K Number
K133968
Device Name
WONDFO MULTI-DRUG URINE TEST CUP, PANEL
Date Cleared
2014-02-25

(61 days)

Regulation Number
862.3100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Wondfo Multi-Drug Urine Test Cup and Wondfo Multi-Drug Urine Test Panel are competitive binding, lateral flow immunochromatographic assays for qualitative and simultaneous detection of Amphetamine, Secobarbital, Oxazepam, Cocaine, Methamphetamine, Methylenedioxymethamphetamine, Morphine, Cannabinoids, Phencyclidine, Oxycodone, Buprenorphine, Methadone and Notriptyline in human urine at the cutoff concentrations of: Drug(Identifier) | Cut-off level ---|--- Amphetamine(AMP) | 1000 ng/mL Secobarbital (BAR) | 300 ng/mL Oxazepam (BZO) | 300 ng/mL Cocaine (COC) | 300 ng/mL Cannabinoids (THC) | 50 ng/mL Methamphetamine (MET) | 1000 ng/mL Methylenedioxymethamphetamine (MDMA) | 500 ng/mL Morphine (MOP) | 300 ng/mL Phencyclidine (PCP) | 25 ng/mL Oxycodone (OXY) | 100 ng/mL Buprenorphine (BUP) | 10 ng/mL Methadone (MTD) | 300 ng/mL Notriptyline (TCA) | 1000ng/mL Configuration of the Wondfo Multi-Drug Urine Test Cup can consist of any combination of the above listed drug analytes. The test provides only preliminary test results. A more specific alternative chemical method must be used in order to obtain a confirmed analytical result. GC/MS or LC/MS is the preferred confirmatory method. The test may yield positive results for the prescription drugs buprenorphine, oxazepam, oxycodone, and secobarbital when taken at or above prescribed doses. It is not intended to distinguish between prescription use or abuse of these drugs. Clinical consideration and professional judgment should be exercised with any drug of abuse test result, particularly when the preliminary result is positive. For in vitro diagnostic use only. It is intended for over-the-counter and for prescription use.
Device Description
Wondfo Multi-Drug Urine Test Cup and Wondfo Multi-Drug Urine Test Panel are competitive binding, lateral flow immunochromatographic assays for qualitative and simultaneous detection Secobarbital, Oxazepam, Cocaine, Cannabinoids. Methamphetamine, Amphetamine, of Methylenedioxymethamphetamine, Phencyclidine, Oxycodone Buprenorphine, Methadone and Notriptyline in human urine samples. Wondfo Multi-Drug devices detect each of analytes on different strips. A positive urine sample will not generate a colored-line for the specific drug tested in the designated region. A negative urine specimen or a urine sample containing Amphetamine, Secobarbital, Oxazepam, Cocaine, Cannabinoids, Methamphetamine, Methylenedioxymethamphetamine, Morphine, Phencyclidine, Oxycodone, Buprenorphine, Methadone and Notriptyline at the concentration below the designated cutoff levels will generate a colored line in the designated test region for the drug. To serve as a procedural control, a color line will always appear at the control region.
More Information

No
The device description details a lateral flow immunochromatographic assay, which is a chemical test. There is no mention of any computational analysis, image processing, or algorithms that would suggest the use of AI/ML.

No
This device is an in vitro diagnostic (IVD) test for detecting drugs in urine, providing preliminary results. It does not treat or cure any condition.

Yes
The text explicitly states "For in vitro diagnostic use only." and describes the device's purpose as qualitative and simultaneous detection of various substances in human urine.

No

The device description clearly states it is a "lateral flow immunochromatographic assay," which is a physical test strip, not software.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section clearly states: "For in vitro diagnostic use only."
  • Nature of the Test: The device performs a "qualitative and simultaneous detection" of various substances in a human biological sample (urine). This is a core characteristic of in vitro diagnostics, which are tests performed on samples taken from the human body to provide information about a person's health.
  • Purpose: The test is intended to detect the presence of specific drugs in urine, which is a diagnostic purpose related to drug use.

The other information provided, such as the device description, performance studies, and predicate devices, further supports its classification as an IVD.

