K Number
K061922
Date Cleared
2006-10-30

(115 days)

Product Code
Regulation Number
862.3050
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Alco-Scan AL-5000 Breath Alcohol Tester is intended to measure alcohol in human breath. Measurements obtained by this device are used in the diagnosis of alcohol intoxication.

Device Description

AL-5000 is a Breath-alcohol tester designed to measure alcohol in the human breath. And AL-5000 is a D.O.T. approved device and a blow time of 3 seconds is required to capture an accurate deep lung sample. AL-5000 is operated by gas sensor of semi-conductors type for the detection of blood alcohol concentration ( BAC ) from human breath.

AI/ML Overview

The provided text is a 510(k) summary for a breath alcohol tester (AL-5000) seeking substantial equivalence to a predicate device (AlcoMate CA2000). The document focuses on demonstrating similarity in function, technology, and indications for use, rather than presenting a detailed clinical study with specific acceptance criteria and performance metrics.

Therefore, it's not possible to extract all the requested information, particularly regarding specific numerical acceptance criteria, detailed study design with sample sizes for test/training sets, expert qualifications, or multi-reader studies. The document primarily relies on engineering and performance characteristics comparison to a predicate device.

Here's an attempt to answer the questions based only on the provided text, highlighting what is available and what is not:

1. Table of Acceptance Criteria and Reported Device Performance

The document does not explicitly state "acceptance criteria" in a numerical or statistical sense for a clinical study. Instead, it demonstrates equivalence to a predicate device. The performance is implied to be similar to the predicate device, which is "DOT approved".

CharacteristicPredicate Device (AlcoMate CA2000) PerformanceAL-5000 Reported PerformanceAcceptance Criteria (Implied for Equivalence)
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."SameSame as predicate device's intended use.
Measure range0.00-0.10% BACSame0.00-0.10% BAC
Warm up timeBelow 20 secondsBelow 21 secondsComparability to predicate device.
DOT approvalYesYesDOT approval
Electrical Safety, EMC(Implied safe and effective)PassedSafe and effective (as predicate).
Technological DifferencesFew minor differences (e.g., power source, mouthpiece, size, weight)Few minor differencesNo new indications for use; as safe & effective as predicate.

2. Sample Size Used for the Test Set and Data Provenance

This information is not provided in the document. No specific clinical test set, sample size, or data provenance (country, retrospective/prospective) is described. The assessment appears to be based on technical evaluations, not human participant data.

3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications

This information is not provided as there is no description of a clinical test set requiring expert ground truth.

4. Adjudication Method for the Test Set

This information is not provided as there is no description of a clinical test set.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

No, a MRMC study was not done. Human-in-the-loop performance or comparison of human readers with/without AI assistance is not relevant to this device, which is a standalone breath alcohol tester.

6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done

The AL-5000 is a standalone device in its function (measuring breath alcohol). The provided text describes its technical operational principles (gas sensor, semi-conductor type, detecting BAC from human breath) and how it achieves its measurement. The "study" mentioned is not a clinical performance study on human subjects but rather "electrical safety, EMC and DOT tests" to demonstrate that it is "as safe and effective as the predicate device."

7. The Type of Ground Truth Used

For the specific "tests" mentioned (electrical safety, EMC, DOT), the ground truth would be established by the respective regulatory and testing standards for those areas. For blood alcohol concentration measurement, the implied ground truth for the device's accuracy would typically be laboratory-confirmed blood alcohol levels, but this is not explicitly stated in the document for the AL-5000's performance validation. The document relies on functional equivalence to a DOT-approved predicate.

8. The Sample Size for the Training Set

This information is not provided. The device does not appear to utilize machine learning or AI that would require a "training set" in the typical sense for medical imaging or diagnostic algorithms.

9. How the Ground Truth for the Training Set Was Established

This information is not provided as there is no mention of a training set.

