K Number
K973696
Device Name
SYNCHRON SYSTEM HEMOGLOBIN ALC REAGENT
Date Cleared
1997-11-24

(59 days)

Product Code
Regulation Number
864.7470
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The SYNCHRON Systems Hemoglobin A1c (HbA1c) Reagent Kit, in conjunction with SYNCHRON HbA1c Calibrators and SYNCHRON HbA1c Hemolyzing Reagent, is intended for the quantitative determination of Hemoglobin A1c concentrations in whole blood on SYNCHRON Clinical Systems.
Device Description
The SYNCHRON Hemoglobin A1c (HbA1c) Reagent kit contains two reagents, Hb and A1c for determining the Hemoglobin A1c concentrations in whole blood on SYNCHRON Clinical Systems.
More Information

Not Found

No
The summary describes a reagent kit for a laboratory assay, focusing on chemical reactions and analytical performance metrics like slope, intercept, r-value, and imprecision. There is no mention of AI, ML, image processing, or any computational algorithms typically associated with AI/ML in medical devices.

No
The device is a reagent kit used for the quantitative determination of Hemoglobin A1c concentrations to aid in diagnosis or monitoring, not to treat or prevent a disease.

Yes

The device is intended for the quantitative determination of Hemoglobin A1c concentrations in whole blood, which is a common diagnostic test for diabetes and prediabetes. The "Intended Use / Indications for Use" section explicitly states its purpose in conjunction with SYNCHRON Clinical Systems.

No

The device description clearly states it is a "Reagent kit" containing "two reagents, Hb and A1c," which are physical components used in a laboratory setting, not software.

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

Here's why:

  • Intended Use: The intended use explicitly states it's for the "quantitative determination of Hemoglobin A1c concentrations in whole blood." This involves testing a biological sample (whole blood) in vitro (outside the body) to obtain diagnostic information.
  • Device Description: It describes a "Reagent kit" used for determining concentrations in whole blood, which is typical of IVD products.
  • Performance Studies: The document includes performance studies like method comparison and imprecision, which are standard for demonstrating the analytical performance of IVD devices.
  • Predicate Device: The mention of a "Predicate Device" (K934070; Tina-quant® Hemoglobin A1c Assay) is a strong indicator that this device is being compared to an already cleared IVD device, a common practice in regulatory submissions for IVDs.

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

N/A

Intended Use / Indications for Use

The SYNCHRON Hemoglobin A1c (HbA1c) Reagent kit, in conjunction with the SYNCHRON Hemoglobin A1c Calibrators, is intended for the quantitative determination of hemoglobin A1c concentration as a percentage of total hemoglobin in whole blood on SYNCHRON Systems.

Product codes

LCP

Device Description

The SYNCHRON Hemoglobin A1c (HbA1c) Reagent kit contains two reagents, Hb and A1c for determining the Hemoglobin A1c concentrations in whole blood on SYNCHRON Clinical Systems.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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

Not Found

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

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Summary of Performance Studies

Method Comparison Study Results:
Analyte: SYNCHRON Hemoglobin A1c (HbA1c) Reagent. Slope: 0.9906. Intercept: -0.19%. r: 0.9698. Predicate Method: Boehringer Mannheim Hemoglobin A1c Reagent on SYNCHRON CX4CE System.
Analyte: Reagent. Slope: 0.9937. Intercept: -0.25%. r: 0.9678. Predicate Method: Biorad DiamatTM HPLC Hemoglobin A1c Method.

Stability Study Results: Not in table format; described as "Comments of the contraction of the contribution of the commend of the commend of the commend of the many of the many of the many of the many of the many of the many of the ma"

Estimated SYNCHRON HbA1c Reagent Imprecision:
Within-Run Imprecision:
Level 1: Mean (%HbA1c) 6.05, S.D. (%) 0.27, %C.V. 4.5, N 80.
Level 2: Mean (%HbA1c) 8.75, S.D. (%) 0.26, %C.V. 3.0, N 80.
Level 3: Mean (%HbA1c) 10.73, S.D. (%) 0.31, %C.V. 2.9, N 80.
Total Imprecision:
Level 1: Mean (%HbA1c) 6.05, S.D. (%) 0.44, %C.V. 7.2, N 80.
Level 2: Mean (%HbA1c) 8.75, S.D. (%) 0.52, %C.V. 6.0, N 80.
Level 3: Mean (%HbA1c) 10.73, S.D. (%) 0.74, %C.V. 6.9, N 80.

