← Product Code [MRR](/submissions/CH/subpart-b%E2%80%94clinical-chemistry-test-systems/MRR) · K014103

# SYNCHRON SYSTEMS DIRECT LDL CHLOESTEROL REAGENT AND CALIBRATOR (K014103)

_Beckman Coulter, Inc. · MRR · Jan 28, 2002 · Clinical Chemistry · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/CH/subpart-b%E2%80%94clinical-chemistry-test-systems/MRR/K014103

## Device Facts

- **Applicant:** Beckman Coulter, Inc.
- **Product Code:** [MRR](/submissions/CH/subpart-b%E2%80%94clinical-chemistry-test-systems/MRR.md)
- **Decision Date:** Jan 28, 2002
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 862.1475
- **Device Class:** Class 1
- **Review Panel:** Clinical Chemistry

## Indications for Use

LDL Cholesterol (LDLD) Reagent, when used in conjunction with the SYNCHRON® Systems LDLD Calibrator, is intended for the quantitative determination of low-density lipoprotein cholesterol (LDL cholesterol) in human serum or plasma on SYNCHRON Clinical Systems.

## Device Story

SYNCHRON Systems Direct LDL Cholesterol (LDLD) Reagent is an in vitro diagnostic assay for quantitative determination of LDL cholesterol in human serum or plasma. Used on Beckman Coulter SYNCHRON CX and LX clinical chemistry systems; operated by laboratory personnel. Assay utilizes colorimetric methodology to measure LDL cholesterol concentration. Output is a quantitative value (mg/dL) provided to clinicians to assess coronary heart disease risk and monitor efficacy of cholesterol-lowering therapy. Device includes reagent cartridges and a single-level calibrator.

## Clinical Evidence

Bench testing only. Method comparison study performed using serum patient specimens (range 52-192 mg/dL) comparing SYNCHRON LX Systems to the predicate N-Geneous LDL Cholesterol Reagent on a Hitachi 911 analyzer. Imprecision studies conducted with 80 replicates per level; within-run imprecision (S.D.) ranged from 1.1 to 5.0 mg/dL and total imprecision (S.D.) ranged from 1.4 to 6.7 mg/dL across three concentration levels (49.9, 211.9, and 410.4 mg/dL).

## Technological Characteristics

In vitro diagnostic reagent kit for colorimetric analysis. Designed for use on automated SYNCHRON CX and LX clinical chemistry analyzers. Storage at +2°C to +8°C. Quantitative measurement range: 10 to 550 mg/dL. Limit of detection: 8 mg/dL.

## Regulatory Identification

A lipoprotein test system is a device intended to measure lipoprotein in serum and plasma. Lipoprotein measurements are used in the diagnosis and treatment of lipid disorders (such as diabetes mellitus), atherosclerosis, and various liver and renal diseases.

## Predicate Devices

- N-Geneous LDL Cholesterol Reagent ([K971573](/device/K971573.md))

## Submission Summary (Full Text)

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>
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Image /page/0/Picture/1 description: The image shows the logo for Beckman Coulter. The logo consists of a black oval shape with two white curved lines inside, resembling a stylized eye or a wave pattern. To the right of the oval is the company name, "BECKMAN COULTER," with "BECKMAN" on the top line and "COULTER" on the bottom line, both in bold, sans-serif font.

510(k) Summary SYNCHRON® Systems Direct LDL Cholesterol Reagent

#### Submitted By: 1.0

# JAN 2 8 2002

Mary Beth Tang Regulatory Affairs Specialist Beckman Coulter, Inc. 200 S. Kraemer Blvd., W-104 Brea, California 92822-8000 Telephone: (714) 961-3777 Fax: (714) 961-4123

#### Date Submitted: 2.0

December 12, 2001

#### 3.0 Device Name(s):

#### 3.1 Proprietary Names

SYNCHRON® Systems Direct LDL Cholesterol Reagent

#### 3.2 Classification Name

Lipoprotein test system (21 CFR § 862.1475) Primary calibrator (21 CFR § 862.1150)

#### 4.0 Predicate Device(s):

| Beckman Coulter                                               | Predicate                            | Manufacturer            | Docket<br>Number |
|---------------------------------------------------------------|--------------------------------------|-------------------------|------------------|
| SYNCHRON® Systems<br>Direct LDL Cholesterol<br>(LDLD) Reagent | N-Geneous LDL<br>Cholesterol Reagent | Genzyme<br>Corporation* | K971573          |

*Genzyme, Corp., Cambridge, MA

#### 5.0 Description:

The SYNCHRON System Direct LDL Cholesterol (LDLD) Reagent is designed for optimal performance on the SYNCHRON CX (CX4/4CE/4J/4PRO, CX5/5CE/5Δ/5PRO, CX7/7RTS/7/7/7PRO, CX9ALX/9PRO) and LX (LX20/PRO) Systems. The assay is intended for use in the quantitative determination of low-density lipoprotein cholesterol The reagent kit contains two 100-test concentration in human serum or plasma. cartridges and is packaged with the single-level calibrator.

### 6.0 Intended Use:

LDL Cholesterol (LDLD) Reagent, when used in conjunction with the SYNCHRON® Systems LDLD Calibrator, is intended for the quantitative determination of low-density lipoprotein cholesterol (LDL cholesterol) in human serum or plasma on SYNCHRON Clinical Systems.

