K Number
K191562
Device Name
Yumizen C1200 Ferritin, Yumizen C1200 Transferrin, Yumizen C1200 Rheumatoid Factor
Manufacturer
Date Cleared
2020-03-06

(267 days)

Product Code
Regulation Number
866.5340
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Yumizen C1200 Ferritin reagent is intended for the quantitative in vitro diagnostic determination of Ferritin in human serum by latex-enhanced immunoturbidimetric assay. Measurements of ferritin aid in the diagnosis of diseases affecting iron metabolism, hemochromatosis (iron overload) and iron deficiency anemia. Yumizen C1200 Transferrin reagent is intended for the quantitative in vitro diagnostic determination of transferrin in human serum and lithium heparin plasma by turbidimetry. Measurement of transferrin levels ads in the diagnosis of malnutrition, acute inflammation, infection, and iron deficiency anemia. Yumizen C1200 Rheumatoid Factor reagent is intended for the quantitative in vitro diagnostic determination of rheumatoid factor in human serum by latex-enhanced immunoturbidimetric assay. Measurement of rheumatoid factor may aid in the diagnosis of rheumatoid arthritis.
Device Description
Not Found
More Information

Not Found

No
The summary describes standard in vitro diagnostic assays (immunoturbidimetric and turbidimetric) and their analytical performance characteristics. There is no mention of AI, ML, image processing, or any other technology typically associated with AI/ML applications in medical devices. The performance studies focus on traditional analytical validation methods.

No
Explanation: This device is an in vitro diagnostic (IVD) reagent used for quantitative measurements of biomarkers (Ferritin, Transferrin, Rheumatoid Factor) to aid in the diagnosis of various conditions. It does not provide any form of therapy or treatment.

Yes
The "Intended Use / Indications for Use" section explicitly states that the Yumizen C1200 reagents are intended for "quantitative in vitro diagnostic determination" of various substances, and that "Measurements… aid in the diagnosis of diseases." This clearly indicates its role in diagnosis.

No

The device is described as a reagent for in vitro diagnostic determination using a latex-enhanced immunoturbidimetric assay and turbidimetry, which are laboratory methods involving physical components and chemical reactions, not solely software.

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

Here's why:

  • Intended Use/Indications for Use: The document explicitly states that the reagents are "intended for the quantitative in vitro diagnostic determination" of Ferritin, Transferrin, and Rheumatoid Factor in human serum and plasma. It also clearly states that these measurements "aid in the diagnosis of diseases." This language is a key indicator of an IVD.
  • Nature of the Tests: The tests described (latex-enhanced immunoturbidimetric assay and turbidimetry) are laboratory tests performed on biological samples (serum and plasma) to provide information about a patient's health status. This is the core function of an IVD.
  • Clinical Significance: The document links the measurement of these analytes to the diagnosis of specific medical conditions (iron metabolism disorders, hemochromatosis, iron deficiency anemia, malnutrition, acute inflammation, infection, rheumatoid arthritis). This demonstrates the clinical utility of the device in aiding medical diagnosis.
  • Performance Studies: The detailed performance studies (measuring range, accuracy, precision, interferences, method comparison, reagent stability, reference range) are typical evaluations required for IVD devices to demonstrate their analytical performance and suitability for clinical use.
  • Predicate Devices: The mention of predicate devices with K numbers (K092505, K012393, K060201) indicates that these reagents are being compared to previously cleared IVD devices, which is a common regulatory pathway for new IVDs.
  • Intended User/Care Setting: The intended user is a "Clinical laboratory," which is where IVD tests are typically performed.

All of these factors strongly support the classification of this device as an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

Yumizen C1200 Ferritin reagent is intended for the quantitative in vitro diagnostic determination of Ferritin in human serum by latex-enhanced immunoturbidimetric assay. Measurements of ferritin aid in the diagnosis of diseases affecting iron metabolism, hemochromatosis (iron overload) and iron deficiency anemia.

Yumizen C1200 Transferrin reagent is intended for the quantitative in vitro diagnostic determination of transferrin in human serum and lithium heparin plasma by turbidimetry.

Measurement of transferrin levels ads in the diagnosis of malnutrition, acute inflammation, infection, and iron deficiency anemia.

Yumizen C1200 Rheumatoid Factor reagent is intended for the quantitative in vitro diagnostic determination of rheumatoid factor in human serum by latex-enhanced immunoturbidimetric assay. Measurement of rheumatoid factor may aid in the diagnosis of rheumatoid arthritis.

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

DBF, DDG, DHR

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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

Not Found

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

Not Found

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

Analytical Performance Characteristics

Measuring Range

Yumizen C1200 Ferritin

  • Study Type: Limit of detection and quantitation determined according to CLSI guideline EP17-A2. Linearity determined according to CLSI guideline EP06-A.
  • Results:
    • Serum:
      • Limit of detection: 6.30 ng/mL
      • Limit of quantitation: 9.39 ng/mL
      • Linearity evaluated: 13.3 - 426.6 ng/mL
      • Measuring range: 10 to 450 ng/mL
    • Serum Post-dilution:
      • Measuring range: until 2250 ng/mL

Yumizen C1200 Transferrin

  • Study Type: Limit of detection and quantitation determined according to CLSI guideline EP17-A2. Linearity determined according to CLSI guideline EP06-A.
  • Results:
    • Serum/Plasma:
      • Limit of detection: 0.002 g/L
      • Limit of quantitation: 0.07 g/L
      • Linearity evaluated: 0.15 - 4.61 g/L
      • Measuring range: 0.10 to 5.20 g/L
    • Serum/Plasma Post-dilution:
      • Measuring range: 15.60 until g/L

Yumizen C1200 Rheumatoid Factor

  • Study Type: Limit of detection and quantitation determined according to CLSI guideline EP17-A2. Linearity determined according to CLSI guideline EP06-A.
  • Results:
    • Serum:
      • Limit of detection: 4.07 IU/mL
      • Limit of quantitation: 7.41 IU/mL
      • Linearity evaluated: 13.2 - 118.8 IU/mL
      • Measuring range: 10 to 120 IU/mL
    • Serum Post-dilution:
      • Measuring range: until 1200 IU/mL

Accuracy and Precision

Yumizen C1200 Ferritin

  • Total Precision (analyzer variability - 20x2x2 study)
    • Sample Size: 240 for each sample type
    • Key Results:
      • Yumizen C1200 Level 1 Protein Control: Mean 47.58 ng/mL, Total CV 4.9%
      • Yumizen C1200 Level 2 Protein Control: Mean 279.31 ng/mL, Total CV 2.1%
      • Sample 1: Mean 29.56 ng/mL, Total CV 7.9%
      • Sample 2: Mean 50.87 ng/mL, Total CV 5.1%
      • Sample 3: Mean 172.63 ng/mL, Total CV 1.9%
      • Sample 4: Mean 328.60 ng/mL, Total CV 4.3%
      • Sample 5: Mean 403.21 ng/mL, Total CV 1.4%
  • Lot to Lot variability (3x5x2x3)
    • Sample Size: 90 for each sample type
    • Key Results:
      • Yumizen C1200 Level 1 Protein Control: Mean 52.84 ng/mL, Total CV 6.4%
      • Yumizen C1200 Level 2 Protein Control: Mean 281.87 ng/mL, Total CV 1.6%
      • Sample 1: Mean 19.09 ng/mL, Total CV 11.8%
      • Sample 2: Mean 34.05 ng/mL, Total CV 6.5%
      • Sample 3: Mean 51.53 ng/mL, Total CV 3.8%
      • Sample 4: Mean 192.31 ng/mL, Total CV 2.8%
      • Sample 5: Mean 407.38 ng/mL, Total CV 1.4%

