K Number
K070626
Device Name
SYNCHRON SYSTEMS HIGH SENSITIVITY CARDIAC C-REACTIVE PROTEIN (CRPH) REAGENT
Date Cleared
2007-05-04

(59 days)

Product Code
Regulation Number
866.5270
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
High Sensitivity Cardiac C-Reactive Protein (CRPH) reagent, when used in conjunction with SYNCHRON LX® PRO System, UniCel® DxC 600/800 System(s) and SYNCHRON® Systems CAL 5 Plus, is intended for the quantitative determination of C-Reactive Protein in human serum or plasma bv rate turbidimetry. Clinical Significance: Measurement of C-Reactive protein (CRP) aids in evaluation of stress, trauma, infection, inflammation, surgery, and associated diseases. Cardiac CRP assays are indicated for use as an aid in the identification and stratification of individuals at risk for future cardiovascular disease. When used in conjunction with traditional clinical laboratory evaluation of acute coronary syndromes, CRP may be useful as an independent marker of prognosis for recurrent events in patients with stable coronary disease or acute coronary syndrome.
Device Description
High Sensitivity Cardiac C-Reactive Protein (CRPH) reagent, is intended for the quantitative determination of C-Reactive Protein in human serum or plasma by rate turbidimetry. SYNCHRON® System(s) CRPH reagent is based on the highly sensitive Near Infrared Particle Immunoassay rate methodology. An anti-CRP antibody-coated particle binds to CRP in the patient sample resulting in the formation of insoluble aggregates causing turbidity.
More Information

Not Found

No
The summary describes a reagent and associated laboratory systems for a quantitative chemical assay (turbidimetry) and does not mention any AI/ML components or functionalities.

No.
This device is a diagnostic reagent used to measure C-Reactive protein, which aids in the evaluation and risk stratification of various conditions; it does not directly provide therapy.

Yes

The device is intended for the quantitative determination of C-Reactive Protein (CRP) to aid in the evaluation and stratification of individuals at risk for cardiovascular disease and as an independent marker of prognosis for recurrent events, which are diagnostic purposes.

No

The device described is a reagent used in conjunction with specific laboratory systems (SYNCHRON LX® PRO System, UniCel® DxC 600/800 System(s)). It is a chemical substance for performing a diagnostic test, not a software-only device.

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

Here's why:

  • Intended Use: The intended use explicitly states it's for the "quantitative determination of C-Reactive Protein in human serum or plasma". This involves testing biological samples in vitro (outside the body).
  • Clinical Significance: The clinical significance describes how the results of this test are used to aid in the "evaluation of stress, trauma, infection, inflammation, surgery, and associated diseases" and as an "aid in the identification and stratification of individuals at risk for future cardiovascular disease". This is a clear diagnostic purpose.
  • Device Description: The description details a "reagent" that binds to CRP in a "patient sample" to cause a measurable reaction. This is characteristic of an in vitro diagnostic test.
  • Performance Studies: The performance studies involve "Method Comparison Study Results" comparing the device to a "Predicate Method" (Behring CardioPhase hsCRP), which is another IVD. The "Imprecision Results" also demonstrate the analytical performance of the test on samples.

All these points align with the definition of an In Vitro Diagnostic device, which is used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes.

N/A

Intended Use / Indications for Use

High Sensitivity Cardiac C-Reactive Protein (CRPH) reagent, when used in conjunction with SYNCHRON LX 20 PRO System. UniCel® DxC 600/800 System(s) and SYNCHRON® Systems CAL 5 Plus, is intended for the quantitative determination of C-Reactive Protein in human serum or plasma by rate turbidimetry.

Clinical Significance:
Measurement of C-Reactive protein (CRP) aids in evaluation of stress, trauma, infection, inflammation, surgery, and associated diseases. Cardiac CRP assays are indicated for use as an aid in the identification and stratification of individuals at risk for future cardiovascular disease. When used in conjunction with traditional clinical laboratory evaluation of acute coronary syndromes. CRP may be useful as an independent marker of prognosis for recurrent events in patients with stable coronary disease or acute coronary syndrome.

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

NQD

Device Description

High Sensitivity Cardiac C-Reactive Protein (CRPH) reagent, is intended for the quantitative determination of C-Reactive Protein in human serum or plasma by rate turbidimetry. SYNCHRON® System(s) CRPH reagent is based on the highly sensitive Near Infrared Particle Immunoassay rate methodology. An anti-CRP antibody-coated particle binds to CRP in the patient sample resulting in the formation of insoluble aggregates causing turbidity.