N/A

Intended Use / Indications for Use

Wondfo Multi-Drug Urine Test Cup and Wondfo Multi-Drug Urine Test Panel are competitive binding, lateral flow immunochromatographic assays for qualitative and simultaneous detection Secobarbital, Oxazepam, Cocaine, Cannabinoids, Methamphetamine, Amphetamine, of Methylenedioxymethamphetamine, Morphine, Phencyclidine, Oxycodone, Buprenorphine, Methadone and Notriptyline in human urine at the cutoff concentrations of:

Drug(Identifier) Cut-off level
Amphetamine(AMP) 1000 ng/mL
Secobarbital (BAR) 300 ng/mL
Oxazepam (BZO) 300 ng/mL
Cocaine (COC) 300 ng/mL
Cannabinoids (THC) 50 ng/mL
Methamphetamine (MET) 1000 ng/mL
Methylenedioxymethamphetamine (MDMA) 500 ng/mL
Morphine (MOP) 300 or 2000ng/mL
Phencyclidine (PCP) 25 ng/mL
Oxycodone (OXY) 100 ng/mL
Buprenorphine (BUP) 10 ng/mL
Methadone (MTD) 300 ng/mL
Notriptyline (TCA) 1000 ng/mL

Configuration of the Wondfo Multi-Drug Urine Test Cup and Wondfo Multi-Drug Urine Test Panel can consist of any combination of the above listed drug analytes.

The test provides only preliminary test results. A more specific alternative chemical must be used in order to obtain a confirmed analytical result. GC/MS is the preferred confirmatory method.

The test may vield positive results for the prescription drugs buprenorphine, oxazepam, oxycodone, and secobarbital when taken at or above prescribed doses. It is not intended to distinguish between prescription use or abuse of these drugs.

Clinical consideration and professional judgment should be exercised with any drug of abuse test result, particularly when the preliminary result is positive.

For in vitro diagnostic use only. It is intended for over-the-counter and for prescription use.

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

DKZ, LDJ, DIO, LAF, DJG, JXM, LCM, DIS, DJR, LFG

Device Description

Wondfo Multi-Drug Urine Test Cup and Wondfo Multi-Drug Urine Test Panel are competitive binding, lateral flow immunochromatographic assays for qualitative and simultaneous detection Secobarbital, Oxazepam, Cocaine, Cannabinoids. Methamphetamine, Amphetamine, of Methylenedioxymethamphetamine, Phencyclidine, Oxycodone Buprenorphine, Methadone and Notriptyline in human urine samples. Wondfo Multi-Drug devices detect each of analytes on different strips.

A positive urine sample will not generate a colored-line for the specific drug tested in the designated region. A negative urine specimen or a urine sample containing Amphetamine, Secobarbital, Oxazepam, Cocaine, Cannabinoids, Methamphetamine, Methylenedioxymethamphetamine, Morphine, Phencyclidine, Oxycodone, Buprenorphine, Methadone and Notriptyline at the concentration below the designated cutoff levels will generate a colored line in the designated test region for the drug. To serve as a procedural control, a color line will always appear at the control region.

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

For in vitro diagnostic use only. It is intended for over-the-counter and for prescription 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)

Clearance of candidate device is for combining various individual drug tests into a multi-drug test. Analytical performance was established for each device in the submissions as stated below.

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

Not Found

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.

K112071

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.

K121987, K121557, K112236, K112310, K112395, K113624, K130055

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).

Not Found

§ 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).

0

FEB 2 5 2014 K 133968

SUMMARY

1. Date the summary was prepared:
  1. Submitter's name:

Phone:

Name of contact person:

Guangzhou Wondfo Biotech Co., Ltd. Address: South China University of Technology Guangzhou, P.R. China 510641 012-86-20-32296069

Joe Shia LSI International Inc. 504 East Diamond Ave., Suite F Gaithersburg, MD 20877 Telephone: 240-505-7880 Fax: 301-916-6213

February 11, 2014

3. Name of the device

| Common or usual name: | Multi-Drug Urine Test Cup Multi-Drug
Urine Test Panel |
|----------------------------|------------------------------------------------------------------------|
| Trade or proprietary name: | Wondfo Multi-Drug Urine Test Cup
Wondfo Multi-Drug Urine Test Panel |

Classification: All are Class II medical devices with the following various product codes with Code of Federal Regulation references:

