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510(k) Data Aggregation

    K Number
    K240182
    Device Name
    Access EPO
    Date Cleared
    2024-04-22

    (90 days)

    Product Code
    Regulation Number
    864.7250
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    GGT

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Access EPO assay is a paramagnetic particle, chemiluminescent immunoassay for the quantitative determination of erythropoietin levels in human serum and plasma (heparin) using the Access Immunoassay Systems. This assay is intended as an aid in the diagnosis of anemias and polycythemias.

    Device Description

    The Access EPO assay is a paramagnetic particle, chemiluminescent immunoassay for the quantitative determination of erythropoietin levels in human serum and plasma (heparin) using the Access Immunoassay Systems. This assay is intended as an aid in the diagnosis of anemias and polycythemias.

    The Access EPO Calibrators are intended to calibrate the Access EPO assay for the quantitative determination of EPO levels in human serum and plasma (heparin) using the Access Immunoassay Systems.

    The Access EPO assay is a two-site immunoenzymatic ("sandwich") assay. A sample is added to a reaction vessel along with the paramagnetic particles coated with mouse monoclonal anti-EPO, blocking reagent and the alkaline phosphatase conjugate. After incubation, materials bound to the solid phase are held in a magnetic field while unbound materials are washed away. Then, the chemiluminescent substrate is added to the vessel and light generated by the reaction is measured with a luminometer. The light production is directly proportional to the concentration of analyte in the sample. Analyte concentration is automatically determined from a stored calibration.

    AI/ML Overview

    The provided text describes the 510(k) premarket notification for the Beckman Coulter "Access EPO" assay when run on the Dxl 9000 Access Immunoassay Analyzer. This document outlines the device's technical characteristics, its intended use, and comparative studies against a predicate device. However, it does not describe an AI-powered diagnostic device or a study involving human readers and AI assistance. Instead, it describes an immunoassay for measuring erythropoietin levels. Therefore, many of the detailed points requested in your prompt (e.g., number of experts for ground truth, MRMC study, effect size of AI, standalone AI performance) are not applicable to this specific submission.

    Despite this, I will extract and present the available information that aligns with your request regarding acceptance criteria and study details for this non-AI diagnostic device.

    Here's the breakdown based on the provided document:


    Device Name: Access EPO

    Intended Use: The Access EPO assay is a paramagnetic particle, chemiluminescent immunoassay for the quantitative determination of erythropoietin levels in human serum and plasma (heparin) using the Access Immunoassay Systems. This assay is intended as an aid in the diagnosis of anemias and polycythemias.

    1. Table of Acceptance Criteria and Reported Device Performance

    The document defines performance characteristics (acceptance criteria implicitly by demonstrating acceptable results) through various analytical studies.

    Study ParameterAcceptance Criteria (Implicit from demonstrated performance)Reported Device Performance
    Method ComparisonSlope close to 1, Intercept close to 0, High Correlation Coefficient (comparing new system to predicate)N = 152 samples (141 native, 11 spiked)
    • Concentration Range: 0.79 - 697 mIU/mL (Access 2 values)
    • Slope: 0.99 (95% CI: 0.97 – 1.00)
    • Intercept: -0.040 (95% CI: -0.19 – 0.22)
    • Correlation Coefficient (R): 1.00
      (Demonstrates substantial equivalence to predicate) |
      | Imprecision (Within-Laboratory) | ≤ 0.30 mIU/mL SD at concentrations ≤ 3.0 mIU/mL
      ≤ 10.0% CV at concentrations > 3.0 mIU/mL | Performed on four Dxl 9000 Access Immunoassay Analyzers, testing four native samples and one spiked sample. All reported within-laboratory %CVs are well below 10% for concentrations > 3.0 mIU/mL, and SDs are below 0.30 mIU/mL for concentrations ≤ 3.0 mIU/mL.
    • Sample 1 (2.0 mIU/L): Within-Laboratory SD 0.07, %CV 3.8
    • Sample 2 (18 mIU/L): Within-Laboratory SD 0.5, %CV 3.0
    • Sample 3 (105 mIU/L): Within-Laboratory SD 2.8, %CV 2.7
    • Sample 4 (267 mIU/L): Within-Laboratory SD 6.3, %CV 2.4
    • Sample 5 (548 mIU/L): Within-Laboratory SD 20.4, %CV 3.7 |
      | Linearity | Assay demonstrates linearity across the measuring interval. | "The assay demonstrated linearity across the measuring interval" (Specific range is 0.6-750 mIU/L, as stated in the "Measuring Range" table). |
      | Limit of Blank (LoB) | Not explicitly stated as acceptance criteria, but claimed value is provided. | Claimed LoB for Access assay is 0.6 mIU/mL. |
      | Limit of Detection (LoD) | Not explicitly stated as acceptance criteria, but claimed value is provided. | Claimed LoD for Access assay is 0.6 mIU/mL. |
      | Limit of Quantitation (LoQ) | Not explicitly stated as acceptance criteria, but claimed value is provided. | Claimed LoQ for Access assay is 0.6 mIU/mL. |

