BD Vacutainer K2EDTA Blood Collection Tubes, BD Vacutainer K3EDTA Blood Collection Tubes

K213670 · Becton, Dickinson and Company · GIM · Aug 25, 2023 · Clinical Chemistry

Device Facts

Record IDK213670
Device NameBD Vacutainer K2EDTA Blood Collection Tubes, BD Vacutainer K3EDTA Blood Collection Tubes
ApplicantBecton, Dickinson and Company
Product CodeGIM · Clinical Chemistry
Decision DateAug 25, 2023
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 862.1675
Device ClassClass 2
AttributesPediatric

Intended Use

BD Vacutainer® EDTA Blood Collection Tubes are evacuated, sterile, single use, in vitro diagnostic medical devices. They are intended to be used by trained healthcare professionals for the collection, containment, preservation, and transport of human venous blood specimens used for in vitro diagnostic testing. BD Vacutainer® K2EDTA and K3EDTA Blood Collection Tubes are used for testing in hematology including white blood cells (WBC), red blood cells (RBC), red blood cell distribution width (RDW), hemoglobin (HgB), hematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), platelets, and 5-part white blood cell (WBC) differential counts (neutrophils, lymphocytes, monocytes, eosinophils, basophils).

Device Story

Evacuated, sterile, single-use blood collection tubes; plastic (PET) or glass construction; contain EDTA anticoagulant (spray-coated K2EDTA or liquid K3EDTA) to bind calcium and prevent coagulation. Used by trained healthcare professionals in clinical settings for venous blood collection. Tubes feature Hemogard or conventional closures. Following collection, tubes are transported to laboratories for hematology analysis. Output is a preserved blood specimen suitable for diagnostic testing on automated hematology analyzers. Benefits include standardized specimen collection, reduced user exposure to blood via Hemogard shield, and reliable preservation of hematological parameters.

Clinical Evidence

Clinical equivalence demonstrated via method comparison, precision, stability, and shelf-life studies. Method comparison evaluated hematology parameters (WBC, RBC, Hgb, HCT, platelets, differential counts) against comparator tubes; mean bias for Hgb, PLT, and WBC at low medically relevant points exceeded confidence intervals but remained within clinical acceptance limits. Precision (repeatability/reproducibility) showed non-inferiority. Stability confirmed at 12/24 hours (room temperature/refrigerated). Shelf-life validated at 11 months (K2EDTA) and 10 months (K3EDTA) using real-time clinical samples.

Technological Characteristics

Materials: PET plastic or glass; rubber stopper; injection-molded plastic Hemogard shield. Principle: Evacuated system; K2EDTA (spray-coated) or K3EDTA (liquid) anticoagulant. Dimensions: 13x75, 13x100, 16x100 mm. Sterilization: Gamma irradiation (SAL 10^-3). Standards: CLSI GP34-A, GP39-A6, EP05-A3; ASTM D4169-16; ISO 11137, 11737, 14971.

Indications for Use

Indicated for use by trained healthcare professionals for the collection, containment, preservation, and transport of human venous blood specimens for in vitro diagnostic hematology testing in all patient populations.

Regulatory Classification

Identification

A blood specimen collection device is a device intended for medical purposes to collect and to handle blood specimens and to separate serum from nonserum (cellular) components prior to further testing. This generic type device may include blood collection tubes, vials, systems, serum separators, blood collection trays, or vacuum sample tubes.

