(97 days)
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No
The summary describes a chemical reagent for a laboratory analyzer and does not mention any AI or ML components.
No
The device is described as a reagent for in vitro diagnostic use, specifically for measuring carbon dioxide in human serum and plasma. It is used in the diagnosis and treatment process, but it is not a device applied to a patient for therapeutic purposes.
Yes
The "Intended Use / Indications for Use" section explicitly states "For in vitro diagnostic use in the quantitative determination of carbon dioxide in human serum and plasma".
No
The device description clearly states it is a reagent solution, which is a chemical substance, not software.
Yes, this device is an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use/Indications for Use: The very first sentence explicitly states "For in vitro diagnostic use". It also describes the purpose of the measurement (determining carbon dioxide in human serum and plasma) and its clinical significance ("diagnosis and treatment of numerous potentially serious disorders associated with changes in body acid-base balance"). This clearly aligns with the definition of an IVD, which is used to examine specimens taken from the human body to provide information for diagnosis, monitoring, or treatment.
- Device Description: The description details a "reagent" which is a chemical substance used in a laboratory test. This is typical of IVD devices.
- Summary of Performance Studies: The studies described (imprecision, method comparison, interfering substances, etc.) are standard performance evaluations for IVD assays.
- Predicate Device(s): The mention of a predicate device (Genzyme/DCL Carbon Dioxide L3K® Assay) with a K number (K042362) indicates that this device is being compared to an already cleared IVD.
All of these elements strongly support the classification of this device as an In Vitro Diagnostic.
N/A
Intended Use / Indications for Use
The ADVIA Chemistry Carbon Dioxide Liquid (CO2 L) assay is for in vitro diagnostic use in the quantitative determination of carbon dioxide in human serum and plasma on ADVIA Chemistry systems. Such measurements are used in the diagnosis and treatment of numerous potentially serious disorders associated with changes in body acid-base balance.
Product codes (comma separated list FDA assigned to the subject device)
KHS
Device Description
The ADVIA Chemistry Carbon Dioxide reagent is a solution containing buffer (pH 7.6 at 25°C), 12.5 mmol/L PEP, ≥ 400 U/L PEPC (microbial), ≥ 4100 U/L malate dehydrogenase (mammalian), 0.6 mmol/L NADH analog, activators, stabilizers, a surfactant, and a preservative.
Mentions image processing
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Mentions AI, DNN, or ML
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Input Imaging Modality
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Anatomical Site
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Indicated Patient Age Range
Not Found
Intended User / Care Setting
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Description of the training set, sample size, data source, and annotation protocol
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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. All of the evaluation studies gave acceptable results compared to the predicate device. These studies support that the ADVIA Chemistry Carbon Dioxide Liquid assay is substantially equivalent to the Genzyme Carbon Dioxide L3K® assay that is currently marketed.
I. Imprecision: Within run and Total Precision were established by assaying two control sera. Each sample was assayed 2 times per run, 2 runs per day, for at least 10 days. Precision estimates were computed according to CLSI document EP05-A2, Evaluation of Precision Performance of Quantitative Measurement Methods; Approved Guideline.
- Sample Level 1: Mean 16.1 mmol/L, Within Run SD 0.19 mmol/L, CV 1.2%, N 40; Total Imprecision SD 0.56 mmol/L, CV 3.5%, N 40.
- Sample Level 2: Mean 25.9 mmol/L, Within Run SD 0.17 mmol/L, CV 0.7%, N 40; Total Imprecision SD 0.92 mmol/L, CV 3.5%, N 40.
- Sample Level 3: Mean 34.6 mmol/L, Within Run SD 0.33 mmol/L, CV 1.0%, N 40; Total Imprecision SD 1.21 mmol/L, CV 3.5%, N 40.
II. Linearity/assay reportable range: Linear/measuring range of the assay is 10-40 mmol/L (mEq/L). The low end of the assay range is calculated based on the Limit of Detection. The high end of the assay range is based on the linearity calculation.
III. Limit of detection: The estimations of the Limit of Blank (LoB) and Limit of Detection (LoD) were performed by running 40 replicates of 0.9% saline and 40 replicates of a Low Sample, using one lot of reagent. Data were obtained from a 10-day precision study. The LoD for the CO2 assays is 10% variance from the control. No significant lipemia interference was found at Intralipid levels from 0-500 mg/dL in a 22.2 mmol/L (mEg/L) carbon dioxide sample. No significant interference was found at unconjugated bilirubin levels from 0-25 mg/dL in a 21.7 mmol/L (mEg/L) carbon dioxide sample. Hemoglobin levels of 0-500 mg/dL were studied with acceptable results to a level of a 22.6 mmol/L (mEg/L) carbon dioxide sample. Billirubin levels from 0-25 mg/dL in a 21.9 mmol/L (mEq/L) carbon dioxide sample was 10.3%.
