(31 days)
Not Found
No
The device is a homogeneous enzyme immunoassay kit and calibrators, which are chemical reagents used with automated clinical chemistry analyzers. The description focuses on the chemical components and performance characteristics of the assay, with no mention of AI or ML algorithms for data analysis or interpretation.
No.
The device is an in-vitro diagnostic test intended for qualitative and semi-quantitative analysis of PCP in human urine, used in laboratories for diagnostic purposes, not for treating diseases or conditions.
Yes
The 'Intended Use / Indications for Use' section explicitly states, "This in-vitro diagnostic device is for prescription use only," and describes its use for the analysis of PCP in human urine for preliminary analytical test results.
No
The device description clearly outlines physical components including reagents and calibrators, indicating it is not a software-only device.
Yes, this device is an IVD (In Vitro Diagnostic).
Here's why:
- Explicit Statement: The "Intended Use / Indications for Use" section explicitly states: "This in-vitro diagnostic device is for prescription use only."
- Intended Use: The device is intended for the qualitative and semi-quantitative analysis of PCP in human urine, which is a biological sample. This analysis is performed in vitro (outside the body).
- Laboratory Use: The assay is intended for use in laboratories, which is a typical setting for IVD testing.
- Calibration: The device uses calibrators (Immunalysis Multi-Drug Calibrators) which are also explicitly stated as being for "in vitro diagnostic use for the calibration of assays".
- Regulatory Context: The mention of "prescription use only" and the inclusion of predicate devices (K numbers) strongly indicate that this device is subject to regulatory oversight as an IVD.
N/A
Intended Use / Indications for Use
The Immunalysis PCP Urine Enzyme Immunoassay is a homogeneous enzyme immunoassay with a cutoff of 25ng/mL. The assay is intended for use in laboratories for the qualitative analysis of PCP in human urine with automated clinical chemistry analyzers. This assay is callibrated against PCP. This in-vitro diagnostic device is for prescription use only.
The semi-quantitative mode is for purposes of enabling laboratories to determine an appropriate dilution of the specimen for confirmation by a confirmatory method such as Gas Chromatography/ Mass Spectrometry (GC-MS) or permitting laboratories to establish quality control procedures.
The Immunalysis PCP Urine Enzyme Immunoassay Kit provides only a preliminary analytical test result. A more specific alternate chemical must be used in order to obtain a confirmed analytical result. 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 used.
The Immunalysis Multi-Drug Calibrators are intended for in vitro diagnostic use for the calibration of assays for the analytes currently listed in the package insert: Benzoylecgonine, Morphine and PCP. The calibrators are designed for prescription use with immunoassays.
Product codes (comma separated list FDA assigned to the subject device)
LCM, DKB
Device Description
The assay consists of antibody/ substrate reagent and enzyme conjugate reagent. 1. The antibody/ substrate reagent includes recombinant antibodies to Phencyclidine. glucose-6-phosphate (G6P) and nicotinamide adenine dinucleotide (NAD) in Tris buffer with Sodium Azide as a preservative. The enzyme conjugate reagent includes phencyclidine derivative labeled with glucose-6-phosphate dehydrogenase (G6PDH) in Tris buffer with Sodium Azide as a preservative.
2. All of the Immunalysis Multi-Drug Calibrators are liquid and ready to use. Each contains a known concentration of a specific drug analyte as a mixture. The negative calibrator is a processed, drug-free synthetic urine matrix with sodium azide as a preservative. The Level 1, 2, 3 and 4 calibrators are prepared by spiking known concentrations of drug analyte into the negative calibrator matrix. These five calibrators (negative, Level 1, 2, 3 and 4) are sold as individual bottles. The concentration of drug analyte in the corresponding calibrators are summarized as follows:
Table 1 Immunalysis Multi-Drug Calibrators
Analyte | Multi-Drug Calibrators
| Level 1 | Level 2 | Level 3 | Level 4
Benzoylecgonine | 150ng/mL | 300ng/mL | 500ng/mL | 1000ng/mL
Morphine | 100ng/mL | 300ng/mL | 500ng/mL | 1000ng/mL
PCP | 12.5ng/mL | 25ng/mL | 50ng/mL | 100ng/mL
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
human urine
Indicated Patient Age Range
Not Found
Intended User / Care Setting
laboratories, prescription use only
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
Unaltered, anonymous and discarded clinical urine samples obtained from clinical testing laboratories were analyzed with the test device.
Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)
-
Precision/Cutoff Characterization Study: Performed for 20 days, 2 runs per day in duplicate (N=80) on concentration of ±25%, ±50%, ±75%, and ±100% of the cutoff. The study verified that the cutoff serves as a boundary between a negative and positive interpretation of a qualitative result.