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

    • Method Comparison Test Set: 152 samples (141 native, 11 spiked).
    • Imprecision Test Set: 5 samples (4 native, 1 spiked), tested in duplicate in 2 runs per day for 20 days on each of four analyzers (total 80 replicates per sample).
    • Data Provenance: The document does not specify the country of origin for the samples or if they were retrospective or prospective. Given it's a 510(k) submission for a laboratory diagnostic, the samples are typically human biological samples collected for validation purposes.

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

    Not applicable. This is not an image-based AI diagnostic device requiring expert adjudication of images. The "ground truth" for an immunoassay is typically established through reference methods or analysis of sample characteristics (e.g., known concentrations for spiked samples, or comparison to a cleared predicate device for native samples).

    4. Adjudication Method for the Test Set

    Not applicable, as it's an immunoassay for quantitative determination of erythropoietin, not a subjective interpretation task that would require adjudication.

    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

    Not applicable. This device is an automated immunoassay system, not an AI-assisted diagnostic tool that involves human readers.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    Not applicable in the context of an "algorithm only" AI performance. The performance described here is the "standalone" performance of the immunoassay system (Dxl 9000 Access Immunoassay Analyzer with Access EPO assay reagents).

    7. The Type of Ground Truth Used

    The ground truth for this device's performance evaluation is established through:

    • Comparison to a Predicate Device: For the method comparison study, the predicate device (Access EPO Assay on Access 2 Immunoassay System) served as the reference for native samples.
    • Known Concentrations: For imprecision and linearity studies, samples of known or targeted concentrations (including spiked samples) are used.
    • Reference Standards/Materials: Implied for establishing accurate concentrations for LoB, LoD, and LoQ.

    8. The Sample Size for the Training Set

    Not applicable. This is an immunoassay, not a machine learning model that requires a "training set" in the conventional sense of AI development. The "training" of the instrument involves calibration using specific calibrators provided with the assay.

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

    Not applicable as there is no "training set" for an AI model. The "calibration" of the immunoassay is done using Access EPO Calibrators, which are intended to calibrate the assay. The ground truth for these calibrators would be established by the manufacturer through rigorous analytical methods to assign their precise concentrations.

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    K Number
    K183088
    Date Cleared
    2019-08-02

    (269 days)

    Product Code
    Regulation Number
    864.7250
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    GGT

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The ADVIA Centaur® Erythropoietin (EPO) assay is for in the quantitative measurement of exythropoitin in pediatric and adult human serum or plasma (K2-EDTA, lithium heparin) using the ADVIA Centaur XP system. Measurement of erythropoietin is used as an aid in the diagnosis of anemias and polycythemias.

    Device Description

    The ADVIA Centaur EPO assay is a fully automated, one-step sandwich immunoassay using direct chemiluminescent technology. The assay utilizes an acridinium-ester-labeled monoclonal mouse anti-EPO antibody in the Lite Reagent. The Solid Phase consists of mouse anti-EPO monoclonal antibody-coated paramagnetic microparticles.

