AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The GEM Premier 5000 is a portable critical care system for use by health care professionals to rapidly analyze heparinized whole blood samples at the point of health care delivery in a clinical setting and in a central laboratory. The instrument provides quantitative measurements of sodium from venous, arterial and capillary heparinized whole blood, as well as quantitative measurements of potassium and chloride from venous and arterial heparinized whole blood. These parameters, along with derived parameters, aid in the diagnosis of electrolyte balance.

Sodium (Na+) measurements are used in the diagnosis and treatment of aldosteronism, diabetes insipidus, adrenal hypertension. Addison's disease, dehydration, inappropriate antidiuretic secretion, or other diseases involving electrolyte imbalance.

Potassium (K+) measurements are used to monitor electrolyte balance in the diagnosis and treatment of disease conditions characterized by low or high blood potassium levels.

Chloride (Cl-) measurements are used in the diagnosis and metabolic disorders, such as cystic fibrosis and diabetic acidosis.

Ionized calcium (Ca++) measurements are used in the diagnosis and treatment of parathyroid disease, a variety of bone diseases, chronic renal disease and tetany.

GEM System Evaluator is a three-level assayed quality control material for evaluating performance characteristics of pH, pCO2, pO2, Electrolytes, Metabolites, Total Bilirubin (tBili) and CO-Oximetry on the GEM Premier 4000 and GEM Premier 5000 analyzers.

GEM Hematocrit Evaluator is a three-level assayed quality control material intended for evaluating performance characteristics of hematocrit on the GEM Premier 4000 and GEM Premier 5000 analyzers.

GEM CVP 5 tBili is an external Calibration Valuation Product used to complete the callbration process of the GEM Premier 4000 and GEM Premier 5000 analyzers prior to use with patient samples for total bilirubin (tBili) testing.

Device Description

The GEM Premier 5000 system provides health care professionals in central laboratory or point-of-care clinical settings with fast, accurate, quantitative measurements of sodium and ionized calcium from venous, arterial and capillary heparinized whole blood, as well as quantitative measurements of potassium and chloride from venous and arterial heparinized whole blood.

Key Components:
Analyzer: Employs a unique color touch screen and a simple set of menus and buttons for user interaction. The analyzer guides operators through the sampling process with simple, clear messages and prompts.
GEM Premier 5000 PAK (disposable, multi-use GEM PAK): Houses all required components necessary to operate the instrument once the cartridge is validated. These components include the sensors, CO-Ox/tBili optical cell, Process Control (PC) Solutions, sampler, pump tubing, distribution valve and waste bag. The GEM PAK has flexible menus and test volume options to assist facilities in maximizing efficiency.
Intelligent Quality Management 2 (iQM2): iQM2 is an active quality process control program designed to provide continuous monitoring of the analytical process before, during and after sample measurement with real-time, automatic error detection, automatic correction of the system and automatic documentation of all corrective actions. iQM2 is a statistical process control system that performs 5 types of continuous, quality checks to monitor the performance of the GEM PAK, sensors, CO-Ox, and reagents. These checks include System, Sensor, IntraSpect, Pattern Recognition and Stability Checks.

AI/ML Overview

Here's a summary of the acceptance criteria and the studies that prove the device meets them, based on the provided text:

Device: GEM Premier 5000 (Measured Parameters: Sodium, Potassium, Chloride, Ionized Calcium) and associated evaluators.

Clinical Context: Rapid analysis of heparinized whole blood samples in clinical and central laboratory settings for diagnosis and treatment of electrolyte imbalances.


1. Table of Acceptance Criteria (Implicit) and Reported Device Performance

The document doesn't explicitly list "acceptance criteria" with numerical targets for each performance metric, but rather presents the results of various studies and states that "all results were within specification" or "all parameter levels passed specification," implying that the observed performance met predefined internal acceptance criteria.

Below is a table summarizing the reported device performance from the various studies. The "Acceptance Criteria" column reflects the implied successful performance indicated by the text.

Performance Metric CategorySpecific Measurement / AnalyteAcceptance Criteria (Implied)Reported Device Performance
Precision (Internal Aqueous Controls)Na+ (Level 1, 2, 3)Within specificationLevels 1, 2, 3: Total %CV 0.6%, 0.4%, 0.5% respectively
K+ (Level 1, 2, 3)Within specificationLevels 1, 2, 3: Total %CV 0.7%, 1.1%, 0.6% respectively
Cl- (Level 1, 2, 3)Within specificationLevels 1, 2, 3: Total %CV 0.7%, 0.6%, 1.0% respectively
Ca++ (Level 1, 2, 3)Within specificationLevels 1, 2, 3: Total %CV 1.0%, 0.6%, 1.1% respectively
Precision (Internal Process Control Solutions D & E)Na+ (PCS D, E)Within specificationPCS D: Within Analyzer %CV 0.3%; PCS E: Within Analyzer %CV 0.2%
K+ (PCS D, E)Within specificationPCS D: Within Analyzer %CV 0.2%; PCS E: Within Analyzer %CV 0.3%
Cl- (PCS D, E)Within specificationPCS D: Within Analyzer %CV 0.5%; PCS E: Within Analyzer %CV 0.3%
Ca++ (PCS D, E)Within specificationPCS D: Within Analyzer %CV 0.3%; PCS E: Within Analyzer %CV 1.3%
Precision (Internal Whole Blood - Normal Mode)Na+ (Levels 1-5)Within specificationTotal %CV 0.6%, 0.4%, 0.4%, 0.4%, 0.8%
K+ (Levels 1-5)Within specificationTotal %CV 2.8%, 2.0%, 1.7%, 2.5%, 3.0%
Cl- (Levels 1-5)Within specificationTotal %CV 1.1%, 0.6%, 0.4%, 0.9%, 1.4%
Ca++ (Levels 1-5)Within specificationTotal %CV 5.2%, 2.3%, 0.7%, 1.4%, 2.0%
Precision (Internal Whole Blood - Micro Mode)Na+ (Levels 1-5)Within specificationTotal %CV 0.5%, 0.4%, 0.3%, 0.3%, 0.6%
Ca++ (Levels 1-5)Within specificationTotal %CV 2.8%, 1.4%, 0.6%, 1.0%, 1.6%
Reproducibility (Aqueous Controls - POC)Na+ (GSE 1, 2, 3)All results within specificationReproducibility %CV 0.4%, 0.4%, 0.2%
K+ (GSE 1, 2, 3)All results within specificationReproducibility %CV 0.0%, 0.8%, 0.4%
Cl- (GSE 1, 2, 3)All results within specificationReproducibility %CV 0.4%, 0.3%, 0.4%
Ca++ (GSE 1, 2, 3)All results within specificationReproducibility %CV 0.6%, 0.6%, 0.8%
Accuracy (Linearity)Na+ (85 to 214 mmol/L)R² ≥ 0.995 (implied good linearity)R² = 0.999
K+ (0.7 to 21.9 mmol/L)R² ≥ 0.995 (implied good linearity)R² = 0.999
Cl- (35 to 189 mmol/L)R² ≥ 0.995 (implied good linearity)R² = 1.000
Ca++ (0.10 to 5.05 mmol/L)R² ≥ 0.995 (implied good linearity)R² = 0.999
Method Comparison (vs. Predicate)Na+ (3 medical decision levels)Passed specification (implied acceptable bias)Bias: -0.2, 0.2, 0.5
K+ (3 medical decision levels)Passed specification (implied acceptable bias)Bias: 0.04, 0.13, 2.5%
Cl- (2 medical decision levels)Passed specification (implied acceptable bias)Bias: 0.6%, 0.4%
Ca++ (3 medical decision levels)Passed specification (implied acceptable bias)Bias: -0.021, -0.007, 1.0%
Total Error (at Medical Decision Levels)Na+, K+, Cl-, Ca++All results within GEM Premier 5000 Total Error Specifications (explicitly stated)Reported Total Error Observed values for all analytes at all medical decision levels
Clinical Testing (Normal Mode POC vs. Predicate)Na+High correlation (implied by high r)r = 0.991
K+High correlation (implied by high r)r = 0.998
Cl-High correlation (implied by high r)r = 0.990
Ca++High correlation (implied by high r)r = 0.998
Clinical Testing (Native Capillary Samples)Na+ (3 medical decision levels)Meets TEa (Explicit)Bias within 95% CI of Bias at MDL for all levels & within TEa
Ca++ (3 medical decision levels)Meets TEa (Explicit)Bias within 95% CI of Bias at MDL for all levels & within TEa
Clinical Testing (Pooled Capillary Samples w/ Contrived)Na+High correlation (implied by high r)r = 0.981
Ca++High correlation (implied by high r)r = 0.998

