K Number
K994419
Device Name
FASTPACK PSA IMMUNOASSAY, FASTPACK SYSTEM
Date Cleared
2000-06-28

(182 days)

Product Code
Regulation Number
866.6010
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The FastPack™ PSA Immunoassay is a paramagnetic particle, chemiluminescence immunoassay for the in vitro quantitative determination of prostate-specific antigen (PSA) in human serum. The FastPack™ PSA Immunoassay is indicated as an aid in the management of patients with prostate cancer. The FastPack™ PSA Immunoassay is designed for use with the FastPack™ Analyzer System.
Device Description
The FastPack™ PSA Immunoassay is a two-site chemiluminescence assay. The FastPack™ Analyzer System is a compact chemiluminuescent immuoassay system consisting of four components: FastPack™ (Reagent Pack), FastPack™ Sample Filler, FastPack™ Analyzer, and Pressure/Power Supply. The FastPack™ is a small plastic package containing pre-measured reagents. The FastPack™ Sample Filler delivers a quantified sample. The FastPack™ Analyzer performs the assay by automatically mixing and moving the sample and reagents within the pack using pressure pads and a magnet. Temperature control is achieved by heating metal plates.
More Information

P910007, K864319

Not Found

No
The description details a standard immunoassay system and analyzer with no mention of AI or ML components. The performance studies focus on analytical characteristics and method comparison, not algorithmic performance.

No
The device is described as an immunoassay for the in vitro quantitative determination of prostate-specific antigen (PSA), which is a diagnostic aid, not a therapeutic device.

Yes
The device is described as an "aid in the management of patients with prostate cancer," which indicates its use in assessing a health condition.

No

The device description clearly outlines multiple hardware components: FastPack™ (Reagent Pack), FastPack™ Sample Filler, FastPack™ Analyzer, and Pressure/Power Supply. The software is part of a larger system that includes physical components for performing the immunoassay.

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

Here's why:

  • Intended Use: The "Intended Use / Indications for Use" section explicitly states "for the in vitro quantitative determination of prostate-specific antigen (PSA) in human serum." The term "in vitro" means "in glass" or "in the lab," referring to tests performed outside of the living body.
  • Device Description: The description details a system that analyzes a sample (human serum) using reagents and an analyzer, which is characteristic of an in vitro diagnostic test.
  • Performance Studies: The performance studies describe analytical characteristics like sensitivity, recovery, and method comparison, which are standard evaluations for IVD devices.
  • Predicate Device: The mention of a "Predicate Device" (Abbott IMx® PSA) is common in regulatory submissions for IVD devices, where a new device is compared to an already approved one.

All of these points strongly indicate that the FastPack™ PSA Immunoassay is an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The FastPackTM PSA Immunoassay is a paramagnetic particle, chemiluminescence immunoassay intended for the in vitro quantitative determination of prostate-specific antigen (PSA) in human serum. The FastPackTM PSA Immunoassay is indicated as an aid in the management of patients with prostate cancer. The FastPackTM PSA Immunoassay is designed for use with the FastPackTM Analyzer System.

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

LTJ, JJO

Device Description

The FastPackTM PSA Immunoassay is a two-site chemiluminescence assay.
1st incubation: 5 minutes at 37° C. Sample, control or calibrator [100 µL] and PSA antibody solution [100 µL] react to form a sandwich complex.
2nd incubation; 5 minutes at 37° C. Streptavidin-coated paramagnetic particle solution is added to the reaction mixture. After the 5-minute incubation, the sandwich complex is bound to the solid phase via the interaction of biotin and streptavidin.
Removal of unbound materials: The paramagnetic particles are washed six times with wash buffer [0.2 mL/wash] to remove unbound materials.
Substrate addition and detection: Chemiluminogenic substrate [175 uL ] is added to the solid phase bound complex to form a chemiluminescent glow, which is measured by the FastPackTM Analyzer System.

The FastPackTM Analyzer System is a compact chemiluminuescent immuoassay system. The system consists of four components:

  • FastPackTM (Reagent Pack)
  • FastPackTM Sample Filler
  • FastPackTM Analyzer
  • Pressure/Power Supply

The FastPackTM is a small essentially two-dimensional plastic package that contains all the pre-measured reagents, in sealed chambers, necessary to perform the desired test. The pack label contains a barcode with all necessary information required by the analyzer to run the test.

