Liofilchem MIC Test Strip (MTS), Azithromycin 0.016 - 256 µg/mL
Applicant
Liofilchem s.r.l.
Product Code
JWY · Microbiology
Decision Date
Apr 4, 2018
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 866.1640
Device Class
Class 2
Intended Use
The Liofilchem® MIC Test Strip (MTS) is a quantitative method intended for the in vitro determination of antimiorobial susceptibility of bacteria. MTS consists of specialized paper impregnated with a pre-defined concentration gradient of an antimicrobial agent, which is used to determine the minimum inhibitory concentration (MIC) in ug/ml. o f antimicrobial agents against bacteria as tested on agar media using overnight incubation and manual reading procedures. The Azithromycin MTS at concentrations of 0.016-256 ug/mL should be interpreted at 16-20 hours of incubation. Azithromycin has been shown to be active both clinically and in viro against the non-fastidious bacteria listed below according to the FDA label: Staphylococcus aureus (including methicillin-resistant isolates)
Device Story
MTS consists of specialized paper strip impregnated with predefined exponential concentration gradient of azithromycin (0.016–256 µg/mL). Used in clinical microbiology laboratories; operated by trained personnel. Strip applied to inoculated Mueller Hinton agar surface; incubated 16–20 hours. Antimicrobial agent transfers to agar, forming symmetrical inhibition ellipse centered along strip. MIC read manually from scale at intersection of ellipse edge and strip. If MIC falls between two-fold dilutions, value rounded up to next standard dilution. Provides quantitative susceptibility data; assists clinicians in selecting appropriate antimicrobial therapy for S. aureus infections.
Clinical Evidence
Bench-only study. Evaluated 300 clinical and 57 challenge isolates of S. aureus (MSSA and MRSA) across three sites. Compared MTS results to CLSI broth microdilution reference method. Primary endpoints: Essential Agreement (EA) and Category Agreement (CA). Combined performance: 98.3% EA, 99.2% CA. Reproducibility study (n=270) demonstrated ≥95% reproducibility. QC testing with S. aureus ATCC 29213 met expected ranges. No clinical data.
Technological Characteristics
Specialized paper strip impregnated with azithromycin gradient (0.016–256 µg/mL). Manual, growth-based susceptibility test. Requires Mueller Hinton agar. Incubation: 35 ± 2°C for 16–20 hours. Single-use. No software or electronic components.
Indications for Use
Indicated for in vitro determination of antimicrobial susceptibility of non-fastidious bacteria, specifically Staphylococcus aureus (including methicillin-resistant isolates), to Azithromycin.
Regulatory Classification
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.
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Submission Summary (Full Text)
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Image /page/0/Picture/0 description: The image contains the logos of the Department of Health and Human Services (HHS) and the Food and Drug Administration (FDA). The HHS logo is on the left and features a stylized human figure. The FDA logo is on the right and includes the agency's acronym in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.
April 4, 2018
Liofilchem s. r. l. % Anne Windau General Supervisor Laboratory Specialists, Inc 26214 Center Ridge Road Westlake, Ohio 44145
Re: K180339
Trade/Device Name: Liofilchem MIC Test Strip (MTS), Azithromycin 0.016 - 256 µg/mL Regulation Number: 21 CFR 866.1640 Regulation Name: Antimicrobial susceptibility test powder Regulatory Class: Class II Product Code: JWY Dated: February 1, 2018 Received: February 7, 2018
Dear Anne Windau:
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 application (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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
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.
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 and Part 809); medical device reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR
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Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
# Ribhi Shawar -S For
Uwe Scherf, M.Sc., Ph.D. Director Division of Microbiology Devices Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health
Enclosure
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## DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration
## Indications for Use
510(k) Number(if known)
K180339
#### Device Name
Liofilchem MIC Test Strip (MTS), Azithromycin 0.016-256 ug/mL
#### Indications for Use (Describe)
The Liofilchem® MIC Test Strip (MTS) is a quantitative method intended for the in vitro determination of antimiorobial susceptibility of bacteria. MTS consists of specialized paper impregnated with a pre-defined concentration gradient of an antimicrobial agent, which is used to determine the minimum inhibitory concentration (MIC) in ug/ml. o f antimicrobial agents against bacteria as tested on agar media using overnight incubation and manual reading procedures.
The Azithromycin MTS at concentrations of 0.016-256 ug/mL should be interpreted at 16-20 hours of incubation.
Azithromycin has been shown to be active both clinically and in viro against the non-fastidious bacteria listed below according to the FDA label:
Staphylococcus aureus (including methicillin-resistant isolates)
| Type of Use (Select one or both, as applicable) |
|-------------------------------------------------|
|-------------------------------------------------|
2 Prescription Use (Part 21 CFR 801 Subpart D)
O Over-The-Counter Use (21 CFR 801 Subpart C)
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