K Number
K041685
Device Name
ACON MULTI-CLIN DRUG SCREEN TEST DEVICE
Date Cleared
2004-08-30

(69 days)

Regulation Number
862.3100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The ACON multi-CLIN™ Drug Screen Test Device is a rapid chromatographic immunoassays for the qualitative and simultaneous detection of Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants in human urine at cut-off concentrations: 1,000 ng/mL Amphetamine 300 ng/mL Barbiturates 300 ng/mL Benzodiazepines 300 ng/mL Cocaine 50 ng/mL Marijuana 500 ng/mL Methylenedioxymethamphetamine 300 ng/mL Opiates 100 ng/mL Oxycodone 25 ng/mL Phencyclidine 300 ng/mL Propoxyphene 1,000 ng/mL Tricyclic Antidepressants They are intended for healthcare professional use only including professionals at the point of care sites. This assay 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. 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 ACON multi-CLIN™ Drug Screen Test Device is a competitive binding, lateral flow immunochromatographic assay for the qualitative and simultaneous detection of Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants in human urine. The test is based on the principle of antigen-antibody immunochemistry. It utilizes mouse monoclonal antibodies to selectively detect elevated levels of Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants in human urine. These tests can be performed without the use of an instrument. A drug-positive urine specimen will not generate a colored-line for the specific drug tested in the designated test region. A negative urine specimen or a urine specimen containing the drug concentration below the cut-off level will generate a colored-line in the designated test region for the drug. To serve as a procedural control, there must be no line next to the Positive Control Region (POS) and a clear line will always appear in the Negative Control region (NEG), indicating that sufficient volume of specimen applied and proper membrane wicking occurred. If NO line appears in the Negative Control region (NEG) and/or a line withing other Positive Control Region (POS) during testing, the test becomes INVALID. A true positive control is incorporated in each test strip employed.
More Information

Not Found

No
The device description clearly states it is a "competitive binding, lateral flow immunochromatographic assay" and "These tests can be performed without the use of an instrument." This describes a traditional immunoassay test strip, not a system incorporating AI/ML. There are no mentions of AI, ML, or image processing.

No
This device is a diagnostic test for detecting drugs in urine, not a device used for treating or managing a medical condition.

Yes
The device is described as a "rapid chromatographic immunoassays for the qualitative and simultaneous detection of Amphetamine... in human urine," and its "Intended Use / Indications for Use" states it "provides only a preliminary analytical test result," which are characteristics of a diagnostic device.

No

The device description clearly states it is a "lateral flow immunochromatographic assay" and describes the physical components and chemical reactions involved in the test, indicating it is a hardware-based diagnostic device.

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

Here's why:

  • Intended Use: The intended use explicitly states it's for the "qualitative and simultaneous detection of [various drugs] in human urine". This is a classic example of an in vitro diagnostic test, as it analyzes a biological sample (urine) outside of the body to provide information about a person's health status (presence of drugs).
  • Device Description: The description details a "rapid chromatographic immunoassay" that utilizes "mouse monoclonal antibodies to selectively detect elevated levels of [drugs] in human urine." This describes the mechanism of an in vitro diagnostic test that relies on immunological reactions to detect specific substances in a sample.
  • Clinical Evaluation: The document describes a "clinical evaluation was conducted using clinical urine specimens" to compare the device's performance to other tests and GC/MS analysis. This type of evaluation is standard for IVD devices to demonstrate their accuracy and reliability.
  • Predicate Devices: The listing of predicate devices, all of which are "One Step [Drug] Test Strip" devices, further confirms that this device falls within the category of IVD drug screening tests.

Therefore, based on the provided information, the ACON multi-CLIN™ Drug Screen Test Device is an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The ACON multi-CLIN™ Drug Screen Test Device is a rapid chromatographic immunoassays for the qualitative and simultaneous detection of Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants in human urine at cut-off concentrations:
1,000 ng/mL Amphetamine
300 ng/mL Barbiturates
300 ng/mL Benzodiazepines
300 ng/mL Cocaine
50 ng/mL Marijuana
500 ng/mL Methylenedioxymethamphetamine
300 ng/mL Opiates
100 ng/mL Oxycodone
25 ng/mL Phencyclidine
300 ng/mL Propoxyphene
1,000 ng/mL Tricyclic Antidepressants

They are intended for healthcare professional use only including professionals at the point of care sites.

