K Number
K070727
Device Name
ADVIA CHEMISTRY ENZYMATIC CREATININE_2
Date Cleared
2007-08-03

(141 days)

Product Code
Regulation Number
862.1225
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For in vitro diagnostic use in the quantitative determination of creatinine in human serum, plasma, and urine on the ADVIA Chemistry Systems. Such measurements are used in the diagnosis and treatment of renal diseases, and in monitoring renal dialysis.
Device Description
The ADVIA Chemistry Enzymatic Creatinine_2 is used for the in vitro quantitative determination of creatinine in human serum, plasma and urine on the ADVIA® Chemistry Systems. The proposed labeling indicates the ADVIA Chemistry Enzymatic Creatinine 2 reagents can be used on the ADVIA Chemistry 1200 / 1650 / 1800 / 2400 Systems. The principle of the method is based on the enzymatic method employing creatininase, creatinase, sarcosine oxidase, horseradish peroxidase and N-(3-sulfopropy))-3methoxy-5-methylaniline (HMMPS) as the color agent. When a sample is mixed with Reagent 1 and Reagent 2, creatinine in the sample is converted to creatine by the action of creatininase. The creatine formed is hydrolyzed by creatinase to produce sarcosine and urea. The sarcosine is then decomposed by sarcosine oxidase to form glycine, formaldehyde and hydrogen peroxide. In the presence of peroxidase (POD), the hydrogen peroxide formed yields a blue pigment by quantitative oxidative condensation with N-(3-sulfopropy)-3-methoxy-5-methylaniline (HMMPS) and 4aminoantipyrine. The creatinine concentration is obtained by measuring the absorbance of blue color. The increase in optical absorbance is determined as an endpoint assay, which is proportional to the concentration of creatinine in the sample.
More Information

Not Found

No
The device description details a purely enzymatic chemical reaction for creatinine measurement. There is no mention of AI/ML in the device description, intended use, or performance studies.

No.
This device is for in vitro diagnostic use to measure creatinine levels, which aids in diagnosing and monitoring renal diseases. It does not directly treat or prevent a medical condition, making it a diagnostic device, not a therapeutic one.

Yes

The "Intended Use / Indications for Use" section explicitly states "For in vitro diagnostic use in the quantitative determination of creatinine... Such measurements are used in the diagnosis and treatment of renal diseases..." which clearly defines it as a diagnostic device.

No

The device description clearly outlines a chemical assay using reagents and enzymatic reactions to measure creatinine. This involves physical components and chemical processes, not solely software.

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

Here's why:

  • Intended Use: The "Intended Use / Indications for Use" section explicitly states "For in vitro diagnostic use".
  • Device Description: The description confirms it's used for "in vitro quantitative determination of creatinine in human serum, plasma and urine".
  • Principle of Method: The method involves analyzing biological samples (serum, plasma, urine) outside of the body to measure a specific analyte (creatinine).
  • Performance Studies: The performance studies focus on evaluating the accuracy and reliability of the assay for measuring creatinine in these biological samples.

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

N/A

Intended Use / Indications for Use

For in vitro diagnostic use in the quantitative determination of creatinine in human serum, plasma, and urine on the ADVIA Chemistry Systems. Such measurements are used in the diagnosis and treatment of renal diseases, and in monitoring renal dialysis.

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

JFY

Device Description

The ADVIA Chemistry Enzymatic Creatinine_2 is used for the in vitro quantitative determination of creatinine in human serum, plasma and urine on the ADVIA® Chemistry Systems. The proposed labeling indicates the ADVIA Chemistry Enzymatic Creatinine 2 reagents can be used on the ADVIA Chemistry 1200 / 1650 / 1800 / 2400 Systems.

The principle of the method is based on the enzymatic method employing creatininase, creatinase, sarcosine oxidase, horseradish peroxidase and N-(3-sulfopropy))-3methoxy-5-methylaniline (HMMPS) as the color agent. When a sample is mixed with Reagent 1 and Reagent 2, creatinine in the sample is converted to creatine by the action of creatininase. The creatine formed is hydrolyzed by creatinase to produce sarcosine and urea. The sarcosine is then decomposed by sarcosine oxidase to form glycine, formaldehyde and hydrogen peroxide. In the presence of peroxidase (POD), the hydrogen peroxide formed yields a blue pigment by quantitative oxidative condensation with N-(3-sulfopropy)-3-methoxy-5-methylaniline (HMMPS) and 4aminoantipyrine. The creatinine concentration is obtained by measuring the absorbance of blue color. The increase in optical absorbance is determined as an endpoint assay, which is proportional to the concentration of creatinine in the sample.

