ST AIA-PACK HOMOCYSTEINE; ST AIA-PACK HOMOCYSTEINE CALIBRATOR SET; AIA-PACK HOMOCYSTEINE CONTROL SET

K121533 · Tosoh Bioscience, Inc. · LPS · Jun 15, 2012 · Clinical Chemistry

Device Facts

• Record ID: K121533
• Device Name: ST AIA-PACK HOMOCYSTEINE; ST AIA-PACK HOMOCYSTEINE CALIBRATOR SET; AIA-PACK HOMOCYSTEINE CONTROL SET
• Applicant: Tosoh Bioscience, Inc.
• Product Code: LPS · Clinical Chemistry
• Decision Date: Jun 15, 2012
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 862.1377
• Device Class: Class 2

Intended Use

ST AIA-PACK Homocysteine is designed for IN VITRO DIAGNOSTIC USE ONLY for the quantitative measurement of homocysteine in human serum, heparinized plasma or EDTA plasma using a TOSOH AIA System Analyzer. Homocysteine measurements are used in the diagnosis and treatment of hyperhomocysteinemia or homocysteinuria. ST AIA-PACK Homocysteine Calibrator Set is intended for IN VITRO DIAGNOSTIC USE ONLY for the calibration of the ST AIA-PACK Homocysteine assay using a Tosoh AIA System Analyzer. The AIA-PACK Homocysteine Control Set is intended for IN VITRO DIAGNOSTIC USE ONLY for performing quality control procedures with the ST AIA-PACK Homocysteine Assay.

Device Story

Competitive enzyme immunoassay performed on Tosoh AIA System Analyzers. Input: human serum, heparinized plasma, or EDTA plasma. Process: sample pretreatment reduces oxidized homocysteine to free form using TCEP; conversion to S-adenosyl-L-homocysteine (SAH) via SAH hydrolase and adenosine; competitive binding of SAH to immobilized SAH on magnetic beads against enzyme-labeled anti-SAH monoclonal antibody; wash step; incubation with fluorogenic substrate (4MUP). Output: fluorescence rate inversely proportional to homocysteine concentration. Used in clinical laboratories by trained personnel. Results assist clinicians in diagnosing/treating hyperhomocysteinemia or homocysteinuria.

Clinical Evidence

Bench testing only. Performance validated per CLSI guidelines (EP5-A2, EP6-A2, EP17-A, EP9-A2). Precision: CVs 3.1-5.0%. Linearity: 0.5-50.0 µmol/L. Limit of detection: 0.334 µmol/L. Method comparison (n=138) vs. alternate method showed R=0.984, slope 1.079. Matrix comparison (n=98) between EDTA plasma, heparinized plasma, and serum showed high correlation (R=0.991). No clinical studies performed.

Technological Characteristics

Competitive enzyme immunoassay. Materials: magnetic beads, anti-SAH mouse monoclonal antibody, 4MUP fluorogenic substrate. Energy source: Tosoh AIA System Analyzer (automated). Connectivity: standalone analyzer. Software: automated calculation of concentrations via standard curve. Sterilization: not specified.

Indications for Use

Indicated for quantitative measurement of homocysteine in human serum, heparinized plasma, or EDTA plasma to assist in the diagnosis and treatment of hyperhomocysteinemia or homocysteinuria. No specific age or gender restrictions provided.

Regulatory Classification

Identification

A urinary homocystine (nonquantitative) test system is a device intended to identify homocystine (an analogue of the amino acid cystine) in urine. The identification of urinary homocystine is used in the diagnosis and treatment of homocystinuria (homosystine in urine), a heritable metabolic disorder which may cause mental retardation.