2. Sample Sizes and Data Provenance

  • Test Set Sample Sizes:

    • Internal Precision (Aqueous Controls): 120 replicates per control level per analyte (3 analyzers x 20 days x 2 runs/day x 1 replicate = 120).
    • Internal Precision (Process Control Solutions D & E): 120 replicates per PCS per analyte (3 analyzers x 20 days x 2 runs/day x 1 replicate = 120).
    • Internal Precision (Whole Blood): 120 replicates per concentration level per analyte (3 analyzers x 5 days x 1 run/day x 8 replicates = 120).
    • Reproducibility (Aqueous Controls - POC): 90 replicates per control level per analyte (3 sites x 3 replicates/run x 2 runs/day x 5 days = 90).
    • External Precision (Whole Blood):
      • POC Sites: 30-54 samples for Na+, 30-54 for K+, 30-54 for Cl-, 27-54 for Ca++ (per site)
      • Central Labs (Lab1, Lab2) / CSL: 30-33 samples for Na+, 30-33 for K+, 30-36 for Cl-, 27-33 for Ca++ (per site/lab)
    • Linearity: 9 or 10 levels per analyte, each analyzed in triplicate (9-10 levels x 3 replicates per level = 27-30 measurements per analyte).
    • Method Comparison (GEM Premier 5000 vs. GEM Premier 4000): 373 samples for each analyte (Na+, K+, Cl-, Ca++).
    • Clinical Testing (Normal Mode Syringe Samples): 485-491 samples per analyte.
    • Clinical Testing (Native Capillary Samples): 171 samples for Na+ and Ca++.
    • Clinical Testing (Pooled Native & Contrived Capillary Samples): 201 samples for Na+, 205 samples for Ca++.
  • Data Provenance: The data is a mix of internal studies (Instrumentation Laboratory Co.) and external studies at clinical point-of-care (POC) sites and central laboratories.

    • Internal Studies: Conducted by Instrumentation Laboratory Co. (Bedford, MA, USA). Some CSL (Customer Simulation Laboratory) data included contrived samples.
    • External Studies: Performed at:
      • Three (3) external clinical point-of-care (POC) sites.
      • Two (2) external central laboratories.
      • One (1) internal Customer Simulation Laboratory (CSL) at IL, with POC users.
    • Retrospective/Prospective: The studies appear to be prospective, designed specifically to evaluate the GEM Premier 5000's performance as per CLSI guidelines. The whole blood samples used in precision and method comparison studies include both native patient samples and, in some cases, contrived samples. The native clinical samples would be analogous to retrospective data if collected prior, but the studies describe active collection and testing to compare performance.

3. Number of Experts and Qualifications for Ground Truth

The document does not explicitly mention the number or qualifications of "experts" used to establish ground truth in the traditional sense (e.g., radiologists, pathologists). Instead, laboratory reference methods and predicate devices are used as the "ground truth" or reference for comparison.

  • Ground Truth for Analytical Studies:
    • Traceability: For Process Control Solutions (PCS), it states "traceable to NIST standards, CLSI procedures or internal standards."
    • Reference Analyzers: For Linearity, results were "compared to reference analyzers."
    • Predicate Device: For Method Comparison and Clinical Testing, the GEM Premier 4000 (K133407) served as the predicate device for comparison.

Since this is a clinical chemistry device for measuring electrolytes, the "ground truth" is typically established by highly calibrated and validated laboratory reference methods or proven predicate devices, rather than expert interpretation of images or clinical assessments.


4. Adjudication Method

Not applicable for this type of device performance study. Adjudication methods (like 2+1 or 3+1 expert consensus) are typically used in studies involving subjective assessments, such as radiology image interpretation, to establish a definitive ground truth when there might be inter-reader variability. For quantitative measurements by clinical chemistry analyzers, the ground truth is established by objective reference methods or well-characterized predicate devices.


5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. MRMC studies are specific to evaluating the impact of an AI system on human reader performance, often in diagnostic imaging. This document describes the analytical and clinical performance of a clinical chemistry device, which does not involve human "readers" interpreting cases in the same way. The studies focus on the device's accuracy, precision, linearity, and comparability to a predicate device.


6. Standalone (Algorithm Only) Performance

Yes, a standalone performance assessment was conducted for the device. The entire suite of analytical and clinical studies (precision, linearity, analytical specificity, method comparison) evaluates the performance of the GEM Premier 5000 system (which includes its embedded processing/algorithm) as a standalone diagnostic tool without direct human-in-the-loop interpretation of results that would alter the quantitative measurement it produces. The output values are direct physical measurements.


7. Type of Ground Truth Used

The ground truth used for this device includes:

  • Reference Methods/Standards: For internal precision and calibration, traceability to NIST standards, CLSI procedures, or internal standards is mentioned for Process Control Solutions. "Reference analyzers" were used for linearity comparisons.
  • Predicate Device Performance: For method comparison and clinical testing, the GEM Premier 4000 served as the gold standard or reference for comparison, indicating substantial equivalence.
  • Known Concentrations: Contrived samples (e.g., in the CSL) were used to cover medical decision levels, implying that their concentrations were known or precisely measured by a separate method.

8. Sample Size for the Training Set

The document does not explicitly mention a "training set" in the context of machine learning or AI models. Given that this is a 510(k) submission for an in vitro diagnostic device, the "training" for such devices typically refers to the extensive development and internal testing/calibration cycles that occur before formal validation studies (like those presented in the performance section) are conducted. These early development data sets are generally not disclosed in 510(k) summaries but are part of the design control process. The performance data presented are from validation studies, which serve as the test set.


