K Number
K012131
Device Name
LIVESURE BENZODIAZEPINES SCREEN TESTS
Date Cleared
2001-07-20

(11 days)

Product Code
Regulation Number
862.3170
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Pan Probe Biotech LiveSure™ Benzodiazepines Screen Test Card and Test Strip devices are qualitative lateral flow immuno-chromatographic competitive urinary rapid in vitro diagnostic (IVD) qualitative assays for detection of Benzodiazepines drugs, and metabolites (BZD) in human urine at the NIDA (National Institute of Drug Abuse) cut-off of 300 ng BZD/ml. The cut-off for both LiveSure™ Test Card and Test Strip device methods has been set at 300 ng BZD drug/ml based upon calibration using the parent benzodiazepine/BZD drug, and using Oxazepam standards with a GC/MS method for the quantitation of all the Oxazepam standard and urine test solutions. These IVD tests are intended for visual, qualitative screening, for professional use only, and are not intended for quantitative results, nor for over the counter sales. Pan Probe Biotech LiveSure™ BZD Screen Tests for BZD provide only preliminary qualitative analytical data. A more specific quantitative alternative method must be used in order to obtain a confirmed analytical result. NIDA recommends gas chromatography/mass spectrometry (GC/MS) as the preferred confirmatory method. Clinical considerations and professional judgment should be applied to any drug of abuse test result, particularly when preliminary positive results are indicated.
Device Description
The Pan Probe Biotech LiveSure™ Benzodiazepines Screen Test Card and Test Strip (i.e., LiveSure™ BZD Screen Tests) devices are rapid qualitative competitive chromatographic IVD immunoassays, in which a chemically labeled drug conjugate competes with any Benzodiazepine (BZD) drugs, analogs or metabolites that may be present in test urine samples for limited specific antibody binding sites. LiveSure™ Benzodiazepines devices have a unique membrane pre-coated with a gold conjugate immunoassay indicator that is pre-labeled with specific monoclonal antibody from mouse directed against BZD drugs. The Test Strip and Test Card consists of a membrane absorbent pad having a gold-probe-conjugate pre-labeled with specific monoclonal antibody from mouse that is directed against BZD drugs, and a chromatographic membrane pre-coated with a chemically modified Benzodiazepine (Oxazepam) drug-conjugate as a capture reagent. The Test region of each device has been layered with a Benzodiazepine [Oxazepam] drug-conjugate as a 1st capture reagent, while the Process Control region has been pre-coated with a 2nd anti-mouse antibody reagent derived from goat. A pink colored anti-BZD monoconal antibody-colloidal gold conjugate pad is placed to the right of a test strip. In the absence of BZD drugs, analogs or metabolites in urine, pink colored antibody-colloidal gold conjugates move chromatographically along with the urinary samples on the membrane by capillary action. Antibody-colloidal gold conjugate binds to BZD-drug conjugate, forming an antibody-antigen complex. This antibody-BZD-drug conjugate appears as second visible pink colored band and captured reagent at the test region. Any BZD drugs, analogs or metabolites that are present in a sample urine act as antigens, competing with BZD-drug conjugate at the test band region for limited BZD-antibody binding sites on antibody-colloidal gold conjugate. When a sufficient concentration of urinary BZD drugs, analogs or metabolites are present, these analytes block the limited antibody binding sites. This blockage-binding prevents attachment of pink colored antibody-colloidal gold conjugate at the BZD-drug conjugate zone located at the test band region. To serve as a procedural control, a pink colored band in a control region will always appear, regardless of the presence of BZD in urine samples. Thus, negative urine samples produces two pink colored bands, while positive urine samples produce only one pink colored band.
More Information

Not Found

Not Found

No
The device description and performance studies describe a standard lateral flow immunoassay with visual interpretation, not involving AI or ML.

No
The device is an in vitro diagnostic (IVD) qualitative assay for detecting Benzodiazepines in human urine, providing preliminary analytical data and is not used for treating or preventing disease.

Yes
The text explicitly states: "The Pan Probe Biotech LiveSure™ Benzodiazepines Screen Test Card and Test Strip devices are qualitative lateral flow immuno-chromatographic competitive urinary rapid in vitro diagnostic (IVD) qualitative assays for detection of Benzodiazepines drugs..." The phrase "in vitro diagnostic (IVD) qualitative assays" directly indicates that it is a diagnostic device.

No

The device description clearly outlines physical components like membranes, pads, and conjugates, indicating it is a hardware-based in vitro diagnostic test.

Yes, the device is an IVD (In Vitro Diagnostic).

The "Intended Use / Indications for Use" section explicitly states: "The Pan Probe Biotech LiveSure™ Benzodiazepines Screen Test Card and Test Strip devices are qualitative lateral flow immuno-chromatographic competitive urinary rapid in vitro diagnostic (IVD) qualitative assays for detection of Benzodiazepines drugs, and metabolites (BZD) in human urine..."

