September 7, 1999
Distributor:Pharmacia & Upjohn
Diagnostics Division, US Operation
7425-248-1
7000 Portage Road
Kalamazoo, MI 49001
Manufacturer:Pharmacia & Upjohn Diagnostics GmbH Co. KG
Munzingerstrasse 7
D-79111 Freiburg, Germany
Company Contact Person:Karen E.Matis
Manager, Regulatory Affairs and Quality
Management
Diagnostics Division
US Operation
7000 Portage Road
7425-248-01
Kalamazoo, MI 49001
(614) 794-3324 (Phone)
(614) 794-0266 (Fax)
Device Name:Varelisa® ReCombi ANA Profile
Common Name:Antinuclear antibody immunological test
Classification:
Product NameProduct CodeClassCFR
Varelisa® ReCombi ANA Profile82LJMII866.5100

1

Substantial Equivalence to:

Varelisa® ANA Profile and Varelisa® dsDNA Antibodies Assays

Intended Use Statement:

The Varelisa ReCombi ANA Profile EIA kit is designed for the qualitative determination of eight antinuclear antibodies in human serum or plasma to aid in the diagnosis of systemic rheumatic diseases such as SLE (Systemic Lupus Erythematosus), Scleroderma (Progressive Systemic Sclerosis), MCTD (Mixed Connective Tissue Disease), SS (Sjögren's Syndrome) and Polymyositis/ Dermatomyositis. The Varelisa ReCombi ANA Profile individually detects antibodies against dsDNA, RNP(68 kDa, A, C), Sm(B,B',D) SS-A/Ro(52 kDa, 60 kDa), SS-B/La, Scl-70, Centromere and Jo-1.

General Description of the Device

The Varelisa ReCombi ANA Profile is an enzyme immunoassay for the individual qualitative determination of 8 antinuclear antibodies in serum or plasma.

The determination of antinuclear antibodies (ANA) is of central importance for the clinical diagnosis of rheumatic diseases. The presence of ANA suggests the possibility of rheumatic autoimmune diseases. These diseases include Systemic Lupus Erythematosus, Polymyositis/ Dermatomyositis, Scleroderma, Sjögren's Syndrome and Mixed Connective Tissue Diseases.

Device Comparison:

A correlation study was performed comparing the new device, Varelisa ReCombi ANA Profile Assay, to the predicate devices, Varelisa ANA Profile and Varelisa dsDNA Antibodies Assay. 112 samples, including 20 apparently healthy blood donors were assayed using both tests.

A high degree of correlation is demonstrated in the correlation study. 107 out of 112 samples were found with the same result (96% agreement). Considering the individual parameters, 845 of 876 single determinations (96%) were in agreement between the new device and the predicate devices.

2

In addition a total agreement is observed when comparing the results obtained for the ANA Reference Sera CDC-1 to CDC-10 from the Centers of Disease Control and Prevention. With both thenew device and predicate devices, all 10 sera were found with the correct specificities.

These data clearly demonstrate that the new device, Varelisa® ReCombi ANA Profile is substantially equivalent to the predicate devices, Varelisa ANA Profile and Varelisa dsDNA Antibodies.

| | n = 876
determinations | Varelisa ANA Profile and Varelisa dsDNA Abs. Assay | | |
|------------------------------------|---------------------------|----------------------------------------------------|-----------|----------|
| | | positive | equivocal | negative |
| VARELISA
ReCombi
ANA Profile | positive | 120 | 7 | 4 |
| | equivocal | 5 | 8 | 5 |
| | negative | 2 | 8 | 717 |

The new device Varelisa® ReCombi ANA Screen shows an excellent correlation with the predicate devices, Varelisa ANA Profile and Varelisa dsDNA Antibodies.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle with three lines representing its wings.

Nov 1 2 1999

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Ms. Karen E. Matis Manager, Regulatory Affairs and Quality Management Diagnostics Division, US Operations Pharmacia & Upjohn 7000 Portage Road 7425-248-01 Kalamazoo, Michigan 49001-0199

Re: K993109 Trade Name: Varelisa ReCombi ANA Profile Regulatory Class: II Product Code: LJM Dated: September 16, 1999 Received: September 17, 1999

Dear Ms. Matis:

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 (OS) 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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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/dsma/dsmamain.html".

Sincerely yours.

Steven Sutman

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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Varelisa® ReCombi ANA Profile 510(k) Submission Section 1. Indications For Use Statement

510(k) Number: K993109

Device Name: Varelisa ReCombi ANA Profile

The Varelisa ReCombi ANA Profile EIA kit is designed for the qualitative determination of eight antinuclear antibodies in human serum or plasma to aid in the diagnosis of systemic rheumatic diseases such as SLE (Systemic Lupus Erythematosus), Scleroderma (Progressive Systemic Sclerosis), MCTD (Mixed Connective Tissue Disease), SS (Sjögren's Syndrome) and Polymyositis/ Dermatomyositis. The Varelisa ReCombi ANA Profile individually detects antibodies against dsDNA, RNP(68 kDa, A, C), Sm(B,B',D) SS-A/Ro(52 kDa, 60 kDa), SS-B/La, Scl-70, Centromere and Jo-1.

Peter E. Maxim

(Division Sign-Off)
Division of Clinical Laboratory Devices K993109
510(k) Number

(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

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