K Number
K120763
Date Cleared
2012-06-01

(80 days)

Product Code
Regulation Number
862.3650
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The LZI Oxycodone Enzyme Immunoassay is intended for the qualitative and semiquantitative determination of Oxycodone in human urine at the cutoff values of 100 and 300 ng/mL. The assay is designed for professional use with a number of automated clinical chemistry analyzers.

The semi-quantitative mode is for purposes of (1) enabling laboratories to determine an appropriate dilution of the specimen for confirmation by a confirmatory method such as GCMS and LCMS or (2) permitting laboratories to establish quality control procedures.

The LZI Oxycodone Drugs of Abuse (DAU) Calibrators are for use as calibrators in the qualitative and semi-quantitative calibration of the LZI Oxycodone Enzyme Immunoassay.

The LZI Oxycodone Drugs of Abuse (DAU) Controls are for use as assayed quality control materials to monitor the precision of the LZI Oxycodone Enzyme Immunoassay.

The assay provides only a preliminary analytical result. A more specific alternative chemical method must be used in order to obtain a confirmed analytical result. Gas or liquid chromatography/mass spectrometry (GC/MS or LC/MS) is the preferred confirmatory method. Clinical consideration and professional judgment should be exercised with any drug of abuse test result, particularly when the preliminary test result is positive.

Device Description

The LZI Oxycodone assay is a homogeneous enzyme immunoassay with ready-to-use liquid reagents. The assay is based on competition between drug in the sample and drug labeled with the enzyme glucose-6-phosphate dehydrogenase (G6PDH) for a fixed amount of antibody in the reagent. Enzyme activity decreases upon binding to the antibody, and the drug concentration in the sample is measured in terms of enzyme activity. In the absence of drug in the sample, oxycodone-labeled G6PDH conjugate is bound to antibody, and the enzyme activity is inhibited. On the other hand, when free drug is present in the sample, antibody would bind to free drug; the unbound oxycodone-labeled G6PDH then exhibits its maximal enzyme activity. Active enzyme converts nicotinamide adenine dinucleotide (NAD) to NADH, resulting in an absorbance change that can be measured spectrophotometrically at 340 nm.

The LZI Oxycodone Enzyme Immunoassay is a kit comprised of two reagents, an R1 and R2, which are bottled separately but sold together within the kit.

The R. solution contains mouse monoclonal anti-Oxycodone antibody, glucose-6-phosphate (G6P) nicotinamide adenine dinucleotide (NAD), stabilizers, and sodium azide (0.09%) as a preservative. The R2 solution contains glucose-6-phosphate dehydrogenase (G6PDH) labeled with oxycodone in buffer with sodium azide (0.09%) as preservative.

The LZI Oxycodone Enzyme Immunoassay (K050733) calibrators and controls designated for use at the 100 and 300 ng/mL cutoffs contain 0, 50, 75, 100, 125, 225, 300, 375, 500, and 800 ng/mL of oxycodone in human urine with sodium azide (0.09%) as preservative. These six calibrators and four controls are sold as individual bottles.

AI/ML Overview

The provided text describes the LZI Oxycodone Enzyme Immunoassay, its intended use, and its performance characteristics. Here's a breakdown of the requested information:

1. Table of Acceptance Criteria and Reported Device Performance

The document does not explicitly state formal "acceptance criteria" for the performance studies in the way one might see in a pre-defined validation plan. However, it presents the reported performance characteristics which implicitly serve as the achieved benchmarks.