Product CodeClassificationRegulation SectionPanel
DKZ
AmphetamineII21 CFR § 862.3100, Amphetamine
Test SystemToxicology
(91)
LDJ
CannabinoidsII21 CFR § 862.3870, Cannabinoids
Test SystemToxicology
(91)
DIO
CocaineII21 CFR § 862.3250, Cocaine and
Cocaine Metabolites Test SystemToxicology
(91)
LAF
MethamphetamineII21 CFR § 862.3610,
Methamphetamine Test SystemToxicology
(91)
LAF
MethylenedioxymethamphetamineII21 CFR § 862.3610,
Methamphetamine Test SystemToxicology
(91)
DJG
MorphineII21 CFR § 862.3650, Morphine
Test SystemToxicology
(91)
Buprenorphine
DJGII21 CFR § 862.3650, Opiate test
systemToxicology
(91)
JXM
OxazepamII21 CFR § 862.3170,
Benzodiazepine Test SystemToxicology
(91)
DJG
OxycodoneII21 CFR § 862.3650, Opiate Test
SystemToxicology
(91)
LCM
PhencyclidineunclassifiedEnzyme Immunoassay
PhencyclidineToxicology
(91)
DIS
SecobarbitalII21 CFR § 862.3150, Barbiturate
Test SystemToxicology
(91)
DJR
MethadoneII21 CFR § 862.3620,
Methadone Test SystemToxicology
(91)

1

| LFG | II | 21 CFR § 862.3910, Tricyclic antidepressant drug Test System | Toxicology
(91) |
|--------------|----|--------------------------------------------------------------|--------------------|
| Notriptyline | | | |

  1. Description of the device:

Wondfo Multi-Drug Urine Test Cup and Wondfo Multi-Drug Urine Test Panel are competitive binding, lateral flow immunochromatographic assays for qualitative and simultaneous detection Secobarbital, Oxazepam, Cocaine, Cannabinoids. Methamphetamine, Amphetamine, of Methylenedioxymethamphetamine, Phencyclidine, Oxycodone Buprenorphine, Methadone and Notriptyline in human urine samples. Wondfo Multi-Drug devices detect each of analytes on different strips.

A positive urine sample will not generate a colored-line for the specific drug tested in the designated region. A negative urine specimen or a urine sample containing Amphetamine, Secobarbital, Oxazepam, Cocaine, Cannabinoids, Methamphetamine, Methylenedioxymethamphetamine, Morphine, Phencyclidine, Oxycodone, Buprenorphine, Methadone and Notriptyline at the concentration below the designated cutoff levels will generate a colored line in the designated test region for the drug. To serve as a procedural control, a color line will always appear at the control region.

5. Intended use of the device:

Wondfo Multi-Drug Urine Test Cup and Wondfo Multi-Drug Urine Test Panel are competitive binding, lateral flow immunochromatographic assays for qualitative and simultaneous detection Secobarbital, Oxazepam, Cocaine, Cannabinoids, Methamphetamine, Amphetamine, of Methylenedioxymethamphetamine, Morphine, Phencyclidine, Oxycodone, Buprenorphine, Methadone and Notriptyline in human urine at the cutoff concentrations of:

Drug(Identifier)Cut-off level
Amphetamine(AMP)1000 ng/mL
Secobarbital (BAR)300 ng/mL
Oxazepam (BZO)300 ng/mL
Cocaine (COC)300 ng/mL
Cannabinoids (THC)50 ng/mL
Methamphetamine (MET)1000 ng/mL
Methylenedioxymethamphetamine (MDMA)500 ng/mL
Morphine (MOP)300 or 2000ng/mL
Phencyclidine (PCP)25 ng/mL
Oxycodone (OXY)100 ng/mL
Buprenorphine (BUP)10 ng/mL
Methadone (MTD)300 ng/mL
Notriptyline (TCA)1000 ng/mL

Configuration of the Wondfo Multi-Drug Urine Test Cup and Wondfo Multi-Drug Urine Test Panel can consist of any combination of the above listed drug analytes.

The test provides only preliminary test results. A more specific alternative chemical must be used in order to obtain a confirmed analytical result. GC/MS is the preferred confirmatory method.

The test may vield positive results for the prescription drugs buprenorphine, oxazepam, oxycodone, and secobarbital when taken at or above prescribed doses. It is not intended to distinguish between prescription use or abuse of these drugs.

Clinical consideration and professional judgment should be exercised with any drug of abuse test result, particularly when the preliminary result is positive.

For in vitro diagnostic use only. It is intended for over-the-counter and for prescription use.