9. How the Ground Truth for the Training Set Was Established

As noted above, a distinct "training set" with established ground truth in the AI/ML sense is not detailed. However, the process for establishing "ground truth" during device development (analogous to training) would involve:

  • Calibration Standards: Using certified reference materials and multi-point calibration procedures to ensure the device's sensors and algorithms accurately translate raw signals into quantitative concentrations.
  • Inter-Instrument Reproducibility: Extensive internal testing against known values to optimize sensor performance and ensure consistency across multiple manufacturing units.
  • Method Development & Optimization: Iterative testing with various samples (potentially including contrived and real patient samples) to refine the measurement algorithms and internal quality control mechanisms (like iQM2) to detect and correct errors. These steps would ensure measurements align with established reference methods or predicate devices.

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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002 December 14, 2016

INSTRUMENTATION LABORATORY CO. CAROL MARBLE REGULATORY AFFAIRS DIRECTOR 180 HARTWELL ROAD BEDFORD MA 01730

Re: K160225

Trade/Device Name: GEM Premier 5000 (Measured Parameters: Sodium, Potassium, Chloride, Ionized Calcium), GEM System Evaluator, GEM Hematocrit Evaluator, GEM CVP 5 tBili Regulation Number: 21 CFR 862.1665 Regulation Name: Sodium Test System Regulatory Class: II Product Code: JGS, CEM, CGZ, JFP, JJY, JJE, GLK Dated: December 6, 2016 Received: December 7, 2016

Dear Ms. Marble:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. 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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the

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electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulations (21 CFR Parts 801 and 809), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638 2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Courtney H. Lias -S

Courtney H. Lias, PhD Director Division of Chemistry and Toxicology Devices Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K160225

Device Name

GEM Premier 5000 (Measured Parameters: Sodium, Potassium, Chloride, Ionized Calcium) GEM System Evaluator, GEM Hematocrit Evaluator, GEM CVP 5 tBili

Indications for Use (Describe)

The GEM Premier 5000 is a portable critical care system for use by health care professionals to rapidly analyze heparinized whole blood samples at the point of health care delivery in a clinical setting and in a central laboratory. The instrument provides quantitative measurements of sodium from venous, arterial and capillary heparinized whole blood, as well as quantitative measurements of potassium and chloride from venous and arterial heparinized whole blood. These parameters, along with derived parameters, aid in the diagnosis of electrolyte balance.

Sodium (Na+) measurements are used in the diagnosis and treatment of aldosteronism, diabetes insipidus, adrenal hypertension. Addison's disease, dehydration, inappropriate antidiuretic secretion, or other diseases involving electrolyte imbalance.

Potassium (K+) measurements are used to monitor electrolyte balance in the diagnosis and treatment of disease conditions characterized by low or high blood potassium levels.

Chloride (Cl-) measurements are used in the diagnosis and metabolic disorders, such as cystic fibrosis and diabetic acidosis.

Ionized calcium (Ca++) measurements are used in the diagnosis and treatment of parathyroid disease, a variety of bone diseases, chronic renal disease and tetany.

GEM System Evaluator is a three-level assayed quality control material for evaluating performance characteristics of pH, pCO2, pO2, Electrolytes, Metabolites, Total Bilirubin (tBili) and CO-Oximetry on the GEM Premier 4000 and GEM Premier 5000 analyzers.

GEM Hematocrit Evaluator is a three-level assayed quality control material intended for evaluating performance characteristics of hematocrit on the GEM Premier 4000 and GEM Premier 5000 analyzers.

GEM CVP 5 tBili is an external Calibration Valuation Product used to complete the callbration process of the GEM Premier 4000 and GEM Premier 5000 analyzers prior to use with patient samples for total bilirubin (tBili) testing.

Type of Use (Select one or both, as applicable)
☒ Prescription Use (Part 21 CFR 801 Subpart D)☐ Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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510(k) Summary

This 510(k) Summary of Safety and Effectiveness is being submitted in accordance with the requirements of the Safe Medical Device Act of 1990 and 21 CFR 807.92.

Submitter's InformationInstrumentation Laboratory (IL) Co.180 Hartwell RoadBedford, MA 01730, USA
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Contact PersonCarol Marble, Regulatory Affairs Director
Phone: 781-861-4467
Fax: 781-861-4207
Email: cmarble@ilww.com
Preparation DateDecember 6, 2016
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Device Trade NamesGEM Premier 5000(Measured Parameters: Sodium, Potassium, Chloride, Ionized Calcium) GEM CVP 5 tBili GEM System Evaluator GEM Hematocrit Evaluator
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Predicate DevicesGEM Premier 4000K133407
GEM CVP 5 tBili
GEM System Evaluator
GEM Hematocrit Evaluator

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Regulatory Information
SystemRegulationSectionRegulatory DescriptionClassProductCodePanel
Instrument862.2160Discrete photometric chemistryanalyzer for clinical useIJJE75
Sodium862.1665Sodium test systemIIJGS
Potassium862.1600Potassium test systemIICEM75
Chloride862.1170Chloride test systemIICGZ
Ionized Calcium862.1145Calcium test systemIIJFP
Controls(InternalPCS D and E)862.1660Quality control material(assayed and unassayed)I(Reserved)JJY75
864.8625Hematocrit ControlIIGLK81
GEM CVP 5 tBili
RegulationSectionRegulatory DescriptionClassProductCodePanel
862.1660Quality control material (assayed and unassayed)I(Reserved)JJY75
GEM System Evaluator
RegulationSectionRegulatory DescriptionClassProductCodePanel
862.1660Quality control material (assayed and unassayed)I(Reserved)JJY75
GEM Hematocrit Evaluator
RegulationSectionRegulatory DescriptionClassProductCodePanel
864.8625Hematocrit ControlIIGLK81

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Device Description

The GEM Premier 5000 system provides health care professionals in central laboratory or point-of-care clinical settings with fast, accurate, quantitative measurements of sodium and ionized calcium from venous, arterial and capillary heparinized whole blood, as well as quantitative measurements of potassium and chloride from venous and arterial heparinized whole blood.

Key ComponentsDescription
AnalyzerEmploys a unique color touch screen and a simple set of menus andbuttons for user interaction. The analyzer guides operators through thesampling process with simple, clear messages and prompts.
GEM Premier 5000 PAK(disposable, multi-use GEM PAK)Houses all required components necessary to operate the instrumentonce the cartridge is validated. These components include the sensors,CO-Ox/tBili optical cell, Process Control (PC) Solutions, sampler, pumptubing, distribution valve and waste bag. The GEM PAK has flexiblemenus and test volume options to assist facilities in maximizingefficiency.NOTE: The EEPROM on the GEM PAK includes all solution values andcontrols the analyte menu and number of tests.Step 1: After inserting the GEM PAK, the instrument will perform anautomated PAK warm-up during which the sensors arehydrated and a variety of checks occur, all of which takeabout 40 minutes. During warm-up, the instrument requiresno user intervention.Step 2: After GEM PAK warmup, Auto PAK Validation (APV) process isautomatically completed: two completely independentsolutions (PC Solution D and E) that are traceable to NISTstandards, CLSI procedures or internal standards, containingtwo levels of concentration for each analyte, are run by theanalyzer to validate the integrity of the PC Solutions and theoverall performance of the analytical system.NOTE: For total bilirubin, CVP 5 tBili (Calibration Valuation Product)must be run prior to performing tBili samples.Step 3: After successful performance of APV, iQM2 manages thequality control process, replacing external quality controls.
Intelligent Quality Management 2(iQM2)iQM2 is an active quality process control program designed to providecontinuous monitoring of the analytical process before, during andafter sample measurement with real-time, automatic error detection,automatic correction of the system and automatic documentation of allcorrective actions.iQM2 is a statistical process control system that performs 5 types ofcontinuous, quality checks to monitor the performance of the GEMPAK, sensors, CO-Ox, and reagents. These checks include System,Sensor, IntraSpect, Pattern Recognition and Stability Checks.

