K Number
K030649
Device Name
DRI COTININE EIA ASSAY
Manufacturer
Date Cleared
2003-05-22

(83 days)

Product Code
Regulation Number
862.3220
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The DRI® Cotinine Enzyme Immunoassay is intended for the Qualitative and Semi-Quantitative determination of Cotinine in human urine at a cutoff level of 500 ng/mL. This assay is intended for in vitro diagnostic use only. The assay is intended as an aid in the detection of cotinine after use or exposure to tobacco products.
Device Description
The DRI® Cotinine EIA Assay is a liquid ready-to-use homogeneous enzyme immunoassay. The assay uses specific antibodies, which can detect cotinine drugs in urine. The assay is based on competition between a drug labeled with glucose-6-phosphate dehydrogenase (G6PDH) enzyme, and free drug from the urine sample for a fixed amount of specific antibody binding sites. In the absence of free drug from the sample. the specific antibody binds the drug labeled with G6PDH causing a decrease in enzyme activity. This phenomenon creates a direct relationship between drug concentration in urine and enzyme activity. The enzyme G6PDH activity is determined spectrophotometrically at 340 nm by measuring its ability to convert nicotinamide adenine dinucleotide (NAD) to NADH.
More Information

Not Found

No
The device description and performance studies describe a traditional enzyme immunoassay based on chemical reactions and spectrophotometric measurement, with no mention of AI or ML algorithms for data analysis or interpretation.

No
The device is an in vitro diagnostic (IVD) assay designed to detect cotinine in human urine, which is used as an aid in detecting exposure to tobacco products, not for treating or preventing a disease.

Yes
The "Intended Use / Indications for Use" section explicitly states: "This assay is intended for in vitro diagnostic use only." and "The assay is intended as an aid in the detection of cotinine...". These statements indicate that the device is used for diagnosing or helping to diagnose a condition (exposure to tobacco products in this case) by analyzing a biological sample.

No

The device description clearly outlines a homogeneous enzyme immunoassay that relies on chemical reactions and spectrophotometric measurement, indicating a hardware-based in vitro diagnostic device, not software.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section clearly states: "This assay is intended for in vitro diagnostic use only."
  • Purpose: The device is designed to determine the presence and concentration of cotinine in human urine, which is a biological sample. This analysis is performed outside of the body ("in vitro").
  • Clinical Relevance: The assay is intended as an aid in the detection of cotinine after use or exposure to tobacco products, providing information relevant to a patient's health status or exposure.

These factors align with the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

"The DRI® Cotinine Enzyme Immunoassay is intended for the Qualitative and Semi-Quantitative determination of Cotinine in human urine at a cutoff level of 500 ng/mL. This assay is intended for in vitro diagnostic use only. The assay is intended as an aid in the detection of cotinine after use or exposure to tobacco products."

Product codes

JIT, MKU

Device Description

The DRI® Cotinine EIA Assay is a liquid ready-to-use homogeneous enzyme immunoassay. The assay uses specific antibodies, which can detect cotinine drugs in urine. The assay is based on competition between a drug labeled with glucose-6-phosphate dehydrogenase (G6PDH) enzyme, and free drug from the urine sample for a fixed amount of specific antibody binding sites. In the absence of free drug from the sample. the specific antibody binds the drug labeled with G6PDH causing a decrease in enzyme activity. This phenomenon creates a direct relationship between drug concentration in urine and enzyme activity. The enzyme G6PDH activity is determined spectrophotometrically at 340 nm by measuring its ability to convert nicotinamide adenine dinucleotide (NAD) to NADH.

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

The DRI® Cotinine EIA Assay was evaluated via a series of traditional laboratory studies. These studies included the performance characteristics of sensitivity, linearity, specificity, precision, and accuracy.

Accuracy: Accuracy against a GC/MS reference method was 98% (110 true positives, —80 true negatives)

Total Imprecision: Percent rate CVs across 3 levels of analyte concentration (300 ng/mL, 500 ng/mL, and 700 ng/mL were ≤ 0.8%.)

The assay showed good sensitivity with an LOD of 34 ng/mL.

Precision studies indicated good reproducibility of results at the critical points of the measurement range (distinguishing positive from negative interpretations), as dose %CVs for both total and within-run testing were ... 9.4%.

Accuracy studies showed good performance of the DRI® Cotinine EIA Assay as compared to the GC/MS reference method. The % Total Agreement is 98%.

