K Number
K013978
Device Name
SYNCHRON SYSTEMS PANCREATIC AMYLASE (PAM) REAGENT
Date Cleared
2002-01-15

(43 days)

Product Code
Regulation Number
862.1070
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Pancreatic Amylase (PAM) Reagent is intended for the quantitative determination of pancreas-specific amylase activity in human serum, plasma or urine on SYNCHRON Systems. Measurement of pancreatic amylase is useful in the diagnosis and treatment of pancreatitis.
Device Description
Beckman Coulter's Pancreatic Amylase (PAM) Reagent is a liquid stable, ready-to-use reagent designed for optimal performance on the SYNCHRON CX and LX Systems. The assay is intended for use in the quantitative determination of pancreas-specific amylase activity in human serum, plasma, or urine. The reagent kit contains two 60-test cartridges.
More Information

Not Found

No
The summary describes a reagent for a quantitative assay and does not mention any AI or ML components.

No
The device is a reagent for quantitative determination of an enzyme, used in diagnosis and treatment, but it does not directly provide therapy.

Yes
The "Intended Use / Indications for Use" section explicitly states that "Measurement of pancreatic amylase is useful in the diagnosis and treatment of pancreatitis." This indicates that the device aids in determining a medical condition.

No

The device description explicitly states it is a "liquid stable, ready-to-use reagent" and comes in "reagent kit contains two 60-test cartridges," indicating it is a physical chemical reagent, not software.

Yes, this device is an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use explicitly states it's for the "quantitative determination of pancreas-specific amylase activity in human serum, plasma or urine". This involves testing biological samples in vitro (outside the body).
  • Purpose: The purpose is "useful in the diagnosis and treatment of pancreatitis". This indicates a medical purpose related to diagnosing a disease.
  • Device Description: The description confirms it's a "liquid stable, ready-to-use reagent" designed for use on specific laboratory systems (SYNCHRON Systems) to perform the quantitative determination.
  • Performance Studies: The performance studies describe testing the reagent with control samples and comparing it to a predicate device, which is typical for IVD validation.
  • Predicate Device: The mention of a predicate device (K934293; SYNCHRON CX® Systems Pancreatic Amylase (PAMY) Reagent) further confirms its classification as an IVD, as predicate devices are used for demonstrating substantial equivalence for new IVDs.

All these points align with the definition of an In Vitro Diagnostic device, which is a medical device intended for use in the examination of specimens derived from the human body solely or principally for the purpose of providing information concerning a physiological or pathological state, or concerning a congenital abnormality, or to monitor therapeutic measures.

N/A

Intended Use / Indications for Use

Pancreatic Amylase (PAM) Reagent is intended for the quantitative determination of pancreas-specific amylase activity in human serum, plasma or urine on SYNCHRON Systems.

Product codes

JFJ

Device Description

Beckman Coulter's Pancreatic Amylase (PAM) Reagent is a liquid stable, ready-to-use reagent designed for optimal performance on the SYNCHRON CX and LX Systems. The assay is intended for use in the quantitative determination of pancreas-specific amylase activity in human serum, plasma, or urine. The reagent kit contains two 60-test cartridges.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Pancreas

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The data in the Premarket Notification on safety and effectiveness supports a finding of substantial equivalence to chemistry test systems already in commercial distribution. Equivalence is demonstrated through method comparison and precision experiments that relate results obtained from the SYNCHRON Pancreatic Amylase (PAM) Assay to the Beckman Coulter's SYNCHRON CX Pancreatic Amylase (PAMY) Reagent.

Method Comparison Study Results:
*Data shown was collected using SYNCHRON LX Systems. Equivalency between SYNCHRON CX and LX Systems has been established by correlation analysis.

Estimated SYNCHRON LX Systems PAM Imprecision:

SampleMean (U/L)S.D. (U/L)%C.V.N
Within-Run Imprecision
Serum Control 1640.81.380
Serum Control 24103.30.880
Serum Control 3 (ORDAC)7728.31.180
Urine Control 11481.00.780
Total Imprecision
Serum Control 1642.74.380
Serum Control 24104.51.180
Serum Control 3 (ORDAC)77210.51.480
Urine Control 11481.91.380

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K934293

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.1070 Amylase test system.

(a)
Identification. An amylase test system is a device intended to measure the activity of the enzyme amylase in serum and urine. Amylase measurements are used primarily for the diagnosis and treatment of pancreatitis (inflammation of the pancreas).(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image shows the logo for Beckman Coulter. The logo consists of a stylized black circle with two curved lines inside, resembling an "S" shape. To the right of the circle, the words "BECKMAN" and "COULTER" are stacked on top of each other in a bold, sans-serif font.

JAN 1 5 2002

K013978 510(k) Summary SYNCHRON® Systems Pancreatic Amylase Reagent

1.0 Submitted By:

Mary Beth Tang Regulatory Affairs Specialist Beckman Coulter, Inc. 200 S. Kraemer Blvd., W-104 Brea, California 92822-8000 Telephone: (714) 961-3777 Fax: (714) 961-4123

2.0 Date Submitted:

November 30, 2001

3.0 Device Name(s):

3.1 Proprietary Names

SYNCHRON® Systems Pancreatic Amylase Reagent

3.2 Classification Name

Amylase test system (21 CFR § 862.1070)

4.0 Predicate Device(s):

| Beckman Coulter | Predicate | Manufacturer | Docket
Number |
|----------------------------------------------------------|--------------------------------------------------------------|-----------------|------------------|
| SYNCHRON® Systems
Pancreatic Amylase
(PAM) Reagent | SYNCHRON CX® Systems
Pancreatic Amylase
(PAMY) Reagent | Beckman Coulter | K934293 |

5.0 Description:

Beckman Coulter's Pancreatic Amylase (PAM) Reagent is a liquid stable, ready-to-use reagent designed for optimal performance on the SYNCHRON CX and LX Systems. The assay is intended for use in the quantitative determination of pancreas-specific amylase activity in human serum, plasma, or urine. The reagent kit contains two 60-test cartridges.