    AI/ML Overview

    Here's an analysis of the provided text to extract the acceptance criteria and study details for the ADVIA Centaur Erythropoietin (EPO) assay:

    1. Table of Acceptance Criteria and Reported Device Performance

    This table compiles information primarily from the "Summary of Non-Clinical Performance" and "Summary of Clinical Performance" sections.

    Acceptance Criterion (Implicit)Reported Device Performance (ADVIA Centaur EPO assay)
    Linearity (range over which results are proportional to actual concentration)Linear from 0.83–750.00 mIU/mL.
    Dilution Recovery (accuracy after dilution)Observed percent recovery for individual samples ranged from 76 - 111% when diluted 1:10.
    Measuring Interval (reportable range)0.83 - 750.00 mIU/mL.
    Limit of Blank (LoB)0.46 mIU/mL.
    Limit of Detection (LoD) (lowest concentration detectable with 95% probability)0.75 mIU/mL.
    Limit of Quantitation (LoQ) (lowest concentration detectable at total error of 30%)0.83 mIU/mL. (Results below LoQ should be reported as 18 mg/dL caused >10% change at 4-6 mIU/mL EPO; Albumin >6.8 g/dL caused >10% change at 4-6 mIU/mL EPO; EPO soluble receptor >31.25 ng/dL caused >10% change at 4-6 mIU/mL EPO; Human gamma globulins (IgG) 6.7 g/dL caused >10% change at 25-35 mIU/mL EPO).
    Precision (reproducibility and repeatability)Coefficients of Variation (CV%) for Repeatability (Within-Run) ranged from 1.6% to 4.8%. CV% for Within-Lab (Total) ranged from 2.6% to 8.4% across 7 samples with EPO concentrations from 1.69 to 579.41 mIU/mL.
    Specimen Collection Comparison (equivalence across different tube types)Correlation coefficient (r) ≥ 0.95, a slope of 0.90-1.10, and an intercept ± 1.00 mIU/mL for alternate tube types (y) versus human serum (x). Demonstrated r values of 0.99-1.00, slopes of 0.97-1.02 and intercepts of -0.33 to -0.20 for K2-EDTA, Lithium Heparin, Sodium Heparin, Plasma Separator Tube, and Serum Separator Tube compared to human serum.
    Method Comparison (Agreement with a legally marketed predicate device)Passing-Bablok regression: ADVIA Centaur EPO (y) = 0.99 (x) + 0.81 mIU/mL (intercept), r = 0.99 (1st study).
    ADVIA Centaur EPO (y) = 1.07 (x) + 0.00 mIU/mL (intercept), r = 1.00 (2nd study).
    ADVIA Centaur EPO (y) = 1.01 (x) + 0.36 mIU/mL (intercept), r = 0.99 (3rd multi-site study).
    Expected Values (establishment of reference ranges for adult and pediatric populations)Established 95% Reference Range for combined adult male and female: 5.44 - 26.25 mIU/mL.
    Established pediatric ranges for Male Child (2-12): 4.13-25.52 mIU/mL; Male Adolescent (13-21): 4.15-26.15 mIU/mL; Female Child (2-12): 4.94-24.47 mIU/mL; Female Adolescent (13-21): 4.07-40.30 mIU/mL.
    Standardization (traceability to international standards)Traceable to WHO 2nd International Reference Preparation for Erythropoietin (human, urinary derived); NIBSC code: 67/343, and WHO 3rd International Standard for Erythropoietin, recombinant, for bioassay; NIBSC code: 11/170.
    Substantial Equivalence (Overall conclusion based on studies showing similar performance to predicate)The ADVIA Centaur EPO assay demonstrated substantially equivalent performance to the Beckman Coulter Access EPO assay.