Predicate Devices

Reference Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, with the letters "FDA" in a blue square. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue. August 25, 2023 Becton Dickinson and Company Katherine Lemus Senior Regulatory Affairs Specialist 1 Becton Drive Franklin Lakes, New Jersey 07417 Re: K213670 Trade/Device Name: BD Vacutainer K2EDTA Blood Collection Tubes, BD Vacutainer K3EDTA Blood Collection Tubes Regulation Number: 21 CFR 862.1675 Regulation Name: Blood specimen collection device Regulatory Class: Class II Product Code: GIM Dated: November 19, 2021 Received: November 22, 2021 Dear Katherine Lemus: 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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading. If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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 {1}------------------------------------------------ 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 and Part 809); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems. For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100). Sincerely, # Min Wu-S Min Wu, Ph.D. Branch Chief Division of Immunology and Hematology Devices OHT7: Office of In Vitro Diagnostics Office of Product Evaluation and Quality Center for Devices and Radiological Health Enclosure {2}------------------------------------------------ # Indications for Use 510(k) Number (if known) K213670 Device Name BD Vacutainer® K2EDTA Blood Collection Tubes and BD Vacutainer® K3EDTA Blood Collection Tubes Indications for Use (Describe) BD Vacutainer® EDTA Blood Collection Tubes are evacuated, sterile, single use, in vitro diagnostic medical devices. They are intended to be used by trained healthcare professionals for the collection, contamment, preservation, and transport of human venous blood specimens used for in vitro diagnostic testing. BD Vacutainer® K2EDTA and K3EDTA Blood Collection Tubes are used for testing in hematology including white blood cells (WBC), red blood cells (RBC), red blood cell distribution width (RDW), hemoglobin (HgB), hematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular (MCH), mean corpuscular hemoglobin concentration (MCHC), platelets, and 5-part white blood cell (WBC) differential counts (neutrophils, lymphocytes, monocytes, eosinophils, basophils). | Type of Use (Select one or both, as applicable) | |----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | <div> <span> <span style="text-decoration: overline;">X</span> Prescription Use (Part 21 CFR 801 Subpart D) </span> <span> Over-The-Counter Use (21 CFR 801 Subpart C) </span> </div> | ## CONTINUE ON A SEPARATE PAGE IF NEEDED. This section applies only to requirements of the Paperwork Reduction Act of 1995. ### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.* The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: > Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." {3}------------------------------------------------ #### 510(K) SUMMARY 1 #### 1.1 Device Name BD Vacutainer® K2EDTA Blood Collection Tubes and BD Vacutainer® K3EDTA Blood Collection Tubes #### Summary Preparation Date: 1.2 Date: 5/21/2023 1.3 Submitted by: Becton, Dickinson and Company 1 Becton Drive Franklin Lakes, NJ 07417-1885 Phone: (201) 847-6800 #### 1.4 Contact: Katherine Kenner Lemus, MS, RAC-US Senior Regulatory Affairs Specialist email: Katherine.Lemus@bd.com Phone: (801) 541-9274 Work: (201) 847 6800 #### 1.5 Alternate Contact: Matthew Trachtenberg Director Regulatory Affairs email: Matthew.trachtenberg@bd.com Phone: (201) 847-6337 Work: (201) 847-6800 #### 1.6 Proprietary Names: BD Vacutainer® K2EDTA Blood Collection Tubes and BD Vacutainer® K3EDTA Blood Collection Tubes #### 1.7 Common or Usual Names: EDTA Blood Collection Tube {4}------------------------------------------------ #### 1.8 Regulatory Information: Classification Name: Tubes, Vacuum Sample, With Anticoagulant Classification Regulation: 21 CFR §862.1675 Regulatory Class: Class II Product Code: GIM #### 1.9 Predicate Device(s): K981013 Vacutainer® Brand Plus Tube with EDTA Anticoagulant #### 1.10 Device Establishment Becton, Dickinson and Company #### 1.11 Registration Number: 2243072 #### Performance Standards: 1.12 ASTM D4169-16 Standard Practice for Performance Testing of Shipping Containers and Svstems ANSI/AAMI/ISO 11137-1:2006, A1: 2013, A2 2018 Sterilization of health care products -Radiation - Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices ANSI/AAMI/ISO 11137-2: 2013 Sterilization of health care products - Radiation - Part 2: Establishing the sterilization dose ANSI/AAMI/ISO 11137-3:2017 Sterilization of health care products - Radiation - Part 3: Guidance on dosimetric aspects of development, validation and routine control ANSI/AAMI/ISO 11737-1:2018 Sterilization of health care products - Microbiological methods - Part 1: Determination of a population