Performance CharacteristicAcceptance Criteria (Implied by Study Design)Reported Device Performance
Precision (100 ng/mL Cutoff)Expected to correctly classify positive and negative samples at various concentrations around the cutoff. Minor variability at the cutoff is acceptable.Semi-Quantitative: At 100 ng/mL cutoff, 39 Pos/49 Neg results out of 88 total determinations. Qualitative: At 100 ng/mL cutoff, 25 Pos/63 Neg results out of 88 total determinations. Samples significantly below the cutoff: 88 Negative. Samples significantly above the cutoff: 88 Positive.
Precision (300 ng/mL Cutoff)Expected to correctly classify positive and negative samples at various concentrations around the cutoff. Minor variability at the cutoff is acceptable.Semi-Quantitative: At 300 ng/mL cutoff, 26 Pos/62 Neg results out of 88 total determinations. Qualitative: At 300 ng/mL cutoff, 23 Pos/65 Neg results out of 88 total determinations. Samples significantly below the cutoff: 88 Negative. Samples significantly above the cutoff: 88 Positive.
Linearity (100 & 300 ng/mL Cutoff)High correlation between measured and target values across the dynamic range.y = 0.974x + 1.4518, r² = 0.998 for 0-800 ng/mL.
Method Comparison (100 ng/mL Cutoff)High agreement with a confirmatory method (GC/MS or LC/MS) for clinical samples.93.75% agreement with positive, 100.0% agreement with negative samples (out of 89 samples).
Method Comparison (300 ng/mL Cutoff)High agreement with a confirmatory method (GC/MS or LC/MS) for clinical samples.96.1% agreement with positive, 98.0% agreement with negative samples (out of 101 samples).
Endogenous Compound Interference & Specificity & Cross-ReactivityNo significant undesired interference.No significant undesired cross-reactants or endogenous substance interference was observed.

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

  • Precision Studies (Test Set for Precision):

    • For both 100 ng/mL and 300 ng/mL cutoffs, and for both semi-quantitative and qualitative results:
      • Sample Size: 88 determinations per concentration level. This was derived from "Within Run" (22 determinations) multiplied by the number of runs (not explicitly stated, but implied to be 4 runs for "Total Precision" as 22 * 4 = 88). There were 9 concentration levels tested for each cutoff.
      • Data Provenance: The document does not explicitly state the country of origin. The samples used for precision appear to be contrived samples at specific concentrations rather than clinical samples, as they are described as "Sample Concentration" in ng/mL. Therefore, they are laboratory-prepared samples. The study is prospective in nature as it's a performance validation for a new device.
  • Method Comparison - Clinical Samples (Test Set for Method Comparison):

    • 100 ng/mL Cutoff:
      • Sample Size: 89 clinical unaltered samples.
      • Data Provenance: The document does not explicitly state the country of origin. These are "clinical unaltered samples," suggesting they were collected from patients. The study would be considered retrospective if these samples were pre-collected, or prospective if collected specifically for the study. The document does not specify.
    • 300 ng/mL Cutoff:
      • Sample Size: 101 clinical unaltered samples.
      • Data Provenance: Similar to the 100 ng/mL cutoff, country of origin is not specified, and it's unclear if these were retrospective or prospective clinical samples.

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

Not applicable in the conventional sense for this type of immunoassay device. The ground truth for the test set was established by:

  • For precision studies: The known concentrations of the laboratory-prepared samples.
  • For method comparison studies: A "more specific alternative chemical method," specifically Gas or liquid chromatography/mass spectrometry (GC/MS or LC/MS). These are analytical chemistry techniques, not human expert evaluations.

4. Adjudication Method for the Test Set

Not applicable. The ground truth was established by objective analytical methods (known concentrations or GC/MS/LC/MS), not by subjective expert review that would require adjudication.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

Not applicable. This device is an automated immunoassay for drug detection in urine, not an imaging device or AI-assisted diagnostic tool that involves human readers/interpreters in this context. The assay provides a preliminary analytical result, which would then be confirmed by other laboratory methods.

6. If a Standalone (i.e. algorithm only without human-in-the loop performance) was done

Yes, the performance studies described are essentially standalone algorithmic performances. The LZI Oxycodone Enzyme Immunoassay is an automated system run on "automated clinical chemistry analyzers" (e.g., Hitachi 717). The performance metrics (precision, linearity, method comparison) reflect the device's accuracy in autonomously classifying samples or measuring concentrations. There is no explicit "human-in-the-loop" aspect to its primary interpretive function as presented.

7. The Type of Ground Truth Used

  • For Precision Studies: Artificially prepared samples with known concentrations of oxycodone.
  • For Method Comparison Studies: Confirmatory analytical methods, specifically Gas or liquid chromatography/mass spectrometry (GC/MS or LC/MS). The document states: "A more specific alternative chemical method must be used in order to obtain a confirmed analytical result. Gas or liquid chromatography/mass spectrometry (GC/MS or LC/MS) is the preferred confirmatory method."

