MARDX LYME DISEASE (IGG) MARBLOT STRIP TEST SYSTEM

K950829 · Mardx Diagnostics, Inc. · LSR · Jun 5, 1996 · Microbiology

Device Facts

• Record ID: K950829
• Device Name: MARDX LYME DISEASE (IGG) MARBLOT STRIP TEST SYSTEM
• Applicant: Mardx Diagnostics, Inc.
• Product Code: LSR · Microbiology
• Decision Date: Jun 5, 1996
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 866.3830
• Device Class: Class 2

Intended Use

MarDx Lyme Disease (IgG) Marblot Strip Test System is a Western blot assay for the qualitative detection of human IgG antibody to B. burgdorferi. The MarDx Lyme Disease (IgG) Marblot Strip Test System is intended for use in testing human serum samples which have been found positive or equivocal using an EIA or IFA test procedure.

Device Story

Western blot assay for detection of human IgG antibodies to Borrelia burgdorferi; utilizes solid-phase enzyme immunoassay principle. Input: human serum samples (previously screened positive/equivocal by EIA/IFA). Process: patient antibodies bind to specific Borrelia antigens on test strips; enzyme-labeled conjugate added; chromogenic substrate produces visible colored bands at reaction sites. Output: visual interpretation of band patterns indicating antibody specificity. Used in clinical laboratories by trained personnel. Results assist clinicians in confirming Lyme disease diagnosis following initial screening. Benefit: provides discrimination of individual antibody specificities compared to standard EIA.

Clinical Evidence

Clinical study evaluated 1,268 serum samples comparing MarDx Lyme Disease (IgG) Marblot Strip Test System against reference Western blot and EIA methodologies. Results demonstrated high sensitivity and specificity, performing at least as well as reference procedures.

Technological Characteristics

Western blot assay; enzyme-linked immunosorbent assay (ELISA) principle; chromogenic substrate detection; stable, long-term readable test strips.

Indications for Use

Indicated for qualitative detection of human IgG antibodies to Borrelia burgdorferi in human serum samples previously testing positive or equivocal by EIA or IFA.

Regulatory Classification

Identification

Treponema pallidum treponemal test reagents are devices that consist of the antigens, antisera and all control reagents (standardized reagents with which test results are compared) which are derived from treponemal sources and that are used in the fluorescent treponemal antibody absorption test (FTA-ABS), the Treponema pallidum immobilization test (T.P.I.), and other treponemal tests used to identify antibodies to Treponema pallidum directly from infecting treponemal organisms in serum. The identification aids in the diagnosis of syphilis caused by bacteria belonging to the genus Treponema and provides epidemiological information on syphilis.

Reference Devices

• MarDx Lyme Disease IgG EIA Test System (K894224)
• Lyme Western blot procedure (Dressler et al, 1993)
• Academic Reference Centers (ARCS) panel (CDC)

Submission Summary (Full Text)

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MARDX Diagnostics, Inc.,

K950829

5919 Farnsworth Ct, Carlsbad, CA 92008 • 800-331-2291 • CA: 619-929-0500 • FAX: [phone]

JUN - 5 1996

# Attachment A - 510K Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and proposed 21 CFR Part 807.92.

## Identification of reference device:

I. MarDx Lyme Disease IgG EIA Test System (K894224).
II. The Lyme Western blot procedure developed and utilized by Dr. Allen Steere, MD, Tufts Medical Center, Boston, MA (Dressler et al, Journal of Infectious Diseases, 1993; 167:392-400)¹.
III. The physicians diagnosis of the Academic Reference Centers (ARCS) panel maintained by the CDC, Fort Collins, CO.

## Description of the new device:

The MarDx Lyme Disease (IgG) Marblot Strip Test System is a Western blot device for the detection of human IgG antibodies directed to the organism *Borrelia burgdorferi*. The device is similar in function to other solid phase enzyme immunoassays (EIA), but differs in its ability to discriminate the individual antibody specificities directed against the organism.

## Statement of the intended use:

MarDx Lyme Disease (IgG) Marblot Strip Test System is a Western blot assay for the qualitative detection of human IgG antibody to *B. burgdorferi*. The MarDx Lyme Disease (IgG) Marblot Strip Test System is intended for use in testing human serum samples which have been found positive or equivocal using an EIA or IFA test procedure.

## Comparison / Technology characteristics of the device:

The Western blot is very similar to the EIA in that both are enzyme immunoassays. In both assays the enzyme labeled bound patient antibodies are detected with a chromogenic substrate that is converted to a visible colored product at the reaction site. The final end product of the Western blot and the EIA do differ somewhat. The EIA end product is not stable over time and must be read by spectrophotometric methods within a few minutes. In contrast Western blot strips are stable for many years and may be read at any time. This difference does not effect the safety or effectiveness of the device.

## Description and conclusions of the clinical studies:

Twelve hundred and sixty eight sera were tested by reference Western blot and EIA methodologies to determine the agreement, sensitivity, specificity of the MarDx Lyme Disease (IgG) Marblot Strip Test System. The data indicates that the MarDx Marblot Lyme IgG Test has a high sensitivity and specificity relative to the Steere Western blot and the MarDx Lyme Disease IgG EIA Test System reference procedure. thus is performs at least as well as the predicate devices.

Sincerely,

Arthur Markovits, M.S.P.H.
President
MarDx Diagnostics, Inc.


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