Submission Summary (Full Text)

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K121533

#### 510(k) Summary

JUN 1 5 2012

## ST AIA-PACK HOMOCYSTEINE

- 1. Date:
#### 2. Submitter:

- 3. Contact Person:
4. Device Name:

Device Name: Classification

Device Name: Classification

5. Predicate Device:

May 17, 2012 Tosoh Bioscience, Inc 3600 Gantz Road Grove City, OH 43123

Judith K. Ogden Director, Compliance and Market Development 6000 Shoreline Ct., Ste. 101 South San Francisco, CA 94080 Phone: [phone] Fax: [phone] Email: [e-mail]

ST AIA-PACK Homocysteine Classification: Class II LPS Clinical Chemistry 21 CFR 862.1377

ST AIA-PACK Homocysteine Calibrator Set Class II JIT Clinical Chemistry 21 CFR 862.1150

AIA-PACK Homocysteine Control Set Class I, Reserved JX Clinical Chemistry 21 CFR 862.1660

k 003597 Siemens IMMULITE 2000 Homocysteine Immunoassay

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#### 6. Intended Use

#### Reagents:

ST AIA-PACK Homocysteine is designed for IN VITRO DIAGNOSTIC USE ONLY for the quantitative measurement of homocysteine in human serum, heparinized plasma or EDTA plasma using a TOSOH AIA System Analyzer. Homocysteine measurements are used in the diagnosis and treatment of hyperhomocysteinemia or homocysteinuria.

#### Calibrators:

ST AIA-PACK Homocysteine Calibrator Set is intended for IN VITRO DIAGNOSTIC USE ONLY for the calibration of the ST AIA-PACK Homocysteine assay using a Tosoh AIA System Analyzer.

Controls:

The AIA-PACK Homocysteine Control Set is intended for IN VITRO DIAGNOSTIC USE ONLY for performing quality control procedures with the ST AIA-PACK Homocysteine Assay.

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#### 7. Device Description

The ST AIA-PACK Homocysteine is a competitive enzyme immunoassay which, after sample pretreatment, is performed entirely in the ST AIA-PACK Homocysteine test cups.

Oxidized homocysteine is reduced by tris (2-carboxyethyl) phosphine (TCEP) to the free form and converted to S-adenosyl-L-homocysteine (SAH) by the SAH hydrolase and excess adenosine prior to the immunoassay. SAH present in the pretreated sample competes with immobilized SAH on magnetic beads for binding sites of the enzyme-labeled anti-SAH mouse monoclonal antibody. The magnetic beads are washed to remove unbound anti-SAH mouse monoclonal antibody and are then incubated with a fluorogenic substrate, 4-methylumbelliferyl phosphate (4MUP). The rate of fluorescence produced by the enzyme reaction indicates the amount of enzyme-labeled anti-SAH mouse monoclonal antibody. The amount of antibody that binds to the beads is inversely proportional to the homocysteine concentration in the test sample. A standard curve is constructed, and unknown sample concentrations are calculated using this curve.

#### 8. Substantial Equivalence Information

- 1. Predicate Device Name:
IMMULITE 2000 Homocysteine

- 2. k003597
- 3. Comparison with predicate

#### Similarities

| Parameter | ST AIA-PACK<br>Homocysteine | IMMULITE 2000<br>Homocysteine |
|---------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended use | ST AIA-PACK Homocysteine is<br>designed for IN VITRO<br>DIAGNOSTIC USE ONLY for the<br>quantitative measurement of<br>homocysteine in human EDTA<br>plasma, heparinized plasma or<br>serum on TOSOH AIA System<br>Analyzers. | For in vitro diagnostic use with<br>the IMMULITE 2000 Analyzer —<br>for the quantitative determination<br>of L-homocysteine in human<br>plasma or serum. This device<br>can assist in the diagnosis and<br>treatment of patients suspected<br>of having hyperhomocysteinemia<br>or homocystinuria |
| Specimen type | EDTA plasma, heparinized<br>plasma or serum | EDTA plasma, heparinized<br>plasma or serum |
| Assay range | 0.50 to 50.0 µmol/L | 0.5 to 50 µmol/L |
| Sensitivity | 0.50 µmol/L | 0.50 µmol/L |

