K Number
K081822
Device Name
COULTER 6C CELL CONTROL, MODELS 628027 & A59925
Date Cleared
2009-01-21

(208 days)

Product Code
Regulation Number
864.8625
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
6C Cell Control is a hematology quality control material used to monitor the performance of COULTER hematology analyzers listed in the TABLE OF EXPECTED RESULTS in conjunction with specific COULTER reagents. The assigned values and expected ranges on the TABLE OF EXPECTED RESULTS can be used to monitor instrument performance. This product can also be used to establish your own laboratory mean.
Device Description
6C Cell Control is a reference product prepared from treated, stabilized human erythrocytes in an isotonic medium. 6C Cell Control also contains a stabilized, platelet-sized component, and fixed erythrocytes to simulate leukocytes and nucleated red blood cells. By design, 6C Cell Control confirms and monitors instrument accuracy and precision performance by providing measurements for counting, sizing, hemoglobin determination, NRBC enumeration and White Blood Cell differentiation using VCSn technology.
More Information

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No
The document describes a quality control material for hematology analyzers and does not mention any AI or ML components in its description or intended use.

No
The device is a quality control material for monitoring the performance of hematology analyzers, not for treating patients.

No

This device is a quality control material used to monitor the performance of hematology analyzers, not to diagnose a patient's condition.

No

The device description clearly states it is a "reference product prepared from treated, stabilized human erythrocytes in an isotonic medium," indicating it is a physical material, not software.

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

Here's why:

  • Intended Use: The intended use explicitly states it is a "hematology quality control material used to monitor the performance of COULTER hematology analyzers." This is a classic function of an IVD, which is used to examine specimens derived from the human body to provide information for diagnostic purposes. In this case, the "specimen" is the quality control material itself, and the "diagnostic purpose" is ensuring the accuracy and reliability of the hematology analyzer, which is used for patient diagnostics.
  • Device Description: The description details the composition of the control material, which is designed to simulate human blood components (erythrocytes, platelet-sized component, fixed erythrocytes to simulate leukocytes and NRBCs). This further supports its role in evaluating the performance of instruments that analyze human blood.
  • Quality Control: The primary function described is "quality control" and "monitoring instrument performance." Quality control materials are a fundamental part of the IVD ecosystem, ensuring the accuracy of diagnostic tests.

While the device itself isn't directly diagnosing a patient, it is an essential component in the process of performing accurate in vitro diagnostic tests on human specimens.

N/A

Intended Use / Indications for Use

6C Cell Control is a hematology quality control material used to monitor the performance of COULTER hematology analyzers listed in the TABLE OF EXPECTED RESULTS in conjunction with specific COULTER reagents.

The assigned values and expected ranges on the TABLE OF EXPECTED RESULTS can be used to monitor instrument performance. This product can also be used to establish your own laboratory mean.

Product codes

GCC

Device Description

6C Cell Control is a reference product prepared from treated, stabilized human erythrocytes in an isotonic medium. 6C Cell Control also contains a stabilized, platelet-sized component, and fixed erythrocytes to simulate leukocytes and nucleated red blood cells. By design, 6C Cell Control confirms and monitors instrument accuracy and precision performance by providing measurements for counting, sizing, hemoglobin determination, NRBC enumeration and White Blood Cell differentiation using VCSn technology.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

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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

The data in the Premarket Notification on safety and effectiveness supports a finding of substantial equivalence to products already in commercial distribution. Stability studies of 6C Cell Control support the Beckman Coulter stability claims of 18 events within 16 days (open vial) and 95 days (closed vial).

Key Metrics

Not Found

Predicate Device(s)

K912133, K060464

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 864.8625 Hematology quality control mixture.

(a)
Identification. A hematology quality control mixture is a device used to ascertain the accuracy and precision of manual, semiautomated, and automated determinations of cell parameters such as white cell count (WBC), red cell count (RBC), platelet count (PLT), hemoglobin, hematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC).(b)
Classification. Class II (special controls). Except when intended for use in blood components, the device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 864.9.

