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510(k) Data Aggregation

    K Number
    K210272
    Device Name
    LIAISON Anti-HAV
    Manufacturer
    Date Cleared
    2021-02-09

    (8 days)

    Product Code
    Regulation Number
    866.3310
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The LIAISON® Anti-HAV assay is an in vitro chemiluminescent immunoassay intended for the qualitative detection of total antibodies to hepatitis A (anti-HAV) in human serum and sodium heparin plasma samples using the LIAISON® Analyzer family. The assay is indicated as an aid in the laboratory diagnosis of current or previous HAV infections in conjunction with other serological and clinical information and to determine the presence of an antibody response to HAV in vaccine recipients.

    This assay is not intended for screening blood or solid or soft tissue donors.

    Device Description

    The DiaSorin LIAISON® XS Analyzer is a fully automated, closed, continuous loading of samples and reagents in vitro diagnostic immunoassay system utilizing chemiluminescent technology to provide rapid sample results. The analyzer uses DiaSorin proprietary reagents in which chemiluminescence of an analyte is measured in a sample by the reaction of a magnetic particle solid phase coated with antigen or antibody and a chemiluminescent tracer. The LIAISON® XS Analyzer is intended for use in professional clinical laboratories only.

    The method for qualitative determination of anti-HAV is a competitive sandwich chemiluminescence immunoassay (CLIA) based on neutralization. The assay uses magnetic particles (solid phase) coated with IgG antibodies to HAV (mouse monoclonal), and a mouse monoclonal anti-HAV antibody conjugate linked to an isoluminol derivative (isoluminol-antibody conjugate).

    AI/ML Overview

    The information provided pertains to the DiaSorin LIAISON® Anti-HAV assay running on the LIAISON® XS Analyzer. This premarket notification is a "Special 510(k)" for device modifications to the existing LIAISON® XS analyzer (K193532), primarily addressing improvements in reliability related to the reagent pipettor. The LIAISON® Anti-HAV assay component and procedures themselves remain unchanged.

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

    1. Table of Acceptance Criteria and Reported Device Performance

    ParameterAcceptance criteriaReported Device PerformanceAcceptance criteria met?
    Analytical Sensitivity, as concentration at cut off threshold vs WHO standard preparationAnalytical sensitivity in the range 15.5 - 21.5 mIU/mlRun 1: 21 mIU/mLRun 2: 20 mIU/mLYes
    Total precision, as value of the percentage coefficient of variation (CV)≤14.5%3.3 - 7.2%Yes
    Positive agreement≥95%97.0%Yes
    Negative agreement≥95%98.2%Yes

    2. Sample size used for the test set and the data provenance

    The document does not explicitly state the sample size used for the test set for the immunometrical performance assessment.

    • Data Provenance: Not specified. It's unclear if the data is retrospective or prospective, or the country of origin.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    Not applicable for this type of in vitro diagnostic device (immunoassay). Ground truth for these assays is typically established by reference methods or clinical diagnosis, not by experts reviewing images or other data.

    4. Adjudication method for the test set

    Not applicable for this type of in vitro diagnostic device. Result determination is quantitative or qualitative based on the assay's output measurements against a defined cutoff, not through expert adjudication of individual cases.

    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done

    No, an MRMC comparative effectiveness study was not done. This type of study is typically associated with imaging devices or AI-assisted diagnostic tools where human readers interpret results. The LIAISON® Anti-HAV assay is an automated chemiluminescent immunoassay.

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

    Yes, the performance presented in Table 6-3 represents the standalone performance of the LIAISON® Anti-HAV assay on the modified LIAISON® XS Analyzer. This device is an automated immunoassay system, and its output is directly interpreted as a qualitative detection of antibodies.

    7. The type of ground truth used

    The ground truth for the immunometrical performance assessment:

    • Analytical Sensitivity: Established against a "WHO standard preparation."
    • Positive/Negative Agreement: Implied to be established against a reference method or clinical diagnosis for Hepatitis A infection, as is standard for serological assays. The document does not explicitly name the specific reference method used for establishing positive and negative agreement.

    8. The sample size for the training set

    The document does not provide information regarding a separate "training set" or its sample size. For an immunoassay like this, the development likely involves optimization and validation steps, but not a distinct "training set" in the machine learning sense. The performance data presented is for the evaluation of the validated device.

    9. How the ground truth for the training set was established

    As there is no explicit mention of a training set in the context of machine learning, there is no information on how its ground truth was established. The development of such an assay involves careful analytical and clinical validation, ensuring its performance aligns with established diagnostic standards.

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