K Number
K060120
Manufacturer
Date Cleared
2006-03-27

(69 days)

Product Code
Regulation Number
862.1770
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Teco CX3 Reagent Set for SYNCHRON CX System is intended for the quantitative determination of BUN, Calcium, Creatinine and Glucose in serum on Beckman CX3 System.

BUN measurements are used in the diagnosis and treatment of certain renal and metabolic diseases.

Calcium measurements are used in the diagnosis and treatment of parathyroid diseases, a variety of bone diseases, chronic renal and tetany.

Creatinine measurements are used in the diagnosis and treatment of renal diseases, in monitoring renal dialysis, and a calculation basis for measuring other urine analytes.

Glucose measurements are used in the diagnosis and treatment of carbohydrate metabolism disorders, including diabetes mellitus, neonatal hypoglycemia and idiopathic hypoglycemia, and pancreatic islet carcinoma.

This reagent set is intended for in vitro diagnostic use only.

Device Description

The Teco CX3 Reagent Set for SYSNCHRON CX designed for use on the Beckman CX System. The Reagent Set includes BUN, Calcium, Creatinine and Glucose.

AI/ML Overview

The provided text describes the acceptance criteria and performance of the "Teco CX3 Reagent Set for SYNCHRON CX System" for the quantitative determination of BUN, Calcium, Creatinine, and Glucose in serum. The study is a method comparison and precision evaluation against predicate devices, following NCCLS guidelines. It is a standalone performance study of a diagnostic reagent set.

Here's the breakdown of the requested information:

1. Table of acceptance criteria and the reported device performance

Feature/AnalyteAcceptance Criteria (Candidate Device)Reported Device Performance (Teco CX3 Reagent Set)
BUNPrecision: CV% within 8%Within-Day CV%: Sample 1: 2.5%, Sample 2: 1.9%, Sample 3: 1.3% Day to Day CV%: Sample 1: 2.0%, Sample 2: 2.0%, Sample 3: 1.1%
Accuracy: r > 0.95; Slope: 0.97-1.1Accuracy: R=0.99, Y=1.00-0.911
Linearity: Not explicitly stated as acceptance criteria, but reported.Linearity: 3 to 102 mg/dL
Expected Values/Reference Range: Not explicitly stated as acceptance criteria, but reported.Expected Values/Reference Range: 15-39 mg/dL
CalciumPrecision: CV% within 5%Within-Day CV%: Sample 1: 0.9%, Sample 2: 0.9%, Sample 3: 0.8% Day to Day CV%: Sample 1: 1.0%, Sample 2: 1.1%, Sample 3: 1.0%
Accuracy: r > 0.90; Slope: 0.90-1.1Accuracy: R=0.96, Y=1.07X+0.60
Linearity: Not explicitly stated as acceptance criteria, but reported.Linearity: 1.0 to 15 mg/dL
Expected Values/Reference Range: Not explicitly stated as acceptance criteria, but reported.Expected Values/Reference Range: 8.4-10.2 mg/dL
CreatininePrecision: CV% within 10%Within-Day CV%: Sample 1: 2.7%, Sample 2: 1.6%, Sample 3: 1.7% Day to Day CV%: Sample 1: 2.2%, Sample 2: 3.7%, Sample 3: 1.6%
Accuracy: r > 0.96; Slope: 0.90-1.1Accuracy: R=0.99, Y=0.97-0.11
Linearity: Not explicitly stated as acceptance criteria, but reported.Linearity: 0.2 to 24 mg/dL
Expected Values/Reference Range: Not explicitly stated as acceptance criteria, but reported.Expected Values/Reference Range: 0.6-1.3 mg/dL
GlucosePrecision: CV% within 10%Within-Day CV%: Sample 1: 2.5%, Sample 2: 1.3%, Sample 3: 1.5% Day to Day CV%: Sample 1: 3.3%, Sample 2: 2.2%, Sample 3: 1.2%
Accuracy: r > 0.90; Slope: 0.85-1.1Accuracy: R=0.99, Y=0.96X+0.36
Linearity: Not explicitly stated as acceptance criteria, but reported.Linearity: 30 to 750 mg/dL
Expected Values/Reference Range: Not explicitly stated as acceptance criteria, but reported.Expected Values/Reference Range: 70-105 mg/dL

2. Sample size used for the test set and the data provenance

  • Sample Size for Precision (Test Set): For the candidate device, N=25 for each of the three samples tested for within-day and day-to-day precision for BUN, Calcium, Creatinine, and Glucose.
  • Sample Size for Accuracy/Linearity (Test Set): Not explicitly stated as a separate sample size for accuracy/linearity, but these tests typically use a series of patient samples and/or spiked samples. The "Method Comparison and Bias Estimation Using Patient Samples" (NCCLS EP9-A2) guideline was followed, indicating the use of patient samples.
  • Data Provenance: The study used "Human Serum". The country of origin for the data is not specified in the provided text. It is a retrospective evaluation of the performance of the reagent set.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

This is a chemical assay study for quantitative determination of analytes. The "ground truth" is established by the analytical method itself and comparison to a predicate device. There is no mention of human experts interpreting results to establish ground truth in the context of this study.

