In vitro test for the quantitative determination of total bilirubin in human serum and plasma on the cobas c 111 system. Measurements of the levels of bilirubin and organic compound formed during normal and abnormal destruction of red cells, is used in the diagnosis of liver, hemolytic hematological and metabolic disorders, including hepatitis and gall bladder block.
Device Story
Total Bilirubin Special is an in vitro diagnostic reagent used on the cobas c 111 analyzer. The system accepts human serum or plasma samples. The analyzer uses photometric analysis to measure bilirubin levels via a diazo-based chemical reaction. The cobas c 111 is a benchtop, random-access analyzer operated by professional laboratory staff in clinical environments. The device transforms optical absorbance data into quantitative concentration results through automated calculation against a calibration curve. Healthcare providers use these results to diagnose liver, hemolytic, hematological, and metabolic conditions. The device benefits patients by providing rapid, automated clinical chemistry testing to support timely medical decision-making.
Clinical Evidence
Bench testing only; design control activities and risk analysis performed to verify/validate modifications against predetermined acceptance criteria.
Indicated for the quantitative determination of total bilirubin in human serum and plasma to aid in the diagnosis of liver, hemolytic, hematological, and metabolic disorders (e.g., hepatitis, gall bladder block).
Regulatory Classification
Identification
A bilirubin (total or direct) test system is a device intended to measure the levels of bilirubin (total or direct) in plasma or serum. Measurements of the levels of bilirubin, an organic compound formed during the normal and abnormal distruction of red blood cells, if used in the diagnosis and treatment of liver, hemolytic hematological, and metabolic disorders, including hepatitis and gall bladder block.
K081193 — COBAS INTEGRA 400/800 BILIRUBIN TOTAL · Roche Diagnostics · Jan 16, 2009
K131544 — COBAS C BILIRUBIN TOTAL GEN.3 · Roche Diagnostics · Jul 17, 2013
K171401 — ELITech Clinical Systems BILIRUBIN TOTAL 4+1, ELITech Clinical Systems BILIRUBIN DIRECT 4+1 · Elitechgroup · Jul 11, 2017
K063543 — COBAS INTEGRA BILIRUBIN SPECIAL AND ROCHE/HITACHI BILRUBIN TOTAL, MODELS 20737496 322, 03261638 190, AND 11822713 226 · Roche Diagnostics Corp. · Dec 22, 2006
K222104 — Atellica® CH Diazo Total Bilirubin (D_TBil) · Siemens Healthcare Diagnostics, Inc. · Mar 20, 2023
Submission Summary (Full Text)
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SPECIAL 510(k): Device Modification
ODE Review Memorandum (Decision Making Document is Attached)
To: THE FILE
RE: DOCUMENT NUMBER K063744
This 510(k) submission contains information/data on modifications made to the SUBMITTER'S own Class II, Class III or Class I devices requiring 510(k). The following items are present and acceptable (delete/add items as necessary):
1. The name and 510(k) number of the SUBMITTER'S previously cleared device. (For a preamendments device, a statement to this effect has been provided.) k951595
2. Submitter's statement that the INDICATION/INTENDED USE of the modified device as described in its labeling HAS NOT CHANGED along with the proposed labeling which includes instructions for use, package labeling, and, if available, advertisements or promotional materials (labeling changes are permitted as long as they do not affect the intended use).
3. A description of the device MODIFICATION(S), including clearly labeled diagrams, engineering drawings, photographs, user's and/or service manuals in sufficient detail to demonstrate that the FUNDAMENTAL SCIENTIFIC TECHNOLOGY of the modified device has not changed.
This change was for:
A. Removal of the fluorescence photometer.
B. Change in reagent container.
C. Lowered the overall throughput, sample and reagent capacity.
D. ISE module now integrated rather than separate.
4. Comparison Information (similarities and differences) to applicant's legally marketed predicate device including, labeling, intended use, physical characteristics, and analytes.
5. A Design Control Activities Summary which includes:
a) Identification of Risk Analysis method(s) used to assess the impact of the modification on the device and its components, and the results of the analysis
b) Based on the Risk Analysis, an identification of the verification and/or validation activities required, including methods or tests used and acceptance criteria to be applied
c) A declaration of conformity with design controls. The declaration of conformity should include:
i) A statement signed by the individual responsible, that, as required by the risk analysis, all verification and validation activities were performed by the designated individual(s) and the results demonstrated that the predetermined acceptance criteria were met, and
ii) A statement signed by the individual responsible, that the manufacturing facility is in conformance with design control procedure requirements as specified in 21 CFR 820.30 and the records are available for review.
6. A Truthful and Accurate Statement, a 510(k) Summary or Statement and the Indications for Use Enclosure (and Class III Summary for Class III devices).
The labeling for this modified subject device has been reviewed to verify that the indication/intended use for the device is unaffected by the modification. In addition, the submitter's description of the particular modification(s) and the comparative information between the modified and unmodified devices demonstrate that the fundamental scientific technology has not changed. The submitter has provided the design control information as specified in The New 510(k) Paradigm and on this basis, I recommend the device be determined substantially equivalent to the previously cleared (or their preamendment) device.
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