8. The Sample Size for the Training Set

The document does not explicitly mention a "training set" in the context of machine learning or AI algorithm development. This device is an immunoassay, which typically relies on chemical reagent interactions rather than data-driven machine learning models that require training sets. The "training" would be the initial development and formulation of the assay reagents and conditions.

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

As there is no explicit mention of a "training set" for an AI or machine learning algorithm, this question is not directly applicable. The "ground truth" during the development of an immunoassay is based on established principles of analytical chemistry, reagent optimization, and calibration against known standards.

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120763

CONFIDENTIAL

JUN - 1 2012

Lin-Zhi International, Inc.

...

510(k) Summary of Safety and Effectiveness

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

Introduction

According to the requirements of 21 CFR 807.92, the following information provides sufficient detail to understand the basis for a determination of substantial equivalence.

Submitter Name, Address, and Contact:

Lin-Zhi International, Inc. 670 Almanor Avenue Sunnyvale, CA 94085 Phone: (408) 732-3856 Fax: (408) 732-3849 e-mail: bclin@lin-zhi.com

Contact: Bernice Lin. Ph.D. VP Operations

Device Name and Classification

Classification Name:

Enzyme Immunoassay, Oxycodone Class II, DJG (91 Toxicology), 21 CFR 862.3650

Drug Specific Calibrators, Class II, DLJ (91 Toxicology), 21 CFR 862.3200

Drug Specific Controls, Class I, LAS (91 Toxicology), 21 CFR 862.3280

Common Name: Proprietary Name: Homogeneous Oxycodone Enzyme Immunoassay LZI Oxycodone Enzyme Immunoassay, LZI Oxycodone Drugs of Abuse (DAU) Calibrators LZI Oxycodone Drugs of Abuse (DAU) Controls

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CONFIDENTIAL

Legally Marketed Predicate Device(s)

The LZI Oxycodone Enzyme Immunoassay (EIA) is substantially equivalent to the Lin-Zhi International, Inc. Oxycodone Enzyme Immunoassay (K050733) manufactured by Lin-Zhi International, Inc. The LZI Oxycodone Enzyme Immunoassay is identical or similar to its predicate in terms of intended use, method principle, device components, and clinical performance.

Device Description

The LZI Oxycodone assay is a homogeneous enzyme immunoassay with ready-to-use liquid reagents. The assay is based on competition between drug in the sample and drug labeled with the enzyme glucose-6-phosphate dehydrogenase (G6PDH) for a fixed amount of antibody in the reagent. Enzyme activity decreases upon binding to the antibody, and the drug concentration in the sample is measured in terms of enzyme activity. In the absence of drug in the sample, oxycodone-labeled G6PDH conjugate is bound to antibody, and the enzyme activity is inhibited. On the other hand, when free drug is present in the sample, antibody would bind to free drug; the unbound oxycodone-labeled G6PDH then exhibits its maximal enzyme activity. Active enzyme converts nicotinamide adenine dinucleotide (NAD) to NADH, resulting in an absorbance change that can be measured spectrophotometrically at 340 nm.

The LZI Oxycodone Enzyme Immunoassay is a kit comprised of two reagents, an R1 and R2, which are bottled separately but sold together within the kit.

The R. solution contains mouse monoclonal anti-Oxycodone antibody, glucose-6-phosphate (G6P) nicotinamide adenine dinucleotide (NAD), stabilizers, and sodium azide (0.09%) as a preservative. The R2 solution contains glucose-6-phosphate dehydrogenase (G6PDH) labeled with oxycodone in buffer with sodium azide (0.09%) as preservative.

The LZI Oxycodone Enzyme Immunoassay (K050733) calibrators and controls designated for use at the 100 and 300 ng/mL cutoffs contain 0, 50, 75, 100, 125, 225, 300, 375, 500, and 800 ng/mL of oxycodone in human urine with sodium azide (0.09%) as preservative. These six calibrators and four controls are sold as individual bottles.

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CONFIDENTIAL

Lin-Zhi International, Inc.

Intended Use

The LZI Oxycodone Enzyme Immunoassay is intended for the qualitative and semiquantitative determination of Oxycodone in human urine at the cutoff values of 100 and 300 ng/mL. The assay is designed for professional use with a number of automated clinical chemistry analyzers.

