SIMPLEXA INFLUENZA A H1N1 (2009) MODEL MOL2500

K100148 · Focus Diagnostics, Inc. · OQW · May 24, 2010 · Microbiology

Device Facts

Record IDK100148
Device NameSIMPLEXA INFLUENZA A H1N1 (2009) MODEL MOL2500
ApplicantFocus Diagnostics, Inc.
Product CodeOQW · Microbiology
Decision DateMay 24, 2010
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 866.3332
Device ClassClass 2

Intended Use

The Focus Diagnostics Simplexa™ Influenza A H1N1 (2009) assay is intended for use on the 3M Integrated Cycler as part of the Microfluidic Molecular System for the in vitro qualitative detection and differentiation of influenza A and 2009 H1N1 influenza viral RNA in nasopharyngeal swabs (NS), and nasopharyngeal aspirates (NPA) from human patients with signs and symptoms of respiratory in conjunction with clinical and epidemiological risk factors. Neqative results do not preclude influenza virus infection and should not be used as the sole basis for treatment or other patient management decisions. Performance characteristics for influenza A were established during the 2009-2010 influenza season when 2009 H1N1 influenza was the predominant influenza A virus in circulation. When other Influenza A viruses are emerging, performance characteristics may vary. If infection with a novel Influenza A virus is suspected based on current clinical and epidemiological screening criteria recommended by public health authorities, specimens should be collected with appropriate infection control precautions for novel virulent Influenza viruses and sent to state or local health department for testing. Viral culture should not be attempted in these cases unless a BSL 3+ facility is available to receive and culture specimens.

Device Story

Simplexa™ Influenza A H1N1 (2009) is a nucleic acid amplification test; uses real-time RT-PCR to detect influenza A and 2009 H1N1 viral RNA. Input: nasopharyngeal swabs, nasal swabs, or nasopharyngeal aspirates. Process: RNA extraction followed by real-time PCR amplification on 3M Integrated Cycler; uses bi-functional fluorescent probe-primers; fluorescent signal generated upon probe binding to target RNA. Output: qualitative detection/differentiation of influenza A and 2009 H1N1. Used in clinical laboratories; operated by trained personnel. Results interpreted by healthcare providers to aid in diagnosis of respiratory infection; negative results do not rule out infection; results used alongside clinical/epidemiological data. Benefits: rapid identification of 2009 H1N1 influenza virus.

Clinical Evidence

Clinical performance evaluated using 299 prospective nasal/nasopharyngeal swabs and 112 nasopharyngeal aspirates, plus 214 retrospective swabs and 2 washes. Compared against a composite reference method (Luminex xTAG RVP, CDC validated PCR, and sequencing). For prospective swabs, H1N1 positive agreement was 100% (95% CI: 96.3-100%) and negative agreement 95.5% (95% CI: 91.4-97.7%). For prospective aspirates, H1N1 positive agreement was 100% (95% CI: 86.2-100%) and negative agreement 92.5% (95% CI: 84.6-96.5%). Influenza A performance also showed high agreement across specimen types.

Technological Characteristics

Nucleic acid amplification test using real-time RT-PCR. Employs bi-functional fluorescent probe-primers for target detection. Targets: matrix gene (Influenza A) and hemagglutinin gene (2009 H1N1). System includes 3M Integrated Cycler, disk media for sample processing, and Integrated Cycler Studio Software. Connectivity: external computer control. Extraction methods: Roche MagNA Pure LC or QIAGEN QIAamp Viral RNA Mini Kit.

Indications for Use

Indicated for qualitative detection and differentiation of influenza A and 2009 H1N1 viral RNA in nasopharyngeal swabs, nasal swabs, and nasopharyngeal aspirates from symptomatic patients. Prescription use only.

Regulatory Classification

Identification

Reagents for detection of specific novel influenza A viruses are devices that are intended for use in a nucleic acid amplification test to directly detect specific virus RNA in human respiratory specimens or viral cultures. Detection of specific virus RNA aids in the diagnosis of influenza caused by specific novel influenza A viruses in patients with clinical risk of infection with these viruses, and also aids in the presumptive laboratory identification of specific novel influenza A viruses to provide epidemiological information on influenza. These reagents include primers, probes, and specific influenza A virus controls.

Special Controls

The device is classified as Class II under regulation 21 CFR 866.3332 with special controls. The special control guidance document "Reagents for Detection of Specific Novel Influenza A viruses" will be available shortly.

