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510(k) Data Aggregation
(99 days)
The Panther Fusion GI Bacterial Assay is a multiplex real-time PCR in vitro diagnostic test for the rapid and qualitative detection and differentiation of Salmonella, Shigella/Enteroinvasive Escherichia coli (EIEC), Campylobacter (C. coli, C. jejuni) nucleic acids and Shiga-toxin producing Escherichia coli Shiga toxins 1 and 2 (undifferentiated) genes. Nucleic acids are isolated and purified from Cary-Blair preserved stool specimens collected from individuals exhibiting signs and symptoms of gastroenteritis.
This assay is intended to aid in the differential diagnosis of Salmonella, Campylobacter, Shigella/Enteroinvasive E. coli (EIEC) and Shigatoxigenic Escherichia coli (STEC) infections. The results of this assay should be used in conjunction with clinical presentation, laboratory findings, and epidemiological information and should not be used as the sole basis for diagnosis, treatment, or other patient management decisions. Positive results do not rule out co-infection with other organisms that are not detected by this test and may not be the sole or definitive cause of patient illness. Negative results in the setting of clinical illness compatible with gastroenteritis may be due to infection by pathogens that are not detected by this test, or non-infectious causes such as ulcerative colitis, irritable bowel syndrome, or Crohn's disease. This assay is designed for use on the Panther Fusion System.
The Panther Fusion GI Bacterial Assay is a multiplex real-time PCR in vitro diagnostic test developed for use on the fully automated Panther Fusion system to detect nucleic acids from Salmonella, Shigella/Enteroinvasive Escherichia coli (EIEC), Campylobacter (C. coli, C. jejuni) and Shiga-toxin producing Escherichia coli Shiga toxins 1 and 2 (undifferentiated) genes.
The Panther Fusion System fully automates specimen processing, including sample lysis, nucleic acid capture, amplification, and detection for the Panther Fusion GI Bacterial Assay. Nucleic acid capture and elution takes place in a single tube on the Panther Fusion System. The eluate is transferred to the Panther Fusion System reaction tube containing the assay reagents. Multiplex real-time PCR is then performed for the eluted nucleic acid on the Panther Fusion System.
Sample processing: Prior to processing and testing on the Panther Fusion System, specimens are transferred to an Aptima Multitest tube containing specimen transport media (STM) that lyses the cells, releases target nucleic acid, and protects them from degradation during storage.
Nucleic acid capture and elution: An internal control (IC-B) is added automatically to each specimen via the working Panther Fusion Capture Reagent-B (wFCR-B) to monitor for interference during specimen processing, amplification, and detection caused by reagent failure or inhibitory substances. Specimens are first incubated in an alkaline reagent (FER-B) to enable cell lysis. Nucleic acid released during the lysis step hybridizes to magnetic particles in the wFCR-B. The capture particles are then separated from residual specimen matrix in a magnetic field by a series of wash steps with a mild detergent. The captured nucleic acid is then eluted from the magnetic particles with a reagent of low ionic strength (Panther Fusion Elution Buffer).
Multiplex PCR amplification and fluorescence detection: Lyophilized single unit dose reaction master mix is reconstituted with the Panther Fusion Reconstitution Buffer I and then combined with the eluted nucleic acid into a reaction tube. Panther Fusion Oil reagent is added to prevent evaporation during the PCR reaction. Target-specific primers and probes then amplify targets via polymerase chain reaction while simultaneously measuring fluorescence of the multiplexed targets. The Panther Fusion System compares the fluorescence signal to a predetermined cut-off to produce a qualitative result for the presence or absence of each analyte.
The analytes and the channel used for their detection on the Panther Fusion System are summarized in the table below:
| Analyte | Gene Targeted | Instrument Channel |
|---|---|---|
| Salmonella | InvA (Invasive antigen A) | FAM |
| Campylobacter | glyA (serine hydroxymethyl transferase)/cadF (outer membrane fibronectin-binding protein) | HEX |
| Shigella/EIEC | ipaH (Invasion plasmid antigen H) | ROX |
| STEC | stx1 (Shigatoxin 1)/stx2 (Shigatoxin 2) | RED647 |
| Internal Control | Not Applicable | RED677 |
Assay Components
The assay components configuration for the Panther Fusion GI Bacterial Assay is analogous to the Panther Fusion Respiratory Assays. The reagents required to perform the Panther Fusion GI Bacterial Assay are packaged and sold separately. There are 7 boxes containing 9 reagents which are required for sample processing. The Panther Fusion GI Bacterial Assay requires one ancillary kit and one specimen collection kit, neither of which are provided with the assay and can be acquired separately:
- Aptima Assay Fluids Kit (303014)
- Aptima Multitest Swab Specimen Collection Kit (PRD-03546)
Table 1: Reagents Required to Perform the Panther Fusion GI Bacterial Assay
| Box | Components Description |
|---|---|
| Refrigerated Box | Panther Fusion GI Bacterial Assay Cartridges |
| Room Temperature Box | Panther Fusion Extraction Reagent-B |
| Refrigerated Box | Panther Fusion Internal Control-B |
| Room Temperature Box | Panther Fusion Reconstitution Buffer I |
| Room Temperature Box | Panther Fusion Elution Buffer |
| Room Temperature Box | Panther Fusion Oil |
| Refrigerated Box | Panther Fusion GI Bacterial Assay Controls |
Table 2: Ancillary and Collection Kits Required to Perform the Panther Fusion GI Bacterial Assay
| Kit |
|---|
| Aptima Assay Fluids Kit |
| Aptima Multitest Swab Specimen Collection Kit |
Instrumentation
The Panther Fusion GI Bacterial Assay has been designed for and validated on the Panther Fusion system. The Panther Fusion System fully automates specimen processing, including sample lysis, nucleic acid capture, amplification, and detection for the Panther Fusion GI Bacterial Assay.
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