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

    • Linearity: Not specified, but involved three high EPO samples mixed with low EPO human serum.
    • Dilution Recovery: 10 samples (containing high EPO levels: 618.63-986.07 mIU/mL).
    • Detection Capability (LoD): 323 determinations using 10 low-level samples.
    • Cross-reactivity: Not explicitly stated as a "sample size," but involved numerous cross-reactants (e.g., various plasma proteins, epoetin alfa, darbepoetin alfa).
    • Interference: Not explicitly stated as a specific "sample size" for each interferent, but involved various substances tested at different concentrations.
    • Precision: 7 pooled serum samples. For each sample, there were 80 observations (replicates of 2, in 2 runs/day, over 20 days).
    • Specimen Collection Comparison: 65 samples (serum EPO values ranging from 4.39 - 707.81 mIU/mL).
    • Method Comparison:
      • Study 1: 216 human serum samples (range: 3.29 – 691.60 mIU/mL).
      • Study 2: 100 human serum samples from US population (range: 4.45 - 407.74 mIU/mL).
      • Study 3 (Multi-site): 327 human serum samples (range: 3.55 - 596.81 mIU/mL), with ≥ 100 samples per site.
    • Expected Values (Adult): 251 apparently healthy subjects (128 males, 123 females), older than 21 years of age.
    • Expected Values (Pediatric): 266 apparently healthy children (2 to
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    K Number
    K052223
    Device Name
    ACCESS EPO ASSAY
    Date Cleared
    2006-10-06

    (417 days)

    Product Code
    Regulation Number
    864.7250
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    GGT

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Access EPO assay is a paramagnetic particle, chemiluminescent immunoassay for the quantitative determination of erythropoietin levels in human serum and plasma (heparin) using the Access Immunoassay Systems. This assay is intended as an aid in the diagnosis of anemias and polycythemias. With the advent of the administration of recombinant erythropoietin as a biologic therapy to increase red blood cell mass, an erythropoietin assay may be used also to aid in the prediction and monitoring of response to recombinant erythropoietin treatment in persons with anemias.
    The Access EPO calibrators are intended to calibrate the Access EPO assay for the quantitative determination of EPO levels in human serum and plasma (heparin) using the Access Immunoassay Systems.

    Device Description

    The Access® EPO assay consists of the reagent pack and calibrators. Other items needed to perform the assay include the Access substrate and wash buffers.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the Access® EPO Assay based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance:

    Performance MetricAcceptance CriteriaReported Device Performance
    PrecisionTotal precision of ≤ 10% CV at EPO concentrations > 3 mIU/mLInternal Data:
    • Precision tested at concentrations from approximately 9 to 475 mIU/mL.
    • Within-run imprecision ranged from 1.8% CV to 8.7% CV.
    • Total imprecision ranged from 2.6% CV to 8.7% CV.
      Conclusion: Meets the criterion; total precision values are all ≤ 10% CV. |
      | Analytical Sensitivity | Lowest detectable level of EPO distinguishable from zero (Access EPO Calibrator S0) is ≤0.6 mIU/mL | Internal Data:
    • Reported as ≤0.6 mIU/mL. |
      | Dilution Recovery (Linearity) | Sample mean recovery values for all serum and plasma samples were within the range of 100 ± 15%. | Internal Data:
    • Dilution recovery studies performed by diluting multiple human serum and plasma (heparin) samples at various levels with Access EPO Calibrator S0.
    • Sample mean recovery values were within the range of 100 ± 15%. |
      | Methods Comparison | Acceptable agreement with predicate device (RDS Quantikine ELISA assays). | Internal Site Study:
    • Slope of 1.0511, intercept of -1.3595, and correlation coefficient (r) of 0.988.
    • N=103 with EPO concentration range of approximately 3 to 182 mIU/mL.
      External Site Study:
    • Slope of 1.1216, intercept of -2.4168, and correlation coefficient (r) of 0.995.
    • N=113 with EPO concentration range of approximately 3 to 193 mIU/mL. |
      | Analytical Specificity | No significant interference from therapeutic drugs, similar compounds, or potential sample contaminants (total protein, bilirubin, hemoglobin, and triglycerides). | Internal Data:
    • No significant interference from therapeutic drugs or similar compounds.
    • No significant interference from potential sample contaminants (total protein, bilirubin, hemoglobin, and triglycerides). |
      | Stability | EPO reagents stable for 28 days after opening; calibrators stable for 90 days after opening; calibration curve stable for 28 days. | Internal Data:
    • EPO reagents are stable for 28 days after opening.
    • Calibrators are stable for 90 days after opening.
    • The calibration curve is stable for 28 days. |

