510(k) Report

510(k) · Cleared

Recalled · Class II · 2017

Dimension Vista; Ammonia Flex Reagent Cartridge (Amm), Chemistry 3 Calibrator (Chem 3 Cal)

K123677510(k) TraditionalCleared Mar 7, 201397-day reviewClass I21 CFR 862.1065Recalls 1

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

Siemens Healthcare Diagnostics · JIF Enzymatic Method, Ammonia

Cleared on Mar 7, 2013 as substantially equivalent to K863840 (E.I. Dupont DE Nemours & Co., Inc., 1986) and 1 other predicate after a 97-day review. Its family tree reaches back 1 generation to 1986. It has been recalled once.

Decided
Mar 7, 2013
Review
97 days
Class
Class I
Product code
JIF
Recalls
1
Predicates
2

Its longest line of descent runs back 1 generation to K863840 (1986). 2 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2006: 1 other ancestorK863840 · Meth. & Cali. for the Dimension Clini/Chem. System · E.I. Dupont DE Nemours & Co., Inc. · 19861985199019952000200520102015
Other ancestors, by generation 1 generation back: 1 other ancestor K863840 · Meth. & Cali. for the Dimension Clini/Chem. System · E.I. Dupont DE Nemours & Co., Inc. · 19860
  1. Root · 1 generation backK863840 Meth. & Cali. for the Dimension Clini/Chem. SystemE.I. Dupont DE Nemours & Co., Inc. · 1986
  2. This deviceK123677 Dimension Vista; Ammonia Flex Reagent Cartridge (Amm), Chemistry 3…Siemens Healthcare Diagnostics · 2013
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K863840Meth. & Cali. for the Dimension Clini/Chem. SystemE.I. Dupont DE Nemours & Co., Inc.1986—
0 (this device)K123677Dimension Vista; Ammonia Flex Reagent Cartridge (Amm), Chemistry 3 Calibrator…Siemens Healthcare Diagnostics2013—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200610
FIG. 1 — Lineage of K123677, 1986–2013Source: 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 JIF? 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
*K863840Meth. & Cali. for the Dimension Clini/Chem. System
Summary page 1
…cate device used to demonstrate substantial equivalence to the Dimension ®Ammonia (AMM) Flex® reagent cartridge is the Dimension® Ammonia (AMON) previously cleared under k863840. The predicate device used to demonstrate substantial equivalence to the Dimension Vista® Chemistry 3 Calibrator (CHEM 3 CAL) is…
E.I. Dupont DE Nemours & Co., Inc.1986—
*K062334Dimension Vista Chemistry 3 Calibrator, Model KC130
Summary page 1
…substantial equivalence to the Dimension Vista® Chemistry 3 Calibrator (CHEM 3 CAL) is the Dimension Vista® Chemistry 3 Calibrator (CHEM 3 CAL) previously cleared under k062334. 7. Device Description: The Dimension Vista® Ammonia assay (AMM) is an enzymatic method that uses glutamate dleh…
Dade Behring, Inc.20061

Also cleared against K863840: 4 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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

Recalls of this device

DateClassRecallRoot causeReason
Jun 29, 2017Class IIZ-1655-2018Device DesignVarious assays used to measure different chemical levels in blood, urine, or cerebrospinal fluid may interfere with the drugs sulfasalazine and/or sulfapyridine causing falsely elevated or falsely depressed results.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • 1 of the 2 ancestors has a recall of any class.
  • 4 other devices also cite its predicate K863840.

How does its category compare?

All JIF devices

JIF Enzymatic Method, Ammonia: FDA decisions, review times, recalls and adverse event reports over 20 years. 2013, this device’s year, is highlighted.

FDA decisions per year · JIF

1in 2019

2013: 22019: 1
2007high 2 (2013) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JIF

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

Recalls per year · JIF

1in 2015

2007: 12009: 12015: 1
2007high 1 (2007) · low 0 (2008)2026

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

Adverse event reports per year · JIF

5in 2025

2009: 12010: 32011: 72013: 22014: 12015: 32016: 42017: 72018: 12019: 12020: 12021: 12022: 22023: 42024: 12025: 5
2007high 7 (2011) · low 0 (2007)2025

MAUDE reports naming product code JIF, 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
20070—10
20080—00
20090—11
20100—03
20110—07
20120—00
20132—02
20140—01
20150—13
20160—04
20170—07
20180—01
20191—01
20200—01
20210—01
20220—02
20230—04
20240—01
20250—05
20260—0—

What is it indicated for?

The AMM method is an in vitro diagnostic test for the quantitative measurement of ammonia in human plasma (heparin or EDTA) on the Dimension Vista® System. Ammonia measurements are used in the diagnosis and treatment of severe liver disorders such as cirrhosis, hepatitis and Reye's syndrome

The CHEM 3 CAL is an in vitro diagnostic product for the calibration of Ammonia (AMM), Carbon Dioxide (C02) and Ethyl Alcohol (ETOR) methods on the Dimension Vista® System.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K123677: Dimension Vista; Ammonia Flex Reagent Cartridge (Amm), Chemistry 3 Calibrator (Chem 3 Cal).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K123677

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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