0

Image /page/0/Picture/0 description: The image shows the logo for Beckman Coulter. The logo consists of a circular graphic on the left and the company name on the right. The graphic is a black circle with two curved white lines inside. The company name is written in a bold, sans-serif font, with "BECKMAN" on top of "COULTER".

l

JAN 21 2009

510(k) Summary COULTER 6C Cell Control

l Submitted By:

Lourdes Coba Staff Regulatory Affaırs Specialıst Beckman Coulter, Inc 11800 SW 147 Avenue, M/C 31-B06 Mıamı, Florıda 33196-2500 Telephone (305) 380-4191 FAX (305) 380-4344

K081822

2 Date Submitted:

June 26, 2008

3 Device Name(s):

3 1 Proprietary Names

COULTER® 6C Cell Control

3 2 Classification Name

Hematology qualıty control mıxture (21 CFR § 864 8625)

4 Predicate Device:

| Candidate(s) | Predicate | Manufacturer | Docket
Number |
|-----------------------------|-----------------------------------------------------------------------------|----------------------|-------------------------|
| COULTER® 6C Cell
Control | COULTER® 5C®
Cell Control
(Cleared as
COULTER® PX Cell
Control) | Beckman Coulter, Inc | K912133
&
K060464 |

1

5 Description:

.

6C Cell Control is a reference product prepared from treated, stabilized human erythrocytes in an isotonic medium 6C Cell Control also contains a stabilized, platelet-sized component, and fixed erythrocytes to simulate leukocytes and nucleated red blood cells By design, 6C Cell Control confirms and monitors instrument accuracy and precision performance by providing measurements for counting, sizing, hemoglobin determination, NRBC enumeration and White Blood Cell differentiation using VCSn technology

6 Intended Use:

6C Cell Control is a hematology quality control material used to monitor the performance of COULTER hematology analyzers listed in the TABLE OF EXPECTED RESULTS in conjunction with specific COULTER reagents

The assigned values and expected ranges on the TABLE OF EXPECTED RESULTS can be used to monitor instrument performance This product can also be used to establish your own laboratory mean

7 Comparison to Predicate(s):

COULTER 6C Cell Control is essentially identical to the current COULTER 5C Cell Control with the addition of 2 parameters NRBC% and NRBC# This control 1s for use with the UniCel® DxH 800 analyzer (pending 510(k) submission) An NRBC analog was added to the 5C control product formulation

8 Summary of Performance Data:

The data in the Premarket Notification on safety and effectiveness supports a finding of substantial equivalence to products already in commercial distribution Stability studies of 6C Cell Control support the Beckman Coulter stability claims of 18 events within 16 days (open vial) and 95 days (closed vial)

This summary of safety and effectiveness is being submitted in accordance with the requirements of the Safe Medical Device Act of 1990 and the implementung regulation 21 CFR 807 92

2

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 eagle with three lines forming its body and wings. The eagle is facing right. Encircling the eagle is the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" in a circular arrangement.

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Beckman Coulter, Inc c/o Ms Nancy Nadler Staff Regulatory Affairs Specialist 11800 SW 147" Avenue Miamı, FL 33196

JAN 21 2009

Re K081822

Trade/Device Name Coulter® 6C Cell Control Regulation Number 21 CFR 864 8625 Regulation Name Hematology Quality Control Mixture Regulatory Class Class II Product Code Dated January 05, 2009 Received January 06, 2009

Dear Ms Nadler

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 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 comples 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

3

Page 2

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (240) 276-0450 Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807 97) For questions regarding postmarket surveillance, please contact CDRH's Otfice of Surveillance and Biometric's (OSB's) Division of Postmarket Survey)lance at (240) 276-3474 For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at (240) 276-3464 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 us Internet address http //www fda gov/cdrh/industry/support/index.html

Sincerely yours,

M chan

Maria M Chan, Ph D Acting Division Director Division of Immunology and Hematology Devices Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

4

510(k) Number (if known) K

ીસ જિલ્લામાં આવેલું એક ગામના લોકોનો મુખ્ય વ્યવસાય ખેતી, ખેતમજૂરી તેમ જ પશુપા

Device Name COULTER® 6C Ccll Control

Indications For Use

6C Cell Control is a hematology quality control material used to monitor the performance of COULTER hematology analyzers Insted in the TABLE OF EXPECTED RESULTS In conjunction with specific COULTER reagents

The assigned values and expected ranges on the TABLE OF EXPECTED RESULTS can be used to montor instrument performance This product can also be used to establish your own laboratory mean

Prescription Use __X (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)
ision Sign Off
Office of In Vitro Diagnostic Design
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Office of In Vitro Diagnostic Device Evaluation and Sa

5.19(k) K081822

COULTER® 6C Cell Control Traditional 510(k) Notification

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