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

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Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Substantial equivalence was demonstrated by testing several performance characteristics including imprecision, method comparison, interfering substances, serum/plasma equivalency, and analytical range.

  • Imprecision (Serum): Data provided for ADVIA Chemistry Enzymatic Creatinine_2 (ADVIA 1650, ADVIA 2400, ADVIA 1200) at various creatinine levels and total CV%. Also, data for ADVIA Chemistry Creatinine_2 (ADVIA 1650) and ADVIA Chemistry Enzymatic Creatinine (ADVIA 1650, ADVIA 1200) are shown for comparison.
  • Imprecision (Urine): Data provided for ADVIA Chemistry Enzymatic Creatinine_2 (ADVIA 1650, ADVIA 2400, ADVIA 1200) at various creatinine levels and total CV%. Also, data for ADVIA Chemistry Creatinine_2 (ADVIA 1650, ADVIA 1200, ADVIA 2400) are shown for comparison.
  • Method Comparison / Correlation:
    • Serum, ADVIA 1200 vs ADVIA 1200 Creatinine 2: N=60, Y = 1.017x + 0.03, Sy.x=0.07, r=1.000, Sample Range=0.3 – 12.3 mg/dL
    • Serum, ADVIA 1200 vs ADVIA 1200 Enzymatic Creatinine: N=28, Y = 0.933x + 0.11, Sy.x=0.14, r=1.000, Sample Range=0.5 - 25.6 mg/dL
    • Serum, ADVIA 1650 vs ADVIA 1650 Creatinine 2: N=60, Y = 1.018x - 0.04, Sy.x=0.13, r=1.000, Sample Range=0.3 - 11.9 mg/dL
    • Serum, ADVIA 1650 vs ADVIA 1650 Enzymatic Creatinine: N=42, Y = 0.957x + 0.04, Sy.x=0.12, r=1.000, Sample Range=0.6 - 25.7 mg/dL
    • Serum, ADVIA 2400 vs ADVIA 2400 Creatinine 2: N=60, Y = 1.026x - 0.03, Sy.x=0.13, r=1.000, Sample Range=0.3 - 12.1 mg/dL
    • Serum, ADVIA 2400 vs ADVIA 2400 Enzymatic Creatinine: N=42, Y = 0.954x + 0.01, Sy.x=0.07, r=1.000, Sample Range=0.6 - 25.4 mg/dL
    • Urine, ADVIA 1200 vs ADVIA 1200 Creatinine 2: N=46, Y = 1.042x + 0.41, Sy.x=1.80, r=1.000, Sample Range=20.0 - 238.1 mg/dL
    • Urine, ADVIA 1650 vs ADVIA 1650 Creatinine 2: N=49, Y = 1.019x - 0.99, Sy.x=1.88, r=1.000, Sample Range=17.8 - 239.4 mg/dL
    • Urine, ADVIA 2400 vs ADVIA 2400 Creatinine 2: N=44, Y = 1.025x + 2.47, Sy.x=2.99, r=0.999, Sample Range=18.9 - 218.1 mg/dL
  • Interfering Substances (Enzymatic Creatinine 2): Effects of Hemoglobin (500, 1000 mg/dL), Lipids (Intralipid) (1000 mg/dL), Bilirubin, free (30.0, 22.5 mg/dL), and Bilirubin, conjugated (30.0 mg/dL) on creatinine concentration and % change are presented for ADVIA 1200, ADVIA 1650, and ADVIA 2400.
  • Analytical Range:
    • Serum/Plasma: 0.1 - 30.0 mg/dL for ADVIA 1650, ADVIA 2400, and ADVIA 1200.
    • Urine: 1.0 - 245 mg/dL for ADVIA 1650, ADVIA 2400, and ADVIA 1200.

All of the evaluation studies gave acceptable results compared to the predicate devices. These studies support that the ADVIA Chemistry Enzymatic Creatinine_2 assay is substantially equivalent to the ADVIA Chemistry Creatinine_2 assay and the ADVIA Chemistry Enzymatic Creatinine assay that are currently marketed.

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.

K973993, K991576

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

§ 862.1225 Creatinine test system.

(a)
Identification. A creatinine test system is a device intended to measure creatinine levels in plasma and urine. Creatinine measurements are used in the diagnosis and treatment of renal diseases, in monitoring renal dialysis, and as a calculation basis for measuring other urine analytes.(b)
Classification. Class II.