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Indications for Use / Intended Use
GEM Premier 5000with Intelligent QualityManagement 2 (iQM2)The GEM Premier 5000 is a portable critical care system for use byhealth care professionals to rapidly analyze heparinized wholeblood samples at the point of health care delivery in a clinicalsetting and in a central laboratory. The instrument providesquantitative measurements of sodium and ionized calcium fromvenous, arterial and capillary heparinized whole blood, as well asquantitative measurements of potassium and chloride from venousand arterial heparinized whole blood. These parameters, alongwith derived parameters, aid in the diagnosis of electrolytebalance.Sodium ( $Na^+$ ) measurements are used in the diagnosis andtreatment of aldosteronism, diabetes insipidus, adrenalhypertension, Addison's disease, dehydration, inappropriateantidiuretic secretion, or other diseases involving electrolyteimbalance.Potassium ( $K^+$ ) measurements are used to monitor electrolytebalance in the diagnosis and treatment of disease conditionscharacterized by low or high blood potassium levels.Chloride ( $Cl^-$ ) measurements are used in the diagnosis andtreatment of electrolyte and metabolic disorders, such as cysticfibrosis and diabetic acidosis.Ionized calcium ( $Ca^{++}$ ) measurements are used in the diagnosisand treatment of parathyroid disease, a variety of bone diseases,chronic renal disease and tetany.
GEM CVP 5 tBiliGEM CVP 5 tBili is an external Calibration Valuation Product used tocomplete the calibration process of the GEM Premier 4000 andGEM Premier 5000 analyzers prior to use with patient samples fortotal bilirubin (tBili) testing.
GEM System EvaluatorGEM System Evaluator is a three-level assayed quality controlmaterial for evaluating performance characteristics of pH, pCO2,pO2, Electrolytes, Metabolites, Total Bilirubin (tBili) andCO-Oximetry on the GEM Premier 4000 and GEM Premier 5000analyzers.
GEM Hematocrit EvaluatorGEM Hematocrit Evaluator is a three-level assayed quality controlmaterial intended for evaluating performance characteristics ofhematocrit on the GEM Premier 4000 and GEM Premier 5000analyzers.

Special Conditions for Use Statement

  • . For prescription use only.
  • For clinical laboratory and point-of-care use. .