Key Metrics

Not Found

Predicate Device(s)

K934070

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 864.7470 Glycosylated hemoglobin assay.

(a)
Identification. A glycosylated hemoglobin assay is a device used to measure the glycosylated hemoglobins (A1a , A1b , and A1c ) in a patient's blood by a column chromatographic procedure. Measurement of glycosylated hemoglobin is used to assess the level of control of a patient's diabetes and to determine the proper insulin dosage for a patient. Elevated levels of glycosylated hemoglobin indicate uncontrolled diabetes in a patient.(b)
Classification. Class II (performance standards).

0

K973696

Beckman Instruments, Inc., Section 510(k) Notification SYNCHRON Systems Hemoglobin A1c (HbA1c) Reagent Summary of Safety & Effectiveness

NOV

Summary of Safety & Effectiveness Beckman SYNCHRON® Systems Hemoglobin A1c Reagent

1.0 Submitted Bv:

Lucinda Stockert Senior Regulatory Specialist, Product Submissions Beckman Instruments, Inc. 200 S. Kraemer Blvd., W-337 Brea, California 92822-8000 Telephone: (714) 961-3777 FAX: (714) 961-4457

2.0 Date Submitted:

24 September 1997

3.0 Device Name(s):

3.1 Proprietary Names

SYNCHRON® Systems Hemoglobin A1c (HbA1c) Reagent

3.2 Classification Name

Glycosylated hemoglobin assay (21 CFR § 864.7470)

4.0 Predicate Device(s):

BECKMAN ReagentPredicatePredicate CompanyDocket Number
SYNCHRON Systems
Hemoglobin A1cTina-quant®
Hemoglobin A1c
AssayBoehringer Mannheim
CorporationK934070

5.0 Description:

The SYNCHRON Hemoglobin A1c (HbA1c) Reagent kit contains two reagents, Hb and A1c for determining the Hemoglobin A1c concentrations in whole blood on SYNCHRON Clinical Systems.

6.0 Intended Use:

The SYNCHRON Hemoglobin A1c (HbA1c) Reagent kit, in conjunction with the SYNCHRON Hemoglobin A1c Calibrators, is intended for the quantitative determination of hemoglobin A1c concentration as a percentage of total hemoglobin in whole blood on SYNCHRON Systems.

7.0 Comparison to Predicate(s):

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

1

Beckman Instruments, Inc., Section 510(k) Notification SYNCHRON Systems Hemoglobin A1c (HbA1c) Reagent Summary of Safety & Effectiveness

ReagentAspect/CharacteristicComments
SIMILARITIES
SYNCHRON
Systems Hemoglobin
A1c
(HbA1c)
ReagentIntended useSame as the predicate
FormulationSame source, processing as predicate
Chemical ReactionSame principle as the predicate
Sample PreparationSame as the predicate
CalibrationSame as the predicate
Reagent Kit ConfigurationSame as the predicate
DIFFERENCES
SYNCHRON Systems
Hemoglobin A1c
(HbA1c)
ReagentAssay parametersSYNCHRON parameters reside in the
SYNCHRON database, BMC
parameters must be operator
programmed
CartridgesCartridges bar-coded specifically for
SYNCHRON HbA1c vs non bar-coded
cartridges with BMC reagent

Summary of Performance Data: 8.0

.

The data in the Premarket Notification on safety and effectiveness supports a finding of substantial equivalence to chemistry test systems already in commercial distribution. Equivalence is demonstrated through method companson, stability, and imprecision experiments that relate results obtained from the SYNCHRON HbA1c Reagent to the Boehringer Mannheim Tina-quant® Hemoglobin A1c assay.

