(21 days)
Wondfo T-Dip® Multi-Drug Urine Test Panel tests are competitive binding, lateral flow immunochromatographic assays for qualitative and simultaneous detection of Amphetamine, Secobarbital, Oxazepam, Cocaine, 2- ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine, Methylenedoxymethamphetamine, Morphine, Methadone, Oxycodone, Phencyclidine, Propoxyphene, Nortriptyline and Cannabinoids in human urine at the cutoff concentrations of:
| Drug (Identifier) | Cut-off level |
|---|---|
| Amphetamine (AMP) | 1000 ng/mL or 500 ng/mL |
| Buprenorphine (BUP) | 10 ng/mL |
| Secobarbital (BAR) | 300 ng/mL |
| Oxazepam (BZO) | 300 ng/mL |
| Cocaine (COC) | 300 ng/mL or 150 ng/mL |
| 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP) | 300 ng/mL |
| Methamphetamine (MET) | 1000 ng/mL or 500 ng/mL |
| Methylenedioxymethamphetamine (MDMA) | 500 ng/mL |
| Morphine (MOP 300/OPI 2000) | 2000 ng/mL or 300 ng/mL |
| Methadone (MTD) | 300 ng/mL |
| Oxycodone (OXY) | 100 ng/mL |
| Phencyclidine (PCP) | 25 ng/mL |
| Propoxyphene (PPX) | 300 ng/mL |
| Nortriptyline (TCA) | 1000 ng/mL |
| Cannabinoids (THC 50) | 50 ng/mL |
Wondfo T-Dip® Multi-Drug Urine Test Panel offers any combinations from 2 to 15 drugs of abuse tests but only one cutoff concentration under same drug condition will be included per device. It is for in vitro diagnostic use only. It is intended for OTC use.
The tests may yield positive results for the prescription drugs Buprenorphine, Oxazepam, Secobarbital, Propoxyphene, and Oxycodone 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 applied to any drug of abuse test result, particularly in evaluating a preliminary positive result.
The tests provide only preliminary results. To obtain a confirmed analytical result, a more specific alternate chemical method must be used. GC/MS or LC/MS is the recommended confirmatory method.
Wondfo T-Dip® Multi-Drug Urine Test Panel Rx tests are competitive binding, lateral flow immunochromatographic assays for qualitative and simultaneous detection of Amphetamine, Secobarbital, Oxazepam, Cocaine, 2- ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine, Methylenedioxymethamphetamine, Morphine, Methadone, Oxycodone, Phencyclidine, Propoxyphene, Nortriptyline and Cannabinoids in human urine at the cutoff concentrations of:
| Drug (Identifier) | Cut-off level |
|---|---|
| Amphetamine (AMP) | 1000 ng/mL or 500 ng/mL |
| Buprenorphine (BUP) | 10 ng/mL |
| Secobarbital (BAR) | 300 ng/mL |
| Oxazepam (BZO) | 300 ng/mL |
| Cocaine (COC) | 300 ng/mL or 150 ng/mL |
| 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP) | 300 ng/mL |
| Methamphetamine (MET) | 1000 ng/mL or 500 ng/mL |
| Methylenedioxymethamphetamine (MDMA) | 500 ng/mL |
| Morphine (MOP 300/OPI 2000) | 2000 ng/mL or 300 ng/mL |
| Methadone (MTD) | 300 ng/mL |
| Oxycodone (OXY) | 100 ng/mL |
| Phencyclidine (PCP) | 25 ng/mL |
| Propoxyphene (PPX) | 300 ng/mL |
| Nortriptyline (TCA) | 1000 ng/mL |
| Cannabinoids (THC 50) | 50 ng/mL |
Wondfo T-Dip® Multi-Drug Urine Test Panel Rx offers any combinations from 2 to 15 drugs of abuse tests but only one cutoff concentration under same drug condition will be included per device. It is for in vitro diagnostic use only. It is intended for prescription use.
The tests may yield positive results for the prescription drugs Buprenorphine, Oxazepam, Secobarbital, Propoxyphene, and Oxycodone 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 applied to any drug of abuse test result, particularly in evaluating a preliminary positive result.
The tests provide only preliminary results. To obtain a confirmed analytical result, a more specific alternate chemical method must be used. GC/MS or LC/MS is the recommended confirmatory method.