Yumizen C1200 Transferrin

  • Total Precision (analyzer variability - 20x2x2 study)
    • Sample Size: 240 for each sample type
    • Key Results:
      • Yumizen C1200 Level 1 Protein Control: Mean 1.24 g/L, Total CV 3.6%
      • Yumizen C1200 Level 2 Protein Control: Mean 3.35 g/L, Total CV 3.6%
      • Sample 1: Mean 0.78 g/L, Total CV 4.5%
      • Sample 2: Mean 1.02 g/L, Total CV 3.2%
      • Sample 3: Mean 1.83 g/L, Total CV 2.3%
      • Sample 4: Mean 3.78 g/L, Total CV 2.7%
  • Lot to Lot variability (3x5x2x3)
    • Sample Size: 90 for each sample type
    • Key Results:
      • Yumizen C1200 Level 1 Protein Control: Mean 1.29 g/L, Total CV 6.6%
      • Yumizen C1200 Level 2 Protein Control: Mean 3.41 g/L, Total CV 3.0%
      • Sample 1: Mean 0.77 g/L, Total CV 5.4%
      • Sample 2: Mean 1.08 g/L, Total CV 3.3%
      • Sample 3: Mean 1.96 g/L, Total CV 3.4%
      • Sample 4: Mean 3.54 g/L, Total CV 3.4%

Yumizen C1200 Rheumatoid Factor

  • Total Precision (analyzer variability - 20x2x2 study)
    • Sample Size: 240 for each sample type
    • Key Results:
      • Yumizen C1200 Level 1 Protein Control: Mean 40.99 IU/mL, Total CV 2.2%
      • Yumizen C1200 Level 2 Protein Control: Mean 63.93 IU/mL, Total CV 2.5%
      • Sample 1: Mean 22.24 IU/mL, Total CV 2.0%
      • Sample 2: Mean 34.28 IU/mL, Total CV 2.2%
      • Sample 3: Mean 49.41 IU/mL, Total CV 1.8%
      • Sample 4: Mean 70.16 IU/mL, Total CV 1.6%
      • Sample 5: Mean 103.42 IU/mL, Total CV 1.4%
  • Lot to Lot variability (3x5x2x3)
    • Sample Size: 90 for each sample type
    • Key Results:
      • Yumizen C1200 Level 1 Protein Control: Mean 41.70 IU/mL, Total CV 1.9%
      • Yumizen C1200 Level 2 Protein Control: Mean 67.05 IU/mL, Total CV 2.2%
      • Sample 1: Mean 17.30 IU/mL, Total CV 3.1%
      • Sample 2: Mean 30.88 IU/mL, Total CV 1.8%
      • Sample 3: Mean 53.08 IU/mL, Total CV 3.2%
      • Sample 4: Mean 70.24 IU/mL, Total CV 1.3%
      • Sample 5: Mean 102.14 IU/mL, Total CV 1.8%

Interferences

  • Study Type: Determined according to CLSI guideline EP07-A2. Acceptable bias is +/-10% of the value without interfering substances.
  • Key Results: Highest values for which no interferences higher than 10% have been observed are listed in the tables for each analyte.

Yumizen C1200 Transferrin : Anticoagulant study

  • Study Materials: 59 paired serum/plasma samples (heparin-lithium) from single donors.
  • Key Results: No significant difference between serum and plasma with heparin specimens. Coagulation does not have an impact on Transferrin determination.
  • Correlation: 0.995 (Passing Bablok)

Prozone / Antigen excess effect

  • Yumizen C1200 Ferritin: Antigen excess observed for samples > 5043 ng/mL. A prozone alarm flags samples > 5043 ng/mL, which are then automatically rerun.
  • Yumizen C1200 Transferrin: No antigen excess detected up to 40 g/L.
  • Yumizen C1200 Rheumatoid Factor: Antigen excess observed for samples > 229 IU/mL. A prozone alarm flags samples > 229 IU/mL, which are then automatically rerun.

Method comparison with a predicate device

  • Study Type: Carried out using recommendations from CLSI EP-9A3 guidance.
  • Yumizen C1200 Ferritin
    • Samples: 103 native sera samples from blood bank, assayed in duplicate.
    • Correlation (r²): 0.999 (Passing Bablok)
  • Yumizen C1200 Transferrin
    • Samples: 115 native samples from CHU Nîmes (University Hospital Center), assayed in duplicate.
    • Correlation (r²): 0.993 (Passing Bablok)
  • Yumizen C1200 Rheumatoid Factor
    • Samples: 113 native samples from blood bank, assayed in duplicate.
    • Correlation (r²): 0.992 (Passing Bablok)

Reagent Stability

  • Study Type: Determined according to CLSI guideline EP25-A.
  • Closed stability
    • Yumizen C1200 Ferritin: Stable up to expiry date (18 months) if stored at 2-10°C, protected from light.
    • Yumizen C1200 Transferrin: Stable up to expiry date (24 months) if stored at 2-8°C, protected from light.
    • Yumizen C1200 Rheumatoid Factor: Stable up to expiry date (18 months) if stored at 2-10°C.
  • Open stability (On board reagent Stability)
    • Yumizen C1200 Ferritin: 2 months.
    • Yumizen C1200 Transferrin: 6 weeks.
    • Yumizen C1200 Rheumatoid Factor: 1 month.

Reference range

  • Study Type: Determined according to CLSI guideline EP28-A3. Verification studies support reference ranges established through literature.
  • Yumizen C1200 Ferritin
    • Adults:
      • Women: 10 - 120 ng/ml (µg/l) (50 normal samples assayed)
      • Men: 20 - 250 ng/ml (µg/1) (95 normal samples assayed)
  • Yumizen C1200 Transferrin
    • Normal range Transferrin - Serum: 2 - 3.6 g/l (200 - 360 mg/dl) based on CRM 470. (85 normal samples (28 women + 57 men) assayed)
  • Yumizen C1200 Rheumatoid Factor
    • Normal range Rhumatoid Factor Adult:

§ 866.5340 Ferritin immunological test system.

