← Product Code [KLI](/submissions/CH/subpart-b%E2%80%94clinical-chemistry-test-systems/KLI) · K971203

# SYNCHRON SYSTEMS THYROXINE REAGENT (K971203)

_Beckman Instruments, Inc. · KLI · May 16, 1997 · Clinical Chemistry · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/CH/subpart-b%E2%80%94clinical-chemistry-test-systems/KLI/K971203

## Device Facts

- **Applicant:** Beckman Instruments, Inc.
- **Product Code:** [KLI](/submissions/CH/subpart-b%E2%80%94clinical-chemistry-test-systems/KLI.md)
- **Decision Date:** May 16, 1997
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 862.1700
- **Device Class:** Class 2
- **Review Panel:** Clinical Chemistry

## Indications for Use

The SYNCHRON Systems Thyroxine (T4) Reagent is intended for the quantitative determination of total thyroxine concentrations in serum on SYNCHRON Clinical Systems.

## Device Story

The SYNCHRON Systems Thyroxine (T4) Reagent is an in vitro diagnostic reagent kit used on Beckman SYNCHRON Clinical Systems. It quantitatively measures total thyroxine (T4) concentrations in serum samples. The device utilizes a chemical reaction principle identical to the predicate CEDIA T4 MAb Reagent. The system processes serum samples to provide T4 concentration values, which clinicians use to assess thyroid function. The device is intended for use in clinical laboratory settings by trained laboratory personnel. It supports the use of Sodium Heparin and Lithium Heparin as anticoagulants.

## Clinical Evidence

Bench testing only. Method comparison study (n=97) against the predicate CEDIA MAb Thyroxine Reagent yielded a slope of 1.018, intercept of 0.12 μg/dL, and correlation coefficient (r) of 0.992. Imprecision studies (n=80 per level) showed within-run %C.V. ranging from 1.7% to 4.3% and total imprecision %C.V. ranging from 2.4% to 8.8% across three concentration levels (4.2–17.1 μg/dL). On-board stability is validated for 30 days.

## Technological Characteristics

In vitro diagnostic reagent kit for quantitative T4 determination. Utilizes chemical reaction principle identical to predicate. Compatible with SYNCHRON Clinical Systems. Reagent on-board stability: 30 days. Specimen types: serum, Sodium Heparin, Lithium Heparin.

## Regulatory Identification

A total thyroxine test system is a device intended to measure total (free and protein bound) thyroxine (thyroid hormone) in serum and plasma. Measurements obtained by this device are used in the diagnosis and treatment of thyroid diseases.

## Special Controls

*Classification.* Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9.

## Predicate Devices

- CEDIA T4 MAb Reagent ([K935880](/device/K935880.md))
- CEDIA T4 MAb Reagent- SYNCHRON Application ([K942575](/device/K942575.md))

## Submission Summary (Full Text)

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Beckman Instruments, Inc., Section 510(k) Notification
SYNCHRON Systems Thyroxine (T4) Reagent
Summary of Safety &amp; Effectiveness

K971203 MAY 16 1997

Summary of Safety &amp; Effectiveness
SYNCHRON Systems Thyroxine (T4) Reagent

## 1.0 Submitted By:

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:

7 May 1997

## 3.0 Device Name(s):

### 3.1 Proprietary Names

SYNCHRON® Systems Thyroxine (T4) Reagent

### 3.2 Classification Name

Total thyroxine test system (21 CFR § 862.1700)

## 4.0 Predicate Device(s):

|  SYNCHRON Reagent | Predicate | Predicate Company | Docket Number  |
| --- | --- | --- | --- |
|  SYNCHRON Systems Thyroxine (T4) Reagent | CEDIA T4 MAb Reagent | Boehringer Mannheim Corp., | K935880  |
|  SYNCHRON Systems Thyroxine (T4) Reagent | CEDIA T4 MAb Reagent- SYNCHRON Application | Boehringer Mannheim Corp., | K942575  |

t4_510k.sse

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Beckman Instruments, Inc., Section 510(k) Notification
SYNCHRON Systems Thyroxine (T4) Reagent
Summary of Safety &amp; Effectiveness

# 5.0 Description:

The SYNCHRON Systems Thyroxine (T4) Reagent kit, which includes the T4 Reagent and the T4 Calibrators, in intended for use on Beckman's SYNCHRON Clinical Systems.

