K Number
K030606
Date Cleared
2003-04-21

(55 days)

Product Code
Regulation Number
864.5220
Reference & Predicate Devices
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The COULTER® LH 750 Hematology Analyzer is a quantitative, automated hematology Analyzer and leukocyte differential counter For In Vitro Diagnostic Use in clinical laboratories. The COULTER® LH 750 Hematology Analyzer also provides automated Reticulocyte analysis and enumeration of nucleated red blood cells (NRBCs). The system also provides an automated method for enumeration of RBCs and WBCs in body fluids.

Device Description

The COULTER® LH 750 Body Fluids Application is an automated method for enumeration of RBCs and WBCs in body fluids on the COULTER LH 750 Hematology Analyzer, an automated hematology analyzer capable of supplying a complete blood cell analysis and includes a differential leukocyte cell count. The LH 750 also provides automated reticulocyte analysis and enumeration of nucleated red blood cells (NRBCs).

AI/ML Overview

The provided text describes a 510(k) summary for the COULTER® LH 750 Body Fluids Application, which is an automated method for enumerating RBCs and WBCs in body fluids on the COULTER LH 750 Hematology Analyzer.

The submission claims substantial equivalence to a manual cell count method, and the document focuses on outlining the device's intended use, principle of method, and comparison to the predicate. However, it does not contain detailed information about acceptance criteria, specific study results, sample sizes for test or training sets, ground truth establishment methods for training data, number of experts, adjudication methods, or MRMC studies for comparative effectiveness.

Therefore, based solely on the provided text, I cannot complete many of the requested fields. The information below reflects what is available in the document.


Acceptance Criteria and Device Performance Study Details

1. Table of Acceptance Criteria and Reported Device Performance

As the provided document is a 510(k) summary for a substantial equivalence claim based on a pre-amendment predicate, it does not specify explicit numerical acceptance criteria and does not present detailed performance data in the format of a clinical study report with specific metrics. The "device performance" in this context is implied to be substantially equivalent to the predicate.

The table below reflects descriptive aspects from the "Comparison to Predicate" section, which broadly outlines similarities and differences rather than specific performance metrics against an acceptance threshold.

Metric/CharacteristicAcceptance Criteria (from predicate)Reported Device Performance (COULTER® LH 750 Body Fluids Application)
Intended UseTo provide a quantitative determination of blood cells in cerebrospinal fluid, serous fluid, and synovial fluidSame as manual method
Specimen AnalyzedBody Fluids collected in a container with or without anti-coagulantSame as manual method
WBC Count (cells/µL)Manual cell count performed in a counting chamber by a skilled competent technicianAutomated count
RBC Count (cells/µL)Manual cell count performed in a counting chamber by a skilled competent technicianAutomated count

2. Sample Size for the Test Set and Data Provenance

The provided document does not specify the sample size used for any test set or the data provenance (e.g., country of origin, retrospective or prospective nature of data).

3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications

The provided document does not specify the number of experts used to establish ground truth for a test set or their qualifications. The predicate method refers to a "skilled competent technician" for manual cell counts, implying a human expert performed the reference method.

4. Adjudication Method for the Test Set

The provided document does not specify any adjudication method used for a test set.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

The provided document does not mention an MRMC comparative effectiveness study or any effect size of human readers improving with AI vs. without AI assistance. The device is an automated counter, not an AI-assisted diagnostic tool for human readers in the traditional sense of image interpretation.

6. Standalone (Algorithm Only) Performance Study

The entire submission is focused on the performance of the automated device (algorithm only) for enumeration of RBCs and WBCs in body fluids. The "Conclusion" states: "The COULTER LH 750 Body Fluids Application is substantially equivalent to the manual microscopic predicate method for enumeration of RBCs and WBCs in body fluids." This implies a standalone study where the device's output was compared to the predicate. However, detailed results of this comparison (e.g., accuracy, precision studies) are not included in the summary.

7. Type of Ground Truth Used

The ground truth implicitly used for comparison is the "manual cell count method in a counting chamber by a skilled competent technician". This is essentially an expert consensus/reference method (assuming the "skilled competent technician" embodies the reference standard for manual counting).

8. Sample Size for the Training Set

The provided document does not specify the sample size used for any training set.

9. How the Ground Truth for the Training Set Was Established

The provided document does not specify how the ground truth for any training set was established. Given the nature of the predicate, it would likely involve manual counts by skilled technicians, but this is not explicitly stated for a training set.

{0}------------------------------------------------

K030606

APR 2 1 2003

510(k) Summary of Safety and Effectiveness for Section 1 D: COULTER® LH 750 Body Fluids Application

1.0 General Information

Applicant Name and Address:Beckman Coulter, Inc.
Cellular Analysis Division
11800 SW 147 Avenue
Miami, FL 33196-2500
Primary Contact:Stan Sugrue, Ph.D.Senior Regulatory Affairs SpecialistTelephone: (305) 380-4552FAX: (305) 380-3618E-mail: stan.sugrue@coulter.com
Date:February 24, 2003
Device Trade Name(s):COULTER® LH 750 Hematology Analyzer
Device Generic Name(s):Automated differential cell counter
Device Classification:The COULTER® LH 750 Hematology Analyzer is a Class IImedical device

2.0 Pre-amendment Predicate Method

The COULTER® LH 750 Body Fluids Application claims substantial equivalence to the preamendment predicate method for enumeration of WBCs and RBCs via manual cell count method in a counting chamber by a skilled competent technician.

