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510(k) Data Aggregation

    K Number
    K070987
    Manufacturer
    Date Cleared
    2007-08-02

    (118 days)

    Product Code
    Regulation Number
    862.3560
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K003583

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

    A lithium test system is a device intended to measure lithium levels in serum or plasma. Measurements of lithium are used to aid in the management of individuals taking lithium for the treatment of mental disturbances, such as manic-depressive illness (bipolar disorder). For use on Architect and Aeroset analyzers.

    Device Description

    The Multigent Lithium test is a spectrophotometric method, which can be readily adapted to automated clinical chemistry analyzers. Lithium present in the sample reacts with a substituted porphyrin compound at an alkaline pH, resulting in a change of absorbance, which is directly proportional to the concentration of lithium in the sample.

    AI/ML Overview

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

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria CategorySpecific Metric (Predicate Device: Infinity Lithium Liquid Stable Reagent assay on Hitachi 911 Analyzer)Achieved Performance (Multigent Lithium)
    CorrelationCorrelation coefficient: Not explicitly stated for acceptance, but implied to be high for equivalence.AEROSET System: 0.999
    ARCHITECT c8000 System: 0.999
    SlopeSlope: Not explicitly stated for acceptance, but implied to be near 1 for equivalence.AEROSET System: 1.013
    ARCHITECT c8000 System: 0.991
    Y-interceptY-intercept: Not explicitly stated for acceptance, but implied to be near 0 for equivalence.AEROSET System: -0.025 mmol/L
    ARCHITECT c8000 System: -0.004 mmol/L
    Precision (%CV)%CV: Not explicitly stated for acceptance, but implied to be functionally acceptable for clinical use.AEROSET System: Level 1: 4.76%, Level 2: 3.67%, Level 3: 2.96%
    ARCHITECT c8000 System: Level 1: 2.53%, Level 2: 1.88%, Level 3: 2.02%
    Linearity (Upper Limit)Linearity: Not explicitly stated for acceptance, but implied to cover the clinical range.Up to 3.51 mmol/L
    Limit of Quantitation (Sensitivity)Sensitivity: Not explicitly stated for acceptance, but implied to be clinically relevant.0.10 mmol/L

    Note: The acceptance criteria are implicitly defined by the claim of "similar Performance Characteristics" and "substantially equivalent" to the predicate device. Specific numerical thresholds for acceptance are not provided in this summary.

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

    The document does not explicitly state the sample size used for the comparative performance studies. It mentions "comparative performance studies were conducted," but details on the number of samples are absent.

    • Data Provenance: Not specified. It's unclear if the data was collected retrospectively or prospectively, or the country of origin.

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

    Not applicable. This device is a diagnostic reagent for measuring lithium levels, which are typically determined by laboratory analysis and not by expert human interpretation of images or other subjective data. The "ground truth" in this context would be the actual concentration of lithium in the samples, as determined by the predicate device (Infinity Lithium Liquid Stable Reagent assay on the Hitachi 911 Analyzer) or a reference method.

    4. Adjudication Method for the Test Set

    Not applicable. As noted above, this study involves objective chemical measurements, not subjective interpretation requiring adjudication.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. This type of study is typically performed for devices that involve human interpretation of diagnostic images (e.g., radiology AI), not for objective chemical assays like this lithium test.

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

    Yes, this study is inherently a standalone performance evaluation of the Multigent Lithium assay. It compares the analytical performance of the new assay directly against a predicate device, without involving human interpretation as an outcome. The device itself performs the measurement.

    7. The Type of Ground Truth Used

    The ground truth for the device's performance comparison was the results obtained from the predicate device, the Infinity Lithium Liquid Stable Reagent assay on the Hitachi 911 Analyzer.

    8. The Sample Size for the Training Set

    Not applicable. For a diagnostic reagent intended for chemical measurement, there isn't typically a "training set" in the machine learning sense. The assay is developed based on chemical principles and extensively tested for analytical performance.

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

    Not applicable, as there isn't a traditional "training set" with ground truth in this context. The development process would involve optimizing the reagent's formulation and reaction conditions to accurately measure lithium, with performance validated against reference methods and established predicate devices.

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