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

DKZ, DIS, JXM, DIO, LDJ, LAF, DJG, LCM, JXN, LFG

Device Description

The ACON multi-CLIN™ Drug Screen Test Device is a competitive binding, lateral flow immunochromatographic assay for the qualitative and simultaneous detection of Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants in human urine.

The test is based on the principle of antigen-antibody immunochemistry. It utilizes mouse monoclonal antibodies to selectively detect elevated levels of Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants in human urine. These tests can be performed without the use of an instrument.

A drug-positive urine specimen will not generate a colored-line for the specific drug tested in the designated test region. A negative urine specimen or a urine specimen containing the drug concentration below the cut-off level will generate a colored-line in the designated test region for the drug. To serve as a procedural control, there must be no line next to the Positive Control Region (POS) and a clear line will always appear in the Negative Control region (NEG), indicating that sufficient volume of specimen applied and proper membrane wicking occurred. If NO line appears in the Negative Control region (NEG) and/or a line withing other Positive Control Region (POS) during testing, the test becomes INVALID. A true positive control is incorporated in each test strip employed.

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

healthcare professional use only including professionals at the point of care sites.

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)

A clinical evaluation was conducted using clinical urine specimens. This evaluation compared the test results between the ACON multi-CLIN™ Drug Screen Test Device versus previously FDA-cleared Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants Single tests; as well as against data obtained from the customary GC/MS analysis. 1,704 clinical specimens were employed including approximately 10% of the samples with drug concentrations in the -25% to +25% cut-off range. The comparisons of data obtained from this study yielded the following results:

Clinical study results of the ACON multi-CLIN™ Drug Screen Test Device are compared to GC/MS analysis data.

The GC/MS cut-off levels for each of the eleven drugs tested are as follows:

Amphetamine 1,000 ng/mL
Barbiturates 300 ng/mL
Benzodiazepines 300 ng/mL
Cocaine 300 ng/mL
Marijuana 50 ng/mL
Methylenedioxymethamphetamine 500 ng/mL
Opiates 300 ng/mL
Oxycodone 100 ng/mL
Phencyclidine 25 ng/mL
Propoxyphene 300 ng/mL
Tricyclic Antidepressants 1,000 ng/mL

Samples with drug concentration above the cut-off level were considered presumptive positive and concentrations below the cut-off are considered negative.

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

ACON Test Device Positive Agreement (vs GC/MS Analysis):
AMP: 134/136 = 99% (95% - 99%)
BAR: 99/101 = 98% (93% - 99%)
BZO: 139/140 > 99% (96% - 99%)
COC: 119/119 > 99% (97% - 99%)
THC: 116/121 = 96% (91% - 99%)
MDMA: 88/88 > 99% (96% - 99%)
OPI: 140/140 > 99% (97% - 99%)
OXY: 140/141 = 99% (96% - 99%)
PCP: 85/86 = 99% (94% - 99%)
PPX: 145/146 > 99% (96% - 99%)
TCA: 32/32 > 99% (89% - 99%)

ACON Test Device Negative Agreement (vs GC/MS Analysis):
AMP: 308/314 = 98% (96% - 99%)
BAR: 305/309 = 99% (97% - 99%)
BZO: 308/310 > 99% (98% - 99%)
COC: 308/325 = 95% (92% - 97%)
THC: 311/327 = 95% (92% - 97%)
MDMA: 301/305 = 99% (97% - 99%)
OPI: 300/309 = 97% (95% - 99%)
OXY: 306/309 = 99% (97% - 99%)
PCP: 300/304 = 99% (97% - 99%)
PPX: 304/304 > 99% (99% - 99%)
TCA: 316/338 = 93% (90% - 96%)

ACON Test Device Overall Agreement (vs GC/MS Analysis):
AMP: 442/450 = 98% (97% - 99%)
BAR: 404/410 = 99% (97% - 99%)
BZO: 447/450 > 99% (98% - 99%)
COC: 427/444 = 96% (94% - 98%)
THC: 427/448 = 95% (93% - 97%)
MDMA: 389/393 = 99% (97% - 99%)
OPI: 440/449 = 98% (96% - 99%)
OXY: 446/450 = 99% (98% - 99%)
PCP: 385/390 = 99% (97% - 99%)
PPX: 449/450 > 99% (99% - 99%)
TCA: 348/370 = 94% (91% - 96%)

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.

K011673, K012824, K012300, K010841, K003557, K022589, K013380, K033047, K011730, K040445, K021526

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

§ 862.3100 Amphetamine test system.