    2. Sample Sizes Used for the Test Set and the Data Provenance:

    • Precision: Not explicitly stated as a separate "test set" in the context of clinical samples, but the study was performed on samples with EPO concentrations ranging from 9 to 475 mIU/mL.
    • Dilution Recovery (Linearity): "Multiple human serum and plasma (heparin) samples." The exact number is not provided.
    • Methods Comparison:
      • Internal Site Study: N=103
      • External Site Study: N=113
    • Analytical Specificity: Not explicitly stated as a numerical sample size, but indicates testing for interference from "therapeutic drugs or similar compounds" and "potential sample contaminants."
    • Data Provenance: The studies are described as "Internal Site Study" and "External Site Study," suggesting the data comes from within Beckman Coulter's testing facilities and at least one other external laboratory. The samples were "human serum and plasma (heparin)." The country of origin is not explicitly stated, but the submission is to the FDA (USA). The studies appear to be prospective in nature, as they involve testing the performance of the new Access® EPO assay.

    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 document. For an immunoassay, the "ground truth" for the test set is typically established by comparing the device's results to a well-established, often reference, method. In this case, the predicate device (RDS Quantikine ELISA) served as the reference for method comparison. The document does not describe expert adjudication for these numerical results.

    4. Adjudication Method for the Test Set:

    This is not applicable in the context of an immunoassay performance study focused on quantitative measurements. Adjudication methods (like 2+1, 3+1) are typically used in imaging or diagnostic accuracy studies where expert consensus is required to establish a qualitative or subjective ground truth. Here, the comparison is against an established quantitative predicate method.

    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:

    This information is not applicable to this device. The Access® EPO Assay is an in vitro diagnostic (IVD) immunoassay, not an AI-powered diagnostic imaging device or an AI human-in-the-loop system. Therefore, MRMC studies examining human reader performance with or without AI assistance are not relevant here.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done:

    Yes, the studies presented represent the standalone performance of the Access® EPO Assay. This is an automated immunoassay system; its performance metrics (precision, sensitivity, linearity, methods comparison, specificity, stability) characterize the algorithm and instrument's ability to quantitatively determine EPO levels without direct human interpretation of the assay's core output.

    7. The Type of Ground Truth Used:

    For the quantitative performance studies, particularly the "Methods Comparison," the ground truth was effectively the results obtained from established predicate devices, specifically the R&D Systems Quantikine IVD Erythropoietin ELISA Kit. These predicate devices are themselves validated diagnostic assays.

    8. The Sample Size for the Training Set:

    This information is not provided in the document. For an immunoassay, a "training set" in the context of machine learning isn't directly applicable in the same way it would be for an AI algorithm. Instead, "training" for such a system typically involves:

    • Assay development and optimization using numerous samples.
    • Establishing calibration curves using specific calibrator materials.
    • Method validation experiments that might involve hundreds or thousands of samples over time.
      The document refers to "Summary of Performance Studies" as direct validation of the assay's performance attributes rather than detailing a distinct "training set."

    9. How the Ground Truth for the Training Set Was Established:

    As mentioned above, the concept of a "training set" with an explicitly established ground truth (like expert consensus or pathology for AI) is not directly applicable to this type of IVD immunoassay. The development and calibration of the assay would rely on:

    • Reference materials/standards: The assay is standardized against the "WHO 2nd IRP 67/343" (International Reference Preparation). This serves as a fundamental "ground truth" for the quantitative measurement of EPO.
    • Known concentrations: During assay development, samples with known EPO concentrations (often characterized by reference methods or gravimetric methods for primary standards) would be used to build and validate the assay's response curve.
    • Cross-validation with existing methods: Early in development, comparison with established methods would help refine the assay's performance.
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    K Number
    K992799
    Date Cleared
    2000-06-07

    (293 days)

    Product Code
    Regulation Number
    864.7250
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Product Code :

    GGT

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The intended use of this product is the quantitative determination of erythropoietin levels in human serum. This assay is intended as an aid in the diagnosis of anemias and polycythemias. With the advent of the administration of recombinant erythropoietin as a biologic therapy to increase red blood cell mass, an erythropoietin assay may be used also to aid in the prediction and monitoring of response to recombinant erythropoietin treatment in persons with anemias.