of microorganisms on products ANSI/AAMI/ISO 11737-2:2019 Sterilization of medical devices - Microbiological methods -Part 2: Tests of sterility performed in the definition, validation and maintenance of a sterilization process ANSI AAMI ST67:2019 Sterilization of health care products - Requirements and guidance for selecting a sterility assurance level (SAL) for products labeled "sterile" EN ISO 14971:2012 Medical Devices - Application of risk management to medical devices {5}------------------------------------------------ #### 1.13 Intended Use BD Vacutainer® EDTA Blood Collection Tubes are evacuated, sterile, single use, in vitro diagnostic medical devices. They are intended to be used by trained healthcare professionals for the collection, containment, preservation, and transport of human venous blood specimens used for in vitro diagnostic testing. BD Vacutainer® K2EDTA and K3EDTA Blood Collection Tubes are used for testing in hematology including white blood cells (WBC), red blood cells (RBC), red blood cell distribution width (RDW). hemoglobin (HzB). hematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), platelets, and 5-part white blood cell (WBC) differential counts (neutrophils, lymphocytes, monocytes, eosinophils, basophils). #### Device Description 1.14 BD Vacutainer® K2EDTA Blood Collection Tubes and BD Vacutainer® K3EDTA Blood Collection Tubes are for collecting, transporting and centrifuging blood in a closed tube. The blood collection tube consists of closure assembly, a plass tube and EDTA additive. The standard closure assembly is a basic rubber stopper. The tube is also available with the Vacutainer® Hemogard™ Closure Assembly which consists of a rubber stopper and protective plastic shield to reduce user exposure to blood. All stopper/closures are color coded to reflect additive type; the closures included in this submission are either pink or lavender to indicate the presence of the EDTA additive. #### 1.15 Substantial Equivalence The subject and predicate device are substantially equivalent as described in Table 2. For the BD Vacutainer® K2EDTA Blood Collection Tubes, a reference device is included in this submission to support the inclusion of the K3EDTA additive. {6}------------------------------------------------ ## Table 1: Substantial Equivalence Comparison | Characteristic | Subject Device<br>BD Vacutainer® K2EDTA Blood Collection<br>Tubes and BD Vacutainer® K3EDTA Blood<br>Collection Tubes | Predicate Device<br>Vacutainer® Brand Plus<br>Tube with EDTA<br>Anticoagulant<br>K981013 | Reference Device<br>BD Vacutainer® K3EDTA<br>Blood Collection Tube<br>Pre-Amendment Device | Comments | |------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Indication for use | BD Vacutainer® EDTA Blood Collection Tubes<br>are evacuated, sterile, single use, in vitro<br>diagnostic medical devices. They are intended<br>to be used by trained healthcare professionals<br>for the collection, containment, preservation,<br>and transport of human venous blood<br>specimens used for in vitro diagnostic testing.<br>BD Vacutainer® K2EDTA and K3EDTA Blood<br>Collection Tubes are used for testing in<br>hematology including white blood cells (WBC),<br>red blood cells (RBC), red blood cell<br>distribution width (RDW), hemoglobin (HgB),<br>hematocrit (HCT), mean corpuscular volume<br>(MCV), mean corpuscular hemoglobin (MCH),<br>mean corpuscular hemoglobin concentration<br>(MCHC), platelets, and 5-part white blood cell<br>(WBC) differential counts (neutrophils,<br>lymphocytes, monocytes, eosinophils,<br>basophils). | The Vacutainer® Brand PLUS<br>(plastic) Tube with EDTA<br>anticoagulant and Vacutainer®<br>Brand Serum Tube are<br>evacuated blood collection<br>tubes which provide a means<br>of collecting, transporting<br>separating and processing<br>blood in a plastic tube. When<br>the tube is used together with<br>Vacutainer® Brand Needles<br>and Holders, is a closed<br>system for the collection of<br>venous blood with the same<br>indications as described<br>herein.<br>Blood collected in PLUS<br>EDTA and PLUS Serum tubes<br>can be used for<br>immunohematology testing<br>including ABO grouping, Rh<br>grouping, and antibody<br>screening which requires red<br>cells and plasma or serum | BD Vacutainer® K3EDTA<br>Blood Collection Tubes are<br>intended for the collection of a<br>plasma specimen in a closed<br>evacuated system. The tube<br>may be used for in vitro<br>diagnostic testing for<br>chemistry and hematology<br>determinations in plasma or<br>whole blood. | The proposed indication for<br>use is mostly equivalent to the<br>indication cleared under<br>K981013 with the exception<br>of more explicitly stating use<br>for testing in hematology.