K Number
K033713
Device Name
URINE COCAINE METABOLITE SCREEN FLEX REAGENT CARTRIDGE, CATALOG# DF92A
Manufacturer
Date Cleared
2004-02-09

(75 days)

Product Code
Regulation Number
862.3250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The COC Flex® reagent cartridge used on the Dimension® clinical chemistry system provides reagents for an in vitro diagnostic test intended for the qualitative and semi-quantitative determination of benzoylecgonine (cocaine metabolite) in human urine using a cutoff of 150 or 300 ng/mL. Measurements obtained with the COC method are used in the diagnosis and treatment of cocaine use or overdose. The COC method provides only a preliminary analytical test result. A more specific alternate chemical method must be used in order to obtain a confirmed analytical result. Gas chromatography/mass spectrometry (GC/MS) is the preferred confirmatory method. Other chemical confirmation methods are available. Clinical consideration and professional judgment should be applied to any drug of abuse test result, particularly when preliminary positive results are used.
Device Description
The Dade Behring Dimension® COC method is an in vitro diagnostic device that consists of prepackaged reagents in a plastic cartridge (Flex®) for use on the Dade Behring Dimension® clinical chemistry system.
More Information

Not Found

No
The summary describes a standard in vitro diagnostic test using prepackaged reagents and a clinical chemistry system, with no mention of AI or ML technologies.

No
The device is described as an "in vitro diagnostic device" used for testing cocaine metabolites in urine, which aids in diagnosis but does not provide direct therapeutic treatment.

Yes
The "Intended Use / Indications for Use" states that the measurements obtained are "used in the diagnosis and treatment of cocaine use or overdose." The "Device Description" also explicitly refers to it as an "in vitro diagnostic device."

No

The device is described as an in vitro diagnostic device consisting of prepackaged reagents in a plastic cartridge for use on a clinical chemistry system, indicating it is a hardware-based device with chemical components.

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

Here's why:

  • Intended Use/Indications for Use: The document explicitly states the device is "intended for the qualitative and semi-quantitative determination of benzoylecgonine (cocaine metabolite) in human urine using a cutoff of 150 or 300 ng/mL." This is a diagnostic test performed in vitro (outside the body) on a biological sample (urine).
  • Device Description: The description clearly identifies the device as an "in vitro diagnostic device."
  • Anatomical Site: The sample is "human urine," which is a biological specimen used for diagnostic testing.
  • Summary of Performance Studies: The performance studies compare the device to other diagnostic methods (Emit® II Plus and GC/MS) for the purpose of evaluating its diagnostic accuracy.
  • Predicate Device(s): The mention of a predicate device (Syva® Emit® II Plus polyclonal Cocaine Metabolite Assay) which is also an IVD, further supports the classification of this device as an IVD.

All of these points align with the definition and characteristics of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The COC Flex® reagent cartridge used on the Dimension clinical chemistry system provides reagents for an in vitro diagnostic test intended for the qualitative and semi-quantitative determination of benzoylecgonine (cocaine metabolite) in human urine using a cutoff of 150 or 300 ng/mL. Measurements obtained with the COC method are used in the diagnosis and treatment of cocaine use or overdose.

The COC method provides only a preliminary analytical test result. A more specific alternate chemical method must be used in order to obtain a confirmed analytical result. Gas chromatography/mass spectrometry (GC/MS) is the preferred confirmatory method. Other chemical confirmation methods are available. Clinical consideration and professional judgment should be applied to any drug of abuse test result, particularly when preliminary positive results are used.

Product codes

91 DIO, DIO

Device Description

The Dade Behring Dimension® COC method is an in vitro diagnostic device that consists of prepackaged reagents in a plastic cartridge (Flex®) for use on the Dade Behring Dimension® clinical chemistry system.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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)

Method Comparison (Semi-Quantitative Results)
Comparison between COC Flex® reagent cartridge on the Dimension® clinical chemistry system (Cutoff 150ng/mL) and Emit® II Plus polyclonal Cocaine Metabolite Assay on the SYVA®-30R (Cutoff 150ng/mL):
COC Flex® positive, Emit® positive: 69
COC Flex® positive, Emit® negative: 2
COC Flex® negative, Emit® positive: 2
COC Flex® negative, Emit® negative: 52

Comparison between COC Flex® reagent cartridge on the Dimension® clinical chemistry system (Cutoff 150ng/mL) and GC/MS (cutoff 150 ng/mL):
COC Flex® positive, GC/MS positive: 66
COC Flex® positive, GC/MS negative: 5
COC Flex® negative, GC/MS positive: 3
COC Flex® negative, GC/MS negative: 51

Discrepant specimens (ng/mL): All discrepants were within +/- 25% of the cutoff.
Examples of discrepant results between Dimension System and GC/MS (benzoylecgonine):
Dimension: 160, GC/MS: 123
Dimension: 183, GC/MS: 123
Dimension: 168, GC/MS: 134
Dimension: 151, GC/MS: 140
Dimension: 169, GC/MS: 140
Dimension: 143, GC/MS: 151
Dimension: 143, GC/MS: 157
Dimension: 147, GC/MS: 164

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

Not Found

Predicate Device(s)

K031512

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.3250 Cocaine and cocaine metabolite test system.

