K Number
K161508
Device Name
Ceruloplasmin
Date Cleared
2017-01-09

(222 days)

Product Code
Regulation Number
866.5210
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
System reagent for the quantitative determination of Ceruloplasmin (CER) in human serum and plasma on Beckman Coulter AU analyzers as an aid in the diagnosis of copper metabolism disorders.
Device Description
The Ceruloplasmin reagent kit is in a liquid, ready to use form. It is available in one format OSR6164 which consists of 4 x 18mL R1 vials and 4 x 5ml R2 vials. The calibrator is a Beckman Coulter Serum protein multi-calibrator ODR3023 which is sold separately. Ceruloplasmin is a turbidimetric method the basis for this method is the measurement of the decrease in light transmitted (increase in absorbance) through the particles suspended in solution as a result of complexes formed during the antigen-antibody reaction. The Ceruloplasmin reagent is designed for optimal performance on the Beckman Coulter AU analyzers.
More Information

OUIEG09E0504

No
The device description and performance studies focus on a standard turbidimetric immunoassay method for measuring Ceruloplasmin. There is no mention of AI or ML in the description, intended use, or performance evaluation.

No.
The device is for the quantitative determination of Ceruloplasmin to aid in diagnosis, not for treating a condition.

Yes
The "Intended Use / Indications for Use" section explicitly states that the device is "as an aid in the diagnosis of copper metabolism disorders."

No

The device is a reagent kit, which is a physical chemical substance used in laboratory tests, not a software program.

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

Here's why:

  • Intended Use: The intended use explicitly states "System reagent for the quantitative determination of Ceruloplasmin (CER) in human serum and plasma... as an aid in the diagnosis of copper metabolism disorders." This clearly indicates the device is used to examine specimens derived from the human body (serum and plasma) to provide information for diagnostic purposes.
  • Device Description: The description details a "reagent kit" used in a "turbidimetric method" on "Beckman Coulter AU analyzers." This describes a laboratory test system used to analyze biological samples.
  • Performance Studies: The summary of performance studies describes experiments like "Method comparison," "Precision," "Linearity," and "Interferences," which are standard evaluations for in vitro diagnostic devices.
  • Predicate Device: The mention of a "Predicate Device(s)" with a K number (K053074) and name ("N Antisera to Human Ceruloplasmin") is a strong indicator that this device is being submitted for regulatory review as an IVD, comparing it to a previously cleared IVD.

All these elements align with the definition and characteristics of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

System reagent for the quantitative determination of Ceruloplasmin (CER) in human serum and plasma on Beckman Coulter AU analyzers as an aid in the diagnosis of copper metabolism disorders.

Product codes

DDB

Device Description

The Ceruloplasmin reagent kit is in a liquid, ready to use form. It is available in one format OSR6164 which consists of 4 x 18mL R1 vials and 4 x 5ml R2 vials. The calibrator is a Beckman Coulter Serum protein multi-calibrator ODR3023 which is sold separately. Ceruloplasmin is a turbidimetric method the basis for this method is the measurement of the decrease in light transmitted (increase in absorbance) through the particles suspended in solution as a result of complexes formed during the antigen-antibody reaction.

The Ceruloplasmin reagent is designed for optimal performance on the Beckman Coulter AU analyzers.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

human serum and plasma

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Method comparison, Precision, Linearity, Sensitivity, Interferences, Stability and Expected Values, Prozone (Hook effect) and Auto-dilution.

Method Comparison Study Results:
Reference: Siemens (OUIEG09E0504)
Test: Ceruloplasmin (OSR6x64)
Sample Range: Ref: 108 mg/L- 1890 mg/L; Test: 98 mg/L - 1880 mg/L
Specifications: Slope: 0.900-1.100, Intercept: ≤ ± 30mg/L, r: ≥0.975, N:≥100
Results: Slope: 1.056, Intercept: -26.10mg/L, r: 0.990, N: 120
Pass/Fail: Pass

Precision Study Results:

SampleConcentration mg/LWithin Run Precision %CVWithin Run Precision SDWithin Run Precision SpecificationTotal Precision %CVTotal Precision SDTotal Precision SpecificationPass/Fail
Pool 195.991.101.042≤5% CV or SD ≤1 mg/dL (10mg/L)6.76.44≤10% CV or SD ≤2 mg/dL (20mg/L)Pass
Pool 2148.361.101.70≤5% CV or SD ≤1 mg/dL (10mg/L)2.804.09≤10% CV or SD ≤2 mg/dL (20mg/L)Pass
Pool 3254.170.902.30≤5% CV or SD ≤1 mg/dL (10mg/L)2.205.70≤10% CV or SD ≤2 mg/dL (20mg/L)Pass
Pool 4596.430.905.46≤5% CV or SD ≤1 mg/dL (10mg/L)1.9011.36≤10% CV or SD ≤2 mg/dL (20mg/L)Pass
Pool 5915.610.76.78≤5% CV or SD ≤1 mg/dL (10mg/L)1.614.51≤10% CV or SD ≤2 mg/dL (20mg/L)Pass
Pool 61791.940.59.52≤5% CV or SD ≤1 mg/dL (10mg/L)1.425.23≤10% CV or SD ≤2 mg/dL (20mg/L)Pass

Key Metrics

Sensitivity: ≤6mg/dL (60mg/L).
Linearity Range: 60 - 2000 mg/L

Predicate Device(s)

K053074

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 866.5210 Ceruloplasmin immunological test system.

