510(k) Report

510(k) · Cleared

Cleared

Sysmex Model XT-4000I

K091313510(k) TraditionalCleared Mar 30, 2010330-day reviewClass II21 CFR 864.5220

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

Sysmex America, Inc. · GKZ Counter, Differential Cell

Cleared on Mar 30, 2010 as substantially equivalent to K071967 (Sysmex America, Inc., 2007) after a 330-day review. Its family tree reaches back 2 generations to 2004. 3 later devices descend from it.

Decided
Mar 30, 2010
Review
330 days
Class
Class II
Product code
GKZ
Recalls
None
Predicates
2

Its longest line of descent runs back 2 generations to K040073 (2004). 3 later devices descend from it, 1 citing it directly.

Descendants, by year cleared 2010: 1 descendant cleared2021: 1 descendant cleared2025: 1 descendant clearedK040073 · Sysmex Automated Hematology Analyzer, XE-2100 Series (XE-2100, XE-2100L) · Sysmex America, Inc. · 2004K071967 · Sysmex XE-5000 · Sysmex America, Inc. · 2007 · recalled200020052010201520202025
Descendants, by generation 1 generation forward: 1 descendant2 generations forward: 1 descendant3 generations forward: 1 descendant K071967 · Sysmex XE-5000 · Sysmex America, Inc. · 2007 · recalledK040073 · Sysmex Automated Hematology Analyzer, XE-2100 Series (XE-2100, XE-2100L) · Sysmex America, Inc. · 20040
  1. Root · 2 generations backK040073 Sysmex Automated Hematology Analyzer, XE-2100 Series (XE-2100…Sysmex America, Inc. · 2004
  2. 1 generation backK071967 Sysmex XE-5000Sysmex America, Inc. · 2007 · Recalled
  3. This deviceK091313 Sysmex Model XT-4000ISysmex America, Inc. · 2010
  4. Descendant · cites it directly · 2 of its ownK091539 IQ 200 Urine Analizer Body Fluids ModuleIris Diagnostics · 2010
  5. Descendant · 2 generations on · 1 of its ownK210127 iQ200 System, iChemVELOCITY Automated Urine Chemistry SystemBeckman Coulter, Inc. · 2021 · Recalled
  6. Descendant · 3 generations on · 0 of its ownK252580 iQ200 SeriesBeckman Coulter, Inc. · 2025 · Recalled

Most influential descendants

Showing 3 of 3 · See all
  • K091539IQ 200 Urine Analizer Body Fluids ModuleIris Diagnostics · 2010 · cites it directly2descendants
  • K210127iQ200 System, iChemVELOCITY Automated Urine Chemistry SystemBeckman Coulter, Inc. · 2021 · 2 generations on1descendant
  • K252580iQ200 SeriesBeckman Coulter, Inc. · 2025 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K040073Sysmex Automated Hematology Analyzer, XE-2100 Series (XE-2100, XE-2100L)Sysmex America, Inc.2004—
−1K071967Sysmex XE-5000Sysmex America, Inc.20071
0 (this device)K091313Sysmex Model XT-4000ISysmex America, Inc.2010—
+1K091539IQ 200 Urine Analizer Body Fluids ModuleIris Diagnostics2010—
+2K210127iQ200 System, iChemVELOCITY Automated Urine Chemistry SystemBeckman Coulter, Inc.20216
+3K252580iQ200 SeriesBeckman Coulter, Inc.20252

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201010
202110
202510
FIG. 1 — Lineage of K091313, 2004–2025Source: 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 GKZ? 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 GKZ device

  1. #1 K250943 Sysmex XR-Series (XR-10) Automated Hematology…score 13.2 · 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? (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; numbers the summary cites that cannot be its predicate are marked – and kept off the family tree.

TypeNumberDeviceApplicantDecidedRecalls
Kept off the family treeK021241FDA’s K021241 is Sysmex XT-Series, Model XT-2000I and XT-1800I
Not matched in our reading of the summary (scans can blur digits), so it is kept off the family tree
Sysmex Corporation of America2002—
*K071967Sysmex XE-5000
Summary page 2
…Features XT-4000i XT-Series XE-5000 (Submission U)(K(21241) (K071967) FDA Clearance --- 25-June-02 20-Nov-07 Intended Use The Sysmex® XT-400…
Sysmex America, Inc.20071

Also cleared against K071967: 3 other devices →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K091539IQ 200 Urine Analizer Body Fluids ModuleIris Diagnostics20102

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?

