K Number
K061150
Device Name
SYSMEX AUTOMATED HEMATOLOGY ANALYZER, XT-SERIES
Date Cleared
2006-07-06

(72 days)

Product Code
Regulation Number
864.5220
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Sysmex® XT-Series Hematology Analyzer is a quantitative, automated hematology analyzer and leukocyte differential counter for in vitro diagnostic use in clinical laboratories. The XT- Series Body Fluid Application adds a quantitative, automated procedure for analyzing body fluids such as cerebrospinal fluid, serous fluid and synovial fluid to the XT- Series, providing enumeration of the WBCs and the RBCs.
Device Description
The XT-Series is an automated hematology analyzer previously cleared by the FDA. The combination of side scatter, forward scatter, and fluorescent intensity of nucleated cells gives an image of each cell detected in the specimen.
More Information

Not Found

Not Found

No
The document describes standard automated hematology analysis techniques based on light scattering and fluorescence, with no mention of AI, ML, or related concepts.

No
Explanation: The device is an in vitro diagnostic device used for quantitative analysis of hematology and leukocyte differentials, as well as body fluid analysis. It is not used for treating or diagnosing diseases directly in patients.

Yes
The "Intended Use / Indications for Use" states that the device is "for in vitro diagnostic use in clinical laboratories."

No

The device description explicitly states it is an "automated hematology analyzer," which is a hardware device. The "Body Fluid Application" is an addition to this hardware, not a standalone software device.

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

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

"The Sysmex® XT-Series Hematology Analyzer is a quantitative, automated hematology analyzer and leukocyte differential counter for in vitro diagnostic use in clinical laboratories."

This statement clearly indicates that the device is intended for use in examining specimens taken from the human body to provide information for diagnostic purposes, which is the definition of an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Sysmex® XT-Series Hematology Analyzer is a quantitative, automated hematology analyzer and leukocyte differential counter for in vitro diagnostic use in clinical laboratories. The XT- Series Body Fluid Application adds a quantitative, automated procedure for analyzing body fluids such as cerebrospinal fluid, serous fluid and synovial fluid to the XT - Series, providing enumeration of the WBCs and the RBCs.

Product codes

GKZ

Device Description

The XT-Series is an automated hematology analyzer previously cleared by the FDA. The combination of side scatter, forward scatter, and fluorescent intensity of nucleated cells gives an image of each cell detected in the specimen.

Mentions image processing

The combination of side scatter, forward scatter, and fluorescent intensity of nucleated cells gives an image of each cell detected in the specimen.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Studies were performed to evaluate the equivalency of the automated method to the predicate method. Results indicated equivalent performance.

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

Not Found

Predicate Device(s)

The Sysmex® XT- Series Body Fluid Application claims substantial equivalence to the Sysmex XE-Series Body Fluid Application

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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and the comments of the comments of the control of the contraction of the contribution of the contribution of the contribution of the first of the first of the first of the f

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

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

| 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: April 24, 2006 |
|---------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 2. Name of Device: | Trade or proprietary name: Sysmex® Automated Hematology
Analyzer, XT- Series

Common name: Automated Hematology Analyzer.

Classification name: Sysmex® XT-Series, Automated
Hematology, an Automated Differential Cell Counter (21 CFR
864.5220) is a Class II medical device. |
| 3. Predicate Method: | The Sysmex® XT- Series Body Fluid Application claims
substantial equivalence to the Sysmex XE-Series Body Fluid
Application |
| 4. Device Description: | The XT-Series is an automated hematology analyzer previously
cleared by the FDA. The combination of side scatter, forward
scatter, and fluorescent intensity of nucleated cells gives an image
of each cell detected in the specimen. |
| 5. Intended Use: | The Sysmex® XT-Series Hematology Analyzer is a quantitative,
automated hematology analyzer and leukocyte differential
counter for in vitro diagnostic use in clinical laboratories. The
XT- Series Body Fluid Application adds a quantitative,
automated procedure for analyzing body fluids such as
cerebrospinal fluid, serous fluid and synovial fluid to the XT-
Series, providing enumeration of the WBCs and the RBCs. |
| 6. Substantial
equivalence-similarities
and differences | The following table compares the XT- Series Body Fluid
Application with the predicate method, XE-Series Body Fluid
Application. |

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

Predicate MethodNew Instrument Method
XE-2100 Series Body Fluid
ApplicationXT- Series Body Fluid Application
Intended UseTo provide a quantitative
determination of blood cells in
body fluids such as cerebrospinal
fluid, serous fluid and synovial
fluid.Same as predicate method
MethodologyCell count is performed on an
automated hematology analyzer.Same as predicate method
ReagentsCellpack, Sulfolyser,
Stromatolyser-FB,
Stromatolyser-4DL,
Stromatolyser-4DS,
Stromatolyser, NR,
Stromatolyser-IM,
Cellsheath
Ret-Search IICellpack, Sulfolyser,
Stromatolyser-FB,
Stromatolyser-4DL,
Stromatolyser-4DS,
Ret-Search II
Specimen TypeBody Fluids such as
Cerebrospinal fluid, Serous fluid,
Synovial fluidSame as predicate method
AccuracyPerformance was established in
the previous 510(k) submission.Comparison to the XE-2100 Series Body
Fluid Application demonstrated excellent
correlation

Comparison to Predicate Method

  1. Clinical Performance Data: Studies were performed to evaluate the equivalency of the automated method to the predicate method. Results indicated equivalent performance.

  2. Conclusions: ______________________________________________________________________________________________________________________________________________________________________________

The performance data demonstrated substantial equivalence.

:

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized caduceus, which is a symbol of medicine, with three horizontal lines representing the branches of government. The caduceus is surrounded by a circle of text that reads "U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES, USA".

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

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

JUL - 6 2006

Re: K061150 Trade/Device Name: Sysmex® XT-Series, Automated Hematology Analyzer. Body Fluid Application Regulation Number: 21 CFR § 864.5220 Regulation Name: Automated differential cell counter Regulatory Class: II Product Code: GKZ Dated: April 24, 2006 Received: April 25, 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, Pr 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

K061150 510(k) Number (if known):

Device Name: Sysmex® XT- Series, Automated Hematology Analyzer

Indications For Use:

The Sysmex® XT-Series Hematology Analyzer is a quantitative, automated hematology analyzer and leukocyte differential counter for in vitro diagnostic use in clinical laboratories. The XT- Series Body Fluid Application adds a quantitative, automated procedure for analyzing body fluids such as cerebrospinal fluid, serous fluid and synovial fluid to the XT - Series, providing enumeration of the WCC and the RBCs.

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

Concurrence of CIIRD, Office of Device Evaluation (ODE)

Prescription Use
OR
Over-The-Counter Use
Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

Body Fluid Application on Sysmex XT Series
510(k) FDA SubmissionK061150

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