← Product Code [LON](/submissions/MI/subpart-b%E2%80%94diagnostic-devices/LON) · K020511

# MICROSCAN SYNERGIES PLUS (K020511)

_Dade Microscan, Inc. · LON · Mar 6, 2002 · Microbiology · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/MI/subpart-b%E2%80%94diagnostic-devices/LON/K020511

## Device Facts

- **Applicant:** Dade Microscan, Inc.
- **Product Code:** [LON](/submissions/MI/subpart-b%E2%80%94diagnostic-devices/LON.md)
- **Decision Date:** Mar 6, 2002
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 866.1645
- **Device Class:** Class 2
- **Review Panel:** Microbiology

## Indications for Use

MicroScan® Synergies plus™ Gram-Negative MIC/Combo Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of rapidly growing aerobic and facultative anaerobic Gram-Negative bacilli (Enterobacteriaceae, glucose non-fermenters, and non-Enterobacteriaceae glucose fermenters. After inoculation, panels are read on the WalkAway® S/ System or equivalent (upgraded WalkAway® 40 or WalkAway® 96) according to the Package Insert. This particular submission is for the antimicrobial Piperacillin/Tazobactam on the Synergies plus" Gram-Negative MIC/Combo Panels.

## Device Story

MicroScan® Synergies plus™ Gram-Negative MIC/Combo Panels are in vitro diagnostic devices for determining antimicrobial susceptibility of Gram-negative bacilli. The device utilizes micro-titer wells containing dehydrated antimicrobial agents (Piperacillin/Tazobactam) rehydrated with a standardized organism suspension. Panels are incubated and read using the WalkAway® 40 or 96 instrument systems. The system identifies the lowest antimicrobial concentration showing growth inhibition (MIC). Results assist clinicians in selecting appropriate antibiotic therapy for patients with bacterial infections. The device is intended for professional use in clinical laboratory settings.

## Clinical Evidence

Bench testing only. External evaluations conducted using fresh and stock clinical isolates and challenge strains. Performance compared to frozen reference panels per NCCLS guidelines. Results demonstrated >94% essential agreement. Reproducibility and precision testing performed on WalkAway® 40/96 systems showed acceptable results. Quality control testing for Piperacillin/Tazobactam met acceptance criteria.

## Technological Characteristics

Micro-titer plate format containing dehydrated antimicrobial agents. Principle: broth microdilution. Energy source: WalkAway® instrument system (automated incubation/reading). Connectivity: WalkAway® 40 or 96 instrument integration. Software: Automated reading and interpretation of growth inhibition in micro-titer wells.

## Regulatory Identification

A fully automated short-term incubation cycle antimicrobial susceptibility system is a device that incorporates concentrations of antimicrobial agents into a system for the purpose of determining in vitro susceptibility of bacterial pathogens isolated from clinical specimens. Test results obtained from short-term (less than 16 hours) incubation are used to determine the antimicrobial agent of choice to treat bacterial diseases.

## Special Controls

*Classification.* Class II (special controls). The special control for this device is FDA's guidance document entitled “Class II Special Controls Guidance Document: Antimicrobial Susceptibility Test (AST) Systems; Guidance for Industry and FDA.”

## Predicate Devices

- MicroScan Dried Gram Negative MIC/Combo Panels

## Submission Summary (Full Text)

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## 510(k) Summary

K 020511

| <b>510(k) Submission Information:</b> |                                                                 |
|---------------------------------------|-----------------------------------------------------------------|
| Device Manufacturer:                  | Dade Behring Inc.                                               |
| Contact name:                         | Maureen Mende, Group Manager Regulatory Affairs                 |
| Fax:                                  | 916-374-3144                                                    |
| Date prepared:                        | February 13, 2002                                               |
| Product Name:                         | Microdilution Minimum Inhibitory Concentration (MIC) Panels     |
| Trade Name:                           | MicroScan® rapID/S <i>plus</i> ™ Gram-Negative MIC/Combo panels |
| Intended Use:                         | To determine antimicrobial agent susceptibility                 |
| 510(k) Notification:                  | Antimicrobials: Piperacillin/Tazobactam                         |
| Predicate device:                     | MicroScan Dried Gram Negative MIC/Combo Panels                  |

#### 510(k) Summary:

MicroScan® rapID/S plus™ Gram-Negative MIC/Combo Panels are designed for use in determing MicroScan® rapLDS plus™ Gram-Negative This. Contines grown on solid media of rapidly of rapidly quantiative and facultative anaerobic gram-sacive bacilli. The MicroScan® rapIDS plas™ rapIDS plas™ Gramgrowing aerobic and facultative anaerobic graili-ligative basin. The University of System or equivalent (upgraded WalkAway® 40 or WalkAway® 96 instruments).