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Substantial Equivalency
The GEM Premier 5000 system is substantially equivalent in function and intended use to the following predicate device for Na+, K+, Cl- and Ca++:
ItemPredicate DeviceNew Device
Trade NameGEM Premier 4000GEM Premier 5000
510(k) No.K133407K160225
ManufacturerInstrumentation Laboratory Co.Instrumentation Laboratory Co.
Indicationsfor UseThe GEM Premier 4000 is a portable critical care system for use byhealth care professionals to rapidly analyze whole blood samples atthe point of health care delivery in a clinical setting and in a centrallaboratory. The instrument provides quantitative measurements ofpH, pCO2, pO2, sodium, potassium, chloride, ionized calcium,glucose, lactate, hematocrit, total bilirubin and CO-Oximetry (tHb,O₂Hb, COHb, MetHb, HHb) parameters. Total bilirubin can also bequantitated from heparinized plasma samples when analyzed in thetBili/CO-Ox mode. These parameters, along with derivedparameters, aid in the diagnosis of a patient's acid/base status,electrolyte and metabolite balance and oxygen delivery capacity.Total bilirubin measurements are used in the diagnosis andmanagement of biliary tract obstructions, liver disease and varioushemolytic diseases and disorders involving the metabolism ofbilirubin. In neonates, the level of total bilirubin is used to aid inassessing the risk of kernicterus.The GEM Premier 5000 is a portable critical care system for useby health care professionals to rapidly analyze heparinized wholeblood samples at the point of health care delivery in a clinicalsetting and in a central laboratory. The instrument providesquantitative measurements of sodium and ionized calcium fromvenous, arterial and capillary heparinized whole blood, as well asquantitative measurements of potassium and chloride fromvenous and arterial heparinized whole blood. These parameters,along with derived parameters, aid in the diagnosis of electrolytebalance.Sodium (Na+) measurements are used in the diagnosis andtreatment of aldosteronism, diabetes insipidus, adrenalhypertension, Addison's disease, dehydration, inappropriateantidiuretic secretion, or other diseases involving electrolyteimbalance.Potassium (K+) measurements are used to monitor electrolytebalance in the diagnosis and treatment of disease conditionscharacterized by low or high blood potassium levels.Chloride (Cl-) measurements are used in the diagnosis andtreatment of electrolyte and metabolic disorders, such as cysticfibrosis and diabetic acidosis.Ionized calcium (Ca++) measurements are used in the diagnosisand treatment of parathyroid disease, a variety of bone diseases,chronic renal disease and tetany.
Substantial Equivalency (Cont.)
ItemPredicate DeviceNew Device
Trade NamesGEM Premier 4000K133407GEM Premier 5000K160225
Intended UserCentral Laboratory and Point-of-CareSame
Sample TypeHeparinized whole bloodNa+, Ca++Arterial, venous or capillary heparinized whole bloodK+, Cl-Arterial or venous heparinized whole blood
Electrolyte MeasurementPotentiometrySame
Sample IntroductionAspirationSame
PAK Shelf-Life StabilityUp to 180 daysSame
PAK Storage Temperature15-25°CSame
System Operating Temperature12-32°CSame
Operating System SoftwareLinux-basedSame
Calibration2-point calibrationSame
QC MaterialCVP 1 and 2PC Solution D and E (PAK Internal)
CVP 3 and 4PC Solution D and E (PAK Internal)
CVP 5 tBiliSame; No Formulation Change
GEM System EvaluatorGEM Premier 5000 claims added
GEM Hematocrit Evaluator
Substantial Equivalency (Cont.)
ItemPredicate DeviceNew Device
Trade NameGEM Premier 4000K133407GEM Premier 5000K160225
Instrument DimensionsGEM Premier 4000 Instrument:• Height: 18 inches• Width: 12 inches• Depth: 15 inches• Weight: 44 poundsGEM Premier 5000 Instrument:• Height: 18.6 inches• Width: 13.0 inches• Depth: 16.4 inches• Weight: 45.4 pounds
Cartridge (PAK) DimensionsGEM Premier 4000 Cartridge (PAK):• Height: 6.75 inches• Width: 10 inches• Depth: 8 inches• Weight: 8 poundsGEM Premier 5000 Cartridge (PAK):• Height: 6.75 inches• Width: 10 inches• Depth: 8 inches• Weight: 8.1 pounds
Reportable RangeAnalyteNa+K+Cl-Ca++GEM Premier 4000100 to 180 mmol/L0.2 to 19.0 mmol/L40 to 158 mmol/L0.10 to 4.25 mmol/LGEM Premier 5000100 to 180 mmol/L1.0 to 19.0 mmol/L40 to 158 mmol/L0.11 to 4.25 mmol/L
Substantial Equivalency (Cont.)
NOTE: The following table compares iQM on the GEM Premier 4000 to iQM2 on the GEM Premier 5000.
ItemPredicate DeviceNew Device
Trade NamesiQM (Intelligent Quality Management)iQM2 (Intelligent Quality Management 2)
InstrumentGEM Premier 4000GEM Premier 5000
510(k) No.K133407K160225
Quality ControlPrincipleActive quality process control programusing five levels of external CalibrationValuation Product (CVP), four internalProcess Control Solutions (PCSs) andPattern Recognition (PR) software, all ofwhich are designed to provide immediateerror detection and automatic remedialaction, replacing the use of traditionalexternal quality controls.Active quality process control programusing a combination of internal AutoPAK Validation (APV) and one level ofexternal Calibration Valuation Product(CVP 5), five internal Process ControlSolutions (PCSs) Pattern Recognition(PR) software and IntraSpect sampleintegrity quality checks, all of which aredesigned to provide immediate errordetection and automatic remedialaction, replacing the use of traditionalexternal quality controls.
ErrorDetectionSchemeMulti-level checks for detecting cartridgeerrors.• System checks• Sensor/CO-Ox checks• Pattern Recognition (PR checks)• Process Control Solution (PCS) StabilitySame except addition of IntraSpect.IntraSpect provides continuous sampleintegrity quality checks that detectabnormal sensor response slope orabsorbance residual error during themeasurement process.
Error MitigationAutomatic error handling:• Performing special rinse cycle afterdetecting micro-clots and verifying thecartridge function after clot removal.• Permanently disabling failed sensor ifits functionality could not berecovered.• Rejecting cartridge for process stabilityfailure.• Alerting the user if interferences aredetected in a sample.• Automatically documenting the failureand action taken.Same except addition of IntraSpect,which flags results if an abnormal sensorresponse slope or absorbance residualerror is detected.
DocumentationAutomatic documentation:• Process Control Solutions delta charts.• Error reporting and corrective actionreport.• GEM CVP reportSame; no change
Substantial Equivalency (Cont.)
NOTE: The following table compares internal Process Control (PC) Solutions in the GEM Premier 4000 PAK(cartridge) to internal Process Control (PC) Solutions in the GEM Premier 5000 PAK (cartridge).
ItemPredicate DeviceNew Device
Trade NamesProcess Control (PC) SolutionsProcess Control (PC) Solutions
InstrumentGEM Premier 4000GEM Premier 5000
510(k) No.K133407K160225
PC SolutionsPC Solution B is the primary Process Control Solution measured at a minimum of every half hour or after every sample. Furthermore, Solution B is monitored every 30 seconds while residing in the sensor card between measurements. Further, PC Solution B is used as a reference blank for CO-Oximetry. PC Solution A is measured at a minimum of every 4 hours. All sensor slope values are also measured and checked. Slope, which is an indicator of sensor sensitivity and drift, must be within allowable limits. PC Solution A also contains dyes that are used for checking functionality of the optical cell and the CO-Oximetry. PC Solution C is measured at a minimum of once every 24 hours. PC Solution C is primarily used for measuring low-level oxygen; however, PC Solution C is also used to provide an additional measurement of pH, pCO2 and K+ sensor functionality. PC Solution D is measured every 12 hours. PC Solution D provides additional measurement for all analytes including CO-Oximetry. Reference values for analytes in PC Solution D are established within the first 3 days after cartridge insertion by averaging multiple measurements of the D solution. The D sensor check starts once the reference values are established. No PC Solution E on the GEM Premier 4000PC Solution B - Same PC Solution A - Same PC Solution C - Same PC Solution D - is measured every 12 hours. PC Solution D provides additional measurement for all analytes including CO-Oximetry. Reference values for analytes in PC Solution D are assigned at time of manufacturing. The D sensor check starts after the successful completion of Auto PAK Validation (APV). New PC Solution E - is measured every 12 hours. PC Solution E provides additional measurement for all analytes including CO-Oximetry. Reference values for analytes in PC Solution E are assigned at time of manufacturing. The E sensor check starts after the successful completion of Auto PAK Validation (APV). NOTE: The GEM Premier 5000 PAKs include a new PC Solution E. The new system uses PC Solution D and PC Solution E to replace the necessity to run CVP 1, 2, 3 and 4 after cartridge (PAK) warm-up. Only CVP 5 tBili is required if running total bilirubin.See the comparison of PC Solution D and PC Solution E to CVP 1-4 on the next page.
Substantial Equivalency (Cont.)
ItemPredicateNew Device
Trade NamesCVP 5 tBiliSame
Value AssignedGEM Premier 4000GEM Premier 4000 and GEM Premier 5000
510(k) No.K112995K160225
Indications for UseDifferences inbold/italicGEM CVP 5 tBili is an externalCalibration Valuation Product used tocomplete the calibration process of theGEM Premier 4000 analyzer prior to usewith patient samples for total bilirubin(tBili) testing.GEM CVP 5 tBili is an external CalibrationValuation Product used to complete thecalibration process of the GEM Premier4000 and GEM Premier 5000 analyzersprior to use with patient samples for totalbilirubin (tBili) testing.
FormulationPurified human hemoglobin, stabilizersand biocide in a physiologically bufferedsolution.Same
StorageStore at 2-8°CSame
ItemPredicateNew Device
Trade NamesGEM System EvaluatorSame
Value AssignedGEM Premier 4000GEM Premier 4000 and GEM Premier 5000
510(k) No.K093623K160225
ManufacturerInstrumentation Laboratory Co.Same
Indications for UseDifferences inbold/italicGEM System Evaluator is a three-levelassayed quality control material forevaluating performance characteristicsof pH, pCO2, pO2, Electrolytes,Metabolites, Total Bilirubin (tBili) andCO-Oximetry on the GEM Premier 4000analyzer.GEM System Evaluator is a three-levelassayed quality control material forevaluating performance characteristics ofpH, pCO2, pO2, Electrolytes, Metabolites,Total Bilirubin (tBili) and CO-Oximetry onthe GEM Premier 4000 and GEM Premier5000 analyzers.
FormulationAqueous buffered bicarbonate solution.Same
Storage2-8°C until expiration15-25°C for 4 monthsSame
ItemPredicateNew Device
Trade NamesGEM Hematocrit EvaluatorSame
Value AssignedGEM Premier 4000GEM Premier 4000 and GEM Premier 5000
510(k) No.K093623Pending
ManufacturerInstrumentation Laboratory Co.Same
Indications for UseDifferences inbold/italicGEM Hematocrit Evaluator is a three-level assayed quality control material intended for evaluating performance characteristics of hematocrit on the GEM Premier 4000 analyzer.GEM Hematocrit Evaluator is a three-level assayed quality control material intended for evaluating performance characteristics of hematocrit on the GEM Premier 4000 and GEM Premier 5000 analyzers.
FormulationAqueous buffered bicarbonate solution.Same
Storage15-25°C until expirationSame

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{10}------------------------------------------------

{11}------------------------------------------------

{12}------------------------------------------------

{13}------------------------------------------------

{14}------------------------------------------------

Performance Summary

Internal Precision Study – Aqueous Controls

In accordance with CLSI EP05-A3, an internal 20-day precision study was performed on the GEM Premier 5000, with GEM System Evaluator. Each of the control levels was run on three (3) GEM Premier 5000 analyzers for twenty (20) days, with two (2) runs per day and one (1) replicate measured per run per level (n=120). All results were within specification.