(a)
Identification. A ferritin immunological test system is a device that consists of the reagents used to measure by immunochemical techniques the ferritin (an iron-storing protein) in serum and other body fluids. Measurements of ferritin aid in the diagnosis of diseases affecting iron metabolism, such as hemochromatosis (iron overload) and iron deficiency amemia.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: a symbol on the left and the FDA name and title on the right. The symbol on the left is a stylized representation of a human figure, while the text on the right reads "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue letters.

March 6, 2020

Horiba ABX SAS Caroline Ferrer Regulatory Affairs Manager Parc Euromedecine, Rue Du Caducee BP 7290 Montpellier Cedex 4, 341184 France

Re: K191562

Trade/Device Name: Yumizen C1200 Ferritin, Yumizen C1200 Transferrin, Yumizen C1200 Rheumatoid Factor Regulation Number: 21 CFR 866.5340 Regulation Name: Ferritin immunological test system Regulatory Class: Class II Product Code: DBF, DDG, DHR Dated: June 11, 2019 Received: June 13, 2019

Dear Caroline Ferrer:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

1

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 Part 801 and Part 809); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Carolina Kagan, M.Sc. Acting Chief Division of Immunology and Hematology Devices OHT7: Office of In Vitro Diagnostics and Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K191562

Device Name Yumizen C1200 Ferritin Yumizen C1200 Transferrin Yumizen C1200 Rheumatoid Factor

Indications for Use (Describe)

Yumizen C1200 Ferritin reagent is intended for the quantitative in vitro diagnostic determination of Ferritin in human serum by latex-enhanced immunoturbidimetric assay. Measurements of ferritin aid in the diagnosis of diseases affecting iron metabolism, hemochromatosis (iron overload) and iron deficiency anemia.

Yumizen C1200 Transferrin reagent is intended for the quantitative in vitro diagnostic determination of transferrin in human serum and lithium heparin plasma by turbidimetry.

Measurement of transferrin levels ads in the diagnosis of malnutrition, acute inflammation, infection, and iron deficiency anemia.

Yumizen C1200 Rheumatoid Factor reagent is intended for the quantitative in vitro diagnostic determination of rheumatoid factor in human serum by latex-enhanced immunoturbidimetric assay. Measurement of rheumatoid factor may aid in the diagnosis of rheumatoid arthritis.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

Image /page/3/Picture/0 description: The image shows the HORIBA Medical logo in blue, with the word "Medical" in a smaller font size below "HORIBA". Below the logo, the text "Section 007. 510(k) summary" is displayed in a gray font. The text appears to be part of a document or report.

SECTION 007 : 510(k) Summary

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.

4

Image /page/4/Picture/0 description: The image shows the HORIBA Medical logo in blue. Below the logo is the text "Section 007. 510(k) summary" in a gray font. The text appears to be a section heading or title, possibly from a document or report.

  • 1- Date of Summary Date submitted : 5th March, 2020

2- Company

HORIBA ABX SAS HORIBA MEDICAL Parc Euromédecine Rue du Caducée – BP 7290 34184 Montpellier cedex 4 France

3- Contact person

Contact Person: Caroline Ferrer (caroline.ferrer@horiba.com) Telephone: + (33) 4 67 14 1843 Fax: + (33) 4 67 14 1517

4- Product Name

Yumizen C1200 Ferritin (1300023880) Yumizen C1200 Transferrin (1300023889) Yumizen C1200 Rheumatoid Factor (1300023888)

5- Device Name and Classification

. Intended use

The devices involved by the 510(k) submission file are the following:

● Classification and Description

Device's namesIntended Use
Yumizen C1200
FerritinYumizen C1200 Ferritin reagent is intended for the quantitative in vitro
diagnostic determination of Ferritin in human serum by latex-enhanced
immunoturbidimetric assay. Measurements of ferritin aid in the diagnosis
of diseases affecting iron metabolism, hemochromatosis (iron overload)
and iron deficiency anemia.
Yumizen C1200
TransferrinYumizen C1200 Transferrin reagent is intended for the quantitative in vitro
diagnostic determination of Transferrin in human serum and lithium
heparin plasma by turbidimetry.
Measurement of transferrin levels aids in the diagnosis of malnutrition,
acute inflammation, infection, and iron deficiency anemia.
Yumizen C1200
Rheumatoid FactorYumizen C1200 Rheumatoid Factor reagent is intended for the quantitative
in vitro diagnostic determination of rheumatoid factor in human serum by
latex-enhanced immunoturbidimetric assay.
Measurement of rheumatoid factor may aid in the diagnosis of rheumatoid
arthritis.

5

Image /page/5/Picture/0 description: The image shows the HORIBA Medical logo in blue, with the word "Medical" in a smaller font size below "HORIBA". Below the logo, the text "Section 007. 510(k) summary" is displayed in a gray font. The text appears to be part of a document or report.

Trade/Proprietary Name:Yumizen C1200 Ferritin
Device Class:Class II / 510(k) required
Classification Name:§866.5340: Ferritin immunological test system
Product Code:DBF
Panel:Immunology (82)
Trade/Proprietary Name:Yumizen C1200 Transferrin
Device Class:Class II / 510(k) required
Classification Name:§866.5880: Transferrin immunological test system
Product Code:DDG
Panel:Immunology (82)
Trade/Proprietary Name:Yumizen C1200 Rheumatoid Factor
Device Class:Class II / 510(k) required
Classification Name:§866.5775: Rheumatoid factor immunological test system
Product Code:DHR
Panel:Immunology (82)
  • . This submission allows to evaluate the functionality of the Yumizen C1200 analyzer for immunology analytes (ie.immunoturbidimetry).

Substantial Equivalence Information 6-

The following tables show the similarities and differences and demonstrates substantial equivalence between the candidate device and its predicate device identified below.

a. Predicate Device Name and 510(k) number

| Candidate device | Predicate device | Predicate Manufacturer | Predicate
510(k)
number |
|------------------------------------|----------------------------------------|------------------------|-------------------------------|
| Yumizen C1200
Ferritin | Ferritin ( OSR61203) | BECKMAN COULTER | K092505 |
| Yumizen C1200
Transferrin | Transferrin Model :TRSF2 | Roche Diagnostics | K012393 |
| Yumizen C1200
Rheumatoid Factor | Olympus RF Latex reagent
(OSR61105) | Olympus America, Inc. | K060201 |

6

Image /page/6/Picture/0 description: The image shows the HORIBA Medical logo. The word "HORIBA" is in large, bold, blue letters. Below it, in smaller, lighter blue letters, is the word "Medical."

