510(k) Report

510(k) · Cleared

Cleared

Safe at Home Cholesterol Profile Blood Collection and Transport System

K012221510(k) TraditionalCleared Apr 3, 2002261-day reviewClass II21 CFR 862.1675

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Biosafe Laboratories, Inc. · JKA Tubes, Vials, Systems, Serum Separators, Blood Collection

Cleared on Apr 3, 2002 as substantially equivalent to K934046 (Beckman-Diagnostic Systems Group, 1993) and 2 other predicates after a 261-day review. Its family tree reaches back 1 generation to 1979. 1 later device descends from it.

Decided
Apr 3, 2002
Review
261 days
Class
Class II
Product code
JKA
Recalls
None
Predicates
3

Its longest line of descent runs back 1 generation to K781939 (1979). 3 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1997: 1 other ancestor1993: 1 other ancestor2007: 1 descendant clearedK781939 · Reagent Kit, Triglycerides · Beckman Instruments, Inc. · 197919801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors 1 generation forward: 1 descendant K781939 · Reagent Kit, Triglycerides · Beckman Instruments, Inc. · 19790
  1. Root · 1 generation backK781939 Reagent Kit, TriglyceridesBeckman Instruments, Inc. · 1979
  2. This deviceK012221 Safe at Home Cholesterol Profile Blood Collection and Transport SystemBiosafe Laboratories, Inc. · 2002
  3. Descendant · cites it directly · 0 of its ownK063852 Accessa Cholesterol PanelHome Access Health Corp. · 2007

Most influential descendants

Showing 1 of 1 · See all
  • K063852Accessa Cholesterol PanelHome Access Health Corp. · 2007 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K781939Reagent Kit, TriglyceridesBeckman Instruments, Inc.1979—
0 (this device)K012221Safe at Home Cholesterol Profile Blood Collection and Transport SystemBiosafe Laboratories, Inc.2002—
+1K063852Accessa Cholesterol PanelHome Access Health Corp.2007—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199310
199710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200710
FIG. 1 — Lineage of K012221, 1979–2007Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in JKA? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new JKA device

  1. #1 K200027 Blood Collection Needle with/without Holder…score 15.6 · 3 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (3)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K934046Beckman Cholesterol Reagent
Our OCR of the scanned summary read K974046, which is not a number in FDA’s lists. Corrected to the number one digit away whose FDA name carries the summary’s words for the device, “Beckman Synchron CX Systems Cholesterol (CHOL) Reagent”.
Beckman-Diagnostic Systems Group1993—
*K972041EZ HDL Cholesterol Reagent (Procedure 354)/EZ HDL Calibrator (354-5)
Summary page 1
…sterol (21 CFR 862.1475) Total Cholesterol Beckman Synchron Synchron CX Systems Cholesterol (CHOL) Reagent (K974046) HDL Cholesterol Sigma EZ HDL™ Cholesterol Reagent (K972041) Triglycerides Beckman Triglycerides Reagent Kit (K781939) The device is a kit containing the materials necessary to self-colle…
Sigma Diagnostics, Inc.1997—
*K781939Reagent Kit, Triglycerides
Summary page 1
…n Synchron CX Systems Cholesterol (CHOL) Reagent (K974046) HDL Cholesterol Sigma EZ HDL™ Cholesterol Reagent (K972041) Triglycerides Beckman Triglycerides Reagent Kit (K781939) The device is a kit containing the materials necessary to self-collect a capillary blood sample onto a filter paper card for tr…
Beckman Instruments, Inc.1979—

Also cleared against K934046: 2 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K063852Accessa Cholesterol PanelHome Access Health Corp.20070

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • None of the 3 ancestors has a recall.
  • Of its descendants, K063852 (Home Access Health Corp., 2007) has gone furthest, with 0 descendants of its own.
  • 2 other devices also cite its predicate K934046.

How does its category compare?

All JKA devices

JKA Tubes, Vials, Systems, Serum Separators, Blood Collection: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · JKA

7in 2025

2007: 42008: 22009: 22010: 42012: 12013: 32014: 12015: 12016: 42017: 22018: 12019: 62020: 62021: 42022: 92023: 172024: 62025: 72026 (partial year): 8
2007high 17 (2023) · low 0 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JKA

115in 2025

2007: 281 days median2010: 28 days median2013: 244 days median2016: 116 days median2019: 181 days median2020: 181 days median2021: 217 days median2022: 164 days median2023: 189 days median2024: 240 days median2025: 115 days median2026 (partial year): 250 days median
2007high 281 (2007) · low 28 (2010)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · JKA

13in 2025

2007: 32008: 32009: 32010: 42011: 142012: 22013: 12014: 12015: 62016: 12017: 22018: 22019: 92021: 32022: 22023: 22025: 132026 (partial year): 1
2007high 14 (2011) · low 0 (2020)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · JKA

6,089in 2025

2007: 732008: 782009: 422010: 372011: 672012: 542013: 332014: 682015: 412016: 652017: 2,0392018: 9,7312019: 6,4692020: 3,7742021: 3,6102022: 3,3752023: 4,4002024: 4,6092025: 6,089
2007high 9,731 (2018) · low 33 (2013)2025

MAUDE reports naming product code JKA, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20074281373
20082—378
20092—342
2010428437
20110—1467
20121—254
20133244133
20141—168
20151—641
20164116165
20172—22,039
20181—29,731
2019618196,469
2020618103,774
2021421733,610
2022916423,375
20231718924,400
2024624004,609
20257115136,089
202682501—

What is it indicated for?

The SAFE AT HOME CHOLESTEROL PROFILE Blood Collection and Transport System is intended for over-the-counter distribution, for the self-collection and transportation of dried capillary blood for in vitro diagnostic quantitative determination of Total Cholesterol, HDL-Cholesterol, Triglycerides and Calculated LDL-Cholesterol in dried blood spots. This kit is not intended for use on neonates. LDL cannot be determined where the triglyceride value is greater than 400 mg/dL.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K012221: Safe at Home Cholesterol Profile Blood Collection and Transport System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K012221

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 30, 2026 (extraction version 2d9447fa9ea4)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026