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
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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.
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).
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§ 862.1160 Bicarbonate/carbon dioxide test system.
(a)
Identification. A bicarbonate/carbon dioxide test system is a device intended to measure bicarbonate/carbon dioxide in plasma, serum, and whole blood. Bicarbonate/carbon dioxide measurements are used in the diagnosis and treatment of numerous potentially serious disorders associated with changes in body acid-base balance.(b)
Classification. Class II.
0
MAY 1 0 2010
510(k) Summary of Safety and Effectiveness for the ADVIA® Chemistry Carbon Dioxide Liquid (CO2 L) Reagent
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.
A. 510(k) Number: K100289
- B. Date of Preparation: May 6, 2010
C. Proprietary and Established Names: ADVIA® Chemistry Carbon Dioxide Liguid (CO2_L) Assay
D. Applicant
| Contact: | Sandra D. White, MS, RAC
Sr. Regulatory Technical Specialist |
|----------|-----------------------------------------------------------------------------------|
| Address: | Siemens Healthcare Diagnostics, Inc
333 Coney Street
East Walpole, MA 02032 |
| Phone: | (508) 660-4553
(508) 660-4591 (fax) |
E. Requiatory Information:
-
- Regulation section: 21 CFR §862.1160 Bicarbonate/carbon dioxide test system, (Enzymatic, Carbon Dioxide)
-
- Classification: Class II
-
- Product Code: KHS
-
- Panel: 75 - Chemistry
F. Predicate Device:
-
- Device Name: Genzyme/DCL Carbon Dioxide L3K® Assay
-
- Common Name: Carbon Dioxide-L3K Assay
-
- 510(k) Number:
- K042362
-
- Manufacturer:
Genzyme Diagnostics P.E.I. Inc. (formerly Diagnostic Chemicals Limited)
G. Intended Use:
The ADVIA Chemistry Carbon Dioxide Liquid (CO2 L) assay is for in vitro diagnostic use in the quantitative determination of carbon dioxide in human serum and plasma on ADVIA Chemistry systems. Such measurements are used in the diagnosis and treatment of numerous potentially serious disorders associated with changes in body acid-base balance.
1
H. Device Description:
The ADVIA Chemistry Carbon Dioxide reagent is a solution containing buffer (pH 7.6 at 25°C), 12.5 mmol/L PEP, ≥ 400 U/L PEPC (microbial), ≥ 4100 U/L malate dehydrogenase (mammalian), 0.6 mmol/L NADH analog, activators, stabilizers, a surfactant, and a preservative.
l. Test Principle:
The ADVIA® Chemistry Carbon Dioxide Liquid (CO2 L) Assay is based on enzymatic reactions. Phosphoenolpyruvate carboxylase (PEPC) catalyzes the first reaction which generates oxaloacetate. In the presence of MDH, the NADH analog is oxidized by oxaloacetate to NAD+ analog. The oxidation of NADH analog is measured by the decreased absorbance at 410/478 nm, which is proportional to the amount of CO2 in the sample.
J. Substantial Equivalence Information:
-
- Predicate device name: Genzyme (formerly DCL) Carbon Dioxide L3K Assay
-
- Predicate K number: K042362
-
- Comparison with predicate:
| Similarities | ||
|---|---|---|
| Item | ADVIA Chemistry Carbon Dioxide Liquid (New Device) | Genzyme (formerly DCL) Carbon Dioxide L3K® Assay (Predicate Device) |
| Intended Use | For the in vitro quantitative measurement of carbon dioxide concentration in serum and plasma. | Same |
| Sample Type | Serum and Plasma | Same |
| Test Principle | Enzymatic | |
| Reagents | A solution containing buffer, 12.5 mmol/L PEP, >400 U/L PEPC (microbial), >4100 U/L malate dehydrogenase (mammalian), 0.6 mmol/L NADH analog, activators, stabilizers, a surfactant, and a preservative. | Same |
| Format | Liquid, ready for use | Same |
| Reagent Storage Temperature | 2-8°C | Same |
2
| Item | ADVIA Chemistry Carbon
Dioxide Liquid
(New Device) | Genzyme (formerly DCL)
Carbon Dioxide L3K®
Assay
(Predicate Device) |
|---------------------------|----------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------|
| Measurement
Wavelength | 410 nm or 478 nm | 405 nm or 415 nm |
| Calibrators | Siemens ADVIA Chemistry CO2
Calibrator/Diluent | Genzyme CO2 Calibrator |
| Calibration
Frequency | Daily | The frequency of calibration,
if necessary, using an
automated system is
dependent on the system
and the parameters used. |
| Reportable range | 10 to 40 mmol/L (mEq/L) | 2.9 to 50.0 mmol/L (mEq/L) |
K. Performance Characteristics
Substantial equivalence was demonstrated by testing several performance characteristics including imprecision, method comparison, interfering substances, serum/plasma equivalency, and analytical range. All of the evaluation studies gave acceptable results compared to the predicate device. These studies support that the ADVIA Chemistry Carbon Dioxide Liquid assay is substantially equivalent to the Genzyme Carbon Dioxide L3K® assay that is currently marketed.
