K Number
K041334
Device Name
ALCOMATE, MODEL CA2000
Manufacturer
Date Cleared
2004-08-11

(84 days)

Product Code
Regulation Number
862.3050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Intended to measure alcohol in the human breath. Measurements obtained by this device are used in the diagnosis of alcohol intoxication.
Device Description
The AlcoMate is designed to measure deep lung air to test for the presence of alcohol in the blood. The relationship between alcohol in the blood and alcohol in the deep lung breath is well established by Henry's law in ratio of 2100:1 The AlcoMate is a D.O.T. approved alcohol screening device and uses a blow time of 5 seconds to capture an accurate deep lung sample. The AlcoMate contains a semiconductor oxide sensor designed to test for the presence of alcohol. The AlcoMate semiconductor contains a recently developed ceramic catalytic filter which greatly increases the sensors specificity to alcohol . The AlcoMate sensor uses oxide which has n-type conductivity when exposed to the atmosphere. This exposure causes a decrease in the number of electrons effecting absorbed oxygen molecules and thus increases resistance. If a specific gas (reducing gas) is presented, a reaction occurs with the absorbed oxygen which causes an increase in the electrons in the oxide molecules causing a decrease in resistance. This change in resistance can be measured and used to identify a specific gas (such as alcohol) and can be quantified into a % concentration.
More Information

Not Found

Not Found

No
The device description focuses on the physical and chemical principles of semiconductor oxide sensors for detecting alcohol, with no mention of AI or ML algorithms for data processing or interpretation.

No
The device is intended to measure alcohol in human breath for the diagnosis of alcohol intoxication, but it does not provide treatment or mitigation of a disease or condition.

Yes
The "Intended Use / Indications for Use" section explicitly states, "Measurements obtained by this device are used in the diagnosis of alcohol intoxication."

No

The device description clearly details hardware components like a semiconductor oxide sensor, ceramic catalytic filter, and mentions measuring resistance changes, indicating it is a physical device with integrated software, not a software-only medical device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The AlcoMate measures alcohol in breath, which is a sample taken from the body, but the measurement is performed ex vivo (outside the living organism) and the analysis is based on the chemical properties of the breath sample itself, not on a biological reaction or analysis of a biological component within the sample.
  • Intended Use: While the intended use mentions "diagnosis of alcohol intoxication," the mechanism of action is a direct measurement of a chemical substance in breath, not an analysis of biological markers or reactions within a biological sample.

Therefore, while it's a diagnostic tool, it falls under the category of a breath alcohol measuring device rather than an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The device is intended to measure alcohol in the human breath. Measurements obtained by this device are used in the diagnosis of alcohol intoxication.

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

DJZ

Device Description

The AlcoMate is designed to measure deep lung air to test for the presence of alcohol in the blood. The relationship between alcohol in the blood and alcohol in the deep lung breath is well established by Henry's law in ratio of 2100:1 The AlcoMate is a D.O.T. approved alcohol screening device and uses a blow time of 5 seconds to capture an accurate deep lung sample. The AlcoMate contains a semiconductor oxide sensor designed to test for the presence of alcohol. The AlcoMate semiconductor contains a recently developed ceramic catalytic filter which greatly increases the sensors specificity to alcohol . The AlcoMate sensor uses oxide which has n-type conductivity when exposed to the atmosphere. This exposure causes a decrease in the number of electrons effecting absorbed oxygen molecules and thus increases resistance. If a specific gas (reducing gas) is presented, a reaction occurs with the absorbed oxygen which causes an increase in the electrons in the oxide molecules causing a decrease in resistance. This change in resistance can be measured and used to identify a specific gas (such as alcohol) and can be quantified into a % concentration.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Mouth

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Over the Counter

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

The results of bench, DOT, and user testing indicates that the new device is as safe and effective as the predicate device.

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

After analyzing bench tests, a risk analysis, electrical safety, EMC, DOT testing and user testing data, it is the conclusion of Breathalyzer.net that the AlcoMate CA2000 is as safe and effective as the predicate device, has few technological differences, and has no new indications for use, thus rendering it substantially equivalent to the predicate device.