- Qualitative Analysis (25ng/mL cutoff):
- 0 ng/mL (-100% cutoff): 80 determinations, 80 Negative
- 6.25 ng/mL (-75% cutoff): 80 determinations, 80 Negative
- 12.5 ng/mL (-50% cutoff): 80 determinations, 80 Negative
- 19 ng/mL (-25% cutoff): 80 determinations, 80 Negative
- 25 ng/mL (Cutoff): 80 determinations, 35 Negative/45 Positive
- 31 ng/mL (+25% cutoff): 80 determinations, 80 Positive
- 37.5 ng/mL (+50% cutoff): 80 determinations, 80 Positive
- 43.75 ng/mL (+75% cutoff): 80 determinations, 80 Positive
- 50 ng/mL (+100% cutoff): 80 determinations, 80 Positive
- Semi-Quantitative Analysis (25ng/mL cutoff):
- 0 ng/mL (-100% cutoff): 80 determinations, 80 Negative
- 6.25 ng/mL (-75% cutoff): 80 determinations, 80 Negative
- 12.5 ng/mL (-50% cutoff): 80 determinations, 80 Negative
- 19 ng/mL (-25% cutoff): 80 determinations, 80 Negative
- 25 ng/mL (Cutoff): 80 determinations, 30 Negative/50 Positive
- 31 ng/mL (+25% cutoff): 80 determinations, 80 Positive
- 37.5 ng/mL (+50% cutoff): 80 determinations, 80 Positive
- 43.75 ng/mL (+75% cutoff): 80 determinations, 80 Positive
- 50 ng/mL (+100% cutoff): 80 determinations, 80 Positive
- Qualitative Analysis (25ng/mL cutoff):
-
Specificity and Cross-Reactivity Study: Structurally similar compounds were spiked into drug free urine at levels that will yield a result that is equivalent to the cutoff. The study verified assay performance relative to the ability of the device to exclusively determine certain drugs.
-
Interference Study: Structurally non-similar compounds, endogenous compounds, the effect of pH, the effect of specific gravity and boric acid was evaluated by spiking the potential interferent into drug free urine containing the target analyte at ±25% of the cutoff. All potential interferents analyzed verified that assay performance is unaffected by externally ingested compounds or an internally existing physiological condition. Boric Acid interferes with the assay and the limitations have been added to the labeling regarding this compound.
-
Linearity/Recovery Study: A drug free urine pool was spiked with high concentration of the target analyte as a high value specimen. Additional pools were made by serially diluting the high value specimen.
- Recovery (%): Ranged from 94.7% (10 ng/mL expected) to 111.9% (70 ng/mL expected).
-
Method Comparison Study: Unaltered, anonymous and discarded clinical urine samples obtained from clinical testing laboratories were analyzed with the test device. The study verified that the product performance can be verified by Mass Spectrometry.
- Qualitative Assay Performance (25ng/mL cutoff) vs. LC/MS Confirmation:
- Test Device (+), LC/MS (+): 40
- Test Device (+), LC/MS (-): 0
- Test Device (-), LC/MS (+): 0
- Test Device (-), LC/MS (-): 40
- Assay Performance verified by LC/MS – 25ng/mL Cutoff:
- Qualitative/Positive: Agreement 100%
- Qualitative/Negative: Agreement 100%
- Semi-Quantitative Assay Performance (25ng/mL cutoff) vs. LC/MS Confirmation:
- Test Device (+), LC/MS (+): 40
- Test Device (+), LC/MS (-): 0
- Test Device (-), LC/MS (+): 0
- Test Device (-), LC/MS (-): 40
- Semi-Quantitative Assay Performance verified by LC/MS – 25ng/mL Cutoff:
- Semi-Quantitative/Positive: Agreement 100%
- Semi-Quantitative/Negative: Agreement 100%
- Qualitative Assay Performance (25ng/mL cutoff) vs. LC/MS Confirmation:
-
Calibrator and Control Analytical Performance - Immunalysis Multi-Drug Calibrators:
- Traceability: All components traced to a commercially available PCP solution.
- Closed Vial Stability: Supported an initial expiration date of 12 months at 25℃. All calibrator levels (1, 2, 3, and 4) for PCP were within specifications for Day 0, 8, 16, 24, 32, and 40. Real time stability studies are ongoing.
- Open Vial Stability: Supported an initial open vial expiration date of 60 days at 5℃. All calibrator levels (1, 2, 3, and 4) for PCP were within specifications for Day 0, 19, 26, 33, 41, and 60.
Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)
Not directly stated as Sensitivity, Specificity, PPV, NPV. However, for Method Comparison:
Qualitative/Positive Agreement (%): 100
Qualitative/Negative Agreement (%): 100
Semi-Quantitative/Positive Agreement (%): 100
Semi-Quantitative/Negative Agreement (%): 100
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.
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.
Not Found
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
N/A
0
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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
IMMUNALYSIS CORPORATION JOSEPH GINETE REGULATORY AFFAIRS SPECIALIST II 829 TOWNE CENTER DRIVE POMONA CA 91767
September 4, 2015
Re: K152176
Trade/Device Name: Immunalysis PCP Urine Enzyme Immunoassay and Immunalysis Multi-Drug Calibrators Regulation Number: 21 CFR 862.3100 Regulatory Class: Unclassified Product Code: LCM. DKB Dated: August 3, 2015 Received: August 4, 2015
Dear Joseph Ginete:
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.
1
If you desire specific advice for your device on our labeling regulations (21 CFR Parts 801 and 809), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638 2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education 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,
Katherine Serrano -S
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
2
Indications for Use
510(k) Number (if known)K152176
Device Name
Immunalysis PCP Urine Enzyme Immunoassay and Immunalysis Multi-Drug Calibrators
Indications for Use (Describe)
The Immunalysis PCP Urine Enzyme Immunoassay is a homogeneous enzyme immunoassay with a cutoff of 25ng/mL. The assay is intended for use in laboratories for the qualitative analysis of PCP in human urine with automated clinical chemistry analyzers. This assay is callbrated against PCP. This in-vitro diagnostic device is for prescription use only.