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#### Differences

| Parameter | ST AIA-PACK<br>Homocysteine | IMMULITE 2000<br>Homocysteine |
|-----------------------|----------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------|
| Interference | Hb, Biliirubin, Lipemia, Protein,<br>Ascorbic Acid, Trisodium Citrate,<br>EDTA, Heparinized Sodium, RH<br>factor tested with no interference | Bilirubin, Hb and Lipemia tested<br>with no interference |
| Reference Range | 6.6 - 17.8 µmol/L | 5 - 12 µmol/L |
| Assay Technology | Immunofluorescence | Chemiluminescent |
| Limit of detection | 0.334 µmol/L | 0.5 µmol/L |
| Incubation Time | 10 minute cycle | 60 Minute Cycle |
| Calibration | Calibrators at 0,2,4,8,15 and 55<br>µmol/L | Calibration Adjusters range of 2<br>to 50 µmol/L |
| Calibration Frequency | 90 Days | 28 Days |

### 9. Standard/Guidance Document Reference

- User Evaluation of Precision Performance of Clinical Chemistry Devices: Approved . Guideline (CLSI EP5-A2)
- . Evaluation of the Linearity of Quantitative Measurement Procedures: a Statistical Approach: Approved Guideline (CLSI EP6-A2)
- . How to Define and Determine Reference Intervals in the Clinical Laboratory: Approved Guideline (C28-A2)
- . Protocols for Determination of Limits of Detection and Limits of Quantitation; Approved Guideline (CLSI EP17-A).
- Method Comparison and Bias Estimation Using Patient Samples; Approved Guideline-. Second Edition (CLSI EP9-A2)
- Estimation of Total Analytical Error for Clinical Laboratory Methods (CLSI EP21-A) .

### 10. Test Principle

The ST AIA-PACK Homocysteine is a competitive enzyme immunoassay which, after sample pretreatment, is performed entirely in the ST AIA-PACK Homocysteine test cups.

Oxidized homocysteine is reduced by tris (2-carboxyethyl) phosphine (TCEP) to the free form and converted to S-adenosyl-L-homocysteine (SAH) by the SAH hydrolase and excess adenosine prior to the immunoassay. SAH present in the pretreated sample competes with immobilized SAH on magnetic beads for binding sites of the enzyme-labeled anti-SAH mouse monoclonal antibody. The magnetic beads are washed to remove unbound anti-SAH mouse monoclonal antibody and are then incubated with a fluorogenic substrate, 4-methylumbelliferyl phosphate (4MUP). The rate of fluorescence produced by the enzyme reaction indicates the amount of enzyme-labeled anti-SAH mouse monoclonal antibody. The amount of antibody that binds to the beads is inversely proportional to the homocysteine concentration in the test sample. A standard curve is constructed, and unknown sample concentrations are calculated using this curve.

WARNING: Specimens from patients who are on drug therapy involving S-adenosyl-methionine may show falsely elevated levels of homocysteine. Specimens from patients taking methotrexate, carbamazepine, phenytoin, nitrous oxide or 6-azauridine triacetate may have elevated levels of homocysteine due to their effect on the metabolic pathway.

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#### 11. Performance Characteristics

### 1. Analytical Performance:

#### a. Precision/Reproducibility

### The precision for ST AIA-PACK Homocysteine was determined based on guidance from CLSI Protocol EP5-A2.

Within run precision was determined using nine pooled samples (3 each of EDTA plasma, heparinized plasma and serum) in a total of 20 runs. Within each run, one set of duplicates per sample was assayed. The mean of each duplicate was used to obtain the pooled standard deviation (SD), which was then used to calculate the coefficient of variation (CV).

