SIMPLEXA HSV 1&2 DIRECT/POSITIVE CONTROL PACK

K141458 · Focus Diagnostics · PGH · Jul 1, 2014 · Microbiology

Device Facts

Record IDK141458
Device NameSIMPLEXA HSV 1&2 DIRECT/POSITIVE CONTROL PACK
ApplicantFocus Diagnostics
Product CodePGH · Microbiology
Decision DateJul 1, 2014
DecisionSESE
Submission TypeSpecial
Regulation21 CFR 866.3307
Device ClassClass 2

Indications for Use

The Focus Diagnostics Simplexa™ HSV 1 & 2 Direct is intended for use on the 3M Integrated Cycler instrument for the qualitative detection and differentiation of HSV-2 DNA in cerebrospinal fluid (CSF) samples from patients suspected of herpes simplex virus (HSV) infections of the central nervous system (CNS). This test is intended as an aid in the diagnosis of HSV-1 and HSV-2 infections of the CNS. Negative results do not preclude HSV-1 or HSV-2 infection and should not be used as the sole basis for treatment or other patient management decisions. The assay is not intended for use as a donor screening test. The assay is for professional use only. The Simplexa™ HSV 1 & 2 Positive Control Pack is intended to be used as a control with the Simplexa™ HSV 1 & 2 Direct kit. This control is not intended for use with other assays or systems.

Device Story

Simplexa™ HSV 1 & 2 Direct is an in vitro diagnostic assay for qualitative detection/differentiation of HSV-1 and HSV-2 DNA in CSF. It utilizes real-time PCR technology on the 3M Integrated Cycler instrument, enabling direct amplification from unprocessed CSF without nucleic acid extraction. The device is used in clinical laboratory settings by professional operators. The modification involves an update to the Integrated Cycler Studio software (version 6.0) to address a vulnerability allowing manual dye spectra entry and to separate labeling for the Positive Control Pack. The software output provides qualitative results to clinicians to aid in diagnosing CNS HSV infections. The modification does not alter the fundamental scientific technology or intended use.

Clinical Evidence

Bench testing only. Verification and validation of Integrated Cycler Studio software version 6.0 demonstrated performance equivalent to previous software versions. Risk management and design control activities confirmed residual risks are acceptable and benefits outweigh risks.

Technological Characteristics

Real-time PCR for direct amplification/detection of HSV-1/HSV-2 DNA from unprocessed CSF. Operates on 3M Integrated Cycler instrument. Software: Integrated Cycler Studio version 6.0. Connectivity: Standalone instrument. Operating systems: Windows XP (SP3) and Windows 7.

Indications for Use

Indicated for qualitative detection and differentiation of HSV-1 and HSV-2 DNA in CSF samples from patients suspected of CNS HSV infections. Aid in diagnosis. Professional use only. Not for donor screening.

Regulatory Classification

Identification

A herpes simplex virus nucleic acid-based assay for central nervous system infections is a qualitative in vitro diagnostic device intended for the detection and differentiation of HSV-1 and HSV-2 in cerebrospinal fluid (CSF) samples from patients suspected of Herpes Simplex Virus (HSV) infections of the central nervous system (CNS). This test is intended as an aid in the diagnosis of HSV-1 and HSV-2 infections of the CNS. Negative results do not preclude HSV-1 or HSV-2 infection and should not be used as the sole basis for treatment or other patient management decisions.

Special Controls

(b) Classification. Class II (special controls). The special controls for this device are:

*Classification.* Class II (special controls). The special controls for this device are:(1) Design verification and validation must include: (i) Detailed documentation for the device description, including the device components, ancillary reagents required but not provided, and a detailed explanation of the methodology, including primer design and selection. (ii) Detailed documentation from the following analytical and clinical performance studies: Analytical sensitivity (limit of detection), reactivity, inclusivity, precision, reproducibility, interference, cross reactivity, carryover, and cross contamination. Documentation must include reagent and sample stability recommendations. (iii) Detailed documentation from a clinical study. The study, performed on a study population consistent with the intended use population, must compare the device performance to the results of two polymerase chain reaction methods followed by bidirectional sequencing. (iv) Documentation of an appropriate end user device training program that will be offered as part of efforts to mitigate the risk of failure to correctly operate the instrument. (v) Quality assurance protocols and detailed documentation for device software, including standalone software applications and hardware-based devices that incorporate software. (2) The labeling required under § 809.10(b) of this chapter must include: (i) A detailed explanation of the interpretation of results and acceptance criteria. (ii) A limiting statement indicating that negative results do not preclude HSV-1 or HSV-2 infection and should not be used as the sole basis for treatment or other patient management decisions.

