K Number
K232317
Device Name
UC-1800 Automatic Urine Analyzer, URIT 11FA Urine Reagent Strips, URIT 12FA Urine Reagent Strips
Date Cleared
2024-04-26

(267 days)

Regulation Number
864.6550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The UC-1800 Automatic Urine Analyzer is automated instrument which is intended for professional, in vitro diagnostic use only. Depending on the reagent strips being used, the instruments perform semi-quantitative detection of the following analytes in urine: ascorbic acid, microalbumin, leukocytes, creatinine, ketone, urobilinogen, bilirubin, glucose, protein, specific gravity, blood and pH in urine and for qualitative determination of nitrite in urine hydrometer (optional) can determine the color and turbidity of urine. Test results may provide information regarding the status of carbohydrate metabolism, kidney and liver function, acid-base balance and bacteriuria. The URIT 11FA urine reagent strips provide semi-quantitative tests for ascorbic acid, leukocytes, setone, urobilinogen, bilirubin, glucose, protein, specific gravity, blood and pH in urine and for qualitative determination of nitrite in urine. The URIT 11FA urine reagent strips are for use with the UC-1800 Automatic Urine Analyzer and are for professional, in vitro diagnostic use only. Test results may provide information regarding the status of carbohydrate metabolism, kidney and liver function, acid-base balance and bacteriuria. The URIT 12FA urine reagent strips provide semi-quantitative tests for microalbumin, leukocytes, creatinine, ketone, urobilinogen, bilirubin, glucose, protein, specific gravity, blood and pH in urine and for qualitative determination of nitrite in urine. The URIT 12FA urine reagent strips are for use with the UC-1800 Automatic Urine Analyzer and are for professional, in vitro diagnostic use only. Test results may provide information regarding the status of carbohydrate metabolism, kidney and liver function, acid-base balance and bacteriuria.
Device Description
UC-1800 Automatic Urine Analyzer is characterized by fully automated and simple operation. All you need to do is to set test strips and samples, press the START key, and the rest of operations are fully automated with UC-1800, which can measure samples continuously. For each measurement, the instrument automatically performs a series of operation: sample transmitting, sample aspirating, sample dropping, rinsing strip feeding and color identifying, etc. The instrument is used in conjunction with a serial of URIT urine test strips for measuring 15 parameters. Measure results are printed through either built-in printer or external printer. Urine Reagent Strips is used to determine the components to be measured in urine by dry chemistry method together with urine analyzer. Various components to be tested in the urine can result in changes to the colors of corresponding reagent blocks on the Urine Reagent Strips. The depth of reaction color is proportional to the corresponding component to be tested in the urine. Qualitative and semi-quantitative detection can be conducted to the contents of the corresponding detected components. As a reagent for the determination of multiple components in human urine and the most basic test item for clinical urine routine test), it is suitable for the screening test or auxiliary diagnosis for clinical diagnosis, without the specificity for diseases or indications, and urine dry chemistry test is a screening test and cannot be used as a single diagnostic method.
More Information

No
The document describes standard automated urine analysis using reflectance photometry and image scanning technology, without mentioning any AI or ML algorithms for data processing or interpretation.

No
Explanation: The device is an automatic urine analyzer intended for in vitro diagnostic use to detect various analytes in urine, providing information for screening and auxiliary diagnosis, not for treating any condition.

Yes

The device is an "Automatic Urine Analyzer" intended for "in vitro diagnostic use only." It performs semi-quantitative/qualitative detection of various analytes in urine to provide information regarding health status, and it is explicitly stated that "Test results may provide information regarding the status of carbohydrate metabolism, kidney and liver function, acid-base balance and bacteriuria."

No

The device description clearly states it is an "automated instrument" that performs physical operations like "sample transmitting, sample aspirating, sample dropping, rinsing strip feeding and color identifying". It also mentions a built-in printer. These are hardware components, not solely software.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section explicitly states: "The UC-1800 Automatic Urine Analyzer is automated instrument which is intended for professional, in vitro diagnostic use only."
  • Purpose: The device is designed to perform tests on urine samples (which are biological specimens taken from the body) to provide information about a patient's health status (carbohydrate metabolism, kidney and liver function, acid-base balance, bacteriuria). This is the core function of an in vitro diagnostic device.
  • Use with Reagents: It is used in conjunction with specific urine reagent strips (URIT 11FA and URIT 12FA), which are also explicitly stated to be for "professional, in vitro diagnostic use only."
  • Clinical Setting: The intended user is a "Professional" and the device is used in a "Clinical Laboratory," which are typical settings for IVD use.

The entire description and intended use clearly align with the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The UC-1800 Automatic Urine Analyzer is automated instrument which is intended for professional, in vitro diagnostic use only.

Depending on the reagent strips being used, the instruments perform semi-quantitative detection of the following analytes in urine: ascorbic acid, microalbumin, leukocytes, creatinine, ketone, urobilinogen, bilirubin, glucose, protein, specific gravity, blood and pH in urine and for qualitative determination of nitrite in urine hydrometer (optional) can determine the color and turbidity of urine. Test results may provide information regarding the status of carbohydrate metabolism, kidney and liver function, acid-base balance and bacteriuria.

The URIT 11FA urine reagent strips provide semi-quantitative tests for ascorbic acid, leukocytes, setone, urobilinogen, bilirubin, glucose, protein, specific gravity, blood and pH in urine and for qualitative determination of nitrite in urine. The URIT 11FA urine reagent strips are for use with the UC-1800 Automatic Urine Analyzer and are for professional, in vitro diagnostic use only. Test results may provide information regarding the status of carbohydrate metabolism, kidney and liver function, acid-base balance and bacteriuria.

The URIT 12FA urine reagent strips provide semi-quantitative tests for microalbumin, leukocytes, creatinine, ketone, urobilinogen, bilirubin, glucose, protein, specific gravity, blood and pH in urine and for qualitative determination of nitrite in urine. The URIT 12FA urine reagent strips are for use with the UC-1800 Automatic Urine Analyzer and are for professional, in vitro diagnostic use only. Test results may provide information regarding the status of carbohydrate metabolism, kidney and liver function, acid-base balance and bacteriuria.

Product codes

JIO, JIL, JFY, CDM, CEN, JIN, JJB, JMT, LJX, JRE, JMA, JIR, KQO

Device Description

UC-1800 Automatic Urine Analyzer is characterized by fully automated and simple operation. All you need to do is to set test strips and samples, press the START key, and the rest of operations are fully automated with UC-1800, which can measure samples continuously. For each measurement, the instrument automatically performs a series of operation: sample transmitting, sample aspirating, sample dropping, rinsing strip feeding and color identifying, etc. The instrument is used in conjunction with a serial of URIT urine test strips for measuring 15 parameters. Measure results are printed through either built-in printer or external printer. The device is described as below.

Test strip measurement principle

Measurement of test strips is done by the reflectance photometry method.

Placing tube racks loaded with samples on the rack injection mechanism and clicking the START key, the instrument will automatically perform a series of operations, such as transmitting samples, selecting strips, reading barcode, aspirating samples, dropping samples, measuring samples and printing results, until all tube racks are done. During the measurement, the reacted pads on strip (calibration pad is not involved in reaction, just for reference) will change colors and absorb irradiated monochromatic light as a result of chemical reaction within 60 seconds. Then the optical mechanism will compare the reflective light amount of each reacted pad with the reflective light amount of the concentrations of analyzes will be calculated by CPU and printed together with semi-quantitative symbols.

The measuring system consists of a light source (LED) and a light rom the light source falls on the reacted pads and the calibration pad on the strip. The absorbent and reflective light amounts vary with the color of reagent pads. If the color is darker, more light is absorbed, and less light is reflected, vice versa. i.e., the degree of color development is proportional to the concentration of analyzes in urine. The reflectance is calculated using the following formula:

R% = (Tm * Cs) / (Ts * Cm) * 100%

R: Reflectance
Tm: Reflective light amount at the reactive pad with the measurement wavelength
Ts: Reflective light amount at the reactive pad with the reference wavelength
Cm: Reflective light amount at the calibration pad with the measurement wavelength
Cs: Reflective light amount at the calibration pad with the reference wavelength

The reflected lights from reagent pads are transmitted in the optical unit and received by the light receptor, where the optical signals are transformed into electrical signals. Then the electrical signals are transformed through I/V converter, processed by CPU and finally printed out.

Specific gravity measurement principle

Specific gravity measurement method is refractometer, which using the correlation between light refractive index and total solids in the solution to determine.

Refractometer method, available at 15℃~38℃ temperature range of use can be calibrated by the temperature compensation device; available for use the known standard high specific gravity concentration solution and standard low specific gravity deionized water to calibrate; easy to standardization, less quantity of samples, especially suitable for patients with oliguria and pediatric patients. Refractometer method is reference method by Clinical Laboratory Standard Institution, CLSI and Chinese Committee for Clinical Laboratory Standards, CCCLS.

Specific gravity is based on the principle of different concentrations of urine sample which have different refractive indexes to measure, that is uses the same wavelength of monochromatic parallel light comes into the contains urine sample, and then according to position of refracted ray in photoelectric technology detector (displacement sensor) to determine the specific gravity value.

Specific gravity results are calculated by the following formulas:

SGX = { SGH - SGL } * (KX - KL) / (KH - KL) + SGL

can change to

(SGX - SGL) / (SGH - SGL) = (KX - KL) / (KH - KL)

relationship between them is linear.

SGH: The specific gravity of high concentration solution
SGL: The specific gravity of low concentration solution
SGX: The specific gravity of sample solution
KH: High concentration solution position coefficient
KL: Low concentration solution position coefficient
KX: Sample solution position coefficient
Position coefficient: It is calculated by the detector output data, and has a linear relationship with the refractive index.

Refractive index change depends on the temperature of the sample solution, and the specific gravity value is using the following formula to correct.

SGt = SGX + {TSAM - TSTD} * Ct

SGt: The specific gravity of high concentration solution
SGx: The specific gravity of low concentration solution
TSAM: The temperature of sample solution
TSTD: The temperature of low concentration solution
Ct: Temperature coefficient (SG 0.001/3°C) (temperature coefficient)

If the urine sample contains large amounts of glucose or protein, then the specific gravity will be affected, according to WS/T 229-229 "Physical, chemical and microscopic examination of urine" 5.4.1 requirements: 1 g/L protein will increase urine specific gravity 0.0003, 1 g/L glucose will increase urine specific gravity 0.0004. So, the specific gravity results will be corrected through the glucose and protein level which was measured by the test strip.

SG = SGt - CGLU - CPRO

SG: Specific gravity value which after the temperature compensation
SGt: Specific gravity value which gets from formula (4)
CGLU: Glucose correction value
CPRO: Protein correction value

Turbidity measurement principle

Turbidity module emits light, to make it go through the sample, and then detect how much light is scattered by the particles in the water from the direction at a 90-degree angle to the incident light (The most stable angle of scattered light, is at a right angle to the center line of the incident light, so measuring the scattered light from 90° direction which can minimize the influence of particle size on scattering light intensity). This scattered light measurement method called scattering method.

Turbidity result is calculated by the following formula:

T = (Ss/Ts - Sw/Tw)/K

T: Turbidity level
Ss: Sample scattered light level
Ts: Sample transmission light level
Sw: Flushing fluid scattered light level
Tw: Flushing fluid transmission light level
K: Coefficient factor

Color measurement principle

The color of often seen objects, are actually the objects surfaces absorb a part of chromatic light from the white light(sunlight) that fall on them, and then reflect the other part of chromatic light to human eyes' response. Various frequencies of visible light are mixed together become white, that is to say, it contains all sorts of color of light, such as red(R), yellow(Y), green(G), blue(B), purple(P). According to the German physicist Helinholtz's three primary colors theory, all sorts of color is made of different proportion of three primary colors (red, green, blue).

Primary colors are the "basic color" which cannot be gotten by other colors mixed. But mix the primary colors in different proportion will get other new colors. Three primary colors of light are RGB (Red, Green, and Blue). Equivalent red light +green light=yellow light, green light +blue light = cyan light. Equivalent red light = magenta light, equivalent red +green+ blue=white, and if the intensity of these three lights is zero, it is black (dark).

When the white light through colored solution colors light will be absorbed, so the color of the light through the solution can be expressed as the color of the solution color can be detected by the professional color recognition sensor (filter) which in the back-end of the solution.

URIT 11FA/12FA urine reagent strips

Urine Reagent Strips is used to determine the components to be measured in urine by dry chemistry method together with urine analyzer. Various components to be tested in the urine can result in changes to the colors of corresponding reagent blocks on the Urine Reagent Strips. The depth of reaction color is proportional to the corresponding component to be tested in the urine. Qualitative and semi-quantitative detection can be conducted to the contents of the corresponding detected components. As a reagent for the determination of multiple components in human urine and the most basic test item for clinical urine routine test), it is suitable for the screening test or auxiliary diagnosis for clinical diagnosis, without the specificity for diseases or indications, and urine dry chemistry test is a screening test and cannot be used as a single diagnostic method.