    Device Description

    Quantitative determination of EPO [Erythropoietin] in human serum. This immunoassay is based on the principles of the two site "sandwich" Enzyme-Linked ImmunoSorbent Assay (ELISA).

    AI/ML Overview

    Here's an analysis of the provided text regarding the Sangui BioTech, Inc. EPO [Erythropoietin] ELISA kit:

    The provided text is a 510(k) summary for a medical device, which focuses on demonstrating substantial equivalence to a predicate device rather than a comprehensive, standalone clinical study for a novel device. Therefore, much of the information typically found in a detailed acceptance criteria and study report for a new device (like a machine learning model) is not explicitly present.

    However, we can extract the relevant information and infer some aspects based on the context of a 510(k) submission for an in vitro diagnostic (IVD) device.


    Acceptance Criteria and Study Details for Sangui BioTech, Inc. EPO ELISA Kit

    Given the context of a 510(k) submission for an ELISA kit, the primary "acceptance criterion" is typically substantial equivalence to a legally marketed predicate device. This is often demonstrated through a correlation study comparing the performance of the new device to the predicate device using patient samples.

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria CategorySpecific Acceptance Criterion (Inferred from 510(k) IVD norms)Reported Device Performance (from text)
    CorrelationHigh correlation (e.g., R ≥ 0.95 or similar for quantitative assays) between the proposed device and the predicate device results on patient samples.Correlation coefficient (R) of 0.96 with a regression equation Y = 1.05X + 3.0.
    Accuracy / AgreementClose agreement between the measured values of the proposed and predicate devices. (Often implied by correlation and regression).The regression equation (Y = 1.05X + 3.0) and high correlation suggest good agreement, where Y is the proposed device and X is the predicate.
    SensitivityAnalytical sensitivity sufficient for intended use. (While a difference is noted, it is documented in labeling).Proposed device sensitivity: 2.0 mU/mL. Predicate device sensitivity: 0.7 mU/mL. The limitation of the proposed device's sensitivity is documented in the labeling.

    Important Note: The 510(k) summary explicitly lists "The data clearly demonstrates excellent correlation between the two devices" as the primary conclusion, fulfilling the requirement for substantial equivalence.

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

    • Sample Size: One hundred twenty-six (126) patient sera samples.
    • Data Provenance: Not explicitly stated as retrospective or prospective, nor the country of origin. However, for a 510(k) for an IVD kit, these are typically clinical samples collected from a relevant patient population, likely from a local US population if the submission is for US market clearance. The samples studied ranged from 5 to 291 mU/mL of EPO as measured by the predicate.

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

    • This concept is not directly applicable in the context of this 510(k) submission for an ELISA kit comparison. The "ground truth" for the comparison study is the measurement obtained from the predicate device (Nichols Institute Diagnostics EPO Assay), which is an already legally marketed and accepted device. There are no human experts "establishing ground truth" by interpreting images or clinical data in this type of study.

    4. Adjudication Method for the Test Set

    • Not applicable. This is a quantitative assay comparison study, not an imaging-based diagnostic study requiring expert adjudication of reader interpretations.

    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

    • Not applicable. This is an in vitro diagnostic (IVD) device (ELISA kit) and does not involve AI or human readers interpreting outputs in the way an imaging AI diagnostic might.

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

    • This is an inherently standalone device as it is an laboratory assay kit. The performance described (correlation with the predicate) represents the performance of the device itself (the "algorithm" or assay chemistry) without human-in-the-loop performance in the sense of a clinical decision-making aid requiring interpretation.

    7. The Type of Ground Truth Used

    • The "ground truth" for this comparative study is the results obtained from the legally marketed predicate device (Nichols Institute Diagnostics EPO Assay). The study aimed to show that the new Sangui BioTech kit produced results that were statistically equivalent to those of the predicate device.

    8. The Sample Size for the Training Set

    • Not applicable. ELISA kits, especially in this context, are not "trained" in the machine learning sense. The assay's parameters (e.g., antibody concentrations, incubation times) are developed through laboratory optimization processes, not by feeding data into a training algorithm.

