ISE REAGENTS FOR OLYMPUS AU 800/AU5200 CHEMISTRY SYSTEMS
Applicant
Alko Diagnostic Corp.
Product Code
CGZ · Clinical Chemistry
Decision Date
Jun 16, 1997
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 862.1170
Device Class
Class 2
Indications for Use
The products encompassed by this request are intended for in vitro diagnostic use and the quantitative determination of Na+, K+, and Cl-, on the Olympus Chemistry Systems. Olympus America Incorporated is the original equipment manufacturer (OEM) of the chemistry systems and of the predicate Reagents. The Olympus Chemistry Systems performs a broad array of clinical chemistry tests. The Olympus Chemistry Systems with the ISE module measures sodium (Na), potassium (K), and chloride (Cl-) by Ion Selective Electrodes. These Reagents are intended to be used with the equivalent Olympus Chemistry Systems. As such, ALKO products are intended to serve as direct replacements to like named products manufactured by Olympus. The Buffer dilutes all measured samples for the quantitative determinations in Na+, K+, and Cl- in serum and urine by ISE. The Mid-Standard Solution is intended as a means of compensating for calibration drift in the quantitative determination of Na+, K+, and Cl- in samples on the Olympus Chemistry Systems. The Reference Solution is intended to provide a stable reference potential for Na+, K+, and Cl- electrodes on the Olympus Chemistry System. The Serum High/Low Standard and Urine High/Low Standard are used to calibrate the Na+, K+, and Cl- electrodes of the system's ISE module. The ISE Na+/K+ Selectivity Check Solutions are intended for Na+ and K+ electrode verification. The products encompassed are to be handled using normal laboratory precautions.
Device Story
ALKO ISE Reagents serve as direct replacements for Olympus America OEM reagents on Olympus AU800/AU5200 chemistry systems. System utilizes Ion Selective Electrodes (ISE) to measure Na+, K+, and Cl- concentrations in serum and urine. Reagent kit includes buffer for sample dilution, mid-standard for calibration drift compensation, reference solution for electrode potential stability, and high/low standards for calibration. Used in clinical laboratory settings by trained technicians. Output consists of quantitative electrolyte concentration values displayed on the analyzer interface, supporting clinical diagnosis and patient management. Benefits include continued operation of existing Olympus ISE modules with equivalent performance.
Clinical Evidence
Bench testing only. Precision study: 48 runs (total) per level across 3 serum and 2 urine controls; CV% ranged from 0.45% to 1.33%. Method comparison: 49 serum samples and 70-76 urine samples analyzed on Olympus AU800; linear regression showed slopes 0.989-1.032 and R^2 values 0.9991-0.9998 compared to Olympus reagents.
Technological Characteristics
In vitro diagnostic chemical solutions for Ion Selective Electrode (ISE) analysis. Includes buffer, mid-standard, reference solution, and high/low calibration standards. Designed for use with Olympus AU800/AU5200 chemistry systems. No specific materials or software algorithms described; functionality relies on chemical interaction with system-integrated electrodes.
Indications for Use
Indicated for in vitro diagnostic quantitative determination of sodium (Na+), potassium (K+), and chloride (Cl-) in human serum and urine samples using the ISE module of Olympus Chemistry Systems. No specific age or gender restrictions stated.
Regulatory Classification
Identification
A chloride test system is a device intended to measure the level of chloride in plasma, serum, sweat, and urine. Chloride measurements are used in the diagnosis and treatment of electrolyte and metabolic disorders such as cystic fibrosis and diabetic acidosis.
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K972004
# 510(k) Summary for ALKO Reagents on the ISE Module of the Olympus AU 800™ /AU 5200TM JUN 1 6 1997 Chemistry Systems
The products encompassed by this 510(k) submission are Class II (75JIX) In Vitro Diagnostic Solutions manufactured by ALKO Diagnostic Corporation, 333 Fiske Street, Holliston, MA 01746. The ISE Reagents are intended for use on the ISE module of the Olympus Chemistry Systems. Olympus America Incorporated is the original equipment manufacturer (OEM) of the system and of predicate ISE Reagents which are necessary for the continued operation and use of the ISE module on these systems.
Information herein will support ALKO's position for the intended use of these products to the Olympus Chemistry System with the ISE module. The ISE module measures Na , K , Cl by using the system's Ion Selective Electrodes. The ALKO Reagents are intended to serve as direct replacements to like named products manufactured by Olympus America Incorporated. The Buffer dilutes all measured samples for the quantitative determinations of Na , K , and Cl concentrations in serum and urine by ISE. The Mid-Standard Solution is intended as a means of compensating for calibration drift. in the quantitative determination of Na K , and Cl in samples on the Olympus Chemistry Systems. The Reference Solution is intended to provide a stable reference potential for Na , K , and Cl electrodes on the Olympus Chemistry Systems. The ISE Serum/Urine and High/Low Standards are used to calibrate the electrodes of Na , K , and Cl on the system's ISE module. The ISE Na /K Selectivity Check Solutions are intended for Na and K electrode verification.