(a)
Identification. An amphetamine test system is a device intended to measure amphetamine, a central nervous system stimulating drug, in plasma and urine. Measurements obtained by this device are used in the diagnosis and treatment of amphetamine use or overdose and in monitoring levels of amphetamine to ensure appropriate therapy.(b)
Classification. Class II (special controls). An amphetamine 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).

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AUG 3 0 2004

SUMMARY OF 510(k) SAFETY AND EFFECTIVENESS 8.

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

The Assigned 510(k) number is K041685

Submitter:

ACON Laboratories, Inc. 4108 Sorrento Valley Boulevard San Diego, California 92121

Tel.: 858-535-2030 Fax: 858-535-2038

Date:

June 18, 2004

Contact Person:

Edward Tung, Ph.D.

Product Names:

ACON® multi-CLIN™ Drug Screen Test Device

Common Name:

Immunochromatographic test for the simultaneously qualitative detection of Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants in human urine.

Device Classification:

The ACON multi-CLIN™ Drug Screen Test Device is similar to other FDA-cleared devices for the qualitative and simultaneous detection of drugs in urine specimens. These drug tests are used only to provide a preliminary analytical result. The test systems have been classified as Class II devices with moderate complexity. Product codes DKZ, DIS, JXM, DIO, LDJ, LAF, DJG, LCM, JXN and LFG have been assigned for the test system.

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Classification Name:

Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants test systems

Intended Use:

The ACON multi-CLIN™ Drug Screen Test Device is a rapid chromatographic immunoassays for the qualitative and simultaneous detection of Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants in human urine at cut-off concentrations:

1,000 ng/mL Amphetamine 300 ng/mL Barbiturates 300 ng/mL Benzodiazepines 300 ng/mL Cocaine 50 ng/mL Marijuana 500 ng/mL Methylenedioxymethamphetamine 300 ng/mL Opiates 100 ng/mL Oxycodone 25 ng/mL Phencyclidine 300 ng/mL Propoxyphene 1,000 ng/mL Tricyclic Antidepressants

They are intended for healthcare professional use only including professionals at the point of care sites.

Description:

The ACON multi-CLIN™ Drug Screen Test Device is a competitive binding, lateral flow immunochromatographic assay for the qualitative and simultaneous detection of Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants in human urine.

The test is based on the principle of antigen-antibody immunochemistry. It utilizes mouse monoclonal antibodies to selectively detect elevated levels of Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants in human urine. These tests can be performed without the use of an instrument.

A drug-positive urine specimen will not generate a colored-line for the specific drug tested in the designated test region. A negative urine specimen or a urine specimen containing the drug concentration below the cut-off level will generate a colored-line in the designated test region for the drug. To serve as a procedural control, there must be no line next to the

2

Positive Control Region (POS) and a clear line will always appear in the Negative Control region (NEG), indicating that sufficient volume of specimen applied and proper membrane wicking occurred. If NO line appears in the Negative Control region (NEG) and/or a line withing other Positive Control Region (POS) during testing, the test becomes INVALID. A true positive control is incorporated in each test strip employed.

Predicate Devices

Barbiturates, Benzodiazepines, Cocaine, Marijuana, Amphetamine, ACON Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants Single Drug Test Strips were used as the predicate devices for the ACON multi-CLIN™ Drug Screen Test Device to compare their performance with clinical urine specimens.

510(k) Numbers for these predicate devices are:

ACON AMP One Step Amphetamine Test Strip:K011673
ACON BAR One Step Barbiturates Test Strip:K012824
ACON BZO One Step Benzodiazepine Test Strip:K012300
ACON COC One Step Cocaine Test Strip:K010841
ACON THC One Step Marijuana Test Strip:K003557
ACON MDMA One Step Ecstasy Test Strip:K022589
ACON MOP One Step Opiates Test Strip:K013380
ACON OXY One Step Oxycodone Test Strip:K033047
ACON PCP One Step Phencyclidine Test Strip:K011730
ACON PPX One Step Propoxyphene Test Strip:K040445
ACON TCA One Step Tricyclic Antidepressants Test Strip:K021526

Comparison to a Predicate Device:

A comparison of the features of the ACON® multi-CLIN™ Drug Screen Test Device versus the ACON One Step Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants Single Tests is shown below:

  • Both tests are immunoassays intended for the qualitative detection of Amphetamine, . Benzodiazepines, Cocaine, Cocaine, Marijuana, Methylenedioxy-Barbiturates, methamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants in urine samples.
  • Both tests are intended as a screening method that provides a preliminary analytical . test result.
  • Both tests are immunochromatographic, lateral flow assays for the rapid detection . of Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine,

3

Propoxyphene, and Tricyclic Antidepressants and their derivatives with a visual, qualitative end result, while the ACON® multi-CLIN™ Drug Screen Test detects 2 to 11 of the above drugs simultaneously.