Ascorbic Acid

Based on the principle of Tillman's Reagent, Ascorbic acid can reduce the dye from blue to red. The purpose of the determination of this project is to provide the user with the content of Ascorbic acid in the sample to determine its possible interference.

Nitrite

In this reaction, nitrate is reduced to nitrite by Gram-negative bacteria in the nitrite will react with arsanilic acid to form a diazonium compound and the diazonium compound with naphthy ethylenediamine dihydrochloride to show a pink color.

Microalbumin

Based on the dye-binding method, microalbumin can react with the dye to form a pink complex and generate produce a color change, which is particularly sensitive to the reaction of albumin.

Leukocytes

Based on the principle of esterase method, granulosa cytoplasm contains esterase which can hydrolyze a 3-hydroxyindoxyl ester substrate, release phenol and react with diazo reagent to generate purple-red compounds.

Creatinine

Based on the principle of displacement reaction, creatinine can displace the dye in the metal chloride-acid dye complex, and the color will change from green to yellow.

Ketone

Based on the principle of sodium nitroprussiate method, sodium nitroprusside can interact with ketone (acetoacetate) under alkaline conditions to become purple, especially acetoacetate is particularly sensitive to this.

Urobilinogen

Based on the principle of azo-binding method, urobilinogen is coupled with diazonium salt under strong acid conditions to form carmine pigment.

Bilirubin

Based on the principle of azo-coupline method,2,4-dichloroaniline diazonium salt can react specifically with bilirubin, and produce different colors depending on the concentration of bilirubin.

Glucose

Based on the reaction principle of glucose oxidase can specifically oxidize ß-D-glucose to generate glucuronic acid and hydrogen peroxide that will oxidize the indicator under the action of peroxidase and show a purple-red color.

Protein

Based on the principle of protein error method of dye binding, the protein can combine with the dye to form a complex that produce a color change, especially the response to albumin is more sensitive than that of globulin, hemoglobin, Bence-Jone protein and mucin.

Blood

Based on the principle of hemoglobin contact activity method, the decomposition of peroxides can be catalyzed through the peroxidase-like action of hemoglobin, so that tetramethylbenzidine is oxidized and colored.

Specific Gravity

Using the polyelectrolyte method, and based on the principle of ion exchange between electrolytes in urine and polyelectrolytes. In the presence of cations, the polymer hydrogen ions will be released through exchange, and the color of bromothymol blue indicator will change from blue to blue-green and finally to yellow.

pH

The pH value within the range from 5.0 to 9.0 is measured by pH indicator, and the pH value of fresh urine of normal people is within the range from 5.5 to 7.0.

Mentions image processing

Yes, "Measurement of test strips is done by the reflectance photometry method, using CIS (contact image sensor) image scanning analysis technology to detect."

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Reflectance photometry, Refractometer, Light-transmission measurement, Light-scattering measurement.

Anatomical Site

Urine

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Professional, in vitro diagnostic use only.

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

Precision /Reproducibility

Repeatability (With-in Run) Precision:

  • Sample size: Each sample was tested in 20 replicates across 3 instruments with 3 lots of URIT 11FA Urine Reagent Strips and 3 lots of URIT 12FA Urine Reagent Strips in each instrument, for a total of 60 measurements at each concentration.
  • Key results: All tests had 60 of 60 (100%) match at +/- one color block for both URIT 11FA and URIT 12FA Urine Reagent Strips, and for physical module items (Turbidity, Color). All concluded as Qualified.

Reproducibility (Between-Run) Precision:

  • Sample size: Each sample was tested for 20 days with 2 runs per day, in 1 time per run in 3 sites, each site with 1 instrument. The test was performed across 3 instruments with 3 lots of URIT 11FA Urine Reagent Strips and 3 lots of URIT 12FA Urine Reagent Strips in each instrument by 3 operators, each operator performing the test for 6-7 days, for a total of 120 measurements at each concentration.
  • Key results: All concentrations for all tests had 120 of 120 (100%) match at +/- one color block for both URIT 11FA and URIT 12FA Urine Reagent Strips, and for physical module items (Turbidity, Color). All concluded as Qualified.

Linearity/assay reportable range

  • URIT 11/12 FA Urine Reagent Strips (Common Item): All analytes showed 100% agreement at the same block and within +/- one block across all tested concentrations. Test conducted on three UC-1800 machines and repeated 21 times for each batch of test strips.
  • URIT 11FA Urine Reagent Strips (Ascorbic acid): All concentrations showed 100% agreement at the same block and within +/- one block.
  • URIT 12FA Urine Reagent Strips (Microalbumin & Creatinine): All concentrations showed 100% agreement at the same block and within +/- one block.

Analytical Sensitivity

  • Summary of minimum detection limits for various analytes for URIT 11FA and 12FA Urine Reagent Strips. Analytical sensitivity is not applicable for pH and Specific Gravity.
  • Critical value (URIT 11FA/12FA Urine Reagent Strips): Agreement rates for various analytes at different concentrations (e.g., Glucose 100 (1+) = 86% (11FA), 73% (12FA); Leukocyte 70(1+) = 92% (11FA), 74% (12FA)).

Analytical specificity

Exogenous and Endogenous Interference:

  • Substances showing no interference for all analytes were identified (e.g., Cefoxitin, Ofloxacin, Tetracycline, Protein, Lactose, etc.) at their maximum tested concentrations.
  • Substances causing interference were identified, along with their maximum non-interfering concentration, interference concentration, specific effect (e.g., false positive/negative, elevated positive result), and applicable strip type.

Effect of urine pH:

  • Leukocytes: pH values lower than 5.5 may yield a false negative result. No significant interference observed for pH > 5.5.
  • Specific Gravity: pH values lower than 5.5 may yield a false increased result (False Positive). pH values higher than 7.5 may yield a decreased result (False Negative). No significant interference observed for pH 5.5-7.5.

Effect of urine color: All tested colors (red, orange, brown, yellow, green, blue, purple) showed no interference on each analyte for both URIT 11/12FA Urine Reagent Strips across all tested concentrations.

Effect of urine Specific Gravity:

  • Leukocytes: SG >= 1.040 may yield a false negative result. No interference for SG

§ 864.6550 Occult blood test.

(a)
Identification. An occult blood test is a device used to detect occult blood in urine or feces. (Occult blood is blood present in such small quantities that it can be detected only by chemical tests of suspected material, or by microscopic or spectroscopic examination.)(b)
Classification. Class II (special controls). A control intended for use with an occult blood test is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 864.9.

0

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, with the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

April 26, 2024

URIT Medical Electronic Co., Ltd. c/o Dylan Wu, Consultant Shanghai SUNGO Management Consutling Co., Ltd. Room 1401, Dongfang Building, 1500# Century AVE Shanghai 200122, China

Re: K232317

Trade/Device Name: UC-1800 Automatic Urine Analyzer, URIT 11FA Urine Reagent Strips, URIT 12FA Urine Reagent Strips Regulation Number: 21 CFR 864.6550 Regulation Name: Occult Blood Test Regulatory Class: Class II Product Code: JIO, JIL, JFY, CDM, CEN, JIN, JJB, JMT, LJX, JRE, JMA, JIR, KQO Dated: March 29, 2024 Received: March 29, 2024

Dear Dylan Wu:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

1

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 801 and Part 809); medical device reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safetyreporting-combination-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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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,

Paula V. Caposino -S

Paula Caposino, Ph.D. Deputy Division Director Division of Chemistry and Toxicology Devices OHT7: Office of In Vitro Diagnostics Office of Product Evaluation and Quality Center for Devices and Radiological Health

2

Indications for Use

510(k) Number (if known) K232317

Device Name

UC-1800 Automatic Urine Analyzer URIT 11FA Urine Reagent Strips URIT 12FA Urine Reagent Strips

Indications for Use (Describe)

The UC-1800 Automatic Urine Analyzer is automated instrument which is intended for professional, in vitro diagnostic use only.

Depending on the reagent strips being used, the instruments perform semi-quantitative detection of the following analytes in urine: ascorbic acid, microalbumin, leukocytes, creatinine, ketone, urobilinogen, bilirubin, glucose, protein, specific gravity, blood and pH in urine and for qualitative determination of nitrite in urine hydrometer (optional) can determine the color and turbidity of urine. Test results may provide information regarding the status of carbohydrate metabolism, kidney and liver function, acid-base balance and bacteriuria.

The URIT 11FA urine reagent strips provide semi-quantitative tests for ascorbic acid, leukocytes, setone, urobilinogen, bilirubin, glucose, protein, specific gravity, blood and pH in urine and for qualitative determination of nitrite in urine. The URIT 11FA urine reagent strips are for use with the UC-1800 Automatic Urine Analyzer and are for professional, in vitro diagnostic use only. Test results may provide information regarding the status of carbohydrate metabolism, kidney and liver function, acid-base balance and bacteriuria.

The URIT 12FA urine reagent strips provide semi-quantitative tests for microalbumin, leukocytes, creatinine, ketone, urobilinogen, bilirubin, glucose, protein, specific gravity, blood and pH in urine and for qualitative determination of nitrite in urine. The URIT 12FA urine reagent strips are for use with the UC-1800 Automatic Urine Analyzer and are for professional, in vitro diagnostic use only. Test results may provide information regarding the status of carbohydrate metabolism, kidney and liver function, acid-base balance and bacteriuria.

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# 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

510(K) Summary

K232317

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirement by 21 CFR 807.92

Date prepared: 25th, April 2024

1 Submitter's Information

Name: URIT Medical Electronic Co., Ltd. Address: No. D-07 Information Industry District, High-Tech Zone, Guilin, Guangxi 541004, P. R. China Contact Person: Jun Jiang Title: Manager Tel: 0773-2288586 FAX: 0773-2288560 Email: service@uritest.com 2 Official Contact Person Information

Primary contact: Mr. Dylan Wu Shanghai SUNGO Management Consulting Co., Ltd. Room 1401, Dongfang Building, 1500# Century Ave., Shanghai 200122, China Tel: +86-18616797137 Email: haiyang.wu@sungoglobal.com Secondary contact: Mr. Raymond Luo Room 1401, Dongfang Building, 1500# Century Ave., Shanghai 200122, China Tel: +86-21-68828050 Email: fda.sungo@gmail.com

3 Subject Device

3.1 Trade Name and Regulatory Information:

No.Trade nameRegulatory Information
1UC-1800
Automatic Urine
AnalyzerClass I §21 CFR 862.2900
Automated Urinalysis System
3URIT 11FA Urine
Reagent StripsClass II (Blood and Glucose analytes
raise system to Class II / 510(k)
required)
4URIT 12FA Urine
Reagent StripsClass II (Blood, Glucose and Creatinine
analytes raise system to Class II /
510(k) required)

3.2 Classification Information

| No. | Regulation
21 CFR Section | Product
Code | Classification | Description | Panel |
|-----|------------------------------|-----------------|----------------|---------------------------------------------|--------------------|
| 1 | 862.2900 | KQO | Class I | Automated Urinalysis System | Clinical Chemistry |
| 2 | 862.1225 | JFY | Class II | Creatinine test System | Clinical Chemistry |
| 3 | 862.1645 | JIR | Class I | Protein or Albumin
(Urinary, Non-Quant.) | Clinical Chemistry |

4

| No. | Regulation
21 CFR Section | Product
Code | Classification | Description | Panel |
|-----|------------------------------|-----------------|----------------|-------------------------------------------------------------|--------------------|
| 4 | 862.1340 | JIL | Class II | Glucose
(Urinary, Non-Quantitative) | Clinical Chemistry |
| 5 | 864.6550 | JIO | Class II | Blood, Occult, Colorimetric, In Urine | Hematology |
| 6 | 862.1785 | CDM | Class I | Urobilinogen
(Urinary Non-Quant.) | Clinical Chemistry |
| 7 | 862.1550 | CEN | Class I | pH
(Urinary, Non-Quant.) | Clinical Chemistry |
| 8 | 862.1435 | JIN | Class I | Ketones
(Urinary, Non-Quant.) | Clinical Chemistry |
| 9 | 862.1645 | JIR | Class I | Protein or Albumin
(Urinary, Non-Quant.) | Clinical Chemistry |
| 10 | 862.1115 | JJB | Class I | Urinary Bilirubin & Its Conjugates
(Urinary, Non-Quant.) | Clinical Chemistry |
| 11 | 862.1510 | JMT | Class I | Nitrite (Urinary, Non-Quant.) | Clinical Chemistry |
| 12 | 864.7675 | LJX | Class I | Leukocyte peroxidase test | Hematology |
| 13 | 862.2800 | JRE | Class I | Specific Gravity | Clinical Chemistry |
| 14 | 862.1095 | JMA | Class I | Ascorbic Acid Test System | Clinical Chemistry |

4 Predicate device

510(k) Number: K082811 Uritest 500B Urine Analyzer Uritest 50 Urine Analyzer Uritest 10G Urine Reagent Strips Uritest 11G Urine Reagent Strips

510(k) Number: K142391 Mission® U120 Ultra Urine Analyzer Mission® Urinalysis Reagent Strips (Microalbumin/Creatinine) Mission® Liquid Urine Controls, Mission® Liquid Diptube Urine Controls

510(k) Number: K093098 AUTION MAX AX-4030 Urinalysis System

5 Device Description

5.1 UC-1800 Automatic Urine Analyzer

UC-1800 Automatic Urine Analyzer is characterized by fully automated and simple operation. All you need to do is to set test strips and samples, press the START key, and the rest of operations are fully automated with UC-1800, which can measure samples continuously. For each measurement, the instrument automatically performs a series of operation: sample transmitting, sample aspirating, sample dropping, rinsing strip feeding and color identifying, etc. The instrument is used in conjunction with a serial of URIT urine test strips for measuring 15 parameters. Measure results are printed through either built-in printer or external printer. The device is described as below.