0

K070727

510(k) Summary

AUG - 3 2007

Submitter information
Contact person:Philip Liu
Manager, Regulatory Affairs & Compliance
Address:Siemens Medical Solutions Diagnostics
511 Benedict Avenue
Tarrytown, NY 10591
Phone:914-524-2443
914-524-2500 (fax)
Date summary prepared:July 27, 2007
Device Trade or Proprietary Name:ADVIA® Chemistry Enzymatic Creatinine_2 (ECRE_2)
Device Common/Usual Name or Classification Name:Enzymatic Method, Creatinine Test System
Classification Number/Class:JFY / Class II

This 510(k) summary of safety and effectiveness is being submitted in accordance with the requirements of 21 CFR 807.92.

The assigned 510(k) number is:

Predicate Devices:

Predicate Device #1Predicate Device #2
Device NameADVIA® Chemistry Systems
Creatinine_2ADVIA® Chemistry Systems
Enzymatic Creatinine
Common nameCreatinine Test SystemCreatinine Test System
510(k) NumberK973993K991576
ManufacturerSiemens Medical Solutions
Diagnostics (formerly Bayer
HealthCare LLC)Siemens Medical Solutions
Diagnostics (formerly Bayer
HealthCare LLC)

Device Description:

The ADVIA Chemistry Enzymatic Creatinine_2 is used for the in vitro quantitative determination of creatinine in human serum, plasma and urine on the ADVIA®

1

Chemistry Systems. The proposed labeling indicates the ADVIA Chemistry Enzymatic Creatinine 2 reagents can be used on the ADVIA Chemistry 1200 / 1650 / 1800 / 2400 Systems.

The principle of the method is based on the enzymatic method employing creatininase, creatinase, sarcosine oxidase, horseradish peroxidase and N-(3-sulfopropy))-3methoxy-5-methylaniline (HMMPS) as the color agent. When a sample is mixed with Reagent 1 and Reagent 2, creatinine in the sample is converted to creatine by the action of creatininase. The creatine formed is hydrolyzed by creatinase to produce sarcosine and urea. The sarcosine is then decomposed by sarcosine oxidase to form glycine, formaldehyde and hydrogen peroxide. In the presence of peroxidase (POD), the hydrogen peroxide formed yields a blue pigment by quantitative oxidative condensation with N-(3-sulfopropy)-3-methoxy-5-methylaniline (HMMPS) and 4aminoantipyrine. The creatinine concentration is obtained by measuring the absorbance of blue color. The increase in optical absorbance is determined as an endpoint assay, which is proportional to the concentration of creatinine in the sample.

Statement of Intended Use:

The ADVIA Chemistry Enzymatic Creatinine 2 assay is for in vitro diagnostic use in the quantitative determination of creatinine in human serum, plasma or urine on the ADVIA® Chemistry Systems. Such measurements are used in the diagnosis and treatment of renal disease, and in monitoring renal dialysis.

Comparison to the Predicate Device:

Similarities

| | ADVIA Chemistry
Enzymatic Creatinine_2
(ECRE_2)
( new device ) | ADVIA Chemistry Creatinine_2
(CREA_2)
( predicate device ) | ADVIA Chemistry Enzymatic
Creatinine
(CREA_E)
( predicate device ) |
|---------------------------------|--------------------------------------------------------------------------------|-------------------------------------------------------------------------|------------------------------------------------------------------------------------|
| Intended Use | Quantitative determination of
creatinine | Quantitative determination of
creatinine | Quantitative determination of
creatinine |
| Specimen Type | Human serum or plasma
(lithium heparin / K₂EDTA) or
urine | Human serum or plasma
(lithium heparin) or urine | Human serum or plasma
(lithium heparin) |
| Calibration | Single point | Single point | Single point |
| Expected Values
Serum/plasma | *Males: 0.6 - 1.1 mg/dL
*Females: 0.5 - 0.8 mg/dL | Males: 0.7 - 1.3 mg/dL
Females: 0.5 - 1.1 mg/dL | **Males: 0.9 - 1.3 mg/dL
**Females: 0.6 - 1.1 mg/dL |
| Expected Values
Urine | *Males: 800 - 2000 mg/day
*Females: 600 - 1800 mg/day | *Males: 800 – 2000 mg/day
*Females: 600 - 1800 mg/day | Not Applicable |

