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510(k) Data Aggregation

    K Number
    K072869
    Date Cleared
    2008-01-14

    (97 days)

    Product Code
    Regulation Number
    864.5220
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The PointCare NOW System is an automated hematology system intended for in vitro diagnostic use in performing the direct enumeration of major white blood cell populations, certain T-lymphocyte subsets, and hemoglobin concentration from human whole blood.

    Whole blood samples can be analyzed with the PointCare NOW System for the following parameters:

    • White Blood Cell Count
    • Lymphocyte Count
    • Lymphocyte Percentage (of White Blood Cells)
    • CD4 T-Lymphocyte Count
    • CD4 Percentage (of total Lymphocytes)
    • Monocyte Count
    • Monocyte Percentage (of White Blood Cells)
    • Neutrophil Count
    • Neutrophil Percentage (of White Blood Cells)
    • Eosinophil Count
    • Eosinophil Percentage (of White Blood Cells)
    • Hemoglobin Concentration

    The PointCare NOW System and its methods for immune hematology analysis are intended for in vitro diagnostic use in clinical laboratory settings.

    Device Description

    The PointCare NOW System is a compact bench top immune hematology system that from analysis of a whole blood sample reports the hematology parameters identified within the Intended Use section below. The PointCare NOW System consists of an analysis instrument with an integrated touch screen interface and a commercially available tape roll printer.

    The CD4NOW Gold Pack is used within the PointCare NOW System and all assay steps are performed on whole blood with capped bar-coded reagents designed for use on the PointCare NOW System. All assay aspiration, dispensing and mixing steps are automated. The PointCare NOW System reports parameter results on the basis of software analysis of light scatter measurements with the use of non-fluorescent reagents. Automated cell population cluster analysis is performed by the software and results provided with no operator interpretation.

    AI/ML Overview

    The PointCare NOW System is an automated immune hematology system designed for in vitro diagnostic use, performing direct enumeration of major white blood cell populations, certain T-lymphocyte subsets, and hemoglobin concentration from human whole blood.

    Here's an analysis of its acceptance criteria and the supporting study:

    1. Table of Acceptance Criteria and Reported Device Performance

    The provided 510(k) summary does not explicitly state specific, quantifiable acceptance criteria for each parameter (e.g., specific ranges for precision, linearity, or acceptable bias compared to reference methods). Instead, it describes general positive outcomes of the testing.

    Test TypeAcceptance Criteria (Explicitly Stated in Document)Reported Device Performance
    Electrical TestingCompliance with applicable requirements of CFR 47 Part 15 Class A, IEC 61000, UL 61010, and EN 61326.The instrument was found to be in compliance with applicable requirements of CFR 47 Part 15 Class A, IEC 61000, UL 61010, and EN 61326.
    Precision StudyAcceptable within-run and total precision."Results of these studies demonstrated acceptable precision of the PointCare NOW System." (Includes within-run, total precision with control materials over three days, and within-day precision using whole blood samples in ten replicates.)
    Linearity StudyLinearity demonstrated over a wide range of cell concentrations for measured parameters, with specific evaluation for WBC count and Hemoglobin in the low range."Linearity was demonstrated in all cases." (Evaluated for WBC count and Hemoglobin in the low range, and across a wide range of cell concentrations for other measured parameters; least squares regression analysis was performed.)
    Carryover StudyNegligible carryover effect."Negligible carryover was observed."
    Clinical TestingComparable means and ranges to commercially available reference methods for various parameters."The analyses of the pooled data showed comparable means and ranges for the PointCare NOW and reference method parameters." (For White Blood Cell Count, Lymphocyte Count, Lymphocyte Percentage, CD4 T-Lymphocyte Count, CD4 Percentage, Monocyte Count, Monocyte Percentage, Neutrophil Count, Neutrophil Percentage, Eosinophil Count, Eosinophil Percentage, Hemoglobin Concentration).

    2. Sample Size Used for the Test Set and the Data Provenance

    • Sample Size: "A multi-site prospective study was conducted at four investigational sites to evaluate the performance of the PointCare NOW System with other commercially available methods. A total of evaluable samples were analyzed across all participating sites." The specific numerical total of evaluable samples is not provided in the summary.
    • Data Provenance: The study was a "multi-site prospective study," indicating the data was collected specifically for this evaluation. The country of origin is not explicitly stated, but the sponsor is a US company (Marlborough, MA), and the FDA 510(k) process is for devices marketed in the United States, suggesting the study likely took place in the US or in a region using similar clinical standards.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and the Qualifications of Those Experts

    This information is not provided in the summary. The clinical testing describes a comparison to "other commercially available methods" (reference methods), but it does not specify direct expert interpretation or a panel of experts to establish a "ground truth" that would be distinct from the output of the reference methods themselves.

    4. Adjudication Method for the Test Set

    This information is not provided in the summary. Since the comparison is against "commercially available methods" (likely established laboratory analyzers), it's improbable that a separate adjudication process involving human experts to resolve discrepancies was conducted in the typical sense for image interpretation or diagnosis. Instead, the reference methods are likely considered the "ground truth" or standard for comparison.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not conducted or described for this device. The PointCare NOW System is an automated analyzer, meaning it generates results without direct human interpretation in the workflow. The summary explicitly states: "Automated cell population cluster analysis is performed by the software and results provided with no operator interpretation." Therefore, the concept of "human readers improving with AI assistance" does not apply to this device's intended use according to the provided information.

    6. If a Standalone (i.e. algorithm only without human-in-the loop performance) was done

    Yes, a standalone performance evaluation was done. The entire premise of the PointCare NOW System, as described, is its automated nature. The summary states: "Automated cell population cluster analysis is performed by the software and results provided with no operator interpretation." The clinical testing directly evaluates the performance of the PointCare NOW System (the algorithm/device as a whole) against reference methods.

    7. The Type of Ground Truth Used

    The ground truth for the clinical study was established by "other commercially available methods" which served as "reference methods." These would typically be established, FDA-cleared or CE-marked hematology analyzers or flow cytometers that are widely accepted in clinical laboratory settings. This implicitly means the ground truth is derived from established laboratory analysis/measurement, not pathology review, expert consensus on images, or long-term outcomes data.

    8. The Sample Size for the Training Set

    This information is not provided in the summary. The document describes performance testing for regulatory submission but does not delve into the development or training of the internal software/algorithms.

    9. How the Ground Truth for the Training Set was Established

    This information is not provided in the summary. As the document focuses on regulatory performance testing, details about the internal development and training of the device's algorithms or the ground truth used during that stage are not included.

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