The FastPackTM Sample Filler delivers an accurate quantified sample (100 UL) of sample, calibrator or control for testing.

The FastPackTM Analyzer is designed to receive the FastPackTM and to perform the necessary assay by automatically mixing and moving the sample and reagents within the pack. The sample and reagents are moved from one chamber to another by applying uniform pressure to the compartments by means of pressure pads extended from the analyzer. The analyzer uses a small magnet to hold the paramagnetic particles during the wash phase. During the entire run of the FastPackTM, temperature control is achieved by heating metal plates that adjoin the FastPackTM.

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)

Comparison study:
The FastPackTM Immunoassay System for PSA was compared with the Abbott IMx® System for PSA.
n = 110
Range of values (Abbott): 0 to 51.6 ng PSA/mL
Range of values (FastPack): 0 to 57.0 ng PSA/mL
y = 0.971x - 0.2367 (Deming)
r^2 = 0.984 (Spearman)
s^2_slope = 0.000403
s^2_intercept = 0.111306

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

Precision:
Between Run (ng/mL PSA): Low (0.75) 13.1%, Med (2.94) 11.2%, High (23.41) 9.4%
Between Analyzer (ng/mL PSA): Low (0.75) 6.2%, Med (2.94) 3.7%, High (23.41) 1.1%
Between Reagent Lot (ng/mL PSA): Low (0.75) 1.7%, Med (2.94) 5.0%, High (23.41) 1.4%
Analytical Sensitivity: 0.04 ng PSA/mL
Spike Recovery: 96 to 107%
Dilution Recovery: 94 to 120%

Interfering Substances:
Bilirubin: No interference up to 49 mg/dL
Hemoglobin: 600 mg/dL
IgG: 1900 mg/dL
PAP: 1000 ng/mL
HSA: Interference found at 3 g/dL
Triglycerides: 3000 mg/dL
Cyclophosphamide: 700 µg/mL
DES: 1 µg/mL
Doxorubicin HCl: 16 µg/mL
Methotrexate: 8 µg/mL
Megestrol Acetate: 90 µg/mL
Flutamide: 10 µg/mL
Lupron: 100 µg/mL
High Dose Hook Effect: No high dose hook effect up to 500 ng/mL

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.

Abbott IMx® PSA (P910007) using Abbott IMx® Analyzer (K864319)

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

§ 866.6010 Tumor-associated antigen immunological test system.

(a)
Identification. A tumor-associated antigen immunological test system is a device that consists of reagents used to qualitatively or quantitatively measure, by immunochemical techniques, tumor-associated antigens in serum, plasma, urine, or other body fluids. This device is intended as an aid in monitoring patients for disease progress or response to therapy or for the detection of recurrent or residual disease.(b)
Classification. Class II (special controls). Tumor markers must comply with the following special controls: (1) A guidance document entitled “Guidance Document for the Submission of Tumor Associated Antigen Premarket Notifications (510(k)s) to FDA,” and (2) voluntary assay performance standards issued by the National Committee on Clinical Laboratory Standards.

0

994419

JUN 2 8 2000

Attachment 2 Page I of S

510(k) Summary

FastPack™ PSA Immunoassay on the FastPack™ Analyzer System

This summary of 510(k) safety and effectivencss is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

| 1. | Submitter
name, address,
contact | Qualigen, Incorporated
2042 Corte del Nogal
Carlsbad, CA 92009 | | | | |
|----|----------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--|--|--|
| | | Telephone: | (760) 918-9165 | | | |
| | | Fax: | (760) 918-9127 | | | |
| | | Contact Person: | Vijay K. Mahant, Ph.D. | | | |
| | | Date Prepared: | June 22, 2000 | | | |
| 2. | Device name | Proprietary name: | FastPackTM PSA Immunoassay
on the FastPackTM Analyzer System | | | |
| | | Common name: | Chemiluminescence assay for the determination
of Prostate-Specific Antigen (PSA). | | | |
| | | | Photometer for clinical use. | | | |
| | | Classification Name: | Prostate-Specific Antigen (PSA) for Management
of Prostate Cancer | | | |
| | | | | | | |
| 3. | Predicate
device | Abbott IMx® PSA (P910007) using Abbott IMx® Analyzer (K864319) | | | | |
| 4. | Device
description | FastPackTM PSA Immunoassay Reagents | | | | |
| | | The FastPackTM PSA Immunoassay is a two-site chemiluminescence assay. | | | | |
| | | 1st incubation: 5 minutes at 37° C. Sample, control or calibrator [100
µL] and PSA antibody solution [100 µL] react to form a sandwich
complex. | | | | |

