K Number
K982469
Device Name
HICHEM CHOLESTEROL REAGENT KIT
Manufacturer
Date Cleared
1998-08-19

(35 days)

Product Code
Regulation Number
862.1175
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
HiChem Cholesterol Reagent is intended for the quantitative determination of total cholesterol in serum and plasma for the diagnosis and treatment of disorders involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders.
Device Description
The HiChem Cholesterol Reagent determines cholesterol through the enzymatic action of cholesterol esterase, cholesterol oxidase and peroxidase. The resulting increase in absorbance at one of interested estable concessed on concentration in the sample.
More Information

Beckman® SYNCHRON® Systems Cholesterol Reagent, product no. 467825

Not Found

No
The summary describes a chemical reagent for cholesterol determination based on enzymatic reactions and absorbance measurements. There is no mention of AI or ML in the device description, intended use, or performance studies.

No
The device is a reagent for the quantitative determination of total cholesterol, used for diagnosis, not treatment.

Yes

The "Intended Use / Indications for Use" section explicitly states that the reagent is intended "for the diagnosis and treatment of disorders involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders." This indicates its use in identifying or confirming a disease state.

No

The device description clearly states it is a "reagent" which is a chemical substance used in a reaction, indicating it is a physical component, 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 total cholesterol in serum and plasma for the diagnosis and treatment of disorders involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders." This clearly indicates it's used to test samples taken from the human body (in vitro) to provide information for diagnosis and treatment.
  • Device Description: The description details how the reagent works by analyzing the chemical composition of the sample (serum and plasma) through enzymatic reactions and measuring absorbance. This is a typical method for in vitro diagnostic tests.
  • Sample Type: The device uses serum and plasma, which are biological samples taken from the human body.
  • Regulatory Context: The inclusion of a predicate device (K982469; Beckman SYNCHRON Systems Cholesterol Reagent) strongly suggests that this device is being submitted for regulatory review as an IVD, as predicate devices are used for demonstrating substantial equivalence in the regulatory process for medical devices, including IVDs.

All these points align with the definition of an In Vitro Diagnostic device.

N/A

Device Name: HiChem Cholesterol Reagent Kit

Intended Use / Indications for Use

HiChem Cholesterol Reagent is intended for the quantitative determination of total cholesterol in serum and plasma for the diagnosis and treatment of disorders involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders.
This reagent is intended to be used in a professional setting or by trained personnel and is not intended for home use.

Product codes

CHH

Device Description

The HiChem Cholesterol Reagent determines cholesterol through the enzymatic action of cholesterol esterase, cholesterol oxidase and peroxidase. The resulting increase in absorbance at one of interested estable concessed on concentration in the sample.
The HiChem Cholesterol Reagent is an adaptation of the method first described by Allain and is intended for use with manual spectrophotometers or clinical analyzers which can automate the required manipulations.

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

professional setting or by trained personnel

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)

The effectiveness of the manual procedure is shown by the recovery of linearity standards, the precision of control recoveries, the comparison of serum and plasma recoveries to the Beckman® Cholesterol Reagent and the validation of the chemical additives and sensitivity claims.
The recovery of total cholesterol using HiChem Cholesterol Reagent as a manual procedure is linear from 5 mg/dL to 750 mg/dL as shown by the recovery of linearity standards.
(HiChem Recoveries) = 3.7 mg/dL + 0.975 × (Standard Factors), r2 = 1.000 Sv.x = 4.11 mg/dL. df = 11

Precision, demonstrated by replicate assay of commercially available control sera, is shown below.

Specimennmeanwithin-run SDtotal SD
Serum control 129109 mg/dL0.85 mg/dL0.92 mg/dL
Serum control 230226 mg/dL1.46 mg/dL1.90 mg/dL
Serum control 230501 mg/dL3.12 mg/dL4.47 mg/dL

Cholesterol recoveries of 113 mixed serum and plasma specimens are compared between the HiChem manual procedure and the Beckman® Cholesterol Read on the Synchron CX® Systems.
(HiChem Results) = 12 mg/dL + 0.957 × (Beckman® Results) r2 = 0.966 S(v.x) = 8.1
The bias due to the use of anticoagulants (EDTA, citrate, oxalate, fluoride and heparin) was less than 2.5 mg/dL cholesterol.
The observed detection limit is 3.2 mg/dL.