The semi-quantitative mode is for purposes of (1) enabling laboratories to determine an appropriate dilution of the specimen for confirmation by a confirmatory method such as GCMS and LCMS or (2) permitting laboratories to establish quality control procedures.

The LZI Oxycodone Drugs of Abuse (DAU) Calibrators are for use as calibrators in the qualitative and semi-quantitative calibration of the LZI Oxycodone Enzyme Immunoassay at the cutoff values of 100 and 300 ng/mL.

The LZI Oxycodone Drugs of Abuse (DAU) Controls are for use as assayed quality control materials to monitor the precision of the LZI Oxycodone Enzyme Immunoassay at the cutoff value of 100 and 300 ng/mL.

The assay provides only a preliminary analytical result. A more specific alternative chemical method must be used in order to obtain a confirmed analytical result. Gas or liquid chromatography/mass spectrometry (GC/MS or LC/MS) is the preferred confirmatory method. Clinical consideration and professional judgment should be exercised with any drug of abuse test result, particularly when the preliminary test result is positive.

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CONFIDENTIAL

Comparison to Predicate Device

The LZI Oxycodone Enzyme Immunoassay is substantially equivalent to the Lin-Zhi International, Inc. Oxycodone Enzyme Immunoassay, Calibrators and Controls for Hitachi 717 Systems cleared by the FDA under the premarket notification K050733 for its stated intended use.

The following table compares LZI's Oxycodone Enzyme Immunoassay with the predicate device.

DeviceCharacteristicsSubject DeviceLZI Oxycodone Enzyme Immunoassay,Calibrators and ControlsPredicate Device (K050733)LZI Oxycodone Enzyme Immunoassay,Calibrators and Controls
Intended UseThe LZI Oxycodone EnzymeImmunoassay, when used in conjunctionwith Hitachi 717 automated clinicalsystem analyzers, is intended for thequalitative and semi-quantitativedetermination of oxycodone andoxymorphone in human urine at cutoffvalues of 100 or 300 ng/mL. The assay isdesigned for professional use with anumber of automated clinical chemistryanalyzers.The LZI Oxycodone EnzymeImmunoassay, when used in conjunctionwith Hitachi 717 automated clinicalsystem analyzers, is intended for thequalitative and semi-quantitativedetermination of oxycodone andoxymorphone in human urine at cutoffvalues of 100 or 300 ng/mL. The assay isdesigned for professional use with anumber of automated clinical chemistryanalyzers.
This assay provides a rapid screening procedurefor determining the presence of oxycodone andoxymorphone in urine. The assay provides only apreliminary analytical result. A more specificalternative chemical method must be used in orderto obtain a confirmed analytical result. Gas orliquid chromatography/mass spectrometry (GC/MSor LC/MS) is the preferred confirmatory method.Clinical consideration and professional judgmentshould be exercised with any drug of abuse testresult, particularly when the preliminary test resultis positive.This assay provides a rapid screening procedurefor determining the presence of oxycodone andoxymorphone in urine. The assay provides only apreliminary analytical result. A more specificalternative chemical method must be used in orderto obtain a confirmed analytical result. Gas orliquid chromatography/mass spectrometry (GC/MSor LC/MS) is the preferred confirmatory method.Clinical consideration and professional judgmentshould be exercised with any drug of abuse testresult, particularly when the preliminary test resultis positive.
AnalyteOxycodoneOxycodone
Cutoff100 or 300 ng/ml100 or 300 ng/mL
MatrixUrineUrine
CalibratorsLevel0, 50, 100, 300, 500, and 800ng/mL100 ng/mL Cutoff: 5 Levels(0, 75, 100, 225, 300 ng/mL)300 ng/mL Cutoff: 5 Levels(0, 100, 300, 500, 800 ng/mL)
Controls Level100 ng/mL Cutoff: 2 Levels(75 ng/mL, 125 ng/mL)300 ng/mL Cutoff: 2 Levels(225 ng/mL, 375 ng/mL)100 ng/mL Cutoff: 2 Levels(75 ng/mL, 125 ng/mL)300 ng/mL Cutoff: 2 Levels(225 ng/mL, 375 ng/mL)
Storage2-8 °C until expiration date2-8 °C until expiration date