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

Accuracy: +/-0.01%
Accuracy: ±0.01 % at 0.10% BAC

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.

Not Found

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

§ 862.3050 Breath-alcohol test system.

(a)
Identification. A breath-alcohol test system is a device intened to measure alcohol in the human breath. Measurements obtained by this device are used in the diagnosis of alcohol intoxication.(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.

0

AUG 1 1 2004

EXHIBIT 2

510(k) Summary
Breathalyzer.net
A Division of KHN Solutions LLC
1136 Montgomery Street
San Francisco, CA 94133
Phone: 415-693-9756
Toll-Free 1-877-334-6876
Fax: 415 693-0215
Email: info@breathalyzer.net

May 14, 2004

Contact: Keith Nothacker, President

  • l . Identification of the Device:
    Proprietary-Trade Name: AlcoMate CA2000 Digital Alcohol Detector Classification Name: Device, breath trapping, alcohol, DJZ Common/Usual Name: Breath-alcohol test system

    1. Equivalent legally marketed devices This product is similar in function to the Preamendments device: . Alco-Sensor (Intoximeters, Inc. St. Louis, MO)
    1. Indications for Use (intended use) : The device is intended to measure alcohol in the human breath. Measurements obtained by this device are used in the diagnosis of alcohol intoxication.
    1. Description of the Device: The AlcoMate is designed to measure deep lung air to test for the presence of alcohol in the blood. The relationship between alcohol in the blood and alcohol in the deep lung breath is well established by Henry's law in ratio of 2100:1 The AlcoMate is a D.O.T. approved alcohol screening device and uses a blow time of 5 seconds to capture an accurate deep lung sample. The AlcoMate contains a semiconductor oxide sensor designed to test for the presence of alcohol. The AlcoMate semiconductor contains a recently developed ceramic catalytic filter which greatly increases the sensors specificity to alcohol . The AlcoMate sensor uses oxide which has n-type conductivity when exposed to the atmosphere. This exposure causes a decrease in the number of electrons effecting absorbed oxygen molecules and thus increases resistance. If a specific gas (reducing gas) is presented, a reaction occurs with the absorbed oxygen which causes an increase in the electrons in the oxide molecules causing

1

a decrease in resistance. This change in resistance can be measured and used to identify a specific gas (such as alcohol) and can be quantified into a % concentration.

    1. Safety and Effectiveness, comparison to predicate device. The results of bench, DOT, and user testing indicates that the new device is as safe and effective as the predicate device.

| Feature | Alco-Sensor (Pre-Amendments
Device) | AlcoMate CA2000 |
|-------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------|
| INDICATION OF USE | The device is intended to
measure alcohol in the human
breath. Measurements obtained
by this device are used in the
diagnosis of alcohol intoxication. | SAME |
| MODE | Breath Alcohol Concentration | SAME |
| PRACTITIONER USE | Over the Counter | SAME |
| DISPLAY | 2 Digit LED | 3 Digit LED |
| POWER SOURCE | 9 Volt Alkaline Battery | SAME, or auto cigar lighter
(Optional) |
| BATTERY LIFE | 300 Tests | SAME |
| Measurement Range | .00-.40% | SAME |
| Accuracy | +/-0.01% | SAME |
| TYPE OF SENSOR | Fuel cell sensor | Semiconductor-Oxide Sensor |
| ANATOMICAL SITE | Mouth | SAME |
| Mouthpiece | Replaceable | SAME |
| Warm Up Time | None | 20 Seconds |
| DOT Approval | (Alco-Sensor III) | YES |
| Construction | Plastic case with internal circuit
board | SAME |
| SIZE | 5" x 3 ½" | 5" x 3 ¼" |
| WEIGHT | 171 grams. | 200 grams |

Substantial Equivalence Chart 6.