  • Both tests utilize the same basic immunoassay principles that rely on antigen/ . antibody interactions to indicate a positive or a negative result.
  • Both tests have the same cut-off concentration for a specific drug tested. .

Safety and Effectiveness Data:

Accuracy

A clinical evaluation was conducted using clinical urine specimens. This evaluation compared the test results between the ACON multi-CLIN™ Drug Screen Test Device versus previously FDA-cleared Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants Single tests; as well as against data obtained from the customary GC/MS analysis. 1,704 clinical specimens were employed including approximately 10% of the samples with drug concentrations in the -25% to +25% cut-off range. The comparisons of data obtained from this study yielded the following results:

Clinical study results of the ACON multi-CLIN™ Drug Screen Test Device are compared to GC/MS analysis data.

The GC/MS cut-off levels for each of the eleven drugs tested are as follows:

Amphetamine1,000 ng/mL
Barbiturates300 ng/mL
Benzodiazepines300 ng/mL
Cocaine300 ng/mL
Marijuana50 ng/mL
Methylenedioxymethamphetamine500 ng/mL
Opiates300 ng/mL
Oxycodone100 ng/mL
Phencyclidine25 ng/mL
Propoxyphene300 ng/mL
Tricyclic Antidepressants1,000 ng/mL

Samples with drug concentration above the cut-off level were considered presumptive positive and concentrations below the cut-off are considered negative.

4

ACON Multi-CLIN™ Drug Screen Test Device

vs.

GC/MS Analysis

ACON Test Device Positive AgreementNegative AgreementOverall Agreement
AMP134/136 = 99%
(95% - 99%)*308/314 = 98%
(96% - 99%)*442/450 = 98%
(97% - 99%)*
BAR99/101 = 98%
(93% - 99%)305/309 = 99%
(97% - 99%)*404/410 = 99%
(97% - 99%)*
BZO139/140 > 99%
(96% - 99%)*308/310 > 99%
(98% - 99%)*447/450 > 99%
(98% - 99%)*
COC119/119 > 99%
(97% - 99%)**308/325 = 95%
(92% - 97%)*427/444 = 96%
(94% - 98%)*
THC116/121 = 96%
(91% - 99%)*311/327 = 95%
(92% - 97%)*427/448 = 95%
(93% - 97%)*
MDMA88/88 > 99%
(96% - 99%)**301/305 = 99%
(97% - 99%)*389/393 = 99%
(97% - 99%)*
OPI140/140 > 99%
(97% - 99%)**300/309 = 97%
(95% - 99%)*440/449 = 98%
(96% - 99%)*
OXY140/141 = 99%
(96% - 99%)*306/309 = 99%
(97% - 99%)*446/450 = 99%
(98% - 99%)*
PCP85/86 = 99%
(94% - 99%)*300/304 = 99%
(97% - 99%)*385/390 = 99%
(97% - 99%)*
PPX145/146 > 99%
(96% - 99%)*304/304 > 99%
(99% - 99%)**449/450 > 99%
(99% - 99%)*
TCA32/32 > 99%
(89% - 99%)**316/338 = 93%
(90% - 96%)*348/370 = 94%
(91% - 96%)*
  • Denotes 95% confidence interval.

** Since the proportion can not go above 100%, this is really a 97.5% confidence interval.

Conclusion:

Clinical study results demonstrate the substantial equivalency between the ACON multi-CLIN™ Drug Screen Test Device and the ACON Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants single tests, which have already being cleared by FDA and marketed in the United States. It is also demonstrated that these tests are safe and effective in detecting Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methylenedioxymethamphetamine, Opiates, Oxycodone, Phencyclidine, Propoxyphene and Tricyclic Antidepressants at the following cut-off concentrations: Amphetamine 1,000 ng/mL, Barbiturates 300 ng/mL, Benzodiazepines 300 ng/mL, Cocaine 300 ng/mL, Marijuana 50 ng/mL, Methylenedioxymethamphetamine 500 ng/mL, Opiates 300 ng/mL, Oxycodone 100 ng/mL, Phencyclidine 25 ng/mL, Propoxyphene 300 ng/mL and Tricyclic Antidepressants 1,000 ng/mL. The physician's office laboratory POL study demonstrated that these tests are also suitable for use by professionals at point-of-care site.