| | | Standard | Coefficient |
|----------------|----------|-----------|--------------|
| | Mean | Deviation | of Variation |
| Sample | (μmol/L) | (μmol/L) | (%) |
| EDTA Plasma A3 | 7.4 | 0.2 | 3.3 |
| EDTA Plasma B3 | 17.4 | 0.7 | 3.9 |
| EDTA Plasma C3 | 44.0 | 1.4 | 3.1 |
| HEP Plasma A3 | 7.0 | 0.2 | 3.2 |
| HEP Plasma B3 | 14.4 | 0.5 | 3.4 |
| HEP Plasma C3 | 32.2 | 1.1 | 3.5 |
| Serum A3 | 5.6 | 0.2 | 4.3 |
| Serum B3 | 14.3 | 0.5 | 3.6 |
| Serum C3 | 40.9 | 1.3 | 3.2 |

Intra-assay (within run) Precision

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| | Mean | Standard<br>Deviation | Coefficient<br>of Variation |
|----------------|--------------|-----------------------|-----------------------------|
| Sample | ( $μmol/L$ ) | ( $μmol/L$ ) | (%) |
| EDTA Plasma A3 | 7.4 | 0.3 | 4.1 |
| EDTA Plasma B3 | 17.4 | 0.8 | 4.5 |
| EDTA Plasma C3 | 44.0 | 1.6 | 3.6 |
| HEP Plasma A3 | 7.0 | 0.3 | 4.4 |
| HEP Plasma B3 | 14.4 | 0.6 | 4.0 |
| HEP Plasma C3 | 32.2 | 1.6 | 4.9 |
| Serum A3 | 5.6 | 0.3 | 5.0 |
| Serum B3 | 14.3 | 0.7 | 4.7 |
| Serum C3 | 40.9 | 1.8 | 4.4 |

The total precision was determined by the duplicate assay of nine pooled samples (3 each of EDTA plasma, heparinized plasma and serum) in 20 separate runs. The means of each run were used to calculate the pooled standard deviation (SD) and coefficient of variation (CV).

#### Linearity/assay reportable range b.

The linearity for the ST AIA-PACK Homocysteine was determined, based on guidance from CLSI Protocol EP6-A. The linearity was measured on the AIA-2000 instrument and has been demonstrated to be linear from 0.5 to 50.0 µmol/L.

- Traceability, C.
The ST AIA-PACK Homocysteine Calibrator Set contains assigned concentrations of Sadenosyl -L-homocysteine. The assigned value is determined on a lot-by-lot basis and is designed to provide an assay calibration range of 0.5 to 50.0 µmol/L of homocysteine. The calibrators in this set are referred to NIST (National Institute of Standards & Technology) Standard Reference Material 1955.

The Tosoh AIA-PACK Control Set contains two controls of buffered bovine serum albumin with each control containing approximately 12 umol/L and 25 umol/L of homocysteine with sodium azide as a preservative.

- ದ. Stability
The shelf life of the ST AIA-PACK Homocysteine test cups. ST AIA-PACK Homocysteine Calibrator Set, ST AIA-PACK Homocysteine Sample Diluting Solution, ST AIA-PACK Homocysteine Pretreatment Set and the AIA PACK Homocysteine Control Set is 12 months from the date of manufacture when stored at 2-8° C.

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The in-use stability of the ST AIA-PACK Homocysteine test cups, is 40 hours at a room temperature of 18-25°C. When stored at 2-8°C, the test cups can be used for up to 30 days.

The in-use stability of the ST AIA-PACK Homocysteine Calibrator Set is 1 day when stored at 2 - 8° C.

The in-use stability of the ST AIA-PACK Homocysteine Sample Diluting Solution is 9 days provided: 1) it is used for automatic dilutions, 2) it is at 18-25° C for only 8 hours per day, and 3) the vials are closed and kept refrigerated immediately after use. In-use stability is 90 days provided: 1) it is used for manual dilutions ONLY, and 2) the vials are closed and refrigerated immediately after use.