The following tables show the similarities and differences and demonstrates substantial equivalence between the candidate device and its predicate device identified below.

b. Yumizen C1200 Ferritin

i. Comparison with predicate Device : Similarities

ItemPredicate K092505Candidate
Device NameFerritin (OSR61203)Yumizen C1200 Ferritin (1300023880)
Intended UseThe Ferritin Reagent is for the
determination of ferritin concentrations in
human serum and plasma on the Beckman
Coulter AU clinical chemistry analyzers.
Serum ferritin is an indicator of body iron
stores: it has been shown to correlate with
stainable bone marrow iron. Measurements
of ferritin aid in the diagnosis of diseases
affecting iron metabolism, such as
hemochromatosis (iron overload) and iron
deficiency anemia.Yumizen C1200 Ferritin reagent is
intended for the quantitative in vitro
diagnostic determination of Ferritin in
human serum by latex-enhanced
immunoturbidimetric assay.
Measurements of ferritin aid in the
diagnosis of diseases affecting iron
metabolism, hemochromatosis (iron
overload) and iron deficiency anemia.
Reagent formatLiquidSame
MeasurementQuantitativeSame
MethodLatex-enhanced immuno-turbidimetric
methodSame
Product codeDBFSame
On board StabilityOnce opened, the reagent cassette placed
in the refrigerator compartment is stable
for 60 daysOnce opened, the reagent cassette placed
in the refrigerator compartment is stable
for 2 months (or 60 days).
Calibration
StabilityThe frequency of calibration for the
Ferritin procedure is every
30 daysThe reagent is calibrated on Day 0. The
calibration stability is checked by testing
2 control specimens.
The calibration stability is
1 month
(or 30 days)

7

Image /page/7/Picture/0 description: The image shows the HORIBA Medical logo in blue text. Below the logo is the text "Section 007. 510(k) summary" in a smaller, gray font. The text appears to be a section heading or title, possibly from a document or report.

ItemPredicate K092505Candidate
Device NameFerritin (OSR61203)Yumizen C1200 Ferritin (1300023880)
InstrumentBeckman Coulter AU400 Clinical
Chemistry AnalyzerYumizen C1200 Clinical chemistry
analyzer
Manufactured byBECKMAN COULTERHORIBA ABX SAS
Sample typeSerum,
Li-heparin plasma
and EDTA plasma samplesSerum
PackagingCassette of :
R1= 4 x 24 mL
R2= 4 x 12 mLCassette of :
R1: 6 x 11 mL
R2: 6 x 7 mL
Shelf-lifeUnopened, up to the stated expiry date
when stored at 2-8°C.Stable up to the expiration date if stored
at 2-10°C.
Analytical RangeMeasuring Range
$8.0 - 450.0$ ng/mLMeasuring Range
$10 - 450$ ng/mL
Reference rangeWomen: $10 - 158$ ng/mL
Men: $16 - 243$ ng/mLAdults :
Women: $10 - 120$ ng/mL ( $\mu$ g/L)
Men: $20 - 250$ ng/mL ( $\mu$ g/L)

ii. Comparison with predicate Device: Differences

Discussion on the analysis differences :

    1. Instrument: Yumizen C1200 Ferritin is used on Yumizen C1200
    1. Packaging: Packaging is different; depends on cassette capacity.
    1. Reagent stability/ Shelf-life:storage temperature is different.
    1. Analytical range: the measuring range for Yumizen C1200 Ferritin is slightly higher on the lower end
    1. Reference range: Yumizen C1200 Ferritin has tighter reference range on the upper end for Women and slightly larger reference range on the upper end for Men.
  • Sample type: Yumizen C1200 Ferritin uses serum. 6.

8

Image /page/8/Picture/0 description: The image contains the logo for HORIBA Medical. The word "HORIBA" is in large, bold, blue letters. Below it, in smaller, lighter blue letters, is the word "Medical". There is also some text that appears to be a code or part number, "007-510(1)".

c. Yumizen C1200 Transferrin (1300023889)

i. Comparison with predicate Device : Similarities

ItemPredicate K012393Candidate
Device NameTransferrin Model :TRSF2Yumizen C1200 Transferrin
(1300023889)
Intended UseIn vitro test for the quantitative
determination of transferrin in human
serum and plasma in Roche/Hitachi cobas
c systems.Yumizen C1200 Transferrin reagent is
intended for the quantitative in vitro
diagnostic determination of Transferrin
in human and lithium heparin plasma by
turbidimetry.
Measurement of transferrin levels aids in
the diagnosis of malnutrition, acute
inflammation, infection, and iron
deficiency anemia.
Sample typeSerum
plasmaSerum
plasma
Reagent formatLiquidSame
MeasurementQuantitativeSame
MethodTurbidimetrySame
Product codeDDGSame
Shelf-life2-8°C,
See expiration date on labelStable up to the expiry date on the label
if stored at 2-8°C.
Analytical RangeMeasuring Range
0.1-5.2 g/LMeasuring Range
0.10-5.20 g/L
Reference range200-360 mg/dL200-360 mg/dL

9

Image /page/9/Picture/0 description: The image shows the logo for HORIBA Medical. The word "HORIBA" is in large, bold, blue letters. Below it, in smaller blue letters, is the word "Medical."

K191562 Yumizen C1200 Reagents

ii. Comparison with predicate Device: Differences

ItemPredicate K012393Candidate
Device NameTransferrin Model : TRSF2Yumizen C1200 Transferrin
(1300023889)
InstrumentRoche analyzer (Cobas C701)Yumizen C1200 Clinical chemistry
analyzer
Manufactured byROCHEHORIBA ABX SAS
On board Stability4 weeksOnce opened, the reagent cassette placed
in the refrigerated compartment is stable
for 6 weeks.

Discussion on the analysis differences :

  1. Instrument & Manufacturer: Yumizen C1200 Transferrin is used on Yumizen C1200.

Yumizen C1200 Transferrin is manufactured by HORIBA ABX SAS.

  1. Reagent stability: the on board stability of Yumizen C1200 Transferrin is longer.

Stability depends on the reagent composition and cassette capacity.

10

Image /page/10/Picture/0 description: The image contains the logo for HORIBA Medical in blue font. Below the logo is the text "Section 007. 510(k) summary" in a smaller, gray font. The text appears to be a section heading or title within a larger document.

d. Yumizen C1200 Rheumatoid Factor

ItemPredicate K060201Candidate
Device NameRheumatoid Factor reagent model :
OSR61105Yumizen C1200 Rheumatoid Factor
(1300023888)
Intended UseOlympus RF Latex System reagent for the
quantitative determination of Rheumatoid
Factor (RF) in human serum and plasma
on Olympus AU analyzers.
Measurement of rheumatoid factor may
aid in the diagnosis of rheumatoid arthritisYumizen C1200 Rheumatoid Factor
reagent is intended for the quantitative in
vitro diagnostic determination of
rheumatoid factor in human serum by
latex-enhanced immunoturbidimetric
assay.
Measurement of rheumatoid factor may
aid in the diagnosis of rheumatoid
arthritis.
Manufactured byOLYMPUS AMERICA, INCHORIBA ABX SAS
MeasurementQuantitativeQuantitative
MethodLatex-enhanced ImmunoturbidimetrySame
Product codeDHRSame
Calibration
StabilityThe frequency of calibration for the RF
Latex procedure is every 30 days.The calibration stability is 1 month
(or 30 days)
Reference rangeAdult ≤ 14 IU/mLSame

i. Comparison with predicate Device : Similarities

11

Image /page/11/Picture/0 description: The image shows the HORIBA Medical logo in blue, with the word "Medical" in a smaller font size below "HORIBA". Below the logo, the text "Section 007. 510(k) summary" is displayed in a smaller, gray font. The text appears to be a section heading or title, possibly from a document or report.