(a)
Identification. A ceruloplasmin immunological test system is a device that consists of the reagents used to measure by immunochemical techniques the ceruloplasmin (copper-transporting serum protein) in serum, other body fluids, or tissues. Measurements of ceruloplasmin aid in the diagnosis of copper metabolism disorders.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 866.9.

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

January 9, 2016

Beckman Coulter Ireland Inc. Ms. Marguerita Sweeney Regulatory Affairs Manager Lismeehan, O'Callaghan's, Mills CO. Clare, Ireland

Re: K161508

Trade/Device Name: Ceruloplasmin Regulation Number: 21 CFR 866.5210 Regulation Name: Ceruloplasmin Immunological Test System Regulatory Class: II Product Code: DDB Dated: November 28, 2016 Received: December 8, 2016

Dear Ms. Sweeney:

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

1

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/ResourcesforYou/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,

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FOR

Leonthena R. Carrington, MS, MBA, MT(ASCP) Director Division of Immunology and Hematology Devices Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K161508

Device Name Ceruloplasmin

Indications for Use (Describe)

System reagent for the quantitative determination of Ceruloplasmin (CER) in human serum and plasma on Beckman Coulter AU analyzers as an aid in the diagnosis of copper metabolism disorders.

Type of Use (Select one or both, as applicable)
---------------------------------------------------

X Prescription Use (Part 21 CFR 801 Subpart D)

| Over-The-Counter Use (21 CFR 801 Subpart C)

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3

510k Summary Ceruloplasmin Reagent

1.0

Submitted By:

Marguerita Sweeney Regulatory Affairs Manager Beckman Coulter Ireland, Inc. Lismeehan, O'Callaghan's Mills Co. Clare, Ireland Telephone: +353-65-683-1495 Fax: +353-65-683-1122 Email: msweeney@beckman.com

2.0 Date of preparation:

May 26th 2016

3.0 Device Identification:

Proprietary Names: Ceruloplasmin Common Name: Ceruloplasmin Classification: 866.5210 Product Code: DDB

4.0 Predicate Device:

Candidate(s)PredicateManufacturerDocket Number
CeruloplasminN Antisera to Human
CeruloplasminSiemens (formerly
Dade-Behring)K053074

The Ceruloplasmin reagent is substantially equivalent to the product listed above currently in commercial distribution

5.0 Description:

The Ceruloplasmin reagent kit is in a liquid, ready to use form. It is available in one format OSR6164 which consists of 4 x 18mL R1 vials and 4 x 5ml R2 vials. The calibrator is a Beckman Coulter Serum protein multi-calibrator ODR3023 which is sold separately. Ceruloplasmin is a turbidimetric method the basis for this method is the measurement of the decrease in light transmitted (increase in absorbance) through the particles suspended in solution as a result of complexes formed during the antigen-antibody reaction.

The Ceruloplasmin reagent is designed for optimal performance on the Beckman Coulter AU analyzers.

4

6.0 Intended Use:

System reagent for the quantitative determination of Ceruloplasmin (CER) in human serum and plasma on Beckman Coulter AU analyzers as an aid in the diagnosis of copper metabolism disorders.

Clinical Significance

Ceruloplasmin's main clinical importance is in the diagnosis of Wilson's disease. Increased levels of Ceruloplasmin are particularly notable in diseases of the reticuloendothelial system such as Hodgkin's disease and also during pregnancy or use of contraceptive pills. Low levels of ceruloplasmin are found in malnutrition, malabsorption, nephrosis and severe liver disease particularly biliary cirrhosis.

7.0 Comparison to Predicate(s):

The following tables shows similarities and differences between the predicate identified in Section 4.0 of this summary.

