MICROSCAN MICROSTREP PLUS PANEL NEW ANTIMICROBIAL-CEFEPIME

K021188 · Dade Microscan, Inc. · JWY · Jun 6, 2002 · Microbiology

Device Facts

• Record ID: K021188
• Device Name: MICROSCAN MICROSTREP PLUS PANEL NEW ANTIMICROBIAL-CEFEPIME
• Applicant: Dade Microscan, Inc.
• Product Code: JWY · Microbiology
• Decision Date: Jun 6, 2002
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 866.1640
• Device Class: Class 2

Intended Use

To determine bacterial antimicrobial agent susceptibility. The MicroScan® MICroSTREP plus™ Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of aerobic streptococci, including Streptococcus pneumoniae. After inoculation, panels are incubated for 20 - 24 hours at 35°C +/- 1°C in a non-CO2 incubator, and read visually according to the Package Insert. This particular submission is for the addition of the antimicrobial Cefepime at concentrations of 0.015 to 8 mcg/ml to the test panel. The organisms which may be used for Cefepime susceptibility testing in this panel are: Streptococcus pneumoniae, Streptococcus pyogenes (Lancefield's Group A streptococci), Streptococcus agalactiae (Lancefield's Group B streptococci), Viridans group streptococci.

Device Story

MicroScan® MICroSTREP plus™ Panel is an in vitro diagnostic device for determining antimicrobial susceptibility of aerobic streptococci. Device utilizes miniaturized broth dilution method; antimicrobial agents are diluted in water, buffer, or broth. Laboratory technicians inoculate panels with standardized organism suspensions in saline; panels are rehydrated with Mueller-Hinton broth supplemented with 2-5% lysed horse blood and 50 mM HEPES. After 20-24 hours incubation at 35°C in non-CO2 incubator, technicians manually read minimum inhibitory concentration (MIC) by observing lowest antimicrobial concentration inhibiting growth. Results assist clinicians in selecting appropriate antibiotic therapy for patients with streptococcal infections.

Clinical Evidence

External evaluation conducted using fresh and stock efficacy isolates and stock challenge strains. Performance compared against NCCLS frozen Reference Panel. Results showed 96.3% Essential Agreement for Cefepime. Reproducibility and precision testing demonstrated acceptable results. Quality control testing confirmed acceptable performance.

Technological Characteristics

Miniaturized broth dilution panel; rehydrated with Mueller-Hinton broth, 2-5% lysed horse blood, and 50 mM HEPES. Manual visual reading of growth inhibition. Cefepime concentrations: 0.015-8 mcg/ml. Non-CO2 incubation at 35°C +/- 1°C for 20-24 hours.

Indications for Use

Indicated for determining antimicrobial susceptibility of aerobic streptococci, including Streptococcus pneumoniae, Streptococcus pyogenes, Streptococcus agalactiae, and Viridans group streptococci, using colonies grown on solid media.

Regulatory Classification

Identification

An antimicrobial susceptibility test powder is a device that consists of an antimicrobial drug powder packaged in vials in specified amounts and intended for use in clinical laboratories for determining in vitro susceptibility of bacterial pathogens to these therapeutic agents. Test results are used to determine the antimicrobial agent of choice in the treatment of bacterial diseases.

Predicate Devices

• MicroScan® Streptococcus MIC Panel (K963641)

Submission Summary (Full Text)

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### 510(k) Summary Information:

| Device Manufacturer: | Dade MicroScan Inc. |
|----------------------|----------------------------------------------------------------------------------|
| Contact name: | Cynthia Van Duker, Regulatory Affairs Manager |
| Fax: | 916-374-3144 |
| Date prepared: | April 10, 2002 |
| Product Name: | Microdilution Minimum Inhibitory Concentration (MIC) Panels |
| Trade Name: | MicroScan® MICroSTREP plus™ Panel |
| Intended Use: | To determine bacterial susceptibility to Cefepime |
| Indication for Use | For determining antimicrobic susceptibility with aerobic streptococci, including |
| | Streptococcus pneumoniae |
| Predicate device: | MicroScan® Streptococcus MIC Panel (K963641). |

### 510(k) Summary:

The MicroScan® MICroSTREP plus™ Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of aerobic streptococci, including Streptococcus pneumoniae. After inoculation, panels are incubated for 20 - 24 hours at 35°C +/- 1°C in a non-CO2 incubator, and read visually according to the Package Insert.