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Kou1922

510(k) Summary

    • Applicant's Name ; Sentech Korea Corp.
    • Address ; #803, Ilsan Technotown, 1141-1 Bakseok-dong,

Ilsan-gu, Goyang-si,

Kyeonggi-do, 411-722 Korea

    • Phone #. ; 82-31-909-8804
  • : 82-31-909-8803 * Fax #.
  • ; Mr. Soo Hyun, Kim / Managing Director * Contact
    1. Identification of the Device ; Proprietary-Trade Name : AL-5000 Breath Alcohol Tester Classification Name : Device, breath trapping, alcohol, DJZ Common/ Usual Name:Breath-alcohol test system
    1. Equivalence legally marketed devices : AL-5000 is functionally similar to the AlcoMate CA2000. KHN Solution LLC, K041334.
    1. Indications for Use ( intended use ) ; AL-5000 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 ;

AL-5000 is a Breath-alcohol tester designed to measure alcohol in the human breath. And AL-5000 is a D.O.T. approved device and a blow time of 3 seconds is required to capture an accurate deep lung sample. AL-5000 is operated by gas sensor of semi-conductors type for the detection of blood alcohol concentration ( BAC ) from human breath.

OCT 3 0 2006

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The sensor consists of mainly sensing layer and heating element which is formed by a n-type semiconductor powder and heater, respectively. In clean air, during the heater is powered, the oxygen molecules in the air traps the electron in the semiconducting material and then chemisorped on the surface of the powder particles. However, when it is exposed to organic vapor such as alcohol, the chemisoped oxygen ( O- or O2- ) is reacted with organic vapor and reduced.

By this reaction, the electrons trapped by oxygen is released and flow in the semiconductor. That is, when is exposed to organic vapor, the electrical conductivity increase ( the resistance decreases ).

FeatureAlcoMate CA2000AL-5000
Indication ofuseThe device is intended to measurealcohol in the human breath.Measurements obtained by thisdevice are used in the diagnosis ofalcohol intoxication.Same
ModeBreath Alcohol ConcentrationSame
Practitioner useOver the counterSame
Display3 Digit LEDSame
Power source9 Volt Alkaline Battery orauto cigar lighter (optional)2AA size Battery
Test automationSingle button operationSame
Battery life300 testsOver 200 tests
Measure range0.00-0.10% BACSame
  1. Substantial Equivalence Chart ;

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Type of sensorSemi-conductive Alcohol SensorSame
Anatomical siteMouthSame
MouthpieceWashableDisposable
Warm up timeBelow 20 secondsBelow 21 seconds
DOT approvalYesYes
ConstructionPlastic case with internalcircuit boardSame
Size120x60x25 mm116x59x27 mm
Weight200 grams105 grams

6. Conclusion :

Through a electrical safety, EMC and DOT tests, we, Sentech Korea Corp., came to the conclusion that AL-5000 is as safe and effective as the predicate device, has few technological differences, and has no new indications for use. thus rendering it substantial equivalence to the predicate device.

:

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Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services (HHS). The logo features a stylized eagle with three overlapping wings, symbolizing health, services, and people. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

Re:

Public Health Service

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

OCT 3 0 2006

Sentech Korea Corporation c/o Laura Danielson TUV America, Inc. 1775 Old Highway 8 New Brighton, MN 55412-1891

K061922 Trade/Device Name: AL-5000 Regulation Number: 21 CFR 862.3050 Regulation Name: Breath-alcohol test system Regulatory Class: Class I Product Code: DJZ Dated: October 5, 2006 Received: October 12, 2006

Dear Ms. Danielson:

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 (240) 276-0484. 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/industry/support/index.html.

Sincerely yours,

Alberto G. A.

Alberto Gutierrez, Ph.D. 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): K061922

Device Name: AL - 5000

Indications For Use : The Alco-Scan AL-5000 Breath Alcohol Tester is intended to measure alcohol in human breath. Measurements obtained by this device are used in the diagnosis of alcohol intoxication.

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

V Over-The-Counter Use (21 CFR 801 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)

Carol C. Benson
Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

K061922

§ 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.