ItemPredicate K060201Candidate
Device NameRheumatoid Factor reagent model :
OSR61105Yumizen C1200 Rheumatoid Factor
(1300023888)
InstrumentOlympus AU400 Clinical Chemistry
AnalyzerYumizen C1200 Clinical chemistry
analyzer
Sample typeSerum, plasmaSerum
Reagent formatLiquidSame
PackagingCassette of :
R1= 4 x 24 mL
R2= 4 x 8mLCassette of :
R1: 6 x 13 mL
R2: 6 x 6 mL
Analytical rangeMeasuring range :
5-120 IU/mLMeasuring range :
10 - 120 IU/mL
Shelf-lifeUntil expiration date on label
(+2-8 °C)Stable up to expiration date
if stored at 2-10°C
On board StabilityOnce opened, the reagent is stable
for 60 days in refrigerated compartment of
analyzer.Once opened, the reagent cassette placed
in the refrigerator compartment is stable
for 1 month (or 30 days)
Discussion on the analysis differences :

ii. Comparison with predicate Device: Differences

  1. Instrument: Yumizen C1200 Rheumatoid Factor is used on Yumizen C1200

  2. Packaging: Packaging is different; depends on cassette capacity.

  3. Reagent stability: the on board stability Yumizen C1200 Rheumatoid Factor is shorter. The Shelf life is different. Stability depend on reagent composition and cassette capacity.

5.Analytical range: the measuring range for serum for Yumizen C1200 Rheumatoid factor is slightly tighter on the lower end

  1. Sample type: Yumizen C1200 RF uses serum only.

12

Image /page/12/Picture/0 description: The image contains the logo for HORIBA Medical. The word "HORIBA" is in large, bold, blue letters. Below the word "HORIBA" is the word "Medical" in a smaller, lighter blue font. The logo is simple and clean.

K191562 Yumizen C1200 Reagents

7 - Special Control/Guidance Document Referenced

a. Standards Followed

The following standards & FDA guidance documents have been used to support this submission:

CLSI Guidelines:

  • CLSI EP05-A3:Evaluation of Precision of Quantitative Measurement Procedures- Third ● Edition - October 2014
  • . CLSI EP17-A2: Evaluation of Detection Capability for Clinical Laboratory Measurement Procedures - Second Edition - June 2012
  • CLSI EP06-A: Evaluation of the Linearity of Quantitative measurement Procedures A Statistical Approach - First Edition - April 2003
  • CLSI C28-A3: Defining, Establishing, and Verifying Reference Intervals in the Clinical laboratory- Third Edition - November 2008
  • CLSI EP25-A : Evaluation of Stability of In Vitro Diagnostic reagents- First Edition-September 2009

b. FDA Guidances Followed

  • Guidance for Industry and FDA Staff : Format for Traditional and Abbreviated 510(k)s 2005 ●

c. Other reference cited

  • Valtec guideline (Vassault et al., Ann. Biol. Clin., 1986, (44), 686-745)
  • CLSI EP09-A3 : Measurement Procedure Comparison and Bias Estimation Using Patient ● Samples - Third Edition - August 2013

13

Image /page/13/Picture/0 description: The image shows the HORIBA Medical logo in blue. Below the logo is the text "Section 007. 510(k) summary" in a light gray font. The text appears to be part of a document or report.

8- Analytical Performance Characteristics

8.1 Measuring Range

Yumizen C1200 Ferritin ●

The limit of detection and quantitation was determined according to the CLSI guideline EP17-A2. The reagent linearity was determined according to CLSI guideline EP06-A. The limit of quantitation and the linearity studies showed that claimed measuring range is appropriate.

> Results :

| | Limit of
detection | Limit of
quantitation | Linearity evaluated | Measuring range |
|----------------------------|-----------------------|--------------------------|---------------------|------------------|
| Serum | 6.30 ng/mL | 9.39 ng/mL | 13.3 - 426.6 ng/mL | 10 to 450 ng/mL |
| Serum
Post-
dilution | NA | NA | NA | until 2250 ng/mL |

● Yumizen C1200 Transferrin

The limit of detection and quantitation was determined according to the CLSI guideline EP17-A2. The reagent linearity was determined according to CLSI guideline EP06-A. The limit of quantitation and the linearity studies showed measuring range is appropriate.

> Results :

| | Limit of
detection | Limit of
quantitation | Linearity evaluated | Measuring range |
|---------------------------------------|-----------------------|--------------------------|---------------------|------------------|
| Serum/
Plasma | 0.002 g/L | 0.07 g/L | 0.15 - 4.61 g/L | 0.10 to 5.20 g/L |
| Serum/
Plasma
Post-
dilution | NA | NA | NA | 15.60 until g/L |

14

Image /page/14/Picture/0 description: The image shows the HORIBA Medical logo in blue, with the word "Medical" in a smaller font size below it. Below the logo, the text "Section 007. 510(k) summary" is displayed in a smaller, gray font. The text appears to be a section heading or title, possibly from a document or report.

Yumizen C1200 Rheumatoid Factor ●

The limit of detection and quantitation was determined according to the CLSI guideline EP17-A2. The reagent linearity was determined according to CLSI guideline EP06-A. The limit of quantitation and the linearity studies showed that claimed measuring range is appropriate.

》 Results :

Limit of detectionLimit of quantitationLinearity evaluatedMeasuring range
Serum4.07 IU/mL7.41 IU/mL13.2 - 118.8 IU/mL10 to 120 IU/mL
SerumPost
-dilutionNANANAuntil 1200 IU/mL

15

Image /page/15/Picture/0 description: The image shows the logo for HORIBA Medical, followed by the text "Section 007. 510(k) summary". The HORIBA logo is in blue, with the word "HORIBA" in a larger, bolder font than the word "Medical" below it. The text "Section 007. 510(k) summary" is in a smaller, gray font.

8.2 Accuracy and Precision

Repeatability (within-run precision) and Reproducibility (total precision)

Yumizen C1200 Ferritin ●

A Total Precision : analyzer variability - 20x2x2 study

Within Run : CV limits, for the low, middle and high level are respectively 8.0 %, 6.0% and 6.0% for serum Total Precision : CV limits, for the low, middle and high level are respectively 10.0 %, 8.0 % for serum.

| Sample | N | Mean
(ng/mL) | Within-Run
(%CV) | Between-Run
(%CV) | Between-Day
(%CV) | Between-
Instrument
(%CV) | Total
(%CV) |
|---------------------------------------------|-----|-----------------|---------------------|----------------------|----------------------|---------------------------------|----------------|
| Yumizen C1200
Level 1 Protein
Control | 240 | 47.58 | 3.6 | 0.0 | 1.5 | 3.1 | 4.9 |
| Yumizen C1200
Level 2 Protein
Control | 240 | 279.31 | 1.1 | 0.0 | 1.6 | 0.8 | 2.1 |
| Sample 1 | 240 | 29.56 | 5.5 | 2.2 | 2.2 | 4.7 | 7.9 |
| Sample 2 | 240 | 50.87 | 4.1 | 1.9 | 0.0 | 2.4 | 5.1 |
| Sample 3 | 240 | 172.63 | 1.4 | 0.3 | 0.6 | 1.1 | 1.9 |
| Sample 4 | 240 | 328.60 | 1.3 | 3.6 | 2.0 | 0.0 | 4.3 |
| Sample 5 | 240 | 403.21 | 1.0 | 0.6 | 0.6 | 0.4 | 1.4 |

16

Image /page/16/Picture/0 description: The image shows the logo for HORIBA Medical. The word "HORIBA" is in large, bold, blue letters. Below it, in smaller, light blue letters, is the word "Medical."