1

Qualigen, Incorporated

510(k) Summary (continued)

Attachment 2 Page 2 of 5

  • 240 incubation; 5 minutes at 37° C. Streptavidin-coated paramagnetic ● particle solution is added to the reaction mixture. After the 5-minute incubation, the sandwich complex is bound to the solid phase via the interaction of biotin and streptavidin.
  • Removal of unbound materials: The paramagnetic particles are washed . six times with wash buffer [0.2 mL/wash] to remove unbound materials.
  • Substrate addition and detection: Chemiluminogenic substrate [175 . uL } is added to the solid phase bound complex to form a chemiluminescent glow, which is measured by the FastPack™ Analyzer System.

FastPack™ Analyzer System

The FastPack™ Analyzer System is a compact chemiluminuescent immuoassay system. The system consists of four components:

  • FastPack™ (Reagent Pack) .
  • FastPack™ Sample Filler ●
  • FastPack™ Analyzer .
  • Pressure/Power Supply ●

The FastPack™ is a small essentially two-dimensional plastic package that contains all the pre-measured reagents, in sealed chambers, necessary to perform the desired test. The pack label contains a barcode with all necessary information required by the analyzer to run the test.

The FastPack™ Sample Filler delivers an accurate quantified sample (100 UL) of sample, calibrator or control for testing.

The FastPack™ Analyzer is designed to receive the FastPack™ and to perform the necessary assay by automatically mixing and moving the sample and reagents within the pack. The sample and reagents are moved from one chamber to another by applying uniform pressure to the compartments by means of pressure pads extended from the analyzer. The analyzer uses a small magnet to hold the paramagnetic particles during the wash phase. During the entire run of the FastPack™, temperature control is achieved by heating metal plates that adjoin the FastPack™.

  • ഗ് Intended use The FastPack™ PSA Immunoassay is a paramagnetic particle, chemiluminescence immunoassay intended for the in vitro quantitative determination of prostate-specific antigen (PSA) in human serum. The FastPack™ PSA Immunoassay is indicated as an aid in the management of patients with prostate cancer. The FastPack™ PSA Immunoassay is designed for use with the FastPack™ Analyzer System.

2

Attachment 2 Page 3 of 5


The FastPack™ PSA Immunoassay on the FastPack™ Analyzer System is Comparison to 6. predicate substantially equivalent to other products in commercial distribution intended for similar use. Most notably it is substantially equivalent to the device currently marketed Abbott IMx® PSA on the Abbott IMx® Analyzer.

The following tables compare the FastPack™ Immunoassay System for PSA with the Abbott IMx® System for PSA:

Similarines:

.

• Assay Methodology:Sandwich immunoassay
• Sample Type:Serum
• Storage Condition:2-8 °C
• LabelAlkaline Phosphatase
• Detector:Photomultiplier Tube (PMT)
• Data AnalysisInternal data reduction via microcomputer
• Temperature ControlRequired
• Test ProcessingAutomated
Comparison toDifferences:
predicateFeatureFastPack™ PSAAbbott IMx® PSA
device
(continued)Intended UseFor the in vitro
quantitative determination
of PSA in human serum.
It is indicated as an aid in
the management of
patients with prostate
cancer.As an aid in the
management of prostate
cancer patients.
Sample Volume100 ul150 UL
Assay Range0 to 50 ng/mL0 to 100 ng/mL
Instrument
RequiredFastPack™ Analyzer
SystemAbbott IMx® Analyzer
Control Levels23
Calibration
Levels56
Capture
AntibodyMonoclonalPolyclonal
Solid-phaseStreptavidin-coated
paramagnetic particlesMonoclonal Anti-PSA
coated microparticles
SubstrateImmuGlowTN (Indoxyl -3-
phosphate and lucigenin)4-Methylumbelliferyl
Phosphate

3

510(k) Summary (continued)

Qualigen, Incorporated

Attachment 2 Page 4 of 5

DetectionChemiluminescenceFluorescence
CalibrationFactory generated master
curve with daily two-level
calibration adjustmentFull calibration curve
every 4 weeks
ThroughputSingle Sample24 Samples
Time to Result30 minutes40 minutes
Sample
CartridgeAll reagent includedReagent pack and wash
separate