*Tietz NW. Clinical Guide to Laboratory Tests, 400 Edition

** Tietz NW. Clinical Guide to Laboratory Tests, 3d Edition

2

Differences

| | ADVIA Chemistry Enzymatic
Creatinine_2 (ECRE_2)
( new device ) | ADVIA Chemistry
Creatinine_2
(CREA_2)
( predicate device ) | ADVIA Chemistry Enzymatic
Creatinine
(CREA_E)
( predicate device ) |
|-----------------|-----------------------------------------------------------------------------|----------------------------------------------------------------------------|------------------------------------------------------------------------------------|
| Principle | Enzymatic (Creatininase) | Jaffe, alkaline picrate, kinetic
with blank rate correction | Enzymatic (Creatinine
Deiminase / GLDH) |
| Reaction Type | Colorimetric Endpoint | Colorimetric Rate | Colorimetric Rate |
| Reagents | Two liquid reagents, ready to
use | Two liquid reagents, ready to
use | Two lyophilized reagents,
requiring reconstitution |
| Standardization | ID-MS (SRM 967) | HPLC candidate reference
method | HPLC candidate reference
method |

Performance:

Substantial equivalence was demonstrated by testing several performance characteristics including imprecision, method comparison, interfering substances, serum/plasma equivalency, and analytical range. The following tables summarize the precision (total), interfering substances, analytical range, and method comparison results.

All of the evaluation studies gave acceptable results compared to the predicate devices. These studies support that the ADVIA Chemistry Enzymatic Creatinine_2 assay is substantially equivalent to the ADVIA Chemistry Creatinine_2 assay and the ADVIA Chemistry Enzymatic Creatinine assay that are currently marketed.

Imprecision (Serum)

ADVIA Chemistry Enzymatic Creatinine_2ADVIA Chemistry Creatinine_2ADVIA Chemistry Enzymatic Creatinine
ADVIA 1650ADVIA 2400ADVIA 1200ADVIA 1650ADVIA 1650
Level (mg/dL)Total CV (%)Level (mg/dL)Total CV (%)Level (mg/dL)Total CV (%)Level (mg/dL)Total CV (%)Level (mg/dL)Total CV (%)
1.291.11.281.291.1--------
1.760.91.750.81.731.11.55.70.96.4
3.071.13.060.93.040.9----6.12.3
8.800.68.811.48.790.98.43.49.52.0

Imprecision (Urine)

ADVIA Chemistry Enzymatic Creatinine_2ADVIA Chemistry Creatinine_2
ADVIA 1650ADVIA 2400ADVIA 1200ADVIA 1650ADVIA 1200ADVIA 2400
Level
(mg/dL)Total CV
(%)Level
(mg/dL)Total CV
(%)Level
(mg/dL)Total CV
(%)Level
(mg/dL)Total CV
(%)Level
(mg/dL)Total CV
(%)Level
(mg/dL)Total CV
(%)
41.561.341.131.042.341.0------------
77.271.077.540.979.781.181.54.379.72.180.72.1
130.590.9131.330.9133.091.0202.71.8182.51.9199.71.4

Siemens Medical Solutions Diagnostics ADVIA Chemistry Enzymatic Creatinine 2 Premarket Notification 510(k) Section 5 - 510(k) Summary

3

| Specimen type,
System (y) | Comparison System (x) | N | Regression
Equation | Sy.x
(mg/dL) | r | Sample
Range
(mg/dL) |
|------------------------------|------------------------------------|----|------------------------|-----------------|-------|----------------------------|
| Serum, ADVIA
1200 | ADVIA 1200
Creatinine 2 | 60 | $Y = 1.017x + 0.03$ | 0.07 | 1.000 | 0.3 – 12.3 |
| Serum, ADVIA
1200 | ADVIA 1200
Enzymatic Creatinine | 28 | $Y = 0.933x + 0.11$ | 0.14 | 1.000 | 0.5 - 25.6 |
| Serum, ADVIA
1650 | ADVIA 1650
Creatinine 2 | 60 | $Y = 1.018x - 0.04$ | 0.13 | 1.000 | 0.3 - 11.9 |
| Serum, ADVIA
1650 | ADVIA 1650
Enzymatic Creatinine | 42 | $Y = 0.957x + 0.04$ | 0.12 | 1.000 | 0.6 - 25.7 |
| Serum, ADVIA
2400 | ADVIA 2400
Creatinine 2 | 60 | $Y = 1.026x - 0.03$ | 0.13 | 1.000 | 0.3 - 12.1 |
| Serum, ADVIA
2400 | ADVIA 2400
Enzymatic Creatinine | 42 | $Y = 0.954x + 0.01$ | 0.07 | 1.000 | 0.6 - 25.4 |
| Urine, ADVIA
1200 | ADVIA 1200
Creatinine 2 | 46 | $Y = 1.042x + 0.41$ | 1.80 | 1.000 | 20.0 - 238.1 |
| Urine, ADVIA
1650 | ADVIA 1650
Creatinine 2 | 49 | $Y = 1.019x - 0.99$ | 1.88 | 1.000 | 17.8 - 239.4 |
| Urine, ADVIA
2400 | ADVIA 2400
Creatinine 2 | 44 | $Y = 1.025x + 2.47$ | 2.99 | 0.999 | 18.9 - 218.1 |