# 6.0 Intended Use:

The SYNCHRON Systems Thyroxine (T4) Reagent is intended for the quantitative determination of total thyroxine concentrations in serum on SYNCHRON Clinical Systems.

# 7.0 Comparison to Predicate(s):

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

## SIMILARITIES to the PREDICATE

|  Reagent | Aspect/Characteristic | Comments  |
| --- | --- | --- |
|  SYNCHRON Systems Thyroxine (T4) Reagent | Intended use | Same as the predicate  |
|   |  Chemical Reaction | Same principle as the predicate  |
|   |  Formulation | Same source, processing as predicate  |
|   |  Calibration | Same as the predicate  |
|   |  Reagent Kit Configuration | Same as the predicate  |

## DIFFERENCES from the PREDICATE

|  Reagent | Aspect/Characteristic | Comments  |
| --- | --- | --- |
|  SYNCHRON Systems Thyroxine (T4) Reagent | Specimen Type | SYNCHRON T4 Reagent claims Sodium Heparin and Lithium Heparin as acceptable anticoagulants while the Boehringer Mannheim CEDIA T4 MAb Reagent claims Sodium Heparin, Lithium Heparin, and Sodium EDTA as acceptable anticoagulants.  |

file: t4_510k.sse

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Beckman Instruments, Inc., Section 510(k) Notification
SYNCHRON Systems Thyroxine (T4) Reagent
Summary of Safety &amp; Effectiveness

## 8.0 Summary of Performance Data:

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 comparison, imprecision studies, and stability studies that relate results obtained from the SYNCHRON Systems Thyroxine (T4) Reagent and the Boehringer Mannheim CEDIA MAb Thyroxine Reagent with a SYNCHRON Application.

### Method Comparison Study Results
#### SYNCHRON Systems T4 Reagent

|  Analyte (Reagent) | Slope | Intercept (μg/dL) | r | n | Predicate Method  |
| --- | --- | --- | --- | --- | --- |
|  Thyroxine (T4) | 1.018 | 0.12 | 0.992 | 97 | Boehringer Mannheim CEDIA MAb Thyroxine Reagent  |

### Estimated Imprecision
#### SYNCHRON Systems T4 Reagent

|  Sample | Mean (μg/dL) | S.D. (μg/dL) | %C.V. | N  |
| --- | --- | --- | --- | --- |
|  Within-Run Imprecision  |   |   |   |   |
|  Level 1 | 4.2 | 0.2 | 4.3 | 80  |
|  Level 2 | 8.6 | 0.2 | 2.4 | 80  |
|  Level 3 | 17.1 | 0.3 | 1.7 | 80  |
|  Total Imprecision  |   |   |   |   |
|  Level 1 | 4.2 | 0.4 | 8.8 | 80  |
|  Level 2 | 8.6 | 0.4 | 4.3 | 80  |
|  Level 3 | 17.1 | 0.4 | 2.4 | 80  |

### On-Board Stability Study Results

|  Reagent | Product Claim  |
| --- | --- |
|  SYNCHRON Thyroxine (T4) | 30 days  |

This summary of safety and effectiveness is being submitted in accordance with the requirements of the Safe Medical Device Act of 1990 and the implementing regulation 21 CFR 807.92.

file: t4_510k.sse

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**Source:** [https://fda.innolitics.com/submissions/CH/subpart-b%E2%80%94clinical-chemistry-test-systems/KLI/K971203](https://fda.innolitics.com/submissions/CH/subpart-b%E2%80%94clinical-chemistry-test-systems/KLI/K971203)

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