4. Adjudication method for the test set

Not applicable. This is a quantitative chemical assay comparison, not an imaging or qualitative diagnostic study requiring adjudication.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

Not applicable. This is a study of an in vitro diagnostic reagent set, not an AI-assisted diagnostic tool involving human readers.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

Yes, a standalone performance study was done. The "Teco CX3 Reagent Set for SYNCHRON CX System" is a standalone diagnostic reagent set designed for use on an automated analyzer (Beckman CX3 System). Its performance (precision, linearity, accuracy) was evaluated independently of human interpretation of the results, beyond the standard operation of the analytical system.

7. The type of ground truth used

The ground truth is established by:

  • Predicate Device Comparison: The candidate device's performance is compared against legally marketed predicate devices (Teco BUN Liquid, Teco Calcium Color, Teco Creatinine, and Teco Glucose Liquid Reagent).
  • Analytical Standards: Linearity and accuracy are typically assessed against known concentrations of calibrators or reference materials.
  • Statistical Analysis: Precision is measured through statistical analysis of replicate measurements.

8. The sample size for the training set

Not applicable. This is not a machine learning or AI algorithm, and therefore there is no "training set" in the conventional sense. The development of the reagent set would involve internal validation and formulation, but these are not referred to as a "training set."

9. How the ground truth for the training set was established

Not applicable, as there is no "training set" for this type of device. The formulation and quality control of the reagents during manufacturing would ensure their performance, but this is a different concept from establishing ground truth for a machine learning model.

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MAR 2 7 2006

K060/20

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1268 N. Lakeview Ave., Anaheim, CA 92807, U.S.A. Phone: (714) 693-7788 Toll Free: 1-800-222-9880 Fax: (714) 693-3838 www.tecodiag.com Email:tecodiag@tecodiag.com

Updated 510K summary Teco CX3 Reagent Set for SYNCHRON CX Contact Name: Jian Vaeches Phone Number: 714-693-7788 ext.131 Prepared Date: 03/20/2006

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1268 N. Lakeview Ave., Anaheim, CA 92807, U.S.A. Phone: (714) 693-7788 Toll Free: 1-800-222-9880 Fax: (714) 693-3838 www.tecodiag.com Email:tecodiag@tecodiag.com

Device Name

The device trade names and common/classifications name are:

Device Trade NameCommon/Classification Name
Teco CX3 Reagent Set for SYNCHRON CX SystemBUN, CALCIUM, CREATININE, GLUCOSE REGENTS

Address and Registration

The address and registration number of the manufacturer site for Teco CX3 Reagent Set for SYNCHRON CX System:

TECO Diagnostics 1268 N. Lakeview Ave. Anaheim, CA 92807, U.S.A. FDA Registration # 1832216

Device Classs

ાં બે Teco CX3 Reagent Set has been classified as Class II with Product Code Lare, JPP, CGX, CGA "in vitro" diagnostics reagent set having the classification number: 21 CFR. 862.1770, 21 CFR 862.1145, 21 CFR 862.1225, 21 CFR 862.1345. This is the description available from the classification names listed in the " CDRH Home Page- Listing Database."

Predicate Device Information

The predicate device is Teco BUN Liquid, Teco Calcium Color, Teco Creatinine and Teco Glucose Liquid Reagent.

The 510 (K) approval letter is provided in Appendix I. 510(K) #: K981106, K864741, K880629, K863926. Approval Date: 04-16-1998, 01-09-1987, 03-23-1988, 11-13-1986

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1268 N. Lakeview Ave., Anaheim, CA 92807, U.S.A. Phone: (714) 693-7788 Toll Free: 1-800-222-9880 Fax: (714) 693-3838 www.tecodiag.com Email:tecodiag@tecodiag.com

Labeling and Intended Use

Draft labels and Instructions for use can be found in appendix A.

