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The X100/X100HT with Full Field Peripheral Blood Smear Application is intended to locate and display images of white cells, red cells, and platelets acquired from fixed and stained peripheral blood smears and assists a qualified technologist in conducting a WBC differential, RBC morphology evaluation, and platelet estimate using those images. For in-vitro diagnostic use only. For professional use only.

The X100 / X100HT with Full Field Peripheral Blood Smear (PBS) Application ("Full Field PBS") is a digital cell morphology solution, presenting high resolution digital images of fixed and stained microscopy Peripheral Blood Smears. The Full Field PBS was previously cleared by the Agency on October 2, 2020, throughout the review of K201301 and on May 3, 2022, throughout the review of K220013. The system automatically locates and presents images of peripheral blood cells and streamlines the PBS analysis process with a review workflow composed of four steps: (1) full field review, (2) white blood cells (WBC) review (DSS for WBC Pre-Classification is available), (3) red blood cells (RBC) review and (4) platelet review (DSS for platelet estimation is available). Under the proposed modification, subject of this 510(k) submission, additional DSS component is added to the RBC and Platelet review steps. Concerning RBC analysis, system-suggested RBC morphological pre-gradings are added as proposed DSS to the user by means of a dotted line around a suggested grading selection box. Notably, the user is still required to review the slide and actively mark the final grading, exactly as performed in the cleared workflow review. The same approach is used with regard to the update to the platelet review step; A system-suggested platelet clump indication is presented to the user by means of a dotted line around a selection box. Notably, the user is still required to manually mark whether platelet clumps were detected, exactly as currently performed in the cleared workflow review. The changes under discussion do not affect the cleared indications for use or intended use; the user's workflow of scanning and analyzing peripheral blood smears using the Full Field PBS Application remains otherwise unchanged as well.

AI100 with Shonit™ is a cell locating device intended for in-vitro diagnostic use in clinical laboratories. A1100 with Shonit™ is intended for differential count of White Blood Cells (WBC), characterization of Red Blood Cells (RBC) morphology and Platelet morphology. It automatically locates blood cells on peripheral blood smears and presents images of the blood cells for review. A skilled operator, trained in the use of the device and in the review of blood cells, identifies each cell according to type.

The AI100 with Shonit™ device consists of a high-resolution microscope with LED illumination, and compute parts such as the motherboard, CPU, RAM, Wi-Fi dongle, SSD containing AI100 with Shonit™ software, motorized XYZ stage, a camera with firmware, PCB and its firmware for driving motor and LED, SMPS, power supply and a casing. It is capable of handling one Peripheral Blood Smear (PBS) slide at a time. Software plays an intrinsic role in the A1100 with Shonit™ device, and the combination of hardware and software works together for the device to achieve its intended use. The main functions of the software can be summarized as follows: - Allow the user to set up the device and perform imaging of a PBS slide. ● - Control the hardware components (Camera, LEDs, Stages, etc) to take images of a . PBS slide. - Store and manage images and other data corresponding to the PBS slide and present them to the user. - Analyze images and allows user to identify components in the images and create a ● report for review. - Allow the user to finalize, download and print a report.

The X100HT with Full Field Peripheral Blood Smear (PBS) Application is intended to locate and display images of white cells, red cells, and platelets acquired from fixed and stained peripheral blood smears and assists a qualified technologist in conducting a WBC differential, RBC morphology evaluation, and platelet estimate using those images. For in vitro diagnostic use only. For professional use only.

X100HT with Full Field Peripheral Blood Smear (PBS) Application automatically locates and presents high resolution digital images from fixed and stained peripheral blood smears. The user browses through the imaged smear to gain high-level general impressions of the sample. In conducting white blood cells (WBC) differential, the user reviews the X100HT with Full Field PBS suggested classification of each automatically detected WBC and may manually change the suggested classification of any cell. In conducting red blood cells (RBC) morphology evaluation, the user can characterize RBC morphology on observed images. In conducting platelets estimation, the user reviews each automatically detected platelet and the suggested platelets estimation and may manually change the detections or the estimation. The X100HT with Full Field PBS enables efficient slide loading by providing three cassettes, each can be loaded with up to ten peripheral blood smear slides. The slide loader automatically adds mounting media and coverslips to the slides and loads them into the X100 for scanning and analysis. The X100HT with Full Field PBS is intended to be used by skilled users, trained in the use of the device and in the identification of blood cells.