6.0 Intended Use:

Pancreatic Amylase (PAM) Reagent is intended for the quantitative determination of pancreas-specific amylase activity in human serum, plasma or urine on SYNCHRON Systems.

Mailing Address: 200 S. Kraemer Boulevard P.O. Box 8000 Brea, CA 92822-8000

1

Comparison to Predicate(s): 7.0

AssayAspect/CharacteristicComments
SIMILARITIES
SYNCHRON®
Systems PAM
ReagentIntended useSame as Beckman Coulter
SYNCHRON CX® PAMY Reagent
Methodology
Antibody source (mouse)
Storage (+2°C to +8°C)
Shelf life
Sample type (serum, plasma, urine)
Sample size
Analytic range
DIFFERENCES
Reagent formulationPAM: ready to use liquid reagent
PAMY: lyophilized components
requiring preparation
Reagent volume per testPAM: 240 μl
PAMY: 220 μl
On-instrument stabilityPAM: 30 days
PAMY: 14 days
Instrument platformsPAM: CX and LX
PAMY: CX only

Summary of Performance Data: 8.0

The data in the Premarket Notification on safety and effectiveness supports a finding of substantial equivalence to chemistry test systems already in commercial distribution. Equivalence is demonstrated through method comparison and precision experiments that relate results obtained from the SYNCHRON Pancreatic Amylase (PAM) Assay to the Beckman Coulter's SYNCHRON CX Pancreatic Amylase (PAMY) Reagent.

Method Comparison Study Results*

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*Data shown was collected using SYNCHRON LX Systems. Equivalency between SYNCHRON CX and LX Systems has been established by correlation analysis.

Estimated SYNCHRON LX Systems PAM Imprecision
SampleMean (U/L)S.D. (U/L)%C.V.N
Within-Run Imprecision
Serum Control 1640.81.380
Serum Control 24103.30.880
Serum Control 3 (ORDAC)7728.31.180
Urine Control 11481.00.780
Total Imprecision
Serum Control 1642.74.380
Serum Control 24104.51.180
Serum Control 3 (ORDAC)77210.51.480
Urine Control 11481.91.380

The Summary of Safety and Effectiveness information for the SYNCHRON Systems Pancreatic Amylase Reagent is found in TAB 1 of this notice and is being submitted in accordance with the requirements of the Safe Medical Devices Act of 1990 and implementing regulation 21 CFR 807.92.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle or bird-like symbol with three curved lines forming its body and wings. The logo is surrounded by a circular border containing the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" in capital letters.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

JAN 1 5 2002

Ms. Mary Beth Tang Regulatory Affairs Specialist Beckman Coulter, Inc. 200 S. Kraemer Blvd. M/S W-104 Box 8000 Brea, CA 92822-8000

Re: K013978

R015776
Trade/Device Name: SYNCHRON® Systems Pancreatic Amylase Reagent Regulation Number: 21 CFR 862.1070 Regulation Name: Amylase test system Regulatory Class: Class II Product Code: JFJ Dated: November 30, 2001 Received: December 3, 2001

Dear Ms. Tang:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave teviewed your becarent of the device is substantially equivalent (for the indications ferenced above and have actesinglegally marketed predicate devices marketed in interstate for use stated in the enclosed) to togals) to togals (1976) Device Amendments, or to comments from to may 20, 1978, are one and the provisions of the Federal Food, Drug, devices that have been receasines arquire approval of a premarket approval application (PMA). allu Cosmette Act (10t) market the device, subject to the general controls provisions of the Act. The I ou may, therefore, mainer of the Act include requirements for annual registration, listing of general connolis provisions of visitions and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it II your device is classified (600 wor of als. Existing major regulations affecting your device can may be subject to sach adderal Regulations, Title 21, Parts 800 to 898. In addition, FDA may be found in the Oouv ocements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean I loase oc actives that I Dr usean that your device complies with other requirements of the Act that I DA has made a color regulations administered by other Federal agencies. You must of any I coloral statutes and regirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set Of IT at 6077, adomig (21 (QS) regulation (21 CFR Part 820); and if applicable, the electronic form in the quality by ovisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

3

Page 2 -

This letter will allow you to begin marketing your device as described in your 510(k) premarket I mis lotter will and to your ding of substantial equivalence of your device to a legally marketed nouthoution. The I Dr in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and 1 additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4588. Additionally, for questions on the promotion and advertising of your device, (201) 59 m 45 the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small manufacturers International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrb/dsma/dsmamain.html".

Sincerely yours,

Steven Butman

Steven I. Gutman, M.D., M.B.A. Director Division of Clinical Laboratory-Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

page 1 of 1

510(k) Number (if known): K013978

SYNCHRON® Systems Pancreatic Amylase Reagent Device Name:

Indications for Use:

Pancreatic Amylase (PAM) Reagent is intended for the quantitative Pancreatic Anytase (1744) Treather activity in human serum, determination "Of "Paneloaan Coulter's SYNCHRON Systems by an immuno-Measurement of pancreatic amylase is useful in the inhibition method. diagnosis and treatment of pancreatitis.

Jean Cooper

(Division Sign-Off)
Division of Clinical Laboratory Levices
510(k) Number K013978

(Please Do Not WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(per 21 CFR 801.109)

OR

Over-the-Counter Use Optional Format 1-2-96