MaterialAnalyteLevelMeanNWithinAnalyzerSDWithinAnalyzer%CVTotal SDTotal%CV
GEMSystemEvaluatorNa+(mmol/L)Level 11241200.70.6%0.80.6%
Level 21411200.50.4%0.50.4%
Level 31561200.70.5%0.70.5%
K+(mmol/L)Level 12.41200.020.7%0.020.7%
Level 24.71200.040.9%0.051.1%
Level 37.71200.040.5%0.050.6%
Cl-(mmol/L)Level 1851200.60.7%0.60.7%
Level 21081200.50.4%0.60.6%
Level 31411201.00.7%1.31.0%
Ca++(mmol/L)Level 11.561200.0130.8%0.0151.0%
Level 21.161200.0060.5%0.0060.6%
Level 30.641200.0061.0%0.0071.1%

{15}------------------------------------------------

Internal Precision Study – GEM PAK (Cartridge) Process Control Solutions D and E

In accordance with CLSI EP05-A3, an internal 20-day precision study was performed with the GEM PAK (cartridge) Process Control Solutions (PCS) D and E run on three (3) GEM Premier 5000 analyzers for twenty (20) days, with two (2) runs per day and one (1) replicate measured per run per level (N=120 per analyte/per level). All results were within specification.

MaterialAnalyteMeanNWithin AnalyzerSDWithin Analyzer%CV
PCS DNa+(mmol/L)1671200.40.3%
PCS ENa+(mmol/L)1281200.20.2%
PCS DK+(mmol/L)7.31200.020.2%
PCS EK+(mmol/L)4.51200.010.3%
PCS DCl-(mmol/L)1441200.70.5%
PCS ECl-(mmol/L)1021200.30.3%
PCS DCa++(mmol/L)1.211200.0040.3%
PCS ECa++(mmol/L)0.561200.0071.3%

{16}------------------------------------------------

Internal Precision Study – Whole Blood

In accordance with CLSI EP05-A3, an internal precision study was performed using five (5) different concentrations of whole blood per analyte, each run on three (3) GEM Premier 5000 analyzers per sample mode for five (5) days, with one (1) run per day and eight (8) replicates measured per run per level (N=120 per analyte/per sample mode). All results were within specification.

Sample Modes and Volumes:

  • . Normal Mode 150 µL
  • Micro Mode 65 µL

NOTE: Capillary not claimed for K* or Cl¯ on the GEM Premier 5000.

AnalyteModeLevelMeanNWithinRunSDWithinRun%CVTotal SDTotal%CV
Na+(mmol/L)NormalMode11041200.50.5%0.60.6%
21141200.40.4%0.40.4%
31321200.40.3%0.50.4%
41481200.60.4%0.70.4%
51871201.10.6%1.40.8%
Na+(mmol/L)MicroMode11041200.40.3%0.50.5%
21141200.30.3%0.50.4%
31311200.30.2%0.40.3%
41471200.40.3%0.50.3%
51861200.60.3%1.20.6%
K+(mmol/L)NormalMode11.61200.042.5%0.042.8%
22.91200.051.7%0.062.0%
35.51200.050.9%0.091.7%
47.51200.141.9%0.182.5%
517.01200.321.9%0.513.0%

{17}------------------------------------------------

AnalyteModeLevelMeanNWithinRunSDWithinRun%CVTotal SDTotal%CV
Cl-(mmol/L)NormalMode1521200.40.8%0.61.1%
2711200.30.5%0.40.6%
3901200.40.4%0.40.4%
41151200.70.6%1.00.9%
51671201.40.9%2.31.4%
Ca++(mmol/L)NormalMode10.231200.0093.9%0.0125.2%
20.371200.0061.7%0.0092.3%
30.861200.0050.6%0.0060.7%
41.541200.0201.3%0.0221.4%
54.261200.0741.7%0.0842.0%
Ca++(mmol/L)MicroMode10.221200.0052.4%0.0062.8%
20.351200.0041.1%0.0051.4%
30.831200.0040.5%0.0050.6%
41.511200.0151.0%0.0151.0%
54.201200.0571.3%0.0691.6%

Internal Precision Study – Whole Blood (Cont.)

{18}------------------------------------------------

Reproducibility Study with Aqueous Controls – Point-of-Care (POC) Setting

In accordance with CLS EP05-A3, a reproducibility study was performed at three (3) external clinical point-of-care (POC) sites. The studies were run by a total of nine (9) different operators on three (3) different GEM Premier 5000 instruments, using a single lot of GEM Premier 5000 PAKs (cartidges). Each site used the same lots of GEM System Evaluator (GSE), running each control level in triplicate, twice a day for 5 days, for a total of 30 pooled). All results at all sites were within specification.

Pooled Multi-Site POC Data
AnalyteMaterial/LevelNInsertRangeTargetSD/CVSpecMeanRepeatabilityBetween-RunBetween-DayBetween-SiteReproducibility
SD%CVSD%CVSD%CVSD%CVSD%CV
Na+(mmol/L)GSE 190119-12912421250.40.3%0.00.0%0.20.2%0.20.1%0.50.4%
GSE 290136-14614121410.30.2%0.10.1%0.30.2%0.30.2%0.50.4%
GSE 390149-16115521550.30.2%0.00.0%0.20.1%0.10.1%0.40.2%
K+(mmol/L)GSE 1902.1-2.72.40.252.40.000.0%0.000.0%0.000.0%0.000.0%0.000.0%
GSE 2904.2-5.04.60.254.70.030.6%0.020.5%0.000.0%0.020.4%0.040.8%
GSE 3907.0-8.07.53.5%7.70.020.3%0.010.2%0.010.1%0.010.1%0.030.4%
Cl-(mmol/L)GSE 19080-90852.5%850.30.4%0.10.1%0.20.2%0.10.1%0.40.4%
GSE 290102-1121072.5%1080.20.2%0.00.0%0.20.2%0.00.0%0.30.3%
GSE 390136-1461412.5%1420.40.3%0.30.2%0.10.1%0.20.2%0.60.4%
Ca++(mmol/L)GSE 1901.45-1.651.555%1.580.0070.4%0.0040.3%0.0020.1%0.0020.1%0.0090.6%
GSE 2901.06-1.241.155%1.160.0050.4%0.0010.1%0.0030.3%0.0030.3%0.0070.6%
GSE 3900.56-0.720.640.050.640.0030.5%0.0000.0%0.0030.5%0.0030.5%0.0050.8%