*Classification.* Class II (special controls). The special controls are:(1) FDA's guidance document entitled “Class II Special Controls Guidance Document: Reagents for Detection of Specific Novel Influenza A Viruses.” See § 866.1(e) for information on obtaining this document. (2) The distribution of these devices is limited to laboratories with experienced personnel who have training in standardized molecular testing procedures and expertise in viral diagnosis, and appropriate biosafety equipment and containment.

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ Image /page/0/Picture/0 description: The image shows the logo for Focus Diagnostics. The logo consists of the word "FOCUS" in large, bold, sans-serif font, with the word "Diagnostics" in a smaller font size underneath. A curved, black shape is positioned to the left of the word "FOCUS", adding a visual element to the logo. 510(k) Summary of Safety and Effectiveness Simplexa™ Influenza A H1N1 (2009) Catalog No. MOL2500 Prepared Date: May 18, 2010 Page 1 of 9 | Applicant | Focus Diagnostics, Inc.<br>11331 Valley View Street<br>Cypress, California 90630<br>USA | | |--------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------| | Establishment Registration No. | 2023365 | | | Contact Person | Tara Viviani<br>tel 714.822.2115<br>fax 714.822.3898<br>tviviani@focusdx.com | MAY 24 2010 | | Summary Date | May 18, 2010 | | | Proprietary Name | Simplexa™ Influenza A H1N1 (2009) | | | Generic Name | Influenza A H1N1 2009 Real Time RT-PCR | | | Classification | Class II, Special Controls<br>Luminex Diagnostics XTAG RESPIRATORY VIRAL PANEL<br>(K091667, K081483, K063765)<br>CDC Human Influenza Virus Real-Time RT- PCR Detection and<br>Characterization Panel (K080570) | | ### Intended Use The Focus Diagnostics Simplexa™ Influenza A H1N1 (2009) assay is intended for use on the 3M Integrated Cycler as part of the Microfluidic Molecular System for the in vitro qualitative detection and differentiation of influenza A and 2009 H1N1 influenza viral RNA in nasopharyngeal swabs (NS), and nasopharyngeal aspirates (NPA) from human patients with signs and symptoms of respiratory in conjunction with clinical and epidemiological risk factors. Neqative results do not preclude influenza virus infection and should not be used as the sole basis for treatment or other patient management decisions. Performance characteristics for influenza A were established during the 2009-2010 influenza season when 2009 H1N1 influenza was the predominant influenza A virus in circulation. When other Influenza A viruses are emerging, performance characteristics may vary. If infection with a novel Influenza A virus is suspected based on current clinical and epidemiological screening criteria recommended by public health authorities, specimens should be collected with appropriate infection control precautions for novel virulent Influenza viruses and sent to state or local health department for testing. Viral culture should not be attempted in these cases unless a BSL 3+ facility is available to receive and culture specimens. ### Device Description Simplexa™ Influenza A H1N1 (2009) test kit is a nucleic acid amplification test that uses real-time reverse transcriptase polymerase chain reaction (RT-PCR) amplification to enable simultaneous and distinct detection of influenza A and 2009 H1N1 influenza in a single reaction from nasophayngeal swabs (NPS), nasal swabs (NS), and nasopharyngeal aspirates (NPA). The assay combines real-time PCR amplification with fluorescent signal detection technology. A bi-functional fluorescent probe-primer is used together with a reverse primer to amplify a specific target (for each analyte and internal control). A fluorescent signal is generated after the separation of the fluorophore from the quencher as a result of the binding of a probe element to the extended RNA fragment synthesized during amplification. The 3M Integrated Cycler is a rapid real-time Polymerase Chain Reaction thermocycler used for the identification of nucleic acid from prepared biological samples. The instrument utilizes disk media to contain and to process samples. The