The semi-quantitative mode is for purposes of enabling laboratories to determine an appropriate dilution of the specimen for confirmation by a confirmatory method such as Gas Chromatography/ Mass Spectrometry (GC-MS) or permitting laboratories to establish quality control procedures.
The Immunalysis PCP Urine Enzyme Immunoassay Kit provides only a preliminary analytical test result. A more specific alternate chemical must be used in order to obtain a confirmed analytical result. 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 used.
The Immunalysis Multi-Drug Calibrators are intended for in vitro diagnostic use for the calibration of assays for the analytes currently listed in the package insert: Benzoylecgonine, Morphine and PCP. The calibrators are designed for prescription use with immunoassays.
Type of Use (Select one or both, as applicable) | |
---|---|
☑ Prescription Use (Part 21 CFR 801 Subpart D) | ☐ Over-The-Counter Use (21 CFR 801 Subpart C) |
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510(k) SUMMARY
This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR 807.92(c).
- A. Contact Information
1. | Manufacturer: | Immunalysis Corporation |
---|---|---|
2. | Contact Name: | Joseph Ginete |
3. | Contact Title: | Regulatory Affairs Specialist II |
4. | Address: | 829 Towne Center Drive Pomona, CA 91767 |
5. | Phone: | (909) 482-0840 |
6. | Fax: | (909) 482-0850 |
7. | Email: | jginete@immunalysis.com |
8. | Summary prepared on: | September 3, 2015 |
B. Device Information | ||
1. | Trade Name: | Immunalysis PCP Urine Enzyme Immunoassay |
Immunalysis Multi-Drug Calibrators | ||
2. | Common Name: | Immunalysis PCP Urine Enzyme Immunoassay |
Immunalysis Multi-Drug Calibrators | ||
C. Regulatory Information | ||
1. | 510(k) Number: | K152176 |
2. | Device Classification: | Unclassified |
3. | Regulation Section: | Enzyme Immunoassay, Phencyclidine |
CFR 862.3200 Clinical Toxicology Calibrator | ||
4. | Panel: | Toxicology(91) |
5. | Product Code: | LCM |
DKB |
D. Legally Marketed Device to Which We are Claiming Equivalence (807.92(A)(3))
| 1. Predicate Device: | DRI Phencyclidines Assay
LZI Multiple Analyte Drugs of Abuse Calibrators
and Controls |
|------------------------|---------------------------------------------------------------------------------------------|
| 2. Predicate Company: | Diagnostic Reagents Inc.
Lin-Zhi International, Inc. |
| 3. Predicate K Number: | K935320
K051088 |
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- E. Device Description
- The assay consists of antibody/ substrate reagent and enzyme conjugate reagent. 1. The antibody/ substrate reagent includes recombinant antibodies to Phencyclidine. glucose-6-phosphate (G6P) and nicotinamide adenine dinucleotide (NAD) in Tris buffer with Sodium Azide as a preservative. The enzyme conjugate reagent includes phencyclidine derivative labeled with glucose-6-phosphate dehydrogenase (G6PDH) in Tris buffer with Sodium Azide as a preservative.
-
- All of the Immunalysis Multi-Drug Calibrators are liquid and ready to use. Each contains a known concentration of a specific drug analyte as a mixture. The negative calibrator is a processed, drug-free synthetic urine matrix with sodium azide as a preservative. The Level 1, 2, 3 and 4 calibrators are prepared by spiking known concentrations of drug analyte into the negative calibrator matrix. These five calibrators (negative, Level 1, 2, 3 and 4) are sold as individual bottles. The concentration of drug analyte in the corresponding calibrators are summarized as follows:
Table 1 Immunalysis Multi-Drug Calibrators | ||||
---|---|---|---|---|
Analyte | Multi-Drug Calibrators | |||
Level 1 | Level 2 | Level 3 | Level 4 | |
Benzoylecgonine | 150ng/mL | 300ng/mL | 500ng/mL | 1000ng/mL |
Morphine | 100ng/mL | 300ng/mL | 500ng/mL | 1000ng/mL |
PCP | 12.5ng/mL | 25ng/mL | 50ng/mL | 100ng/mL |
- F. Intended Use
-
- Immunalysis PCP Urine Enzyme Immunoassay
-
The Immunalysis PCP Urine Enzyme Immunoassay is a homogeneous enzyme immunoassay with a cutoff of 25ng/mL. The assay is intended for use in laboratories for the qualitative and semi-quantitative analysis of PCP in human urine with automated clinical chemistry analyzers. This assay is calibrated against PCP. This in-vitro diagnostic device is for prescription use only.
The semi-quantitative mode is for purposes of enabling laboratories to determine an appropriate dilution of the specimen for confirmation by a confirmatory method such as Gas Chromatography/ Mass Spectrometry (GC-MS) or permitting laboratories to establish quality control procedures.
The Immunalysis PCP Urine Enzyme Immunoassay Kit provides only a preliminary analytical test result. A more specific alternate chemical method must be used in order to obtain a confirmed analytical result. 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 used.