{19}------------------------------------------------

External Precision - Whole Blood

To evaluate whole blood precision on the GEM Premier 5000 system in the central laboratory and point-ofcare (POC) settings, whole blood patient samples were tested at 2 external central laboratories and 1 internal Customer Simulation Laboratory (CSL), as well as at 3 external POC locations. For the central laboratory setting, the studies were performed by 3 operators on 3 GEM Premier 5000 instruments using a single lot of GEM Premier 5000 PAK (cartridge). For the POC setting, the studies were performed by 11 operators on 3 GEM Premier 5000 instruments, using a single lot of GEM Premier 5000 PAK (cartridge). At least two whole blood specimens were analyzed in triplicate daily for 5 days in both normal mode (150 µL) for all 4 electrolytes, and micro capillary (65 µL) mode for Nat and Ca**. At the internal Customer Simulation Laboratory (CSL), contrived whole blood specimens were analyzed in addition to native specimens in order to cover the low and high medical decision levels of each analyte.

The precision results are summarized below:

AnalyteModeSiteNMeanWithin Sample SD or CV%
Na+ (mmol/L)Normal ModePOC1541380.5
POC2421390.6
POC3301380.5
POC All1261380.5
Micro ModeCSL331400.6
Lab1301410.5
Lab2301370.5
Lab All931390.5
K+ (mmol/L)Normal ModePOC1301360.6
POC2361370.4
POC3361380.4
POC All1021370.5
CSL331400.3
Lab1301420.6
Lab2301360.5
Lab All931390.5
K+ (mmol/L)Normal ModePOC1544.20.05
POC2424.30.03
POC3304.10.05
POC All1264.20.04
CSL334.00.07
Lab1304.20.04
Lab2304.20.05
Lab All934.10.06
AnalyteModeSiteNMeanWithinSample SDor CV%
Cl-(mmol/L)NormalModePOC1541050.2%
POC2421070.2%
POC3301040.3%
POC All1261060.2%
CSL361050.3%
Lab1301100.3%
Lab2301040.4%
Lab All961060.3%
Ca++(mmol/L)NormalModePOC1541.170.6%
POC2361.150.4%
POC3271.120.6%
POC All1171.150.6%
CSL331.230.6%
Lab1271.160.3%
Lab2271.200.9%
Lab All871.200.6%
MicroModePOC1271.150.8%
POC2271.170.5%
POC3301.130.6%
POC All841.150.6%
CSL331.200.6%
Lab1301.150.6%
Lab2301.120.6%
Lab All931.160.6%

NOTE: Capillary not claimed for K or Cl on the GEM Premier 5000.

{20}------------------------------------------------

External Precision – Whole Blood (Cont.)

{21}------------------------------------------------

LoB, LoD and LoQ

In accordance with CLSI EP17-A2, LoB, LoQ were established for Na*, K*, Ca** and Cl¯, using three (3) lots of GEM Premier 5000 PAKs (cartridges).

AnalyteLoBLoDLoQ
Na+ (mmol/L)111397
K+ (mmol/L)0.00.10.9
Cl- (mmol/L)5738
Ca++ (mmol/L)0.000.020.08

Following are the combined data results for LoB, LoD and LoQ:

Linearity

In accordance with CLSI EP06-A, nine (9) or ten (10) levels per analyte were prepared by spiking or diluting whole blood to challenge the claimed reportable range for each parameter. Each blood level was analyzed in triplicate on three (3) GEM Premier 5000 test analyzers and results compared to reference analyzers.

Combined data from limit of quantitation (LOQ) and linearity were used to support the lower limits of the claimed reportable ranges.

Analyte# ofLevelsN perLevelSlopeInterceptTestedRangeReportableRange
Na+(mmol/L)990.9725.3770.99985 to 214100 to 180
K+(mmol/L)990.993-0.0720.9990.7 to 21.91.0 to 19.0
Cl-(mmol/L)990.9642.8051.00035 to 18940 to 158
Ca++(mmol/L)1090.9990.0110.9990.10 to 5.050.11 to 4.25

{22}------------------------------------------------

Analytical Specificity

In accordance with EP07-A2, an interference study was conducted on the GEM Premier 5000.

The table below lists substances that were screen tested with no observed interference on electrolyte results:

SubstanceConcentrationTested analytes with no observed interference
Ammonium (Chloride)107 µmol/LSodium, Potassium, Calcium
Benzalkonium (Chloride)5 mg/LSodium, Potassium, Calcium
(Sodium) Bromide37.5 mmol/LPotassium, Calcium
Calcium (Chloride)2.5 mmol/LSodium, Potassium
(Sodium) Citrate12 mmol/LPotassium, Calcium
Ethanol86.8 mmol/LSodium, Potassium, Calcium, Chloride
(Sodium) Fluoride105 µmol/LPotassium, Calcium, Chloride
Heparin100,000 U/LSodium, Potassium, Calcium, Chloride
Ibuprofen2425 µmol/LSodium, Potassium, Calcium, Chloride
(Sodium) lodide3 mmol/LPotassium, Calcium
Ipratropium Bromide0.08 mg/LSodium, Potassium, Calcium, Chloride
Lithium (Chloride)3.2 mmol/LSodium, Potassium, Calcium
Magnesium (Chloride)15 mmol/LSodium, Potassium
(Sodium) Oxalate500 mg/dLPotassium, Calcium, Chloride
(Sodium) Perchlorate20 mg/dLPotassium, Chloride, Calcium
pH (with HCl)6.8Sodium, Potassium, Calcium
(Sodium) Salicylate4.34 mmol/LPotassium, Calcium, Chloride
Sodium (Chloride)180 mmol/LPotassium, Calcium
(Sodium) Thiocyanate6880 µmol/LPotassium, Calcium
Thiopental248 µmol/LSodium, Potassium, Calcium, Chloride
(Sodium) Thiosulfate20 mmol/LPotassium, Calcium, Chloride
Triglycerides (Intralipids)2% or 4012 mg/dLSodium, Calcium, Chloride

{23}------------------------------------------------

Analytical Specificity (Cont.)