The antimicrobial susceptibility tests are miniaturizations susceptibility tost that have The antimicrobial susceptibility tests are inninatinations bridging in clinical interest and are been diluted in Mueller-Himon Broun to concentuations of the coulded and rehydrated with a presented in micro-titer wells in arred form. Tapines at 350 in the Walks ways System or equivalent standardized suspension of the organism and included at 35 ° In the was any was and one of the lowest antimicrobial concentration showing inhibition of growth.

The proposed MicroScan® rapID/S plus™ Gram-Negative MIC/Combo Panel demonstratled substantially The proposed MicroScan® Tapp273 plus - Gran-Negarro Parel, as defined in the FDA
equivalent performance with an NCCLS frozen Referice ration Successibility Davices" equivalent performance when compared with an Assessment of Animisrobial Susceptibility Devices", DRAFT document Culture on Review Citieria 10 110[k]) presents data in support of the MicroScan® dated March '6, 2000. - The Premient with Piperacillin/Tazobactam.

The external evaluation was conducted with fresh and stock Efficacy isolates and stock Challenge strains. The external evaluations were designed to confirm the acceptability of the proposed rapIDS plis" Grain The external evaluations were designed to commit the acceptabling on area. Challenge stains Negative Panel by companies with an to evelopment. The rapIDS plus™ CrapIDS plus™ Cram-Negative were compared to Frozel Results determined prof to the overall Essential Agreement of greater than 94 % for I and demonstrator associated with the frozen Reference panel.

testing demonstrated acceptable reproducibility and precision with Instrument reproducibility Instrument reproductioning testing includio preparation method and the WalkAway® SI System or r perachin ruzobucture walkAway® 40 or WalkAway® 96 instruments).

Quality Control testing demonstrated acceptable results for Piperacillin/Tazobactam.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is a stylized image of a human figure with outstretched arms. The figure is made up of three curved lines that resemble a bird in flight.

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

SEP 1 4 2004

Mr. Robert Eusebio Manager Regulatory Affairs Dade MicroScan, Inc. 1584 Enterprise Boulevard West Sacramento, CA 95691

Re: k020511

Trade/Device Name: MicroScan® Synergies Plus Gram Negative MIC/Combo Panels with Piperacillin/Tazobactam (1/4, 4/4 - 256/4 ug/ml) -Regulation Number: 21 CFR 866.1645 Regulation Name: Fully Automated Short-Term Incubation Cycle Antimicrobial Susceptibility System Regulatory Class: II Product Code: LON Dated: February 13, 2002 Received: February 15, 2002

Dear Mr. Eusebio:

This letter corrects our substantially equivalent letter of March 6, 2002, regarding the trade name which was changed to MicroScan® Synergies Plus to better reflect the intended use of the device.

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and 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) that do not require approval of a premarket approval (PMA). 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 (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to continue marketing your device as described in your Section 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 Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-3084. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at their toll free number (800) 638-2041 or at (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely yours,

Freddie Poole

Salty A. Hojvat, M.Sc., Ph.D. Director Division of Microbiology Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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# Indications for Use Statement

#### 510(k) Number (if known): K020511

### Device Name: MicroScan® Synergies plus™ Gram-Negative MIC/Combo Panels with Piperacillin/Tazobactam (1/4, 4/4 - 256/4 ug/ml)

#### Indications For Use:

MicroScan® Synergies plus™ Gram-Negative MIC/Combo Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of rapidly growing aerobic and facultative anaerobic Gram-Negative bacilli (Enterobacteriaceae, glucose non-fermenters, and non-Enterobacteriaceae glucose fermenters. After inoculation, panels are read on the WalkAway® S/ System or equivalent (upgraded WalkAway® 40 or WalkAway® 96) according to the Package Insert.

This particular submission is for the antimicrobial Piperacillin/Tazobactam on the Synergies plus" Gram-Negative MIC/Combo Panels.

The Gram-Negative organisms which may be used for Piperacillin/Tazobactam susceptibility testing in this panel are:

Escherichia coli (Piperacillin-resistant, ß-lactamase producing) Klebsiella oxytoca Klebsiella pneumoniae Morganella morganii Proteus mirabilis Proteus vulgaris Pseudomonas aeruginosa Serratia spp.

The MicroScan® Synergies plus™ Gram-Negative with Piperacillin/Tazobactam is not intended for use with:

Acinetobacter spp. Citrobacter spp. Enterobacter spp

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

freddin M. Poole

Sision Sign-Off

Page 1 of ____________________________________________________________________________________________________________________________________________________________________

Office of In Vitro Diagnostic Device Evaluation and Safely

510(k) k020511

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**Source:** [https://fda.innolitics.com/submissions/MI/subpart-b%E2%80%94diagnostic-devices/LON/K020511](https://fda.innolitics.com/submissions/MI/subpart-b%E2%80%94diagnostic-devices/LON/K020511)

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