-
- Immunalysis Multi-Drug Calibrators
The Immunalysis Multi-Drug Calibrators are intended for in vitro diagnostic use for the calibration of assays for the analytes currently listed in the package insert: Benzoylecgonine, Morphine and PCP. The calibrators are designed for prescription use with immunoassays.
- Immunalysis Multi-Drug Calibrators
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- G. Comparison of the new device with the predicate device
Item | PCP Assay K935320 | Immunalysis PCP Urine EIA |
---|---|---|
Intended Use | For the qualitative and semi- | |
quantitative determination of the | ||
presence of PCP in human urine at a | ||
cutoff of 25ng/mL | Same | |
Type of Product | Analytical Reagents | Same |
Measured Analytes | PCP | Same |
Test Matrix | Urine | Same |
Cutoff Levels | 25ng/mL of PCP | Same |
Test System | Homogeneous Enzyme Immunoassay | Same |
Materials | Liquid Ready-to-Use Two Reagent | |
Assay (R1 and R2) | Antibody/Substrate Reagents and | |
Enzyme Labeled Conjugate | ||
Mass Spectroscopy | ||
Confirmation | Required for preliminary positive | |
analytical results | Same | |
Antibody | Monoclonal antibodies to PCP | Recombinant antibody to PCP |
Storage | 2 - 8°C until expiration date | Same |
Item | LZI Multiple Analyte K051088 | Immunalysis Multi-Drug Calibrators |
---|---|---|
Analyte | benzoylecgonine, d- | |
methamphetamine, methadone, | ||
morphine, oxazepam, secobarbital, | ||
phencyclidine, propoxyphene | benzoylecgonine, morphine, | |
phencyclidine | ||
Matrix | Urine | Same |
Calibrator Levels | 5 Levels – See Table 2 Below | 4 Levels (Negative and Level 1, 2, 3 and |
-
- See Device Description Table 1 |
| Storage | 2 – 8°C until expiration date | Same |
- See Device Description Table 1 |
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- H. The following laboratory performance studies were performed to determine substantial equivalence of the Immunalysis Phencyclidine Enzyme Immunoassay to the predicate
-
- Precision/Cutoff Characterization Study was performed for 20 days, 2 runs per day in duplicate (N=80) on concentration of ±25%, ±50%, ±75%, and ±100% of the cutoff. The study verified that the cutoff serves as a boundary between a negative and positive interpretation of a qualitative result. The instruments used for this was Beckman Coulter AU 400e.
-
a. The following is a summary table of the Qualitative Analysis for the 25ng/mL cutoff test data results
Table 3 - Qualitative Analysis (for 25ng/mL cutoff) | |||
---|---|---|---|
Concentration | |||
(ng/mL) | % of | ||
cutoff | # of | ||
determinations | Result | ||
0 | -100% | 80 | 80 Negative |
6.25 | -75% | 80 | 80 Negative |
12.5 | -50% | 80 | 80 Negative |
19 | -25% | 80 | 80 Negative |
25 | Cutoff | 80 | 35 Negative/45 Positive |
31 | +25% | 80 | 80 Positive |
37.5 | +50% | 80 | 80 Positive |
43.75 | +75% | 80 | 80 Positive |
50 | +100% | 80 | 80 Positive |
b. The following is a summary table of the Semi-Quantitative Analysis for the 25ng/mL cutoff test data results
Table 4 - Semi-Quantitative Analysis (for 25ng/mL cutoff) | |||
---|---|---|---|
Concentration | |||
(ng/mL) | % of cutoff | # of | |
determinations | Result | ||
0 | -100% | 80 | 80 Negative |
6.25 | -75% | 80 | 80 Negative |
12.5 | -50% | 80 | 80 Negative |
19 | -25% | 80 | 80 Negative |
25 | Cutoff | 80 | 30 Negative/50 Positive |
31 | +25% | 80 | 80 Positive |
37.5 | +50% | 80 | 80 Positive |
43.75 | +75% | 80 | 80 Positive |
50 | +100% | 80 | 80 Positive |
7
IMMUNALYSIS
-
- Specificity and Cross-Reactivity Structurally similar compounds were spiked into drug free urine at levels that will yield a result that is equivalent to the cutoff. The study verified assay performance relative to the ability of the device to exclusively determine certain drugs. The instrument used for this test was a Beckman Coulter AU 400e.