Similarities
FeatureCeruloplasmin reagentPredicate
Intended UseSystem reagent for the
quantitative determination of
Ceruloplasmin (CER) in human
serum and plasma on Beckman
Coulter AU analyzers as an aid in
the diagnosis of copper
metabolism disorders.In-vitro diagnostic reagents for the
quantitative determination of
ceruloplasmin and hemopexin in
human serum and heparanised
plasma by means of
immunonephelopetry on the BN II
and BN Prospec ® system.
MeasurementQuantitativeQuantitative
ReagentLiquid, Ready to useLiquid, Ready to use
CalibrationSerum Protein Multi-calibrator
(ODR3023) which is traceable to
IFCC CRM470N Protein Standard
(OQIMG13E0502) which is
traceable to ERM470
Reagent
Storage/Closed
Shelf Life2-8°C until expiration date2-8°C until expiration date
Linearity Range60 - 2000 mg/LCeruloplasmin:
0.07 - 2.2 g/L for a sample dilution
of 1:20.
CompositionRabbit anti-human Ceruloplasmin
antiserum
Solution of polymers in Tris
buffer (pH 7.4-7.6)
Preservatives - Sodium Azide &Rabbit anti-human Ceruloplasmin
antiserum
Preservatives - Sodium Azide

5

Gentamicin
Specimen TypeSerum and Plasma (Sodium
Heparin and Lithium Heparin)Serum and heparinized plasma
Expected Values200 - 600 mg/LCeruloplasmin: 0.2-0.6g/L (200-
600mg/L
Hemopexin: 0.5 - 1.15g/L (500-
1150mg/L)
Differences
FeatureCeruloplasmin reagentPredicate
Assay Methodology/
Operating principleImmunoturbitimetricImmunonephelometry
InstrumentationBeckman Coulter AU Clinical
Chemistry analyzersSiemens BN II and BN Prospec
® Systems
Reagent On-board
Stability90 days3 days
Calibration Frequency14 daysNot specified
Interfering SubstancesBilirubin:
No significant interference
(≤10%) up to 40mg/dLBilirubin:
No interference up to 0.6g/L
Hemolysis:
No significant interference
(≤10%) up to 500 mg/dLHemolysis:
No interference up to 10g/L
Triglyceride:
No significant interference
(≤10%) up to 1000mg/dLTriglyceride:
No interference up to 2.4g/L
Rheumatoid Factor (RF):
No significant interference
(≤10%) up to 500 IU/mL
Sensitivity≤6mg/dL (60mg/L)Established by lower limit of
reference curve - depends on
the concentration of proteins in
the N protein standard SL

8.0 Summary of Performance Data:

The data in the Premarket Notification on safety and effectiveness supports a finding of substantial equivalence to a predicate chemistry test systems already in commercial distribution. Equivalence is demonstrated through performance characteristics testing. Experiments included: Method comparison, Precision, Linearity, Sensitivity, Interferences, Stability and Expected Values, Prozone (Hook effect) and Auto-dilution.

Performance on method comparison and precision are summarized below:

6

Method Comparison Study Results

| Reference | Test | Sample
Range: | Specifications | Results | Pass/Fail |
|---------------------------|----------------------------|-------------------------------------------------------------------|--------------------------|--------------------------|-----------|
| Siemens
(OUIEG09E0504) | Ceruloplasmin
(OSR6x64) | Ref:
108 mg/L-
1890 mg/L
Test:
98 mg/L -
1880 mg/L | Slope:
0.900-1.100 | Slope:
1.056 | Pass |
| | | | Intercept:
≤ ± 30mg/L | Intercept:
-26.10mg/L | Pass |
| | | | r: ≥0.975 | 0.990 | Pass |
| | | | N:≥100 | 120 | Pass |

Precision Study Results

| Sample | Concentration
mg/L | Within Run Precision | | | Total Precision | | | Pass/
Fail |
|--------|-----------------------|----------------------|-------|--------------------------------------|-----------------|-------|---------------------------------------|---------------|
| | | %CV | SD | Specification | %CV | SD | Specification | |
| Pool 1 | 95.99 | 1.10 | 1.042 | ≤5% CV or
SD ≤1 mg/dL
(10mg/L) | 6.7 | 6.44 | ≤10% CV or
SD ≤2 mg/dL
(20mg/L) | Pass |
| Pool 2 | 148.36 | 1.10 | 1.70 | ≤5% CV or
SD ≤1 mg/dL
(10mg/L) | 2.80 | 4.09 | ≤10% CV or
SD ≤2 mg/dL
(20mg/L) | Pass |
| Pool 3 | 254.17 | 0.90 | 2.30 | ≤5% CV or
SD ≤1 mg/dL
(10mg/L) | 2.20 | 5.70 | ≤10% CV or
SD ≤2 mg/dL
(20mg/L) | Pass |
| Pool 4 | 596.43 | 0.90 | 5.46 | ≤5% CV or
SD ≤1 mg/dL
(10mg/L) | 1.90 | 11.36 | ≤10% CV or
SD ≤2 mg/dL
(20mg/L) | Pass |
| Pool 5 | 915.61 | 0.7 | 6.78 | ≤5% CV or
SD ≤1 mg/dL
(10mg/L) | 1.6 | 14.51 | ≤10% CV or
SD ≤2 mg/dL
(20mg/L) | Pass |
| Pool 6 | 1791.94 | 0.5 | 9.52 | ≤5% CV or
SD ≤1 mg/dL
(10mg/L) | 1.4 | 25.23 | ≤10% CV or
SD ≤2 mg/dL
(20mg/L) | Pass |

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