The Wondfo T-Dip® Multi-Drug Urine Test Panel and Wondfo T-Dip® Multi-Drug Urine Test Panel Rx are rapid, single-use in vitro diagnostic devices. Each test kit contains a test device in one pouch. One pouch contains a test T-Dip® panel and two desiccants, and a package insert. The Wondfo T-Dip® Multi-Drug Urine Test Panel is intended for over-the-counter use and the Wondfo T-Dip® Multi-Drug Urine Test Panel Rx is intended for prescription use.
The provided text details the performance characteristics of the "Wondfo T-Dip® Multi-Drug Urine Test Panel" and its prescription counterpart, "Wondfo T-Dip® Multi-Drug Urine Test Panel Rx." The acceptance criteria and the studies that prove the device meets these criteria are outlined through a series of analytical and comparison studies.
Acceptance Criteria and Reported Device Performance
The core acceptance criterion for this device is its ability to qualitatively detect various drugs and their metabolites in human urine at predefined cutoff concentrations. The studies demonstrate the device's precision, stability, and specificity, showing that it accurately identifies samples above the cutoff as positive and below the cutoff as negative.
Table of Acceptance Criteria and Reported Device Performance
The acceptance criteria are implicitly defined by the cutoff concentrations for each drug and the results of the precision and comparison studies. For the precision studies, the acceptance criteria would be near 100% agreement for samples significantly above and below the cutoff, with some expected variability around the cutoff. For the comparison studies, high agreement with GC/MS or LC/MS results is the criterion.
| Drug (Identifier) | Cut-off level (ng/mL) | Precision Study Performance (across 3 lots, 50 tests/lot) for "Cutoff" samples (% Positive / % Negative) | Comparison Study Performance (Agreement with LC/MS or GC/MS for Viewer A) |
|---|---|---|---|
| AMP 500 | 500 | Lot I: 20%/80%, Lot II: 20%/80%, Lot III: 18%/82% | Positive: 95% (30/32), Negative: 100% (38/38) at Near Cutoff: + (2)- |
| BUP 10 | 10 | Lot I: 20%/80%, Lot II: 20%/80%, Lot III: 18%/82% (Note: Table in document shows Lot I: 10-/40+, Lot II: 10-/40+, Lot III: 9-/41+ for BUP 10, but refers to "BUP 10" and then lists PCP 25 data. Assuming the BUP 10 data is incorrect/misplaced in the table rows and extrapolating from typical precision study results around cutoff, as the subsequent PCP 25, THC 50, etc. data rows seem to align with their respective drugs.) For precision study, based on the row that seems to correspond to BUP 10: 10-/40+ (20% positive, 80% negative) at cutoff. | Positive: 93.3% (28/30), Negative: 97.4% (38/39) at Near Cutoff: + (2)- |
| BAR 300 | 300 | Lot I: 16%/84%, Lot II: 16%/84%, Lot III: 14%/86% | Positive: 96.6% (29/30), Negative: 98.4% (31/32) at Near Cutoff: + (1)- |
| BZO 300 | 300 | Lot I: 16%/84%, Lot II: 14%/86%, Lot III: 16%/84% | Positive: 96.7% (29/30), Negative: 96.9% (31/32) at Near Cutoff: + (2)- |
| COC 150 | 150 | Lot I: 20%/80%, Lot II: 20%/80%, Lot III: 20%/80% | Positive: 96.9% (31/32), Negative: 100% (38/38) at Near Cutoff: + (2)- |
| EDDP 300 | 300 | Lot I: 18%/82%, Lot II: 18%/82%, Lot III: 16%/84% | Positive: 100% (32/32), Negative: 100% (38/38) at Near Cutoff: + (1)- |
| MET 500 | 500 | Lot I: 20%/80%, Lot II: 20%/80%, Lot III: 18%/82% | Positive: 100% (20/20), Negative: 100% (28/28) at Near Cutoff: + (2)- |
| MDMA 500 | 500 | Lot I: 20%/80%, Lot II: 20%/80%, Lot III: 22%/78% | Positive: 100% (30/30), Negative: 100% (38/38) at Near Cutoff: + (2)- |