  • Lot to Lot variability : 3x5x2x3
    Within Run : CV limits, for the low, middle and high level are respectively 8.0 %, 6.0 % and 6.0 % for serum

Total Precision : CV limits, for the low, middle and high level are respectively 10.0 %, 8.0 % and 8.0 % for serum.

| Sample | N | Mean
(ng/mL) | Within-
Run
(%CV) | Between-
Day (%CV) | Within-
Batch
(%CV) | Between-
Batch
(%CV) | Total
(%CV) |
|---------------------------------------------|----|-----------------|-------------------------|-----------------------|---------------------------|----------------------------|----------------|
| Yumizen C1200
Level 1 Protein
Control | 90 | 52.84 | 4.6 | 4.5 | 6.4 | 0.0 | 6.4 |
| Yumizen C1200
Level 2 Protein
Control | 90 | 281.87 | 0.9 | 0.7 | 1.1 | 1.2 | 1.6 |
| Sample 1 | 90 | 19.09 | 8.8 | 4.8 | 10.0 | 6.3 | 11.8 |
| Sample 2 | 90 | 34.05 | 6.5 | 0.0 | 6.5 | 0.5 | 6.5 |
| Sample 3 | 90 | 51.53 | 3.6 | 0.0 | 3.6 | 1.1 | 3.8 |
| Sample 4 | 90 | 192.31 | 1.4 | 0.0 | 1.4 | 2.5 | 2.8 |
| Sample 5 | 90 | 407.38 | 0.9 | 0.0 | 0.9 | 1.0 | 1.4 |

Although the %CV of Within Day and Total Precision are superior to the Acceptance criteria, the pvalue with 5% acceptable remains acceptable for sample 1.

17

Image /page/17/Picture/0 description: The image shows the HORIBA Medical logo in blue, with the word "Medical" in a smaller font size below the main logo. Below the logo is the text "Section 007. 510(k) summary" in a gray font. The text appears to be a section heading or title within a document.

Yumizen C1200 Transferrin ●

> Total Precision : analyzer variability - 20x2x2 study

Within Run : CV limits, for the low, middle and high level are respectively 6.0 %, 4.5 % and 3.8 % for serum and plasma

Total Precision : CV limits, for the low, middle and high level are respectively 8.0 %, 6.0 % for serum and plasma.

| Sample | N | Mean
(g/L) | Within-
Run
(%CV) | Between-
Run (%CV) | Between-
Day (%CV) | Between-
Instrument
(%CV) | Total
(%CV) |
|---------------------------------------------|-----|---------------|-------------------------|-----------------------|-----------------------|---------------------------------|----------------|
| Yumizen C1200
Level 1 Protein
Control | 240 | 1.24 | 1.2 | 0.7 | 2.1 | 2.5 | 3.6 |
| Yumizen C1200
Level 2 Protein
Control | 240 | 3.35 | 1.5 | 0.6 | 1.4 | 2.8 | 3.6 |
| Sample 1 | 240 | 0.78 | 1.0 | 0.5 | 2.3 | 3.7 | 4.5 |
| Sample 2 | 240 | 1.02 | 1.2 | 0.3 | 1.7 | 2.5 | 3.2 |
| Sample 3 | 240 | 1.83 | 1.3 | 0.5 | 1.3 | 1.3 | 2.3 |
| Sample 4 | 240 | 3.78 | 1.5 | 0.6 | 1.1 | 1.9 | 2.7 |

18

Image /page/18/Picture/0 description: The image contains the logo for HORIBA Medical. The word "HORIBA" is in large, bold, blue letters. Below it, in smaller, lighter blue letters, is the word "Medical."

► Lot to Lot variability : 3x5x2x3

Within Run : CV limits, for the low, middle and high level are respectively 6.0 %, 4.5 % and 3.8 % for serum and plasma

Total Precision : CV limits, for the low, middle and high level are respectively 8.0 %, 6.0 % for serum and plasma.

| Sample | N | Mean
(g/L) | Within-
Run
(%CV) | Between-
Day (%CV) | Within-
Batch
(%CV) | Between-
Batch
(%CV) | Total
(%CV) |
|---------------------------------------------|----|---------------|-------------------------|-----------------------|---------------------------|----------------------------|----------------|
| Yumizen C1200
Level 1 Protein
Control | 90 | 1.29 | 3.5 | 5.3 | 6.3 | 1.7 | 6.6 |
| Yumizen C1200
Level 2 Protein
Control | 90 | 3.41 | 1.7 | 1.2 | 2.1 | 2.2 | 3.0 |
| Sample 1 | 90 | 0.77 | 4.2 | 2.7 | 5.0 | 2.0 | 5.4 |
| Sample 2 | 90 | 1.08 | 1.5 | 0.9 | 1.7 | 2.8 | 3.3 |
| Sample 3 | 90 | 1.96 | 1.3 | 0.2 | 1.3 | 3.2 | 3.4 |
| Sample 4 | 90 | 3.54 | 2.6 | 0.7 | 2.7 | 2.1 | 3.4 |

19

Image /page/19/Picture/0 description: The image shows the HORIBA Medical logo at the top. Below the logo, the text "Section 007. 510(k) summary" is displayed. The text is in a smaller font size compared to the logo.

Yumizen C1200 Rheumatoid Factor .