Intended Use

Teco CX3 Reagent Set for SYNCHRON CX is intended for the quantitative determination of BUN, Calcium, Creatinine and Glucose in serum on Beckman CX3 System.

Device Description and Comparison

The Teco CX3 Reagent Set for SYSNCHRON CX designed for use on the Beckman CX System. The Reagent Set includes BUN, Calcium, Creatinine and Glucose.

Method Comparison of Teco CX3 Reagent Set for SYNCHRON CX to Teco BUN Liquid, Teco Calcium Color, Teco Creatinine and Teco Glucose Liquid following the guidelines of NCCLS Guideline EP9-A2 was conducted.

Comparison with predicate: Similarities Intended use. Sample Handling Subsystem. Operational Environment Performance.

Predicate DeviceCandidate Device
Packaging Size
BUN5 x 25 ml & 5 x 5 ml500 ml
Calcium4 x 120 ml500 ml
Creatinine4 x 120 ml2000 ml
Glucose4 x 120 ml500 ml
AnalyzerGeneral Chemistry AnalyzersSYSCHRON CX3
Components
BUNTris Buffer 100 mmol2-Oxoglutarate 5 mmolUrease >20,000 U/LGLDH > 1500 U/LNADH 0.25 mmol/LUrease >592 U/mL

Differences

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1268 N. Lakeview Ave., Anaheim, CA 92807, U.S.A. Phone: (714) 693-7788 Toll Free: 1-800-222-9880 Fax: (714) 693-3838 www.tecodiag.com Email:tecodiag@tecodiag.com

CalciumO-Cresolphthalein Complexone 0.14 mMArsenazo III 0.15 mml/L
8-Hydroxyquinoline 13 mM
Diethylamide 363 mM
CreatininePicric Acid 10mMPicric Acid 50mM
Sodium Hydroxide 240mMSodium Hydroxide 0.188 mM
GlucoseGlucose Oxidase 15 u/mlGlucose Oxidase 590 u/ml
Peroxidase 1.2 u/mlEthanol 10%
4-Aminoantipyrine 0.38 mMPotassium Iodide 0.04 mM
p-Hydroxybenzene Sulfonate 10 mM

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1268 N. Lakeview Ave., Anaheim, CA 92807, U.S.A. Phone: (714) 693-7788 Toll Free: 1-800-222-9880 Fax: (714) 693-3838 www.tecodiag.com Email:tecodiag@tecodiag.com

Standard/ Guidance Document Referenced (if applicable)

NCCLS EP5-A-Evaluation of Precision Performance of Clinical Chemistry Devices NCCLS EP6-A --- Evaluation of Linearity of Quantitative Analytical Methods NCCLS EP9-A---Method Comparison and Bias Estimation Using Patient Samples

Test Principle

BUN (Urea Nitrogen) is hydrolyzed by urease to produce ammonium and bicarbonate which resulted in the increase of solution conductivity which is directly proportional to the concentration of BUN present in the test.

Calcium reacts with Arsenazo to form an bluish-purple chromophore which is measured spectrophotometrically at 650 nm. A reagent blank reading is taken just prior to sample injection, and a final absorbance reading is taken 21 seconds later. The differential absorbance, corrected for the reagent blank, is directly proportional to the calcium concentration.

Creatinine from the sample combines with the reagent to produce a red color complex. Absorbance reading is taken at both 520nm and 560nm at 25.6 seconds after picking up sample. The differential absorbance has been shown to be a direct measure of the concentration of creatinine in the sample.

SYSNCHRON CX3 determines glucose concentration by an oxygen rate method using a glucose Oxygen electrode. The rate of oxygen depletion is proportional to the glucose concentration in the samples.

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1268 N. Lakeview Ave., Anaheim, CA 92807, U.S.A. Phone: (714) 693-7788 Toll Free: 1-800-222-9880 Fax: (714) 693-3838 www.tecodiag.com Email:tecodiag@tecodiag.com

TECO DIAGNOSTICS

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1268 N. Lakeview Ave., Anaheim, CA 92807, U.S.A. Phone: (714) 693-7788 Toll Free: 1-800-222-9880 Fax: (714) 693-3838 www.tecodiag.com Email:tecodiag@tecodiag.com

Substantial Equivalence

The Teco CX3 Reagent Set for SYNCHRON CX System is substantially equivalent to other devices legally marketed in the United States. We have compared TECO Diagnostics Teco CX3 Reagent Set for SYNCHRON CX System to TECO Diagnostics Teco BUN Liquid, Teco Calcium Color, Teco Creatinine and Teco Glucose Liquid Reagent for Hitachi.The 510 (K) numbers are K981106, K864741, K880629, and K863926. Both devices are for the quantitative determination of the same analyst in serum.

