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510(k) Data Aggregation
(151 days)
ACS:180 AND ADVIA CENTAUR B-TYPE NATRIURETIC PEPTIDE (BNP) ASSAYS
For in vitro diagnostic use in the quantitative determination of B-type Natriuretic Peptide (BNP) in human plasma using the ADVIA Centaur® System. This assay is indicated for the measurement of plasma BNP as an aid in the diagnosis and assessment of the severity of heart failure. In patients with acute coronary syndromes (ACS), this test, in conjunction with other known risk factors, can also be used to predict survival as well as to predict the likelihood of future heart failure. This assay is not intended for use on any other system.
For in vitro diagnostic use in the quantitative determination of B-type Natriuretic Peptide (BNP) in human plasma using the ACS:180® Automated Chemiluminescence System. This assay is indicated for the measurement of plasma BNP as an aid in the diagnosis and assessment of the severity of heart failure. In patients with acute coronary syndromes (ACS), this test, in conjunction with other known risk factors, can also be used to predict the likelihood of future heart failure. This assay is not intended for use on any other system.
The ACS:180 and ADVIA Centaur BNP assays are fully automated two-site sandwich immunoassays using direct chemiluminescent technology. The first antibody, in the Reagent, is an acridinium ester labeled monoclonal mouse anti-human antibody specific to the N-terminal portion of BNP. The second antibody, in the Solid Phase Reagent, is a biotinylated monoclonal mouse anti-human antibody specific to the C-terminal portion of BNP, which is coupled to streptavidin coated magnetic particles. Patient sample (calibrators or control materials) is incubated for 5 minutes at 37°C with the Solid Phase Reagent and the tracer antibody conjugate. Subsequently, Solid Phase Reagent is added and incubated for 2.5 minutes at 37°C. An immuno-complex is formed between the unbound antibody conjugates are washed away. Following incubation, the immuno-complex signal is measured in a luminometer. The chemiluminescent signal will have a minimum amount of bound AE label, while Samples with high levels of BNP will have maximum label complex bound. Thus, a direct relationship exists between the amount of BNP present in the patient sample and the relative light units (RLUs) detected by the system.
Here's an analysis of the provided text regarding the Bayer Diagnostics ADVIA Centaur BNP Assay, broken down by your requested criteria:
The provided document is a Summary of Safety and Effectiveness for the Bayer Diagnostics ADVIA Centaur BNP Assay and ACS:180 BNP Assay, primarily focusing on its updated indications for use and substantial equivalence to previously cleared devices. It describes the technological and performance characteristics but does not contain detailed study results like typical acceptance criteria tables for accuracy or precision studies against a defined benchmark. Instead, it states that the characteristics (like precision, measuring range, analytical sensitivity, etc.) are "Same" as the predicate device.
Therefore, for aspects like "reported device performance" against acceptance criteria, "sample sizes used for the test set," "number of experts," "adjudication method," "MRMC study effect size," and "standalone performance," the provided document does not contain this information. It relies on the previously cleared predicate devices for establishing performance equivalency without re-presenting the detailed studies.
Here's what can be extracted based on the information available:
1. A table of acceptance criteria and the reported device performance
The provided document does not explicitly present a table of acceptance criteria with corresponding device performance from new studies following the format typically seen for a new device's primary validation. Instead, it compares the proposed device's characteristics to a predicate device, largely stating they are "Same."
However, we can infer some "performance characteristics" that are deemed acceptable by virtue of being equivalent to the predicate.
Characteristic | Acceptance Criteria (Implied from Predicate) | Reported Device Performance (Proposed Device) |
---|---|---|
Measuring Range | ADVIA Centaur: |
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(117 days)
ACS:180 AND ADVIA CENTAUR B-TYPE NATRIURETIC PEPTIDE (BNP) ASSAYS
For in vitro diagnostic use in the quantitative determination of B-type Natriuretic Peptide (BNP) in human plasma using the ACS:180® Automated Chemiluminescence System. This assay is indicated for the measurement of plasma BNP as an aid in the diagnosis and assessment of the severity of heart failure. This test, in conjunction with other known risk factors, can also be used to predict survival in patients after myocardial infarction. This assay is not intended for use on any other system.