> Total Precision : analyzer variability - 20x2x2 study

Within Run : CV limits, for the low, middle and high level are respectively 6.0 %, 4.5 % and 3.8 % for serum

Total Precision : CV limits, for the low, middle and high level are respectively 8.0 %, 6.0 % for serum.

| Sample | N | Mean
(IU/mL) | Within-
Run
(%CV) | Between-
Run (%CV) | Between-
Day (%CV) | Between-
Instrument
t (%CV) | Total
(%CV) |
|---------------------------------------------|-----|-----------------|-------------------------|-----------------------|-----------------------|-----------------------------------|----------------|
| Yumizen C1200
Level 1 Protein
Control | 240 | 40.99 | 0.5 | 0.4 | 1.2 | 1.7 | 2.2 |
| Yumizen C1200
Level 2 Protein
Control | 240 | 63.93 | 0.4 | 0.6 | 1.6 | 1.8 | 2.5 |
| Sample 1 | 240 | 22.24 | 1.2 | 0.9 | 0.9 | 1.0 | 2.0 |
| Sample 2 | 240 | 34.28 | 0.8 | 1.3 | 1.3 | 0.9 | 2.2 |
| Sample 3 | 240 | 49.41 | 0.5 | 1.0 | 0.5 | 1.3 | 1.8 |
| Sample 4 | 240 | 70.16 | 0.5 | 0.4 | 0.8 | 1.3 | 1.6 |
| Sample 5 | 240 | 103.42 | 0.8 | 0.6 | 0.7 | 0.5 | 1.4 |

20

Image /page/20/Picture/0 description: The image contains the logo for HORIBA Medical. The word "HORIBA" is in large, bold, blue letters. Below it, in a smaller font and lighter blue color, is the word "Medical."

► Lot to Lot variability : 3x5x2x3

Within Run : CV limits, for the low, middle and high level are respectively 6.0 %, 4.5 % and 3.8 % for serum

Total Precision : CV limits, for the low, middle and high level are respectively 8.0 %, 6.0 % for serum.

| Sample | N | Mean
(IU/mL) | Within-
Run
(%CV) | Between-
Day (%CV) | Within-
Batch
(%CV) | Between-
Batch
(%CV) | Total
(%CV) |
|---------------------------------------------|----|-----------------|-------------------------|-----------------------|---------------------------|----------------------------|----------------|
| Yumizen C1200
Level 1 Protein
Control | 90 | 41.70 | 1.8 | 0.3 | 1.8 | 0.6 | 1.9 |
| Yumizen C1200
Level 2 Protein
Control | 90 | 67.05 | 1.4 | 0.5 | 1.5 | 1.6 | 2.2 |
| Sample 1 | 90 | 17.30 | 2.9 | 0.7 | 3.0 | 0.8 | 3.1 |
| Sample 2 | 90 | 30.88 | 1.4 | 0.6 | 1.6 | 0.9 | 1.8 |
| Sample 3 | 90 | 53.08 | 1.4 | 0.9 | 1.6 | 2.7 | 3.2 |
| Sample 4 | 90 | 70.24 | 1.1 | 0.8 | 1.3 | 0.0 | 1.3 |
| Sample 5 | 90 | 102.14 | 1.0 | 0.4 | 1.1 | 1.4 | 1.8 |

21

Image /page/21/Picture/0 description: The image shows the HORIBA Medical logo at the top. Below the logo, the text "Section 007. 510(k) summary" is displayed. The text is in a smaller font size compared to the logo.

8.3 Interferences

The Interferences were determined according to the CLSI guideline EP07-A2. The acceptable bias is defined at +/-10% of the value without interfering substances. These data in the following table represent the highest values for which no interferences higher than 10% have been observed.

Yumizen C1200 Ferritin ●

Serum
Hemoglobin290 µmol/L500 mg/dL
Triglycerides3.09 mmol/L270.42 mg/dL
Total Bilirubin504 µmol/l29.5 mg/dL
Direct Bilirubin442 µmol/l25.87 mg/dL
Ascorbic Acid340 µmol/L5.98 mg/dL
Acetylsalicylic
Acid3.62 mmol/L65.16 mg/dL
Ibuprofen2.43 mmol/L50.10 mg/dL
Acetaminophen1324 µmol/L20 mg/dL
Rheumatoid
Factor500 IU/mL
Deferoxamine400 µmol/L22.43 mg/dL
Prednisone500 µmol/L17.92 mg/dL
Methotrexate3000 µmol/L136 mg/dL
Ferrous Sulfate1 mmol/L15.19 mg/dL
Ampicillin250 µmol/L8.7 mg/dL
Azithromycin20 µmol/L1.49 mg/dL
Rifampicin100 µmol/L8.20 mg/dL
Diltiazem10 µmol/L0.41 mg/dL
Simvastatin10 µmol/L0.42 mg/dL

22

Image /page/22/Picture/0 description: The image shows the HORIBA Medical logo at the top. Below the logo, the text "Section 007. 510(k) summary" is displayed. The text is written in a simple, sans-serif font and is left-aligned.

Yumizen C1200 Transferrin ●

Serum/Plasma
Hemoglobin290 µmol/L500 mg/dL
Triglycerides4.04 mmol/L353.28 mg/dL
Total Bilirubin749 µmol/l43.84 mg/dL
Direct Bilirubin408 µmol/l23.86 mg/dL
Ascorbic Acid340 µmol/L5.98 mg/dL
Acetylsalicylic
Acid3.62 mmol/L65.16 mg/dL
Ibuprofen2.43 mmol/L50.10 mg/dL
Acetaminophen1324 µmol/L20 mg/dL
Rheumatoid
Factor400 IU/mL

• Yumizen C1200 Rheumatoid Factor

Serum
Hemoglobin290 µmol/l500 mg/dL
Triglycerides6.02 mmol/l526.75 mg/dL
Total Bilirubin535 µmol/l31.32 mg/dL
Direct Bilirubin433 µmol/l25.34 mg/dL
Ascorbic Acid340 μmol/L5.98 mg/dL
Acetylsalicylic
Acid3.62 mmol/L65.16 mg/dL
Ibuprofen2.43 mmol/L50.10 mg/dL
Acetaminophen1324 µmol/L20 mg/dL

23

Image /page/23/Picture/0 description: The image shows the HORIBA Medical logo at the top. Below the logo, the text "Section 007. 510(k) summary" is displayed. The text is in a light gray color and appears to be part of a document or report.

8.4 Yumizen C1200 Transferrin : Anticoagulant study

Study materials :

Anticoagulant : heparin-lithium Samples: single donors

59 paired serum/ plasma samples were evaluated on Yumizen C1200 analyser using Yumizen C1200 Transferrin reagent.

For this study, each paired samples (sera and heparinized plasma) has been obtained from single donor.

Passing BablokNMinMaxInterceptSlopeCorrelation
Transferrin:
serum sample
(g/L)591.9333.786
Transferrin:
Heparin
sample
(g/L)591.9013.7240.048330.96910.995

Conclusion :

The results show there is not significative difference between serum and plasma with heparin specimens

-> coagulation does not have an impact on Transferrin determination.

24

Image /page/24/Picture/0 description: The image shows the logo for HORIBA Medical, with the word "HORIBA" in blue and "Medical" in a smaller font size below it. Below the logo, the text "Section 007. 510(k) summary" is displayed in a smaller, gray font. The text appears to be a section heading or title, possibly from a document or report.

8.5 Prozone / Antigen excess effect

For each analyte, a range of high concentration samples is prepared in order to identify a high dose hook effect.

Yumizen C1200 Ferritin ●

An antigen excess effect is observed for samples with a concentration higher than 5043 ng/mL, as they have a rate which could be inside the calibration range and the assay could give underestimated results, but remaining inside the pathological range.