Correlation (y = ADVIA Chemistry Enzymatic Creatinine_2, x = comparison system)

Interfering Substances (Enzymatic Creatinine 2)

| Interfering
Substance | Conc.
(mg/dL) | Creatinine conc. (mg/dL) | | | Effect
(% change) | | |
|--------------------------|------------------|--------------------------|---------------|---------------|----------------------|---------------|---------------|
| | (mg/dL) | ADVIA
1200 | ADVIA
1650 | ADVIA
2400 | ADVIA
1200 | ADVIA
1650 | ADVIA
2400 |
| Hemoglobin | 500 | 0.94 | 0.92 | 0.91 | 7.5 | 6.6 | 6.6 |
| | 1000 | 3.08 | 3.06 | 3.00 | -2.8 | -3.8 | -2.2 |
| Lipids (Intralipid) | 1000 | 0.91 | 0.88 | 0.87 | 6.6 | -5.7 | -1.2 |
| | 1000 | 3.09 | 3.03 | 2.97 | -2.4 | -5.3 | -4.2 |
| Bilirubin, free | 30.0 | 0.96 | 1.01 | 0.94 | -8.9 | -7.4 | -9.6 |
| | 22.5 | 3.05 | 3.05 | 3.22 | -6.6 | -6.1 | -9.8 |
| Bilirubin, conjugated | 30.0 | 0.92 | 0.90 | 0.91 | -2.7 | -5.6 | -5.5 |
| | 30.0 | 2.96 | 2.97 | 2.94 | -4.6 | -5.4 | -6.0 |

Analytical Range – Serum/Plasma

| Platform | ADVIA Chemistry Enzymatic
Creatinine 2 |
|------------|-------------------------------------------|
| ADVIA 1650 | 0.1 - 30.0 mg/dL |
| ADVIA 2400 | 0.1 - 30.0 mg/dL |
| ADVIA 1200 | 0.1 - 30.0 mg/dL |

4

Analytical Range - Urine

| Platform | ADVIA Chemistry Enzymatic
Creatinine 2 |
|------------|-------------------------------------------|
| ADVIA 1650 | 1.0 - 245 mg/dL |
| ADVIA 2400 | 1.0 - 245 mg/dL |
| ADVIA 1200 | 1.0 - 245 mg/dL |

Conclusions:

The ADVIA Chemistry Enzymatic Creatinine 2 assay is substantially equivalent to other products in commercial distribution intended for similar use. Most notably, it is substantially equivalent to the currently marketed Siemens Diagnostics (formerly Bayer HealthCare LLC) ADVIA Chemistry Creatinine_2 (K973993) and Enzymatic Creatinine methods (K991576).

5

Image /page/5/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 symbol, which features three figures in profile facing to the right. The figures are arranged in a way that they appear to be interconnected. Encircling the caduceus is the text "DEPARTMENT OF HUMAN SERVICES - USA" in a circular arrangement.

Public Health Service

Food and Druq Administration 2098 Gaither Road Rockville MD 20850

AUG - 3 2007

Siemens Medical Solutions Diagnostics c/o Mr. Philip Liu, Manager, Regulatory Affairs & Compliance 511 Benedict Avenue Tarrytown, NY 10591

Re: K070727 Trade Name: Advia Chemistry Enzymatic Creatinine-2 Regulation Number: 21 CFR 862.1225 Regulation Name: Creatinine test system Regulatory Class: Class II Product Code: JFY Dated: July 20, 2007 Received: July 23, 2007

Dear Mr. Liu:

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).

6

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) 276-0490. 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-free number (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.

Jean 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

7

Indications for Use

510(k) Number (if known): KD10727

Device Name: ADVIA CHEMISTRY ENZYMATIC CREATININE_2

Indications For Use:

For in vitro diagnostic use in the quantitative determination of creatinine in human serum, plasma, and urine on the ADVIA Chemistry Systems. Such measurements are used in the diagnosis and treatment of renal diseases, and in monitoring renal dialysis.

Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 801 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)

Carol C. Benson

Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

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070727