N/A

Intended Use / Indications for Use

The Pan Probe Biotech LiveSure™ Benzodiazepines Screen Test Card and Test Strip devices are qualitative lateral flow immuno-chromatographic competitive urinary rapid in vitro diagnostic (IVD) qualitative assays for detection of Benzodiazepines drugs, and metabolites (BZD) in human urine at a cut-off of 300 ng BZD/ml. These IVD tests are intended for visual, qualitative screening, for professional use only, and are not intended for quantitative results, nor for over the counter sales. Pan Probe Biotech LiveSure™ BZD Screen Tests for BZD provide only preliminary qualitative analytical data. A more specific quantitative alternative method must be used in order to obtain a confirmed analytical result. GC/MS (gas chromatography mass spectrometry) is the preferred confirmatory method. Clinical considerations and professional judgment should be applied to any drug of abuse test result, particularly when preliminary positive results are indicated.

Product codes (comma separated list FDA assigned to the subject device)

JXM

Device Description

The Pan Probe Biotech LiveSure™ Benzodiazepines Screen Test Card and Test Strip (i.e., LiveSure™ Benzodiazepines) devices are rapid qualitative competitive chromatographic IVD immunoassays, in which Donzoally labeled drug conjugate competes with any Benzodiazepine (BZD) drugs, analogs or metabolites that may be present in test urine samples for limited specific antibody binding sites. I liveSure™ Benzodiazepines devices have a unique membrane pre-coated with a gold conjugate immunoassay indicator that is used is pre-labeled with specific monoclonal antibody from mouse directed imministed on the strip and Test Card consists of a membrane absorbent pad having a goldarobe-conjugate pre-labeled with specific monoclonal antibody from mouse that is directed against BZD drugs, and a chromatographic membrane pre-coated with a chemically modified Benzodiazepine (Oxazepam) drug-conjugate as a capture reagent. The Test region of each device has been layered with a Benzodiazepine [Oxazepam] drug-conjugate as a 1 capture reagent, while the Process Control region has been pre-coated with a 200 anti-mouse antibody reagent derived from goat. A pink colored anti-BZD monoconal antibody-colloidal gold conjugate pad is placed to the right of a test strip. In the absence of BZD drugs, analogs or metabolites in urine, pink colored antibody-colloidal gold conjugates move chromatographically along with the urinary samples on the membrane by capillary action. Antibodycolloidal gold conjugate binds to BZD-drug conjugate, forming an antibody-antigen complex. This antibody-BZD-drug conjugate appears as second visible pink colored band and captured reagent at the test region. Any BZD drugs, analogs or metabolites that are present in a sample urine act as antigens, competing with BZD-drug conjugate at the test band region for limited BZD-antibody binding sites on antibody-colloidal gold conjugate. When a sufficient concentration of urinary BZD drugs, analogs or metabolites are present, these analytes block the limited antibody binding sites. This blockage-binding prevents attachment of pink colored antibody-colloidal gold conjugate at the BZD-drug conjugate zone located at the test band region. To serve as a procedural control, a pink colored band in a control region will always appear, regardless of the presence of BZD in urine samples. Thus, negative urine samples produces two pink colored bands, while positive urine samples produce only one pink colored band.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

human urine

Indicated Patient Age Range

Not Found

Intended User / Care Setting

professional use only

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Independent clinical testing of 387 urine samples was performed. The samples were tested against LiveSure™ Benzodiazepines Screen Test Card and Test Strip devices, as well as EMIT® II Assay at an external reference laboratory. GC/MS was used for quantitative positive results and as the confirmatory method.

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

In-house testing and independent clinical testing. The independent clinical testing involved 387 urine samples.
Key Results:

  • 100% agreement with all GC/MS quantitative positive results.
  • 99.3% agreement with GC/MS negative results.
  • Comparing Test Card and Test Strip positives with EMIT® II positives, both showed 98.3% respective agreement with EMIT® II.
  • Specificity of Test Card and Test Strip negatives with EMIT® II negatives was 99.5%, respectively.
  • At and below the ±25% range of the NIDA/SAMHSA cut-off of 300 ng/ml of Benzodiazepines, LiveSure™ Benzodiazepines Screen Test Card and Strip yielded no false positives, while EMIT®II resulted in 1 false positive for urine samples with GC/MS results below ng/ml.
  • Overall accuracy results of 385/387 (99.5%) for both LiveSure™ Benzodiazepines Test Card and Test Strip versus GC/MS data, whereas 385/387 (99.5%) accuracy was obtained with EMIT®II.
  • The LiveSure™ Benzodiazepines Test Card and Test Strip were determined to be equivalent in performance to each other and somewhat superior in capability versus assays with EMIT®II when judged against GC/MS results.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

  • Agreement with GC/MS positive results: 100%
  • Agreement with GC/MS negative results: 99.3%
  • Agreement with EMIT® II positives: 98.3%
  • Specificity of negatives with EMIT® II negatives: 99.5%
  • False positives: 0 (LiveSure™), 1 (EMIT®II)
  • Overall accuracy versus GC/MS: 99.5% (LiveSure™ and EMIT®II)

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

EMIT® II Assay

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 862.3170 Benzodiazepine test system.

(a)
Identification. A benzodiazepine test system is a device intended to measure any of the benzodiazepine compounds, sedative and hypnotic drugs, in blood, plasma, and urine. The benzodiazepine compounds include chlordiazepoxide, diazepam, oxazepam, chlorzepate, flurazepam, and nitrazepam. Measurements obtained by this device are used in the diagnosis and treatment of benzodiazepine use or overdose and in monitoring levels of benzodiazepines to ensure appropriate therapy.(b)
Classification. Class II (special controls). A benzodiazepine test system is not exempt if it is intended for any use other than employment or insurance testing or is intended for Federal drug testing programs. The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9, provided the test system is intended for employment and insurance testing and includes a statement in the labeling that the device is intended solely for use in employment and insurance testing, and does not include devices intended for Federal drug testing programs (e.g., programs run by the Substance Abuse and Mental Health Services Administration (SAMHSA), the Department of Transportation (DOT), and the U.S. military).

0

510k Submission for

LiveSure™ BENZODIAZEPINES SCREEN TESTS

Pan Probe Biotech, Inc.

Revision E, July 16, 2001

SUMMARY STATEMENT OF SAFETY AND EFFECTIVENESS

The sponsor, Pan Probe Biotech, Inc., has developed, manufactured, and tested under Good Laboratory The openod, I an Frob diagnostic (IVD) devices for qualitative testing of urine samples for the presence of Benzodiazepines, analogs, and metabolites in an IVD screening format.

phesinde name of the devices are the Pan Probe Biotech LiveSure™ Benzodiazepines Screen Test Card The Trade Thame of the de noor and of Benzodiazepines Test Systems, and a classification as and rost billp; framig a PPR 862.3170, with product code: JXM. These IVD devices are intended for medical/forensic screening of urines for Benzodiazepines, analogs, and metabolites.

The Pan Probe Biotech LiveSure™ Benzodiazepines Screen Test Card and Test Strip (i.e., LiveSure™ The Fair - robes) devices are rapid qualitative competitive chromatographic IVD immunoassays, in which Donzoally labeled drug conjugate competes with any Benzodiazepine (BZD) drugs, analogs or metabolites that may be present in test urine samples for limited specific antibody binding sites. I liveSure™ Benzodiazepines devices have a unique membrane pre-coated with a gold conjugate immunoassay indicator that is used is pre-labeled with specific monoclonal antibody from mouse directed imministed on the strip and Test Card consists of a membrane absorbent pad having a goldarobe-conjugate pre-labeled with specific monoclonal antibody from mouse that is directed against BZD drugs, and a chromatographic membrane pre-coated with a chemically modified Benzodiazepine (Oxazepam) drug-conjugate as a capture reagent. The Test region of each device has been layered with a Benzodiazepine [Oxazepam] drug-conjugate as a 1* capture reagent, while the Process Control region has been pre-coated with a 200 anti-mouse antibody reagent derived from goat. A pink colored anti-BZD monoconal antibody-colloidal gold conjugate pad is placed to the right of a test strip. In the absence of BZD drugs, analogs or metabolites in urine, pink colored antibody-colloidal gold conjugates move chromatographically along with the urinary samples on the membrane by capillary action. Antibodycolloidal gold conjugate binds to BZD-drug conjugate, forming an antibody-antigen complex. This antibody-BZD-drug conjugate appears as second visible pink colored band and captured reagent at the test region. Any BZD drugs, analogs or metabolites that are present in a sample urine act as antigens, competing with BZD-drug conjugate at the test band region for limited BZD-antibody binding sites on antibody-colloidal gold conjugate. When a sufficient concentration of urinary BZD drugs, analogs or metabolites are present, these analytes block the limited antibody binding sites. This blockage-binding prevents attachment of pink colored antibody-colloidal gold conjugate at the BZD-drug conjugate zone located at the test band region. To serve as a procedural control, a pink colored band in a control region will always appear, regardless of the presence of BZD in urine samples. Thus, negative urine samples produces two pink colored bands, while positive urine samples produce only one pink colored band.

