EUA Assure Rapid2 Ifu PDF
EUA Assure Rapid2 Ifu PDF
EUA Assure Rapid2 Ifu PDF
1. Use of the Assure COVID-19 IgG/IgM Rapid Test Device is limited to laboratory personnel who PERFORMANCE CHARACTERISTICS 96.3%
have been trained. Not for home use. Serum
2. The Assure COVID-19 IgG/IgM Rapid Test Device is for in vitro diagnostic use only. The test 65.3%-
Clinical Evaluation ≥15 25 21 84%
should be used for the detection of SARS-CoV-2 antibodies in whole blood, serum or plasma
93.6%
specimens only. Neither quantitative value nor the rate of increase in SARS-CoV-2 antibody
Study I
concentration can be determined by this qualitative test. ≤7 1 1 100% 20.7%-100%
Total of 61 positive and 105 negative serum or venous whole blood samples were collected at 4 different (Site 2)
3. The Assure COVID-19 IgG/IgM Rapid Test Device is not validated for finger stick blood.
study sites. These samples were tested with both RT-PCR method for SARS-CoV-2 infection and Assure
4. The Assay Procedure and the Interpretation of Assay Result must be followed closely when testing Venous Whole 8-14 3 3 100% 43.9%-100%
COVID-19 IgG/IgM Rapid Test device for antibodies. The obtained sensitivity and specificity results are
for the presence of SARS-CoV-2 virus specific antibodies in the serum, plasma or whole blood
summarized in following tables.
specimen from individual subjects. For optimal test performance, proper sample collection is Blood ≥15 9 9 100% 70.1%-100%
critical. Failure to follow the procedure may give inaccurate results. Table 1. IgG PPA for the Assure COVID-19 IgG/IgM Rapid Test Device
5. Reading test results earlier than 10 minutes after the addition of Buffer may yield erroneous results. Combined Sites
Do not interpret the results after 20 minutes. # PCR Assure COVID-19 IgG/IgM Rapid Test 80.2%-
6. The Assure COVID-19 IgG/IgM Rapid Test Device will only indicate the presence of SARS-CoV- Days post (Serum + - 61 55 90.2%
Positive Device 95.4%
2 antibodies in the specimen and should not be used for the diagnosis of SARS-CoV-2. Blood)
7. In the early onset of symptom, anti-SARS-Cov-2 IgM and IgG antibody concentrations may be Site symptom
at any #Positive
below detectable levels. onset
8. A high dose “hook effect” may occur where the color intensity of test band decreases as the PPA 95%CI
time Results
concentration of anti-SARS-CoV-2 IgG/IgM increases. If a “hook effect” is suspected, dilution of Table 4. IgM NPA for the Assure COVID-19 IgG/IgM Rapid Test Device
specimens may increase color intensity of the test band. 52.9%-
9. Results from immunosuppressed patients should be interpreted with caution. ≤7 8 7 87.5% Assure COVID-19 IgG/IgM Rapid Test
10. As with all diagnostic tests, all results must be interpreted together with other clinical information 97.8%
available to the physician. (Site 1+3+4) # PCR Device
11. Negative results do not preclude SARS-CoV-2 infection and should not be used as the sole basis 62.1%- Site
Serum 8-14 15 13 86.7% Negative #Negative
for patient management decisions, IgM antibodies may not be detected in the first few days of
infection; the sensitivity of the Assure COVID-19 IgG/IgM Rapid Test Device early after infection 96.3% NPA 95%CI
Results
is unknown. False positive results for IgM and IgG antibodies may occur due to cross-reactivity
≥15 25 25 100% 86.7%-100%
from pre-existing antibodies or other possible causes. Samples with positive results should be (Site 1+3+4) 92.7%-
confirmed with alternative testing method(s) and clinical findings. (Site 2) ≤7 1 1 100% 20.7%-100% 96 94 97.9%
12. A negative result can occur if the quantity of the anti-SARS-CoV-2 antibodies present in the Serum 99.4%
specimen is below the detection limits of the assay, or the antibodies that are detected are not Venous Whole 8-14 3 3 100% 43.9%-100%
present during the stage of disease in which a sample is collected. (Site 2)
13. Positive results may be due to past or present infection with non-SARS-CoV-2 coronavirus strains, Blood ≥15 9 9 100% 70.1%-100% 9 9 100% 70.1%-100%
such as coronavirus HKU1, NL63, OC43, or 229E. Venous Whole Blood
14. Results from antibody testing should not be used to diagnose or exclude SARS-CoV-2 infection Combined Sites
86.5%- Combined Sites (Serum + 93.3%-
or to inform infection status. 105 103 98.1%
(Serum + - 61 58 95.1%
15. Not for the screening of donated blood. Blood) 99.5%
98.3%
Blood)
The sensitivity of the test is impacted after being open for one hour-the intensity of the T line becomes
weak. Testing must be performed within one hour after opening the pouch.
