K Number
K992763
Device Name
SYSMEX AUTOMATED COAGULATION ANALYZER, MODEL CA-500
Manufacturer
Date Cleared
1999-09-21

(35 days)

Product Code
Regulation Number
864.5400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The intended use of the Sysmex® CA-500 is as a fully automated, computerized blood plasma coagulation analyzer for in vitro diagnostic use in clinical laboratories. The instrument uses citrated human plasma to perform the following parameters and calculated parameters: Clotting Analysis Parameters - Prothrombin Time (PT) ● - Activated Partial Thromboplastin Time (APTT) . - Fibrinogen (Clauss) . - Batroxobin . - Protein C . Heparin . - · Thrombin Time - Extrinsic Factors (II, V, VII, X) . - Intrinsic Factors (VIII, IX, XI, XII) . Chromogenic Analysis Parameters - Antithrombin III . - . Protein C Calculated Parameters - PT Ratio ● - . PT INR - . Derived Fibrinogen - Factor Assays % Activity .
Device Description
The Sysmex® CA-500 is intended for use as an automated blood plasma coagulation analyzer.
More Information

Not Found

No
The summary describes a standard automated coagulation analyzer performing established laboratory tests and does not mention any AI or ML components.

No
The device is an in vitro diagnostic (IVD) blood plasma coagulation analyzer, meaning it analyzes blood samples to provide diagnostic information. It does not provide any treatment or therapy to a patient.

Yes

The document states the Sysmex® CA-500 is for "in vitro diagnostic use in clinical laboratories" and performs various analyses on blood plasma to aid in diagnosis.

No

The device description clearly states it is an "automated blood plasma coagulation analyzer," which implies hardware components for sample handling, analysis, and measurement, not just software.

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

Here's why:

  • Intended Use Statement: The "Intended Use / Indications for Use" section explicitly states: "The intended use of the Sysmex® CA-500 is as a fully automated, computerized blood plasma coagulation analyzer for in vitro diagnostic use in clinical laboratories." This is the most direct and definitive indicator.
  • Device Description: The "Device Description" also reinforces this by stating it's an "automated blood plasma coagulation analyzer," which are typically used for in vitro diagnostic testing.
  • Parameters Measured: The parameters listed (PT, APTT, Fibrinogen, etc.) are standard coagulation tests performed on blood plasma in vitro to diagnose or monitor various conditions.
  • Sample Type: The device uses "citrated human plasma," which is a biological sample tested in vitro.
  • Intended User/Care Setting: The intended user is "clinical laboratories," which are the typical settings for performing in vitro diagnostic tests.

All of these points strongly support the classification of the Sysmex® CA-500 as an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Sysmex® CA-500 is intended for use as an automated blood plasma coagulation analyzer.

The intended use of the Sysmex® CA-500 is as a fully automated, computerized blood plasma coagulation analyzer for in vitro diagnostic use in clinical laboratories.

The instrument uses citrated human plasma to perform the following parameters and calculated parameters:

Clotting Analysis Parameters

  • Prothrombin Time (PT) ●
  • Activated Partial Thromboplastin Time (APTT) .
  • Fibrinogen (Clauss) .
  • Batroxobin .
  • Protein C .
    Heparin
  • · Thrombin Time
  • Extrinsic Factors (II, V, VII, X) .
  • Intrinsic Factors (VIII, IX, XI, XII) .

Chromogenic Analysis Parameters

  • Antithrombin III .
  • . Protein C

Calculated Parameters

  • PT Ratio ●
  • . PT INR
  • . Derived Fibrinogen
  • Factor Assays % Activity .

Product codes

GKP, JPA

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

in clinical laboratories.

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)

in-house correlation studies, the performance claims of the proposed device are similar to the predicate device. During those studies, specimens were evaluated from apparently healthy individuals and from patients with different pathological conditions which are expected to affect the results for a particular assay. The following summary shows the results of the comparison studies between the proposed and the predicate devices.

Summary of Method Comparison Studies between CA-500 and BCT

TestSample Number (n)Coefficient of Correlation (r)Regression Equation
Coagulation Factor VII800.976Y = 0.97X – 1.55
Coagulation Factor VIII940.960Y = 1.00X + 3.71

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

Coefficient of Correlation (r) for Coagulation Factor VII: 0.976
Coefficient of Correlation (r) for Coagulation Factor VIII: 0.960

Predicate Device(s)

K955278

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 864.5400 Coagulation instrument.