Test strip measurement principle a

Measurement of test strips is done by the reflectance photometry method.

Placing tube racks loaded with samples on the rack injection mechanism and clicking the START key, the instrument will automatically perform a series of operations, such as transmitting samples, selecting strips, reading barcode, aspirating

5

samples, dropping samples, measuring samples and printing results, until all tube racks are done. During the measurement, the reacted pads on strip (calibration pad is not involved in reaction, just for reference) will change colors and absorb irradiated monochromatic light as a result of chemical reaction within 60 seconds. Then the optical mechanism will compare the reflective light amount of each reacted pad with the reflective light amount of the concentrations of analyzes will be calculated by CPU and printed together with semi-quantitative symbols.

The measuring system consists of a light source (LED) and a light rom the light source falls on the reacted pads and the calibration pad on the strip. The absorbent and reflective light amounts vary with the color of reagent pads. If the color is darker, more light is absorbed, and less light is reflected, vice versa. i.e., the degree of color development is proportional to the concentration of analyzes in urine. The reflectance is calculated using the following formula:

$$\text{R%} = \frac{T_m \cdot \mathcal{C}_s}{T_s \cdot \mathcal{C}_m} \times 100% \tag{1}$$

R: Reflectance

Tm: Reflective light amount at the reactive pad with the measurement wavelength

Ts: Reflective light amount at the reactive pad with the reference wavelength

Cm: Reflective light amount at the calibration pad with the measurement wavelength

Cs: Reflective light amount at the calibration pad with the reference wavelength

The reflected lights from reagent pads are transmitted in the optical unit and received by the light receptor, where the optical signals are transformed into electrical signals. Then the electrical signals are transformed through I/V converter, processed by CPU and finally printed out.

b Specific gravity measurement principle

Specific gravity measurement method is refractometer, which using the correlation between light refractive index and total solids in the solution to determine.

Refractometer method, available at 15℃~38℃ temperature range of use can be calibrated by the temperature compensation device; available for use the known standard high specific gravity concentration solution and standard low specific gravity deionized water to calibrate; easy to standardization, less quantity of samples, especially suitable for patients with oliguria and pediatric patients. Refractometer method is reference method by Clinical Laboratory Standard Institution, CLSI and Chinese Committee for Clinical Laboratory Standards, CCCLS.

Specific gravity is based on the principle of different concentrations of urine sample which have different refractive indexes to measure, that is uses the same wavelength of monochromatic parallel light comes into the contains urine sample, and then according to position of refracted ray in photoelectric technology detector (displacement sensor) to determine the specific gravity value. Specific gravity measurement principle functional block diagram is shown in Figure 1 below.

Image /page/5/Figure/14 description: The image shows a light ray entering a prism and being refracted. The light ray is labeled "Light ray" and the refracted ray is labeled "Refracted ray". The prism is labeled "Prism" and a detector is labeled "Detector".

Figure 1 Specific gravity measurement principle

Specific gravity results are calculated by the following formulas:

$$SG_X = \left{ SG_H - SG_L \right} \cdot \frac{K_X - K_L}{K_H - K_L} + SG_L \tag{2}$$

can change to

$$\frac{SG_X - SG_L}{SG_H - SG_L} = \frac{K_X - K_L}{K_H - K_L} \tag{3}$$

relationship between them is linear.

SGH: The specific gravity of high concentration solution

6

SGL: The specific gravity of low concentration solution

SGX: The specific gravity of sample solution

KH: High concentration solution position coefficient

KL: Low concentration solution position coefficient

KX: Sample solution position coefficient

Position coefficient: It is calculated by the detector output data, and has a linear relationship with the refractive index.

Refractive index change depends on the temperature of the sample solution, and the specific gravity value is using the following formula to correct.

$$\text{SG}_t = \text{SG}_X + {T_{SAM} - T_{STD}} \cdot \mathcal{C}_t \tag{4}$$

SGt: The specific gravity of high concentration solution

SGx: The specific gravity of low concentration solution

TSAM: The temperature of sample solution

TSTD: The temperature of low concentration solution

Ct: Temperature coefficient (SG 0.001/3°C) (temperature coefficient)

If the urine sample contains large amounts of glucose or protein, then the specific gravity will be affected, according to WS/T 229-229 "Physical, chemical and microscopic examination of urine" 5.4.1 requirements: 1 g/L protein will increase urine specific gravity 0.0003, 1 g/L glucose will increase urine specific gravity 0.0004. So, the specific gravity results will be corrected through the glucose and protein level which was measured by the test strip.

$$\mathcal{SG} = \mathcal{SG}_t - \mathcal{C}_{GLU} - \mathcal{C}_{PRO} \tag{5}$$

SG: Specific gravity value which after the temperature compensation

SGt: Specific gravity value which gets from formula (4)

CGLU: Glucose correction value

CPRO: Protein correction value

C Turbidity measurement principle

Turbidity module emits light, to make it go through the sample, and then detect how much light is scattered by the particles in the water from the direction at a 90-degree angle to the incident light (The most stable angle of scattered light, is at a right angle to the center line of the incident light, so measuring the scattered light from 90° direction which can minimize the influence of particle size on scattering light intensity). This scattered light measurement method called scattering method. Turbidity measurement principle functional block diagram is shown in Figure 2 below.

Image /page/6/Figure/22 description: The image shows a diagram of a glass making sample pool. A light ray enters the pool from the left and is scattered in different directions. Transmission light exits the pool to the right and is measured by a detector. Scattered light at 90 degrees is also measured by a detector.

Figure 2 Turbidity measurement principle

Turbidity result is calculated by the following formula:

$$T = \left(\mathbb{S}_{\mathcal{S}}/T_{\mathbb{S}} - \mathbb{S}_{W}/T_{W}\right)/K \tag{6}$$

T: Turbidity level

7

Ss: Sample scattered light level

Ts: Sample transmission light level

Sw: Flushing fluid scattered light level

Tw: Flushing fluid transmission light level

K: Coefficient factor

d Color measurement principle

The color of often seen objects, are actually the objects surfaces absorb a part of chromatic light from the white light(sunlight) that fall on them, and then reflect the other part of chromatic light to human eyes' response. Various frequencies of visible light are mixed together become white, that is to say, it contains all sorts of color of light, such as red(R), yellow(Y), green(G), blue(B), purple(P). According to the German physicist Helinholtz's three primary colors theory, all sorts of color is made of different proportion of three primary colors (red, green, blue).

Primary colors are the "basic color" which cannot be gotten by other colors mixed. But mix the primary colors in different proportion will get other new colors. Three primary colors of light are RGB (Red, Green, and Blue). Equivalent red light +green light=yellow light, green light +blue light = cyan light. Equivalent red light = magenta light, equivalent red +green+ blue=white, and if the intensity of these three lights is zero, it is black (dark).

When the white light through colored solution colors light will be absorbed, so the color of the light through the solution can be expressed as the color of the solution color can be detected by the professional color recognition sensor (filter) which in the back-end of the solution.

Image /page/7/Figure/10 description: The image shows a diagram of a glass making sample pool. A white light ray is shown entering the glass making sample pool, which is represented by a circle. After passing through the sample pool, the light is labeled as transmission light. The transmission light then passes through an RGB light filter before reaching a detector.

RGB light fliter

Figure 3 Principle of color detection

5.2 URIT 11FA/12FA urine reagent strips

Urine Reagent Strips is used to determine the components to be measured in urine by dry chemistry method together with urine analyzer. Various components to be tested in the urine can result in changes to the colors of corresponding reagent blocks on the Urine Reagent Strips. The depth of reaction color is proportional to the corresponding component to be tested in the urine. Qualitative and semi-quantitative detection can be conducted to the contents of the corresponding detected components. As a reagent for the determination of multiple components in human urine and the most basic test item for clinical urine routine test), it is suitable for the screening test or auxiliary diagnosis for clinical diagnosis, without the specificity for diseases or indications, and urine dry chemistry test is a screening test and cannot be used as a single diagnostic method.

a Ascorbic Acid

Based on the principle of Tillman's Reagent, Ascorbic acid can reduce the dye from blue to red. The purpose of the determination of this project is to provide the user with the content of Ascorbic acid in the sample to determine its possible interference.

Nitrite b

In this reaction, nitrate is reduced to nitrite by Gram-negative bacteria in the nitrite will react with arsanilic acid to form a diazonium compound and the diazonium compound with naphthy ethylenediamine dihydrochloride to show a pink color.

8

Microalbumin C

Based on the dye-binding method, microalbumin can react with the dye to form a pink complex and generate produce a color change, which is particularly sensitive to the reaction of albumin.

Leukocytes d

Based on the principle of esterase method, granulosa cytoplasm contains esterase which can hydrolyze a 3-hydroxyindoxyl ester substrate, release phenol and react with diazo reagent to generate purple-red compounds.

Creatinine e

Based on the principle of displacement reaction, creatinine can displace the dye in the metal chloride-acid dye complex, and the color will change from green to yellow.

f Ketone

Based on the principle of sodium nitroprussiate method, sodium nitroprusside can interact with ketone (acetoacetate) under alkaline conditions to become purple, especially acetoacetate is particularly sensitive to this.

Urobilinogen g

Based on the principle of azo-binding method, urobilinogen is coupled with diazonium salt under strong acid conditions to form carmine pigment.

h Bilirubin

Based on the principle of azo-coupline method,2,4-dichloroaniline diazonium salt can react specifically with bilirubin, and produce different colors depending on the concentration of bilirubin.

i Glucose

Based on the reaction principle of glucose oxidase can specifically oxidize ß-D-glucose to generate glucuronic acid and hydrogen peroxide that will oxidize the indicator under the action of peroxidase and show a purple-red color.

Protein j

Based on the principle of protein error method of dye binding, the protein can combine with the dye to form a complex that produce a color change, especially the response to albumin is more sensitive than that of globulin, hemoglobin, Bence-Jone protein and mucin.

k Blood

Based on the principle of hemoglobin contact activity method, the decomposition of peroxides can be catalyzed through the peroxidase-like action of hemoglobin, so that tetramethylbenzidine is oxidized and colored.

l Specific Gravity

Using the polyelectrolyte method, and based on the principle of ion exchange between electrolytes in urine and polyelectrolytes. In the presence of cations, the polymer hydrogen ions will be released through exchange, and the color of bromothymol blue indicator will change from blue to blue-green and finally to yellow.

pH m

The pH value within the range from 5.0 to 9.0 is measured by pH indicator, and the pH value of fresh urine of normal people is within the range from 5.5 to 7.0.

6 Indications for use/Intended use

The UC-1800 Automatic Urine Analyzer is automated instrument, which is intended for professional, in vitro diagnostic use only.

Depending on the reagent strips being used, the instruments perform semi-quantitative detection of the following analytes in urine: ascorbic acid, microalbumin, letone, urobilinogen, bilirubin, glucose, protein, specific gravity, blood and pH in urine and for qualitative determination of nitrite in urine hydrometer (optional) can determine the color and turbidity of urine. Test results may provide information regarding the status of carbohydrate

9

metabolism, kidney and liver function, acid-base balance and bacteriuria.