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Image /page/5/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 tail feathers and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged in a circular fashion around the eagle. The eagle is facing to the right and appears to be in flight.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

AUG 3 0 2004

Edward Tung, Ph.D. Director of Regulatory Affairs ACON Laboratories 4108 Sorrento Valley Blvd San Diego, CA 92121

K041685 Re: K041063
Trade/Device Name: ACON multi-CLINTM Drug Screen Test Device Regulation Number: 21 CFR 862.3100 Regulation Name: Amphetamine test system Regulatory Class: Class II Regulatory Class: Slass II
Product Code: DKZ, DIS, JXM, DIO, LDJ, LAF, DJG, LCM, JXN, LFG Dated: June 18, 2004 Received: June 22, 2004

Dear Dr. Tung:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed your becamed the device is substantially equivalent (for the indications felerenced adove und nave acterimes ally marketed predicate devices marketed in interstate for use stated in the encrosule) to regard) the enactment date of the Medical Device Amendments, or to Commerce prior to Harf 20, 1978, the same with the provisions of the Federal Food, Drug, devices mat have been roomstiled in quire approval of a premarket approval application (PMA). allu Cosmetic rece (11ct) that ac novice, subject to the general controls provisions of the Act. The r ou may, merelore, manov of the Act include requirements for annual registration, listing of general controls provisions of are tice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), if your device is etassified (die as controls. Existing major regulations affecting your device it may be subject to bach adon and Federal Regulations (CFR), Parts 800 to 895. In addition, FDA can oc found in Title announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean I loase be advisou that i Drivination that your device complies with other requirements of the Act that I DA has Intact to and regulations administered by other Federal agencies. You must of any I catal statutes and regarments, including, but not limited to: registration and listing (21 Comply with an the Ave brequirements, and good manufacturing practice CFR Part 807), labornial in the quality systems (QS) regulation (21 CFR Part 820).

6

Page 2

This letter will allow you to begin marketing your device as described in your Section 510(k) This letter will and w you've begin and equivalence of your device of your device to a legally premarket notification: "The 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, If you destions on the promotion and advertising of your device, please contact the Office of or questions on the promotion 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 I bu may oouain outer gefacturers, 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 US, DVM.
MS, DVM

Tean 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

510(k) Number (if known): K041685

Device Name: ACON multi-CLIN™ Drug Screen Test Device

Indications For Use:

The ACON multi-CLIN™ Drug Screen Test Device is a rapid chromatographic The ACON muni-SEN - Brag Soan simultaneous detection of Amphetamine, Inimunoassay Tor the qualitativo a.ra a.rijuana, Methylenedioxymethamphetamine, Barbiturates, Denzodiazopinos, Socano, Propoxyphene and Tricyclic Antidepressants in Oplates, Oxycodone, I nenoyalams, Froponyprofor these drugs are as follows: unne. The designatoa bat on biturates 300 ng/mL, Benzodiazepines 300 ng/mL, Amplietamine 1,000 ng/mL, Barbical col Methylenedioxymethamphetamine 500 Cocaine 300 ng/mL, Mahjuane Scooone 100 ng/mL, Phencyclidine 25 ng/mL, ng/mL, Oplatos Overg/mL and Tricyclic Antidepressants 1,000 ng/mL. They are intended for healthcare professionals including professionals at point-of-care sites.

This assay provides only a preliminary analytical test result. A more specific alternate This assay provides only a promininer to obtain a confirmed analytical result. Gas chemical must be acou in br & GC/MS) is the preferred confirmatory method.

Clinical consideration and professional judgment should be applied to any drug of abuse test result, particularly when preliminary positive results are used.

Prescription Use X ___________________________________________________________________________________________________________________________________________________________

AND/OR

Over-The-Counter Use

(Part 21 CFR 801 Subpart D)

(21 CFR 807 Subpart C)

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

ffice of In Vitro Diagnostic Devices (OIVD) Concurrence of CDR

Division

Page 1 of 1

Office of In Vitro Diagnostic
Device Evaluation and Safety

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