FDA 510(k) Number(s): Not applicable

3.0 Device Description

The COULTER® LH 750 Body Fluids Application is an automated method for enumeration of RBCs and WBCs in body fluids on the COULTER LH 750 Hematology Analyzer, an automated hematology analyzer capable of supplying a complete blood cell analysis and includes a differential leukocyte cell count. The LH 750 also provides automated reticulocyte analysis and enumeration of nucleated red blood cells (NRBCs).

4.0 Principle of Method:

The COULTER LH 750 Body Fluids Application is an automated method for enumeration of RBCs and WBCs in body fluids on the COULTER LH 750 Hematology Analyzer. The LH 750 utilizes the Coulter Principle for automatically enumerating and sizing blood cells. The analyzer uses a reagent system consisting of an isotonic diluent, lytic reagents to lyse the red cells without significantly affecting the white cells and an instrument cleaner.

{1}------------------------------------------------

5.0 Comparison to Predicate

Similarities/DifferencesCharacteristicManual method(Predicate)LH 750 Body FluidsApplication
SimilaritiesIntended UseTo provide a quantitativedetermination of blood cellsin cerebrospinal fluid,serous fluid, and synovialfluidSame as manual method
Specimen AnalyzedBody Fluids collected in acontainer with or withoutanti-coagulantSame as manual method
DifferencesWBC Count(cells/µL)Manual cell countperformed in a countingchamber by a skilledcompetent technicianAutomated count
DifferencesRBC count(cells/µL)Manual cell countperformed in a countingchamber by a skilledcompetent technicianAutomated count

6.0 Indications for Use:

The COULTER LH 750 Hematology Analyzer is a quantitative, automated hematology analyzer and leukocyte differential counter For In Vitro Diagnostic Use in clinical laboratories.The LH 750 Body Fluids Application adds a quantitative, automated procedure for analyzing cerebrospinal fluid, serous fluid, and synovial fluid to the LH 750, providing enumeration of the WBCs and the RBCs.

7.0 Conclusion:

The COULTER LH 750 Body Fluids Application is substantially equivalent to the manual microscopic predicate method for enumeration of RBCs and WBCs in body fluids.

{2}------------------------------------------------

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three tail feathers, enclosed in a circle. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged around the upper portion of the circle.

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

APR 2 1 2003

Stan Sugrue, Ph.D. Senior Regulatory Affairs Specialist Beckman Coulter, Inc. 11800 S.W. 147 Avenue P.O. Box 169015 Miami, FL 33116-9015

K030606 Re:

Trade/Device Name: COULTER® LH 750 Hematology Analyzer Regulation Number: 21 CFR 864.5220 Regulation Name: Automated Differential Cell Counter Regulatory Class: Class II Product Code: GKZ Dated: April 2, 2003 Received: April 3, 2003

Dear Dr. Sugrue:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food. Drug. and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Parts 801 and 809); and good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820).

{3}------------------------------------------------

Page 2 -

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific information about the application of labeling requirements to your device, or questions on the promotion and advertising of your device, please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 594-3084. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 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/cdrh/dsma/dsmamain.html.

Sincerely yours,

Steven Putman

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

Enclosure

{4}------------------------------------------------

Section 1C:

INDICATIONS FOR USE

510(k) Number (if known):

Not assigned K030606

Device:

COULTER® LH 750 Hematology Analyzer

Indications For Use:

The COULTER® LH 750 Hematology Analyzer is a quantitative, automated hematology Analyzer and leukocyte differential counter For In Vitro Diagnostic Use in clinical laboratories. The COULTER® LH 750 Hematology Analyzer also provides automated Reticulocyte analysis and enumeration of nucleated red blood cells (NRBCs). The system also provides an automated method for enumeration of RBCs and WBCs in body fluids.

Future commercialization will add ISOTON® 4 diluent /Lyse S® 4 Lytic reagent to the indications for use.

21 CFR 864.5220 Automated differential cell counter

An automated differential cell counter is a device used to identify and classify one or more of the formed elements of blood.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use V Use (Per 21 CFR 801.109) OR

Over-The-Counter

Auchini Rautati

(Division Sigr Division of Clinical Laboratory De 510(k) Numbe

Beckman Coulter, Inc. COULTER® LH 750 Body Fluids Application

§ 864.5220 Automated differential cell counter.

(a)
Identification. An automated differential cell counter is a device used to identify one or more of the formed elements of the blood. The device may also have the capability to flag, count, or classify immature or abnormal hematopoietic cells of the blood, bone marrow, or other body fluids. These devices may combine an electronic particle counting method, optical method, or a flow cytometric method utilizing monoclonal CD (cluster designation) markers. The device includes accessory CD markers.(b)
Classification. Class II (special controls). The special control for this device is the FDA document entitled “Class II Special Controls Guidance Document: Premarket Notifications for Automated Differential Cell Counters for Immature or Abnormal Blood Cells; Final Guidance for Industry and FDA.”