The URIT 11FA urine reagent strips provide semi-quantitative tests for ascorbic acid, leukocytes, ketone, urobilinogen, bilirubin, glucose, protein, specific gravity, blood and pH in urine and for qualitative determination of nitrite in urine. The URIT 11FA urine reagent strips are for use with the UC-1800 Automatic Urine Analyzer and are for professional, in vitro diagnostic use only. Test results may provide information the status of carbohydrate metabolism, kidney and liver function, acid-base balance and bacteriuria.

The URIT 12FA urine reagent strips provide semi-quantitative tests for microalbumin, leukocytes, creatinine, ketone, urobilingen, bilirubin, glucose, protein, specific gravity, blood and pH in urine and for qualitative determination of nitrite in urine. The URIT 12FA urine reagent strips are for use with the UC-1800 Automatic Urine Analyzer and are for professional, in vitro diagnostic use only. Test results may provide information regarding the status of carbohydrate metabolism, kidney and liver function, acid-base balance and bacteriuria.

Table 1 Technological characteristics of Proposed Device
FeatureUC-1800 Automatic Urine Analyzer
MethodologyReflectance photometer
PrincipleMeasurement of test strips is done by the reflectance
photometry method, using CIS (contact image sensor) image
scanning analysis technology to detect.
ChemistryURIT 11FA Urine Reagent Strips
URIT 12FA Urine Reagent Strips
Throughput480test/hour
Memory2 million sample data and 100,000 sample pictures.
PC PortPS/2 interface, serial port, Ethernet interface, USB interface
CapabilitiesBarcode Scanner; Built-in thermal printer or external USB
printer
Available Languages on
ScreenChinese or English
Environment
requirement15°C-30°C,RH ≤ 80%
Specimen ID enterManually enter or by bar code reader
Dimensions (L × W × H)653mm×641mm×570mm
Power SourceAC 100V-240V~, 50/60Hz, three-core power supply, good
grounding.
Weight75kg
CalibrationThe user can use the URIT urine control materials and
calibration test strips to calibrate the instrument

7 Comparison of technological characteristics with the predicate device

Tahlo 1 Tochnological charactorictics of Propo

7.1 Substantial Equivalence

The URIT 11FA/12FA Urine Reagent Strips and the URIT UC-1800 Automatic Urine Analyzer is substantially equivalent to the Uritest 11G Urine Reagent Strips and the Uritest-500B Urine Analyzer (K082811) except Microalbumin and Creatinine. And the URIT 12FA Urine Reagent Strips and the URIT UC-1800 Automatic Urine Analyzer is substantially equivalent to the Mission® Urinalysis Reagent Strips (Microalbumin/Creatinine) and the Mission® U120 Ultra Urine Analyzer(K142391) Microalbumin and Creatinine only

And the URIT UC-1800 Automatic Urine Analyzer is substantially equivalent to AUTION MAX AX-4030 Urinalysis System (K093098) in detecting Specific Gravity, Turbidity and Color detected by Physical Module.

10

Table 2 Total review of proposed device and predicate devices
Device NamePredicate Device NamePredicate
510(K)
numberNote
URIT UC-1800
Automatic Urine
AnalyzerUritest-500B Urine AnalyzersK082811Except Microalbumin/Creatinine
Mission® U120 Ultra Urine AnalyzerK142391Microalbumin/Creatinine only
AUTION MAX AX-4030 Urinalysis
SystemK093098Specific Gravity, Turbidity and Color
detected by Physical Module
URIT 11FA Urine
Reagent StripsUritest 11G Urine Reagent StripsK082811N/A
URIT 12FA Urine
Reagent StripsUritest 11G Urine Reagent StripsK082811Except Microalbumin/Creatinine
URIT 12FA Urine
Reagent StripsMission® Urinalysis Reagent Strips
(Microalbumin/Creatinine)K142391Microalbumin/Creatinine only

11

Table 3 Comparison with Predicate Devices (1)
DeviceProposed Device (K232317)Predicate Device 1(K082811)Predicate Device 2(K142391)Predicate Device 3 (K093098)
ManufacturerURIT Medical Electronic Co., Ltd.URIT Medical Electronic Co., Ltd.Acon Laboratories, Inc.ARKRAY, Inc.
Device nameURIT UC-1800 Automatic Urine AnalyzerUritest-500B Urine AnalyzersMission® U120 Ultra Urine AnalyzerAUTION MAX AX-4030 Urinalysis System
Similarities
ClassificationClass II (Blood, Glucose and Creatinine analytes raise
system to Class II / 510(k) required)Class II (Blood and Glucose analytes raise system to
Class II / 510(k) required)Class II (Creatinine analytes raise system to
Class II / 510(k) required)Class II (Blood and Glucose analytes raise
system to Class II / 510(k) required)
Intended UseUC-1800 Automatic Urine Analyzer is automated
instruments which are intended for professional, in vitro
diagnostic use only.
Depending on the reagent strips being used, the instruments
perform semi-quantitative detection of the following
analytes in urine: ascorbic acid, microalbumin, leukocytes,
creatinine, ketone, urobilinogen, bilirubin, glucose, protein,
specific gravity, blood and pH in urine and for qualitative
determination of nitrite in urine. The urine hydrometer
(optional) can determine the specific gravity, color and
turbidity of urine. Test results may provide reference for
clinical examination and diagnosis.Uritest-500B urine analyzer is semi-automated, bench
top instruments which are intended for prescription, in
vitro diagnostic use only. The instruments perform semi-
quantitative detection of the following analytes in urine:
leukocytes, ketone, nitrite, urobilinogen, bilirubin,
protein, glucose, specific gravity, blood, pH and ascorbic
acid. Test results may provide information regarding the
status of carbohydrate metabolism, kidney and liver
function, acid base balance and bacteriuria. The
instruments use the accompanying check strip for daily
calibration.The Mission U120 Ultra Urine Analyzer is a
urinalysis instrument intended for in vitro
diagnostic use. It is intended for professional use
only at point-of-care locations. The Mission U120
Ultra Urine Analyzer is intended to read Mission
Urinalysis Reagent strips
(Microalbumin/Creatinine) for the semi
quantitative measurement of Albumin and
Creatinine. These measurements are used to assist
diagnosis for kidney function.The AX-4030 is an automated urine analyzer that is
designed to measure and analyze urine samples
using measurements that include but are not
limited to; Normal, STAT, Control and Check. These
measurements are used to examine the following
analytes; glucose (GLU), protein (PRO), bilirubin
(BIL), urobilinogen (URO), pH (PH), blood (BLD),
ketones (KET), nitrite (NIT) leukocytes (LEU) and
specific gravity (S.G.). In addition, this device is
used only with AUTION Sticks 9EB multi-
parameter test strips.
Data TypeQualitative, Semi-QuantitativeQualitative, Semi-QuantitativeSemi-QuantitativeSemi-Quantitative
LocationClinical LaboratoryClinical LaboratoryClinical LaboratoryClinical Laboratory
Medical Device /IVDMedical Device /IVDMedical Device /IVDMedical Device /IVDMedical Device /IVD
IndicationsFor prescription use only.For prescription use only.For prescription use only.For prescription use only.
Specimen TypeHuman UrineHuman UrineHuman UrineHuman Urine
AnalyteWith strips: Glucose, Blood, Urobilinogen, pH, Ketones,
Protein, Bilirubin, Nitrite, Leukocyte, Specific Gravity,
Ascorbic acidGlucose, Blood, Urobilinogen, pH, Ketones, Protein,
Bilirubin, Nitrite, Leukocyte, Specific Gravity, Ascorbic
acidN/AN/A
With strips: Creatinine, MicroalbuminN/ACreatinine, MicroalbuminN/A
With Physical module: Specific Gravity, Turbidity and ColorN/AN/ASpecific Gravity, Turbidity and Color
Methodology/PrincipleTest strips: Reflectance photometer, Measurement of test
strips is done by the reflectance photometry method,
using CIS (contact image sensor) image scanning analysis
technology to detect.
Specific Gravity: Refractometer method
Color: Light-transmission measurement
Turbidity: Light-scattering measurement methodReflectance photometer (Only Test strips)
Ingredients that change color in reaction with analytesReflectance photometer (Only Test strips)
The Mission® U120 Ultra Urine Analyzer utilizes
a CMOS image sensor to measure the intensity of
light. The frequency of the light is determined by
the LED light source.(without Test Strips)
Specific gravity: Reflection refractometry
Color hue: Light-transmission measurement
Turbidity: Light-scattering measurement method
Specimen ID enterManually enter or by bar code readerManually enter or by bar code readerManually enter or by bar code readerBarcode Reader
Environment
requirement15°C-30°C,RH ≤ 80%15°C-30°C,RH ≤ 80%15-30°C (59-86°F); 20-80% Relative Humidity
(noncondensing)Temperature: 10-30°C,Humidity: 20-80% RH(No
condensation )

9 / 42

12

Table 4 Comparison with Predicate Devices (2)
DeviceProposed Device (K232317)Predicate Device 1(K082811)Predicate Device 2(K142391)Predicate Device 3(K142392)
ManufacturerURIT Medical Electronic Co., Ltd.URIT Medical Electronic Co., Ltd.Acon Laboratories, Inc.ARKRAY, Inc.
Device nameURIT UC-1800 Automatic Urine AnalyzerUritest-500B Urine AnalyzersMission® U120 Ultra Urine AnalyzerAUTION MAX AX-4030 Urinalysis
System
Differences
ChemistryURIT 11FA Urine Reagent Strips
URIT 12FA Urine Reagent StripsUritest 11G Urine Reagent StripsMission® Urinalysis Reagent Strips
(Microalbumin/ Creatinine)None
Available
Languages on
ScreenChinese or EnglishChinese or EnglishEnglish and SpanishEnglish
Dimensions
(L × W × H)653mm×641mm×570mm390 mm x 340 mm ×290 mm26.0 (L) x 15.0 (W) x 17.5 (H) cm530 (w) x 530(d) x 530 (h)(mm)
Power SourceAC 100V-240V~, 50/60Hz,
three-core power supply, good grounding.AC100-240V, 50/60Hz Input: 61VA100- 240 VAC (adapter), (50-60Hz± 1HZ)6
AA batteries with 100 tests/6 new batteries;100-240 VAC, 50/60 Hz
Weight75kg6.5 Kg≤1.66 kg (3.65 lbs.) without batteries or
power supply41Kg (including the Sampler unit 4kg)
PC PortPS/2 interface, serial port,
Ethernet interface, USB interfaceRS 232 port.Standard RS232C Port (cable not included),
USB Port (cable not included);
(Not connected to PC) Bluetooth WirelessRS-232C/ Ethernet
CapabilitiesBarcode Scanner
Built-in thermal printer or external USB printerInternal or external PrinterInternal thermal printer
Barcode reader Connector
External printer (optional)
Barcode reader (optional)
RJ45 Ethernet; (optional)Built-in printer
CalibrationThe user can use the URIT urine control materials and
calibration test strips to calibrate the instrumentSelf-calibration---white calibration barThe Mission® U120 Ultra Urine Analyzer
performs an automatic calibration each time
a test is run.N/A
Throughput480test/hour500 tests/hourSingle Test Mode: 55 tests/hour.
Continuous Test Mode: 120 tests/hour.225 samples/hour
Memory2 million sample data and 100,000 sample pictures1,000 resultsLast 2000 test results2500 tests

13

No. D-07 Information Industry District, High-Tech Zone, Guilin, Guangxi 541004, P. R. China

Characteristic of the URIT 11FA/12FA Urine Reagent Strips are compared with the Uritest 11G Urine Reagent Strips (K082811) for instrument reading in Table 5 to Table 7