6. Comparison to the predicate device

Wondfo Multi-Drug Urine Test Cup and Wondfo Multi-Drug Urine Test Panel are a "modified" product format derived from the previously FDA-cleared Wondfo single DOA Tests. A summary comparison of features of the Wondfo Multi-Drug Urine Test Cup and Wondfo Multi-Drug Urine Test Panel and the predicate devices is provided in the following Table

2

| Item | New Devices | Predicate devices
(K112071) |
|-----------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indication(s) for use | For the qualitative determination of Amphetamine
(AMP), Secobarbital (BAR), Oxazepam (BZO),
Cocaine (COC), Cannabinoids (THC),
Methamphetamine (MET),
Methylenedioxymethamphetamine (MDMA),
Morphine (MOP), Phencyclidine (PCP),
Oxycodone(OXY), Buprenorphine (BUP),
Methadone (MTD) and/or Notriptyline (TCA) in
human urine.
The configurations of the New Devices are
available in any combination of the above tests. | For the qualitative determination of
Cocaine (COC), or
Methamphetamine (MET), in
human urine.
The configurations of the Predicate
devices are
only available in single drug test. |
| Methodology | Competitive binding, lateral flow
immunochromatographic assays based on the
principle of antigen antibody immunochemistry. | Same |
| Type Of Test | Immunoassay principles that rely on antigen-
antibody interactions to indicate positive or
negative result | Same |
| Results | Qualitative | Same |
| Specimen Type | Human urine | Same |
| Cut Off Values | Amphetamine (AMP): 1,000 ng/ml
Secobarbital(BAR): 300 ng/ml
Oxazepam (BZO):300 ng/ml
Cocaine(COC): 300 ng/ml
Cannabinoids (THC):50 ng/ml
Methamphetamine (MET): 1,000 ng/ml
Methylenedioxymethamphetamine (MDMA): 500
ng/ml
Morphine (MOP): 300 ng/ml
Phencyclidine (PCP): 25 ng/ml
Oxycodone(OXY): 100 ng/ml
Buprenorphine (BUP): 10 ng/ml
Methadone (MTD): 300 ng/mL
Notriptyline (TCA): 1000 ng/mL | Same |
| Configurations | Cup, dip card | Same |
| Intended Use | OTC Use & Prescription Use | Same |

Wondfo Multi-Drug Urine Test Cup is a multi-drug test that offers any combination from 2 to 13 drugs of abuse tests while the predicate devices are single-drug test. And the Wondfo Multi-Drug Urine Test Panel is the same as the test dip card format of the predicate devices except that the Wondfo Multi-Drug Urine Test Panel is a multi-drug test that offers any combination from 2 to 13 drugs of abuse tests while the predicate devices are single-drug test.

7. Performance Characteristics

Clearance of candidate device is for combining various individual drug tests into a multi-drug test. Analytical performance was established for each device in the submissions as stated below.

3

Drug(Identifier)510(K) #
Amphetamine(AMP)K121987
Secobarbital (BAR)K121987
Oxazepam (BZO)K121987
Cocaine (COC)K112071
Cannabinoids (THC)K121557
Methamphetamine (MET)K112071
Methylenedioxymethamphetamine
(MDMA)K112236
Morphine (MOP)K112236
Morphine 2000 (OPI)K112310
Phencyclidine (PCP)K112395
Oxycodone (OXY)K113624
Buprenorphine (BUP)K113624 and K130055
Methadone (MTD)K112310
Notriptyline (TCA)K112395

8. Conclusion

Based on the test principle and performance characteristics of the device, it's concluded that Wondfo Multi-Drug Urine Test Cup and Wondfo Multi-Drug Urine Test Panel are substantially equivalent to the predicate.

.

4

Image /page/4/Picture/0 description: The image shows the logo for the U.S. Department of Health & 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 of an eagle or bird with three curved lines representing its wings or feathers.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

February 25, 2014

GUANGZHOU WONDFO BIOTECH CO., LTD. C/O JOE SHIA 504 EAST DIAMOND AVE. SUITE F GAITHERSBURG MD 20878

Re: K133968

Trade/Device Name: Wondfo Multi-drug Urine Test Cup, Panel Regulation Number: 21 CFR 862.3100 Regulation Name: Amphetamine test system Regulatory Class: II Product Code: DKZ, DIS, JXM, DIO, LAF, LDJ, JXM, DJG, LFG, LCM, DJR Dated: January 21, 2014 Received: January 27, 2014

Dear Mr. Shia:

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 Parts 801 and 809); 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.

5

Page 2-Mr. Shia

If you desire specific advice for your device on our labeling regulations (21 CFR Parts 801 and 809), please contact the Division of Small Manufacturers. International and Consumer Assistance at its toll-free number (800) 638 2041 or (301) 796-7100 or at its botternet address http://www.fda.gov/MedicalDevices/Resources/or You/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFF Peart 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.