Method Companison Study Results

AnalyteSlopeInterceptrPredicate Method
SYNCHRON
Hemoglobin A1c
(HbA1c)
Reagent0.9906-0.19%0.9698Boehringer Mannheim
Hemoglobin A1c Reagent on
SYNCHRON CX4CE System
Reagent0.9937-0.25%0.9678Biorad DiamatTM HPLC
Hemoglobin A1c Method

Stability Study Results

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ANNUAL AND COLORIAL COLLEGIAN
--------------------------------------1 100 11 11 15 15 15 15 15 15 15 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11 11
RECENTRAL II LANDARIES OF LEASTER CONSULTION OF
AND CORPARA CORPORATION OF COLLECTION OF
Comments of the contraction of the contribution of the commend of the commend of the commend of the many of the many of the many of the many of the many of the many of the ma

.
|
11 18 1 1 8 8 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 |

Estimated SYNCHRON HbA1c Reagent Imprecision

SampleMean (%HbA1c)S.D. (%)%C.V.N
Within-Run Imprecision
Level 16.050.274.580
Level 28.750.263.080
Level 310.730.312.980
Total Imprecision
Level 16.050.447.280
Level 28.750.526.080
Level 310.730.746.980

The Summary of Safety and Effectiveness information for the SYNCHRON Systems HbA1c Reagents are found in TAB 1 of this notice and are being submitted in accordance with the requirements of the Safe Medical Devices Act of 1990 and implementing regulation 21 CFR 807.92.

2

Image /page/2/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. In the center of the circle is an abstract symbol that resembles a stylized caduceus or a bird in flight. The logo is presented in black and white.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

NOV 2 4 1997

Lucinda Stockert Senior Regulatory Specialist Beckman Instruments, Inc. 200 S. Kraemer Boulevard, M/S W-337 P.O. Box 800 Brea, California 92822-8000

Re: K973696 Synchron® Systems Hemoglobin A1c (HbA1c) Reagent Regulatory Class :... II . .............................. Product Code: LCP September 24, 1997 Dated: Received: September 26, 1997

Dear Ms. Stockert:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major requlations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General requlation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory In addition, FDA may publish further announcements action. concerning your device in the Federal Register. Please note:

this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations.

3

Page 2

Under the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88), this device may require a CLIA complexity (CHIA-68), Chila device may require if it does, you should contact the Centers for Disease Control and Prevention (CDC) at (770) 488-7655.

This letter will allow you to begin marketing your device as Inis leccer will aremarket notification. The FDA described in your sio\n privalence of your device to a legally marketed predicate device results in a classification for your marketed produces permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Victo diagnoBele develop, productionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to Other general premarket notification" (21 CFR 807.97). information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance obeathed from onember (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,
Steven Gutman

Steven I. Gutman, M.D., M.B.A. Director Division of Clinical Laboratory Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

K973696

of

510(k) Number (if known): Not yet assigned

SYNCHRON® Systems Hemoglobin A1c Reagent Device Name:

Indications for Use:

The SYNCHRON Systems Hemoglobin A1c (HbA1c) Reagent Kit, in conjunction with SYNCHRON HbA1c Calibrators and SYNCHRON HbA1c Hemolyzing Reagent, is intended for the quantitative determination of Hemoglobin A1c concentrations in whole blood on SYNCHRON Clinical Systems.

21 CFR 864.7470 Glycosylated hemoglobin assay

(a) Identification. A glycosylated hemoglobin assay is a device used to measure the glycosylated hemoglobins (A1a, A1b, A1c) in a patient's blood by a column chromatographic procedure. Measurement of glycosylated hemoglobin is used to assess the level of control of a patient's diabetes and to determine the proper insulin dosage for a patient. Elevated levels of glycosylated hemoglobin indicate uncontrolled diabetes in a patient.

(b) Classification. Class II.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)
(Division Sign-Off)
Division of Clinical Laboratory Devices

510(k) Number2973696
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Prescription Use (per 21 CFR 801.109)Over-the-Counter Use Optional Format 1-2-96
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