Study II: Independent Clinical Agreement Validation
Table 2. IgG NPA for the Assure COVID-19 IgG/IgM Rapid Test Device The COVID-19 IgG/IgM Rapid Test Device from Assure Tech. (Hangzhou) Co., Ltd. was tested on 2020-
Conditions of Authorization for the Laboratory 06-15 at the Frederick National Laboratory for Cancer Research (FNLCR) sponsored by the National
Assure COVID-19 IgG/IgM Rapid Test Cancer Institute (NCI). The test was validated against a panel of previously frozen samples consisting of
The Assure COVID-19 IgG/IgM Rapid Test Device Letter of Authorization, along with the authorized
30 SARS-CoV-2 antibody-positive serum samples and 80 antibody-negative serum and plasma samples.
Fact Sheet for Healthcare Providers, the authorized Fact Sheet for Recipients, and other authorized # PCR Device
Site Each of the 30 antibody-positive samples was confirmed with a nucleic acid amplification test (NAAT)
labeling are available on the FDA website: https://www.fda.gov/medical-devices/coronavirus-disease-
Negative and both IgM and IgG antibodies were confirmed to be present in all 30 samples. The presence of
2019-covid-19-emergency-use-authorizations-medical-devices/vitro-diagnostics-euas. #Negative
NPA 95%CI antibodies in the samples was confirmed by several orthogonal methods prior to testing with the Assure
Authorized laboratories using the Assure COVID-19 IgG/IgM Rapid Test Device (“your product” in the
Results COVID-19 IgG/IgM Rapid Test Device. The presence of IgM and IgG antibodies specifically was
conditions below), must adhere to the Conditions of Authorization indicated in the Letter of Authorization
confirmed by one or more comparator methods. Antibody-positive samples were selected at different
as listed below:
(Site 1+3+4) antibody titers.
1. Authorized laboratories* using your product will include the test result reports, all authorized Fact 96 96 100% 96.2%-100% All antibody-negative samples were collected prior to 2020 and include: i) Seventy (70) samples selected
Sheets. Under exigent circumstances, other appropriate methods for disseminating these Fact Sheets may Serum without regard to clinical status, “Negatives” and ii) Ten (10) samples selected from banked serum from
be used, which may include mass media.
HIV+ patients, “HIV+”. Testing was performed by one operator using one lot of the Assure COVID-19
2. Authorized laboratories using your product will use your product as outlined in the Instructions for Use. (Site 2) IgG/IgM Rapid Test Device. Confidence intervals for sensitivity and specificity were calculated per a
Deviations from the authorized procedures, including the authorized clinical specimen types, authorized 9 9 100% 70.1%-100%
Venous Whole Blood score method described in CLSI EP12-A2 (2008).
control materials, authorized other ancillary reagents and authorized materials required to use your product
For evaluation of cross-reactivity with HIV+, it was evaluated whether an increased false positive rate
are not permitted.
among antibody-negative samples with HIV was statistically higher than the false positive rate among
3. Authorized laboratories that receive your product will notify the relevant public health authorities of
5 Anti-Chlamydia pneumonia 3
Chagas Ab+
IgM + Manufactured by:
4 Anti-Chlamydia pneumonia 2 Assure Tech. (Hangzhou) Co., Ltd.
Anti-Syphilis IgG + 2nd-5th Floor, Building 4, No. 1418-50, Moganshan Road,
IgG + Gongshu District, Hangzhou, Zhejiang 310011, China
Anti-Tuberculosis + 5 Measles IgG + 1
www.assurelabs.com
Typhoid IgM + 5 Mumps IgG + 1 contact@diareagent.com
Customer Service Phone: 1-800-618-5829
Service date/hours: Monday through Friday 9:00 AM to 5:00 PM CST
Interfering Substances
The assay performance of COVID-19 IgG/IgM Rapid Test Device is not affected by substances at
concentrations listed below.