Courtney H. Lias -S

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

6

Indications for Use

510(k) Number (if known): K133968

Device Name: Wondfo Multi-Drug Urine Test Cup Wondfo Multi-Drug Urine Test Panel

Indication For Use:

Wondfo Multi-Drug Urine Test Cup and Wondfo Multi-Drug Urine Test Panel are competitive binding, lateral flow immunochromatographic assay for qualitative and simultaneous detection of Amphetamine, Secobarbital, Oxazepam, Cocaine, Methamphetamine, Methylenedioxymethamphetamine, Morphine, Cannabinoids, Phencyclidine, Oxycodone, Buprenorphine, Methadone and Notriptyline in human urine at the cutoff concentrations of:

Drug(Identifier)Cut-off level
Amphetamine(AMP)1000 ng/mL
Secobarbital (BAR)300 ng/mL
Oxazepam (BZO)300 ng/mL
Cocaine (COC)300 ng/mL
Cannabinoids (THC)50 ng/mL
Methamphetamine (MET)1000 ng/mL
Methylenedioxymethamphetamine (MDMA)500 ng/mL
Morphine (MOP)300 ng/mL
Phencyclidine (PCP)25 ng/mL
Oxycodone (OXY)100 ng/mL
Buprenorphine (BUP)10 ng/mL
Methadone (MTD)300 ng/mL
Notriptyline (TCA)1000ng/mL

Configuration of the Wondfo Multi-Drug Urine Test Cup can consist of any combination of the above listed drug analytes.

7

The test provides only preliminary test results. A more specific alternative chemical method must be used in order to obtain a confirmed analytical result. GC/MS or LC/MS is the preferred confirmatory method.

The test may yield positive results for the prescription drugs buprenorphine, oxazepam, oxycodone, and secobarbital when taken at or above prescribed doses. It is not intended to distinguish between prescription use or abuse of these drugs.

Clinical consideration and professional judgment should be exercised with any drug of abuse test result, particularly when the preliminary result is positive.

For in vitro diagnostic use only. It is intended for over-the-counter and for prescription use.

Prescription Use (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)

Avis T. Danishefsky -S Division Sign-Off

Office of In Vitro Diagnostics and Radiological Health

510(k): k133968_______________________________________________________________________________________________________________________________________________________________

8

Indications for Use

510(k) Number (if known):K133968

Device Name: Wondfo Multi-Drug Urine Test Cup Wondfo Multi-Drug Urine Test Panel

Indication For Use:

Wondfo Multi-Drug Urine Test Cup and Wondfo Multi-Drug Urine Test Panel are competitive binding, lateral flow immunochromatographic assay for qualitative and simultaneous detection of Amphetamine, Secobarbital, Oxazepam, Cocaine. Methamphetamine, Methylenedioxymethamphetamine, Morphine, Cannabinoids, Phencyclidine, Oxycodone, Buprenorphine, Methadone and Notriptyline in human urine at the cutoff concentrations of:

Drug(Identifier)Cut-off level
Amphetamine(AMP)1000 ng/mL
Secobarbital (BAR)300 ng/mL
Oxazepam (BZO)300 ng/mL
Cocaine (COC)300 ng/mL
Cannabinoids (THC)50 ng/mL
Methamphetamine (MET)1000 ng/mL
Methylenedioxymethamphetamine(MDMA)500 ng/mL
Morphine (MOP)2000 ng/mL
Phencyclidine (PCP)25 ng/mL
Oxycodone (OXY)100 ng/mL
Buprenorphine (BUP)10 ng/mL
Methadone (MTD)300/ng/mL

Configuration of the Wondfo Multi-Drug Urine Test Panel can consist of any combination of the above listed drug analytes.

9

The test provides only preliminary test results. A more specific alternative chemical method must be used in order to obtain a confirmed analytical result. GC/MS or LC/MS is the preferred confirmatory method.

The test may vield positive results for the prescription drugs buprenorphine, oxazepam, oxycodone, and secobarbital when taken at or above prescribed doses. It is not intended to distinguish between prescription use or abuse of these drugs.

Clinical consideration and professional judgment should be exercised with any drug of abuse test result, particularly when the preliminary result is positive.

For in vitro diagnostic use only. It is intended for over-the-counter and for prescription use.

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

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

And/Or

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

Avis T. Danishefsky -S Division Sign-Off Office of In Vitro Diagnostics and Radiological Health

510(k) K133968