The in-use stability of the ST AIA-PACK Homocysteine Pretreatment Reagent is stable at 18-25° C for 20 hours. The in-use stability is stable at 2-8° C for 1 day provided: 1) it is used for manual pretreatment ONLY, and 2) the bottles are closed and refrigerated immediately after use.

The in-use stability of the AIA-PACK Homocysteine CONTROL is 14 days at 2-8° C. If stored at 18-25 degree C the in-use stability is 1 day.

#### e. Detection limit:

Limit of detection: The limit of detection of the ST AIA-PACK Homocysteine was determined based on CLSI guideline EP17-A. A blank sample was measured in 60 replicates. Six low level samples were measured in 10 replicates each. As a result, the limit of detection was estimated to be 0.334 umol/L.

The reportable range for the assay is 0.5 to 50.0 umol/L.

f. Interference/Analytical specificity:

#### Interference

Interference is defined, for the purposes of this study, with recovery outside of 100 +/-10% of the known concentration of the specimen after the following substances are added to human specimens. Three studies were conducted using EDTA plasma, heparinized plasma and serum

- Hemoglobin (up to 1445 mg/dL),
- . free bilirubin (up to 18 mg/dL) and conjugated bilirubin (up to 18 mg/dL) do not interfere with the assay.
- Lipemia, as indicated by triglyceride concentration (up to 1667 mg/dL), does not interfere with the assay.

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- . Added protein (up to 50 mg/ml), as indicated by human g-globulin concentrations, for a total protein concentration of approximately 120 mg/ml, does not interfere with the assay.
- . Ascorbic acid (up to 20 mg/dL) does not interfere with the assay
- EDTA-2K (up to 5.0 mg/mL) does not interfere with the assay. 트
- Heparin (up to 100 U/mL) does not interfere with the assay.

### Specificity

The following substances were tested for cross-reactivity. The cross-reactivity (%) is the percent of the compound which will be identified as Homocysteine. If these compounds are present in the specimen at the same concentration as Homocysteine, the final result will be increased by these percentages.

| Compound | Concentration<br>(µmol/L) | Cross-reactivity (%) |
|--------------------------------|---------------------------|----------------------|
| Adenosine | 5.10 | 0.045 |
| S-Adenosyl-L-<br>methionine | 4.74 | 1.26 |
| L-Cystathionine | 0.486 | 0.159 |
| L-Cysteine | 103 | 0.003 |
| L-Glutathione | 99.6 | 0.005 |
| L-Methionine | 0.399 | 0.059 |
| DL-Homocysteine<br>thiolactone | 0.257 | 6.99 |

- Assay cut off g. Not applicable
#### 2. Comparison Studies:

- Method comparison a.
The methods comparison study was developed with the reference to the CLSI protocol entitled: Method Comparison and Bias Estimation Using Patient Samples; Approved Guideline (EP9-A2).

A total of 138 unaltered EDTA plasma specimens were assayed in singleton utilizing the ST AIA-PACK Homocysteine assay on the AIA-2000 analyzer and the alternate method. The regression analysis for the correlation between the alternate method (x) and the ST AIA-PACK Homocysteine is as follows:

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| | Deming | Regular |
|--------------------------|--------------------|---------|
| Slope: | 1.079 | 1.061 |
| Intercept: | 0.193 | 0.499 |
| Standard Error Estimate: | 2.268 | 2.257 |
| Corr Coef( R): | 0.984 | |
| Points (Plotted/Total): | 138/138 | |
| Result Ranges: | 2.8 to 48.3 µmol/L | |

b. Matrix comparison

> The correlation between EDTA plasma (x) and heparinized plasma (y) on the ST AlA-PACK Homocysteine was carried out using 98 unaltered specimens.