<br>The K981013 510(k)<br>Summary similarly states that<br>the predicate EDTA tubes "is<br>used primarily for clinical<br>laboratory hematology<br>studies." The subject and<br>predicate devices have the<br>same intended use | | Intended Use | Blood Collection for hematology | Blood Collection for<br>hematology and<br>Immunohematology | Blood Collection for<br>chemistry and hematology | The subject intended use is the<br>same as the predicate intended<br>use for hematology | | Intended<br>Population | General Use – all populations | General Use – all populations | General Use – all populations | No change | | Characteristic | Subject Device<br>BD Vacutainer® K2EDTA Blood Collection<br>Tubes and BD Vacutainer® K3EDTA Blood<br>Collection Tubes | Predicate Device<br>Vacutainer® Brand Plus<br>Tube with EDTA<br>Anticoagulant<br>K981013 | Reference Device<br>BD Vacutainer® K3EDTA<br>Blood Collection Tube<br>Pre-Amendment Device | Comments | | Evacuated Blood<br>Collection Tube | Yes | Yes | Yes | No change | | Clot/Anti-<br>coagulation | Anti-coagulation | Anti-coagulation | Anti-coagulation | No change | | Additive Type | K2EDTA, K3EDTA | K2EDTA | K3EDTA | The subject device includes<br>tubes with both K2EDTA and<br>K3EDTA additives. The<br>K2EDTA is the same additive<br>as the predicate device cleared<br>under K981013. The K3EDTA<br>additive is legally marketed<br>per the referenced pre-<br>amendment device. The<br>additional additive does not<br>raise new questions of safety<br>or effectiveness. | | Additive Quantity | 1.8 mg/mL (K2EDTA), 1.75 mg/mL (K3EDTA) | 1.8 mg/mL | 1.2-4 mg/mL | There is no change in the<br>blood-to-additive ratio for the<br>K2EDTA tube. The blood-to-<br>additive ratio for the K3EDTA<br>tube is within the range cited<br>for pre-amendment devices.<br>This change does not result in<br>new questions of safety or<br>effectiveness. | | Tube Dimensions<br>(mm) | 13x75,13x100,16x100 | 13x75 | 13×100 | The difference in size does not<br>raise new questions of safety<br>or effectiveness. | | Characteristic | Subject Device<br>BD Vacutainer® K2EDTA Blood Collection<br>Tubes and BD Vacutainer® K3EDTA Blood<br>Collection Tubes | Predicate Device<br>Vacutainer® Brand Plus<br>Tube with EDTA<br>Anticoagulant<br>K981013 | Reference Device<br>BD Vacutainer® K3EDTA<br>Blood Collection Tube<br>Pre-Amendment Device | Comments | | Draw Volume | 2, 3, 4, 6, 7, 10 mL | 6 mL | 2, 3, 3.5, 4, 5, 7, 10, 20 mL | The difference in draw<br>volume does not raise new<br>questions of safety or<br>effectiveness. | | Tube Material | Plastic (K2EDTA), Glass (K3EDTA) | Plastic | Glass | No change | | Tube Closure | Conventional or Hemogard™ Safety Closure | Conventional or Hemogard™<br>Safety Closure | Conventional | No change | | Stopper Fabrication | Compression Molded Rubber | Compression molded rubber | Compression molded Rubber | No change | | Hemogard™ Shield<br>fabrication | Injection Molded Plastic | Injection Molded Plastic | N/A | No change | | Additive Dispense | Spray Dry (K2EDTA), Liquid Fill (K3EDTA) | Spray Dry (K2EDTA) | Liquid Fill (K3EDTA) | No change | | Tube Evacuation | Vacuum Chamber | Vacuum Chamber | Vacuum Chamber | No change | | Unit Labeling | Printed paper label | Printed paper label or<br>imprinted on tube | Printed paper label | Changing from paper label<br>and imprinted label options to<br>paper label only does not raise<br>new questions of safety or<br>effectiveness. | | Sterilization<br>Method | Gamma Irradiation | Gamma Irradiation | Gamma Irradiation | No change | | Sterility Assurance<br>Level (SAL) | ≤ 10-3 | ≤ 10-3 | ≤ 10-3 | No change | | Shelf Life | 11 Months (K2EDTA), 10 Months (K3EDTA) | 15-24 months | 12 months | Shelf-life dates are based on<br>test data currently available<br>for subject devices.<br>Differences in shelf-life do not<br>raise new questions of safety<br>or effectiveness. | | Characteristic | Subject Device<br>BD Vacutainer® K2EDTA Blood Collection<br>Tubes and BD Vacutainer® K3EDTA Blood<br>Collection Tubes | Predicate Device<br>Vacutainer® Brand Plus<br>Tube with EDTA<br>Anticoagulant<br>K981013 | Reference Device<br>BD Vacutainer® K3EDTA<br>Blood Collection Tube<br>Pre-Amendment Device | Comments | | Packaging | Unit – tube and closure<br>Shelf – shrink wrapped polystyrene tray<br>Case - corrugated cardboard | Unit – tube and closure<br>Shelf – shrink wrapped<br>polystyrene tray<br>Case - corrugated cardboard | Unit – tube and closure<br>Shelf – shrink wrapped<br>polystyrene tray<br>Case - corrugated cardboard | No change | {7}------------------------------------------------ {8}------------------------------------------------ {9}------------------------------------------------ {10}------------------------------------------------ #### 1.16 Performance Testing - Bench Summarv Non-clinical performance testing was conducted following defined protocols and with established acceptance criteria to evaluate the following attributes of the BD Vacutainer® EDTA Blood Collection Tubes at time-zero and over the proposed shelf life: | Test | Result | |----------------------------------------------------------------|--------| | Draw Volume | Pass | | X-Value | Pass | | Second Stopper Pullout | Pass | | Stopper/Shield Separation | Pass | | Stopper Leakage | Pass | | Resistance to Breakage during Drop Testing | Pass | | Resistance to Breakage During Centrifugation | Pass | | Ship Testing for Functional Performance of Packaging Materials | Pass | The BD Vacutainer® EDTA Blood Collection Tubes met all non-clinical testing requirements at time-zero and over the product shelf life, demonstrating that the device functions as designed. These performance tests demonstrate that the modifications to the device do not impact its safety or effectiveness and that the subject BD Vacutainer® EDTA Blood Collection Tubes continue to perform as intended. #### 1.17 Performance Testing - Animal Summary No animal studies were performed in support of this submission. #### 1.18 Performance Testing - Clinical Summarv The suitability of the BD Vacutainer® EDTA Blood Collection Tubes for collection of clinical samples was demonstrated through testing performed internally and externally which demonstrated clinical equivalency to the venous comparator tube by performing the following studies: Method Comparison (Clinical Equivalence), Precision, Within-Tube Type Stability, and Shelf Life. Testing was performed on identified analytes (i.e., White Blood Cell Count (WBC), Red Blood Cell Count (RBC), Hemoglobin, Hematocrit, Platelet Count, Neutrophil %, Lymphocyte %, Monocyte %, Eosinophil %, Basophil %, Mean Corpuscular Hemoglobin, Mean Corpuscular Hemoglobin Concentration, Mean Corpuscular Volume, and Red Cell Distribution Width." ## Method Comparison This study was performed to evaluate Clinical Equivalence between the evaluate the performance of BD Vacutainer® EDTA Blood Collection Tubes against legally marketed comparator tubes., for the analytes identified above. This assessment considered whether the {11}------------------------------------------------ mean and the two one-sided 95% Confidence Limits of the paired sample biases were within the Clinical Acceptance Limits (CALs). Clinical equivalency was demonstrated for all hematology parameters for each tube comparison except Hgb, PLT, and WBC at the low medically relevant points on two instruments. For these three analytes the mean bias was within the predefined clinical acceptance limits, but exceeded the confidence interval. The observed non-equivalence is clinically acceptable, as the number of data points at the low medically relevant points were insufficient to adequately power the analysis. ## Lot to Lot Variability This study was performed to evaluate non-inferiority of the BD Vacutainer® K2EDTA tube for repeatability (within tube) and reproducibility (lot-to-lot and tube-to-tube) variation using hematology parameters identified above. Performance of the BD Vacutainer® K2EDTA Tubes with Hemogard™ closure for repeatability. lot-to-lot variation and tube-to-tube variation showed non-inferiority for all tube comparisons for the hematology parameters tested on two instrument platforms when compared with a comparator device. ## Within-Tube Type Stability This study evaluated within-tube type stability of BD Vacutainer® EDTA Blood Collection Tubes by comparing samples taken from the same subject in the candidate tubes at various identified time points and storage conditions. All analytes demonstrated stability at 12- and 24-hours storage Room Temperature, 24 hours Refrigerated, 24 hours Room Temperature followed by 24 hours Refrigerated. ## Shelf-Life The purpose of this study was to evaluate product shelf-life by evaluating evaluate Shelf-Life performance (11+1 months or 10+1 months from date of manufacture) of BD Vacutainer® K2EDTA and K3EDTA Blood Collection Tubes with Hemogard™ closure and Conventional closure, respectively, in comparison with recently manufactured BD Vacutainer® K2EDTA and K3EDTA Blood Collection Tubes for selected hematology test parameters. Real time clinical stability testing performed using clinical samples demonstrated a shelf life of 11 months for BD Vacutainer® K2EDTA Blood Collection Tubes and 10 months for BD Vacutainer® K3EDTA Blood Collection Tubes. #### 1.19 Conclusion The technical performance characteristics of the subject device are unchanged. The proposed BD Vacutainer® EDTA Blood Collection Tubes and predicate device of the same name have the same intended use, principle of operation, and technological characteristics. Non-Clinical and Clinical Performance Testing support the determination that the changes made to the {12}------------------------------------------------ BD Vacutainer® EDTA Blood Collection Tubes do not raise any new concerns of safety or effectiveness. Based on information provided in this submission the proposed device is substantially equivalent to the predicate device.
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