l. Imprecision
Within run and Total Precision were established by assaying two control sera. Each sample was assayed 2 times per run, 2 runs per day, for at least 10 days. Precision estimates were computed according to CLSI document EP05-A2, Evaluation of Precision Performance of Quantitative Measurement Methods; Approved Guideline.
| Sample | Mean
mmol/L
(mEq/L) | Standard Deviation
mmol/L
(mEq/L) | Coefficient
of Variation
% | N |
|------------------------|---------------------------|-----------------------------------------|----------------------------------|----|
| Within Run Imprecision | | | | |
| Level 1 | 16.1 | 0.19 | 1.2 | 40 |
| Level 2 | 25.9 | 0.17 | 0.7 | 40 |
| Level 3 | 34.6 | 0.33 | 1.0 | 40 |
| Total Imprecision | | | | |
| Level 1 | 16.1 | 0.56 | 3.5 | 40 |
| Level 2 | 25.9 | 0.92 | 3.5 | 40 |
| Level 3 | 34.6 | 1.21 | 3.5 | 40 |
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II. Linearity/assay reportable range:
Linear/measuring range of the assay is 10-40 mmol/L (mEq/L). The low end of the assay range is calculated based on the Limit of Detection. The high end of the assav range is based on the linearity calculation.
111. Limit of detection
The estimations of the Limit of Blank (LoB) and Limit of Detection (LoD) were performed by running 40 replicates of 0.9% saline and 40 replicates of a Low Sample, using one lot of reagent. Data were obtained from a 10-day precision study. The LoD for the CO2 assays is 10% variance from the control. No significant lipemia interference was found at Intralipid levels from 0-500 mg/dL in a 22.2 mmol/L (mEg/L) carbon dioxide sample. No significant interference was found at unconjugated bilirubin levels from 0-25 mg/dL in a 21.7 mmol/L (mEg/L) carbon dioxide sample. Hemoglobin levels of 0-500 mg/dL were studied with acceptable results to a level of a 22.6 mmol/L (mEg/L) carbon dioxide sample. Billirubin levels from 0-25 mg/dL in a 21.9 mmol/L (mEq/L) carbon dioxide sample was 10.3%.
L. Conclusion:
The ADVIA Chemistry Carbon Dioxide Liquid (CO2 L) assay is substantially equivalent to other products in commercial distribution intended for similar use. Most notably, it is substantially equivalent to the currently marketed Genzyme (formerly Diagnostics Chemicals Limited) Carbon Dioxide L3K® Assay (K042362).
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Image /page/4/Picture/0 description: The image shows the text "DEPARTMENT OF HEALTH & HUMAN SERVICES". The text is in all caps and is in a sans-serif font. The text is centered in the image and is the only element in the image. The text is likely the name of a government agency.
Image /page/4/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States of America. The seal features an abstract eagle design, with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged in a circular pattern around the eagle. The text is in all caps and is evenly spaced around the circle.
Food & Drug Administration 10903 New Hampshire Avenue Building 66 Silver Spring, MD 20993
Siemens Healthcare Diagnostics c/o Sandra D. White, Sr. Manager Regulatory Affairs 333 Coney Street Walpole, MA 02032
MAY 1 0 2010
Re: K100289
Trade Name: ADVIA Chemistry Systems Carbon Dioxide Liquid (CO2 L) Assay Regulation Number: 21 CFR 8862.1160 Regulation Name: Bicarbonate/carbon dioxide test system Regulatory Class: Class II Product Codes: KHS Dated: April 1, 2010 Received: April 2, 2010
Dear Ms. White:
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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).
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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 (301) 796-5450. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at (301) 796-5760. For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
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 ) 796-5680 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.
Sincerely yours,
CAC
Courtney C. Harper, Ph.D. 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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Indication for Use
510(k) Number (if known): __k100289
Device Name: ADVIA® Chemistry Carbon Dioxide Liquid (CO2 L) Assay
Indication For Use:
For in vitro diagnostic use in the quantitative determination of carbon dioxide in human serum and plasma on ADVIA Chemistry Systems. Such measurements are used in the diagnosis and treatment of numerous potentially serious disorders associated with changes in body acid-base balance.
Prescription Use X (21 CFR Part 801 Subpart D) And/Or
Over the Counter Use (21 CFR Part 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE; CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of In Vitro Diagnostic Device Evaluation and Safety (OIVD)
Signature
Division Sign-Off Office of In Vitro Diagnostic Device Evaluation and Safety
510(k) K100289