K Number
K090766
Device Name
LIFEGUARD BACKTRACK B90 BREATH ALCOHOL TESTER
Date Cleared
2009-07-23

(122 days)

Product Code
Regulation Number
862.3050
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The LifeGuard and BacTrack B90 devices are intended to measure alcohol in human breath. Measurements obtained from these devices are used in the diagnosis of alcohol intoxication. The LifeGuard and BacTrack B90 devices are intended to be used by the general adult population and by qualified personnel, such as physicians, nurses, and technicians. The LifeGuard and BacTrack B90 devices are intended to be used by adults (age 21 and over) in measuring alcohol intoxication in themselves or others. The LifeGuard and BacTrack B90 devices are intended to be used in both home (over-the-counter) and clinical settings.
Device Description
The LifeGuard product is a breath alcohol detector designed to sample the patient's deep lung air in order to test for the presence of alcohol in the blood. The sensor used in the LifeGuard is an electrochemical fuel cell sensor. When the patient exhales into the device, after 4 seconds a sample of the breath is pumped into the fuel cell and generates an electrical current. The amount and duration of the current has a known relationship to the concentration of alcohol in the breath sample. The relationship between the alcohol concentration in the deep lung breath and in the blood is known by Henry's law with a ratio of 2100:1. The BacTrack B90 has the same intended use, description and performance characteristics as the LifeGuard with a different physical appearance. Both the LifeGuard and BacTrack B90 products are handheld and are used with a single-use disposable mouthpiece and a replaceable 9 volt battery.
More Information

Not Found

No
The device description focuses on the electrochemical fuel cell sensor and its direct relationship to alcohol concentration, with no mention of AI or ML algorithms for data processing or interpretation.

No
The device is used to measure alcohol in human breath for diagnosis of intoxication, not for treatment or therapy.

Yes

Explanation: The "Intended Use / Indications for Use" section explicitly states that "Measurements obtained from these devices are used in the diagnosis of alcohol intoxication."

No

The device description explicitly details hardware components like an electrochemical fuel cell sensor, a pump, a battery, and a physical housing, indicating it is a hardware device with embedded software.

Based on the provided information, the LifeGuard and BacTrack B90 devices are IVDs (In Vitro Diagnostics).

Here's why:

  • Intended Use: The intended use explicitly states that the measurements obtained from these devices "are used in the diagnosis of alcohol intoxication." This is a key characteristic of an IVD – a device used to examine specimens from the human body to provide information for diagnosis.
  • Specimen: The device measures alcohol in "human breath," which is a specimen from the human body.
  • Purpose: The purpose is to aid in the diagnosis of a medical condition (alcohol intoxication).

While the device description focuses on the technical aspects of breath analysis, the intended use clearly places it within the realm of in vitro diagnostics. The fact that it's used to diagnose a condition based on a bodily specimen is the defining factor.

N/A

Intended Use / Indications for Use

The LifeGuard and BacTrack B90 devices are intended to measure alcohol in human breath. Measurements obtained from these devices are used in the diagnosis of alcohol intoxication.

The LifeGuard and BacTrack B90 devices are intended to be used by the general adult population and by qualified personnel, such as physicians, nurses, and technicians.

The LifeGuard and BacTrack B90 devices are intended to be used by adults (age 21 and over) in measuring alcohol intoxication in themselves or others.

The LifeGuard and BacTrack B90 devices are intended to be used in both home (over-the-counter) and clinical settings.

Product codes

DJZ

Device Description

The LifeGuard product is a breath alcohol detector designed to sample the patient's deep lung air in order to test for the presence of alcohol in the blood. The sensor used in the LifeGuard is an electrochemical fuel cell sensor. When the patient exhales into the device, after 4 seconds a sample of the breath is pumped into the fuel cell and generates an electrical current. The amount and duration of the current has a known relationship to the concentration of alcohol in the breath sample. The relationship between the alcohol concentration in the deep lung breath and in the blood is known by Henry's law with a ratio of 2100:1.

