K Number
K032000
Device Name
COULTER LH 500 HEMATOLOGY ANALYZER
Date Cleared
2003-08-13

(64 days)

Product Code
Regulation Number
864.5220
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The COULTER® LH 500 is a quantitative, automated hematology analyzer For In Vitro Diagnostic Use in clinical laboratories. The LH 500 System provides automated complete blood count and leukocyte differential. The product also provides semiautomated reticulocyte analysis.
Device Description
LH 500 hematology analyzer is designed For In Vitro Diagnostic Use in clinical laboratories. The LH 500 provides automated complete blood count and leukocyte differential and semi-automated reticulocyte analysis. The purpose of the LH 500 hematology analyzer is to separate the normal patient, with all normal system-generated parameters, from the patient who needs additional studies of any of these parameters. These studies might include further measurements of cell size and platelet distribution. manual WBC differential or any other definitive test that helps diagnose the patient's condition. The instrument system is comprised of the analyzer and a suite of analytical reagents that allow for simultaneous quantitative determination of hemoglobin measurement, cell counting and sizing, reticulocyte determination, quality control, calibration and cleaning.
More Information

Not Found

No
The document describes a standard automated hematology analyzer and does not mention any AI or ML capabilities.

No.
The device is for in vitro diagnostic use in clinical laboratories to analyze blood, not to treat patients.

Yes.
Explanation: The "Intended Use / Indications for Use" section states that the device is "For In Vitro Diagnostic Use" and provides "automated complete blood count and leukocyte differential," which are diagnostic tests. Additionally, the "Device Description" mentions its purpose is to identify patients who "need additional studies... that helps diagnose the patient's condition."

No

The device description explicitly states that the system is comprised of an analyzer and a suite of analytical reagents, indicating the presence of hardware components beyond just software.

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

The "Intended Use / Indications for Use" section explicitly states: "For In Vitro Diagnostic Use in clinical laboratories."

The "Device Description" also reiterates: "LH 500 hematology analyzer is designed For In Vitro Diagnostic Use in clinical laboratories."

N/A

Intended Use / Indications for Use

The COULTER® LH 500 is a quantitative, automated hematology analyzer For In Vitro Diagnostic Use in clinical laboratories. The LH 500 System provides automated complete blood count and leukocyte differential and semiautomated reticulocyte analysis.

Product codes (comma separated list FDA assigned to the subject device)

GKZ

Device Description

LH 500 hematology analyzer is designed For In Vitro Diagnostic Use in clinical laboratories. The LH 500 provides automated complete blood count and leukocyte differential and semi-automated reticulocyte analysis. The purpose of the LH 500 hematology analyzer is to separate the normal patient, with all normal system-generated parameters, from the patient who needs additional studies of any of these parameters. These studies might include further measurements of cell size and platelet distribution. manual WBC differential or any other definitive test that helps diagnose the patient's condition.

The instrument system is comprised of the analyzer and a suite of analytical reagents that allow for simultaneous quantitative determination of hemoglobin measurement, cell counting and sizing, reticulocyte determination, quality control, calibration and cleaning.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

clinical laboratories

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)

Not Found

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K011342

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 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.”

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AUG 1 3 2003

K032000

510(k) Summary of Safety and Effectiveness for Section 1 D: LH 500 hematology analyzer

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 Specialist
Telephone: (305) 380-4552
FAX: (305) 380-3618
E-mail: stan.sugrue@coulter.com |
| Date: | June 26, 2003 |
| Device Trade Name(s): | LH 500 hematology analyzer |
| Device Generic Name(s): | Automated differential cell counter |
| Device Classification: | The LH 500 hematology analyzer is a Class II medical device. |

2.0 Predicate Device

The LH 500 hematology analyzer claims substantial equivalence to COULTER LH 750 hematology analyzer.