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Performance Characteristics Summary: 100 ng/mL Cutoff Hitachi 717 Analyzer

Precision: 100 ng/mL Cutoff Semi-Quantitative Positive/Negative Results:

100 ng/mL Cutoff Result:Within RunTotal Precision
SampleConcentration% of CutoffNumber ofDeterminationImmunoassayResultNumber ofDeterminationImmunoassayResult
0 ng/mL-100.0%2222 Negative8888 Negative
25 ng/mL-75.0%2222 Negative8888 Negative
50 ng/mL-50.0%2222 Negative8888 Negative
75 ng/mL-25.0%2222 Negative8888 Negative
100 ng/mL100.0%229 Pos/13 Neg8839 Pos/49 Neg
125 ng/mL+25.0%2222 Positive8888 Positive
150 ng/mL+50.0%2222 Positive8888 Positive
175 ng/mL+75.0%2222 Positive8888 Positive
200 ng/mL+100.0%2222 Positive8888 Positive

Qualitative Positive/Negative Results:

100 ng/mL Cutoff Result:Within RunTotal Precision
SampleConcentration% of CutoffNumber ofDeterminationImmunoassayResultNumber ofDeterminationImmunoassayResult
0 ng/mL-100.0%2222 Negative8888 Negative
25 ng/mL-75.0%2222 Negative8888 Negative
50 ng/mL-50.0%2222 Negative8888 Negative
75 ng/mL-25.0%2222 Negative8888 Negative
100 ng/mL100.0%226 Pos/ 16 Neg8825 Pos/63 Neg
125 ng/mL+25.0%2222 Positive8888 Positive
150 ng/mL+50.0%2222 Positive8888 Positive
175 ng/mL+75.0%2222 Positive8888 Positive
200 ng/mL+100.0%2222 Positive8888 Positive

Precision: 300 ng/mL Cutoff Semi-Quantitative Positive/Negative Results:

300 ng/mL Cutoff Result:Within RunTotal Precision
SampleConcentration% of CutoffNumber ofDeterminationImmunoassayResultNumber ofDeterminationImmunoassayResult
0 ng/mL-100.0%2222 Negative8888 Negative
75 ng/mL-75.0%2222 Negative8888 Negative
150 ng/mL-50.0%2222 Negative8888 Negative
225 ng/mL-25.0%2222 Negative8888 Negative
300 ng/mL100.0%223 Pos/ 19 Neg8826 Pos/ 62 Neg
375 ng/mL+25.0%2222 Positive8888 Positive
450 ng/mL+50.0%2222 Positive8888 Positive
525 ng/mL+75.0%2222 Positive8888 Positive
600 ng/mL+100.0%2222 Positive8888 Positive

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Precision: 300 ng/mL Cutoff Continued Oualitative Positive/Negative Results:

300 ng/mL Cutoff Result:Within RunTotal Precision
SampleConcentration% of CutoffNumber ofDeterminationImmunoassayResultNumber ofDeterminationImmunoassayResult
0 ng/mL-100.0%2222 Negative8888 Negative
75 ng/mL-75.0%2222 Negative8888 Negative
150 ng/mL-50.0%2222 Negative8888 Negative
225 ng/mL-25.0%2222 Negative8888 Negative
300 ng/mL100.0%221 Pos/21 Neg8823 Pos/65 Neg
375 ng/mL+25.0%2222 Positive8888 Positive
450 ng/mL+50.0%2222 Positive8888 Positive
525 ng/mL+75.0%2222 Positive8888 Positive
600 ng/mL+100.0%2222 Positive8888 Positive

Performance Characteristics Summary: 100 & 300 ng/mL Cutoff

Hitachi 717 Analyzer

Linearity: 100 & 300 ng/mL Cutoff

Hitachi 717 Instrument: 0 - 800 ng/mL When comparing the result (y) and target (x) value, using the least squares regression i technique, the regression equation and correlation are as follows: y = 0.974x + 1.4518, r2 = 0.998

Method Comparison - Clinical Samples: 100 ng/mL Cutoff

From a total of eighty-nine (89) clinical unaltered samples: Semi-Quantitative & Qualitative Data: 93.75% agreement with positive, 100.0% agreement with negative samples

Method Comparison - Clinical Samples: 300 ng/mL Cutoff

From a total of one-hundred and one (101) clinical unaltered samples: Semi-Quantitative & Qualitative Data: 96.1% agreement with positive, 98.0% agreement with negative samples

Endogenous Compound Interference & Specificity & Cross-Reactivity:

No significant undesired cross-reactants or endogenous substance interference was observed.