The BacTrack B90 has the same intended use, description and performance characteristics as the LifeGuard with a different physical appearance.

Both the LifeGuard and BacTrack B90 products are handheld and are used with a single-use disposable mouthpiece and a replaceable 9 volt battery.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

human breath

Indicated Patient Age Range

adults (age 21 and over)

Intended User / Care Setting

general adult population and by qualified personnel, such as physicians, nurses, and technicians.
home (over-the-counter) and clinical settings.

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)

The results of laboratory bench testing, NRTL safety testing, and user studies indicate that the LifeGuard device is as safe and effective as the predicate device. Verification testing was done to verify the device's hardware and firmware performance met the requirements stated in the device specifications. Safety testing was performed by a Nationally Recognized Test Lab to certify compliance with applicable US and European safety standards for a medical device. A usability study was done to validate that the device met the requirements of the users and that the device labeling was adequate to describe the proper use of the device.

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

Accuracy: +/-.005 BAC from 0 to .100 BAC. +/- 5% above .100 BAC

Predicate Device(s)

K063443, K080848

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

K090766

510(k) Summary

510(k) owner

LifeGuard, a division of Lifeloc Technologies 12441 W. 49th Ave. #4 Wheat Ridge, CO 80033 Phone: (720) 317-2195 Fax: (303) 431-1423

JUL 23 2009

Contact Person: Mark Lary, Vice President of Operations

Date Prepared: March 20, 2009

Device Name(s)

Proprietary or trade name: LifeGuard Alternate proprietary or trade name: BacTrack B90 Common name: Breath Alcohol Test System Regulation number: 21 CFR 862.3050 Device Classification name: Devices, Breath Trapping, Alcohol Classification product code: DJZ

Indications for Use

The LifeGuard and BacTrack B90 devices are intended to measure alcohol in human breath. Measurements obtained from these devices are used in the diagnosis of alcohol intoxication.

The LifeGuard and BacTrack B90 devices are intended to be used by the general adult population and by qualified personnel, such as physicians, nurses, and technicians.

The LifeGuard and BacTrack B90 devices are intended to be used by adults (age 21 and over) in measuring alcohol intoxication in themselves or others.

The LifeGuard and BacTrack B90 devices are intended to be used in both home (over-the-counter) and clinical settings.

Predicate Device Summary

The LifeGuard and BacTrack B90 devices are claimed to be substantially equivalent to these legally marketed devices: Drager 6510 (K063443) and AlcoHawk PT-500 (K080848).

Description of Device

The LifeGuard product is a breath alcohol detector designed to sample the patient's deep lung air in order to test for the presence of alcohol in the blood. The sensor used in the LifeGuard is an electrochemical fuel cell sensor. When the patient exhales into the device, after 4 seconds a sample of the breath is pumped into the fuel cell and

1

generates an electrical current. The amount and duration of the current has a known relationship to the concentration of alcohol in the breath sample. The relationship between the alcohol concentration in the deep lung breath and in the blood is known by Henry's law with a ratio of 2100:1.

The BacTrack B90 has the same intended use, description and performance characteristics as the LifeGuard with a different physical appearance.

Both the LifeGuard and BacTrack B90 products are handheld and are used with a single-use disposable mouthpiece and a replaceable 9 volt battery.

