K Number
K072062
Device Name
UCP MULTIPLE DRUG SCREEN TEST CUPS
Date Cleared
2007-09-20

(55 days)

Regulation Number
862.3910
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The UCP Multiple Drug Screen Test Cups are rapid, qualitative, competitive binding immunoassays for the detection of Amphetamine, Barbiturates, Bezodiazepines, Cocaine, Marijuana, Methadone, Methamphetamine, MDMA, Morphine, Opiate 2000, Oxycodone, Phencyclidine, Tricyclic Antidepressants, Propoxyphene and their metabolites in human urine at the following cutoff levels: | Test | Calibrator | Cut-off | |--------------------------|-------------------|------------| | Amphetamine | D-Amphetamine | 1000 ng/mL | | Barbiturates | Secobarbital | 300 ng/mL | | Benzodiazepines | Oxazepam | 300 ng/mL | | Cocaine | Benzoylecgonine | 300 ng/mL | | Marijuana | Delta-9-THC-COOH | 50 ng/mL | | Methadone | Methadone | 300 ng/mL | | Methamphetamine | D-Methamphetamine | 1000 ng/mL | | MDMA | MDMA | 500 ng/mL | | Morphine | Morphine | 300 ng/mL | | Opiate 2000 | Morphine | 2000 ng/mL | | Oxycodone | Oxycodone | 100 ng/mL | | Phencyclidine | Phencylidine | 25 ng/mL | | Tricyclic Antidepressant | Nortriptyline | 1000 ng/mL | | Propoxyphene | Propoxyphene | 300 ng/mL | The tests provide only preliminary data, which should be confirmed by other methods such as gas chromatography/mass spectrometry (GC/MS). The test configuration comes with any combination of multiple drug screen tests. Clinical considerations and professional judgment should be applied to any drug of abuse test results, particularly when preliminary positive results are indicated. The tests are not intended to be used in monitoring drug levels. Prescription Use (21 CFR Part 801 Subpart D) And/Or Over the Counter Use (21 CFR Part 801 Subpart C)
Device Description
The UCP Multiple Drug Screen Test Cups are rapid, qualitative, competitive binding immunoassays for the detection of Amphetamine, Barbiturates, Bezodiazepines, Cocaine, Marijuana, Methadone, Methamphetamine, MDMA, Morphine, Opiate 2000, Oxycodone, Phencyclidine, Tricyclic Antidepressants, Propoxyphene and their metabolites in human urine.
More Information

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Not Found

No
The description details a rapid, qualitative immunoassay test cup, which relies on chemical reactions for detection, not AI/ML. There is no mention of any computational analysis or learning algorithms.

No

The device is an in vitro diagnostic (IVD) test for detecting drugs and their metabolites in urine, which provides diagnostic data rather than therapeutic treatment.

Yes

Explanation: The device is a rapid, qualitative immunoassay for the detection of various drugs and their metabolites in human urine, which falls under the definition of an in vitro diagnostic device used to detect specific medical conditions or substances.

No

The device description clearly states it is a "rapid, qualitative, competitive binding immunoassay," which is a laboratory test method involving physical components (test cups, reagents) and not solely software.

Yes, based on the provided information, this device is an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that the device is for the "detection of... in human urine". This indicates that the device is used to examine specimens derived from the human body.
  • Device Description: The device description further confirms that it is a "rapid, qualitative, competitive binding immunoassay" for detecting substances in "human urine".
  • Regulatory Context: The mention of "Prescription Use (21 CFR Part 801 Subpart D) And/Or Over the Counter Use (21 CFR Part 801 Subpart C)" refers to regulations governing medical devices, including IVDs, in the United States.

IVDs are defined as reagents, instruments, and systems intended for use in the diagnosis of disease or other conditions, including a determination of the state of health, in order to cure, mitigate, treat, or prevent disease or its sequelae. While this specific device is for drug screening and not necessarily diagnosing a disease, it falls under the broader category of IVDs because it is used to test human specimens to provide information about the individual's state (in this case, the presence of certain drugs).

N/A

Intended Use / Indications for Use

The UCP Multiple Drug Screen Test Cups are rapid, qualitative, competitive binding immunoassays for the detection of Amphetamine, Barbiturates, Bezodiazepines, Cocaine, Marijuana, Methadone, Methamphetamine, MDMA, Morphine, Opiate 2000, Oxycodone, Phencyclidine, Tricyclic Antidepressants, Propoxyphene and their metabolites in human urine at the following cutoff levels:

TestCalibratorCut-off
AmphetamineD-Amphetamine1000 ng/mL
BarbituratesSecobarbital300 ng/mL
BenzodiazepinesOxazepam300 ng/mL
CocaineBenzoylecgonine300 ng/mL
MarijuanaDelta-9-THC-COOH50 ng/mL
MethadoneMethadone300 ng/mL
MethamphetamineD-Methamphetamine1000 ng/mL
MDMAMDMA500 ng/mL
MorphineMorphine300 ng/mL
Opiate 2000Morphine2000 ng/mL
OxycodoneOxycodone100 ng/mL
PhencyclidinePhencylidine25 ng/mL
Tricyclic AntidepressantNortriptyline1000 ng/mL
PropoxyphenePropoxyphene300 ng/mL

The tests provide only preliminary data, which should be confirmed by other methods such as gas chromatography/mass spectrometry (GC/MS). The test configuration comes with any combination of multiple drug screen tests. Clinical considerations and professional judgment should be applied to any drug of abuse test results, particularly when preliminary positive results are indicated. The tests are not intended to be used in monitoring drug levels.

Prescription Use (21 CFR Part 801 Subpart D)
And/Or
Over the Counter Use (21 CFR Part 801 Subpart C)

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

LFG, JXN, DKZ, DIS, JXM, LDJ, DIO, DJC, DJR, DJG, LCM

Device Description

The UCP Multiple Drug Screen Test Cups are rapid, qualitative, competitive binding immunoassays

Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

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Anatomical Site

human urine

Indicated Patient Age Range

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Intended User / Care Setting

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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)

Not Found

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

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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.

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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.

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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).

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§ 862.3910 Tricyclic antidepressant drugs test system.

(a)
Identification. A tricyclic antidepressant drugs test system is a device intended to measure any of the tricyclic antidepressant drugs in serum. The tricyclic antidepressant drugs include imipramine, desipramine, amitriptyline, nortriptyline, protriptyline, and doxepin. Measurements obtained by this device are used in the diagnosis and treatment of chronic depression to ensure appropriate therapy.(b)
Classification. Class II (special controls). A tricyclic antidepressant drugs 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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Image /page/0/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 wing, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circular fashion around the eagle. The text is in all caps and is smaller than the eagle symbol. The logo is black and white.

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

UCP Biosciences, Inc. c/o Dr. Nancy Chen 1445 Koll Circle, Suite 111 San Jose, CA 95112

Re: K072062 Trade/Device Name: UCP Multiple Drug Screen Test Cups Regulation Number: 21 CFR 862.3910 Regulation Name: Tricyclic Antidepressant Drugs Test System. Regulatory Class: Class II Product Code: LFG, JXN, DKZ, DIS, JXM, LDJ, DIO, DJC, DJR, DJG, LCM Dated: August 23, 2007 Received: August 24, 2007

SEP 2 0 2007

Dear Dr. Chen:

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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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) 276-0490. Also, please nother the regulation entitled, "Misbranding by reference to premarket notification", (21CFR Part 80.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its than the (800) 638-2041 or (240) 276-3150 or at its Internet address at http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Jean m. Cooper, M.S., D.V.M.

Yéan M. Cooper, M.S., 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

2

Indication for Use

510(k) Number (if known): K072062 Device Name: UCP Multiple Drug Screen Test Cups Indication For Use:

The UCP Multiple Drug Screen Test Cups are rapid, qualitative, competitive binding immunoassays for the detection of Amphetamine, Barbiturates, Bezodiazepines, Cocaine, Marijuana, Methadone, Methamphetamine, MDMA, Morphine, Opiate 2000, Oxycodone, Phencyclidine, Tricyclic Antidepressants, Propoxyphene and their metabolites in human urine at the following cutoff levels:

TestCalibratorCut-off
AmphetamineD-Amphetamine1000 ng/mL
BarbituratesSecobarbital300 ng/mL
BenzodiazepinesOxazepam300 ng/mL
CocaineBenzoylecgonine300 ng/mL
MarijuanaDelta-9-THC-COOH50 ng/mL
MethadoneMethadone300 ng/mL
MethamphetamineD-Methamphetamine1000 ng/mL
MDMAMDMA500 ng/mL
MorphineMorphine300 ng/mL
Opiate 2000Morphine2000 ng/mL
OxycodoneOxycodone100 ng/mL
PhencyclidinePhencylidine25 ng/mL
Tricyclic AntidepressantNortriptyline1000 ng/mL
PropoxyphenePropoxyphene300 ng/mL

The tests provide only preliminary data, which should be confirmed by other methods such as gas chromatography/mass spectrometry (GC/MS). The test configuration comes with any combination of multiple drug screen tests. Clinical considerations and professional judgment should be applied to any drug of abuse test results, particularly when preliminary positive results are indicated. The tests are not intended to be used in monitoring drug levels.

Prescription Use (21 CFR Part 801 Subpart D)

And/Or

Over the Counter Use (21 CFR Part 801 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Diagnostic Device Evaluation and Safety (OIVD)

Carol C. Benson

Division Sign-Off Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K072062

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