DeviceProposed DevicePredicate Device 1
ManufacturerURIT Medical Electronic Co., Ltd.URIT Medical Electronic Co., Ltd.
510K numberK232317K082811
Device nameURIT 11FA Urine Reagent Strips
URIT 12FA Urine Reagent StripsUritest 11G Urine Reagent Strips
ClassificationClass II (Blood, Glucose and Creatinine
analytes raise system to Class II / 510(k)
required)Class II (Blood and Glucose analytes raise
system to Class II / 510(k) required)
Intended UseThe URIT 11FA urine reagent strips provide
semi-quantitative tests for ascorbic acid,
leukocytes, ketone, urobilinogen, bilirubin,
glucose, protein, specific gravity, blood and
pH in urine and for qualitative determination
of nitrite in urine. The URIT 11FA urine
reagent strips are for use with the UC-1800
Automatic Urine Analyzer and are for
professional, in vitro diagnostic use only.
The URIT 12FA urine reagent strips provide
semi-quantitative tests for microalbumin,
leukocytes, creatinine, ketone, urobilinogen,
bilirubin, glucose, protein, specific gravity,
blood and pH in urine and for qualitative
determination of nitrite in urine. The URIT
12FA urine reagent strips are for use with the
UC-1800 Automatic Urine Analyzer and are
for professional, in vitro diagnostic use only.Uritest 11G urine reagent strips provide
semi-quantitative tests for Ascorbic acid,
Nitrite, Leukocyte, Ketone, Urobilinogen,
Bilirubin, Glucose, Protein, Blood, Specific
Gravity, PH in urine. The Uritest 11 G urine
reagent strips are for use with Uritest-500B
urine analyzer and are for prescription, in
vitro diagnostic use only. Test results may
provide information regarding the status of
carbohydrate metabolism, kidney and liver
function, acid-base balance and bacteriuria
The strips are read instrumentally by the
Uritest-500B Urine Analyzers
IndicationsProfessional in vitro diagnostic useSame
AnalytesURIT 11FA/12FA Urine Reagent Strips:
Nitrite, Leukocyte, Ketone, Urobilinogen,
Bilirubin, Glucose, Protein, Blood, Specific
Gravity, PH
URIT 11FA Urine Reagent Strips also provide
the detection of Ascorbic acid,
While URIT 12FA Urine Reagent Strips
provide the detection of microalbumin and
creatinine (Predicated with K142391)Ascorbic acid, Nitrite, Leukocyte, Ketone,
Urobilinogen, Bilirubin, Glucose, Protein,
Blood, Specific Gravity, PH
SpecimenHuman UrineSame
ArchitectureFirm plastic, dry reagent stripsSame
Table 5 Comparison with Predicate Devices-Reagent strips (1)
DeviceProposed DevicePredicate Device 1
ManufacturerURIT Medical Electronic Co., Ltd.URIT Medical Electronic Co., Ltd.
510K numberK232317K082811
Device nameURIT 11FA Urine Reagent Strips
URIT 12FA Urine Reagent StripsUritest 11G Urine Reagent Strips
ClassificationClass II (Blood, Glucose and Creatinine analytes raise system to Class II /
510(k) required)Class II (Blood and Glucose analytes raise system to
Class II / 510(k) required)
Test PrincipleIngredients that change color in reaction with analytesSame
Blank block
(calibrator)The distribution of urine on the test block and the color of the urine itself will
generally cause errors to the measurement results. The purpose of setting the
blank block is to eliminate these factors that may cause error, and the same blank
block is used for each project.Same
Ascorbic acidBased on the principle of Tillman's Reagent, Ascorbic acid can reduce the dye from
blue to red. The purpose of the determination of this project is to provide the user
with the content of Ascorbic acid in the sample to determine its possible
interference.Same
NitriteIn this reaction, nitrate is reduced to nitrite by Gram-negative bacteria in the urine,
the nitrite will react with arsanilic acid to form a diazonium compound, and the
diazonium compound will be combined with naphthylethylenediamine
dihydrochloride to show a pink color.Same
MicroalbuminBased on the dye-binding method, microalbumin can react with the dye to form a
pink complex and generate produce a color change, which is particularly sensitive
to the reaction of albumin.None
LeukocyteBased on the principle of esterase method, granulosa cytoplasm contains esterase
which can hydrolyze a 3-hydroxyindoxyl ester substrate, release phenol and react
with diazo reagent to generate purple-red compounds.Same
CreatinineBased on the principle of displacement reaction, creatinine can displace the dye in
the metal chloride-acid dye complex, and the color will change from green to yellowNone
KetoneBased on the principle of sodium nitro prussiate method, sodium nitroprusside can
interact with ketone (acetoacetate) under alkaline conditions to become purple,
especially acetoacetate is particularly sensitive to this.Same
UrobilinogenBased on the principle of azo-binding method, urobilinogen is coupled with
diazonium salt under strong acid conditions to form carmine pigment.Same
BilirubinBased on the principle of azo-coupling method,2,4-dichloroaniline diazonium salt
can react specifically with bilirubin, and produce different colors depending on the
concentration of bilirubin.Same
GlucoseBased on the reaction principle of glucose oxidase method, glucose oxidase can
specifically oxidize β-D-glucose to generate glucuronic acid and hydrogen peroxide
that will oxidize the indicator under the action of peroxidase and show a purple-
red color.Same
ProteinBased on the principle of protein error method of dye binding, the protein can
combine with the dye to form a complex that produce a color change, especially the
response to albumin is more sensitive than that of globulin, hemoglobin, Bence-
Jone protein and mucin.Same
BloodBased on the principle of hemoglobin contact activity method, the decomposition
of peroxides can be catalyzed through the peroxidase-like action of hemoglobin, so
that tetramethylbenzidine is oxidized and colored.Same
Specific GravityThis test contains a detergent and Bromthymol blue that indicates the presence of
ionic constituents in the urine by changing color from green to yellow.Same
PHThe pH value within the range from 5.0 to 9.0 is measured by pH indicator, and the
pH value of fresh urine of normal people is within the range from 5.5 to 7.0.Same
Detection RangeAscorbic Acid (10-100) mg/dLSame
Nitrite (+/-)Same
Leukocytes (15-500)leu/mcLSame
Ketone (5-80) mg/dLSame
Urobilinogen (2-8)EU/dLSame
Bilirubin (0.5-6.0) mg/dLSame
Glucose (50-1000) mg/dLSame
Protein (15-300)mg/dLSame
Blood (10-200) ery/mcLSame
Specific Gravity 1.005-1.030Same
pH 5.0-9.0Same

14

15

No. D-07 Information Industry District, High-Tech Zone, Guilin, Guangxi 541004, P. R. China

Characteristic of the URIT 12FA Urine Reagent Strips in detecting Microalbumin and creatinine are compared with the Mission® Urinalysis Reagent Strips (Microalbumin/Creatinine) (K142391) read by Mission®U120 Ultra Urine Analyzer in Table 7.

DeviceProposed DevicePredicate Device 2
ManufacturerURIT Medical Electronic Co., Ltd.Acon Laboratories, Inc.
510K numberK232317K142391
Device nameURIT 12FA Urine Reagent Strips
(Only Microalbumin/Creatinine)Mission® Urinalysis Reagent Strips
(Microalbumin/Creatinine)
ClassificationClass IIClass II
Similarities
Intended UseThe URIT 12FA urine reagent strips provide semi-
quantitative tests for microalbumin , leukocytes,
creatinine , ketone, urobilinogen, bilirubin,
glucose, protein, specific gravity, blood and pH in
urine and for qualitative determination of nitrite
in urine. The URIT 12FA urine reagent strips are
for use with the UC-1800 Automatic Urine
Analyzer and are for professional, in vitro
diagnostic use only.The Mission Urinalysis Reagent strips
(Microalbumin/Creatinine) are intended for the
semi quantitative measurement of albumin and
creatinine in urine samples using the Mission
U120 Ultra Urine Analyzer. These
measurements are used to assist diagnosis for
kidney function. It is intended for professional
use only at point-of-care locations.
The strips are read instrumentally by the
Mission® U120 Ultra Urine Analyzer
IndicationsProfessional in vitro diagnostic useProfessional use in point-of-care urine testing
AnalytesMicroalbumin and CreatinineMicroalbumin and creatinine
SpecimenHuman UrineHuman Urine
ArchitectureFirm plastic, dry reagent stripsPlastic strips affixed with two separate reagent
areas.
Differences
Test PrincipleIngredients that change color in reaction with
analytesIntensity of the light reflected from the reagent
areas of a urinalysis reagent strip.
StorageStore at 2°C-30°CStore at 15°C-30°C
Microalbumin
Detection
MethodologyBased on the dye-binding method, microalbumin
can react with the dye to form a pink complex
and generate produce a color change, which is
particularly sensitive to the reaction of albumin.This test is based on dye binding using a high
affinity sulfone phthalein dye. At a constant pH,
the development of any blue color is due to the
presence of albumin. The resulting color ranges
from pale green to aqua blue
Creatinine
Detection
MethodologyBased on the principle of displacement reaction,
creatinine can displace the dye in the metal
chloride-acid dye complex, and the color will
change from green to yellow.This test is based on the peroxidase-like activity
of a copper creatinine complex that catalyzes the
reaction of diisopropylbenzene dihydroperoxide
and 3,3',5,5'- tetramethylbenzidine. The
resulting color ranges from orange through
green to blue
Detection
RangeMicroalbumin (10-150) mg/LDetects albumin between 10-150mg/L
Creatinine(10-300)mg/dLDetects creatinine between 10-300 mg/dL (0.9 -
26.5 mmol/L)

Table 7 Comparison with Predicato novicos.Roggont ctrine (2)

Therefore, it can be concluded that the subject device and the proposed device are substantially equivalent.

16

8 Summary of Non-Clinical Testing

8.1 Analytical performance

Precision /Reproducibility a

The Repeatability (With-in Run) Precision of the URIT UC-1800 Automatic Urine Analyzer was evaluated by using negative urines and spiked urines of known concentrations for each analyte. Each sample was tested in 20 replicates across 3 instruments with the 3lots of URIT 11FA Urine Reagent Strips and 3lots of URIT 12FA Urine Reagent Strips in each instrument for a total of 60 measurements at each concentrations for all tests had 60 of 60 (100%) match at ± one color block. The results are summarized in Table 8 to Table 11.

TestExpected Value
Ascorbic acid (mg/dL)-(0)+-(10)+1(25)+2(50)+3(100)
Exact agreement100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
Nitrite- (Negative)+ (Positive)
Exact agreement100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)
ConclusionQualifiedQualified
Leukocyte(leu/μL)-(0)+-(15)+1(70)+2(125)+3(500)
Exact agreement100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
Ketone (mg/dL)-(0)+-(5)+1(15)+2(40)+3(80)
Exact agreement100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
Urobilinogen (EU/dL)Normal+1(2.0)+2(4.0)+3(8.0)
Exact agreement100% (60/60)100% (60/60)96.7% (58/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualified
Bilirubin (mg/dL)-(0)+1(0.5)+2(2.0)+3(6.0)
Exact agreement100% (60/60)100% (60/60)96.7% (58/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualified
Glucose(mg/dL)-(0)+-(50)+1(100)+2(250)+3(500)+4(1000)
Exact agreement100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualifiedQualifiedQualified
Protein(mg/dL)-(0)+-(15)+1(30)+2(100)+3(300)
Exact agreement100% (60/60)100% (60/60)93.3% (56/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
Specific Gravity1.0051.0101.0151.0201.0251.030
Exact agreement100% (60/60)96.7% (58/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualifiedQualifiedQualified
TestExpected Value
Blood(CELL/µL)-(0)+-(10)+1(25)+2(80)+3(200)
Exact agreement100% (60/60)100% (60/60)98.3% (59/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
pH5.05.56.06.57.07.5
Exact agreement100% (60/60)100% (60/60)100% (60/60)100% (60/60)96.7% (58/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualifiedQualifiedQualified
pH8.08.59.0
Exact agreement100% (60/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualified

Table 8 Summary of Repeatability (With-in Run) Precision of URIT 11FA Urine Reagent Strips

17

Table 9 Summary of Repeatability (With-in Run) Precision of URIT 12FA Urine Reagent Strips

TestExpected Value
Nitrite- (Negative)+ (Positive)
Exact agreement100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)
ConclusionQualifiedQualified
Leukocyte(leu/µL)-(0)+-(15)+1(70)+2(125)+3(500)
Exact agreement100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
Ketone (mg/dL)-(0)+-(5)+1(15)+2(40)+3(80)
Exact agreement100% (60/60)100% (60/60)96.7% (58/60)96.7% (58/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
Urobilinogen (EU/dL)Normal+1(2.0)+2(4.0)+3(8.0)
Exact agreement100% (60/60)100% (60/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualified
Bilirubin (mg/dL)-(0)+1(0.5)+2(2.0)+3(6.0)
Exact agreement100% (60/60)98.3% (59/60)91.7% (55/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualified
Glucose(mg/dL)-(0)+-(50)+1(100)+2(250)+3(500)+4(1000)
Exact agreement100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualifiedQualifiedQualified
Protein(mg/dL)-(0)+-(15)+1(30)+2(100)+3(300)
Exact agreement100% (60/60)100% (60/60)93.3% (56/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
Specific Gravity1.0051.0101.0151.0201.0251.030
Exact agreement100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)

18

No. D-07 Information Industry District, High-Tech Zone, Guilin, Guangxi 541004, P. R. China
TestExpected Value
ConclusionQualifiedQualifiedQualifiedQualifiedQualifiedQualified
Blood(CELL/µL)-(0)+-(10)+1(25)+2(80)+3(200)
Exact agreement100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
pH5.05.56.06.57.07.5
Exact agreement100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualifiedQualifiedQualified
pH8.08.59.0
Exact agreement100% (60/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualified
Microalbumin10mg/L30mg/L80mg/L150mg/L
Exact agreement100% (60/60)100% (60/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualified
Creatinine10 mg/dL50 mg/dL100 mg/dL200 mg/dL300 mg/dL
Exact agreement100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
± 1 color block100% (60/60)100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified

URIT MEDICAL ELECTRONIC CO., LTD. District High-Tech Zone Guilin Gr

Table 10 Summary of Repeatability (With-in Run) Precision of Physical Module Item Turbidity

TestExpected Value
TurbidityClearMicro turbidTurbidVery turbid
Exact agreement100% (60/60)100% (60/60)100% (60/60)100% (60/60)
± 1 Block100% (60/60)100% (60/60)100% (60/60)100% (60/60)
ConclusionQualifiedQualifiedQualifiedQualified

Table 11 Summary of Repeatability (With-in Run) Precision of Physical Module Item Color

TestColorExact agreementConclusion
Expected ValueColorless100% (60/60)Qualified
Brown100% (60/60)Qualified
Yellow100% (60/60)Qualified
Red100% (60/60)Qualified
Green100% (60/60)Qualified
Other-Orange100% (60/60)Qualified
Other-Blue100% (60/60)Qualified
Other-Purple100% (60/60)Qualified

The Reproducibility (Between-Run) Precision of the URIT UC-1800 Automatic Urine Analyzer was evaluated by using negative urines and spiked urines of known concentrations for each analyte. Each sample was tested for 20days with 2 runs per day, in 1 time per run in 3 sites, each site with 1 instrument, totally the test performed across 3 instruments with the 3lots of URIT 11FA Urine Reagent Strips and 3lots of URIT 12FA Urine Reagent Strips in each instrument by 3 operators, each operator performing the test for 6-7 days, for a total of 120 measurements at each concentration were tested. All

19

No. D-07 Information Industry District, High-Tech Zone, Guilin, Guangxi 541004, P. R. China

concentrations for all tests had 120 of 120 (100%) match at ± one color block. The results are summarized in Table 12 to Table 15.

Table 12 Summary of Reproducibility (Between-Run) Precision of URIT 11FA Urine Reagent Strips

TestExpected Value
Ascorbic acid (mg/dL)-(0)+-(10)+1(25)+2(50)+3(100)
Exact agreement100% (120/120)100% (120/120)100% (120/120)94.2% (113/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
Nitrite- (Negative)+ (Positive)
Exact agreement100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)
ConclusionQualifiedQualified
Leukocyte(leu/μL)-(0)+-(15)+1(70)+2(125)+3(500)
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
Ketone (mg/dL)-(0)+-(5)+1(15)+2(40)+3(80)
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
Urobilinogen (EU/dL)Normal+1(2.0)+2(4.0)+3(8.0)
Exact agreement100% (120/120)100% (120/120)98.3% (118/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualified
Bilirubin (mg/dL)-(0)+1(0.5)+2(2.0)+3(6.0)
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualified
Glucose(mg/dL)-(0)+-(50)+1(100)+2(250)+3(500)+4(1000)
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualifiedQualifiedQualified
Protein(mg/dL)-(0)+-(15)+1(30)+2(100)+3(300)
Exact agreement100% (120/120)100% (120/120)100% (120/120)99.2% (119/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
Specific Gravity1.0051.0101.0151.0201.0251.030
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualifiedQualifiedQualified
Blood(CELL/μL)-(0)+-(10)+1(25)+2(80)+3(200)
Exact agreement100% (120/120)100% (120/120)100% (120/120)95% (114/120)97.5% (117/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
pH5.05.56.06.57.07.5
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)99.2% (119/120)100% (120/120)
TestExpected Value
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualifiedQualifiedQualified
pH8.08.59.0
Exact agreement100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualified

20

Table 13 Summary of Reproducibility (Between-Run) Precision of URIT 12FA Urine Reagent Strips

TestExpected Value
Nitrite- (Negative)+ (Positive)
Exact agreement100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)
ConclusionQualifiedQualified
Leukocyte(leu/µL)-(0)+-(15)+1(70)+2(125)+3(500)
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
Ketone (mg/dL)-(0)+-(5)+1(15)+2(40)+3(80)
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
Urobilinogen (EU/dL)Normal+1(2.0)+2(4.0)+3(8.0)
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualified
Bilirubin (mg/dL)-(0)+1(0.5)+2(2.0)+3(6.0)
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualified
Glucose(mg/dL)-(0)+-(50)+1(100)+2(250)+3(500)+4(1000)
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualifiedQualifiedQualified
Protein(mg/dL)-(0)+-(15)+1(30)+2(100)+3(300)
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified
Specific Gravity1.0051.0101.0151.0201.0251.030
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualifiedQualifiedQualified
Blood(CELL/µL)-(0)+-(10)+1(25)+2(80)+3(200)
Exact agreement100% (120/120)100% (120/120)100% (120/120)95.8% (115/120)99.2% (119/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified

21

TestExpected Value
pH5.05.56.06.57.07.5
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualifiedQualifiedQualified
pH8.08.59.0
Exact agreement100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualified
Microalbumin10 mg/L30 mg/L80 mg/L150 mg/L
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualified
Creatinine10 mg/dL50 mg/dL100 mg/dL200 mg/dL300 mg/dL
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
± 1 color block100% (120/120)100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualifiedQualified

Table 14 Summary of Reproducibility (Between- Run) Precision of Physical Module Item Turbidity

TestExpected Value
TurbidityClearMicro turbidTurbidVery turbid
Exact agreement100% (120/120)100% (120/120)100% (120/120)100% (120/120)
± 1 Block100% (120/120)100% (120/120)100% (120/120)100% (120/120)
ConclusionQualifiedQualifiedQualifiedQualified

Table 15 Summary of Reproducibility (Between- Run) Precision of Physical Module Item Color

TestColorExact agreementConclusion
Expected ValueColorless100% (120/120)Qualified
Brown100% (120/120)Qualified
Yellow100% (120/120)Qualified
Red100% (120/120)Qualified
Green100% (120/120)Qualified
Other-Orange100% (120/120)Qualified
Other-Blue100% (120/120)Qualified
Other-Purple100% (120/120)Qualified

b Linearity/assay reportable range

The assay reportable range was evaluated by measuring the samples containing known concentrations of all measurement blocks. Prepare the reference solutions according to the marked values of concentration for each item on the URIT 11FA and 12FA urine reagent strips, and conduct linear range/reportable range experiments on the instrument with the reference solutions. Test each reference solution on three UC-1800 machines of reagent strips. Repeat the test for each batch of test strip for 21 times on each instrument.

The results of assay reportable range of URIT 11FA Urine Reagent Strips and URIT 12FA Urine Reagent Strips are summarized as Table 16 to Table 18 show below. The Summary of Reportable Results of URIT 11FA Urine Reagent Strips and URIT 12FA Urine Reagent Strips are summarized as Table 19 show below.

22

Table 16 Summary of Linearity of URIT 11/12FA Urine Reagent Strips -common analytes
URIT 11/12 FA Urine Reagent Strips (Common Item)
QualitativeSemi-QuantitativeConcentration/LevelAgreement at sameAgreement within + /- one
AnalyteRankRankTestedblockblock
Leukocyte-00 leu/mcL100% (63/63)100% (63/63)
+/-1515 leu/mcL100% (63/63)100% (63/63)
+17070 leu/mcL100% (63/63)100% (63/63)
+2125125 leu/mcL100% (63/63)100% (63/63)
+3500500 leu/mcL100% (63/63)100% (63/63)
Ketones-00 mg/dL100% (63/63)100% (63/63)
+/-55 mg/dL100% (63/63)100% (63/63)
+11515 mg/dL100% (63/63)100% (63/63)
+24040 mg/dL100% (63/63)100% (63/63)
+38080 mg/dL100% (63/63)100% (63/63)
UrobilinogenNormalNormalNormal100% (63/63)100% (63/63)
+12.02.0 mg/dL100% (63/63)100% (63/63)
+24.04.0 mg/dL100% (63/63)100% (63/63)
+38.08.0 mg/dL100% (63/63)100% (63/63)
Bilirubin-00 mg/dL100% (63/63)100% (63/63)
+10.50.5 mg/dL100% (63/63)100% (63/63)
+22.02.0 mg/dL100% (63/63)100% (63/63)
+36.06.0 mg/dL100% (63/63)100% (63/63)
Glucose-00 mg/dL100% (63/63)100% (63/63)
+/-5050 mg/dL100% (63/63)100% (63/63)
+1100100 mg/dL100% (63/63)100% (63/63)
+2250250 mg/dL100% (63/63)100% (63/63)
+3500500 mg/dL100% (63/63)100% (63/63)
+410001000 mg/dL100% (63/63)100% (63/63)
Protein-00 mg/dL100% (63/63)100% (63/63)
+/-1515 mg/dL100% (63/63)100% (63/63)
+13030 mg/dL100% (63/63)100% (63/63)
+2100100 mg/dL100% (63/63)100% (63/63)
+3300300 mg/dL100% (63/63)100% (63/63)
Blood-00 ery/mcL100% (63/63)100% (63/63)
+/-1010 ery/mcL100% (63/63)100% (63/63)
+12525 ery/mcL100% (63/63)100% (63/63)
+28080 ery/mcL100% (63/63)100% (63/63)
+3200200 ery/mcL100% (63/63)100% (63/63)
Specific
GravityN/A1.0051.005100% (63/63)100% (63/63)
1.0101.010100% (63/63)100% (63/63)
1.0151.015100% (63/63)100% (63/63)
1.0201.020100% (63/63)100% (63/63)
1.0251.025100% (63/63)100% (63/63)
1.0301.030100% (63/63)100% (63/63)
pHN/A5.05.0100% (63/63)100% (63/63)
URIT 11/12 FA Urine Reagent Strips (Common Item)
Qualitative
RankSemi-Quantitative
RankConcentration/Level
TestedAgreement at same
blockAgreement within +/- one
block
Analyte6.06.0100% (63/63)100% (63/63)
6.56.5100% (63/63)100% (63/63)
7.07.0100% (63/63)100% (63/63)
7.57.5100% (63/63)100% (63/63)
8.08.0100% (63/63)100% (63/63)
8.58.5100% (63/63)100% (63/63)
9.09.0100% (63/63)100% (63/63)

23

Table 17 Summary of Linearity of URIT 11FA Urine Reagent Strips

URIT 11 FA Urine Reagent Strips
AnalyteQualitative
RankSemi-Quantitative
RankConcentration/Level
TestedAgreement at same
blockAgreement within +/- one
block
Ascorbic
acid-00mg/dL100% (63/63)100% (63/63)
+11010mg/dL100% (63/63)100% (63/63)
+22525mg/dL100% (63/63)100% (63/63)
+35050mg/dL100% (63/63)100% (63/63)
+4100100mg/dL100% (63/63)100% (63/63)

Table 18 Summary of Report range of URIT 12FA Urine Reagent Strips

URIT 12FA Urine Reagent Strips (Microalbumin & Creatinine)
AnalyteSemi-Quantitative RankConcentration/Level TestedAgreement at same blockAgreement within +/- one block
Microalbumin1010mg/L100% (63/63)100% (63/63)
3030mg/L100% (63/63)100% (63/63)
8080mg/L100% (63/63)100% (63/63)
150150mg/L100% (63/63)100% (63/63)
Creatinine1010mg/dL100% (63/63)100% (63/63)
5050mg/dL100% (63/63)100% (63/63)
100100mg/dL100% (63/63)100% (63/63)
200200mg/dL100% (63/63)100% (63/63)
300300mg/dL100% (63/63)100% (63/63)

Table 19 Summary of Reportable Results of URIT 11/12FA Urine Reagent Strips

ItemURIT Urine Reagent Strips
11FA12FA
Ascorbic acid0, 10, 25, 50, 100 mg/dL
-, +/-, +1, +2, +3N/A
MicroalbuminN/A10,30,80,150 mg/L
Leukocyte0, 15, 70, 125, 500 leu/mcL
-, +/-, +1, +2, +3
CreatinineN/A10,50,100,200,300 mg/dL
Ketone0,5,15,40,80 mg/dL
-, +/-, +1, +2, +3
UrobilinogenNormal,2.0,4.0,8.0 EU/dL
Normal, +1, +2, +3

24

ItemURIT Urine Reagent Strips
11FA12FA
Bilirubin0,0.5,2.0,6.0mg/dL
-, +1, +2, +3
Glucose0,50,100,250,500,1000 mg/dL
-, +/-, +1, +2, +3, +4
Protein0,15,30,100,300 mg/dL
-, +/-, +1, +2, +3
Blood0, 10,25,80,200 ery/mcL
-, +/-, +1, +2, +3
Specific Gravity1.005, 1.010, 1.015, 1.020, 1.025, 1.030
pH5.0, 5.5, 6.0, 6.5, 7.0, 7.5, 8.0, 8.5, 9.0

c

The results of Analytical Sensitivity of URIT 11FA Urine Reagent Strips and URIT 12FA Urine Reagent Strips are summarized as Table 20.