Mailing Address: 200 S. Kraemer Boulevard P.O. Box 8000 Brea, CA 92822-8000

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#### 7.0 Comparison to Predicate(s):

| Assay                                               | Aspect/Characteristic             | Comments                                                |
|-----------------------------------------------------|-----------------------------------|---------------------------------------------------------|
| SIMILARITIES                                        |                                   |                                                         |
| SYNCHRON® Systems<br>LDLD Reagent and<br>Calibrator | Intended use                      | Same as predicate                                       |
|                                                     | Methodology                       |                                                         |
|                                                     | Chemical Reaction                 |                                                         |
|                                                     | Sample Type                       |                                                         |
|                                                     | Sample Size                       |                                                         |
|                                                     | Storage conditions (+2°C to +8°C) |                                                         |
| DIFFERENCES                                         |                                   |                                                         |
|                                                     | Reportable Range                  | SYNCHRON: 10 to 550 mg/dL<br>Genzyme*: 6.6 to 992 mg/dL |
|                                                     | Limit of Detection                | SYNCHRON: 8 mg/dL<br>Genzyme: 0.278 mg/dL               |

*Hitachi 911 analyzer application

#### 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 and imprecision experiments that relate results obtained from the SYNCHRON LDLD Reagent to the Genzyme N-Geneous LDL Cholesterol Reagent on the Hitachi 911 clinical analyzer.

## Method Comparison Study Results*

|              | ---------- |                                                                                                                                                                                |  | <br>Carle Camera Charles of Cara Ch |
|--------------|------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|-------------------------------------|
| SYNCHRO<br>2 |            | 1200                                                                                                                                                                           |  | vme N-Geneous                       |
| 15555        |            | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |  |                                     |

*Serum patient specimens were analyzed in the range of 52 to 192 mg/dL LDL cholesterol. Data shown was collected using SYNCHRON LX Systems. Equivalency between SYNCHRON CX has been established by correlation analysis to SYNCHRON LX Systems. **Hitachi 911 Analyzer application

S.D. (mg/dL) = = = = = = %C.V. = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = Mean (mg/dL) Sample Within-Run Imprecision 2.2 80 Level 1 49.9 1.1 Level 2 211.9 2.9 1.4 80 1.2 Level 3 410.4 5.0 80 Total Imprecision Level 1 49.9 1.4 2.9 80 Level 2 211.9 3.8 1.8 80 Level 3 410.4 6.7 1.6 80

### Estimated SYNCHRON LX LDLD Assay Imprecision

The Summary of Safety and Effectiveness information for the SYNCHRON Systems LDLD Reagent is 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.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image is a circular seal for the Department of Health & Human Services - USA. The seal features the department's name in a circular arrangement around the perimeter. In the center of the seal is a stylized image of three human profiles connected to a single body, which is a common symbol used by the department.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

JAN 2 8 2002

Ms. Mary Beth Tang Regulatory Affairs Specialist Beckman Coulter, Inc. 200 S. Kraemer Blvd. M/S W-104 Box 8000 Brea, CA 92822-8000

Re: k014103

Trade/Device Name: SYNCHRON® Systems Direct LDL Cholesterol Reagent Regulation Number: 21 CFR 862.1475; 21 CFR 862.1150 Regulation Name: Lipoprotein test system; Calibrator Regulatory Class: Class I; Class II Product Code: LBR; JIS Dated: December 12, 2001 Received: December 13, 2001

Dear Ms. Tang:

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 (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. 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 (PMA), 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 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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Page 2 -

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 nredicate 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 1 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" (21CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Masufacturers International and Consumer 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 Putman

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): K014103

SYNCHRON® Systems Direct LDL Cholesterol Reagent Device Name:

Indications for Use:

The SYNCHRON® Systems Direct LDL Cholesterol (LDLD) Reagent, when The STNCHRON® OyStellis Direct No Driver Systems LDLD Calibrator, is intended used in Conjunetion with OTNor of low density lipoprotein cholesterol in for the qualitiative downlineason Coulter's SYNCHRON Systems by colorimetry.

LDL cholesterol is directly related to the risk of developing coronary heart Eise cholesterer is allow cholesterol ratio is directly related to the risk of disease. >> 100. 115 artery disease. Elevated LDL cholesterol is the primary target of cholesterol-lowering therapy.1

- "Executive Summary of the Third Report of the National Cholesterol Education 1. Excedite "Guinmary" of the "halle" halled on and Treatment of High Blood : Togram (11) Adult Treatment Panel III)", JAMA, 285:2486 (2001).
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

| Concurrence of CDRH, Office of Device Evaluation (ODE)           |         |                                                |
|------------------------------------------------------------------|---------|------------------------------------------------|
| <div align="right">Susan S. Altaie</div>                         |         |                                                |
| <div align="right">(Division Sign-Off)</div>                     |         |                                                |
| <div align="right">Division of Clinical Laboratory Devices</div> |         |                                                |
| 510(k) Number                                                    | K014103 |                                                |
| Prescription Use <div align="left">(per 21 CFR 801.109)</div>    | OR      | Over-the-Counter Use<br>Optional Format 1-2-96 |

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**Source:** [https://fda.innolitics.com/submissions/CH/subpart-b%E2%80%94clinical-chemistry-test-systems/MRR/K014103](https://fda.innolitics.com/submissions/CH/subpart-b%E2%80%94clinical-chemistry-test-systems/MRR/K014103)

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