a. The qualitative result summary table for the 25ng/mL cutoff is outlined | ||
---|---|---|
below: |
Table 5 - Structurally Related Compounds (for 25 ng/mL cutoff) - Qualitative | |||
---|---|---|---|
Compound | Concentration Tested (ng/mL) | Result | Cross-Reactivity (%) |
PCP | 25 | Positive | 100 |
Chlorpromazine | 140,000 | Positive | 0.01785 |
Clomipramine | 350,000 | Positive | 0.00714 |
Cyclobenzaprine | 25,000 | Positive | 0.10000 |
Dextromethorphan | 80,000 | Positive | 0.03125 |
Diphenhydramine | 220,000 | Positive | 0.01136 |
Doxepin | 90,000 | Positive | 0.02777 |
4 – Hydroxyphencyclidine | 3,500 | Positive | 0.71429 |
Imipramine | 200,000 | Positive | 0.01250 |
Methoxetamine | 36,000 | Positive | 0.06944 |
Thioridazine | 140,000 | Positive | 0.01785 |
Venlafaxine | 1,000,000 | Positive | 0.00250 |
b. The semi-quantitative result summary table for the 25ng/mL cutoff is outlined below:
Table 6 - Structurally Related Compounds (for 25ng/mL cutoff) – Semi-Quantitative | |||
---|---|---|---|
Compound | Concentration Tested (ng/mL) | Mean Value | Cross-Reactivity (%) |
PCP | 25 | 26.7 | 100 |
Chlorpromazine | 140,000 | 25.9 | 0.01785 |
Clomipramine | 350,000 | 24.8 | 0.00714 |
Cyclobenzaprine | 25,000 | 24.9 | 0.10000 |
Dextromethorphan | 80,000 | 24.1 | 0.03125 |
Diphenhydramine | 220,000 | 26.6 | 0.01136 |
Doxepin | 90,000 | 27.1 | 0.02777 |
4 – Hydroxyphencyclidine | 3,500 | 25.6 | 0.71429 |
Imipramine | 200,000 | 26.4 | 0.01250 |
Methoxetamine | 36,000 | 25.9 | 0.06944 |
Thioridazine | 140,000 | 25.4 | 0.01785 |
Venlafaxine | 1,000,000 | 23.9 | 0.00250 |
-
- Interference Structurally non-similar compounds, endogenous compounds, the effect of pH, the effect of specific gravity and boric acid was evaluated by spiking the potential interferent into drug free urine containing the target analyte at ±25% of the cutoff. All potential interferents analyzed verified that assay performance is unaffected by externally ingested compounds or an internally existing physiological condition. The instrument used for this test was a Beckman Coulter AU 400e.
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Table 7 - Structurally Non-Similar Compounds (for 25ng/mL cutoff) | |||||
---|---|---|---|---|---|
Concentration | -25% Cutoff (19ng/mL) | +25% Cutoff (31ng/mL) | |||
Compound | Tested | ||||
(ng/mL) | Result | Interference? | Result | Interference? | |
Acetaminophen | 500000 | Negative | No | Positive | No |
6-Acetylcodeine | 100000 | Negative | No | Positive | No |
6-Acetylmorphine | 100000 | Negative | No | Positive | No |
Acetylsalicylic Acid | 500000 | Negative | No | Positive | No |
Alprazolam | 100000 | Negative | No | Positive | No |
7-Aminoclonazepam | 100000 | Negative | No | Positive | No |
7-Aminoflurnitrazepam | 100000 | Negative | No | Positive | No |
7-Aminonitrazepam | 100000 | Negative | No | Positive | No |
Amitriptyline | 70000 | Negative | No | Positive | No |
Amobarbital | 100000 | Negative | No | Positive | No |
S-(+)-Amphetamine | 100000 | Negative | No | Positive | No |
Benzylpiperzine | 100000 | Negative | No | Positive | No |
Bromazepam | 100000 | Negative | No | Positive | No |
4-bromo 2-5, | |||||
dimethoxyphenethylamine | 100000 | Negative | No | Positive | No |
Buprenorphine | 100000 | Negative | No | Positive | No |
Bupropion | 100000 | Negative | No | Positive | No |
Butabarbital | 100000 | Negative | No | Positive | No |
Butalbital | 100000 | Negative | No | Positive | No |
Caffeine | 500000 | Negative | No | Positive | No |
Cannabidiol | 100000 | Negative | No | Positive | No |
Cannabinol | 100000 | Negative | No | Positive | No |
Carbamazepine | 100000 | Negative | No | Positive | No |
Carisoprodol | 100000 | Negative | No | Positive | No |
Chlordiazepoxide | 100000 | Negative | No | Positive | No |
cis-Tramadol | 100000 | Negative | No | Positive | No |
Clobazam | 100000 | Negative | No | Positive | No |
Clonazepam | 100000 | Negative | No | Positive | No |
Clozapine | 100000 | Negative | No | Positive | No |
Codeine | 100000 | Negative | No | Positive | No |
Cotinine | 100000 | Negative | No | Positive | No |
Demoxepam | 100000 | Negative | No | Positive | No |
Desalkyflurazepam | 100000 | Negative | No | Positive | No |
Desipramine | 100000 | Negative | No | Positive | No |
Diazepam | 100000 | Negative | No | Positive | No |
Digoxin | 100000 | Negative | No | Positive | No |
Dihydrocodeine | 100000 | Negative | No | Positive | No |
Dehydronorketamine | 100000 | Negative | No | Positive | No |
$\Delta^9$THC | 100000 | Negative | No | Positive | No |
Table 7 - Structurally Non-Similar Compounds (for 25ng/mL cutoff) | |||||
Compound | Concentration | ||||
Tested | |||||
(ng/mL) | -25% Cutoff (19ng/mL) | ||||
Result | -25% Cutoff (19ng/mL) | ||||
Interference? | +25% Cutoff (31ng/mL) | ||||
Result | +25% Cutoff (31ng/mL) | ||||
Interference? | |||||
EDDP | 100000 | Negative | No | Positive | No |