Table 20 Summary of Analytical Sensitivity of Urine Reagent Strips
ItemURIT Urine Reagent Strips
11FA12FA
Ascorbic acid8~10mg/dLN/A
Nitrite0.1-0.2mg/dL
MicroalbuminN/A20-30mg/L
Leukocyte10~15leu/mcL
CreatinineN/A25~50mg/dL
Ketone4~5mg/dL
Urobilinogen1~2EU/dL
Bilirubin0.4~0.5mg/dL
Glucose40~50mg/dL
Protein10~15mg/dL
Blood5~10ery/mcL

Analytical sensitivity is not applicable for both strips in detection of pH and Specific Gravity

The results of Critical value of URIT 11FA Urine Reagent Strips and URIT 12FA Urine Reagent Strips are summarized as Table 21 show.

Table 21 Summary of Critical value of Urine Reagent Strips
AnalyteConcentrationCritical valueAgreement rate%
11FA12FA
Ascorbic acid25 (1+)12 mg/dL76
Ascorbic acid50 (2+)32 mg/dL89N/A
Ascorbic acid100 (3+)72 mg/dL66
Microalbumin85.2mg/dLN/A88
Microalbumin1511.3mg/dL79
Leukocyte70(1+)38 leu/mcL9274
Leukocyte125(2+)88 leu/mcL8564
Leukocyte500 (3+)337 leu/mcL7769
Creatinine10074mg/dL77
Creatinine200142mg/dLN/A75
Creatinine300239mg/dL79

25

AnalyteConcentrationCritical valueAgreement rate%
Ketone15 (1+)8 mg/dL8274
Ketone40 (2+)25 mg/dL8276
Ketone80(3+)63 mg/dL7271
Urobilinogen4 (2+)1.8 EU/dL8177
Urobilinogen8 (3+)4.5 EU/dL7174
Bilirubin2(2+)1.3 mg/dL8878
Bilirubin6(3+)3 mg/dL7973
Glucose100 (1+)75 mg/dL8673
Glucose250 (2+)165 mg/dL7774
Glucose500 (3+)360 mg/dL6676
Glucose1000 (4+)735 mg/dL7174
Protein30 (1+)21 mg/dL7783
Protein100 (2+)65 mg/dL7570
Protein300 (3+)180 mg/dL7970
Blood25 (1+)16 ery/mcL7977
Blood80 (2+)65 ery/mcL7779
Blood200 (3+)130 ery/mcL7971
pH5.55.28373
pH65.88679
pH6.56.38277
pH7.06.78178
pH7.57.37682
pH8.07.88276
pH8.58.27294
pH9.08.86877

26

d Analytical specificity

d.1 Exogenous and Endogenous Interference

Select urine sample and mix it well to prepare negative samples for each dry chemistry item. Prepare the first positive-grade sample (excluding pH and specific gravity) by adding the substance to be tested, Dissolve the interfering substance with an appropriate solvent according to the chemical properties of the interfering substance. The concentration of the stock solution shall be appropriate to reduce dilution of the basic sample matrix. The dilution ratio of the sample matrix shall not exceed 5%, Absorb an appropriate volume of interfering substance stock solution according to a certain proportion and add it into the volumetric flask, and then fix to the scale with the basic sample to prepare a sample containing a single interfering substance. The concentration of interfering substances in different samples is shown in Table 22.

Interfering substanceConcentrationInterfering substanceConcentrationInterfering substanceConcentration
Exogenous interfering substancesEndogenous interfering substances
Acetaminophen300 mg/dLQuaternary Ammonium200mg/dLHydroxybutyrate dehydrogenase450 mg/dL
Amoxicillin1333 mg/dLLithium acetoacetate250 mg/dLAmmonium chloride2500 mg/dL
Ascorbic acid400 mg/dLPeroxide10%Bilirubin170 mg/dL
Biotin100 mg/dLPeroxidase20mg/dLCalcium chloride300 mg/dL
Cefoxitin1200 mg/dLSodium thiosulfate20mg/dLCreatinine1500 mg/dL
Furosemide200 mg/dLPotassium chloride1500 mg/dLGlucose10000mg/dL
Gabapentin1200 mg/dLSodium Bicarbonate1500 mg/dLHGB83 mg/dL
Gentamicin sulphate40 mg/dLCitric acid150 mg/dLProtein500 mg/dL
Ibuprofen250 mg/dLCreatine10 mg/dLNitrite11 mg/dL
Levodopa125 mg/dLFructose100mg/dLUrea20000 mg/dL
Lisinopril27 mg/dLGalactose80 mg/dLUrea acid155mg/dL
Metformin850 mg/dLOxalic acid70mg/dLUrobilinogen300mg/dL
Methyldopa200 mg/dLVitamin B10mg/dLHuman immunoglobulin IgG500mg/dL
Methylamine + methylene blue400 + 66.5 mg/dLSodium acetate2.25mg/dLLeukocyte2500leu/uL
Acetylcysteine20 mg/dLSodium chloride5500mg/dLCysteine20mg/dL
Ofloxacin90 mg/dLSodium nitrate10mg/dLBlood0.05%
Phenazopyridine30 mg/dLSodium phosphate500mg/dLGlycine450 mg/dL
Salicylic acid600 mg/dLTheophylline100 mg/dLLactose10mg/dL
Tetracycline50 mg/dLLeukocyte2500leu/uL
Table 22 Interfering substance and concentration
--------------------------------------------------------------

Add the solvent of the same volume as the experimental sample (the solvent used to prepare the stock solution) into the second volumetric flask and fix to the scale with the basic sample (experimental sample and control sample) shall be tested for five times on two UC-1800 machines, two batch numbers of 11FA and 12FA reagent strips. Results are summarized in the tables below.

1. The substances show no interference for all analytes

The following substances, i.e. Cefaxitin, Phenazopyridine, Salicylic acid, Tetracycline, Hydroxybutyrate delydrogenase, Protein, Lactose, Leukocyte, Potassium chloride, Citric acid, Creatine, Oxalic acid, Vitamin B, Sodium acetate, Sodium chloride, Sodium nitrate, Theophylline show no interference for all analytes at tested are summarized in Table 23.

| Interfering substance | Maximum concentration
without interference |
|-----------------------|-----------------------------------------------|
| Cefoxitin | 1200 mg/dL |
| Ofloxacin | 90 mg/dL |

Table 23 The substances that do not cause interference

27

| Interfering substance | Maximum concentration
without interference |
|-------------------------------|-----------------------------------------------|
| Phenazopyridine | 30 mg/dL |
| Salicylic acid | 600 mg/dL |
| Tetracycline | 50 mg/dL |
| Hydroxybutyrate dehydrogenase | 450 mg/dL |
| Protein | 500 mg/dL |
| Lactose | 10mg/dL |
| Leukocyte | 2500leu/uL |
| Potassium chloride | 1500 mg/dL |
| Citric acid | 150 mg/dL |
| Creatine | 10mg/dL |
| Fructose | 100mg/dL |
| Galactose | 80 mg/dL |
| Oxalic acid | 70mg/dL |
| Vitamin B | 10mg/dL |
| Sodium acetate | 2.25mg/dL |
| Sodium chloride | 5500mg/dL |
| Sodium nitrate | 10mg/dL |
| Theophylline | 100 mg/dL |

28

2.The substances that cause interference

For those substances that on initial screening with certain analytes, dose response testing was conducted to establish the concentration limitible) which no significant interference is expected. The results are given in the tables below

Table 24 The substances that cause interference

| Analyte | Interfering substances | Maximum concentration
without interference (mg/dL) | Interference
concentration (mg/dL) | Specific interference effect | Strip | | | | | |
|--------------|------------------------------|-------------------------------------------------------|---------------------------------------|-------------------------------------------------------------------------------------------------------------|------------------------------------------|-------|--|------------------------------------------|--|--|
| Leukocyte | Urobilinogen | 25 | 50 | From - to +- (False Positive) | | | | | | |
| | Amoxicillin | 700 | 1050 | From +- to 1 (elevated positive result) | | | | | | |
| | Ibuprofen | 125 | 187.5 | From +- to 2 (elevated positive result) | | | | | | |
| | Methylamine + methylene blue | 200+35 | 300+52.5 | From - to 1 (False Positive) | URIT 11/12 FA
Urine Reagent
Strips | | | | | |
| | Bilirubin | 60 | 80 | From +- to - (False Negative) | | | | | | |
| | Glucose | 1500 | 1666.7 | From +- to - (False Negative) | | | | | | |
| | Sodium Bicarbonate | 375 | 750 | From +- to - (False Negative) | | | | | | |
| | Glycine | 225 | 337.5 | From +- to - (False Negative) | | | | | | |
| | Sodium phosphate | 250 | 375 | From +- to - (False Negative) | | | | | | |
| Ketones | Methyldopa | 50 | 100 | From +- to - (False Negative) | | | | | | |
| | Methylamine + methylene blue | 100+17.5 | 150 | From - to +- (False Positive) | | | | | | |
| | Acetylcysteine | 3.3 | 200+35 | From +- to 1 (elevated positive result) | URIT 11/12 FA
Urine Reagent
Strips | | | | | |
| | Ammonium chloride | 1250 | 5 | From +- to - (False Negative) | | | | | | |
| | Bilirubin | 60 | 5 | From - to +- (False Positive) | | | | | | |
| | Creatinine | 1125 | 1875 | From +- to - (False Negative) | | | | | | |
| | Gabapentin | 15 | 80 | From +- to - (False Negative) | | | | | | |
| Urobilinogen | Methylamine + methylene blue | 66.7+11.7 | 1500 | From - to +- (False Positive) | | | | | | |
| | Bilirubin | 40 | 22.5 | From 1 to Normal (False Negative) | | | | | | |
| | Nitrite | 0.8 | 200+35 | From Normal to 1 (False Positive) | URIT 11/12 FA
Urine Reagent
Strips | | | | | |
| Bilirubin | Urobilinogen | 12.5 | 100+17.5 | From 1 to 2 (elevated positive result) | | | | | | |
| | Ascorbic acid | 150 | 60 | From 1+ to 2+ (elevated positive result) | | | | | | |
| | Methylamine + methylene blue | 200+35 | 1.7 | From 1+ to Normal (False Negative) | | | | | | |
| | Nitrite | 5 | 25 | From - to 1 (False Positive) | URIT 11/12 FA
Urine Reagent
Strips | | | | | |
| Glucose | Lithium acetoacetate | 80 | 50 | From - to 2 (False Positive) | | | | | | |
| | Peroxide | 5% | 25 | From 1 to 2 (elevated positive result) | | | | | | |
| | Ascorbic acid | 50 | 200 | From 1 to - (False Negative) | | | | | | |
| | Levodopa | 10.8 | 300+52.5 | From 1 to - (False Negative) | | | | | | |
| | Methylamine + methylene blue | 100+17.5 | 10 | From 1 to - (False Negative) | | | | | | |
| | Bilirubin | 40 | 125 | From +- to - (False Negative) | | | | | | |
| Protein | Urea | 10050 | 7.50% | From - to +- (False Positive) | URIT 11/12 FA
Urine Reagent
Strips | | | | | |
| | Quaternary Ammonium | 50 | 7.50% | From +- to 1 (elevated positive result) | | | | | | |
| | Sodium Bicarbonate | 750 | 100 | From +- to - (False Negative) | | | | | | |
| | Amoxicillin | 700 | 21.7 | From +- to - (False Negative) | | | | | | |
| | Gabapentin | 7.5 | 200+35 | From +- to - (False Negative) | | | | | | |
| | Ibuprofen | 62.5 | 60 | From +- to - (False Negative) | | | | | | |
| | Methylamine + methylene blue | 66.7+11.7 | 15025 | From +- to - (False Negative) | | | | | | |
| | Ammonium chloride | 625 | 100 | From - to +- (False Positive) | | | | | | |
| | Bilirubin | 40 | 150 | From - to 1 (False Positive) | | | | | | |
| | Calcium chloride | 150 | 100 | From +- to 1 (elevated positive result) | | | | | | |
| | Creatinine | 375 | 150 | From +- to 2 (elevated positive result) | | | | | | |
| | HGB | 1250 | 1125 | From +- to 1 (elevated positive result) | | | | | | |
| | Urea | 10050 | 1050 | From +- to - (False Negative) | | | | | | |
| | | | 15 | From +- to 1+ (elevated positive result) | | | | | | |
| | | | 125 | From +- to - (False Negative) | | | | | | |
| | | | 200+35 | From - to +- (False Positive) | | | | | | |
| | | | 100+17.5 | From +- to 1+ (elevated positive result) | URIT 11/12 FA
Urine Reagent
Strips | | | | | |
| | | | 1250 | From +- to - (False Negative) | | | | | | |
| | | | 60 | From - to +- (False Positive) | | | | | | |
| | | | 225 | From +- to - (False Negative) | | | | | | |
| | | | 1500 | From - to +-/1+ (False Positive and elevated
positive result) | | | | | | |
| | | | 750 | From +- to 1+ (elevated positive result) | | | | | | |
| | | | 3750 | From - to +-/1+ (False Positive and elevated
positive result) | | | | | | |
| | | | 2500 | From +- to 1+ (elevated positive result) | | | | | | |
| | | | | | | 15025 | | From +- to 1+ (elevated positive result) | | |
| | HGB | 1250 | 3750
2500 | From - to +/-/1+ (False Positive and elevated positive result)
From +- to 1+ ( elevated positive result) | | | | | | |
| | Urea | 10050 | 15025 | From +- to 1+ ( elevated positive result) | | | | | | |