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

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:
Analyte: Synchron Cardiac CRPH (0.2 to 80 mg/L); Slope: 1.048; Intercept: 0.024; r: 0.9899; n: 269; Predicate Method: Behring CardioPhase hsCRP
Analyte: Synchron Cardiac CRPH (0.2 to 10 mg/L); Slope: 1.030; Intercept: -0.008; r: 0.9910; n: 149; Predicate Method: Behring CardioPhase hsCRP

SYNCHRON High Sensitivity Cardiac CRPH Reagent Imprecision Results:
Sample: Within-Run Imprecision
Level 1: Mean (mg/dL) 0.063; S.D. (mg/dL) 0.0019; %C.V. 3.1; N: 80
Level 2: Mean (mg/dL) 1.368; S.D. (mg/dL) 0.0222; %C.V. 1.6; N: 80
Level 3: Mean (mg/dL) 5.639; S.D. (mg/dL) 0.0907; %C.V. 1.6; N: 80
Sample: Total Imprecision
Level 1: Mean (mg/dL) 0.063; S.D. (mg/dL) 0.0033; %C.V. 5.3; N: 80
Level 2: Mean (mg/dL) 1.368; S.D. (mg/dL) 0.0381; %C.V. 2.8; N: 80
Level 3: Mean (mg/dL) 5.639; S.D. (mg/dL) 0.1823; %C.V. 3.2; N: 80

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.

K033908, K010597

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

§ 866.5270 C-reactive protein immunological test system.

(a)
Identification. A C-reactive protein immunological test system is a device that consists of the reagents used to measure by immunochemical techniques the C-reactive protein in serum and other body fluids. Measurement of C-reactive protein aids in evaluation of the amount of injury to body tissues.(b)
Classification. Class II (performance standards).

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K070626

Summary of Safety & Effectiveness SYNCHRON® Systems High Sensitivity Cardiac C-Reactive Protein (CRPH) Reagent

1.0 Submitted By:

Tara Viviani Senior Regulatory Affairs Specialist Beckman Coulter, Inc. 200 S. Kraemer Blvd., W-110 Brea, California 92822-8000 Telephone: (714) 961-3626 FAX: (714) 961-4123

MAY - 4 2007

2.0 Date Submitted:

March 2, 2007

3.0 Device Name(s):

3.1 Proprietary Names

SYNCHRON® Systems High Sensitivity Cardiac C-Reactive Protein (CRPH) Reagent

3.2 Classification Name

C-Reactive Protein immunological test system (21 CFR § 866.5270)

4.0 Predicate Device:

| Candidate(s) | Predicate | Manufacturer | Docket Number/
(Product Code) |
|--------------------------------------------------------------|------------------------------------------------------|-------------------------|----------------------------------|
| Synchron Systems
High Sensitivity Cardiac
CRPH Reagent | Dade Behring
CardioPhase hsCRP | Dade Behring
Inc.* | K033908
(NQD) |
| Synchron Systems
High Sensitivity Cardiac
CRPH Reagent | Synchron Systems
High Sensitivity
CRPH Reagent | Beckman
Coulter, Inc | K010597
(DCK) |

*Dade Behring Inc. (Newark, DE)

5.0 Description:

High Sensitivity Cardiac C-Reactive Protein (CRPH) reagent, is intended for the quantitative determination of C-Reactive Protein in human serum or plasma by rate turbidimetry. SYNCHRON® System(s) CRPH reagent is based on the highly sensitive Near Infrared Particle Immunoassay rate methodology. An anti-CRP antibody-coated particle binds to CRP in the patient sample resulting in the formation of insoluble aggregates causing turbidity.

6.0 Intended Use:

High Sensitivity Cardiac C-Reactive Protein (CRPH) reagent, when used in conjunction with SYNCHRON LX 20 PRO System. UniCel® DxC 600/800 System(s) and SYNCHRON® Systems CAL 5 Plus, is intended for the quantitative determination of C-Reactive Protein in human serum or plasma by rate turbidimetry.

Clinical Significance:

Measurement of C-Reactive protein (CRP) aids in evaluation of stress, trauma, infection, inflammation, surgery, and associated diseases. Cardiac CRP assays are indicated for use as an aid in the identification and stratification of individuals at risk for future cardiovascular disease. When used in conjunction with traditional clinical laboratory evaluation of acute coronary syndromes. CRP may be useful as an independent marker of prognosis for recurrent events in patients with stable coronary disease or acute coronary syndrome.