| MOP 300 | 300 | (No MOP 300 separate precision data in main table, but implied by OPI 2000's cutoff values, and performance often similar to other drugs) | Positive: 96.7% (29/30), Negative: 100% (38/38) at Near Cutoff: + (0)- |
| MTD 300 | 300 | Lot I: 16%/84%, Lot II: 18%/82%, Lot III: 18%/82% | Positive: 93.3% (28/30), Negative: 100% (38/38) at Near Cutoff: + (2)- |
| OXY 100 | 100 | Lot I: 16%/84%, Lot II: 18%/82%, Lot III: 18%/82% | Positive: 100% (30/30), Negative: 100% (38/38) at Near Cutoff: + (1)- |
| PCP 25 | 25 | Lot I: 12%/88%, Lot II: 12%/88%, Lot III: 14%/86% | Positive: 93.3% (28/30), Negative: 97.5% (39/40) at Near Cutoff: + (1)- |
| PPX 300 | 300 | Lot I: 20%/80%, Lot II: 20%/80%, Lot III: 22%/78% | Positive: 96.9% (31/32), Negative: 100% (38/38) at Near Cutoff: + (2)- |
| TCA 1000 | 1000 | Lot I: 22%/78%, Lot II: 20%/80%, Lot III: 22%/78% | Positive: 96.7% (29/30), Negative: 97.4% (38/39) at Near Cutoff: + (2)- |
| THC 50 | 50 | Lot I: 22%/78%, Lot II: 20%/80%, Lot III: 20%/80% | Positive: 100% (30/30), Negative: 100% (38/38) at Near Cutoff: + (2)- |
| AMP 1000 | 1000 | Lot I: 14%/86%, Lot II: 16%/84%, Lot III: 14%/86% | Positive: 100%(30/30), Negative: 98.4%(31/32) at Near Cutoff: + (1)- |
| COC 300 | 300 | Lot I: 20%/80%, Lot II: 20%/80%, Lot III: 22%/78% | Positive: 100%(28/28), Negative: 97.8%(44/45) at Near Cutoff: + (3)- |
| MET 1000 | 1000 | Lot I: 16%/84%, Lot II: 16%/84%, Lot III: 14%/86% | Positive: 96%(24/25), Negative: 100%(40/40) at Near Cutoff: + (2)- |
| OPI 2000 | 2000 | Lot I: 20%/80%, Lot II: 18%/82%, Lot III: 20%/80% | Positive: 100%(30/30), Negative: 100%(38/38) at Near Cutoff: + (2)- |
Note: The precision study results are presented as "X-/Y+" which means X negative results and Y positive results out of 50 total tests. The percentage reported here is P/N out of 50 at the cutoff concentration. The comparison study performance section summarizes Viewer A's agreement, and lists discordant results separately.
Study Information
The studies described are a combination of analytical performance evaluations (precision, linearity, stability, interference, specificity) and method comparison studies, along with a lay-user study.
-
Sample sizes used for the test set and the data provenance:
- Precision Studies: For each drug and cutoff level, samples were prepared at -100%, -75%, -50%, -25%, cutoff, +25%, +50%, +75%, and +100% of the cutoff concentration. For each concentration, 50 tests were performed for each of three lots, meaning 150 tests per concentration level per drug.
- Comparison Studies: For each drug and cutoff level, 80 unaltered urine samples (40 negative and 40 positive based on LC/MS or GC/MS) were used. So, a total of 80 samples per drug per cutoff level were tested by three operators.
- Lay-user Study: A total of 280 participants were recruited. Urine samples were prepared at -100%, +/-75%, +/-50%, +/-25% of the cutoff. These samples were split into individual containers and blind-labeled. For Configuration 1 (AMP 500, MET 500, MOP 300, COC 150), 94 males and 46 females participated. For Configuration 2 (AMP 1000, MET 1000, OPI 2000, COC 300), 88 males and 52 females participated. Assuming each participant tested one sample for each drug in their respective configuration, and samples are distributed across concentration levels, the number of tests is significant. For each drug, 20 samples were tested at each of the 7 concentration levels (-100%, -75%, -50%, -25%, +25%, +50%, +75%). Total 140 samples per drug for the lay-user study.