  • The line of descent spans 6 years and passes through 1 company; a new generation was cleared every 3.7 years on median.
  • 1 of the 2 ancestors has a recall of any class.
  • Of its descendants, K091539 (Iris Diagnostics, 2010) has gone furthest, with 2 descendants of its own.
  • 3 other devices also cite its predicate K071967.

How does its category compare?

All GKZ devices

GKZ Counter, Differential Cell: FDA decisions, review times, recalls and adverse event reports over 20 years. 2010, this device’s year, is highlighted.

FDA decisions per year · GKZ

4in 2025

2007: 62008: 62009: 62010: 42011: 32012: 32013: 12014: 32015: 32016: 32017: 42018: 32019: 52020: 12022: 32023: 42024: 32025: 42026 (partial year): 4
2007high 6 (2007) · low 0 (2021)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GKZ

108in 2025

2007: 117 days median2008: 99 days median2009: 147 days median2010: 290 days median2011: 315 days median2012: 408 days median2014: 165 days median2015: 273 days median2016: 198 days median2017: 280 days median2018: 270 days median2019: 210 days median2022: 638 days median2023: 329 days median2024: 157 days median2025: 108 days median2026 (partial year): 254 days median
2007high 638 (2022) · low 99 (2008)2026

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

Recalls per year · GKZ

1in 2025

2007: 372008: 52009: 132010: 272011: 282012: 72013: 62015: 32016: 32017: 32018: 2, 2 Class I2019: 22020: 12022: 42023: 12025: 1
2007high 37 (2007) · low 0 (2014)2026

Class I (2 since 2007) Class II/III not classified

Adverse event reports per year · GKZ

77in 2025

2007: 2682008: 9252009: 5592010: 8962011: 2,9052012: 2,9592013: 3,0702014: 3,1122015: 1,9722016: 3,3382017: 2292018: 4972019: 9082020: 3422021: 3912022: 1982023: 1552024: 1152025: 77
2007high 3,338 (2016) · low 77 (2025)2025

MAUDE reports naming product code GKZ, 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
2007611737268
20086995925
2009614713559
2010429027896
20113315282,905
2012340872,959
20131—63,070
2014316503,112
2015327331,972
2016319833,338
201742803229
201832702 (2)497
201952102908
20201—1342
20210—0391
202236384198
202343291155
202431570115
20254108177
202642540—

What is it indicated for?

The Sysmex® XT-4000i is a quantitative multi-parameter automated hematology analyzer intended for in vitro diagnostic use in screening patient populations found in clinical laboratories. The XT-4000i classifies and enumerates the following parameters for whole blood: WBC, RBC, HGB, HCT, MCV, MCH, MCHC, PLT, NEUT%/#, LYMPH%/#, MONO%/#, EO%/#, BASO%/#, IG%/#, RDW-CV, RDW-SD, MPV, RET%/#, IRF, RET-He and has a Body Fluid mode for body fluids. The Body Fluid…

Read the full statement (114 words)

The Sysmex® XT-4000i is a quantitative multi-parameter automated hematology analyzer intended for in vitro diagnostic use in screening patient populations found in clinical laboratories. The XT-4000i classifies and enumerates the following parameters for whole blood: WBC, RBC, HGB, HCT, MCV, MCH, MCHC, PLT, NEUT%/#, LYMPH%/#, MONO%/#, EO%/#, BASO%/#, IG%/#, RDW-CV, RDW-SD, MPV, RET%/#, IRF, RET-He and has a Body Fluid mode for body fluids. The Body Fluid mode enumerates the WBC-BF, RBC-BF, MN%/#, PMN%/# and TC-BF# parameters in cerebrospinal fluids (CSF), serous fluids (peritoneal, pleural) and synovial fluids. Serous and Synovial fluids should be collected in K2EDTA to prevent clotting of fluid. The use of anticoagulants with CSF specimens is not required or recommended.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K091313: Sysmex Model XT-4000I.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K091313

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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