29

| Analyte | Interfering substances | Maximum concentration
without interference (mg/dL) | Interference
concentration (mg/dL) | Specific interference effect | Strip | |
|------------------|------------------------------|-------------------------------------------------------|---------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|
| Blood | Peroxidase | 5 | 10 | From - to +- (False Positive) | | |
| | Sodium Bicarbonate | 375 | 750 | From +- to 1 (elevated positive result) | | |
| | Glycine | 112.5 | 225 | From +- to - (False Negative) | | |
| | Ascorbic acid | 50 | 100 | From +- to 1 ( elevated positive result) | | |
| | Biotin | 2500 | 3750 | From +- to - (False Negative) | | |
| | Furosemide | 50 | 100 | From - to +- (False Positive) | URIT 11/12 FA
Urine Reagent
Strips | |
| | Ibuprofen | 187.5 | 250 | From +- to - (False Negative) | | |
| | Levodopa | 10.8 | 21.7 | From +- to - (False Negative) | | |
| | Methyldopa | 16.7 | 33.3 | From - to +- (False Positive) | | |
| | Methyldopa | 16.7 | 150 | From +- to 1+ ( elevated positive result) | | |
| | Methylamine + methylene blue | 66.7+11.7 | 100+17.5 | From - to +- (False Positive)
From +- to 1+ ( elevated positive result) | | |
| Specific Gravity | Salicylic acid | 300 | 450
600 | From 1.010 to 1.020 (Result rise)
From 1.010 to 1.030 (Result rise) | URIT 11/12 FA
Urine Reagent
Strips | |
| | Uric acid | 116.25 | 155 | From 1.015 to 1.025 (Result rise) | | |
| | Sodium bicarbonate | 1125 | 1500 | From 1.020 to 1.005 (Result reduction) | | |
| | Urobilinogen | 12.5 | 25 | From - to + (False Positive) | | |
| Nitrite | Sodium Bicarbonate | 750 | 1125 | From + to - (False Negative) | | |
| | Ascorbic acid | 50 | 100 | From + to - (False Negative) | URIT 11/12 FA
Urine Reagent
Strips | |
| | Methylamine + methylene blue | 200+35 | 300+52.5 | From - to + (False Positive) | | |
| | Bilirubin | 60 | 80 | From + to - (False Negative) | | |
| | Creatinine | 750 | 1125 | From + to - (False Negative) | | |
| Ascorbic acid | Sodium thiosulfate | 10 | 15 | From - to +- (False Positive)
From +- to 1 ( elevated positive result) | | |
| | Cysteine | 10 | 15 | From - to +- (False Positive)
From +- to 1 ( elevated positive result) | URIT 11 FA
Urine Reagent
Strips | |
| | Sodium phosphate | 250 | 375 | From +- to 1 ( elevated positive result) | | |
| | Levodopa | 5.4 | 10.8 | From +- to 1+ (elevated positive result) | | |
| | Acetylcysteine | 10 | 15 | From +- to 1+ (elevated positive result) | | |
| | Ammonium chloride | 1875 | 2500 | From +- to 1+ (elevated positive result) | | |
| | Quaternary Ammonium | 50 | 100 | From 10mg/L to 30mg/L (False Positive)
From 30mg/L to 80mg/L ( elevated positive result) | | |
| Microalbumin | Blood | 0.0375% | 0.05% | From 10mg/L to 30mg/L (False Positive)
From 30mg/L to 80mg/L ( elevated positive result) | | |
| | Human immunoglobulin lgG | 41.67 | 83.33 | From 10mg/L to 30mg/L (False Positive)
From 10mg/L to 80mg/L (False Positive)
From 30mg/L to 80mg/L ( elevated positive result)
From 30mg/Lto 150mg/L( elevated positive result) | | |
| | Ascorbic acid | 200 | 300 | From 30 mg/L to 10 mg/L (False Negative) | URIT 12 FA
Urine Reagent
Strips | |
| | Gabapentin | 7.5 | 30 | From 10 mg/L to 30 mg/L (False Positive)
From 30 mg/L to 80 mg/L ( elevated positive result) | | |
| | Methylamine + methylene blue | 66.7+11.7 | 100 + 17.5 | From 10mg/L to 30mg/L (False Positive)
From 30mg/L to 80mg/L ( elevated positive result) | | |
| | Ammonium chloride | 625 | 1250 | From30mg/L to 10mg/L (False Negative)
From10mg/L to 30mg/L (False Positive) | | |
| | Creatinine | 600 | 1500 | From30mg/L to 80mg/L ( elevated positive result) | | |
| | HGB | 83 | 750
830 | From10mg/L to 30mg/L (False Positive)
From30mg/L to 80mg/L ( elevated positive result) | | |
| | Acetaminophen | 225 | 208
300 | From 50 mg/dL to 100 mg/dL ( elevated positive result | | |
| | Biotin | 830 | 1250 | From 50 mg/dL to 100 mg/dL(elevated positive result) | | |
| | | | | | | |
| | Creatinine | Furosemide | 100 | 150 | From 50 mg/dL to 100 mg/dL (elevated positive result) | URIT 12 FA |
| | | Gabapentin | 15 | 22.5 | From 50 mg/dL to 100 mg/dL (elevated positive result) | Urine Reagent |
| | | Gentamicin sulphate | 20 | 30 | From 50 mg/dL to 10 mg/dL (False Negative) | Strips |
| | | Acetylcysteine | 3.3 | 200 | From 10 mg/dL to 50 mg/dL (False Positive) | |
| | | | | | 5 | From 50 mg/dL to 100 mg/dL (elevated positive result) |
| | | Ammonium chloride | 100 | 104.2 | From 50 mg/dL to 10 mg/dL (False Negative) | |

30

d.2 Effect of urine pH

Collect mixed negative urine samples and divise their pH values with 1M hydrochloric acid aqueous solution and 1M sodium hydroxide aquous solution to prepare samples with pH value of 4.5, 5.5, 6.5, 7.5, and 8.5, respectively. Each sample shall be tested for 5 times on 2 UC-1800 machines, two batch numbers of 11FA and 12FA test strips, respectively For all test strip and specific gravity, For leukorytes, unine pH values lover than 5.5 may yield a false negative result. For specific result. For spec No significant interference was observed for the urine pH ranges from 5.5 to 7.5, Urine pH values lower than 5.5 may yield a false increased of Specific Gravity, and urine pH values higher than 7.5 may yield decreased of specific gravity. The results were summarized as Table 25 shows.

Table 25 Summary of effect of urine pH
URIT 11/12 FA Urine Reagent Strips
ItemNo interference pHInterference condition
LeukocytespH>5.5pH=4.5, From +- to - (False Negative)
Specific Gravity5.5-7.5pH=4.5, From 1.015 to 1.025 (False Positive)
pH=4.5, From 1.020 to 1.030 (False Positive)
pH≥8.5, From 1.015 to 1.005 (False Negative)
pH≥8.5, From 1.020 to 1.010 (False Negative)

d.3 Effect of urine color

Collect mixed negative une samples and divide them into 3 parts tellow, ligin, lemon yellow, Naphthol green, Bright blue and Crystal violet to prepare the samples into the red, orage, brown, yellow purple samples ball be tested for 5 times on two UC-1800 machines of 11FA and 1274 test stips, respectively. All the results dentified that all color showed no interference on each and and a colle 26 to Table 31 shows.

URIT 11/12FA Urine Reagent Strips
AnalyteConcentrationRedOrangeBrown
HGB
ConcentrationResultSunset yellow
ConcentrationResultLignin
ConcentrationResult
Leukocyte- (0 leu/mcL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
+/- (15 leu/mcL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
Ketones- (0 mg/dL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
+/- (5 mg/dL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
UrobilinogenNormal (Normal)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
1 (2.0 mg/dL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
Bilirubin- (0 mg/dL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
1 (0.5 mg/dL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
Glucose- (0 mg/dL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
+/- (50 mg/dL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
Protein- (0 mg/dL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
+/- (15 mg/dL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
Blood- (0 ery/mcL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
+/- (10 ery/mcL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
Specific Gravity1.015 (1.015)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
1.020 (1.020)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
pH6.5 (6.5)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
7.5 (7.5)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
Nitrite- (0 mg/dL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
+ (0.5 mg/dL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference

Table 26 Summary of effect of urine color - Red, Orange, Brown (11/12FA)

Table 27 Summary of effect of urine color – Yellow, Green, Blue, Purple (11/12FA)

URIT 11/12FA Urine Reagent Strips
YellowGreenBluePurple
AnalyteConcentrationLemon yellow
ConcentrationResultNaphthol green
ConcentrationResultBright blue
ConcentrationResultCrystal violet
ConcentrationResult
- (0 leu/mcL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
Leukocyte+/- (15 leu/mcL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
- (0 mg/dL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
Ketones+/- (5 mg/dL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
Normal (Normal)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
Urobilinogen1 (2.0 mg/dL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
- (0 mg/dL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
Bilirubin1 (0.5 mg/dL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
- (0 mg/dL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
Glucose+/- (50 mg/dL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
- (0 mg/dL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
Protein+/- (15 mg/dL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
- (0 ery/mcL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
Blood+/- (10 ery/mcL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
1.015 (1.015)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
Specific Gravity1.02 (1.02)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
pH6.5 (6.5)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
7.5 (7.5)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
- (0 mg/dL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
Nitrite+ (0.5 mg/dL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference

31

RedOrangeBrown
AnalyteConcentrationHGB
ConcentrationResultSunset yellow
ConcentrationResultLignin
ConcentrationResult
Ascorbic acid- (0 mg/dL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
Ascorbic acid+/- (10 mg/dL)0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference

Table 29 Summary of effect of urine color – Yellow, Green, Blue, Purple (11FA)

AnalyteConcentrationYellowGreenBluePurple
Lemon yellow
ConcentrationResultNaphthol green
ConcentrationResultBright blue
ConcentrationResultCrystal violet
ConcentrationResult
Ascorbic acid- (0 mg/dL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
+/- (10 mg/dL)0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference

Table 30 Summary of effect of urine color - Red, Orange, Brown (12FA)

AnalyteConcentrationRedOrangeBrown
HGB ConcentrationResultSunset yellow ConcentrationResultLignin ConcentrationResult
Microalbumin0 mg/L0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
Microalbumin30 mg/L0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
Creatinine0 mg/dL0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference
Creatinine50 mg/dL0,750,300 mg/LNo interference0,312.5,150 mg/LNo interference0;1;0.4 mg/LNo interference

Table 31 Summary of effect of urine color – Yellow, Green, Blue, Purple (12FA)

ConcentrationYellowGreenBluePurple
AnalyteLemon yellowResultNaphthol greenResultBright blueResultCrystal violetResult
ConcentrationConcentrationConcentrationConcentration
Microalbumin0 mg/L0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
30 mg/L0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
Creatinine0 mg/dL0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference
50 mg/dL0;20;3 mg/LNo interference0;40;20 mg/LNo interference0;10;1 mg/LNo interference0;10;3 mg/LNo interference

d.1 Effect of urine Specific Gravity

Collect mixed negative urine samples and divide to adjust their specific gravity to prepare the samples with specific gravity of 1.005, 1.100, 1.015, 1.130, 1.135, 1.130, 1.045, and 1.150 respective); Each sample shall be tested for 5 times on two UC-800 machines, two batch numbers of 11FA and 12H test strips.

Table 32 Summary of Effect of urine Specific Gravity

URIT 11/12 FA Urine Reagent Strips
ItemNo interference SGInterference situation
LeukocytesSG