510(k) Report

510(k) · Cleared

Cleared

GEM Premier 5000 (Measured Parameters:Glucose, Lactate and Total Bilirubin)

K160402510(k) TraditionalCleared Dec 14, 2016306-day reviewClass II21 CFR 862.1345

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

Instrumentation Laboratory CO · CGA Glucose Oxidase, Glucose

Cleared on Dec 14, 2016 as substantially equivalent to K133407 (Instrumentation Laboratory CO, 2014) and 1 other predicate after a 306-day review. Its family tree reaches back 9 generations to 1980. 2 later devices descend from it.

Decided
Dec 14, 2016
Review
306 days
Class
Class II
Product code
CGA
Recalls
None
Predicates
2

Its longest line of descent runs back 9 generations to K801848 (1980). 36 ancestors in all, the oldest K790608 (1979). 2 later devices descend from it, 1 citing it directly.

  1. Root · 9 generations backK801848 ICA1 Ionized Calcium AnalyzerThe London Co. · 1980
  2. 5 generations between
  3. 3 generations backK093623 Gem Premier 4000 with Iqm (Addition of Total Bilirubin Parameter)…Instrumentation Laboratory CO · 2010 · Recalled
  4. 2 generations backK112995 Gem Premier 4000Instrumentation Laboratory CO · 2012
  5. 1 generation backK133407 Gem Premier 4000Instrumentation Laboratory CO · 2014
  6. This deviceK160402 GEM Premier 5000 (Measured Parameters:Glucose, Lactate and Total…Instrumentation Laboratory CO · 2016
  7. Descendant · cites it directly · 1 of its ownK203790 GEM Premier 5000Instrumentation Laboratory CO · 2021 · Recalled
  8. Descendant · 2 generations on · 0 of its ownK223608 GEM Premier 7000 with IQM3Instrumentation Laboratory Company · 2023 · Recalled
Show all 9 generations
  1. Root · 9 generations backK801848 ICA1 Ionized Calcium AnalyzerThe London Co. · 1980
  2. 8 generations backK963800 IL SynthesisInstrumentation Laboratory CO · 1996
  3. 7 generations backK992834 Gem Premier 3000Instrumentation Laboratory CO · 1999 · Recalled
  4. 6 generations backK022158 Iqm (Intelligent Quality Management) on the Gem Premier 3000, CVP…Instrumentation Laboratory CO · 2002
  5. 5 generations backK052121 Gem Premier 3000Instrumentation Laboratory CO · 2005 · Recalled
  6. 4 generations backK061974 Gem Premier 4000 with Iqm, Model 4000; Gem CVP 1 and 2 with CO-OX…Instrumentation Laboratory CO · 2006 · Recalled
  7. 3 generations backK093623 Gem Premier 4000 with Iqm (Addition of Total Bilirubin Parameter)…Instrumentation Laboratory CO · 2010 · Recalled
  8. 2 generations backK112995 Gem Premier 4000Instrumentation Laboratory CO · 2012
  9. 1 generation backK133407 Gem Premier 4000Instrumentation Laboratory CO · 2014
  10. This deviceK160402 GEM Premier 5000 (Measured Parameters:Glucose, Lactate and Total…Instrumentation Laboratory CO · 2016

Most influential descendants

Showing 2 of 2 · See all
  • K203790GEM Premier 5000Instrumentation Laboratory CO · 2021 · cites it directly1descendant
  • K223608GEM Premier 7000 with IQM3Instrumentation Laboratory Company · 2023 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K801848ICA1 Ionized Calcium AnalyzerThe London Co.1980—
−8K963800IL SynthesisInstrumentation Laboratory CO1996—
−7K992834Gem Premier 3000Instrumentation Laboratory CO19995
−6K022158Iqm (Intelligent Quality Management) on the Gem Premier 3000, CVP (Calibration…Instrumentation Laboratory CO2002—
−5K052121Gem Premier 3000Instrumentation Laboratory CO20052
−4K061974Gem Premier 4000 with Iqm, Model 4000; Gem CVP 1 and 2 with CO-OX; Gem CVP 3…Instrumentation Laboratory CO20064
−3K093623Gem Premier 4000 with Iqm (Addition of Total Bilirubin Parameter), Gem CVP 2…Instrumentation Laboratory CO20105
−2K112995Gem Premier 4000Instrumentation Laboratory CO2012—
−1K133407Gem Premier 4000Instrumentation Laboratory CO2014—
0 (this device)K160402GEM Premier 5000 (Measured Parameters:Glucose, Lactate and Total Bilirubin)Instrumentation Laboratory CO2016—
+1K203790GEM Premier 5000Instrumentation Laboratory CO202125
+2K223608GEM Premier 7000 with IQM3Instrumentation Laboratory Company20232

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198410
198630
198710
198910
199220
199410
199520
199650
199720
199820
199910
200020
200110
200410
201510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202110
202310
FIG. 1 — Lineage of K160402, 1980–2023Source: 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 CGA? 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 CGA device

  1. #1 K252488 ABL90 FLEX PLUS Systemscore 12.8 · 6 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.