(a)
Identification. A cocaine and cocaine metabolite test system is a device intended to measure cocaine and a cocaine metabolite (benzoylecgonine) in serum, plasma, and urine. Measurements obtained by this device are used in the diagnosis and treatment of cocaine use or overdose.(b)
Classification. Class II (special controls). A cocaine and cocaine metabolite 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

510(k) Summary for the Expansion of the Indications for Use to include a 150 ng/mL cutoff for the Dimension®Urine Cocaine Metabolite Screen (COC) Flex® reagent cartridge

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

510(k) Number: _ KO33 713

Analyte: cocaine metabolite

Type of Test: qualitative or quantitative homogeneous enzyme immunoassay

A. Applicant: Dade Behring Inc.

  1. Submitter's Name Andrea M. Tasker Building 500, Mailbox 514 P.O.Box 6101 Newark, DE 19714-6101

  2. Submission Preparation Date November 25, 2003

B. Proprietary and Established Names: Dimension® Urine Cocaine Metabolite Screen Flex® reagent

C. Regulatory Information:

1.Regulation section: 21CFR862.3250, Cocaine and Cocainc Metabolite test system

    1. Classification: Class II
    1. Product Code: 91 DIO
  • Toxicology (91) 4. Panel:

1

D. Intended Use:

  1. Indications for Use: The COC Flex® reagent cartridge used on the Dimension clinical chemistry system provides reagents for an in vitro diagnostic test intended for the qualitative and semi-quantitative determination of benzoylecgonine (cocaine metabolite) in human urine using a cutoff of 150 or 300 ng/mL. Measurements obtained with the COC method are used in the diagnosis and treatment of cocaine use or overdose.

  2. Special conditions for use statements: The COC method provides only a preliminary analytical test result. A more specific alternate chemical method must be used in order to obtain a confirmed analytical result. Gas chromatography/mass spectrometry (GC/MS) is the preferred confirmatory method. Other chemical confirmation methods are available. Clinical consideration and professional judgment should be applied to any drug of abuse test result, particularly when preliminary positive results are used.

E. Device Description:

The Dade Behring Dimension® COC method is an in vitro diagnostic device that consists of prepackaged reagents in a plastic cartridge (Flex®) for use on the Dade Behring Dimension® clinical chemistry system.

F. Substantial Equivalence Inforamtion:

    1. Predicate Device: Syva® Emit® II Plus polyclonal Cocaine Metabolite Assay
    1. Predicate K Number(s): K031512
  1. Comparision with Predicate: Indications for use, sample type, cutoff concentration, technology and composition of reagents are similar to the predicate device. The change to the device to expand the indications for use to include a 150ng/mL cutoff includes performance claims for the correct identification of near-cutoff samples.

2

H. Device Performance Characteristics:

1. Method Comparison (Semi-Quantitative Results)

| | Emit® II Plus polyclonal Cocaine
Metabolite Assay on the SYVA®-30R
(Cutoff 150ng/mL) | |
|----------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|----|
| COC Flex® reagent cartridge
on the
Dimension® clinical chemistry system
(Cutoff 150ng/mL) | + | - |
| + | 69 | 2 |
| - | 2 | 52 |

DimensionSyva 50KGC/MS (benzoylecgonine)
142150151
147164164
159135123
150144156

| COC Flex®
reagent cartridge
on the
Dimension®
clinical chemistry
system
(Cutoff 150ng/mL) | GC/MS
(cutoff 150 ng/mL) | |
|-------------------------------------------------------------------------------------------------------------|-----------------------------|----|
| | + | - |
| + | 66 | 5 |
| - | 3 | 51 |

Discrepant specimens (ng/mL): All discrepants were within +/- 25% of the cutoff. Dimension® System GC/MS (benzoylecgonine)_______________________________________________________________________________________________________________________________________________________

ension SystemGC/MS
160123
183123
168134
151140
169140
143151
143157
147164

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/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 stripes forming its body and wing. The eagle is facing to the right. Encircling the eagle is the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA".

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

FEB - 9 2004

Ms. Andrea M. Tasker Senior Specialist Regulatory Affairs and Compliance Dade Behring Inc. P.O. Box 6101 Newark, DE 19714-6101

Re: K033713

Trade/Device Name: Dimension® Urine Cocaine Metabolite Screen (COC) Flex reagent cartridge Regulation Number: 21 CFR 862.3250 Regulation Name: Cocaine and cocaine metabolite test system Regulatory Class: Class II Product Code: DIO Dated: November 25, 2003 Received: November 26, 2003

Dear Ms. Tasker:

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.

Jean M. Cooper, MS, DVM.

Yean M. Cooper, MS, D.V.M. Director Division of Chemistry and Toxicology Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

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Indications For Use Statement

Device Name:

Dimension® Urine Cocaine Metabolite Screen (COC) Flex® reagent cartridge

Indications for Use:

The COC Flex® reagent cartridge used on the Dimension® clinical chemistry system provides reagents for an in vitro diagnostic test intended for the qualitative and semi-quantitative determination of benzoylecgonine (cocaine metabolite) in human urine using a cutoff of 150 or 300 ng/mL. Measurements obtained with the COC method are used in the diagnosis and treatment of cocainc use or overdose.

The COC method provides only a preliminary analytical test result. A more specific alternate chemical method must be used in order to obtain a confirmed analytical result. Gas chromatography/mass spectrometry (GC/MS) is the preferred confirmatory method. Other chemical confirmation methods are available. Clinical consideration and professional judgment should be applied to any drug of abuse test result, particularly when preliminary positive results are used.

See hard copy for signature page.

Andrea M. Tasker Senior Regulatory Affairs and Compliance Specialist November 25, 2003

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


Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use X
(Per 21 CFR 801.109)

Division Sign-Off

ાર

Over-the-counter Use (Optional format 1-2-96)

Office of In Vitro Diagnostic Device Evaluation and Safety

Evaluation

KD33713

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