| | | Deming | | Regular |
|-----------------------------|--------|-------------------|---------|--------------------|
| Slope: | 1.007 | (0.979 to 1.035) | 0.998 | (0.970 to 1.025) |
| Intercept: | -0.235 | (-0.591 to 0.121) | -0.124 | (-0.480 to 0.231) |
| Standard Error<br>Estimate: | 0.682 | | 0.680 | |
| Corr Coef(R): | 0.991 | | | |
| Result Ranges | EDTA | 6.25-38.3 μmol/L | Heparin | 6.15 - 37.5 μmol/L |

The correlation between EDTA plasma (x) and serum (y) on the ST AIA-PACK Homocysteine was carried out using 98 unaltered specimens.

| | Deming | | Regular |
|-----------------------------|--------------------------|--|----------------------------|
| Slope: | 1.007 (0.979 to 1.035) | | 0.998 (0.970 to 1.025) |
| Intercept: | -0.235 (-0.591 to 0.121) | | -0.124 (-0.480 to 0.231) |
| Standard Error<br>Estimate: | 0.682 | | 0.680 |
| Corr Coef(R): | 0.991 | | |
| Result Ranges | EDTA 6.25-38.3 µmol/L | | Heparin 6.15 - 37.5 µmol/L |

నే. Clinical Studies:

Not applicable .

4. Clinical cut-off: Not applicable

- 5. Expected values/Reference range: The interval given here was determined in unaltered EDTA plasma samples from 130 apparently healthy individuals.
A reference range study was conducted based on guidance from Clinical and Laboratory Standards Institute (CLSI) Protocol C28-A2.

Number of Samples (n) 130 6.6 - 17.8 umol/L Reference Interval

The central 95% of the reference range was used to determine the reference interval.

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## DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/9/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States. The seal features a stylized eagle with its wings spread, facing to the right. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle. The seal is black and white.

#### Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Silver Spring, MD 20993

Tosoh Bioscience, Inc c/o Judith K. Ogden 6000 Shoreline Court Suite 101 South San Francisco, CA 94080

JUN 1 5 2012

Re: k121533

Trade Name: ST AIA-PACK Homocysteine,

ST AIA-PACK Homocysteine Calibrator Set

AIA-PACK Homocysteine Control Set

Regulation Number: 21 CFR §862.1377 Regulation Name: Urinary homocysteine (non-quantitative) test system Regulatory Class: Class II Product Codes: LPS, JIT, JJX Dated: May 22, 2012 Received: May 25, 2012

Dear Ms. Ogden:

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 Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. 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 Parts 801 and 809); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

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Page 2

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please 11 you deally office of In Vitro Diagnostic Device Evaluation and Safety at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 prease note the roganized on regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at (301) 01160 of Dar remestions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/Medical

Devices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance...

You may obtain other general information on your responsibilities under the Act from the Tou may of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm

Sincerely yours.

signature

Countney H. Lias, Ph.D. Director Division of Chemistry and Toxicology Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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# Indications for Use Form

### 510(k) Number (if known): k121533

Device Name: ST AIA-PACK Homocysteine; ST AIA-PACK Homocysteine Calibrator Set; AIA-PACK Homocysteine Control Set

Indications for Use:

Reagents:

ST AIA-PACK Homocysteine is designed for IN VITRO DIAGNOSTIC USE ONLY for the quantitative measurement of homocysteine in human serum, heparinized plasma or EDTA plasma using a Tosoh AlA System Analyzer. Homocysteine measurements are used in the diagnosis and treatment of hyperhomocysteinemia or homocysteinuria. Calibrators:

ST AIA-PACK Homocysteine Calibrator Set is intended for IN VITRO DIAGNOSTIC USE ONLY for the callbration of the ST AIA PACK Homocysteine assay using a Tosoh AIA System Analyzer.

Controls:

The AIA-PACK Homocysteine Control Set is intended for IN VITRO DIAGNOSTIC USE ONLY for performing quality control procedures with the ST AIA-PACK Homocysteine Assay.

Over-The-Counter Use Prescription Use AND/OR (Part 21 CFR 801 Subpart D (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Buttle Chube

Division Sian-Off Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) k 1 2 1 5 3 3

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