TypeNumberDeviceApplicantDecidedRecalls
*K133407Gem Premier 4000
Summary page 4
…Trade Name (Measured Parameters: Glucose, Lactate, Total Bilirubin) GEM Premier 4000 K133407 Glucose and Lactate Predicate Devices ABL 837 K142898…
Instrumentation Laboratory CO2014—
*K142898ABL800 FLEX with AQURE connectivity
Summary page 4
…GEM Premier 4000 K133407 Glucose and Lactate Predicate Devices ABL 837 K142898 Total Bilirubin Regulatory Information…
Radiometer Medical Aps20153

Also cleared against K133407: 6 other devices →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K203790GEM Premier 5000Instrumentation Laboratory CO20211

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 36 years and passes through 2 companies; a new generation was cleared every 2.9 years on median.
  • 16 of the 36 ancestors have a recall of any class.
  • Of its descendants, K203790 (Instrumentation Laboratory CO, 2021) has gone furthest, with 1 descendant of its own.
  • 6 other devices also cite its predicate K133407.

How does its category compare?

All CGA devices

CGA Glucose Oxidase, Glucose: FDA decisions, review times, recalls and adverse event reports over 20 years. 2016, this device’s year, is highlighted.

FDA decisions per year · CGA

2in 2024

2007: 72008: 62009: 102010: 82011: 92012: 102013: 32014: 52015: 42016: 42017: 22018: 22019: 22020: 22021: 12022: 12023: 42024: 22026 (partial year): 1
2007high 10 (2009) · low 0 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · CGA

249in 2023

2007: 122 days median2008: 56 days median2009: 155 days median2010: 122 days median2011: 217 days median2012: 123 days median2013: 441 days median2014: 265 days median2015: 150 days median2016: 157 days median2023: 249 days median
2007high 441 (2013) · low 56 (2008)2026

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

Recalls per year · CGA

3in 2023

2007: 22008: 22009: 42010: 62011: 32013: 32014: 22015: 6, 2 Class I2016: 22019: 12023: 3
2007high 6 (2010) · low 0 (2012)2026

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

Adverse event reports per year · CGA

59in 2025

2007: 292008: 372009: 752010: 1722011: 4232012: 2332013: 1722014: 1222015: 1552016: 362017: 922018: 692019: 1162020: 682021: 482022: 2722023: 1,1412024: 2662025: 59
2007high 1,141 (2023) · low 29 (2007)2025

MAUDE reports naming product code CGA, 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
20077122229
2008656237
200910155475
201081226172
201192173423
2012101230233
201334413172
201452652122
201541506 (2)155
20164157236
20172—092
20182—069
20192—1116
20202—068
20211—048
20221—0272
2023424931,141
20242—0266
20250—059
20261—0—

What is it indicated for?

The GEM Premier 5000 is a portable critical care system for use by health care professionals to rapidly analyze heparinized whole blood samples at the point of health care delivery in a clinical setting and in a central laboratory. The instrument provides quantitative measurements of glucose, lactate and total bilirubin from venous, arterial and capillary heparinized whole blood. These parameters aid in the diagnosis of a patient’s metabolite balance.…

Read the full statement (146 words)

The GEM Premier 5000 is a portable critical care system for use by health care professionals to rapidly analyze heparinized whole blood samples at the point of health care delivery in a clinical setting and in a central laboratory. The instrument provides quantitative measurements of glucose, lactate and total bilirubin from venous, arterial and capillary heparinized whole blood. These parameters aid in the diagnosis of a patient’s metabolite balance.

Glucose (Glu) measurement is used in the diagnosis, monitoring and treatment of carbohydrate metabolism disturbances including diabetes mellitus, neonatal hypoglycemia, idiopathic hypoglycemia, and pancreatic islet cell carcinoma.

Lactate (Lac) measurement is used:

• to evaluate the acid-base status of patients suspected of having lactic acidosis;

• to monitor tissue hypoxia and strenuous physical exertion;

• in the diagnosis of hyperlactatemia.

Total bilirubin measurement is used to aid in assessing the risk of kernicterus and hyperbilirubinemia in neonates.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K160402: GEM Premier 5000 (Measured Parameters:Glucose, Lactate and Total Bilirubin).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K160402

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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