K Number
K060656
Device Name
SYSMEX AUTOMATED HEMATOLOGY ANALYZER MODELS XS SERIES
Date Cleared
2006-05-10

(58 days)

Product Code
Regulation Number
864.5220
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Sysmex® XS is an automated hematology analyzer for in vitro diagnostic use in clinical laboratories.
Device Description
The XE-2000 and XT-Series are automated hematology analyzers previously cleared by the FDA. The XS performs hematology analyses using the following methods: Sheath Flow DC Detection Method, Flow Cytometry Methods using a Semiconductor Laser and SLS-hemoglobin method.
More Information

Sysmex XE-2100, Sysmex XT-Series

No
The summary describes standard hematology analysis methods and does not mention AI or ML.

No
The device is described as an "automated hematology analyzer for in vitro diagnostic use," which means it is used to diagnose conditions, not treat them.

Yes

The "Intended Use / Indications for Use" states, "The Sysmex® XS is an automated hematology analyzer for in vitro diagnostic use in clinical laboratories." This explicitly identifies it as a diagnostic device.

No

The device description explicitly states it is an "automated hematology analyzer" and describes physical methods like "Sheath Flow DC Detection Method" and "Flow Cytometry Methods using a Semiconductor Laser," indicating it is a hardware device with integrated software, not a software-only device.

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

The "Intended Use / Indications for Use" section explicitly states:

"The Sysmex® XS is an automated hematology analyzer for in vitro diagnostic use in clinical laboratories."

N/A

Intended Use / Indications for Use

The Sysmex® XS is an automated hematology analyzer for in vitro diagnostic use in clinical laboratories.

Product codes

GKZ

Device Description

The XE-2000 and XT-Series are automated hematology analyzers previously cleared by the FDA.

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

Studies were performed to evaluate the equivalency of XS to the predicate method. The performance data demonstrated substantial equivalence.

Key Metrics

Not Found

Predicate Device(s)

The Sysmex® XS, Automated Hematology Analyzer, is substantially equivalent to the Sysmex XE-2100 and Sysmex XT-Series, Automated Hematology Analyzers.

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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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510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.
The assigned 510(k) number is: HOLOOLO 5 V

| 1. Submitted by: | Sysmex America, Inc.
One Nelson C. White Parkway
Mundelein, IL 60060
Phone: (847) 996-4675; FAX: (847) 996-4655
Contact person: Nina Gamperling
Date prepared: March 10, 2006 |
|---------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 2. Name of Device: | Trade or proprietary name: Sysmex® XS, Automated
Hematology Analyzer.

Common name: XS

Classification name: Automated Differential Cell Counter,
Sysmex® XS-1000i and XS-800i (21 CFR 864.5220) |
| 3. Predicate Device: | The Sysmex® XS, Automated Hematology Analyzer, is
substantially equivalent to the Sysmex XE-2100 and Sysmex XT-
Series, Automated Hematology Analyzers. |
| 4. Device Description: | The XE-2000 and XT-Series are automated hematology analyzers
previously cleared by the FDA. |
| 5. Intended Use: | The Sysmex® XS is an automated hematology analyzer for in vitro diagnostic use in clinical laboratories. |
| 6. Substantial
equivalence-similarities
and differences | The following table compares the XS with the predicate method. |

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510(k) SUMMARY OF SAFETY AND EFFECTIVENESS (continued)

Comparison Table to Predicate Method
Sysmex XE-2100
PredicateSysmex XS-Series
New Instrument
Intended UseThe SysmexTM XE-2100 is a multi-
parameter hematology analyzer
intended to classify formed elements
in anti-coagulated blood. The XE-
2100 can provide accurate and precise
test results for up to 32 analysis
parameters in whole blood.The Sysmex® XS-Series is an
automated hematology analyzer for in
vitro diagnostic use in clinical
laboratories.
MethodologyThe XE-2100 performs hematology
analyses using the following methods:
RF/DC Detection Method, Sheath
Flow DC Detection Method, Flow
Cytometry Methods using a
Semiconductor Laser and SLS-
hemoglobin method.The XS performs hematology
analyses using the following methods:
Sheath Flow DC Detection Method,
Flow Cytometry Methods using a
Semiconductor Laser and SLS-
hemoglobin method.
Type of
AnticoagulantEDTAEDTA
Specimen TypePeripheral bloodPeripheral blood
AccuracyPerformance was established in the
previous 510(k) submission.Comparison to the XE-2100 and XT-
Series analysers demonstrated
excellent correlation.

Comparison Table to Predicate Method

| 7. Clinical Performance Data: | Studies were performed to evaluate the equivalency of
XS to the predicate method. |
|-------------------------------|--------------------------------------------------------------------------------------|
| 8. Conclusions: | The performance data demonstrated substantial
equivalence. |

:

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Image /page/2/Picture/0 description: The image shows the logo for the Department of Health & Human Services USA. The logo consists of a stylized eagle with three stripes forming its body and wings. The eagle is positioned to the right of a circular text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES USA".

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Nina M. Gamperling, MBA, MT (ASCP), RAC Manager, Regulatory Affairs Sysmex America, Inc. One Nelson C. White Parkway 1 1 0 2006 Mundelein, Illinois 60060

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Re: K060656

Trade/Device Name: Sysmex® XS, Automated Hematology Analyzer Regulation Number: 21 CFR & 864.5220 Regulation Name: Automated differential cell counter Regulatory Class: II Product Code: GKZ Dated: March 10, 2006 Received: March 13, 2006

Dear Ms. Gamperling:

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). 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 (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 yours.

Robert Beckerh

Robert L. Becker, Jr., MD, PH.D Director Division of Immunology and Hematology Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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INDICATIONS FOR USE STATEMENT

KOLOGGE 510(k) Number (if known):_

Device Name: Sysmex® XSTM, Automated Hematology Analyzer

Indications For Use:

The Sysmex® XS is an automated hematology analyzer for in vitro diagnostic use in clinical laboratories.

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

Concurrence of CHRD, Office of Device Evaluation (ODE) Prescription Use OR Over-The-Counter Use _ fice of In Vitro Diagnostic Device valuation and Safe Sysmex America, Inc. 510(k) XS Submission