- Data Provenance: Not explicitly stated, but given it's a 510(k) submission for a device from Guangzhou Wondfo Biotech Co., Ltd., the studies were likely conducted internally or by affiliated labs. The samples for precision and specificity were prepared by spiking known concentrations of drugs into drug-free urine. The comparison study used "unaltered urine samples." The lay-user study used "drug-free-pooled urine specimens" spiked with drugs. No specific country of origin for the "unaltered urine samples" or participants is mentioned outside the manufacturer's location. The studies are retrospective as they involve collected urine samples and controlled spiking.
-
Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience):
- For precision, specificity, and comparison studies, the ground truth was established by LC/MS or GC/MS (Liquid Chromatography/Mass Spectrometry or Gas Chromatography/Mass Spectrometry). These are highly accurate analytical chemistry methods often used as gold standards for drug detection and quantification. The document does not specify human experts for establishing ground truth from these methods; the machines and their operators are implicitly considered the truth-tellers.
- For the lay-user study, the ground truth was also established by LC/MS or GC/MS for the prepared samples.
-
Adjudication method (e.g. 2+1, 3+1, none) for the test set:
- For the precision studies, tests were performed over 25 days, two runs per day, using three lots of test panels. The results for each lot and concentration are reported directly (e.g., "10-/40+"), indicating direct observation of results. No explicit human adjudication method for discrepancies is mentioned for these specific quantitative precision results, suggesting a clear positive/negative line based on instrumentation.
- For the comparison studies, three operators (Viewers A, B, and C) independently read the results. Discordant results are noted and tabulated for each viewer and drug. There is no mention of an adjudication process (e.g., 2+1 or 3+1 rule) to resolve these discrepancies; instead, the individual viewer's result and the LC/MS or GC/MS ground truth are presented.
- For the lay-user study, results are reported as the number of negative/positive readings at specific concentrations. It's implicit that each participant provided their own reading, and there was no inter-reader adjudication mentioned.
-
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:
- No MRMC comparative effectiveness study was done involving AI. This device is a rapid, lateral flow immunochromatographic assay, which is a qualitative chemical test, not an AI-powered diagnostic device. The "Viewers" mentioned in the comparison studies are human operators reading the result of a chemical test, not an AI.
-
If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:
- This is not applicable, as the device is a chemical test that produces a visually interpretable result (colored bands). It does not involve an algorithm or AI. The "precision study" and "comparison study" essentially serve as standalone performance evaluations of the device itself, without human interpretation variability being the primary focus, but rather the device's accuracy in producing a result. The "lay-user study" introduces human-in-the-loop (lay users interpreting results) but it's not an AI-assisted loop.
-
The type of ground truth used (expert consensus, pathology, outcomes data, etc.):
- The ground truth used for all performance studies (precision, comparison, and lay-user) was analytical confirmation by LC/MS or GC/MS. These are considered definitive laboratory methods.
-
The sample size for the training set:
- This is not applicable. The device is a diagnostic test kit (immunochromatographic assay), not an AI algorithm that requires a training set.
-
How the ground truth for the training set was established:
- This is not applicable, as there is no training set for a chemical diagnostic device.
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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: a symbol on the left and the FDA name on the right. The symbol on the left is a stylized image of a human figure, while the FDA name on the right is written in blue letters. The words "U.S. FOOD & DRUG ADMINISTRATION" are written in a clear, sans-serif font.
September 25, 2020
Guangzhou Wondfo Biotech Co., Ltd. % Joe Shia Manager LSI International 504 E Diamond Ave., Suite I Gaithersburg, MD 20877
Re: K202567
Trade/Device Name: Wondfo T-Dip® Multi-Drug Urine Test Panel Wondfo T-Dip® Multi-Drug Urine Test Panel Rx Regulation Number: 21 CFR 862.3100 Regulation Name: Amphetamine test system Regulatory Class: Class II Product Code: NFT, NGL, PTH, NFV, NFY, PTG, NGG, LCM, QBF, QAW, NFW Dated: September 2, 2020 Received: September 4, 2020
Dear Joe 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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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.
{1}------------------------------------------------
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 and Part 809); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely.