EDMP | 100000 | Negative | No | Positive | No |
1R,2S Ephedrine | 100000 | Negative | No | Positive | No |
1S,2R Ephedrine | 100000 | Negative | No | Positive | No |
Ethyl-ẞ-D-Glucuronide | 100000 | Negative | No | Positive | No |
Ethylmorphine | 100000 | Negative | No | Positive | No |
Fenfluramine | 100000 | Negative | No | Positive | No |
Fentanyl | 100000 | Negative | No | Positive | No |
Flunitrazepam | 100000 | Negative | No | Positive | No |
Fluoxetine | 100000 | Negative | No | Positive | No |
Flurazepam | 100000 | Negative | No | Positive | No |
Haloperidol | 100000 | Negative | No | Positive | No |
Heroin | 100000 | Negative | No | Positive | No |
Hexobarbital | 100000 | Negative | No | Positive | No |
Hydrocodone | 100000 | Negative | No | Positive | No |
Hydromorphone | 100000 | Negative | No | Positive | No |
11-hydroxy-△' THC | 100000 | Negative | No | Positive | No |
Ibuprofen | 500000 | Negative | No | Positive | No |
Ketamine | 100000 | Negative | No | Positive | No |
Lamotrigine | 100000 | Negative | No | Positive | No |
Levorphanol Tartrate | 100000 | Negative | No | Positive | No |
Lidocaine | 100000 | Negative | No | Positive | No |
Lorazepam | 100000 | Negative | No | Positive | No |
Lorazepam Glucuronide | 50000 | Negative | No | Positive | No |
Lormetazepam | 100000 | Negative | No | Positive | No |
LSD | 100000 | Negative | No | Positive | No |
Maprotiline | 100000 | Negative | No | Positive | No |
MDA | 100000 | Negative | No | Positive | No |
MDEA | 100000 | Negative | No | Positive | No |
MDMA | 100000 | Negative | No | Positive | No |
Meperidine | 100000 | Negative | No | Positive | No |
Meprobamate | 100000 | Negative | No | Positive | No |
Methadone | 100000 | Negative | No | Positive | No |
Methylphenidate | 100000 | Negative | No | Positive | No |
R(-)-Methamphetamine | 100000 | Negative | No | Positive | No |
S(+)-Methamphetamine | 100000 | Negative | No | Positive | No |
Methaquolone | 100000 | Negative | No | Positive | No |
Methylone | 100000 | Negative | No | Positive | No |
Midazolam | 100000 | Negative | No | Positive | No |
Morphine | 100000 | Negative | No | Positive | No |
Morphine-3- ẞ-Glucuronide | 100000 | Negative | No | Positive | No |
Morphine-6ẞ-D-Glucuronide | 50000 | Negative | No | Positive | No |
Table 7 - Structurally Non-Similar Compounds (for 25ng/mL cutoff) | |||||
Compound | Concentration | ||||
Tested | |||||
(ng/mL) | -25% Cutoff (19ng/mL) | ||||
Result | -25% Cutoff (19ng/mL) | ||||
Interference? | +25% Cutoff (31ng/mL) | ||||
Result | +25% Cutoff (31ng/mL) | ||||
Interference? | |||||
N-Desmethyltapentadol | 100000 | Negative | No | Positive | No |
Nalorphine | 100000 | Negative | No | Positive | No |
Naloxone | 100000 | Negative | No | Positive | No |
Naltrexone | 100000 | Negative | No | Positive | No |
Naproxen | 100000 | Negative | No | Positive | No |
Nitrazepam | 100000 | Negative | No | Positive | No |
11-nor-9-carboxy-Δ9-THC | 100000 | Negative | No | Positive | No |
Norbuprenorphine | 50000 | Negative | No | Positive | No |
Norcodeine | 100000 | Negative | No | Positive | No |
Nordiazepam | 100000 | Negative | No | Positive | No |
Norketamine | 100000 | Negative | No | Positive | No |
Normorphine | 100000 | Negative | No | Positive | No |
Norproxyphene | 100000 | Negative | No | Positive | No |
Norpseudoephedrine | 100000 | Negative | No | Positive | No |
Nortriptyline | 100000 | Negative | No | Positive | No |
Olanzapine | 100000 | Negative | No | Positive | No |
Oxazepam | 100000 | Negative | No | Positive | No |
Oxycodone | 100000 | Negative | No | Positive | No |
Oxymorphone | 100000 | Negative | No | Positive | No |
Pentazocine | 100000 | Negative | No | Positive | No |
Pentobarbital | 100000 | Negative | No | Positive | No |
Phenobarbital | 100000 | Negative | No | Positive | No |
Phentermine | 100000 | Negative | No | Positive | No |
Phenylephrine | 100000 | Negative | No | Positive | No |
Phenylpropanolamine | 100000 | Negative | No | Positive | No |
Phenytoin | 100000 | Negative | No | Positive | No |
PMA | 100000 | Negative | No | Positive | No |
Prazepam | 100000 | Negative | No | Positive | No |
Propoxyphene | 100000 | Negative | No | Positive | No |
Propranolol | 100000 | Negative | No | Positive | No |
Protripyline | 100000 | Negative | No | Positive | No |
R,R Pseudoephedrine | 100000 | Negative | No | Positive | No |
S,S Pseudoephedrine | 100000 | Negative | No | Positive | No |
Ranitidine | 100000 | Negative | No | Positive | No |
Ritalinic Acid | 100000 | Negative | No | Positive | No |
Salicylic Acid | 100000 | Negative | No | Positive | No |
Secobarbital | 100000 | Negative | No | Positive | No |
Sertraline | 100000 | Negative | No | Positive | No |
Sufentanil Citrate | 50000 | Negative | No | Positive | No |
Tapentadol | 100000 | Negative | No | Positive | No |
Temazepam | 100000 | Negative | No | Positive | No |