Specificity testing demonstrated that the DRI® Cotinine EIA Assay is not affected by common endogenous substances, variations in urinary pH levels, structurally unrelated pharmaceutical compounds, or potentially cross-reacting compounds.

Key Metrics

Accuracy against a GC/MS reference method was 98% (110 true positives, —80 true negatives)
LOD of 34 ng/mL
% Total Agreement is 98%.

Predicate Device(s)

K072481

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.3220 Carbon monoxide test system.

(a)
Identification. A carbon monoxide test system is a device intended to measure carbon monoxide or carboxyhemoglobin (carbon monoxide bound to the hemoglobin in the blood) in blood. Measurements obtained by this device are used in the diagnosis and treatment of or confirmation of carbon monoxide poisoning.(b)
Classification. Class I (general 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.

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K030649

MAY 2 2 2003

510(K) Summary

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

The assigned 510(K) number is: Unknown

Submitter Information (21 CFR 807.92(a)(1))
Submitter:Microgenics Corporation
46360 Fremont Boulevard
Fremont, CA 94538
phone: (510) 979-5023
fax: (510) 979-5223
Contact:Name: Lakshmi Anne
Title: Director of Product Development
Summary date:February 27, 2003
Name of Device and Classification (21 CFR 807.92(a)(2))
Name (trade):DRI® Cotinine EIA Assay
Name (usual):Cotinine Assay
Classification:Cotinine Enzyme Immunoassay has been placed in Class II (MKU) by the
Bureau of Medical Devices.

Identification of Legally Marketed Predicate Device(s) (21 CFR 807.92 (a)(3)) DRI® Cotinine EIA Assay is substantially equivalent to OTI AUTO-LYTE® Cotinine EIA Assay (OraSure Technologies, Inc, Bethlehem, PA), cleared under premarket notification K072481.

DRI® Cotinine EIA Assay is identical or similar to its predicate in terms of intended use, method principle, risk to the patient, and clinical performance.

Description of Device (21 CFR 807.92 (a)(4))

The DRI® Cotinine EIA Assay is a liquid ready-to-use homogeneous enzyme immunoassay. The assay uses specific antibodies, which can detect cotinine drugs in urine. The assay is based on competition between a drug labeled with glucose-6-phosphate dehydrogenase (G6PDH) enzyme, and free drug from the urine sample for a fixed amount of specific antibody binding sites. In the absence of free drug from the sample. the specific antibody binds the drug labeled with G6PDH causing a decrease in enzyme activity. This phenomenon creates a direct relationship between drug concentration in urine and enzyme activity. The enzyme G6PDH activity is determined spectrophotometrically at 340 nm by measuring its ability to convert nicotinamide adenine dinucleotide (NAD) to NADH.

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Intended Use (21 CFR 807.92 (a)(5))

«The DRI® Cotinine Enzyme Immunoassay is intended for the Qualitative and Semi-Quantitative determination of Cotinine in human urine at a cutoff level of 500 ng/mL. This assay is intended for in vitro diagnostic use only. The assay is intended as an aid in the detection of cotinine after use or exposure to tobacco products."

Similarities to the Predicate(s) (21 CFR 807.92 (a)(6))

A summary table of the similarities and differences between DRI® Cotinine EIA Assay and the predicate device follows.

Device NameAUTO-LYTE® Cotinine EIADRI® Cotinine EIA Assay
(K072481)
Indications for
Use"The OraSure Technologies, Inc. (OTI)
AUTO-LYTE® Cotinine EIA is a
homogeneous immunoassay intended for
the Qualitative and Semi-Quantitative
analysis of cotinine in human urine.
Cotinine is a metabolite of nicotine, and
the OTI kit is used as an aid in the
detection of cotinine after use of tobacco
products or other products containing
nicotine. FOR IN VITRO DIAGNOSTIC
USE.""The DRI® Cotinine Enzyme
Immunoassay is intended for the
Qualitative and Semi-Quantitative
determination of Cotinine in human urine
at a cutoff level of 500 ng/mL. This
assay is intended for in vitro diagnostic
use only. The assay is intended as an aid in
the detection of cotinine after use or
exposure to tobacco products."
Method
PrincipleThe OTI AUTO-LYTE® Cotinine EIA is a
homogeneous enzyme immunoassay
used for the analysis of cotinine in urine.
The assay is based on competition
between drug in the sample and drug
labeled with the enzyme glucose-6-
phosphate dehydrogenase (G6PDH) for
antibody binding sites. Enzyme activity
decreases upon binding to the antibody;
free drug in the sample is proportional to
enzyme activity. Active enzyme converts
oxidized nicotinamide adenine
dinucleotide (NAD) to NADH, resulting
in an absorbance change that is measured
spectrophotometrically at 340 nm.The DRI® Cotinine Assay is a liquid,
ready-to-use homogeneous enzyme
immunoassay. The assay is based on
competition between cotinine labeled
with glucose-6-phosphate dehydrogenase
(G6PDH) enzyme and free cotinine from
in the sample for a fixed amount of
cotinine-specific antibody binding sites.
The enzyme G6PDH activity is
determined spectrophotometrically at 340
nm by measuring its ability to convert
nicotinamide adenine dinucleotide (NAD)
to NADH.
Components- Reagent A
  • Reagent B | - Antibody/Substrate Reagent
  • Enzyme Conjugate Reagent |
    | Anti-Cotinine
    Antibody | Sheep Polyclonal | Mouse Monoclonal |
    | Risk to patient | Not included in package insert. | This assay provides only a preliminary
    analytical result. A more specific
    alternate chemical method must be used
    in order to obtain a confirmed analytical |