CellaVision® DC-1 is an automated cell-locating device intended for in-vitro diagnostic use in clinical laboratories. CellaVision® DC-1 is intended to be used by operators, trained in the use of the device. Intended use of the Peripheral Blood Application The Peripheral Blood Application is intended for differential count of white blood cells (WBC), characterization of red blood cell (RBC) morphology and platelet estimation. The CellaVision® DC-1 with the Peripheral Blood Application automatically locates blood cells on peripheral blood (PB) smears. The application presents images of the blood cells for review. A skilled operator trained in recognition of blood cells, identifies and verifies the suggested classification of each cell according to type.

The CellaVision® DC-1 is an automated cell-locating device intended for in-vitro diagnostic use. CellaVision® DC-1 automatically locates and presents images of blood cells found on peripheral blood smears. The operator identifies and verifies the suggested classification of each cell according to type. CellaVision® DC-1 is intended to be used by skilled operators, trained in the use of the device and in recognition of blood cells The CellaVision® DC-1 consists of a built-in PC with a Solid-State Disc (SSD) containing CellaVision DM Software (CDMS), a high-power magnification microscope with a LED illumination, an XY stage, a proprietary camera with firmware, built-in motor- and illumination LED controller, a casing and an external power supply. It is capable of handling one slide at a time.

The X100 with Field Peripheral Blood Smear Application is intended to locate and display images of white cells, red cells, and platelets acquired from fixed and stained peripheral blood smears and assists a qualified technologist in conducting a WBC differential, RBC morphology evaluation, and platelet estimate using those images. For in vitro diagnostic use only. For professional use only.

X100 with Full Field Peripheral Blood Smear Application (Scopio's Full Field PBS) automatically locates and presents high resolution digital images from fixed and stained peripheral blood smears. The user browses through the imaged smear to gain high-level general impressions of the sample. In conducting white blood cells (WBC) differential, the user reviews the suggested classification of each automatically detected WBC, and may manually change the suggested classification of any cell. In conducting red blood cells (RBC) morphology evaluation, the user can characterize RBC morphology on observed images. In conducting platelets estimation, the user reviews each automatically detected platelet and the suggested platelet estimation, and may manually change the detections or the estimation. The X100 with Full Field Peripheral Blood Smear Application is intended to be used by skilled users, trained in the use of the device and in the identification of blood cells.

The Sysmex® UD-10 Fully Automated Urine Particle Digital Imaging Device for locating, digitally storing and displaying microscopic images captured from urine specimens. The Sysmex® UD-10 locates and presents particles and cellular elements based on size ranges. The images are displayed for review and classification by a qualified clinical laboratory technologist on the Urinalysis Data Manager (UDM). This device is intended for in vitro diagnostic use in conjunction with a urine particle counter for screening patient populations found in clinical laboratories.

The Sysmex® UD-10 is a medical device that captures images of cells and particles found in urine with a camera and displays the images on a display screen. The displayed data consists of images of individual particles that are extracted from the original captured whole field images. The device sorts urine particle images based on their size into eight groups (Class 1-8). These images are transferred to the UDM (Urinalysis Data Manager), where the operator enters the classification of the particle images based on their visual examination. The classification of the particles by the operator is a designation of what type of particles are observed (e.g., WBCs, RBCs, casts, bacteria).