Theophylline | 100000 | Negative | No | Positive | No |
Table 7 - Structurally Non-Similar Compounds (for 25ng/mL cutoff) | |||||
Compound | Concentration | ||||
Tested | |||||
(ng/mL) | -25% Cutoff (19ng/mL) | ||||
Result | -25% Cutoff (19ng/mL) | ||||
Interference? | +25% Cutoff (31ng/mL) | ||||
Result | +25% Cutoff (31ng/mL) | ||||
Interference? | |||||
Triazolam | 100000 | Negative | No | Positive | No |
Trifluoromethylphenyl- | |||||
piperazine | 100000 | Negative | No | Positive | No |
Trimipramine | 100000 | Negative | No | Positive | No |
Verapamil | 60000 | Negative | No | Positive | No |
Zolpidem Tartrate | 100000 | Negative | No | Positive | No |
a. The following is a table of the structurally non-similar compounds for the 25ng/mL cutoff
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b.The following is a table of the endogenous compounds results for the 25ng/mL cutoff
Table 8 - Endogenous Compounds (for 25ng/mL cutoff) | |||||
---|---|---|---|---|---|
Compound | Concentration Tested (ng/mL) | -25% Cutoff (19ng/mL) Result | Interference? | +25% Cutoff (31ng/mL) Result | Interference? |
Acetone | 1.0 g/dL | Negative | No | Positive | No |
Ascorbic Acid | 1.5 g/dL | Negative | No | Positive | No |
Bilirubin | 0.002 g/dL | Negative | No | Positive | No |
Creatinine | 0.5 g/dL | Negative | No | Positive | No |
Ethanol | 1.0 g/dL | Negative | No | Positive | No |
Galactose | 0.01 g/dL | Negative | No | Positive | No |
y-Globulin | 0.5 g/dL | Negative | No | Positive | No |
Glucose | 2.0 g/dL | Negative | No | Positive | No |
Hemoglobin | 0.115 g/dL | Negative | No | Positive | No |
Human Serum Albumin | 0.5 g/dL | Negative | No | Positive | No |
Oxalic Acid | 0.1 g/dL | Negative | No | Positive | No |
Riboflavin | 0.0075 g/dL | Negative | No | Positive | No |
Sodium Azide | 1% w/v | Negative | No | Positive | No |
Sodium Chloride | 6.0 g/dL | Negative | No | Positive | No |
Sodium Fluoride | 1% w/v | Negative | No | Positive | No |
Urea | 6.0 g/dL | Negative | No | Positive | No |
c. The following is a table of the boric acid for the 25ng/mL cutoff results | |||||
Table 9 - Boric Acid (for 25ng/mL cutoff) | |||||
Compound | Concentration Tested (ng/mL) | -25% Cutoff (19ng/mL) Result | Interference? | +25% Cutoff (31ng/mL) Result | Interference? |
Boric Acid | 1% w/v | NEG | No | NEG | Yes |
d.The following is a table of the boric acid for the 25ng/mL cutoff results | |||||
Table 10 - Boric Acid (for 25ng/mL cutoff) | |||||
Compound | Concentration Tested | -50% Cutoff (13ng/mL) Result | Interference? | +50% Cutoff (38ng/mL) Result | Interference? |
(ng/mL) 1% w/v
Yes NEG e. Boric Acid interferes with the assay and the limitations have been added to the labeling regarding this compound
No
NEG
Boric Acid
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Table 11 - Effect of pH (for 25ng/mL cutoff) | |||||
---|---|---|---|---|---|
Test Parameter | Value | -25% Cutoff (19ng/mL) | +25% Cutoff (31ng/mL) | ||
Result | Interference? | Result | Interference? | ||
pH | 3.0 | Negative | No | Positive | No |
pH | 4.0 | Negative | No | Positive | No |
pH | 5.0 | Negative | No | Positive | No |
pH | 6.0 | Negative | No | Positive | No |
pH | 7.0 | Negative | No | Positive | No |
pH | 8.0 | Negative | No | Positive | No |
pH | 9.0 | Negative | No | Positive | No |
pH | 10.0 | Negative | No | Positive | No |
pH | 11.0 | Negative | No | Positive | No |
f. The following is a table of the effect of pH results for the 25ng/mL cutoff
g.The following is a summary table of the effect of specific gravity results for the 25ng/mL cutoff
Table 12 - Effect of Specific Gravity (for 25ng/mL cutoff) | ||||||
---|---|---|---|---|---|---|
Test Parameter | Value | -25% Cutoff (19ng/mL) | +25% Cutoff (31ng/mL) | |||
Result | Interference? | Result | Interference? | |||
Specific Gravity | 1.000 | Negative | No | Positive | No | |
Specific Gravity | 1.002 | Negative | No | Positive | No | |
Specific Gravity | 1.005 | Negative | No | Positive | No | |
Specific Gravity | 1.010 | Negative | No | Positive | No | |
Specific Gravity | 1.015 | Negative | No | Positive | No | |
Specific Gravity | 1.020 | Negative | No | Positive | No | |
Specific Gravity | 1.025 | Negative | No | Positive | No | |
Specific Gravity | 1.030 | Negative | No | Positive | No |
-
- Linearity/ Recovery A drug free urine pool was spiked with high concentration of the target analyte as a high value specimen. Additional pools were made by serially diluting the high value specimen. The instrument used for this test was a Beckman Coulter AU 400e.
a.The following is a summary table of the linearity/recovery:
- Linearity/ Recovery A drug free urine pool was spiked with high concentration of the target analyte as a high value specimen. Additional pools were made by serially diluting the high value specimen. The instrument used for this test was a Beckman Coulter AU 400e.