The effectiveness of the HiChem secondary reagent application for the Beckman® SYNCHRON CX® Systems is shown by ilie recovery of linearity standards, the precision of control recovery of serum controls over both the calibration stability and on-board stability claims, the validation of the chemical additives and the comparison of patient specimen recoveries to the Beckman® SYNCHRON® Systems Cholesterol Reagent.
The recovery of total cholesterol using the HiChem Cholesterol Reagent on the SYNCHRON CX® Systems is linear from 5 mg/dL to 750 mg/dL.
(HiChem Recoveries) = -1.0 mg/dL + 0.964 × (Standard Factors), sv.x = 8.9 ma/dL. df = 11

Precision, demonstrated by replicate assay of urine pools and commercially available control sera, is shown below.

Specimennmeanwithin-run SDtotal SD
Serum control 160105 mg/dL1.8 mg/dL1.4 mg/dL
Serum control 260217 mg/dL1.2 mg/dL2.5 mg/dL
Serum control 360504 mg/dL2.8 mg/dL2.5 mg/dL

Cholesterol recoveries of 154 mixed serum and plasma specimens are compared between the HiChem and Beckman® CHOL Reagents on the SYNCHRON CX® Systems.
(HiChem Results) = -3.6 mg/dL + 0.993 x (Beckman® Results) r2 = 0.983 S(y.x) = 6.1
The bias due to the addition of anticoagulants (EDTA, citrate, oxalate, fluoride and heparin) is less than 1 mg/dL cholesterol and statistically insignificant.
The observed detection limit is 2.7 mg/dL.
The 14 day onboard calibration stability and the 30 day on board reagent stability claims are documented through the assay of serum controls over the claimed periods. Changes in cholesterol recoveries over the test periods are less than 2.6%.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Manual procedure:
Detection limit: 3.2 mg/dL
Linearity: 5 mg/dL to 750 mg/dL
r2 = 1.000 for linearity
r2 = 0.966 for serum/plasma comparisons

SYNCHRON CX® Systems procedure:
Detection limit: 2.7 mg/dL
Linearity: 5 mg/dL to 750 mg/dL
r2 = 0.983 for serum/plasma comparisons
Changes in cholesterol recoveries over test periods (calibration and reagent stability): less than 2.6%

Predicate Device(s)

Beckman® SYNCHRON® Systems Cholesterol Reagent, product no. 467825

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.1175 Cholesterol (total) test system.

(a)
Identification. A cholesterol (total) test system is a device intended to measure cholesterol in plasma and serum. Cholesterol measurements are used in the diagnosis and treatment of disorders involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 862.9.

0

Image /page/0/Picture/1 description: The image shows the logo for HiChem Diagnostics. The logo features a black circle at the top, followed by the words "HiChem" in large, bold letters. Below "HiChem" is the word "DIAGNOSTICS" in smaller letters. To the right of the black circle are the words "Smart Solutions" in a smaller, italicized font.

K982469

SUMMARY OF 510(K) SAFETY AND EFFECTIVENESS INFORMATION

This summary of 510(k) safely and effectiveness information is being submitted in accordance with the requirements of
SMDA 1990 and 21 CFF 807 ee SMDA 1990 and 21 CFR 807.92.

HiChem Cholesterol Reagent is intended for the quantitative determination of total cholesterol in serum and plasma. Measurements of total checked are used in the diagnosis and treatment of the choisecon in series cholesters in the blood and lipid and lipoprotein metabolism disorders.

The HiChem Cholesterol Reagent determines cholesterol through the enzymatic action of cholesterol esterase, cholesterol oxidase and peroxidase. The resulting increase in absorbance at one of interested estable concessed on concentration in the sample.

The HiChem Cholesterol Reagent is an adaptation of the method first described by Allain and is intended for use with manual spectrophotometers or clinical analyzers which can automate the required manipulations.