Comparison Table:

AUTO-LYTE® Cotinine EIA (K072481) and DRI® Cotinine EIA Assay

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Device NameAUTO-LYTE® Cotinine EIA (K072481)DRI® Cotinine EIA Assay
result. Gas chromatography/mass
spectrometry (GC/MS) is the preferred
confirmatory method.
Clinical
PerformanceAccuracy: Accuracy against a Carbon
Monoxide Monitor reference method
indicated a relative sensitivity of 93.6%
and a relative specificity of 74.0%Accuracy: Accuracy against a GC/MS
reference method was 98% (110 true
positives, —80 true negatives)
Total Imprecision: Percent rate CVs
across 4 levels of analyte concentration
(300 ng/mL-5000 ng/mL) were ≤ 1.09%.Total Imprecision: Percent rate CVs
across 3 levels of analyte concentration
(300 ng/mL, 500 ng/mL, and 700 ng/mL
were ≤ 0.8%.)

Brief Discussion of Nonclinical/Clinical Data (21 CFR 807.92(b)(1, 2))

The DRI® Cotinine EIA Assay was evaluated via a series of traditional laboratory studies. These studies included the performance characteristics of sensitivity, linearity, specificity, precision, and accuracy.

The assay showed good sensitivity with an LOD of 34 ng/mL.

Precision studies indicated good reproducibility of results at the critical points of the measurement range (distinguishing positive from negative interpretations), as dose %CVs for both total and within-run testing were ... 9.4%.

Accuracy studies showed good performance of the DRI® Cotinine EIA Assay as compared to the GC/MS reference method. The % Total Agreement is 98%.

Specificity testing demonstrated that the DRI® Cotinine EIA Assay is not affected by common endogenous substances, variations in urinary pH levels, structurally unrelated pharmaceutical compounds, or potentially cross-reacting compounds.

Performance Data - Conclusions (21 CFR 807.92 (b)(3))

The DRI® Cotinine EIA Assay has been shown to be substantially equivalent to the predicate device. and safe and effective for its intended use.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image is a logo for the Department of Health & Human Services. The logo features a stylized image of an eagle with three lines representing its body and wings. The eagle is facing to the right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the eagle.

Public Health Service

Food and Drug Administratio 2098 Gaither Road Rockville MD 20850

Ms. Lakshmi Anne Director of Product Development Microgenics Corporation 46360 Fremont Boulevard Fremont, CA 94538

MAY 2 2 2003

Re: K030649 Trade/Device Name: DRI® Cotinine EIA Assay Regulation Number: 21 CFR 862.1150 Regulation Name: Calibrator Regulatory Class: Class II Product Code: JIT, MKU Dated: February 27, 2003 Received: February 28, 2003

Dear Ms. Anne:

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).

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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). You may obtain other general information on your responsibilities under the Act 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 Sutman

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

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510(K) Number (if known):

DRI® Cotinine Enzyme Immunoassay Device Name:

Indications For Use:

"The DRI® Cotinine Enzyme Immunoassay is intended for the Qualitative and Semi-Quantitative determination of Cotinine in human urine at a cutoff level of 500 ng/mL. This assay is intended for in vitro diagnostic use only. The assay is intended as an aid in the detection of cotinine after use or exposure to tobacco products."

Sean Cooper
Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K030649

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use

(Optional Format 1-2-96)