The table below lists substances that demonstrated interference with electrolyte results and the concentration of the interfering substance, as well as the bias observed and its direction (positive / negative):

InterferingSubstanceAffectedAnalyteAnalyteConcentrationInterferingConcentrationTestedBiasObserved(Mean)LowestInterferingConcentrationwith AnalyteImpactBias Observedat the LowestConcentration
BromideChloride90 mmol/L9.375 mmol/L+31%1.346 mmol/L+5%
(Sodium)108 mmol/L9.375 mmol/L+25%1.880 mmol/L+5%
Citrate(Sodium)Chloride88 mmol/L6.000 mmol/L- 7%4.083 mmol/L-5%
111 mmol/L6.000 mmol/L-5%5.344 mmol/L-5%
lodide(Sodium)Chloride88 mmol/L0.750 mmol/L+6%0.700 mmol/L+5%
106 mmol/L1.500 mmol/L+9%0.810 mmol/L+5%
lonizedMagnesium(Chloride)Calcium1.02 mmol/L3.938 mmol/L+13%3.128 mmol/L+10%
2.00 mmol/L7.875 mmo/L+11%6.862 mmol/L+10%
Thiocyanate(Sodium)Chloride87 mmol/L1720 µmol/L+31%388.3 umol/L+5%
109 mmol/L1720 umol/L+27%407.5 umol/L+5%
TriglyceridesPotassium3.2 mmol/L1003 mg/dL+14%522 mg/dL+7%
(Intralipids)5.1 mmol/L1003 mg/dL+11%662 mg/dL+7%

{24}------------------------------------------------

Internal Method Comparison

In accordance with EP09-A3, an internal method comparison study was conducted using clinical samples to compare the performance of the GEM Premier 5000 versus the GEM Premier 4000:

Samples were altered as needed to cover the medical decision levels. All parameter levels passed specification.

AnalyteNSlopeInterceptR2Medical DecisionLevelBias at MedicalDecision Level
Na+(mmol/L)3731.021-2.5770.995115-0.2
1350.2
1500.5
K+(mmol/L)3731.034-0.0660.9993.00.04
5.80.13
7.52.5%
Cl-(mmol/L)3731.0000.5000.998900.6%
1120.4%
Ca++(mmol/L)3731.031-0.0330.9990.37-0.021
0.82-0.007
1.581.0%
NOTE: Capillary not claimed for K+ or Cl- on the GEM Premier 5000.

{25}------------------------------------------------

Whole Blood Performance at Medical Decision Levels

The data from the internal method comparison and precision studies were combined to assess the performance at medical decision levels.

Total Error was computed based on the following equation and the results were compared to the GEM Premier 5000 Total Error Specifications:

Total Error Observed = Bias + 2 * SD (or %CV)

Note: Previously shown bias and precision data were used in Total Error computations below.

AnalyteMedicalDecisionLevelAbsolute Value ofBias at MedicalDecision Level2*(SD or %CV)Total Error ObservedBias + 2*(SD or %CV)
Na+(mmol/L)1150.20.81.0
Na+(mmol/L)1350.20.70.9
Na+(mmol/L)1500.51.11.6
K+(mmol/L)3.00.040.100.14
K+(mmol/L)5.80.130.100.23
K+(mmol/L)7.52.5%3.7%6.2%
Cl-(mmol/L)900.6%0.8%1.4%
Cl-(mmol/L)1120.4%1.2%1.6%
Ca++(mmol/L)0.370.0210.0120.033
Ca++(mmol/L)0.820.0070.0100.017
Ca++(mmol/L)1.581.0%2.6%3.6%

{26}------------------------------------------------

AnalyteReference RangeUnit
Na+136 to 145mmol/L
Na+136 to 145mEq/L
K+3.5 to 5.1mmol/L
K+3.5 to 5.1mEq/L
Ca++1.15 to 1.33mmol/L
Ca++2.30 to 2.66mEq/L
Ca++4.60 to 5.32mg/dL
Ca++1.16 to 1.32 (venous)mmol/L
Ca++4.64 to 5.28 (venous)mEq/L
Cl-98 to 107mmol/L
Cl-98 to 107mEq/L
Anion Gap10 to 20 (Na+ + K+) - (Cl- + HCO3-)mEq/L
Anion Gap10 to 20 (Na+ + K+) - (Cl- + HCO3-)mmol/L

Reference Ranges

Source: Burtis, Carl and David Bruns, Tietz Textbook of Clinical Chemistry and Molecular Diagnostics, Elsevier Saunders, 7th edition, 2015, pp 952-982

{27}------------------------------------------------

Clinical Testing

In accordance with EPO9-A3, a method comparison study was conducted on the GEM Premier 5000 compared to the predicate device, the GEM Premier 4000, in the point-of-care (POC) setting using heparinized whole blood patient samples from the intended use population.

  • Study Design:
    • . Three (3) external point-of-care (POC) sites.
    • One (1) internal Customer Simulation Laboratory (CSL) at IL, where three (3) intended POC users were brought on site to run the samples, allowing spiking to cover the reportable ranges.

The pooled results from the POC sites and the IL internal Customer Simulation Laboratory (CSL) for the Normal Mode (with samples collected in syringes) are presented below.

Pooled Point-of-Care Site and CSL Data - Normal Mode (with Syringe Samples)
AnalyteNSlopeInterceptrSample Range
Na+ (mmol/L)4860.9911.1840.991103 to 180
K+ (mmol/L)4911.0000.1000.9981.0 to 15.7
Cl- (mmol/L)4851.0001.0000.99040 to 157
Ca++ (mmol/L)4911.0100.0080.9980.14 to 4.21

To support capillary claims, finger-stick samples were collected at an external POC site (N=65 native samples) and the IL internal Customer Simulation Laboratory (CSL) (N=106 native samples) with POC operators. The observed total error at the medical decision levels is shown below:

NOTE: Capillary not claimed for K* or Cl¯ on the GEM Premier 5000.

Pooled Point-of-Care Site and CSL Data with Native Capillary Samples Only
AnalyteNRangeMinRangeMaxMDLBias atMDL95% CI of Bias at MDLTEa
Na+(mmol/L)171124143115.0-3.6-7.2 to -0.0± 4.0
1350.40.0 to 0.8± 5.0
1503.40.8 to 5.9± 5.0
Ca++(mmol/L)1711.031.380.37-0.127-0.234 to 0.040± 0.10
0.82-0.027-0.071 to 0.040± 0.10
1.589.0%3.2% to 12.7%± 10%

{28}------------------------------------------------

Clinical Testing (Cont.)

In addition, the data from the native capillary samples (finger-stick samples) previously presented were pooled with contrived capillary samples prepared internally. The regression analysis is shown below:

Pooled Point-of-Care Site and CSL Data with Additional Contrived Capillary Results
AnalyteNSlopeInterceptrSample Range
Na+ (mmol/L)2011.015-1.7500.981103 to 180
Ca++ (mmol/L)2051.050-0.0160.9980.14 to 4.25

NOTE: Capillary not claimed for K* or Cl¯ on the GEM Premier 5000.

ConclusionThe technological and functional characteristics of the new GEM Premier5000 as described above are substantially equivalent to that of thepredicate device (GEM Premier 4000) for sodium, potassium, chloride andionized calcium.
ConclusionThe analytical and clinical study results demonstrate that the GEMPremier 5000 is safe and effective for its intended purpose and equivalentin performance to the predicate device.

§ 862.1665 Sodium test system.

(a)
Identification. A sodium test system is a device intended to measure sodium in serum, plasma, and urine. Measurements obtained by this device are used in the diagnosis and treatment of aldosteronism (excessive secretion of the hormone aldosterone), diabetes insipidus (chronic excretion of large amounts of dilute urine, accompanied by extreme thirst), adrenal hypertension, Addison's disease (caused by destruction of the adrenal glands), dehydration, inappropriate antidiuretic hormone secretion, or other diseases involving electrolyte imbalance.(b)
Classification. Class II.