Performance Characteristics:

FeatureFastPack™ PSAAbbott IMx® PSA
Precisionng/mL PSAng/mL PSA
Between RunIntra-assay
Low (0.75) 13.1%Low (4.6) 3.5%
Med (2.94) 11.2%Med (15.6) 3.3%
High (23.41) 9.4%High (60.2) 3.1%
Between AnalyzerInter-assay
Low (0.75) 6.2%Low (4.6) 4.7%
Med (2.94) 3.7%Med (15.6) 4.5%
High (23.41) 1.1%High (60.2) 5.3%
Between Reagent Lot
Low (0.75) 1.7%
Med (2.94) 5.0%
High (23.41) 1.4%
Analytical
Sensitivity0.04 ng PSA/mL0.1 ng PSA/mL
Spike Recovery96 to 107%91 to 103%
Dilution
Recovery
Method
Comparison94 to 120%Not reported
versus Abbott IMx® PSA:
n = 110
Range of values (Abbott): 0 to 51.6 ng PSA/mL
Range of values (FastPack): 0 to 57.0 ng PSA/mL
y = $0.971x - 0.2367$ (Deming)
$r^2$ = 0.984 (Spearman)
$s^2_{slope}$ = 0.000403
$s^2_{intercept}$ = 0.111306

4

Qualigen, Incorporated

510(k) Summary (continued)

Attachment 2
Page 5 of 5

| Interfering

Substances
BilirubinNo interference up to:
49 mg/dLNo interference up to:
25 mg/dL
Hemoglobin600 mg/dL600 mg/dL
IgG1900 mg/dL250-2900 mg/dL
PAP1000 ng/mL1000 ng/mL
HSAInterference found at 3 g/dL3-13 g/dL
Triglycerides3000 mg/dL3000 mg/dL
Cyclophosphamide700 µg/mL700 µg/mL
DES1 µg/mL2 µg/mL
Doxorubicin HCl16 µg/mL16 µg/mL
Methotrexate8 µg/mL30 µg/mL
Megestrol Acetate90 µg/mL90 µg/mL
Flutamide10 µg/mL10 µg/mL
Lupron100 µg/mL100 µg/mL
High Dose Hook
EffectNo high dose hook effect
up to 500 ng/mLNot reported

5

Image /page/5/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized depiction of an eagle or bird with three curved lines forming its body and wings. The logo is surrounded by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES · USA" in a circular arrangement.

DEPARTMENT OF HEALTH & HUMAN SERVICES

JUN 2 8 2000

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Vijay Mahant, Ph.D. Vice President, Research and Development Qualigen, Inc. 2042 Corte del Nogal Carlsbad, California 92009

K994419 Re:

Trade Name: Fastpack™ PSA Immunoassay Product Code: LTJ Regulatory Class: II JJO II Dated: April 25, 2000 Received: May 3, 2000

Dear Dr. Mahant:

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.

6

Page 2

This letter will allow you to begin marketing your device as described in your 510(k) premarket I his letter will anow you to begin marketing your device to a legally marketed notification. The FD7 midnig of baseian.can vour device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFF Part 801 and II you desire specific advices for your as ic devices), please contact the Office of Compliance at additionally 607.10 for m-rire diagnestions on the promotion and advertising of your device, (201) 594-4566. Truditionally, for quice at (301) 594-4639. Also, please note the regulation prease contact the Orneo or Complanes (21CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Information on your responsibilities and the end the results of (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Steven Putman

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

7

Attachment 1

Indications for Use Statement

510(k) NumberK994419
Device NameFastPack™ PSA Immunoassay and the FastPack™ Analyzer System
Indications for UseThe FastPack™ PSA Immunoassay is a paramagnetic particle,
chemiluminescence immunoassay for the in vitro quantitative
determination of prostate-specific antigen (PSA) in human serum. The
FastPack™ PSA Immunoassay is indicated as an aid in the management
of patients with prostate cancer. The FastPack™ PSA Immunoassay is
designed for use with the FastPack™ Analyzer System.

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) Number 510(k) Number ________________________________________________________________________________________________________________________________________________________________

Prescription Use (Per 21 CFR 801.109) OR

Over-The-Counter Use

: