K Number
K023316
Device Name
SINGLE ANALYTE URINE DRUGS OF ABUSE CALIBRATORS AND CONTROLS
Date Cleared
2002-12-16

(74 days)

Product Code
Regulation Number
862.3200
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Methadone or Propoxyphene Urine Drugs of Abuse Calibrators are intended for in vitro diagnostic use for the calibration of their respective enzyme immunoassays to detect methadone or propoxyphene in human urine. The Methadone or Propoxyphene Urine Drugs of Abuse Controls are intended for in vitro diagnostic use for the validation of their respective enzyme immunoassays to detect methadone or propoxyphene in human urine.
Device Description
All of the Single Analyte Urine DAU Calibrators and Controls are human urine-based liquid, and ready to use. These Calibrators and Controls do not have any especially unique technical characteristics. Each contains a known concentration of a specific drug analyte. The Negative DAU calibrator is a processed, drug-free human urine matrix. The Low, Cutoff, Intermediate, and High Calibrators, as well as the 2 levels of Controls are prepared by spiking known concentrations of drug analyte into the Negative DAU Calibrator matrix.
More Information

Not Found

No
The device description and performance studies focus on chemical analysis and calibration/control of enzyme immunoassays, with no mention of AI or ML. The "Mentions AI, DNN, or ML" section explicitly states "Not Found".

No
This device is for in vitro diagnostic use, specifically for the calibration and validation of enzyme immunoassays used to detect drugs in human urine. It is not used to treat or prevent a disease or condition in a patient.

Yes

The "Intended Use / Indications for Use" section explicitly states that the calibrators and controls are "intended for in vitro diagnostic use."

No

The device description clearly states that the device is a "human urine-based liquid" and contains "known concentrations of a specific drug analyte," indicating it is a physical reagent, not software.

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

Here's why:

  • Intended Use/Indications for Use: The document explicitly states that the calibrators and controls are "intended for in vitro diagnostic use". This is the most direct indicator.
  • Device Description: The device is a "human urine-based liquid" containing known concentrations of drug analytes. It is used in conjunction with enzyme immunoassays to detect drugs in human urine. This aligns with the definition of an in vitro diagnostic product, which is used to examine specimens derived from the human body to provide information for diagnostic purposes.
  • Performance Studies: The document describes performance studies like Reproducibility and Accuracy, which are typical evaluations for IVD devices to demonstrate their reliability and validity for diagnostic use.
  • Predicate Device: The mention of a predicate device (K983159) which is also described as "Drugs of Abuse Urine Calibrators A and Controls A (Diagnostic Reagents, Inc., now Microgenics Corporation)" further supports that this device falls within the category of IVDs used for drug testing.

The absence of mentions of image processing, AI/ML, specific anatomical sites, or patient age ranges does not negate its classification as an IVD. These elements are not required for all types of in vitro diagnostic devices.

N/A

Intended Use / Indications for Use

The Methadone or Propoxyphene Urine Drugs of Abuse Calibrators are intended for in vitro diagnostic use for the calibration of their respective enzyme immunoassays to detect methadone or propoxyphene in human urine.

The Methadone or Propoxyphene Urine Drugs of Abuse Controls are intended for in vitro diagnostic use for the validation of their respective enzyme immunoassays to detect methadone or propoxyphene in human urine.

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

DLJ, LAS

Device Description

All of the Single Analyte Urine DAU Calibrators and Controls are human urine-based liquid, and ready to use. These Calibrators and Controls do not have any especially unique technical characteristics. Each contains a known concentration of a specific drug analyte.

The Negative DAU calibrator is a processed, drug-free human urine matrix. The Low, Cutoff, Intermediate, and High Calibrators, as well as the 2 levels of Controls are prepared by spiking known concentrations of drug analyte into the Negative DAU Calibrator matrix. The various concentrations of each drug analyte in their corresponding calibrators and controls are summarized as follows:

Propoxyphene EIA:
Reference Material: Propoxyphene
Low Calibrator: 150 ng/mL
Cutoff Calibrator: 300 ng/mL
Intermediate Calibrator: 600 ng/mL
High Calibrator: 1000 ng/mL
Control Level 1: 225 ng/mL
Control Level 2: 375 ng/mL

Methadone EIA:
Reference Material: Methadone
Low Calibrator: 150 ng/mL
Cutoff Calibrator: 300 ng/mL
Intermediate Calibrator: 600 ng/mL
High Calibrator: 1000 ng/mL
Control Level 1: 225 ng/mL
Control Level 2: 375 ng/mL

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

Not Found

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

Not Found

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

Reproducibility (Precision):
Multiple vials each of the Calibrators and Controls were used during the evaluation of performance of the LZI's Methadone Enzyme Immunoassay and Propoxyphene Enzyme Immunoassay. Twelve vials each of Calibrators and Controls were used in immunoassay. Data on Methadone EIA were collected on the Synchron CX4CE Analyzer and data on Propoxyphene EIA were collected on the Hitachi 717 Analyzer.

Results for Methadone EIA (N = 12 samples for each calibrator/control):
Negative Calibrator (0 ng/mL): Ave. Rate = 208.8, Stdev = 0.9, %CV = 0.4
Low Calibrator (150 ng/mL): Ave. Rate = 248.1, Stdev = 2.1, %CV = 0.8
Cutoff Calibrator (300 ng/mL): Ave. Rate = 294.0, Stdev = 3.0, %CV = 1.0
Intermediate Calibrator (600 ng/mL): Ave. Rate = 331.6, Stdev = 2.6, %CV = 0.8
High Calibrator (1000 ng/mL): Ave. Rate = 345.6, Stdev = 1.3, %CV = 0.4
Control Level 1 (225 ng/mL): Ave. Conc. = 228.0, Stdev = 7.8, % CV = 3.4
Control Level 2 (375 ng/mL): Ave. Conc. = 379.6, Stdev = 13.2, % CV = 3.5

Results for Propoxyphene EIA (N = 12 samples for each calibrator/control):
Negative Calibrator (0 ng/mL): Ave. Rate = 117.0, Stdev = 0.8, %CV = 0.6
Low Calibrator (150 ng/mL): Ave. Rate = 170.8, Stdev = 1.4, %CV = 0.8
Cutoff Calibrator (300 ng/mL): Ave. Rate = 255.8, Stdev = 2.3, %CV = 0.9
Intermediate Calibrator (600 ng/mL): Ave. Rate = 326.8, Stdev = 1.9, %CV = 0.6
High Calibrator (1000 ng/mL): Ave. Rate = 348.8, Stdev = 2.5, %CV = 0.7
Control Level 1 (225 ng/mL): Ave. Conc. = 232.6, Stdev = 3.0, % CV = 1.3
Control Level 2 (375 ng/mL): Ave. Conc. = 378.0, Stdev = 7.4, % CV = 2.0

Accuracy:
The concentrations of the LZI's Single Analyte (Methadone or Propoxyphene) Urine DAU Calibrators and Controls were determined and confirmed with gas chromatography/mass spectroscopy (GC/MS) technique.

Results for Methadone:
Low Cal.: Expected = 150, GC/MS = 157
Cutoff Cal.: Expected = 300, GC/MS = 288
Intermediate Cal.: Expected = 600, GC/MS = 584
High Cal.: Expected = 1000, GC/MS = 963
Level 1 Control: Expected = 225, GC/MS = 214
Level 2 Control: Expected = 375, GC/MS = 374

Results for Propoxyphene:
Low Cal.: Expected = 150, GC/MS = 158
Cutoff Cal.: Expected = 300, GC/MS = 307
Intermediate Cal.: Expected = 600, GC/MS = 593
High Cal.: Expected = 1000, GC/MS = 973
Level 1 Control: Expected = 225, GC/MS = 222
Level 2 Control: Expected = 375, GC/MS = 387

Stability:
Long-term stability was assessed with an accelerated temperature stability study carried out at room temperature (RT) for 6 months. Calibrators and Controls stored at RT were then evaluated and compared to those counter parts stored at 2℃ to 8°C (Refrigerated). The results indicated there is no significant difference between the two. Real time stability at refrigerated temperature is being continued. The product shelf life is anticipated to be at least 12 months at 2°C to 8°C storage conditions. Calibrators and Controls prepared in artificial matrix without the urine component have been evaluated earlier, and showed more than 24 months real time stability.

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

Not Found

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.

K983159

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

§ 862.3200 Clinical toxicology calibrator.

(a)
Identification. A clinical toxicology calibrator is a device intended for medical purposes for use in a test system to establish points of reference that are used in the determination of values in the measurement of substances in human specimens. A clinical toxicology calibrator can be a mixture of drugs or a specific material for a particular drug (e.g., ethanol, lidocaine, etc.). (See also § 862.2 in this part.)(b)
Classification. Class II (special controls). 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.

0

DEC 1 6 2002

IC023316

510(k) Summary of Safety and Effectiveness

This summary of 510(k) safety and effectiveness information is heing submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

Introduction

According to the requirements of 21 CFR 807.92, the following information provides sufficient detail to understand the basis for a determination of substantial equivalence.

Submitter name, Address, and Contact

Lin-Zhi International, Inc. 2391 Zanker Road, Suite 340 San Jose, CA 95131 Phone: (408) 944-0360 (408) 944-0359 Fax:

Contact: Chiu Chin Chang, Ph.D. VP, R&D

Device Name and Classification

| (a) Classification Name: | Calibrators, Drug Specific;
Class II, DLJ (91 Toxicology), 21 CFR 862.3200 |
|--------------------------|-------------------------------------------------------------------------------|
| Common/Usual Name: | Methadone Calibrators |
| | Propoxyphene Calibrators |
| Proprietary Name: | None |
| (b) Classification Name: | Drug Specific Control Materials; |
| | Class I, LAS (91 Toxicology), 21 CFR 862.3280 |
| Common/Usual Name: | Methadone Controls |
| | Propoxyphene Controls |
| Proprietary Name: | None |

Legally Marketed Predicate Device(s)

Lin-Zhi International, Inc.'s Single Analyte (Methadone or Propoxyphene) Urine Drugs of Abuse Calibrators and Controls are substantially equivalent to the Drugs of Abuse Urine Calibrators A and Controls A (Diagnostic Reagents, Inc., now Microgenics Corporation), cleared under premarket notifications (K983159) for Drugs of Abuse Urine Calibrators and Controls.

1

Device Description

All of the Single Analyte Urine DAU Calibrators and Controls are human urine-based liquid, and ready to use. These Calibrators and Controls do not have any especially unique technical characteristics. Each contains a known concentration of a specific drug analyte.

The Negative DAU calibrator is a processed, drug-free human urine matrix. The Low, Cutoff, Intermediate, and High Calibrators, as well as the 2 levels of Controls are prepared by spiking known concentrations of drug analyte into the Negative DAU Calibrator matrix. The various concentrations of each drug analyte in their corresponding calibrators and controls are summarized as follows:

| | Propoxyphene
EIA | Methadone
EIA |
|-------------------------|---------------------|------------------|
| Reference Material | Propoxyphene | Methadone |
| Low Calibrator | 150 ng/mL | 150 ng/mL |
| Cutoff Calibrator | 300 ng/mL | 300 ng/mL |
| Intermediate Calibrator | 600 ng/mL | 600 ng/mL |
| High Calibrator | 1000 ng/mL | 1000 ng/mL |
| Control Level 1 | 225 ng/mL | 225 ng/mL |
| Control Level 2 | 375 ng/mL | 375 ng/mL |

Intended Use

The Methadone or Propoxyphene Urine DAU Calibrators are intended for in vitro diagnostic use for the calibration of their respective enzyme immunoassays to detect methadone or propoxyphene in human urine.