Table 13 - Linearity/ Recovery | ||
---|---|---|
Expected Concentration (ng/mL) | Mean Concentration (ng/mL) | Recovery (%) |
10 | 9.5 | 94.7 |
20 | 19.6 | 98.2 |
25 | 27.0 | 108.1 |
30 | 32.4 | 108.0 |
40 | 42.2 | 105.6 |
50 | 52.4 | 104.9 |
60 | 64.6 | 107.6 |
70 | 78.3 | 111.9 |
80 | 85.4 | 106.8 |
90 | 94.6 | 105.1 |
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Table 13 - Linearity/ Recovery | ||
---|---|---|
Expected Concentration (ng/mL) | Mean Concentration (ng/mL) | Recovery (%) |
100 | 100.8 | 100.8 |
110 | 110.0 | 100.0 |
-
- Method Comparison Unaltered, anonymous and discarded clinical urine samples obtained from clinical testing laboratories were analyzed with the test device. The study verified that the product performance can be verified by Mass Spectrometry. The instrument used for this test was a Beckman Coulter AU 400e and an Agilent 6430 Liquid Chromatography Tandem Mass Spectrometry.
- a. The following is a comparison table of qualitative assay performance for the 25ng/mL cutoff:
- Table 14 Method Comparison for the 25ng/mL Qualitative
LC/MS Confirmation | |||
---|---|---|---|
(+) | (-) | ||
Test | |||
Device | (+) | 40 | 0 |
(-) | 0 | 40 |
b. The following is a summary table of the qualitative assay performance for the 25ng/mL cutoff
Table 15 - Assay Performance verified by LC/MS – 25ng/mL Cutoff | |||||
---|---|---|---|---|---|
Type | PCP Concentration | Agreement (%) | |||
37.5 ng/mL | |||||
Qualitative/ Positive | 0 | 0 | 6 | 34 | 100 |
Qualitative/ Negative | 36 | 4 | 0 | 0 | 100 |
c. The following is a comparison table of semi-quantitative assay performance for the 25ng/mL cutoff
Table 16 - Method Comparison for the 25ng/mL - Semi-Quantitative
LC/MS Confirmation | |||
---|---|---|---|
(+) | (-) | ||
Test | (+) | 40 | 0 |
Device | (-) | 0 | 40 |
d.The following is a summary table of semi-quantitative assay performance for the 25ng/mL cutoff
Table 16 - Assay Performance verified by LC/MS – 25ng/mL Cutoff | |||||
---|---|---|---|---|---|
Type | 37.5 ng/mL | Agreement (%) | |||
Semi-Quantitative/ Positive | 0 | 0 | 6 | 34 | 100 |
Semi-Quantitative / Negative | 36 | 4 | 0 | 0 | 100 |
- Calibrator and Control Analytical Performance - Immunalysis Multi-Drug Calibrators
a. Immunalysis Multi-Drug Calibrators Traceability - all components of the calibrators and controls have been traced to a commercially available PCP solution.
b.Immunalysis Multi-Drug Calibrators Closed Vial Stability – A closed vial stability study was performed at 25℃ to establish the initial vial expiration
14
IMMUNALYSIS
dating. The stability study supported an initial expiration date of 12 months. The instrument used for this test was an Agilent 1200 Series Liquid Chromatograph coupled to Agilent 6410 Tandem Mass Spectrometer. All calibrator levels (1, 2, 3, and 4) for PCP were within specifications for Day 0, 8, 16, 24, 32, and 40. This accelerated stability study was performed to establish initial expiration dating. Real time stability studies are ongoing.
- a. Immunalysi Multi-Drug Calibrators Open Vial Stability An open vial stability study was performed at 5℃ to establish the initial open vial expiration dating. The stability study supported an initial open vial expiration date of 60 days. The instrument used for this test was an Agilent 1200 Series Liquid Chromatograph coupled to Agilent 6410 Tandem Mass Spectrometer. All calibrator levels (1, 2, 3, and 4) for PCP were within specifications for Day 0, 19, 26, 33, 41, and 60. This stability study was performed to establish initial expiration dating.
- b.Immunalysis Multi-Drug Calibrators Value Assignment Calibrators are manufactured and are tested by mass spectrometry. If any of the analytes are not of the acceptable range, then the calibrator is adjusted and retested. Values are assigned to the calibrators once the mass spectrometry results are within the acceptable ranges.
- I. Conclusion
The information provided in this pre-market notification demonstrates that the Immunalysis PCP Urine Enzyme Immunoassay is substantially equivalent to the legally marketed predicate device for its general intended use.