For in vitro diagnostic use in the quantitative determination of B-type Natriuretic Peptide (BNP) in human plasma using the ADVIA Centaur® System. This assay is indicated for the measurement of plasma BNP as an aid in the diagnosis of and assessment of the severity of heart failure. This test, in conjunction with other known risk factors, can also be used to predict survival in patients after myocardial infarction. This assay is not intended for use on any other system.
The ACS:180 and ADVIA Centaur BNP assays are fully automated two-site sandwich immunoassays using direct chemiluminescent technology, which use constant amounts of two monoclonal antibodies. The first antibody, in the Lite Reagent, is an acridinium ester labeled monoclonal mouse anti-human BNP F(ab')2 fragment specific to the ring structure of BNP. The second antibody, in the Solid Phase, is a biotinylated monoclonal mouse antihuman antibody specific to the C-terminal portion of BNP, which is coupled to streptavidin magnetic particles. Patient sample (calibrator or control materials) is incubated for 5 minutes at 37°C with the Reagent that contains the tracer antibody conjugate. Subsequently, Solid Phase reagent is added and incubated for 2.5 minutes at 37°C. An immuno-complex is formed between the BNP in the sample and the two antibody conjugates. Following incubation, the unbound antibody conjugates are washed away. The chemiluminescence of the immuno-complex signal is measured in a fuminometer. Samples with low BNP levels will have a minimum amount of bound AE label, while samples with high levels of BNP will have maximum label complex bound. Thus, a direct relationship exists between the amount of BNP present in the patient sample and the amount of relative light units (RLUs) detected by the system.
The provided text describes a 510(k) premarket notification for the ACS:180® and ADVIA Centaur® BNP Assays by Bayer Diagnostics. The document establishes substantial equivalence to a predicate device (ADVIA Centaur® B-Type Natriuretic Peptide (BNP) Assay, K031038) and discusses the assays' technological and performance characteristics.
Here's an analysis of the acceptance criteria and study information provided, structured according to your request:
1. Table of Acceptance Criteria and Reported Device Performance
The document does not explicitly state "acceptance criteria" for performance metrics in a pass/fail format. However, it presents the "Performance Characteristics" of the proposed devices, which implicitly serve as the demonstrated performance that FDA found substantially equivalent to the predicate device. These performance characteristics cover various analytical aspects of the assay. Since the document states "The following table compares the performance characteristics of the current and proposed Bayer ADVIA Centaur and ACS:180 BNP assays," and the values listed under "Proposed Bayer ADVIA Centaur® and ACS:180® BNP Immunoassays" are identical to "Current Bayer ADVIA Centaur® and ACS:180® BNP Immunoassays," it implies that the new devices meet the established performance of the predicate device.
Performance Characteristic | Acceptance Criteria (Implied by Predicate Performance) | Reported Device Performance (Proposed Devices) |
---|---|---|
Precision (ADVIA Centaur) | Within-run: 1.8 – 4.3 %CV (29.4 to 1736 pg/mL) | Within-run: 1.8 – 4.3 %CV (29.4 to 1736 pg/mL) |
Total: 2.3 - 4.7 %CV (29.4 to 1736 pg/mL) | Total: 2.3 - 4.7 %CV (29.4 to 1736 pg/mL) | |
Precision (ACS:180) | Within-run: 2.5 - 7.9%CV (51.5 to 1783 pg/mL) | Within-run: 2.5 - 7.9%CV (51.5 to 1783 pg/mL) |
Total: 3.8 - 9.9%CV (51.5 to 1783 pg/mL) | Total: 3.8 - 9.9%CV (51.5 to 1783 pg/mL) | |
Hook Effect | No high dose effect up to 100,000 pg/mL | No high dose effect up to 100,000 pg/mL |
Analytical Sensitivity (ADVIA Centaur) |
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(83 days)
ADVIA CENTAUR B-TYPE NATRIURETIC PEPTIDE (BNP) ASSAY
For in vitro diagnostic use in the quantitative determination of Btype Natriuretic Peptide (BNP) in human plasma using the ADVIA Centaur® System. This assay is indicated for the measurement of plasma BNP as an aid in the diagnosis of heart failure. This assay is not intended for use on any other system.