The CellaVision DM1200 with the Advanced RBC Application is an automated cell-locating device, intended for in-vitro diagnostic use. The CellaVision DM1200 with the Advanced RBC Application automatically locates and presents images of blood cells on peripheral blood smears. The operator identifies and verifies the suggested classification of each cell according to type. The CellaVision DM1200 with the Advanced RBC Application is intended for blood samples that have been flagged as abnormal by an automated cell counter. The CellaVision DM1200 with the Advanced RBC Application is intended to be used by skilled operators, trained in the use of the device and in recognition of blood cells. The CellaVision DM96 with the Advanced RBC Application is an automated cell-locating device, intended for in-vitro diagnostic use. The CellaVision DM96 with the Advanced RBC Application automatically locates and presents images of blood cells on peripheral blood smears. The operator identifies and verifies the suggested classification of each cell according to type. The CellaVision DM96 with the Advanced RBC Application is intended for blood samples that have been flagged as abnormal by an automated cell counter. The CellaVision DM96 with the Advanced RBC Application is intended to be used by skilled operators, trained in the use of the device and in recognition of blood cells.

The Advanced RBC Application is substantially equivalent to the RBC functionality included in the predicate DM Systems. It pre-characterizes the morphology of the red blood cells in a sample based on abnormal color, size, and shape (Poikilocytosis). In addition to that, the Advanced RBC Application also pre-characterizes based on different types of Poikilocytosis and on the presence of certain inclusions. The DM Systems display the result of the RBC pre-characterization as the percentage of abnormal cells for each morphological characteristic and as an automatically calculated grade (0 - normal through 3 - marked), corresponding to that percentage. It also displays an overview image of the RBC monolayer. The difference between the current RBC functionality and Advanced RBC Application is the analysis technique, which enables the Advanced RBC Application to pre-characterize RBC into 21 morphological characteristics as opposed to the current RBC functionality with 6 morphological characteristics. The cell images are pre-characterized into different groups of morphological characteristics based on size, color, shape and inclusion using segmentation, feature calculation and the deterministic artificial neural networks (ANNs) trained to distinquish between morphology characteristics of red blood cells. Another difference is that the red blood cells, pre-characterized by the Advanced RBC Application, can be displayed both in an overview and in individual images on the screen, while the current RBC functionality displays the pre-characterized red blood cells in an overview image only. As in the current RBC functionality, the user reviews the overview image and can change the characterization by manually changing the grades for any morphological characteristic. With the Advanced RBC Application, the user can also view individual cells, grouped by morphological characteristic and change the characterization by reclassifying individual cells.

DM1200 is an automated system intended for in-vitro diagnostic use. The body fluid application is intended for differential count of white blood cells. The system automatically locates and presents images of cells on cytocentrifuged body fluid preparations. The operator identifies and verifies the suggested classification of each cell according to type. DM1200 is intended to be used by skilled operators, trained in the use of the device and in recognition of blood cells.

CellaVision DM1200 with the body fluid application automatically locates and presents images of nucleated cells on cytocentrifuged body fluid preparations. The system suggests a classification for each cell and the operator verifies the classification and has the opportunity to change the suggested classification of any cell. The system preclassifies to the following WBC classes: Unidentified, Neutrophils, Eosinophils, Lymphocytes, Macrophages (including Monocytes) and Other. Cells preclassified as Basophils, Lymphoma cells, Atypical lymphocytes, Blasts and Tumor cells are automatically forwarded to the cell class Other. Unidentified is a class for cells and objects which the system has pre-classified with a low confidence level.

The EasyCell is intended to locate and display images of white cells, red cells, and platelets acquired from fixed and stained peripheral blood smears and assists a qualified technologist in conducting a WBC differential, RBC morphology evaluation, and platelet estimate using those images. For in vitro diagnostic use only. For professional use only.

The EasyCell automatically locates and presents images of blood cells on peripheral smears. The operator reviews the suggested classification of each white cell according to type and may manually change the suggested classification of any cell. The operator can characterize red cell morphology and estimate platelets based on observed images. The EasyCell is intended to be used by skilled operators, trained in the use of the device and in the identification of blood cells.

DM1200 is an automated cell-locating device. DM1200 automatically locates and presents images of blood cells on peripheral blood smears. The operator identifies and verifies the suggested classification of each cell according to type. DM1200 is intended to be used by skilled operators, trained in the use of the device and in recognition of blood cells.

DM1200 is an automated cell-locating device for differential count of white blood cells, characterization of red blood cell morphology and platelet estimation. DM1200 consists of a slide scanning unit (a robot gripper, a microscope and a camera) and a computer system containing the acquisition and classification software "CellaVision® DM software".