BIOFIRE FILMARRAY Tropical Fever Panel
Device Facts
| Record ID | K243463 |
|---|---|
| Device Name | BIOFIRE FILMARRAY Tropical Fever Panel |
| Applicant | Biofire Diagnostics, LLC (Biomerieux) |
| Product Code | QMV · Microbiology |
| Decision Date | Dec 5, 2024 |
| Decision | SESE |
| Submission Type | Special |
| Regulation | 21 CFR 866.3966 |
| Device Class | Class 2 |
Intended Use
The BIOFIRE® FILMARRAY® Tropical Fever (TF) Panel is an automated, qualitative, multiplexed polymerase chain reaction (PCR) test intended for use with BIOFIRE® FILMARRAY® 2.0 and BIOFIRE® FILMARRAY® TORCH Systems. The BIOFIRE FILMARRAY TF Panel detects and identifies selected bacterial, viral, and parasitic nucleic acids directly from EDTA whole blood collected from individuals with signs and/or symptoms of acute febrile illness or recent acute febrile illness and known or suspected exposure to the following target pathogens: chikungunya virus, dengue virus (serotypes 1, 2, 3 and 4), Leptospira spp., and Plasmodium species differentiation of Plasmodium falciparum and Plasmodium vivax/ovale). Evaluation for more common causes of acute febrile illness (e.g., infections of the upper and lower respiratory tract or gastroenteritis, as well as non-infectious causes) should be considered prior to evaluation with this panel. Results are meant to be used in conjunction with other clinical, epidemiologic, and laboratory data, in accordance with the guidelines provided by the relevant public health authorities. The BIOFIRE FILMARRAY TF Panel is not intended to be used as the sole basis for diagnosis, treatment, or other management decisions. Positive results do not rule out co-infection with other organisms not included on the BIOFIRE FILMARRAY TF Panel, nor do negative results rule out infection. Negative results from the BIOFIRE FILMARRAY TF Panel may require additional testing if clinically indicated. Not all pathogens that cause acute febrile illness are detected by this test, and negative results do not rule out the presence of other infections. In the United States, patient travel history, exposure risk, and consultation of the CDC Yellow Book should be considered prior to use of the BIOFIRE FILMARRAY TF Panel as some pathogens are more common in certain geographical locations.
Device Story
The BIOFIRE FILMARRAY Tropical Fever (TF) Panel is a modified version of the previously cleared BioFire Global Fever Panel. The modification involves rebranding the device name and minor software and labeling updates. The device is a diagnostic tool used to detect and identify microbial agents causing acute febrile illness. It operates via the same fundamental scientific technology as the predicate device. The modification process included a design control activities summary, risk analysis, and verification/validation activities to ensure the device remains substantially equivalent to the original cleared version.
Clinical Evidence
No new clinical data provided; substantial equivalence established via design control activities, risk analysis, and verification/validation of modifications to the previously cleared device.
Technological Characteristics
The device utilizes the same fundamental scientific technology as the predicate BioFire Global Fever Panel. Modifications are limited to software and labeling for rebranding purposes. No changes to physical characteristics or sensing principles reported.
Indications for Use
Indicated for individuals with signs/symptoms of acute febrile illness or recent acute febrile illness and known/suspected exposure to chikungunya virus, dengue virus (serotypes 1-4), Leptospira spp., and Plasmodium spp. (P. falciparum and P. vivax/ovale).
Regulatory Classification
Identification
A device to detect and identify selected microbial agents that cause acute febrile illness is identified as an in vitro device intended for the detection and identification of microbial agents in human clinical specimens from patients with signs and symptoms of acute febrile illness who are at risk for exposure or who may have been exposed to these agents. It is intended to aid in the diagnosis of acute febrile illness in conjunction with other clinical, epidemiologic, and laboratory data, including patient travel, pathogen endemicity, or other risk factors.
Special Controls
*Classification.* Class II (special controls). The special controls for this device are:(1) Any sample collection device used must be FDA-cleared, -approved, or -classified as 510(k) exempt (standalone or as part of a test system) for the collection of specimen types claimed by this device; alternatively, the sample collection device must be cleared in a premarket submission as a part of this device. (2) The labeling required under § 809.10(b) of this chapter must include: (i) An intended use that includes a detailed description of targets the device detects and measures, the results provided to the user, the clinical indications appropriate for test use, and the specific population(s) for which the device is intended. (ii) Limiting statements indicating: (A) Not all pathogens that cause febrile illness are detected by this test and negative results do not rule out the presence of other infections; (B) Evaluation of more common causes of acute febrile illness should be considered prior to evaluation with this test; (C) Test results are to be interpreted in conjunction with other clinical, epidemiologic, and laboratory data available to the clinician; and (D) When using this test, consider patient travel history and exposure risk, as some pathogens are more common in certain geographical locations. (iii) A detailed device description, including reagents, instruments, ancillary materials, all control elements, and a detailed explanation of the methodology, including all pre-analytical methods for processing of specimens. (iv) Detailed discussion of the performance characteristics of the device for all claimed specimen types as shown by the analytical and clinical studies required under paragraphs (b)(3)(ii) and (iii) of this section, except specimen stability performance characteristics. (v) A statement that nationally notifiable results are to be reported to public health authorities in accordance with local, state, and federal law. (3) Design verification and validation must include: (i) A detailed device description ( *e.g.,* all device parts, control elements incorporated into the test procedure, reagents required but not provided, the principle of device operation and test methodology), and the computational path from collected raw data to reported result (*e.g.,* how collected raw signals are converted into a reported result).(ii) Detailed documentation of analytical studies, including those demonstrating Limit of Detection (LoD), inclusivity, cross-reactivity, microbial interference, interfering substances, competitive inhibition, carryover/cross contamination, specimen stability, within lab precision, and reproducibility, as appropriate. (iii) Detailed documentation and performance results from a clinical study that includes prospective (sequentially collected) samples for each claimed specimen type and, when determined to be appropriate by FDA, additional characterized clinical samples. The study must be performed on a study population consistent with the intended use population and compare the device performance to results obtained from FDA-accepted comparator methods. Documentation from the clinical studies must include the clinical study protocol (including a predefined statistical analysis plan), study report, testing results, and results of all statistical analyses. (iv) A detailed description of the impact of any software, including software applications and hardware-based devices that incorporate software, on the device's functions.
Predicate Devices
- BioFire Global Fever Panel (K243463)
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