instrument uses real time flourometric detection to identify targets within the sample wells. The instrument is controlled by an external computer running the Integrated Cycler Studio Software. Together, the instrument, software and test kit are referred to as the "Microfluidic Molecular System." {1}------------------------------------------------ Image /page/1/Picture/0 description: The image shows the logo for Focus Diagnostics. The logo features a stylized, curved shape resembling a crescent or a checkmark above the word "FOCUS" in bold, sans-serif font. Below "FOCUS" is the word "Diagnostics" in a smaller, sans-serif font, underlined with a thin line. 510(k) Summary of Safety and Effectiveness Simplexa™ Influenza A H1N1 (2009) Catalog No. MOL2500 Prepared Date: May 18, 2010 Page 2 of 9 Predicate Device Information | Trade Name / Method | 510(k)<br>submitter | 510(k)<br>number | Decision Date | Panel | Product<br>Code(s) | |-------------------------------------------------------------------------------------------|-----------------------------------------------------|-------------------------------|----------------------------------------|----------------------|-----------------------| | XTAG Respiratory<br>Viral Panel - FluA | Luminex | K091667<br>K081483<br>K063765 | 06/25/2009<br>06/25/2008<br>11/30/2007 | Microbiology<br>(83) | OCC, OEM,<br>OEP | | CDC Human Influenza<br>Virus Real-Time RT-<br>PCR Detection and<br>Characterization Panel | Centers for<br>Disease<br>Control and<br>Prevention | K080570 | 09/30/2008 | Microbiology<br>(83) | NXD, OEP,<br>OCC, NSU | | Item<br>Name | Device | Predicate | | |-----------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | | Simplexa™ Influenza A<br>H1N1 (2009) | xTAG Respiratory Viral<br>Panel - FLUA | CDC Human Influenza<br>Virus Real-Time RT-PCR<br>Detection and<br>Characterization Panel | | Intended Use | The Focus Diagnostics<br>Simplexa™ Influenza A H1N1<br>(2009) assay is intended for<br>use on the 3M Integrated<br>Cycler as part of the<br>Microfluidic Molecular System<br>for the <i>in vitro</i> qualitative<br>detection and differentiation of<br>influenza A and 2009 H1N1<br>influenza viral RNA in<br>nasopharyngeal swabs (NPS),<br>nasal swabs (NS), and<br>nasopharyngeal aspirates<br>(NPA) from human patients<br>with signs and symptoms of<br>respiratory infection in<br>conjunction with clinical and<br>epidemiological risk factors.<br><br>Negative results do not<br>preclude influenza virus<br>infection and should not be<br>used as the sole basis for<br>treatment or other patient<br>management decisions.<br><br>Performance characteristics<br>for influenza A were<br>established during the 2009-<br>2010 influenza season when<br>2009 H1N1 influenza was the<br>predominant influenza A<br>viruses in circulation. When<br>other Influenza A viruses are<br>emerging, performance<br>characteristics may vary.<br><br>If infection with a novel<br>Influenza A virus is suspected | The xTAG® Respiratory<br>Viral Panel (RVP) is a<br>qualitative nucleic acid<br>multiplex test intended for<br>the simultaneous detection<br>and identification of<br>multiple respiratory virus<br>nucleic acids in<br>nasopharyngeal swabs<br>from individuals suspected<br>of respiratory tract<br>infections. The following<br>virus types and subtypes<br>are identified using RVP:<br>Influenza A, Influenza A<br>subtype H1, Influenza A<br>subtype H3, Influenza B,<br>Respiratory Syncytial Virus<br>subtype A, Respiratory<br>Syncytial Virus subtype B,<br>Parainfluenza 1,<br>Parainfluenza 2, and<br>Parainfluenza 3 virus,<br>Human Metapneumovirus,<br>Rhinovirus, and<br>Adenovirus. The detection<br>and identification of specific<br>viral nucleic acids from<br>individuals exhibiting signs<br>and symptoms of<br>respiratory infection aids in<br>the diagnosis of respiratory<br>viral infection if used in<br>conjunction with other | The Human Influenza Virus<br>Real-time RT-PCR<br>Detection and<br>Characterization Panel<br>(rRT-PCR Flu Panel) is<br>intended for use in Real-<br>time RT-PCR assays on an<br>ABI 7500 Fast Dx Real-<br>time PCR instrument in<br>conjunction with clinical<br>and