K Number
K040767
Device Name
SYNCHRON SYSTEMS HDL CHOLESTEROL (HDLD) REAGENT
Date Cleared
2004-06-07

(74 days)

Product Code
Regulation Number
862.1475
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
SYNCHRON® Systems HDL Cholesterol (HDLD) Reagent, when used in conjunction with SYNCHRON® Systems Lipid Calibrator, is intended for the quantitative determination of HDL cholesterol in the high-density lipoprotein (HDL) fraction of serum or plasma on SYNCHRON Systems.
Device Description
SYNCHRON® Systems HDL Cholesterol (HDLD) Reagent, when used in conjunction with SYNCHRON® Systems Lipid Calibrator, is intended for the quantitative determination of HDL cholesterol in the high-density lipoprotein (HDL) fraction of serum or plasma on SYNCHRON Systems.
More Information

Not Found

No
The 510(k) summary describes a chemical reagent for quantitative determination of HDL cholesterol, which is a standard laboratory test. There is no mention of AI, ML, or any computational analysis beyond standard statistical methods for method comparison.

No
This device is a reagent used for diagnostic testing (quantitative determination of HDL cholesterol), not for treating or preventing a disease or condition.

Yes
The device is described as being for "quantitative determination of HDL cholesterol in the high-density lipoprotein (HDL) fraction of serum or plasma," which is a measurement used to aid in diagnosis or monitoring of medical conditions.

No

The device is a reagent, which is a chemical substance used in a laboratory test. This is a physical component, not software.

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

Here's why:

  • Intended Use: The intended use clearly states it's for the "quantitative determination of HDL cholesterol in the high-density lipoprotein (HDL) fraction of serum or plasma". This involves testing biological samples (serum or plasma) outside of the body to provide information about a person's health status (cholesterol levels).
  • Device Description: The device description reiterates the intended use, confirming it's a reagent used for this specific diagnostic test.
  • Performance Studies: The summary of performance studies describes method comparison experiments using biological samples and comparing the results to a predicate device. This is typical for demonstrating the performance of an IVD.
  • Predicate Device: The mention of a predicate device (K934045; SYNCHRON Systems HDLD Reagent) indicates that this device is being compared to a previously cleared IVD.

All of these points align with the definition and characteristics of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

SYNCHRON® Systems HDL Cholesterol (HDLD) Reagent, when used in conjunction with SYNCHRON® Systems Lipid Calibrator, is intended for the quantitative determination of HDL cholesterol in the high-density lipoprotein (HDL) fraction of serum or plasma on SYNCHRON Systems.

Product codes

LBS

Device Description

SYNCHRON® Systems HDL Cholesterol (HDLD) Reagent, when used in conjunction with SYNCHRON® Systems Lipid Calibrator, is intended for the quantitative determination of HDL cholesterol in the high-density lipoprotein (HDL) fraction of serum or plasma on SYNCHRON Systems.

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

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

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, stability, linearity, and imprecision experiments.

Method Comparison Study Results:
Instrument: SYNCHRON CX
Slope: 0.991
Intercept: 2.2
r: 0.956
n: 63
Comparison Method: SYNCHRON HDLC

Instrument: SYNCHRON LX
Slope: 0.973
Intercept: 0.5
r: 0.972
n: 66
Comparison Method: SYNCHRON HDLC

Key Metrics

Not Found

Predicate Device(s)

K934045

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.1475 Lipoprotein test system.

(a)
Identification. A lipoprotein test system is a device intended to measure lipoprotein in serum and plasma. Lipoprotein measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes mellitus), atherosclerosis, and various liver and renal diseases.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 862.9.

