K Number
K123863
Date Cleared
2013-01-09

(26 days)

Product Code
Regulation Number
862.3100
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The UCP Compact Drug Test Cards, UCP Compact Drug Test Cups are rapid, qualitative, competitive binding immunoassays for the detection of the following drugs and their metabolites in human urine: Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Marijuana, Methadone, Methamphetamine, MDMA, Morphine, Opiate 2000, Oxycodone, Phencyclidine, Tricyclic Antidepressant. The test configuration comes with single drug screening test or any combinations of multiple drug screening tests. The test is intended for over-the-counter (OTC) users as the first step in a two step process to provide consumers, with information concerning the presence or absence of the above stated drugs or their metabolites in a urine sample. Information regarding confirmatory testing - the second step in the process, along with the materials for shipping the urine specimen to the laboratory, is provided. The test is also intended for health care professional users.

Device Description

Not Found

AI/ML Overview

Here's an analysis of the provided text regarding the UCP Compact Drug Test Cards and Cups, focusing on the acceptance criteria and study details:

1. Table of Acceptance Criteria and Reported Device Performance

The document does not explicitly state acceptance criteria in terms of performance metrics (e.g., sensitivity, specificity, accuracy) but rather defines the calibrator and cut-off levels for each drug the device is intended to detect. The "reported device performance" in this context refers to the device's design to detect these substances at or above the specified cut-off concentrations.

TestCalibratorCut-off (Acceptance Criteria)Reported Device Performance (as per intended design)
AmphetamineD-Amphetamine1000 ng/mLDetects Amphetamine at or above 1000 ng/mL
BarbituratesSecobarbital300 ng/mLDetects Barbiturates at or above 300 ng/mL
BenzodiazepinesOxazepam300 ng/mLDetects Benzodiazepines at or above 300 ng/mL
CocaineBenzoylecgonine300 ng/mLDetects Cocaine at or above 300 ng/mL
MarijuanaDelta-9-THC-COOH50 ng/mLDetects Marijuana at or above 50 ng/mL
MethadoneMethadone300 ng/mLDetects Methadone at or above 300 ng/mL
MethamphetamineD-Methamphetamine1000 ng/mLDetects Methamphetamine at or above 1000 ng/mL
MDMAMDMA500 ng/mLDetects MDMA at or above 500 ng/mL
MorphineMorphine300 ng/mLDetects Morphine at or above 300 ng/mL
Opiate 2000Morphine2000 ng/mLDetects Opiates at or above 2000 ng/mL
OxycodoneOxycodone100 ng/mLDetects Oxycodone at or above 100 ng/mL
PhencyclidinePhencyclidine25 ng/mLDetects Phencyclidine at or above 25 ng/mL
Tricyclic AntidepressantNortriptyline1000 ng/mLDetects Tricyclic Antidepressants at or above 1000 ng/mL

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

The provided text does not contain any information about the sample size used for the test set or the data provenance (e.g., country of origin, retrospective or prospective).

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

The provided text does not contain any information about the number of experts used or their qualifications for establishing ground truth.

4. Adjudication Method for the Test Set

The provided text does not contain any information about the adjudication method used for the test set.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done, and its effect size.

The provided text does not indicate that an MRMC comparative effectiveness study was conducted. This device is a rapid qualitative immunoassay, not an AI or imaging device that would typically involve human readers for interpretation in the same way. The language specifies "preliminary positive results... should be confirmed by other methods such as gas chromatography/mass spectrometry (GC/MS)," implying a two-step process, not an aided human reading.

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

The device itself, being a rapid immunoassay card/cup, is inherently a standalone "algorithm" (in the sense of a chemical reaction interpreted visually). It is designed to provide a result without human interpretation of complex images or data. However, the text does not explicitly describe a "standalone study" in the context of a software algorithm in the way typically discussed for AI devices. Its performance is based on its chemical reactivity and visual output.

7. The Type of Ground Truth Used

The ground truth for this type of drug test is typically established by confirmatory methods such as Gas Chromatography/Mass Spectrometry (GC/MS). The document explicitly states: "The tests provide only preliminary data, which should be confirmed by other methods such as gas chromatography/mass spectrometry (GC/MS)." This indicates that GC/MS is the gold standard used for confirmation and, by extension, would be the ground truth for evaluating the device's accuracy.

8. The Sample Size for the Training Set

The provided text does not contain any information about the sample size for a training set. This is not an AI/machine learning device that would typically have a "training set."

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

Since this is not an AI/machine learning device, there is no "training set" in that context, and therefore, no information on how ground truth for a training set was established.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized symbol that resembles a caduceus, which is a traditional symbol of medicine, but in this case, it is a modern interpretation with three abstract shapes representing the human form.

Public Health Service

Q

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002

January 9, 2013

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

Re: K123863

Trade/Device Name: UCP Compact Drug Test Cards UCP Compact Drug Test Cups

Regulation Number: 21 CFR 862.3100 Regulation Name: Amphetamine Test System

Regulatory Class: II Product Code: DKZ, DIS, JXM, DIO, DJC, DMB, DJG, LCM, LDJ, LFG Dated: December 12, 2012

Received: December 14, 2012

Dear Ms. 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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. 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 Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Carol C. Benson for

Courtney H. Lias, Ph.D. .

Director, Division of Chemistry and Toxicology Devices

Office of In Vitro Diagnostics

and Radiological Health

Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known): K123863

Device Name: UCP Compact Drug Test Cards UCP Compact Drug Test Cups

Indications for Use:

The UCP Compact Drug Test Cards, UCP Compact Drug Test Cups are rapid, qualitative, competitive binding immunoassays for the detection of the following drugs and their metabolites in human urine:

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
PhencyclidinePhencyclidine25 ng/mL
Tricyclic AntidepressantNortriptyline1000 ng/mL

The test configuration comes with single drug screening test or any combinations of multiple drug screening tests. The test is intended for over-the-counter (OTC) users as the first step in a two step process to provide consumers, with information concerning the presence or absence of the above stated drugs or their metabolites in a urine sample. Information regarding confirmatory testing - the second step in the process, along with the materials for shipping the urine specimen to the laboratory, is provided. The test is also intended for health care professional users.

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

Conqurrence of CDRH, Office of In Vitro Diagnostics and Radiological Health (OIR)

Lois Huxable
Division Sign-Off

Office of In Vitro Diagnostics and Radiological Health

510(k) K123863

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The tests will yield preliminary positive results when the prescription drugs Barbiturates, Benzodiazepines, Oxycodone, Tricyclic Antidepressants are ingested, even at or above therapeutic doses. There are no uniformly recognized drug levels for Barbiturate, Benzodiazepines, Oxycodone, Tricyclic Antidepressant in urine. The tests provide only preliminary data, which should be confirmed by other methods such as gas chromatography/mass spectrometry (GC/MS).

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 X (21 CFR Part 801 Subpart D) And/Or

Over the Counter Use _ X (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 Diagnostics and Radiological Health (OIR)

Denise Almaxleyles
Division Sign-Off

Office of In Vitro Diagnostics and Radiological Health

510(k) K123863

§ 862.3100 Amphetamine test system.

(a)
Identification. An amphetamine test system is a device intended to measure amphetamine, a central nervous system stimulating drug, in plasma and urine. Measurements obtained by this device are used in the diagnosis and treatment of amphetamine use or overdose and in monitoring levels of amphetamine to ensure appropriate therapy.(b)
Classification. Class II (special controls). An amphetamine 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).