K Number
K100051
Device Name
INSTANT-VIEW MILTI-DRUG OF ABUSE URINE TEST (PANEL, CUP), INSTANT-VERDICT MULTI-DRUG OF ABUSE URINE TEST (PANEL, CUP)
Date Cleared
2010-07-06

(179 days)

Product Code
Regulation Number
862.3650
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Drug of Abuse Urine (Cassette/Cup) Test is a rapid qualitative immunoassay for the detection of potential abuse of one or more drugs: Morphine/Opiates, and Oxycodone (see list below). The device is intended for in vitro diagnostic home use. Analyte | Calibrator | Cutoff ---|---|--- Morphine/Opiates | Morphine | 300 ng/mL Oxycodone | Oxycodone | 100 ng/mL Oxycodone | Oxycodone | 300 ng/mL This assay provides only preliminary results. A more specific alternate chemical method must be used in order to obtain a confirmed analytical result. Gas chromatography/mass spectrometry (GC/MS) or Liquid chromatography/mass spectrometry (LC/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 indicated.
Device Description
A one-step lateral flow chromatographic immunoassay. The device consists of any combination between one (1) to three (3) individual test strip(s) for the drug(s) being tested. Each test strip in the device consists of 1) a colored conjugate pad containing colloidal gold coupled with the anti-drug antibodies and 2) nitrocellulose membrane containing a test line (T line) coated with the conjugated drug antigen and a control line (C line). The C line serves as an internal quality control of the system and appears as a colored band during test regardless of the presence of the drug.
More Information

Not Found

No
The device description details a lateral flow immunoassay, which is a chemical and physical process, not an AI/ML technology. There are no mentions of AI, ML, or related concepts in the summary.

No.
The device is an in vitro diagnostic home use device intended for the detection of potential abuse of specific drugs. It provides preliminary results and does not describe any therapeutic function.

Yes

The "Intended Use / Indications for Use" section explicitly states, "The device is intended for in vitro diagnostic home use."

No

The device description clearly indicates it is a "one-step lateral flow chromatographic immunoassay" consisting of physical components like a conjugate pad and nitrocellulose membrane, which are hardware.

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

Here's why:

  • Intended Use/Indications for Use: The document explicitly states, "The device is intended for in vitro diagnostic home use." This is the most direct indicator.
  • Nature of the Test: The device performs a qualitative immunoassay on a biological sample (urine) to detect the presence of specific substances (drugs of abuse). This is a classic example of an in vitro diagnostic test.
  • Device Description: The description details the components and mechanism of a lateral flow immunoassay, which is a common technology used in IVD devices.
  • Performance Studies: The mention of performance characteristics like accuracy, reproducibility, sensitivity, and specificity, and comparison to previously cleared devices, are all typical aspects of IVD device submissions and evaluations.
  • Predicate Devices: The listed predicate devices are also IVD tests (urine drug tests).

The fact that it's intended for "home use" and "OTC setting" doesn't change its classification as an IVD. It simply indicates the intended user and setting for the diagnostic test.

N/A

Intended Use / Indications for Use

The proposed drug of abuse device is intended for use in an OTC setting as an IVD screening test for any single one, or combination of, the following three substances in urine:

AnalyteCutoff
Morphine300 ng/ml
Oxycodone100 ng/ml
Oxycodone300 ng/ml

This test provides only a preliminary result. The results provided by this device indicate whether the drug or drug metabolite may be present. A positive result from the device is considered to be a presumptive result and should never be interpreted as final without laboratory confirmation.

The Drug of Abuse Urine (Cassette/Cup) Test is a rapid qualitative immunoassay for the detection of potential abuse of one or more drugs: Morphine/Opiates, and Oxycodone (see list below). The device is intended for in vitro diagnostic home use.

AbbreviationTestCalibratorCutoff
MOR/OPI300Morphine/OpiatesMorphine300 ng/mL
OXY100OxycodoneOxycodone100 ng/mL
OXY300OxycodoneOxycodone300 ng/mL

This assay provides only preliminary results. A more specific alternate chemical method must be used in order to obtain a confirmed analytical result. Gas chromatography/mass spectrometry (GC/MS) or Liquid chromatography/mass spectrometry (LC/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 indicated.

Product codes

DJG, NGI

Device Description

A one-step lateral flow chromatographic immunoassay. The device consists of any combination between one (1) to three (3) individual test strip(s) for the drug(s) being tested. Each test strip in the device consists of 1) a colored conjugate pad containing colloidal gold coupled with the anti-drug antibodies and 2) nitrocellulose membrane containing a test line (T line) coated with the conjugated drug antigen and a control line (C line). The C line serves as an internal quality control of the system and appears as a colored band during test regardless of the presence of the drug.

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

OTC setting, home use

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 proposed drug of abuse device uses the same technology and formulations for the detection of the drugs as individual test devices. The performance characteristics, such as accuracy, reproducibility, sensitivity and specificity of the multi-drug of abuse test are the same as the individual tests, which have been 510(k) cleared for professional use previously.

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

Not Found

Predicate Device(s)

INSTANT-VIEW® Multi-Drugs Urine Test (510(k) Number: K063545), INSTANT-VIEW® Oxycodone Urine Test (510(k) Number: K063545), INSTANT-VIEW® Morphine (300) Urine Test (510(k) Number: K060527)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.3650 Opiate test system.