ALKO product A101-100 (ISE Buffer) is equivalent to Olympus Chemistry System product AUH1011 (ISE Buffer). ALKO Product A101-200 (ISE Mid - Standard Solution) is equivalent to Olympus Chemistry System product AUH1012 (ISE Mid-Standard). ALKO product A101-300 (ISE Reference Solution) is equivalent to Olympus Chemistry System product AUH1013 (ISE Reference Solution). ALKO product A101-400 (ISE Low Serum Standard) is equivalent to Olympus Chemistry System product AUH1014 (ISE Low Serum Standard). ALKO product A101-500 (ISE High Serum Standard) is equivalent to Olympus Chemistry System product AUH1015 (ISE High Serum Standard). ALKO product A101-600 (ISE High/Low Urine Standard) is equivalent to Olympus Chemistry System product AUH1016 (ISE High/Low Urine Standard), ALKO product A101-800 (Na7 K Selectivity Check Solution) is equivalent to Olympus Chemisty System product AUH1018 ((Na / K+ Selectivity Check Solution).
ALKO uses a similar composition, description and packaging design as that used by Olympus America in its products. ALKO has shown performance equivalence of its products to Olympus America products in the following manner:
- O Through a method comparison where results obtained on an equivalent Olympus Chemistry System, calibrated with ALKO products and compared with results obtained on the same analyzer calibrated with Olympus products; and
- O Through a precision study where ALKO products were installed on an equivalent Olympus Chemistry System and samples were measured over 20 runs. A summary of the results of these studies follows:
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Page 2 / ALKO 510(k) Summary for ISE Olympus Reagents.
# PERFORMANCE CHARACTERISTICS
# Precision Data
Precision data was collected from the analysis of three levels of serum controls and two levels of urine controls, measured in duplicate per run, four runs per day for at least five days on the ISE Module of the Olympus AU800 analyzer for Na /K+/Cl , calibrated with all ALKO reagents.
### Serum Level 1
| | N | Mean | STD | CV% |
|-----|----------|------|--------|--------|
| Na+ | Total 48 | 127 | 0.7535 | 0.5939 |
| | W-Run 24 | 127 | 0.8165 | 0.6435 |
| K+ | Total 48 | 3.2 | 0.0143 | 0.4466 |
| | W-Run 24 | 3.2 | 0.0204 | 0.6383 |
| Cl- | Total 48 | 83 | 0.6641 | 0.7993 |
| | W-Run 24 | 83 | 0.5774 | 0.6977 |
#### Serum Level 2
| | | | . Mean | I STD STD I STD STORE I STORE I STORES STATE STORES STATE STATE STATE STATE STATE STATE STATE STATE STATE STATE STATE ASSESS FOR STATE ASSESS FOR STATE ASSESS FOR AND STATES | CV% - |
|-------|-------|----|--------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------|
| | Total | 48 | 139 | 0.8777 | 0.6314 |
| | W-Run | 24 | 139 | 0.9789 | 0.7042 |
| | Total | 48 | 4.5 | 0.0534 | 1.1749 |
| | W-Run | 24 | 4.5 | 0.0408 | 0.8989 |
| Crisi | Total | 48 | 83 | 0.6641 | 0.7993 |
| | W-Run | 24 | 83 | 0.5774 | ﺔ 0.6977 |
#### Serum Level 3
| | | N | Mean | STD | CV% |
|-----|-------|----|------|--------|--------|
| Na+ | Total | 48 | 156 | 0.8268 | 0.5302 |
| | W-Run | 24 | 156 | 0.7360 | 0.4720 |
| K+ | Total | 48 | 5.9 | 0.0729 | 1.2266 |
| | W-Run | 24 | 5.9 | 0.0791 | 1.3310 |
| Cl- | Total | 48 | 114 | 0.9270 | 0.8159 |
| | W-Run | 24 | 114 | 0.7638 | 0.6722 |
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## Urine Level 1
| | | N | Mean | STD | CV% |
|-----|-------|----|------|--------|--------|
| Na+ | Total | 48 | 58 | 0.5770 | 0.9866 |
| | W-Run | 24 | 58 | 0.7906 | 1.3519 |
| K+ | Total | 48 | 23.4 | 0.1887 | 0.8065 |
| | W-Run | 24 | 23.4 | 0.1568 | 0.6700 |
| Cl- | Total | 48 | 58 | 0.4560 | 0.7881 |
| | W-Run | 24 | 58 | 0.5401 | 0.9335 |
### Urine Level 2
| | | N | Mean | STD | CV% |
|--------|-------|----|-------|--------|--------|
| Na $+$ | Total | 48 | 184 | 1.2741 | 0.6942 |
| | W-Run | 24 | 184 | 1.0801 | 0.5885 |
| K $+$ | Total | 48 | 130.6 | 0.9643 | 0.7383 |
| | W-Run | 24 | 130.6 | 0.7277 | 0.5572 |
| Cl $-$ | Total | 48 | 288 | 2.3629 | 0.8219 |
| | W-Run | 24 | 288 | 1.6583 | 0.5768 |
Note: W-Run = Within Run
# Correlation with Olympus Reagents
Linear Regression Analyses were performed using the Olympus data as the Independent X Variable and ALKO Data as the Dependent Y Variable in the equation Y = a + bX.
