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510(k) Data Aggregation

    K Number
    K955909
    Manufacturer
    Date Cleared
    1996-03-28

    (90 days)

    Product Code
    Regulation Number
    864.5220
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    DAKO CD3/FITC, K942797, DAKO CD8/RPE, K944253

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

    For In Vitro Diagnostic Use

    Mouse Anti-Human T-cell, CD3/FITC, UCHT1 + Mouse Anti-Human T-cell, CD8/RPE, DK25 (DAKO Anti-CD3/FITC and Anti-CD8/RPE) has been developed for use in flow cytometry for the analysis of CD3+ and CD8+ T-cells. This reagent allows simultaneous detection and quantification of CD3+CD8+ cells (CD8 positive T-lymphocytes) in normal and pathological conditions such as immunodeficiency disorders. It is one component of the suggested monoclonal antibody (MAb) combination for routine immunophenotyping of lymphocytes in peripheral blood using flow cytometry.

    Device Description

    Purified mouse anti-human CD3, Clone UCHT1, conjugated with fluorescein isothiocyanate, isomer 1 (FITC) + purified mouse anti-human CD8, Clone DK25, conjugated with R-phycoerythrin, present in 0.05M Tris-HCl buffer, pH 7.2, 15 mM NaN3, 0.1M NaCl, stabilized with 1% carrier protein

    Subpopulations of lymphocytes may be stained with fluorochrome-conjugated antibody and evaluated in peripheral blood specimens when contaminating red blood cells (RBC's) are lysed prior to flow cytometric analysis. A subpopulation of WBC's are selected for assessment based upon cell morphology.

    AI/ML Overview

    Here's a summary of the acceptance criteria and the study proving the device meets them, based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance:

    Acceptance Criteria (Implicit)Reported Device Performance
    High correlation for measurement of CD3+ cells compared to predicate DAKO CD3/FITC.The study showed a correlation greater than 0.99 for the measurement of CD3+ T-cells by DAKO Anti-CD3/FITC and Anti-CD8/RPE reagent compared to DAKO CD3/FITC (predicate device).
    High correlation for measurement of CD8+ cells compared to predicate DAKO CD8/RPE.The study showed a correlation greater than 0.98 for the measurement of CD8+ T-cells by DAKO Anti-CD3/FITC and Anti-CD8/RPE reagent compared to DAKO CD8/RPE (predicate device).
    Linearity for CD3 detection.Linearity testing of DAKO CD3/FITC (precursor to the combined reagent, and the CD3 component of the new device) using JM cells yielded the equation: y = 0.02 + 0.98x; with a correlation coefficient (r) of 0.999. (While this is presented for the single reagent, it supports the linearity of the CD3 component in the combined product).
    Linearity for CD8 detection.Linearity testing of DAKO CD8/RPE (precursor to the combined reagent, and the CD8 component of the new device) using JM cells yielded the equation: y = 0.06 + 1.01x; with a correlation coefficient (r) of 0.999. (Similar to CD3, this supports the linearity of the CD8 component).
    Reproducibility of results (implied, as part of performance assessment).Reproducibility of DAKO reagents (implied to include the combined reagent and/or its components) was measured using replicates run on two different flow cytometers at three concentrations of each antigen. The document states this testing was done, but does not provide specific performance metrics beyond stating the results indicate the new reagent performs as well as the predicates.
    Minimal cross-reactivity with other peripheral blood cells (implied, as part of specificity).Cross-reactivity of Anti-CD3/FITC plus Anti-CD8/RPE with peripheral blood cells (red blood cells, monocytes, granulocytes, lymphocytes, and platelets) was measured. The document states this testing was done, but does not provide specific performance metrics beyond stating the results indicated comparable performance.
    Performance of combined reagent is comparable to individual predicate devices for detecting and enumerating CD3+ and CD8+ lymphocytes.The results of the testing (correlation, linearity, reproducibility, cross-reactivity) as well as information from Leukocyte Typing Workshops indicate that the DAKO Anti-CD3/FITC plus Anti-CD8/RPE reagent performs as well as DAKO CD3/FITC in the detection and enumeration of CD3+ lymphocytes, and as well as DAKO CD8/RPE in the detection and enumeration of CD8+ lymphocytes using flow cytometry.

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

    • Sample Size: The document does not explicitly state a numerical sample size for the test set. It mentions "peripheral blood samples obtained from apparently healthy adults."
    • Data Provenance: The data is from "peripheral blood samples obtained from apparently healthy adults." The country of origin is not specified, but the manufacturer is DAKO Corporation, located in Carpinteria, CA, USA, suggesting the study was likely conducted in the USA or a region where their products are distributed. The study appears to be prospective as it involves clinical evaluation comparing the new combined reagent to existing predicate devices.

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

    • This information is not provided in the summary. The ground truth appears to be established by the performance of the predicate devices themselves, which are already FDA-cleared. The comparison is against these established methods.

    4. Adjudication Method:

    • This information is not provided. The study design focuses on direct comparison of the new combined reagent with predicate single reagents.

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

    • No, an MRMC comparative effectiveness study was not done. This document describes a comparison between a new combined reagent and existing single reagents for flow cytometry, not a study evaluating human reader performance with or without AI assistance.

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

    • Yes, a standalone performance assessment was done. The device itself is a reagent (Mouse Anti-Human T-cell, CD3/FITC, UCHT1 + Mouse Anti-Human T-cell, CD8/RPE, DK25) used in flow cytometry. The study evaluates the performance of this reagent quantitatively (e.g., correlation coefficients for cell measurement, linearity), independent of human interpretation of the final flow cytometry data. The "performance characteristics have been established by clinical evaluation... compared to the individual single reagent predicate devices."

    7. The Type of Ground Truth Used:

    • The ground truth is based on the performance of previously FDA-cleared predicate devices. Specifically, DAKO Monoclonal Mouse Anti-Human T-cell, CD3/FITC, UCHT1 (K942797) and DAKO Monoclonal Mouse Anti-Human suppressor/cytotoxic T-cell, CD8/RPE, Clone DK25 (K944253). The implicit assumption is that these predicate devices provide an accurate measure of CD3+ and CD8+ cells.

    8. The Sample Size for the Training Set:

    • This information is not applicable as the device is a reagent, not a machine learning algorithm that requires a training set. The "training" in this context refers to the development and validation of the reagent itself.

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

    • This information is not applicable for the same reason as point 8. If "training" refers to the development of the reagent, the establishment of its characteristics would have involved laboratory methods, chemical analysis, and potentially early comparison tests, but not in the sense of a machine learning algorithm's "training set ground truth." The document does mention "Leukocyte Typing Workshops" where antibody clones were clustered, indicating a consensus-based approach to defining these cell markers.
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