FDA 510(k) Number(s): K011342

3.0 Device Description

LH 500 hematology analyzer is designed For In Vitro Diagnostic Use in clinical laboratories. The LH 500 provides automated complete blood count and leukocyte differential and semi-automated reticulocyte analysis. The purpose of the LH 500 hematology analyzer is to separate the normal patient, with all normal system-generated parameters, from the patient who needs additional studies of any of these parameters. These studies might include further measurements of cell size and platelet distribution. manual WBC differential or any other definitive test that helps diagnose the patient's condition.

The instrument system is comprised of the analyzer and a suite of analytical reagents that allow for simultaneous quantitative determination of hemoglobin measurement, cell counting and sizing, reticulocyte determination, quality control, calibration and cleaning.

4.0 Principle of Method:

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The COULTER LH 500 Hematology Analyzer has the similar technological characteristics and is substantially equivalent to the COULTER LH 750 Hematology Analyzer. Both devices utilize the Coulter Principle for enumerating and sizing blood cells, automatic diluting and mixing for sample processing and a single beam photometer for hemoglobinometry. They use COULTER VCS (volume, conductivity, light scatter) technology for WBC Differential analysis and classification and reticulocyte analysis. The analyzers use 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. Additionally, all systems include reagents used for reticulocyte staining and analysis.

| Comparison | Characteristic | COULTER LH 750
(Predicate) | COULTER LH 500 |
|--------------|-----------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------|
| Similarities | 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. | Same as LH 750 |
| | Analysis Reagents | COULTER® LH Series
Diluent
COULTER LH SERIES Pak
COULTER Lyse S® III diff
lytic agent | Same as LH 750 |
| | Cleaning Agent | COULTER CLENZ | Same as LH 750 |
| | Hematology Quality
Controls | COULTER® 5C Cell
Control
COULTER® Latron Primer
and Latron Control
RETIC-C Cell Control
Lin-C linearity control | Same as LH 750 |
| Differences | Reticulocyte analysis
method | Automated | Semi automated |
| | Reticulocyte analysis
reagent system | LH SERIES RETIC Pak | COULTER ReticPrep
Reagent Kit |
| | Aperture system | Utilizes a triple aperture
configuration | Utilizes a single aperture
configuration |

Comparison to Predicate 5.0

6.0 Indications for Use:

The COULTER® LH 500 is a quantitative, automated hematology analyzer For In Vitro Diagnostic Use in clinical laboratories. The LH 500 System provides automated complete blood count and leukocyte differential and semiautomated reticulocyte analysis.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle with three lines representing its wings.

AUG 1 3 2003

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Stan Sugrue, Ph.D. Senior Regulatory Affairs Specialist Beckman Coulter, Inc. Cellular Analysis Division 11800 SW 147 Avenue Miami. Florida 33196-2500

Re: K032000

Trade/Device Name: Coulter® LH 500 Hematology Analyzer Regulation Number: 21 CFR § 864.5220 Regulation Name: Automated differential cell counter Regulatory Class: II Product Code: GKZ Dated: June 26, 2003 Received: June 27, 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. Iisting 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 (QS) regulation (21 CFR Part 820). 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.

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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). You may obtain other general information on your responsibilities under the Act 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 Sutman

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

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Section 1C:

INDICATIONS FOR USE

Image /page/4/Picture/2 description: The image is a black and white map of the state of Oklahoma. The map is simple, with no labels or other identifying features. The state is roughly rectangular in shape, with a panhandle extending to the west. The map is set against a white background.

510(k) Number (if known): Not assigned

COULTER® LH 500 Device:

The COULTER® LH 500 is a quantitative, automated hematology analyzer For In Vitro Diagnostic Use in clinical laboratories. The LH 500 System provides automated complete blood count and leukocyte differential. The product also provides semiautomated reticulocyte analysis.

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 Use (Per 21 CFR 801.109)

OR

Over-The-Counter

CFR 801.109)

Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K032000

Beckman Coulter, Inc. LH 500 Hematology Analyzer Abbreviated 510(k)

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