epidemiological<br>information:<br>* for qualitative detection<br>of influenza virus type A or<br>B in symptomatic patients<br>from viral RNA in<br>nasopharyngeal and/or<br>nasal swab specimens, *<br>for determination of the<br>subtype of seasonal human<br>influenza A virus, as<br>seasonal A/HI or A/H3, if<br>present, from viral RNA in<br>nasopharyngeal and/or<br>nasal swab specimens,<br>* for presumptive<br>identification of virus in<br>patients who may be<br>infected with influenza A<br>subtype A/H5 (Asian<br>lineage) from viral RNA in<br>human respiratory<br>specimens and viral culture<br>in conjunction with clinical | | Item<br>Name | Device | Predicate | | | | Simplexa™ Influenza A<br>H1N1 (2009) | xTAG Respiratory Viral<br>Panel - FLUA | CDC Human Influenza<br>Virus Real-Time RT- PCR<br>Detection and<br>Characterization Panel | | | based on current clinical and<br>epidemiological screening<br>criteria recommended by<br>public health authorities,<br>specimens should be collected<br>with appropriate infection<br>control precautions for novel<br>virulent Influenza viruses and<br>sent to state or local health<br>department for testing. Viral<br>culture should not be<br>attempted in these cases<br>unless a BSL 3+ facility is<br>available to receive and<br>culture specimens. | clinical and laboratory<br>findings. It is recommended<br>that specimens found to be<br>negative for Influenza B,<br>Respiratory Syncytial Virus<br>subtype A and B,<br>Parainfluenza 1,<br>Parainfluenza 2,<br>Parainfluenza 3 and<br>Adenovirus, after<br>examination using RVP be<br>confirmed by cell culture.<br>Negative results do not<br>preclude respiratory virus<br>infection and should not be<br>used as the sole basis for<br>diagnosis, treatment or<br>other management<br>decisions. Positive results<br>do not rule out bacterial<br>infection, or co-infection<br>with other viruses. The<br>agent detected may not be<br>the<br>definite cause of disease.<br>The use of additional<br>laboratory testing (e.g.<br>bacterial culture,<br>immunofluorescence,<br>radiography) and clinical<br>presentation must be taken<br>into consideration in order<br>to obtain the final diagnosis<br>of respiratory viral infection.<br>Due to seasonal<br>prevalence, performance<br>characteristics for Influenza<br>A/H1 were established<br>primarily with retrospective<br>specimens.<br>The RVP assay cannot<br>adequately detect<br>Adenovirus species C, or<br>serotypes 7a and 41. The<br>RVP primers for detection<br>of rhinovirus cross-react<br>with enterovirus. A<br>rhinovirus reactive result | and epidemiological risk<br>factors.<br>* to provide epidemiologic<br>information for surveillance<br>for influenza viruses.<br>Performance<br>characteristics for influenza<br>A were established when<br>influenza A/H3 and A/H1<br>were the predominant<br>influenza A viruses in<br>circulation. When other<br>influenza A viruses are<br>emerging, performance<br>characteristics may vary.<br>Testing with the influenza<br>H5a and H5b primer and<br>probe sets should not be<br>performed unless the<br>patient meets the most<br>current U.S. Department of<br>Health and Human<br>Services (DHHS) clinical<br>and epidemiologic criteria<br>for testing suspect A/H5<br>specimens. The definitive<br>identification of influenza<br>A/H5 (Asian lineage) either<br>directly from patient<br>specimens or from virus<br>cultures requires additional<br>laboratory testing, along<br>with clinical and<br>epidemiological<br>assessment in consultation<br>with national<br>influenza surveillance<br>experts.