The Methadone or Propoxyphene Urine DAU Controls are intended for in vitro diagnostic use for the validation of their respective enzyme immunoassays to detect methadone or propoxyphene in human urine.

2

Comparison to Predicate Device

LZI's Single Analyte (Methadone or Propoxyphene) Urine DAU Calibrators and Controls are similar in intended use, matrix, and performance to the DRI's Drugs of Abuse Urine Calibrators A and Controls A.

Similarities:

  • . Both are for the calibration and validation of DAU enzyme immunoassay to detect drug of abuse in human urine.
  • The cutoff concentration for either methadone or propoxyphene is the same, at 300 . ng/mL.
  • A total of 5 levels of calibrators including the negative calibrator for each analyte. ●
  • The nominal concentrations of the analyte in the calibrators and controls are determined and confirmed by GC/MS.
  • Both are urine-based liquids. ●
  • Storage condition is the same, at 2℃ to 8℃. ●
  • Performance characteristics on precision, accuracy and stability are similar. ●

Differences:

| Characteristics | DRI's Drugs of Abuse Urine
Calibrators A and Controls A | LZI's Single Analyte Urine
DAU Calibrators and Controls |
|--------------------------------------------------|------------------------------------------------------------|----------------------------------------------------------------|
| No. of Analytes in Each
Calibrator or Control | Multiple drugs in each
Calibrator and Control | Single drug only in each
Calibrator or Control. |
| No. of Calibrators | 3 levels* including the
Negative Calibrator | 5 levels including the Negative
Calibrator |
| Nomenclature/Labeling
of Calibrators | Negative, Low (= Cutoff),
and High | Negative, Low, Cutoff,
Intermediate and High
Calibrators |
| Concentration of
Analyte | Methadone Controls: 200 and
375 ng/mL | Methadone Controls: 225 and
375 ng/mL |
| | Propoxyphene Controls: 200
and 375 ng/mL | Propoxyphene Controls: 225
and 375 ng/mL |

  • Additional calibrators are now available. Currently 5 levels of calibrators (Cal 0, 1, 2, 3, and 4) are available from DRI/Microgenics Corp. under the product name "Multi-drug Urine Calibrators and Controls".

Conclusion

The information provided in the premarket notification demonstrates that the LZI's Methadone or Propoxyphene Urine Drugs of Abuse Calibrators and Controls are substantially equivalent to previously approved predicate devices, notably the DRI's Drugs of Abuse Urine Calibrators A and Controls A, and safe and effective for its intended use.

3

Performance Characteristics

Reproducibility (Precision)

Multiple vials each of the Calibrators and Controls were used during the evaluation of performance of the LZI's Methadone Enzyme Immunoassay and Propoxyphene Enzyme Immunoassay. The reproducibility, description of the assay principle, and assay procedure can be found on the package insert of each immunoassay.

The following tables illustrate the precision of each set of Single analyte Urine DAU Calibrators and Controls in their corresponding enzyme Immunoassays. Twelve vials each of Calibrators and Controls were used in immunoassay. The enzyme rates of the calibrators from each run and the concentrations of the controls determined from the calibration curves from the same run were summarized. Data on Methadone EIA were collected on the Synchron CX4CE Analyzer and data on Propoxyphene EIA were collected on the Hitachi 717 Analyzer.

(N = 12)Neg. CalLow CalCutoff CalIntermediate CalHigh Cal
0 ng/mL150 ng/mL300 ng/mL600 ng/mL1000 ng/mL
Ave. Rate208.8248.1294.0331.6345.6
Stdev0.92.13.02.61.3
%CV0.40.81.00.80.4

Methadone EIA:

(N=12)Contl L1Contl L2
225 ng/mL375 ng/mL
Ave. Conc.228.0379.6
Stdev7.813.2
% CV3.43.5

Propoxyphene EIA:

(N = 12)Neg. CalLow CalCutoff CalIntermediate CalHigh Cal
0 ng/mL150 ng/mL300 ng/mL600 ng/mL1000 ng/mL
Ave. Rate117.0170.8255.8326.8348.8
Stdev0.81.42.31.92.5
%CV0.60.80.90.60.7
(N=12)Contl L1Contl L2
225 ng/mL375 ng/mL
Ave. Conc.232.6378.0
Stdev3.07.4
% CV1.32.0

4

Accuracy

The concentrations of the LZI's Single Analyte (Methadone or Propoxyphene) Urine DAU Calibrators and Controls were determined and confirmed with gas chromatography/mass spectroscopy (GC/MS) technique. The observed concentration of the analyte in each calibrator or control, and its expected value are as follows:

MethadonePropoxyphene
ExpectedGC/MSExpectedGC/MS
Low Cal.150157150158
Cutoff Cal.300288300307
Intermediate Cal.600584600593
High Cal.10009631000973
Level 1 Control225214225222
Level 2 Control375374375387

Methadone was purchased from Sigma and Aldrich, St. Louis, MO 63178 (Traceable to NIST standard.), and propoxyphene was purchased from Alltech Applied Science Lab., State College, PA 16801 (Traceable to USP reference standard.)

5

Stability

The LZI Methadone or Propoxyphene Urine DAU Calibrators and Controls were prepared according to established procedures. These Calibrators and Controls were stored at 2℃ to 8°C (Refrigerated) at all times until use.

To assess long-term stability an accelerated temperature stability study was carried out at room temperature (RT) for 6 months. Calibrators and Controls stored at RT were then evaluated and compared to those counter parts stored at 2°C to 8°C (Refrigerated). The results indicated there is no significant difference between the two.

Real time stability at refrigerated temperature is being continued. The product shelf life is anticipated to be at least 12 months at 2°C to 8°C storage conditions. Calibrators and Controls prepared in artificial matrix without the urine component have been evaluated earlier, and showed more than 24 months real time stability.

6

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/6/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three human profiles incorporated into its body. The eagle and profiles are black, and they are surrounded by a circular border containing the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in black lettering.

Food and Drug Administration 2098 Gaither Road ockville MD 20850

Chiu Chin Chang, Ph.D. VP. R&D Lin-Zhi International, Inc. 687 North Pastoria Avenue Sunnyvale, CA 94085

. Re: K023316

Trade/Device Name: Single Analyte (Methadone or Propoxyphene) Urine Drugs of Abuse Calibrators and Controls

Regulation Number: 21 CFR 862.3200 Regulation Name: Clinical Toxicology Calibrator Regulatory Class: Class II Product Code: DLJ, LAS Dated: September 30, 2002 Received: October 3, 2002

Dear Dr. Chang:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate 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) that do not require approval of a premarket approval application (PMA). 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 (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Parts 801 and 809); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

7

Page 2 -

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific information about the application of labeling requirements to your device, or questions on the promotion and advertising of your device, please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 594-3084. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely yours,

Steven Putman

Steven I. Gutman, M.D., M.B.A. Director Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

8

Premarket Notification

Indications for Use Statement

KO23316 510(k) Number (if known):

Device Name: Single Analyte (Methadone or Propoxyphene) Urine Drugs of Abuse Calibrators and Controls

Indications for Use:

The Methadone or Propoxyphene Urine Drugs of Abuse Calibrators are intended for in vitro diagnostic use for the calibration of their respective enzyme immunoassays to detect methadone or propoxyphene in human urine.

The Methadone or Propoxyphene Urine Drugs of Abuse Controls are intended for in vitro diagnostic use for the validation of their respective enzyme immunoassays to detect methadone or propoxyphene in human urine.

Concurrence of CDRH, Office of Device Evaluation (ODE)

| Prescription Use

(Per 21 CFR 801.109)OROver-The-Counter Use
--------------------------------------------------------------------

(Optional Format 1-2-96)

Dean Cooper

(Division Sign-Off) Division of Clinical Laboratory Devices 510(k) Number --