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Letter to Nanogen Corporation

Via Federal Express

August 11, 2005

David Ludvigson
President and Chief Operating Officer
Nanogen Corporation
10398 Pacific Center Ct.
San Diego, California 92121

Dear Mr. Ludvigson:

The Office of In Vitro Diagnostic Devices (OIVD) has reviewed information on the Nanogen Corporation Internet website, http://www.nanogen.com/products, about the NanoChip® Molecular Biology Workstation, NanoChip® Electronic Microarray and several devices marketed as analyte specific reagents (ASRs).

Nanogen describes the NanoChip® Molecular Biology Workstation as "an automated multipurpose instrument that facilitates detection of known sequences, such as in the analysis of Single Nucleotide Polymorphisms (SNPs) and Short Tandem Repeats (STRs) using the NanoChip Electronic Microarray.” Nanogen states that the Workstation is a fully integrated system consisting of “three major subsystems: (1) the NanoChip® Loader for loading patient samples on one to four NanoChip Cartridges, (2) the NanoChip® Reader, a highly sensitive, laser-based fluorescence scanner for detection of assay results and (3) computer hardware and software which automates imports, analysis and export of sample information making data analysis simple.”

Nanogen describes its NanoChip Electronic Microarray, which is intended to be used with the Workstation, as an "electronic microarray contain[ing] 100 test sites laid out in a geometric grid. Each test site can be controlled electronically from the system's onboard computer." Nanogen states that "Current applications performed on the NanoChip array include single nucleotide polymorphisms (SNPs), short tandem repeats (STRs), insertion, deletion, and other mutation analyses. Each of these is a genetic marker used in cutting-edge clinical research and clinical diagnostics." (emphasis added).

Nanogen's website indicates that it offers reagents "predefined" for use with the NanoChip Molecular Biology Workstation, including an ApoE device, ASPA device, HFE device, and FactorV/Prothrombin device. Your website contains statements representing that these products are ASRs.

The workstation, microarray, and ASRs appear from the information on your website to be marketed to work together as an integrated test system. It appears the NanoChip Electronic Microarray and the "predefined" ASRs promoted on your web site must be read by the NanoChip Molecular Biology Workstation. This test system is a medical device under section 201(h) of the Federal Food, Drug, and Cosmetic Act (the Act), 21 U.S.C. § 321(h), because it is intended for use in the diagnosis of disease or other conditions.

A review of our records indicates that you have not obtained clearance or approval for this test system as a whole or for the components separately.

Contradictory statements in some Nanogen representations suggest that these products are intended for research use, while others indicate that they are intended for use in clinical diagnostic applications (i.e., see above). On the website, Nanogen materials for both the NanoChip and the Workstation indicate that each product is "For laboratory use only." The "Legal Notices" section of Nanogen's website states:

The NanoChip System is a general purpose instrument and an open platform that allows the user to select his or her own application. No particular research application has been approved by the U.S. Food and Drug Administration for diagnostic purposes. The NanoChip System is designed for laboratory use only which means that it may be used for either research purposes or by high complexity CLIA certified laboratories and not for any other purposes. While user may use the NanoChip System to help further understand the relevance of a particular gene or genes of interest, it may not be used for specific disease diagnosis other than as described above and no claim or representation for such clinical use whatsoever is made by Nanogen for the system. User shall certify that it will use system only for either research purposes only or that it is a high complexity CLIA certified laboratory by signing any certification letter reasonably requested by Nanogen.
(emphasis in original).

While Nanogen thus appears to be suggesting that its NanoChip System comprises research-use only devices, it is not apparent that Nanogen is complying with the requirement applicable to research-use only in vitro diagnostic devices, as set forth in 21 CFR 809.10(c)(2)(i), that require the labeling for such devices bear the statement, "For Research Use Only. Not for use in diagnostic procedures." Moreover, Nanogen's own materials indicate that the NanoChip system is intended to be used for diagnostic purposes. As already noted, the materials regarding the NanoChip Microarray indicate that the testing it performs is used in "cutting-edge . . . clinical diagnostics." The Workstation is described as permitting users "to define, select and build their own test panels or select from predefined ASRs." Clicking the highlighted term "predefined ASRs" links readers to information on several specific products which are represented as being analyte specific reagents within the meaning of 21 CFR 864.4020, a classification for reagents used by laboratories to develop in-house diagnostic testing. Finally, Nanogen's "legal notice" indicates that the NanoChip system is intended for diagnostic use by high-complexity CLIA certified laboratories.

Manufacturers of medical devices, even if they market their products solely to CLIA certified laboratories, are required to have FDA premarket approval or clearance for their devices unless the devices are classified as class I and exempt from premarket notification. Your test system does not appear to be a device that has been classified class I and exempt from premarket notification. The test system is therefore adulterated under section 501(f)(1)(B) of the Act for failure to obtain premarket approval and misbranded under section 502(o) of the Act for failure to notify the agency of your intent to introduce the device into commercial distribution as required by section 510(k) of the Act. For products requiring premarket approval, the notification required by section 510(k) is deemed to be satisfied when a premarket approval application is pending before the Agency. 21 CFR § 807.81(b).

We request that you respond within thirty (30) days of receipt of this letter. You may indicate in your response if you would like to meet with us at your earliest convenience to discuss the NanoChip® Molecular Biology Workstation, NanoChip® Electronic Microarray and your devices marketed as ASRs.

Please direct your response to James Woods, Deputy Director of Patient Safety and Product Quality, Office of In Vitro Diagnostic Device Evaluation and Safety, 2098 Gaither Road, HFZ-440, Rockville, Maryland 20850.

Sincerely,

 

Steven I. Gutman, M.D., M.B.A.
Director
Office of In Vitro Diagnostic Device Evaluation and Safety
Center for Devices and Radiological Health

Updated August 16, 2005

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