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

    • Not applicable, as there is no "training set" or "ground truth for training" in the machine learning sense for this type of device. The assay development involves standard biochemical and immunological optimization.
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    K Number
    K983203
    Date Cleared
    1999-07-12

    (301 days)

    Product Code
    Regulation Number
    864.7250
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    GGT

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    IMMULITE EPO is a solid-phase, two-site sequential chemiluminescent enzyme immunometric assay for use with the IMMULITE Automated Analyzer and designed for the quantitative measurement of erythropoietin (EPO) in serum or heparinized plasma. It is intended strictly for in vitro diagnostic use as an aid in the diagnosis of anemias and polycythemias.

    Device Description

    IMMULITE® EPO is a solid-phase, two-site chemiluminescent sequential enzyme immunometric assay for use with the IMMULITE® Automated Immunoassay Analyzer

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the IMMULITE® EPO device, based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    The submission primarily focuses on demonstrating substantial equivalence through a method comparison, rather than pre-defined acceptance criteria with specific thresholds for accuracy, sensitivity, or specificity commonly seen with imaging devices. The acceptance criterion is implicit: the new device's performance must be comparable to the predicate device.

    Acceptance Criteria (Implicit)Reported Device Performance
    Correlation with Predicate Device (Incstar's EPO-Trac 125I RIA)Linear regression analysis yielded:
    (IMMULITE) = 0.846 (INCSTAR) + 3.818 mU/mL
    Correlation coefficient (r) = 0.978
    Means: 40.96 mU/mL (IMMULITE), 43.90 mU/mL (INCSTAR)
    EPO Concentration Range tested2.5 to 200 mU/mL
    Agreement in clinical interpretation (aid in diagnosis)Not explicitly quantified with figures like sensitivity/specificity or positive/negative predictive values. The high correlation coefficient (r = 0.978) suggests strong agreement in quantitative EPO measurements, which would support similar diagnostic aid for anemias and polycythemias.

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

    • Sample Size for Test Set: 130 endogenous serum samples.
    • Data Provenance: Not explicitly stated (e.g., country of origin). The data is from "endogenous serum samples," implying human samples. It is retrospective in the sense that these were pre-existing samples used for comparison.

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

    • This device measures a quantitative biomarker (EPO levels) in serum/plasma. Its "ground truth" is established by the measurements obtained from a legally marketed predicate device (Incstar's EPO-Trac 125I RIA), which is itself a laboratory assay.
    • Therefore, there were no human "experts" in the sense of radiologists reviewing images to establish a ground truth. The predicate device's results served as the reference.

    4. Adjudication Method for the Test Set

    • Not applicable. This was a quantitative method comparison study against a predicate device, not a study involving human interpretation or adjudication of cases. The comparison was statistical.

    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. This is an in vitro diagnostic (IVD) device for quantitative measurement of a biomarker, not an imaging device with AI assistance for human readers. Therefore, an MRMC study is not relevant here.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    • Yes, this was effectively a standalone performance study. The IMMULITE® EPO system operates as an automated immunoassay analyzer, and its output (EPO concentration) is compared directly to the output of the predicate device (Incstar's EPO-Trac 125I RIA). There is no "human-in-the-loop" performance in the measurement process itself, beyond the initial sample collection and loading.

    7. The Type of Ground Truth Used

    • Ground Truth: The quantitative EPO concentration values obtained from the predicate device, Incstar's EPO-Trac 125I RIA.

    8. The Sample Size for the Training Set

    • This document describes a 510(k) submission, which focuses on demonstrating substantial equivalence of a new device to a predicate device. For such devices, training set information for an "algorithm" as understood in AI/ML is typically not provided or relevant. The IMMULITE® EPO system is a chemiluminescent immunoassay, a chemical and biological measurement system, not a machine learning algorithm that requires a "training set" in the computational sense.
    • The assay itself is developed and validated, but the term "training set" doesn't apply in the same way as it would for an AI-powered diagnostic.