Summary of Design Control Activities

The risk analysis method used to assess the impact of modifications was a Failure Modes and Effects Analysis (FMEA). The design verification tests that were performed as a result of this risk analysis assessment are listed in table 1&2 below. The tests data can also be found in appendix C through F.

1. Table 1 -- Performance Characteristics (Human Serum)

FeaturePredicate DeviceCandidate Device
Sample 1Sample 2Sample 1Sample 2Sample 3
PrecisionWithin-DayN=20N=20N=25N=25N=25
Mean=12.9Mean=51.8Mean=18Mean=49Mean=97.5
SD=0.33SD=0.74SD=0.46SD=0.91SD=1.3
CV%=2.62CV%=1.43CV%=2.5CV%=1.9CV%=1.3
Day to DaySample 1Sample 2Sample 1Sample 2Sample 3
N=20N=20N=25N=25N=25
Mean=12.4Mean=44.6Mean=18Mean=49Mean=98
SD=0.15SD=0.75SD=0.37SD=1.04SD=1.14
CV%=1.2CV%=1.67CV%=2.0CV%=2.0CV%=1.1

Teco CX3 Reagent Set, the acceptability of CV% in BUN test is within 8%

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1268 N. Lakeview Ave., Anaheim, CA 92807, U.S.A. Phone: (714) 693-7788 Toll Free: 1-800-222-9880 Fax: (714) 693-3838 www.tecodiag.com Email:tecodiag@tecodiag.com

Calcium:

FeaturePredicate DeviceCandidate Device
PrecisionWithin-DaySample 1N=20Mean=9.1SD=0.39$CV%=4.3$Sample 2N=20Mean=13.7SD=0.02$CV%=0.2$Sample 1N=25Mean=9.1SD=0.08$CV%=0.9$Sample 2N=25Mean=12.3SD=0.11$CV%=0.9$Sample 3N=25Mean=14SD=0.16$CV%=0.8$
Day to DaySample 1N=20Mean=9.2SD=0.21$CV%=2.2$Sample 2N=20Mean=13.3SD=0.32$CV%=2.4$Sample 1N=25Mean=9.1SD=0.09$CV%=1.0$Sample 2N=25Mean=12.4SD=0.14$CV%=1.1$Sample 3N=25Mean=14SD=0.14$CV%=1.0$

Teco CX3 Reagent Set, the acceptability of CV% in Calcium test is within 5%

Creatinine:

FeaturePredicate DeviceCandidate Device
PrecisionWithin-DaySample 1N=20Mean=1.9SD=0.05CV%=2.6Sample 2N=20Mean=8.2SD=0.6CV%=7.3Sample 1N=25Mean=1.3SD=0.04CV%=2.7Sample 2N=25Mean=6.4SD=0.11CV%=1.6Sample 3N=25Mean=20SD=0.35CV%=1.7
Day to DaySample 1N=20Mean=2.0SD=0.2CV%=10Sample 2N=20Mean=8.2SD=0.4CV%=4.6Sample 1N=25Mean=1.3SD=0.03CV%=2.2Sample 2N=25Mean=6.6SD=0.24CV%=3.7Sample 3N=25Mean=19.9SD=0.33CV%=1.6

Teco CX3 Reagent Set, the acceptability of CV% in Creatinine test is within 10%

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1268 N. Lakeview Ave., Anaheim, CA 92807, U.S.A. Phone: (714) 693-7788 Toll Free: 1-800-222-9880 Fax: (714) 693-3838 www.tecodiag.com_Email:tecodiag@tecodiag.com

Glucose:

FeaturePredicate DeviceCandidate Device
Sample 1Sample 2Sample 1Sample 2Sample 3
PrecisionWithin-DayN=20Mean=87SD=4.2CV%=4.8N=20Mean=282SD=5.4CV%=1.9N=25Mean=78SD=2.0CV%=2.5N=25Mean=255SD=3.4CV%=1.3N=25Mean=735SD=9.8CV%=1.5
Day to DaySample 1N=20Mean=85SD=3.7CV%=4.3Sample 2N=20Mean=287SD=9.6CV%=3.3Sample 1N=25Mean=79SD=2.6CV%=3.3Sample 2N=25Mean=262SD=5.9CV%=2.2Sample 3N=25Mean=734SD=8.7CV%=1.2