For such samples, a prozone alarm will flag the samples having concentration higher than 5043 ng/mL. The flagged sample will be automatically rerun by the analyzer.

● Yumizen C1200 Transferrin

No antigen excess has been detected up to a concentration of 40 g/L.

● Yumizen C1200 Rheumatoid Factor

An antigen excess effect is observed for samples with a concentration higher than 229 IU/mL, as they have a rate which could be inside the calibration range and the assay could give underestimated results, but remaining inside the pathological range.

For such samples, a prozone alarm will flag the samples having concentration higher than 229 IU/mL. The flagged sample will be automatically rerun by the analyzer.

25

Image /page/25/Picture/0 description: The image shows the logo for HORIBA Medical at the top. The text "Medical" is written in a smaller font size below the word HORIBA. Below the logo, the text "Section 007. 510(k) summary" is written in a gray font. The text appears to be part of a document or report.

8.6 Method comparison with a predicate device

Yumizen C1200 Ferritin ●

This study has been carried out using recommendations found in the CLSI EP-9A3 guidance.

Samples: Anonymous remnants of human serum specimens collected from blood bank. These samples are in the candidate measuring range and predicate measuring range.

103 native sera samples have been assayed in duplicate, in ascendant order and descendant order on 6 working days.

Only the first replicate of each method will be used for the data analysis reported below.

Passing BablokNMinMaxInterceptSlopeCorrelation – r2
(ng/mL)10316.74413.002.1050.91420.999

● Yumizen C1200 Transferrin

This study has been carried out using recommendations found in the CLSI EP-9A3 guidance. Samples: Anonymous remnants of human serum specimens collected from CHU Nîmes (University Hospital Center).

115 native samples have been assayed in duplicate, in ascendant order and descendant order on 5 working days.

Only the first replicate of each method will be used for the data analysis reported below.

Passing BablokNMinMaxInterceptSlopeCorrelation - r²
(g/L)1150.374.810.0063640.94550.993

Yumizen C1200 Rheumatoid Factor ●

This study has been carried out using recommendations found in the CLSI EP-9A3 guidance.

Samples: Anonymous remnants of human serum specimens collected from blood bank. These samples are in the candidate measuring range and predicate measuring range.

113 native samples have been assayed in duplicate, in ascendant order and descendant order on 6 working days.

Only the first replicate of each method will be used for the data analysis reported below.

Passing BablokNMinMaxInterceptSlopeCorrelation – r²
(IU/mL)11316.7900118.8100-1.111.0140.992

26

Image /page/26/Picture/0 description: The image shows the logo for HORIBA Medical in blue text. Below the logo is the text "Section 007. 510(k) summary" in a smaller, gray font. The text appears to be the title or heading of a document or section within a document. The image is simple and focuses on the company name and the section title.

8.7 Reagent Stability

8.7.1 Closed stability

The closed stability was determined according to the CLSI guideline EP25-A.

Yumizen C1200 Ferritin ●

Stability before opening:

Stable up to the expiry date on the label if stored at 2-10°C. Store protected from light.

The shelf life claim for HORIBA Medical reagent is 18 months.

. Yumizen C1200 Transferrin

Stability before opening:

Stable up to the expiry date on the label if stored at 2-8°C. Store protected from light.

The shelf life claim for HORIBA Medical reagent is 24 months.

● Yumizen C1200 Rheumatoid Factor

Stability before opening:

Stable up to the expiry date on the label if stored at 2-10°C.

The shelf life claim for HORIBA Medical reagent is 18 months.

8.7.2 Open stability

The open stability was determined according to the CLSI guideline EP25-A.

On board reagent Stability:

  • The reagent stability claim for the Yumizen C1200 Ferritin is 2 months.
  • The reagent stability claim for the Yumizen C1200 Transferrin is 6 weeks.
  • The reagent stability claim for the Yumizen C1200 Rheumatoid Factor is 1 month.

27

Image /page/27/Picture/0 description: The image shows the logo for HORIBA Medical, followed by the text "Section 007. 510(k) summary". The logo is in blue, and the text is in gray. The text is likely a section heading or title within a larger document.

8.8 Reference range

The Reference Range was determined according to the CLSI guideline EP28-A3.

● Yumizen C1200 Ferritin

  • A Adults data (bibliographic reference and study- see below)
  • . Women :

50 "normal samples" from blood bank have been assayed with the method in evaluation. Each sample is assaved in duplicates.

Only the first replicate of each method will be used for the data analysis reported below.

Only the first replicate result for each subject was compared against reference ranges cited in literature. The verification studies support in the following reference ranges which were established through literature.

Women : 10 - 120 ng/ml (µg/l)

Reference:

Roberts W.L., McMillin G.A., Burtis C.A., Bruns D.E., Reference Information for the Clinical Laboratory, TIETZ Textbook of Clinical Chemistry and Molecular Diagnostics. 4ème Ed; Burtis C.A., Ashwood E.R., Bruns D.E., (Elsevier Saunders eds. St Louis, USA); 2006, 2269.

  • . Men :
    95 "normal samples" from blood bank have been assayed with the method in evaluation. Each sample is assayed in duplicates.

Only the first replicate of each method will be used for the data analysis reported below.

Only the first replicate result for each subject was compared against reference ranges cited in literature. The verification studies support in the following reference ranges which were established through literature.

Men: 20 - 250 ng/ml (µg/1)

Reference:

Roberts W.L., McMillin G.A., Burtis C.A., Bruns D.E., Reference Information for the Clinical Laboratory, TIETZ Textbook of Clinical Chemistry and Molecular Diagnostics. 4ème Ed; Burtis C.A., Ashwood E.R., Bruns D.E., (Elsevier Saunders eds. St Louis, USA); 2006, 2269.

28

K191562 Yumizen C1200 Reagents

● Yumizen C1200 Transferrin

85 "normal samples" (28 women + 57 men) from blood bank have been assayed with the method in evaluation. Each sample is assayed in duplicates.

Only the first replicate of each method will be used for the data analysis reported below.

Only the first replicate result for each subject was compared against reference ranges cited in literature. The verification studies support in the following reference ranges which were established through literature.

Normal range Transferrin - Serum

2 - 3.6 g/l (200 - 360 mg/dl) based on CRM 470.

Reference:

Dati F., Schumann G, Thomas L, Aguzzi F, Baudner S. Bienvenu J. et al. Consensus of a group of professional societies and diagnostic companies on guidelines for interim reference ranges for 14 proteins in serum based on the standardization against IFCC/BCR/CAP Reference Material (CRM 470). Eur. J Clin Chem. Cli Biochem. 1996; 34: 517-20.

. Yumizen C1200 Rheumatoid Factor

60 "normal samples" from blood bank have been assayed with the method in evaluation. Each sample is assayed in duplicates.

Only the first replicate of each method will be used for the data analysis reported below.

Only the first replicate result for each subject was compared against reference ranges cited in literature. The verification studies support in the following reference ranges which were established through literature.

Normal range Rhumatoid Factor Adult