(a)
Identification. An opiate test system is a device intended to measure any of the addictive narcotic pain-relieving opiate drugs in blood, serum, urine, gastric contents, and saliva. An opiate is any natural or synthetic drug that has morphine-like pharmocological actions. The opiates include drugs such as morphine, morphine glucoronide, heroin, codeine, nalorphine, and meperedine. Measurements obtained by this device are used in the diagnosis and treatment of opiate use or overdose and in monitoring the levels of opiate administration to ensure appropriate therapy.(b)
Classification. Class II (special controls). An opiate 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).

0

Alfa Scientific Designs, Inc.

510(k) SummaryJUL-6 2010
Safety and effectiveness as required by 21 CFR 807.92
Manufacturer
and SubmitterName:Alfa Scientific Designs, Inc.
Address:13200 Gregg Street
Poway, CA 92064
Telephone: (858) 413-1266 (direct)
Fax: (858) 513-8388
Contact Person:Naishu Wang, MD, Ph.D.
Email: wnss@alfascientific.com
Device NameTrade Name:
INSTANT-VIEW® Drug of Abuse Urine (Cassette/Cup) Test
Drug of Abuse Urine (Cassette/Cup) Test
Common Name:
Immunoassay, Drug of Abuse Screen Urine Test
Classification:
Opiate Test System, Morphine Test System
Product Code:
DJG, NGI
Date of
Summary
Preparation06/30/2010
Predicate
DevicesINSTANT-VIEW® Multi-Drugs Urine Test (510(k) Number: K063545)
INSTANT-VIEW® Oxycodone Urine Test (510(k) Number: K063545)
INSTANT-VIEW® Morphine (300) Urine Test (510(k) Number: K060527
Made by Alfa Scientific Designs, Inc.
Device
DescriptionA one-step lateral flow chromatographic immunoassay. The device
consists of any combination between one (1) to three (3) individual test
strip(s) for the drug(s) being tested. Each test strip in the device consists
of 1) a colored conjugate pad containing colloidal gold coupled with the
anti-drug antibodies and 2) nitrocellulose membrane containing a test
line (T line) coated with the conjugated drug antigen and a control line
(C line). The C line serves as an internal quality control of the system
and appears as a colored band during test regardless of the presence of
the drug.
Intended UseThe proposed drug of abuse device is intended for use in an OTC setting
as an IVD screening test for any single one, or combination of, the
following three substances in urine:
AnalyteCutoff
Morphine300 ng/ml
Oxycodone100 ng/ml
Oxycodone300 ng/ml
This test provides only a preliminary result. The results provided by
this device indicate whether the drug or drug metabolite may be present.
A positive result from the device is considered to be a presumptive
result and should never be interpreted as final without laboratory
confirmation.
Similarity to
the Predicate
Devices• Both are one-step lateral-flow chromatographic immunoassays.
• Both are intended to provide qualitative detection of drug abuse.
• Both are in-vitro diagnostic devices.
• Both have a built-in quality control feature, C line, to indicate that an
adequate volume of specimen is applied and the liquid flow occurred
properly
Performance
CharacteristicsThe proposed drug of abuse device uses the same technology and
formulations for the detection of the drugs as individual test devices.
The performance characteristics, such as accuracy, reproducibility,
sensitivity and specificity of the multi-drug of abuse test are the same
as the individual tests, which have been 510(k) cleared for professional
use previously.
StabilityThe shelf life stability of the test devices was done for each of the test
devices, three lots for each test in each format. The shelf life of the
proposed tests is two years (24 months)
Formats of the
DeviceThe proposed multi- drug of abuse device has two formats, cassette and
urine cup.
ConclusionThe proposed test is substantially equivalent to the predicate device.

・・・・・・・・・・・・・・・・・・・・・・

Multi-Drug of Abuse Urine Test

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains an image of an eagle. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is written around the eagle.

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

Alfa Scientific Designs, Inc. C/O Naishu Wang 13200 Gregg St. Poway, CA 92064

JUL 0 0 0 2013

Re: K100051

Trade/Device Name: Instant-View Drug of Abuse Urine (Cassette/Cup) Test Regulation Number: 21 CFR 862.3650 Regulation Name: Opiate test system Regulatory Class: Class II Product Code: DJG, NGI Dated: June 16, 2010 Received: June 17, 2010

Dear Ms. Wang:

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 class II (Special Controls), 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 requrements 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). 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.

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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,

Signature

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

Enclosure

4

Indications for Use Statement

510(k) number (if known): K100051

Device Name:

INSTANT-VIEW® Drug of Abuse Urine (Cassette/Cup) Test

Drug of Abuse Urine (Cassette/Cup) Test

Indications for Use:

The Drug of Abuse Urine (Cassette/Cup) Test is a rapid qualitative immunoassay for the detection of potential abuse of one or more drugs: Morphine/Opiates, and Oxycodone (see list below). The device is intended for in vitro diagnostic home use.

AbbreviationTestCalibratorCutoff
MOR/OPI300Morphine/OpiatesMorphine300 ng/mL
OXY100OxycodoneOxycodone100 ng/mL
OXY300OxycodoneOxycodone300 ng/mL

This assay provides only preliminary results. A more specific alternate chemical method must be used in order to obtain a confirmed analytical result. Gas chromatography/mass spectrometry (GC/MS) or Liquid chromatography/mass spectrometry (LC/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 indicated.

× Over-The-Counter Use AND/OR Prescription Use (Per 21 CFR 807 Subpart D) (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)

Dus

Division Sign-Off

Office of In Vitro Diagnostic Device Evaluation and Safety

K.100051 510/k)

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