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0} SPECIAL 510(k): Device Modification OIR Review Memorandum To: THE FILE RE: DOCUMENT NUMBER K141458 This 510(k) submission contains information/data on modifications made to the SUBMITTER'S own Class II, Class III or Class I devices requiring 510(k). The following items are present and acceptable (delete/add items as necessary): 1. The name and 510(k) number of the SUBMITTER'S previously cleared device. Proprietary Name: Simplexa™ HSV 1 & 2 Direct and Simplexa™ HSV 1 & 2 Positive Control Pack 510(k) number: K133621 2. Submitter's statement that the INDICATION/INTENDED USE of the modified device as described in its labeling HAS NOT CHANGED. There is a change in labeling which is described below. 3. A description of the device MODIFICATION(S), in sufficient detail to demonstrate that the FUNDAMENTAL SCIENTIFIC TECHNOLOGY of the modified device has not changed. This change was for: a) An update to the already cleared 3M Integrated Cycler Studio system to version 6.0 that addresses the software vulnerability in version 5.0 that allowed end-users to manually enter dye spectra for the dyes used in IVD assays (software incident #10042). The system was already cleared under K100148, K102314, and K120413. Version 5.0 of the software was the most recent version cleared in K133621. b) Modifications to the labeling to reflect the change in the software, remove warning and limitations related to the software vulnerability concern in the previous software version 5.0. Finally, the labeling was separated to generate a separate labeling for the Controls, this resulted in removing the indications for use, and all of the labeling information specific for the controls from the device labeling to a separate labeling for the Simplexa™ HSV 1 & 2 Positive Control Pack. The indications for use and performance information for the Simplexa™ HSV 1 & 2 Positive Control Pack were reviewed in the original 510(k) K133621. 4. Comparison Information (similarities and differences) to the legally marketed predicate device | Feature | Predicate device | Modified Device | | --- | --- | --- | | Intended Use/ Indications for Use | The Focus Diagnostics Simplexa™ HSV 1 & 2 Direct is intended for use on the 3M Integrated Cycler instrument for the qualitative detection and differentiation of HSV-1 and HSV-2 DNA in cerebrospinal fluid (CSF) samples from patients suspected of Herpes Simplex Virus (HSV) infections of the central nervous system (CNS). This test is intended as an aid in the diagnosis of HSV-1 and HSV-2 infections of the central nervous system (CNS). | Same except the intended use for the Simplexa Positive Control Pack was separated to a separate labeling | {1} Page 2 of 3 | | the CNS. Negative results do not preclude HSV-1 or HSV-2 infection and should not be used as the sole basis for treatment or other patient management decisions. The assay is not intended for use as a donor screening test. The assay is for professional use only. The Positive Control is intended to be used as a control with the Simplexa™ HSV 1 & 2 Direct. This control is not intended for use with other assays or systems. | | | --- | --- | --- | | Technology | Real-time PCR that enables the direct amplification, detection and differentiation of HSV-1 and/or HSV-2 DNA from unprocessed CSF specimens without nucleic acid extraction. | Same | ## Differences | Feature | Predicate device | Modified Device | | --- | --- | --- | | Integrated Cycler Studio Software | Integrated Cycler Studio Software version 5.0 or higher. | Integrated Cycler Studio Software version 6.0 or higher. Software changes were made to restrict manual modification of the spectral matrix and to resolve anomalies. | 5. A Design Control Activities Summary which includes: Design controls in accordance with §21 CFR 820.30 were conducted to modify the device. a) Risk Analysis: A Failure Modes and Effects Analysis was used to facilitate, capture and quantify potential impacts of the software configuration, 3M Integrated Cycler Studio Software Release 6.0 PCR13-021running on Windows XP (SP3) professional and Windows 7 operating systems. The changes {2} Page 3 of 3 made to the Integrated Cycler Studio software version 6.0 were assessed using risk management. Risk management involved analysis of the characteristics of Integrated Cycler Studio software version 6.0, the characteristics of the process that might create a hazard with the Integrated Cycler Studio software version 6.0, and the possible hazards associated with the use of the Integrated Cycler Studio software version 6.0. The risk management process consisted of risk analysis, risk evaluation, risk control, risk benefit and evaluation of residual risk acceptability. A thorough review was performed to ensure all risk control measures identified from all hazardous situations were considered to assess if previously estimated risks were affected. After risk control measures were applied, any residual risk(s) were evaluated. Acceptability of overall residual risk took into consideration whether anticipated medical benefits outweighed the overall residual risks of a product placed on the market for its intended use. b) Verification and Validation activities: Verification activities for the Integrated Cycler Studio software version 6.0 included development of verification test plans with defined acceptance criteria (design inputs), conducting and documenting verification testing and review of the verification results as they compared to the verification test plans predetermined acceptance criteria (design outputs). Integrated Cycler Studio software version 6.0 was validated in a similar fashion with the development of validation test plans with defined acceptance criteria (design inputs), conducting and documenting validation testing and review of the validation results as they compared to the validation test plans predetermined acceptance criteria (design outputs). The results of verification and validation of Integrated Cycler Studio software version 6.0 show the results met the predetermined acceptance criteria. The results of assays ran with the Integrated Cycler Studio software version 6.0 demonstrate that the results obtained with the previously released versions of Integrated Cycler Studio software were equivalent to the results obtained using Integrated Cycler Studio software version 6.0. c) Declaration of Conformity A declaration of conformity to design controls in accordance to §21 CFR 820.30 is included in the K141458 Simplexa™ HSV 1 & 2 Direct REF MOL2150 and Simplexa™ HSV 1 & 2 Positive Control Pack REF MOL2160 Special 510(k) submission. The declaration of conformity was signed by the individuals responsible for the activities. The labeling for this modified subject device has been reviewed to verify that the indication/intended use for the device is unaffected by the modification. In addition, the submitter's description of the particular modification(s) and the comparative information between the modified and unmodified devices demonstrate that the fundamental scientific technology has not changed. The submitter has provided the design control information as specified in the new 510(k) Paradigm and on this basis, I recommend the device be determined substantially equivalent to the previously cleared device.
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