7. Conclusion

After analyzing bench tests, a risk analysis, electrical safety, EMC, DOT testing and user testing data, it is the conclusion of Breathalyzer.net that the AlcoMate CA2000 is as safe and effective as the predicate device, has few technological differences, and has no new indications for use, thus rendering it substantially equivalent to the predicate device.

2

gital Alcohol Detector

AlcoMate Model CA 2000

The CA2000 is intended to measure alcohol in himan breath. Readings obtained by this device are used in the diagnois of I he CA2000 is meetired to measure in name over read. Academics of other Concentration of 0.008 and 0.032. Accuracy at a Blood Alcohol Concentration greater than 0.032 has not been evaluated.

Part names

Image /page/2/Figure/5 description: This image shows a diagram of a breathalyzer and instructions for its preparation. The diagram labels parts such as the "breath pipe", "display window" which reads "0.05", "ready lamp", and "battery low lamp". The instructions indicate that a 9 Volt Battery should be installed.

  • The tester comes with one plastic mouthpiece already over the breath pipe. You may wish to replace the mouthpiece for 2. use by another person for sanitary reasons. To change mouthpieces, align the slot in the mouthpiece with the slot on the breath pipe.

Operation: Read these instructions before consuming alcohol.

  • WAIT! 20 minutes after drinking alcohol before taking a reading. If you don't wait, the reading will measure alcohol in the mouth, which does not accurately show your blood alcohol level.
    1. Press the ON/OFF Power switch. WAIT! The detector will start to countdown from 200 to 000 on the display window. This warm up process prepares the sensor and circuit for testing. When you hear a BEEP and the green READY light comes on, go to step 2.
    1. Take a deep breath, then blow steadily and continuously (at least 5 seconds) into the pipe until you hear another BEEP. Your lips should be sealed around the mouthpiece while blowing. Be careful not to cover the Breath out opening on the unit. (If you don't blow within 30 seconds, the unit automatically displays "OFF" and will turn off.) After the red and green display lights blink for 4 seconds, the test result will be displayed for 15 seconds. This is your Blood Alcohol Concentration, or BAC. Finally, the unit shows "OFF" for turn-off, along the BEEP sound. Press the ON/Off power switch to turn unit off.
Below 0.01%0.01 to 0.04%0.05% or Over0.40% or Over
If you drank very little
alcohol, your actual
concentration may be below
0.01 %, and the reading may
not be activated. However,
the display shows 0.00%
and you're in the safe range.The reading will be
displayed.The Red WARN LED
will flash along with a
"BEEP" sound. Your
ability to drive may be
impaired. Don't drink
and drive!Display will read "Hot"
and the Red WARN LED
will flash along with
"BEEP" sound.

If your blood alcohol concentration is:

For subsequent testing, repeat steps 1-2. Space tests at least 2 minutes apart.

3

Understanding the Results

For many years, the legal standard for drunkenness across the United States was 0.10, but many states have now adopted the 0.08 standard. The federal government has pushed states to lower the legal limit. The now adopted the 7.00 standan says that a person can become impaired when the blood alcohol level hits 0.05. You should never drive an automobile when you are impaired by alcohol, drugs, or lack of proper rest.

Precautions

    1. You should wait 20 minutes after eating or drinking before testing. Any alcohol remaining in the mouth or saliva takes this long to disperse and will interfere with the reading.
    1. Avoid testing in a strong wind or in a closed room with dirty air.
    1. When the "BATT LOW" LED is on, replace 9V alkaline battery.
    1. Do not blow smoke or liquid into the unit. It will damage the sensor. Wait 1 minute after smoking before a test.
    1. Although CA2000 analyzes alcohol level accurately, do not use it as a tool to drink and drive.
    1. Store the unit between 32-104 (°F) and out of the reach of children.
    1. Do not leave CA 2000 car adaptor hooked up to cigar jack.
    1. Do not teave CA 2000 requires calibration every 12 months to obtain accurate results. Discuss with local distributors for calibration.

Troubleshooting

Replace the battery if the BATT LOW lamp comes on. Refer other problems to the toll free number below. No user serviceable components inside. Attempting to service the unit yourself voids the warranty.