(a)
Identification. A coagulation instrument is an automated or semiautomated device used to determine the onset of clot formation for in vitro coagulation studies.(b)
Classification. Class II (special controls). A fibrometer or coagulation timer intended for use with a coagulation instrument is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 864.9.

0

SEP 2 1 1999

510(k) Summary of Safety and Effectiveness Information Sysmex ® Automated Coagulation Analyzer CA-500 August 16, 1999

Dade Behring Inc. 1851 Delaware Parkway Miami, FL 33125 Contact Person: Radames Riesgo at 305.636.7727 or by facsimile at 305.637.6887.

Trade or Proprietary Name: Sysmex® Automated Coagulation Analyzer CA-500

Common or Usual Name:Automated Coagulation Instruments
Classification Name:Coagulation instrument (21 CFR §864.5400)
Registration Number:Manufacturing Site
Sysmex Corporation
Kobe, Japan9613959
Importer
Sysmex Corporation of America
One Wildlife Way
Long Grove, IL 60047-95961422681
Distributor
Dade Behring Inc.
Glasgow Site
P.O. Box 6101
Newark, DE 19714-61012517506

The Sysmex® CA-500 is substantially equivalent in intended use to the Behring Coagulation Timer (BCT), which was previously cleared under Document Control No. K955278. The Sysmex® CA-500 is intended for use as an automated blood plasma coagulation analyzer.

1

510(k) Summary of Safety and Effectiveness Information Sysmex® Automated Coagulation Analyzer CA-500 Attachment 4, Page 2

As demonstrated by in-house correlation studies, the performance claims of the proposed device are similar to the predicate device. During those studies, specimens were evaluated from apparently healthy individuals and from patients with different pathological conditions which are expected to affect the results for a particular assay. The following summary shows the results of the comparison studies between the proposed and the predicate devices.

Summary of Method Comparison Studies between CA-500 and BCT

| Test | Sample
Number
(n) | Coefficient of
Correlation
(r) | Regression
Equation |
|-------------------------|-------------------------|--------------------------------------|------------------------|
| Coagulation Factor VII | 80 | 0.976 | Y = 0.97X – 1.55 |
| Coagulation Factor VIII | 94 | 0.960 | Y = 1.00X + 3.71 |

2

Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services (HHS). The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, with flowing lines representing hair or movement.

SEP 2 1 1999

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Mr. Radames Riesgo Manager, Regulatory Affairs Biology Dade Behring, Inc. 1851 Delaware Parkway Miami, Florida 33125

Re: K992763

Trade Name: Sysmex® Automated Coagulation Analyzer CA-500 Regulatory Class: II Product Code: GKP, JPA Dated: August 16, 1999 Received: August 17, 1999

Dear Mr. Riesgo:

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 legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

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 Regulations, 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 regulation (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 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 regulations.

3

Page 2

Under the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88), this device may require a CLIA complexity categorization. To determine 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 described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, 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 Compliance at (301) 594-4588. Additionally, 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 premarket notification"(21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597, or at its internet address "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Steven Sutman

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

K 992763 510(k) Number (if known): _

Device Name: Sysmex® Automated Coagulation Analyzer CA-500

Indications for Use:

The intended use of the Sysmex® CA-500 is as a fully automated, computerized blood plasma coagulation analyzer for in vitro diagnostic use in clinical laboratories.

The instrument uses citrated human plasma to perform the following parameters and calculated parameters:

Clotting Analysis Parameters

  • Prothrombin Time (PT) ●

  • Activated Partial Thromboplastin Time (APTT) .

  • Fibrinogen (Clauss) .

  • Batroxobin .

  • Protein C .
    Heparin

.

  • · Thrombin Time
  • Extrinsic Factors (II, V, VII, X) .
  • Intrinsic Factors (VIII, IX, XI, XII) .

Chromogenic Analysis Parameters

  • Antithrombin III .
  • . Protein C

Calculated Parameters

  • PT Ratio ●
  • . PT INR
  • . Derived Fibrinogen
  • Factor Assays % Activity .

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Peter E. Mafini

(Division Sign-Off)
Division of Clinical Laboratory Devices
510(k) Number K993763

Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter-Use (Optional Format 1-2-96)