<br>Negative results do not<br>preclude influenza virus<br>infection and should not be<br>used as the sole basis for<br>treatment or other patient<br>management decisions. All<br>users, analysts, and any<br>person reporting diagnostic<br>results from use of this<br>device should be trained to | | Item<br>Name | Device | Predicate | | | | Simplexa™ Influenza A<br>H1N1 (2009) | xTAG Respiratory Viral<br>Panel - FLUA | CDC Human Influenza<br>Virus Real-Time RT- PCR<br>Detection and<br>Characterization Panel | | | | should be confirmed by an<br>alternate method (e.g. cell<br>culture). Performance<br>characteristics for Influenza<br>A Virus were established<br>when Influenza A/H3 and<br>A/H1 were the predominant<br>Influenza A viruses in<br>circulation. When other<br>Influenza A viruses are<br>emerging, performance<br>characteristics may vary. If<br>infections with a 2009<br>H1N1 Influenza A virus is<br>suspected based on<br>current clinical and<br>epidemiological screening<br>criteria recommended by<br>public health authorities,<br>specimens should be<br>collected with appropriate<br>infection control<br>precautions for 2009 H1N1<br>virulent Influenza viruses<br>and sent to a state or local<br>health department for<br>testing. Viral culture should<br>not be attempted in these<br>cases unless a BSL 3+<br>facility is available to<br>receive and culture<br>specimens. | perform and interpret the<br>results from this procedure<br>by a CDC instructor or<br>designee prior to use. CDC<br>Influenza Division will limit<br>the distribution of this<br>device to only those users<br>who have successfully<br>completed training provided<br>by CDC instructors or<br>designees. | | Assay Targets | Influenza A<br>2009 H1N1 Influenza | Influenza A, Influenza A<br>subtype H1, Influenza A<br>subtype H3, Influenza B,<br>Respiratory Syncytial Virus<br>subtype A, Respiratory<br>Syncytial Virus subtype B,<br>Parainfluenza 1,<br>Parainfluenza 2, and<br>Parainfluenza 3 virus,<br>Human Metapneumovirus,<br>Rhinovirus, and<br>Adenovirus. | Influenza A/H1<br>Influenza A/H3<br>Influenza A/H5 (asian<br>lineage)<br>Influenza B | | Item<br>Name | Device | Predicate | | | | Simplexa™ Influenza A<br>H1N1 (2009) | xTAG Respiratory Viral<br>Panel - FLUA | CDC Human Influenza<br>Virus Real-Time RT- PCR<br>Detection and<br>Characterization Panel | | Extraction<br>Methods | Roche MagNA Pure LC<br>Total Nucleic Acid Isolation<br>Kit,<br>QIAGEN QIAamp Viral<br>RNA Mini Kit | QIAGEN QIAamp Mini<br>Elute<br>Biomérieux EasyMag,<br>Biomérieux MiniMag | QIAamp® Viral RNA Mini<br>Kit.<br>Qiagen RNeasy® Mini Kit,<br>MagNA Pure LC RNA<br>Isolation Kit II<br>Roche MagNA Pure LC<br>Total Nucleic Acid Isolation<br>Kit, | | Assay<br>Methodology | PCR-based system for<br>detecting the presence /<br>absence of viral RNA in<br>clinical specimens | PCR-based system for<br>detecting the presence /<br>absence of viral DNA/RNA<br>in clinical specimens | PCR-based system for<br>detecting the presence /<br>absence of viral RNA in<br>clinical specimens | | Detection<br>Techniques | Multiplex assay using<br>different reporter dyes for<br>each target. | Multiplex assay using a<br>combination of color coded<br>beads and different<br>reporter dyes. | A panel of oligonucleotide<br>primers and dual-labeled<br>hydrolysis (TaqMan®)<br>probes for the qualitative<br>detection and differentiation<br>of influenza virus type and<br>subtype target sequences. | | Influenza A<br>Viral Target | Well conserved region of<br>the matrix gene | Well conserved region of<br>the matrix gene | Well conserved region of<br>the matrix gene | | H1N1 (2009)<br>Viral Target | Well conserved region of<br>the hemagglutinin gene<br>specific for H1N1 (2009) | n/a | n/a | | LoD | Influenza A Strains<br>TCID50/mL in a range of<br>$1x10^{-1}$ to $2.7x10^{1}$<br>2009 H1N1<br>TCID50/mL in a range of<br>$1x10^{-1}$ to $2.7x10^{1}$<br>Please refer to detailed table<br>below. | Influenza A<br>A/PR/8/34 (TCID50/mL =<br>$8x10^{-1}$ )<br>A/Victoria/3/75 (TCID50/mL<br>= $1x10^{2}$ ) | Influenza A<br>A/New Caledonia/20/1999<br>(TCID50/mL = $10^{1.2}$ )<br>A/Hawaii/15/2001<br>(TCID50/mL = $10^{1.5}$ )<br>A/New York/55/2004<br>(TCID50/mL = $10^{2.2}$ )<br>A/Wisconsin/67/2005<br>(TCID50/mL = $10^{1.2}$ ) | | Reproducibility | FLUA Inter-Assay<br>Total %CV range 0.0 to 4.8<br>FLUA Intra-Assay<br>Total %CV range 0.0 to 6.6<br>H1N1 Inter-Assay<br>Total %CV range 0.0 to 1.8<br>H1N1 Intra-Assay<br>Total %CV range 0.0 to 4.7 | Influenza A - low positive<br>%CV range 29.41 to 60.22<br>Influenza A - medium titer<br>%CV range 5.6 to 35.6 | Influenza A - 1:10 of low<br>positive %CV range 1.94 to<br>7.09<br>Influenza A - low positive<br>%CV range 2.12 to 7.89…
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