The HiChem Cholesterol Reagent is substantially equivalent to the Beckman® SYNCHRON® Systems Cholesterol Reagent, product no. 467825, manufactured by Beckman® Instruments, Brea, CA. All three reagents support the same intended use and produce equivalent results with the same clinical products support ne same mended on the same methodology which determines total cholesterol through the enzymatic action of the are and cholesterol oxidase.

The effectiveness of the manual procedure is shown by the recovery of linearity standards, the precision of control recoveries, the comparison of serum and plasma recoveries to the Beckman® Cholesterol Reagent and the validation of the chemical additives and sensitivity claims.

The recovery of total cholesterol using HiChem Cholesterol Reagent as a manual procedure is linear from 5 mg/dL to 750 mg/dL as shown by the recovery of linearity standards which procure is incearing in including in thigh comparing mean standard recoveries which the open the find failure into handles,
shown below shown below.

(HiChem Recoveries) = 3.7 mg/dL + 0.975 × (Standard Factors), r2 = 1.000 Sv.x = 4.11 mg/dL. df = 11

Precision, demonstrated by replicate assay of commercially available control sera, is shown below.

Specimennmeanwithin-run SDtotal SD
Serum control 129109 mg/dL0.85 mg/dL0.92 mg/dL
Serum control 230226 mg/dL1.46 mg/dL1.90 mg/dL
Serum control 230501 mg/dL3.12 mg/dL4.47 mg/dL

Cholesterol recoveries of 113 mixed serum and plasma specimens are compared between the HiChem manual procedure and the Beckman® Cholesterol Read on the Synchron CX® Systems. Least squares regression statistics are shown below.

Serum/ Plasma Comparisons:

(HiChem Results) = 12 mg/dL + 0.957 × (Beckman® Results) r2 = 0.966 S(v.x) = 8.1

The use of the anticoagulants EDTA, citrate, oxalate, fluoride and heparin are shown to be acceptable chemical additives by comparison of spiked and unspiked serum pols. In all cases produced by the additive were less than 2.5 mg/dL cholesterol.

The detection limit claim of 5 mg/dL is documented through the repetitive assay of a cholesterol standard. The observed detection limit, calculated as three standard deviations of a crowsition study, is 3.2 mg/dL and is below the claimed limit.

231 North Puente Street, Brea, California 92821 • (800) 733-4424 • (714) 871-8360 • FAX (714) 871-2439

510(k) Notification, HiChem Cholesterol Reagent Kit, p 74

1

The effectiveness of the HiChem secondary reagent application for the Beckman® SYNCHRON CX® Systems is shown by ilie recovery of linearity standards, the precision of control recovery of serum controls over both the calibration stability and on-board stability claims, the validation of the chemical additives and the comparison of patient specimen recoveries to the Beckman® SYNCHRON® Systems Cholesterol Reagent.

The recovery of total cholesterol using the HiChem Cholesterol Reagent on the SYNCHRON CX® Systems is linear from 5 mg/dL to 750 mg/dL as shown by the recovery of linearity standards which span the claimed linear range. Regression statistics, comparing mean standard recoveries which open in oldniver in than it in really.
In 010 to 918, are shown below.

(HiChem Recoveries) = -1.0 mg/dL + 0.964 × (Standard Factors), sv.x = 8.9 ma/dL. df = 11

Precision, demonstrated by replicate assay of urine pools and commercially available control sera, is shown below.

Specimennmeanwithin-run SDtotal SD
Serum control 160105 mg/dL1.8 mg/dL1.4 mg/dL
Serum control 260217 mg/dL1.2 mg/dL2.5 mg/dL
Serum control 360504 mg/dL2.8 mg/dL2.5 mg/dL

Cholesterol recoveries of 154 mixed serum and plasma specimens are compared between the HiChem and Beckman® CHOL Reagents on the SYNCHRON CX® Systems. Least squares regression statistics are shown below.

Serum/ Plasma Comparisons:

(HiChem Results) = -3.6 mg/dL + 0.993 x (Beckman® Results) r2 = 0.983 S(y.x) = 6.1

The use of the anticoagulants EDTA, citrate, oxalate, fluoride and heparin are shown to be acceptable chemical additives by comparison of spiked and unspiked serum pools. In all cases, the bias due to the addition of anticoagulants is less than 1 mg/dL cholesterol and statistically insignificant.