The ADVIA® Centaur® BNP assay is a fully automated two-site sandwich immunoassay using direct chemiluminescent technology, which uses constant amounts of two monoclonal antibodies. The first antibody, in the Lite Reagent, is an acridinium ester labeled monoclonal mouse anti-human BNP F(ab')> fragment specific to the ring structure of BNP. The second antibody, in the Solid Phase, is a biotinylated monoclonal mouse anti-human antibody specific to the C-terminal portion of BNP, which is coupled to streptavidin magnetic particles. Patient sample (calibrator or control materials) is incubated for 5 minutes at 37°C with the Lite Reagent that contains the tracer antibody conjugate. Subsequently, Solid Phase reagent is added and incubated for 2.5 minutes at 37°C. An immuno-complex is formed between the BNP in the sample and the two antibody conjugates. Following incubation, the unbound antibody conjugates are washed away. The chemiluminescence of the immuno-complex signal is measured in a luminometer. Samples with low BNP levels will have a minimum amount of bound AE label, while samples with high levels of BNP will have maximum label complex bound. Thus, a direct relationship exists between the amount of BNP present in the patient sample and the amount of relative light units (RLUs) detected by the system.
The Bayer Diagnostics ADVIA Centaur BNP Assay is an in vitro immunoassay designed for the quantitative determination of B-type Natriuretic Peptide (BNP) in human plasma, to be used as an aid in the diagnosis of heart failure.
1. A table of acceptance criteria and the reported device performance
The provided text describes comparative performance against a predicate device and clinical agreement, rather than explicit pre-defined acceptance criteria with pass/fail thresholds. However, based on the comparative effectiveness study, we can infer the desired performance characteristics.
Performance Characteristic | Implicit Acceptance Criteria (Inferred) | Reported Device Performance (ADVIA Centaur® BNP Immunoassay) |
---|---|---|
Analytical Agreement | High agreement with predicate device (Biosite Triage® BNP Test) at the 100 pg/mL decision threshold. | 94.7% (177/187) with a 95% Confidence Interval of 90.4% to 97.4%. |
Clinical Agreement | High overall agreement with clinical diagnosis (HF vs. non-HF) at the 100 pg/mL decision threshold. | 87.2% (163/187) with a 95% Confidence Interval of 81.5% to 91.6%. The predicate device showed 86.1% clinical agreement. |
Sensitivity | High sensitivity for detecting heart failure at the 100 pg/mL decision threshold. | 87.4% (146/167) with a 95% Confidence Interval of 81.4% to 92.0%. This is identical to the predicate device's sensitivity. |
Specificity | Good specificity for not misidentifying non-heart failure patients as heart failure at the 100 pg/mL decision threshold. | 85.0% (17/20) with a 95% Confidence Interval of 62.1% to 96.8%. This is higher than the predicate device's specificity of 75.0%. |
Precision | Comparable or better precision than the predicate device. | Within-run: 1.8 - 4.3 %CV from 29.4 - 1736.0 pg/mL. Total: 2.3 - 4.7 %CV from 29.4 - 1736.0 pg/mL. (Predicate: Average within-day 9.4 - 15.2 %CV; Average total 10.1 - 16.2 %CV). The ADVIA Centaur shows significantly better precision. |
Analytical Sensitivity | Low detection limit. | ** |
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