Beckman Coulter, Inc., Section 510(k) Notification

SYNCHRON® System High Sensitivity Cardiac C-Reactive Protein (CRPH) Reagent, SYN Cardiac CRPH Summary of Safety final.doc, March 2007

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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
Synchron Cardiac
CRPH
ReagentIntended UseSame as
Dade Behring
CardioPhase hsCRP
Use of Latex particle
technologySame as
Dade Behring CardioPhase hsCRP and
Synchron CRPH
Liquid stable reagentThe formulation is identical to LX System CRPH
Reagent.
Single point adjusted
Calibration modelSame as LX System CRPH Reagent
Differences
Synchron Cardiac
CRPH ReagentAntibody sourceSYNCHRON Cardiac CRPH uses goat and
mouse while the Dade Behring Kit uses mouse
only.
Initial dilution rangeSYNCHRON Cardiac CRPH initial dilution range
covers from 0.02 to 8.0 mg/dL while the Dade
Behring Kit covers from 0.31 to 20.0 mg/dL
Extended dilution rangeSYNCHRON Cardiac CRPH extended dilution
range covers up to 38.0 mg/dL while the Dade
Behring Kit covers uses multiple dilutions to
cover the range from 0.016 to 1600.0 mg/dL
Calibration modelSYNCHRON Cardiac CRPH uses a different
model equation for the predetermined calibration
curve than SYNCHRON CRPH

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 commercial distribution. Equivalence is demonstrated through method comparison, stability, linearity, and imprecision experiments.

AnalyteSlopeInterceptrnPredicate Method
Synchron Cardiac CRPH
(0.2 to 80 mg/L)1.0480.0240.9899269Behring
CardioPhase hsCRP
Synchron Cardiac CRPH
(0.2 to 10 mg/L)1.030-0.0080.9910149Behring
CardioPhase hsCRP

Method Comparison Study Results

SYNCHRON High Sensitivity Cardiac CRPH Reagent Imprecision Results

SampleMean (mg/dL)S.D. (mg/dL)%C.V.N
Within-Run Imprecision
Level 10.0630.00193.180
Level 21.3680.02221.680
Level 35.6390.09071.680
Total Imprecision
Level 10.0630.00335.380
Level 21.3680.03812.880
Level 35.6390.18233.280

This summary of safety and effectiveness is being submitted in accordance with the requirements of the Safe Medical Device Act of 1990 and the implementing regulation 21 CFR 807.92.

Beckman Coulter, Inc., Section 510(k) Notification

SYNCHRON® System High Sensitivity Cardiac C-Reactive Protein (CRPH) Reagent, SYN Cardiac CRPH Summary of Safety final.doc, March 2007

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Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Beckman Coulter, Inc. c/o Ms. Tara Viviani Senior Regulatory Affairs Specialist 200 South Kraemer Blvd. M/S /W110 Brea, CA 92822-8000

MAY - 4 2007

Re: K070626

Trade/Device Name: Synchron® Systems High Sensitivity Cardiac C-Reactive Protein (CRPH) reagent Regulation Number: 21 CFR 866.5270 Regulation Name: C-reactive protein immunological test system. Regulatory Class: Class II Product Code: NQD Dated: March 2, 2007 Received: March 6, 2007

Dear Ms. Viviani:

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).

Image /page/2/Picture/11 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle. The logo is black and white.

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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 1egally 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) 276-0490. 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 from me (800) 638-2041 or (240) 276-3150 or at its Internet address at http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Jean M. Cooper, M.S., D.V.M.

Jéan M. Cooper, M.S., 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

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Indications for Use

K070626 510(k) Number (if known):

Device Name:

SYNCHRON® Systems High Sensitivity Cardiac C-Reactive Protein (CRPH)

Reagent

Indications for Use:

High Sensitivity Cardiac C-Reactive Protein (CRPH) reagent, when used in conjunction with SYNCHRON LX® PRO System, UniCel® DxC 600/800 System(s) and SYNCHRON® Systems CAL 5 Plus, is intended for the quantitative determination of C-Reactive Protein in human serum or plasma bv rate turbidimetry.

Clinical Significance:

Measurement of C-Reactive protein (CRP) aids in evaluation of stress, trauma, infection, inflammation, surgery, and associated diseases. Cardiac CRP assays are indicated for use as an aid in the identification and stratification of individuals at risk for future cardiovascular disease. When used in conjunction with traditional clinical laboratory evaluation of acute coronary syndromes, CRP may be useful as an independent marker of prognosis for recurrent events in patients with stable coronary disease or acute coronary syndrome.

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)

ion Sign-Off

Office of In Vitro Diagnostic Device

Evaluation and Safety

Page 1 of 1

Beckman Coulter, Inc., Section 510(k) Notification SYNCHRON® System High Sensitivity Cardiac C-Reactive Protein (CRPH) Reagent, SYN Cardiac CRPH510K_Section1.doc, March 2007

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