In-house testing of LiveSure™ Benzodiazepines Screen Test Card and Test Strip devices against EMIT® II Assay as a predicate device provided data essentially showing equivalency between these devices and the predicate EMIT® II Assay. Additionally, independent clinical testing of 387 urine samples against LiveSure™ Benzodiazepines Screen Test Card and Test Strip devices, as well as EMIT® II Assay at an external reference laboratory resulted in a 100% percent with all GC/MS quantitative positive results. Moreover, LiveSure™ Benzodiazepines Test Card or Strip gave both 99.3% agreement with GC/MS negative results. In comparing the Test Card and Test Strip positives with EMIT® II positives, both 98.3% respective agreement with EMIT® II was found. Specificity of Test Card and Test Strip negatives with EMIT® II negatives was shown to be 99.5%, respectively. In terms of overall accuracy of values at and below the ±25% range of the NIDA/SAMHSA cut-off of 300 ng/ml of Benzodiazepines, however, the LiveSure™ Benzodiazepines Screen Test Card and Strip yielded no false positives or no FP, but EMIT®Il resulted in 1 FP values for urine samples with GC/MS results below ng/ml. Finally, the LiveSure™ Benzodiazepines Test Card and the Test Strip gave overall accuracy results of 385/387(99.5%) for both, versus GC/MS data, whereas 385/387(99.5%) accuracy was obtained with EMIT®II. Thus, as judged against GC/MS results from an independent laboratory, the LiveSure™ Benzodiazepines Test Card and Test Strip were determined to be equivalent in performance to each other and somewhat superior in capability versus assays with EMIT®II.

Additional information on this submission may be obtained by contacting Alice Yu, Vice President, Pan Probe Biotech, Inc. at: 1- 858-689-9936 or by fax at 1-858-689-6896.

1

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Food and Drug Administration 2098 Gaither Road Rockville MD 20850

Pan Probe Biotech, Inc. c/o James M. Barquest, Ph.D. California Department of Health Services Food and Drug Branch PO Box 942732 601 North Seventh Street (MS 357) Sacramento, CA 94234-7320

510(k) Number: K012131 Re: Trade/Device Name: Pan Probe Biotech LiveSure™ Benzodiazepines Screen Tests Regulation Number: 862.3170 Regulatory Class: II Product Code: JXM Dated: July 3, 2001 Received: July 9, 2001

JUL 2 0 2001

Dear Dr.Barquest:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent to devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) regulation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

2

Page 2

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed nothication. The I'DA intellig of succion for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFF Part 801 and If you desire specific advice for your astic devices), please contact the Office of Compliance at additionally 807.10 for in the claims on the promotion and advertising of your device, (301) 594-4588. Additionally, for quest at (301) 594-4639. Also, please note the regulation
complease contact the Office of Compliance at (301) 594-4639. Also, please of Co please contact the Office of Compilance (21CFR 807.97). Other general entitled, "Misoranding by reference to president to president from the Division of Small mionitation on your responsionnes and in the more (800) 638-2041 or (301) 443-6597 or at its Miandracturers "http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Steven Butman

Steven I. Gutman, M.D., M.B.A. Director Division of Clinical Laboratory Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

510k Submission for

LiveSure™ BENZODIAZEPINE SCREEN TESTS

Pan Probe Biotech, Inc.

Proprietary Information

Revision E, July 16, 2001

510(k) Number (if known): Not yet assigned

Device Name: Pan Probe Biotech LiveSure™ Benzodiazepines Screen Tests

INDICATIONS FOR USE STATEMENT:

The Pan Probe Biotech LiveSure™ Benzodiazepines Screen Test Card and Test Strip devices are The Fan Froot Diotoon ENGGIF ENGGIF - Bonabative lateral flow immuno-chromatographic competitive urinary rapid in Thro Glaghoolio (112) qualifanes drugs, and metabolites (BZD) in human urine at assays for detoon of Donestials problems (Substance Abuse and Mental Health the Nox (Hattonal mother of Brag + 300 ng BZD/ml. The cut-off for both LiveSure™ Test Card oon Test Strip device methods has been set at 300 ng BZD drug/ml based upon calibration using and root benzodiazepine/BZD drug, and using Oxazepam standards with a GC/MS method for the quantitation of all the Oxazepam standard and urine test solutions. These IVD tests are intended for visual, qualitative screening, for professional use only, and are not intended for quantitative results, nor for over the counter sales. Pan Probe Biotech LiveSure™ BZD Screen Tests for BZD provide only preliminary qualitative analytical data. A more specific quantitative alternative method must be used in order to obtain a confirmed analytical result. NIDA quartitudio anomano meeting mass spectrometry (GC/MS) as the preferred confirmatory method. Clinical considerations and professional judgment should be applied to any drug of abuse test result, particularly when preliminary positive results are indicated.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Jean Cooger

n Sign-Off)
Clinical Laboratory Devices
K012131

Prescription Use: or (Per 21 CFR 801.109)

Over-the-Counter Use: (Optional Format 1-2-96)