Summary:

The information provided in this pre-market notification demonstrates that the LZI Oxycodone Enzyme Immunoassay is substantially equivalent to the legally marketed Oxycodone Emerine for its general intended use. Substantial equivalence was demonstrated through comparison of intended use and physical properties to the commercially available predicate device as confirmed by chromatography/mass spectrometry (GC/MS

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or LC/MS), an independent analytical method. The information supplied in this premarket notification provides reasonable assurance that the LZI Oxycodone Enzyme Immunoassay is safe and effective for its stated intended use.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/7/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle-like bird figure with three curved lines representing its wings and body. The bird is positioned to the right of a circular arrangement of text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA".

Food and Drug Administration

10903 New Hampshire Avenue Silver Spring, MD 20993

Lin-Zhi International, Inc c/o Bernice Lin, Ph.D. 670 Almanor Avenue Sunnyvale, CA 94085

JUN - 1 2012

K120763 Re:

Trade Name: LZI Oxycodone Enzyme Immunoassay

LZI Oxycodone Drugs of Abuse (DAU) Calibrators,

LZI Oxycodone Drugs of Abuse (DAU) Controls

Regulation Number: 21 CFR §862.3650 Regulation Name: Opiate test system Regulatory Class: Class II Product Codes: DJG, DLJ, LAS Dated: April 27, 2012 Received: April 30, 2012

Dear Dr. Lin:

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 Eederal 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 IT you desire specific advice for your as . Device Evaluation and Safety at (301) 796-5450. Also, comaci the Office of In Viro Diaghostics Dolive by reference to premarket notification" (2) please note the regulation entition, "Milion nownarket surveillance, please contact CDRH 's CI's Fat 607.97). I of questions regarding postmarket Surveillance at (01) Office of Surveinance and Dromotive of OSE of of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/Medical

Devices/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 Tou may other builer general memational 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/Resourcesfor You/Industry/default.htm

Sincerely vours,

Couriney H. Lias, Ph.D. Director Division of Chemistry and Toxicology Devices Office of In Vitro Diagnostic Device Evaluation and Safety

Center for Devices and Radiological Health

Enclosure

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Lin-Zhi International, Inc.

CONFIDENTIAL

Premarket Notification

Indications for Use Statement

510(k) Number (if known):

Device Name: LZI Oxycodone Enzyme Immunoassay

Indications for Use:

The LZI Oxycodone Enzyme Immunoassay is intended for the qualitative and semiquantitative determination of Oxycodone in human urine at the cutoff values of 100 and 300 ng/mL. The assay is designed for professional use with a number of automated clinical chemistry analyzers.

The semi-quantitative mode is for purposes of (1) enabling laboratories to determine an appropriate dilution of the specimen for confirmation by a confirmatory method such as GCMS and LCMS or (2) permitting laboratories to establish quality control procedures.

The LZI Oxycodone Drugs of Abuse (DAU) Calibrators are for use as calibrators in the qualitative and semi-quantitative calibration of the LZI Oxycodone Enzyme Immunoassay.

The LZI Oxycodone Drugs of Abuse (DAU) Controls are for use as assayed quality control materials to monitor the precision of the LZI Oxycodone Enzyme Immunoassay.

The assay provides only a preliminary analytical result. A more specific alternative chemical method must be used in order to obtain a confirmed analytical result. Gas or liquid chromatography/mass spectrometry (GC/MS or LC/MS) is the preferred confirmatory method. Clinical consideration and professional judgment should be exercised with any drug of abuse test result, particularly when the preliminary test result is positive.

Prescription Use V V AND/OR Over-The-Counter Use (Part 21 CFR 801 Subpart D). (21 CFR 807 Subpart C)

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)
(Per 21 CFR 801.109)

Division Sign-Off Office of In Vitro Diagnostic

Office of in wills brand Safety

510(k) K120763

Page of of 10

§ 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).