The antimicrobial susceptibility tests are miniaturizations of the broth dilution susceptibility test. Various antimicrobial agents are diluted in water, buffer or minute concentrations of broth to concentrations bridging the range of clinical interest. Panels are rehydrated with 115 ul Mueller-Hinton broth supplemented with 2-5% lysed horse blood (LHB) and buffered with 50 mM HEPES, after inoculation of the broth with a standardized suspension of the organism in saline. After incubation in a non-CO2 incubator for 20-24 hours, the minimum inhibitory concentration (MC) for the test organism is manually read by observing the lowest antimicrobial concentration showing inhibition of growth.

The proposed MicroScan®MICroSTREP plus™ Panel demonstrated substantially equivalent performance with streptococcal isolates when compared with an NCCLS frozen Reference Panel, as defined in the FDA DRAFT document "Guidance on Review Criteria for Assessment of Antimicrobial Susceptibility Devices", dated March 8, 2000.

The Premarket Notification (510[k]) presents data in support of the new MICroSTREP plus™ Panel with Cefepime.

The external evaluation was conducted with fresh and stock Efficacy isolates and stock Challenge strains. The external evaluations were designed to confirm the acceptability of the proposed MICroSTREP plus™ Panel by comparing its performance with an NCCLS frozen Reference panel. The MCroSTREP plus™ Panel demonstrated acceptable performance with an overall Essential Agreement of 96.3% for Cefepime when compared with the frozen Reference panel.

Reproducibility testing demonstrated acceptable reproducibility and precision with Cefepime.

Quality Control testing demonstrated acceptable results for Cefepime.

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#### 6 2002 JUN -

Ms. Cynthia Van Duker Regulatory Affairs Manager Dade Behring Inc. 1584 Enterprise Boulevard West Sacramento, CA 95691

k021188 Re:

Trade/Device Name: MicroScan® MICroSTREP plus™ Panels Microbial agent: Cefepime 0.15-8ug/ml Regulation Number: 21 CFR 866.1640 Regulation Name: Antimicrobial Susceptibility Test Regulatory Class: Class II Product Code: JWY Dated: April 10, 2002 Received: April 15, 2002

Dear Ms. Van Duker:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and 1 additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers International and Consumer Assistance at its toll-free number [phone] or [phone] or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Steven Butman

Steven I. Gutman, M.D., M.B.A. Director Division of Clinical Laboratory Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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### Indication for Use Statement

510(k) No.:

Device Name:

Intended Use

Indications for Use:

KO21188 (To be assigned by FDA)

# MicroScan® MICroSTREP plus™ Panel

To determine bacterial antimicrobial agent susceptibility

The MicroScan® MICroSTREP plus™ Panel is used to determine quantitative and/or qualitative antimicrobial agent susceptibility of colonies grown on solid media of aerobic streptococci, including Streptococcus pneumoniae. After inoculation, panels are incubated for 20 - 24 hours at 35°C +/- 1°C in a non-CO2 incubator, and read visually according to the Package Insert.

This particular submission is for the addition of the antimicrobial Cefepime at concentrations of 0.015 to 8 mcg/ml to the test panel

The organisms which may be used for Cefepime susceptibility testing in this panel are:

Streptococcus pneumoniae Streptococcus pyogenes (Lancefield's Group A streptococci) Streptococcus agalactiae (Lancefield's Group B streptococci) Viridans group streptococci

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Concurrence of CDRH, Office of Device Evaluation (ODE)

| | <img alt="Signature" src="signature.png"/> <div>(Division Sign-Off)</div> <div>Division of Clinical Laboratory Devices</div> |
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|--|------------------------------------------------------------------------------------------------------------------------------|

| Prescription Use | / |
|----------------------|---|
| (Per 21 CFR 801.109) | |

| 510(k) Number | K02 1188 |
|---------------|----------|
|---------------|----------|

OR

| Over-The-Counter Use | _________________ |
|----------------------|-------------------|
|----------------------|-------------------|

(Optional Format 1-2-96)