| Device Trade Name | LifeGuard
BacTrack B90 | Predicate 1
Drager 6510 | Predicate 2
AlcoHawk PT-500 |
|-------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|
| 510K number | | K063443 | K080848 |
| Intended
use/Indications for use | Intended to measure
alcohol in human breath.
Readings from this
device are used to
determine alcohol
intoxication. | Same | Same |
| Patient Population | General Public (Over the
counter use) and clinical
settings | General Public (Over the
counter use) | General Public (Over the counter
use) |
| Sensor Type | Electrochemical Fuel
Cell | Electrochemical Fuel Cell | Electrochemical Fuel Cell |
| Construction | Plastic case with internal
circuit board | Same | Same |
| Mouthpiece | Single use disposable | Single use disposable | Single use disposable |
| Power Source | 9 volt battery | 2 AA batteries or rechargeable
NiMH battery | 2 AA batteries |
| Battery Life | 300 tests | ~1500 tests | ~200 tests |
| Measuring range | .000 to .400 BAC | .000 to .500 BAC | 0.000-0.400 BAC |
| Dimensions | 5 1/4" H x 2 1/2" W x 1"
D | 5 1/2" H x 3 1/8 " W x 1 1/3" D | 5" x 2.63" x 1.25" |
| Weight | 140 grams | 200 grams | 147 grams |
| Warm up time | None | None | 10-20 seconds |
| Sample time | 4 seconds and 1liter of
breath | 1.2 liters of breath. Volume and
time are adjustable. | Default 5 seconds, adjustable from
3-8 seconds |
| Display | Graphic OLED | Graphic LCD | Graphic LCD |
| Accuracy | +/-.005 BAC from 0 to
.100 BAC. +/- 5% above
.100 BAC | reproducibility with an ethanol
standard: from 0 to 0.5 mg/l +/-
.008 mg/l above .5 mg/l +/-1.7%
of measured volume
(from 0 to .105 BAC +/-.00168
BAC, above .105 BAC +/- 1.7%) | $\pm$ 0.005 BAC at .050 BAC |
| Operating temperature | 0-50C | -5-50C | 10-40C (50-104F) |
| Calibration interval | 1 year | 6 months | Every 6-12 months, or monthly
calibration may be required if the
unit is used daily |

Table 1 - Predicate Device Feature Comparison

2

Safety and Effectiveness Comparison to Predicate Device

The results of laboratory bench testing, NRTL safety testing, and user studies indicate that the LifeGuard device is as safe and effective as the predicate device. . Verification testing was done to verify the device's hardware and firmware performance met the requirements stated in the device specifications. Safety testing was performed by a Nationally Recognized Test Lab to certify compliance with applicable US and European safety standards for a medical device. A usability study was done to validate that the device met the requirements of the users and that the device labeling was adequate to describe the proper use of the device.

Conclusion

The combination of the LifeGuard design, feature set, verification and validation results, and agency testing reports demonstrate that the LifeGuard breath alcohol tester is a safe, effective product that is substantially equivalent to other FDA cleared alcohol breath testing products.

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 positioned to the right of a circular text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA".

LifeGuard, a Division of Lifeloc Tech. c/o Mr. Mark Lary Vice President of Operations 12441 W. 49th Avenue #4 Wheat Ridge, CO 80033

JUL 2 3 2009

Food & Drug Administration 10903 New Hampshire Avenue Building 66 Silver Spring, MD 20993

Re: K090766

Trade Name: LifeGuard / Backtrack B90 Breath Alcohol Tester Regulation Number: 21 CFR §862.3050 Regulation Name: Breath-Alcohol Test System Regulatory Class: Class I, reserved Product Codes: DJZ Dated: July 15, 2009 Received: July 16, 2009

Dear Mr. Lary:

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

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Page 2

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at (301) 796-5450. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at (301) 796-5760. For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 ) 796-5680 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

G.C.H

Courtney C. Harper, Ph.D. Acting Director Division of Chemistry and Toxicology Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

5

Indications for Use

510(k) Number (if known): K090766

Device Name: LifeGuard BacTrack B90

Indications For Use:

The LifeGuard and BacTrack B90 devices are intended to measure alcohol in human breath. Measurements obtained from these devices are used in the diagnosis of alcohol intoxication.

The LifeGuard and BacTrack B90 devices are intended to be used by the general adult population and by qualified personnel, such as physicians, nurses, and technicians.

The LifeGuard and BacTrack B90 devices are intended to be used by adults (age 21 and over) in measuring alcohol intoxication in themselves or others.

The LifeGuard and BacTrack B90 devices are intended to be used in both home (overthe-counter) and clinical settings.

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

Over-The-Counter Use ___X (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)

Division Sign-Off

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