Cleaning Instructions

For sanitation reasons, replace plastic mouthpiece if another person is going to use the unit. r of samation readsen topiated with a damp cloth. Do not submerge in water. This will void the warrantee. No routine maintenance other than yearly calibration is required.

Specifications

Dimensions:4.7 x 2.4 x 1"Weight1.5 oz.
Battery:9V alkalineOperating Temp.50 -104° F
Sensor:Highly selective semi-
conductor oxide sensorWarm-up time20 sec
Response time5 secAccuracy±0.01 % at 0.10% BAC
CalibrationBAC simulatorCalibration Interval1 year

Warranty

We, warrant the product to be free from defects in workmanship or material for 1 year in normal service from the date of purchase. Our duty under this warranty is limited to replacing, or repairing the unit if returned along with proof of purchase. This warranty is void if unit has been tampered by the user. Refer problems to the toll free number below.

Calibration:Distributed by:
To recalibrate your alcohol tester, send it to this address:KHN Solutions LLC
CA-2000 Calibration Center1136 Montgomery Street
12441 West 49th Ave/#4San Francisco, CA 94133 USA
Wheat Ridge, CO 80033Phone: (415) 693-9756
Please include a check or money order for $19.95 madeToll-Free 1-877-334-6876
payable to Lifeloc Technologies Inc. Your tester will beFax: (415) 693-0215
returned within 10 days.Email: info@breathalyzer.net
Made in Korea

4

Image /page/4/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 lines forming its body and wings. The eagle is enclosed in a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter of the circle.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

AUG 1 1 2004

KHN Solutions, LLC c/o Mr. Daniel Kamm Kamm and Associates PO Box 7007 Deerfield, IL 60015

K041334 Re: K041334
Trade/Device Name: AlcoMate CA2000™ Digital Alcohol Detector Regulation Number: 21 CFR 862.3050 Regulation Name: Breath-alcohol test system Regulatory Class: Class I Product Code: DJZ Dated: May 18, 2004 Received: May 20, 2004

Dear Mr. Kamm

We have reviewed your Section 510(k) premarket notification of intent to market the device t We have reviewed your Section 510(x) premained historially equivalent (for the indications referenced above and nave uccemined the actrice as redicate devices marketed in interstate for use stated in the encrosule) to regally manated producal Device Amendments, or to commerce prior to May 28, 1770, the enastnent assist of the Federal Food. Drug, Drug, devices that have been recurse in accordance while approval approval application (PMA).
and Cosmetic Act (Act) that do not require approval of a premarket approval applicatio and Cosmelle Act (Act) that to not require approvise in the general controls provisions of the Act. The You may, merelore, market the devices, babject to the mements for annual registration, listing of general controls provisions of the Fist labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), II your device is classified (350 a00 v) into existing major regulations affecting your device It may be subject to such additional controllar Blassing in the same of to 895. In addition, FDA Can be found in Title 21, South of I concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Please be advised that I DA 3 issualled of a based.
that FDA has made a determination that your device complies with other requirements of the Act that FDA has made a decemination administered by other Federal agencies. You must of any Federal statutes and regulations, but not limited to: registration and listing (21 Comply with an the 11et 5 requirements 801 and 809); and good manufacturing practice CFR Part 8077, laboring in the quality systems (QS) regulation (21 CFR Part 820).

5

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 premated 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,

Seain M. Cooper, MS, DVM.

Jean 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

6

Revised

Indications for Use

510(k) Number (if known):_____________________________________________________________________________________________________________________________________________________

Device Name:__________________________________________________________________________________________________________________________________________________________________

Indications For Use: Intended to measure alcohol in the human breath. Measurements indications i or Secrite are used in the diagnosis of alcohol intoxication.

Prescription Use _ (Part 21 CFR 801 Subpart D) AND/OR

X __ Over-The-Counter Use _ (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Allate Ciz
Division Sign-Off

Vision Sign-

Page 1 of 1

Office of In Vitro Diagnostic
Device Evaluation and Safety

510(k) K041334