0

K040767

JUN = 7 2004

510(k) Summary SYNCHRON® Systems HDL Cholesterol Reagent

1.0 Submitted By:

Annette Hellie Staff Regulatory Affairs Specialist Beckman Coulter, Inc. 200 S. Kraemer Blvd., W-104 Brea, California 92822-8000 Telephone: (714) 993-8767 FAX: (714) 961-4123

2.0 Date Submitted:

March 24, 2004

3.0 Device Name(s):

3.1 Proprietary Names

SYNCHRON® Systems HDL Cholesterol (HDLD) Reagent

3.2 Classification Name

Lipoprotein test system (21 CFR § 862.1475)

4.0 Predicate Device:

| Candidate(s) | Predicate | Manufacturer | Docket
Number |
|-------------------------------------|----------------------------------|--------------------------|------------------|
| SYNCHRON
Systems
HDLD Reagent | SYNCHRON Systems
HDLD Reagent | Beckman
Coulter, Inc. | K934045 |

5.0 Description:

SYNCHRON® Systems HDL Cholesterol (HDLD) Reagent, when used in conjunction with SYNCHRON® Systems Lipid Calibrator, is intended for the quantitative determination of HDL cholesterol in the high-density lipoprotein (HDL) fraction of serum or plasma on SYNCHRON Systems.

1

6.0 Intended Use:

SYNCHRON® Systems HDL Cholesterol (HDLD) Reagent, when used in conjunction with SYNCHRON® Systems Lipid Calibrator, is intended for the quantitative determination of HDL cholesterol in the high-density lipoprotein (HDL) fraction of serum or plasma on SYNCHRON Systems.

Clinical Significance:

7.0 Comparison to Predicate(s):

The following table shows similarities and differences between the predicates identified in Section 4.0 of this summary.

Similarities
HDLD ReagentIntended UseSame as
HDLC
Liquid stable reagent
Differences
HDLD ReagentMethodologyHDLC is an indirect method, HDLD is a
direct method
Analytic RangeHDLC = 5 to 90 mg/dL
HDLD = 5 to 135 mg/dL

8.0 Summary of Performance Data:

The data in the Premarket Notification on safety and effectiveness supports a finding of substantial equivalence to chemistry test systems already in Equivalence is demonstrated through method commercial distribution. comparison, stability, linearity, and imprecision experiments.

Method Comparison Study Results

InstrumentSlopeInterceptrnComparison Method
SYNCHRON CX0.9912.20.95663SYNCHRON HDLC
SYNCHRON LX0.9730.50.97266SYNCHRON HDLC

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Image /page/2/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized depiction of an eagle or bird-like figure with outstretched wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the bird symbol.

JUN - 7 2004

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Ms. Annette Hellie Staff Regulatory Affairs Specialist Beckman Coulter, Inc. 200 South Kraemer Blvd. PO Box 8000 Brea, CA 92821

Re: K040767

K040107
Trade/Device Name: SYNCHRON® Systems HDL Cholesterol (HDLD) Reagent Regulation Number: 21 CFR 862.1475 Regulation Name: Lipoprotein test system Regulatory Class: Class I Product Code: LBS Dated: March 24, 2004 Received: March 25, 2004

Dear Ms. Hellie:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed your becamed the device is substantially equivalent (for the indications ferenced abo re and hansure) to legally marketed predicate devices marketed in interstate for association to May 28, 1976, the enactment date of the Medical Device Amendments, or to eonimores 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 I ou may, ates or visions 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 it may of subject to data and 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 r loase be advisou that i Dr unation that your device complies with other requirements of the Act that I Dr has intatutes and regulations administered by other Federal agencies. You must of any I oderal batates and sequirements, 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).

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Page 2

This letter will allow you to begin marketing your device as described in your Section 510(k) This letter will and will be reading of substantial equivalence of your device to a legally premaince notifications of 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, If you destions on the promotion and advertising of your device, please contact the Office of or questions on the Presidention 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 rou may obtain other getarers, 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,

Jean M. Cooper, MS, DVM.

Jean M. Cooper, MS, D.V.M. Director Division of Chemistry and Toxicology Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

4

Indications for Use

510(k) Number (if known): K0 407 (ø7

Device Name: SYNCHRON® Systems HDL Cholesterol (HDLD) Reagent

Indications for Use:

SYNCHRON® Systems HDL Cholesterol (HDLD) Reagent, when used in conjunction with SYNCHRON® Systems Lipid Calibrator, is intended for the quantitative determination of HDL cholesterol in the high-density lipoprotein (HDL) fraction of serum or plasma on SYNCHRON Systems.

Prescription Use
(Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Alberto Lutz
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