#### Serum Samples :
Correlation data were collected from 40 serum samples and 9 serum controls for Na 7K / C/C / measured on the ISE Module of the Olympus AU800 analyzer, calibrated with ALKO as compared with Olympus reagents separately.
| | Na | K | Cl |
|-----------|----------|------------|----------|
| N | 49 | 49 | 49 |
| Slope | 1.0242 | 0.9900 | 0.9892 |
| Intercept | -3.4021 | 0.0242 | -0.6464 |
| R Sq.* | 0.9995 | 0.9998 | 0.9997 |
| Range | 65 - 183 | 1.4 - 10.9 | 37 - 165 |
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#### . . Urine Samples:
Urine Samples:
Correlation data were collected from 70 urine samples and 6 urine controls for Na 7 CT, and 66 urine samples and 6 urine controls for K+, measured on the ISE Module of the Olympus AU800 analyzer, calibrated with ALKO as compared with Olympus reagents separately.
| | Na | K | Cl |
|-----------|----------|-------------|----------|
| N | 76 | 72 | 76 |
| Slope | 1.0191 | 1.0325 | 1.0016 |
| Intercept | -1.0199 | -1.0404 | 0.4077 |
| R Sq.* | 0.9991 | 0.9997 | 0.9993 |
| Range | 13 - 361 | 5.7 - 306.0 | 13 - 452 |
*R Sq = Correlation Coefficient Squared
I hope that you find this information useful and informative.
Janet McCurdy
Janet A.McGrath Regulatory Affairs
ರಿಗ ర న్నారు. విశ
(date prepared)
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Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. 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 an eagle with three overlapping wing shapes, creating a sense of movement and flight.
Food and Drug Administration 2098 Gaither Road Rockville MD 20850
JUN 1 6 1997
Janet A. McGrath Regulatory Affairs Specialist ALKO Diagnostics …………………………………… 333 Fiske Street Holliston, Massachusetts 01746
Re : K972004 ISE Reagents for Olympus AU 800™/AU 5200™ Chemistry Systems Requlatory Class: II Product Code: CGZ, JGS, CEM May 29, 1997 Dated: Received: May 30, 1997
Dear Ms. McGrath:
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 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, Druq, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act 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 requlations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) requlation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in requlatory 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.
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Paqe 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.
在 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/dsmamain.html".
sincerely yours,
Steven Sitman
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): K972004
Device Name: ISB Reagents on Equivalent Olymous Chemistry Systems
#### Indication For Use:
The products encompassed by this request are intended for in vitro diagnostic use and the quantitative determination of Na", K", and Cl ", on the Olympus Chemistry Systems. Olympus America Incorporated is the original equipment manufacturer (OEM) of the chemistry systems and of the predicate Reagents. The Olympus Chemistry Systems performs a broad array of clinical chemistry tests. The Olympus Chemistry Systems with the ISE module measures sodium (Na), potassium (K), and chloride (Cl ) by Ion Selective Electrodes. These Reagents are intended to be used with the equivalent Olympus Chemistry Systems. As such, ALKO products are intended to serve as direct replacements to like named products manufactured by Olympus .
The Buffer dilutes all measured samples for the quantitative determinations in Na ", K , and Cl in serum and urine by ISE. The Mid-Standard Solution is intended as a means of compensating for calibration drift in the quantitative determination of Na , K , and Cl in samples on the Olympus Chemistry Systems. The Reference Solution is intended to provide a stable reference potential for Na ", K", and Cl " electrodes on the Olympus Chemistry System. The Serum High/Low Standard and Urine High/Low Standard are used to calibrate the Na *, K , and Cl clectrodes of the system's ISE module. The ISE Na "/K " Selectivity Na 7, KT, electrode verification. The products Check Solutions are intended for encompassed are to be handled using normal laboratory precautions.
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
| Concurrence of CDRH, Office of Device Evaluation (ODE) |
|--------------------------------------------------------|
| (Division Sign-Off) |
| Division of Clinical Laboratory Devices |
| 510(k) Number |
Prescription Use (Per 21 CFR 801.109)
OR
Over-The-Counter Use
(Optional Format 1-2-96)
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.