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

    • Not applicable for the reasons mentioned in point 8. The device's calibration and assay parameters would be established through a different set of internal validation experiments and reference materials, not a "training set" with ground truth in the AI sense.
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    K Number
    K980737
    Date Cleared
    1999-03-23

    (391 days)

    Product Code
    Regulation Number
    864.7250
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    GGT

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Nichols Advantage™ Chemiluminescence Erythropoietin Immunoassay is intended for use with the Nichols Advantage™ Specialty System for the quantitative determination of erythropoietin concentrations in human serum as an adjunct in the diagnosis of anemia and polycythemia.

    Device Description

    The Nichols Advantage™ EPO assay is a two-site chemiluminescence assay. Total assay duration is 30 minutes at 37°C.

    14 Incubation: 20 minutes at 37℃. Sample or control (200uL), biotinylated polyclonal antibody (40uL), acridinium labeled mouse monoclonal antibody (10uL) are pipetted into a reaction well on the cuvette strip. Each antibody binds to a separate and distinct antigenic site on EPO to form a sandwich complex.

    204 Incubation: 10 minutes at 37°C. Streptavidin coated magnetic particles (20uL) are added to the reaction mixture. After the 10 minute incubation, the sandwich complex is bound to the solid phase via the high affinity interaction of blotin and streptavidin. The reaction mixture is aspirated from the reaction well after the streptavidin magnetic particles are magnetically capfured onto the surface of the reaction well wall.

    Acridinum esters emit light upon treatment with hydrogen peroxide and an alkaline solution. The Trigger 1 solution contains hydrogen peroxide in dilute acid and Trigger 2 solution contains sodium hydroxide. The system automatically injects Trigger 1 and 2 into the reaction well which oxidizes the acridinium ester. The oxidized product is in an excited state. The subsequent return to ground state results in the emission of light which is quantified in 2 seconds, and is expressed in relative light units (RLU) by the integrated system luminometer.

    The amount of bound labeled antibody in RLU's is directly proportional to the concentration of EPO in the sample. Results are determined via a calibration curve which is instrument-specifically generated by 2-point calibration and a master curve provided via the reagent bar codes.

    AI/ML Overview

    The provided text describes the Nichols Advantage® Chemiluminescence Erythropoietin Immunoassay. Here's a breakdown of the requested information based on the document:

    Acceptance Criteria and Device Performance

    The document does not explicitly state formal "acceptance criteria" with pass/fail thresholds. Instead, it compares the performance characteristics of the new device (Nichols Advantage™ EPO) with those of a legally marketed predicate device (Nichols Chemiluminescence EPO kit). The underlying assumption is that if the new device demonstrates comparable performance to the predicate, it meets the requirements for substantial equivalence.

    Table of Performance Characteristics (Comparison to Predicate Device):

    FeatureAcceptance Criteria (Implied by Predicate Performance)Reported Device Performance (Nichols Advantage™ EPO)
    Precision (Within-Run)%CV comparable to predicate deviceMean (mU/mL): 12.5, %CV: 10.4
    Mean (mU/mL): 92, %CV: 3.3
    Mean (mU/mL): 168, %CV: 2.6
    Mean (mU/mL): 502, %CV: 4.5
    Precision (Total)%CV comparable to predicate deviceMean (mU/mL): 12.5, %CV: 13.6
    Mean (mU/mL): 92, %CV: 5.5
    Mean (mU/mL): 168, %CV: 3.8
    Mean (mU/mL): 502, %CV: 5.6
    RecoveryValue comparable to predicate device (93-120%)87-111%
    ParallelismValue comparable to predicate device (84-108%)91-116%
    High Dose HookValue comparable to predicate device (50,000 mU/mL)7,500 mU/mL
    Specificity & Cross-Reactivity (Human Transferrin)
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    K Number
    K952559
    Manufacturer
    Date Cleared
    1996-05-29

    (362 days)

    Product Code
    Regulation Number
    864.7250
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Product Code :

    GGT

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    Device Description
    AI/ML Overview
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    K Number
    K954898
    Manufacturer
    Date Cleared
    1996-02-05

    (138 days)

    Product Code
    Regulation Number
    864.7250
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Product Code :

    GGT

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    Device Description
    AI/ML Overview
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