The detection limit claim of 5 mg/dL is documented through the repetitive assay of a cholesterol standard. The observed detection limit, calculated as three standard deviations of a 30 replicate study, is 2.7 mg/dL and is below the claimed limit.

The 14 day onboard calibration stability and the 30 day on board reagent stability claims are documented through the assay of serum controls over the claimed periods. In all cases, the changes in cholesterd recoveries over the test periods are lesse than 2.6% and less than the manufacturer's 3% within run precision claim for the SYNCHRON® Analyzer,

The HiChem Cholesterol Reagent is substantially equivalent to the Beckman® SYNCHRON® Systems Cholesterol Reagent, product no. 467825, manufactured by Beckman® Instruments, Brea, CA.

Wynn Starking

Stocking Manager of Regulatory Affairs HiChem Diagnostics

2

Image /page/2/Picture/1 description: The image shows the seal of the Department of Health & Human Services USA. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. In the center of the seal is a stylized image of a caduceus, a symbol of medicine, with a staff and two snakes.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

AUG / 9 1998

Wynn Stocking · Manager, Regulatory Affairs HiChem Diagnostics 231 North Puente Street

Brea, California 92821

Re : K982469 HiChem Cholesterol Reagent Regulatory Class: I Product Code: СНН Dated: July 14, 1998 Received: July 15, 1998

Dear Mr. Stocking:

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 (Act). You may, therefore, market the device subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, listing, 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 regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. प्र substantially equip rate ar, fares out co 895. A the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (Q5) Tor Medical
through poriodic of through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulations. Fran action. In addition, FDA may publish further announcements 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
(CDIA-88), this device may require a CLTA complexity (CLA-88), this device may require a CLIA complexits
categorization. To determine if it device a CLIA complexity can been for Disease Control if it does, your should contacts of 1988
the Centers for Disease Control if it does, your should contact
(770), 199 assesse Control and Preventio the Centers for Disease Control if it does, you should con
the Centers for Disease Control and Prevention (CDC) at

This letter will allow you to begin marketing your device as
described in your 510 (k) premarket notification with described in your 510(k) premarket notification. The FDA first of substantial equivalence of your divine to a FDA
manketed predicate device of your device to a legally marketed predicate device results in a classification a legally
device and thus, permits your device to research and the provi the was producate device results in a classification for your device to proceed to the market.

If you desire specific advice for your device on our exceller
regulation (21 CFR Part 801 and additionally 000 consequence of regulation (21 CFR Part 801 and additionally 809.10 for in vice diagnostic devices), please contact the 0ffice of the promotion and advertising of vour devices of and first on the promotion and advertising of your device, pleases of the regulation entitled, "Misbranding of your device, contact on the regulation entitled, "Misbranding by reference to the resolution of the resolution of the resolution of the resolution of the research besto
che information on your respo info a noonroad.com™ (21 CR 807.97). Other general
obtained from the Division of Small Morefore of the more of your responsibilities under - end generati
obtained from the Division of Small Manufacthe Armay Barance at its toll-free number (800) 638-2041 or (301) 443-6597 or at 11 11 0001 116e number (800) 638-2041 or (301) 443-6597 01 at
its internet address "http://www.fda.gov/cdch/dsmanain.html".

Sincerely yours,
Steven Litman

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

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Page 1 of 1

510(k) Number (if known):

K982469

Device Name:

HiChem Cholesterol Reagent Kit .

Indications For Use:

HiChem Cholesterol Reagent is intended for the quantitative determination of total cholesterol in serum and plasma for the diagnosis and treatment of disorders involving excess cholesterol in the blood and lipid and lipoprotein metabolism disorders.

This reagent is intended to be used in a professional setting or by trained personnel and is not intended for home use. .:-

Respectfully.

Wym Stocking
Wynd Stocking

Regulatory Affairs Manager HiChem Diagnostics

6 August, 1998

(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) Number

Prescription Use (Per 21 CFR 801. 109) OR

Over-The-Counter Use _

(Optional Format 1-2-96)