Teco CX3 Reagent Set, the acceptability of CV% in Clucose test is within 10%

Table 2-Performance Characteristics (Human Serum) BUN:

FeatureCandidate DevicePredicate Device
Linearity3 to 102 mg/dLup to 80 mg/dL
AccuracyR=0.99Y= $1.00-0.911$R=0.99Y= $0.962 X - 0.721$
Expect values/Reference range15-39 mg/dL8-23 mg/L

Teco CX3 Reagent Set BUN test, Acceptance Criteria of Accuracy: r > 0.95; Slope: 0.97-1.1

Calcium:

FeatureCandidate DevicePredicate Device
Linearity1.0 to 15 mg/dLup to 20 mg/dL
AccuracyR=0.96Y=1.07X +0.60R=0.97Y=0.94 X+ 0.53
Expect values/Reference range8.4-10.2 mg/dL8.5-10.5 mg/dL

Teco CX3 Reagent Set Calcium test, Acceptance Criteria of Accuracy: r > 0.90; Slope: 0.90-1.1

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1268 N. Lakeview Ave., Anaheim, CA 92807, U.S.A. Phone: (714) 693-7788 Toll Free: 1-800-222-9880 Fax: (714) 693-3838 www.tecodiag.com Email:tecodiag@tecodiag.com

Creatinine:

FeatureCandidate DevicePredicate Device
Linearity0.2 to24g/dLUp to 25 mg/dL
Accuracy$R=0.99$$Y=0.97 -0.11$$R=0.99$$Y=0.96 X+ 0.06$
Expect values/Reference range0.6-1.3 mg/dLMale: 0.9-1.5 mg/dLFemale: 0.7-1.37 mg/dL

Teco CX3 Reagent Set Creatinine test, Acceptance Criteria of Accuracy: r > 0.96; Slope: 0.90-1.1

Glucose:

FeatureCandidate DevicePredicate Device
Linearity30 to 750 mg/dLup to 500 mg/dL
AccuracyR=0.99Y=0.96X+0.36R=0.99Y=1.02 X+3.1
Expect values/Reference range70-105 mg/dL70-106 mg/dL

Teco CX3 Reagent Set Glucose test, Acceptance Criteria of Accuracy: r > 0.90; Slope: 0.85-1.1

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DEPARTMENT OF HEALTH & HUMAN SERVICES

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Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

MAR 2 7 2006

Ms. Jian Vaeches Teco Diagnostics 1268 N. Lakeview Ave Anaheim, CA 92807

Re:

K060120 Trade/Device Name: Teco CX3 Reagent Set for SYNCHRON CX System Regulation Number: 21 CFR§ 862.1770 Regulation Name: Urea nitrogen test system Regulatory Class: Class II Product Code: CDQ, CIC, CGX, CGA Dated: March 16, 2006 Received: March 16, 2006

Dear Ms. Vaeches:

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 (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) 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 (240) 276-0484. 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/industry/support/index.html.

Sincerely vours.

Alberto Gutierrez

Alberto Gutierrez, Ph.D. Director Division of Chemistry and Toxicology Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known): K060120

Device Name: Teco CX3 Reagent Set for SYNCHRON CX System

Indications For Use: Teco CX3 Reagent Set for SYNCHRON CX System is intended for the quantitative determination of BUN, Calcium, Creatinine and Glucose in serum on Beckman CX3 System.

BUN measurements are used in the diagnosis and treatment of certain renal and metabolic diseases.

Calcium measurements are used in the diagnosis and treatment of parathyroid diseases, a variety of bone diseases, chronic renal and tetany.

Creatinine measurements are used in the diagnosis and treatment of renal diseases, in monitoring renal dialysis, and a calculation basis for measuring other urine analytes.

Glucose measurements are used in the diagnosis and treatment of carbohydrate metabolism disorders, including diabetes mellitus, neonatal hypoglycemia and idiopathic hypoglycemia, and pancreatic islet carcinoma.

This reagent set is intended for in vitro diagnostic use only.

Prescription Use J

AND/OR

Over-The-Counter Use

(Part 21 CFR 801.109)

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

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

Page 1 of 1

Of In Vitro Diagnostic Device Evaluation and Safe

n Sign-Off

060120

§ 862.1770 Urea nitrogen test system.

(a)
Identification. A urea nitrogen test system is a device intended to measure urea nitrogen (an end-product of nitrogen metabolism) in whole blood, serum, plasma, and urine. Measurements obtained by this device are used in the diagnosis and treatment of certain renal and metabolic diseases.(b)
Classification. Class II.