510(k) Report

510(k) · Cleared

Cleared

Dri-Stat Enzymatic Bilirubin Reagent, Synchron Systems Bilirubin Calibrator

K053090510(k) TraditionalCleared Dec 16, 200544-day reviewClass II21 CFR 862.1110

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

Beckman Coulter, Inc. · JFM Enzymatic Method, Bilirubin

Cleared on Dec 16, 2005 as substantially equivalent to K843174 (Beckman Instruments, Inc., 1984) and 1 other predicate after a 44-day review. Its family tree reaches back 1 generation to 1979.

Decided
Dec 16, 2005
Review
44 days
Class
Class II
Product code
JFM
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K791141 (1979). 2 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 1984: 1 other ancestorK791141 · Bilirubin Calibrator Control · Beckman Instruments, Inc. · 19791975198019851990199520002005
Other ancestors, by generation 1 generation back: 1 other ancestor K791141 · Bilirubin Calibrator Control · Beckman Instruments, Inc. · 19790
  1. Root · 1 generation backK791141 Bilirubin Calibrator ControlBeckman Instruments, Inc. · 1979
  2. This deviceK053090 Dri-Stat Enzymatic Bilirubin Reagent, Synchron Systems Bilirubin…Beckman Coulter, Inc. · 2005
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K791141Bilirubin Calibrator ControlBeckman Instruments, Inc.1979—
0 (this device)K053090Dri-Stat Enzymatic Bilirubin Reagent, Synchron Systems Bilirubin CalibratorBeckman Coulter, Inc.2005—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
FIG. 1 — Lineage of K053090, 1979–2005Source: 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 JFM? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
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What was it cleared against? (2)

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
*K843174Dri-Stat Enzymatic Bilirubin Test Kit
Summary page 1
…ct) test system (21 CFR § 862.1110) Calibrator (21 CFR § 862.1150) 4.0 Predicate Device: Candidate(s) Predicate Manufacturer Docket Number Dri-STAT® Dri-STAT® Beckman K843174 Enzymatic Bilirubin Enzymatic Bilirubin | Coulter, Inc.* Reagent Reagent SYNCHRON® SYNCHRON® Beckman K791141 Systems Bilirubin Sy…
Beckman Instruments, Inc.1984—
*K791141Bilirubin Calibrator Control
Summary page 1
…icate Manufacturer Docket Number Dri-STAT® Dri-STAT® Beckman K843174 Enzymatic Bilirubin Enzymatic Bilirubin | Coulter, Inc.* Reagent Reagent SYNCHRON® SYNCHRON® Beckman K791141 Systems Bilirubin Systems Bilirubin | Coulter, Inc.* Calibrator Calibrator *Beckman Couilter, Inc., Brea, CA SSE1 File: TBE_RSP1…
Beckman Instruments, Inc.1979—

What descends from it?

No later submission names this one as a predicate yet.

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 2 ancestors has a recall.

How does its category compare?

All JFM devices

JFM Enzymatic Method, Bilirubin: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · JFM

1in 2017

2007: 12016: 22017: 1
2007high 2 (2016) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JFM

Too few JFM 510(k)s in any year since 2007 to give a median.

Recalls per year · JFM

1in 2023

2023: 1
2007high 1 (2023) · low 0 (2007)2026

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

Adverse event reports per year · JFM

1in 2025

2007: 82008: 22010: 72011: 62012: 12015: 22021: 12023: 12024: 12025: 1
2007high 8 (2007) · low 0 (2009)2025

MAUDE reports naming product code JFM, 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
20071—08
20080—02
20090—00
20100—07
20110—06
20120—01
20130—00
20140—00
20150—02
20162—00
20171—00
20180—00
20190—00
20200—00
20210—01
20220—00
20230—11
20240—01
20250—01
20260—0—

What is it indicated for?

Dri-STAT® Enzymatic Bilirubin Reagent, in conjunction with the SYNCHRON® Systems Bilirubin Calibrator, is intended for use in the in vitro diagnostic determination of total bilirubin in human serum and plasma as a User Defined Reagent (UDR) application on SYNCHRON® Systems.

Measurements of total bilirubin in serum and plasma are used in the diagnosis of hemolytic disorder, biliary obstruction, hepatitis and cirrhosis

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. “K053090: Dri-Stat Enzymatic Bilirubin Reagent, Synchron Systems Bilirubin Calibrator.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K053090

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026