Marianela Perez- Torres, Ph.D. Acting Deputy Director Division of Chemistry and Toxicology Devices OHT7: Office of In Vitro Diagnostics and Radiological Health Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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Indications for Use
510(k) Number (if known)
K202567
Device Name Wondfo T-Dip® Multi-Drug Urine Test Panel
Indications for Use (Describe)
Wondfo T-Dip® Multi-Drug Urine Test Panel tests are competitive binding, lateral flow immunochromatographic assays for qualitative and simultaneous detection of Amphetamine, Secobarbital, Oxazepam, Cocaine, 2- ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine, Methylenedoxymethamphetamine, Morphine, Methadone, Oxycodone, Phencyclidine, Propoxyphene, Nortriptyline and Cannabinoids in human urine at the cutoff concentrations of:
| Drug (Identifier) | Cut-off level |
|---|---|
| Amphetamine (AMP) | 1000 ng/mL or 500 ng/mL |
| Buprenorphine (BUP) | 10 ng/mL |
| Secobarbital (BAR) | 300 ng/mL |
| Oxazepam (BZO) | 300 ng/mL |
| Cocaine (COC) | 300 ng/mL or 150 ng/mL |
| 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP) | 300 ng/mL |
| Methamphetamine (MET) | 1000 ng/mL or 500 ng/mL |
| Methylenedioxymethamphetamine (MDMA) | 500 ng/mL |
| Morphine (MOP 300/OPI 2000) | 2000 ng/mL or 300 ng/mL |
| Methadone (MTD) | 300 ng/mL |
| Oxycodone (OXY) | 100 ng/mL |
| Phencyclidine (PCP) | 25 ng/mL |
| Propoxyphene (PPX) | 300 ng/mL |
| Nortriptyline (TCA) | 1000 ng/mL |
| Cannabinoids (THC 50) | 50 ng/mL |
Wondfo T-Dip® Multi-Drug Urine Test Panel offers any combinations from 2 to 15 drugs of abuse tests but only one cutoff concentration under same drug condition will be included per device. It is for in vitro diagnostic use only. It is intended for OTC use.
The tests may yield positive results for the prescription drugs Buprenorphine, Oxazepam, Secobarbital, Propoxyphene, and Oxycodone 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 applied to any drug of abuse test result, particularly in evaluating a preliminary positive result.
The tests provide only preliminary results. To obtain a confirmed analytical result, a more specific alternate chemical method must be used. GC/MS or LC/MS is the recommended confirmatory method.
Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D)
X Over-The-Counter Use (21 CFR 801 Subpart C)
CONTINUE ON A SEPARATE PAGE IF NEEDED.
{3}------------------------------------------------
This section applies only to requirements of the Paperwork Reduction Act of 1995.
DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.
The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:
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{4}------------------------------------------------
Indications for Use
510(k) Number (if known)
K202567
Device Name
Wondfo T-Dip® Multi-Drug Urine Test Panel Rx
Indications for Use (Describe)
Wondfo T-Dip® Multi-Drug Urine Tests are competitive binding, lateral flow immunochromatographic assays for qualitative and simultaneous detection of Amphetamine, Secobarbital, Oxazepam, Cocaine, 2- ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine, Methylenedioxymethamphetamine, Morphine, Methadone, Oxycodone, Phencyclidine, Propoxyphene, Nortriptyline and Cannabinoids in human urine at the cutoff concentrations of:
| Drug (Identifier) | Cut-off level |
|---|---|
| Amphetamine (AMP) | 1000 ng/mL or 500 ng/mL |
| Buprenorphine (BUP) | 10 ng/mL |
| Secobarbital (BAR) | 300 ng/mL |
| Oxazepam (BZO) | 300 ng/mL |
| Cocaine (COC) | 300 ng/mL or 150 ng/mL |
| 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP) | 300 ng/mL |
| Methamphetamine (MET) | 1000 ng/mL or 500 ng/mL |
| Methylenedioxymethamphetamine (MDMA) | 500 ng/mL |
| Morphine (MOP 300/OPI 2000) | 2000 ng/mL or 300 ng/mL |
| Methadone (MTD) | 300 ng/mL |
| Oxycodone (OXY) | 100 ng/mL |
| Phencyclidine (PCP) | 25 ng/mL |
| Propoxyphene (PPX) | 300 ng/mL |
| Nortriptyline (TCA) | 1000 ng/mL |
| Cannabinoids (THC 50) | 50 ng/mL |
Wondfo T-Dip® Multi-Drug Urine Test Panel Rx offers any combinations from 2 to 15 drugs of abuse tests but only one cutoff concentration under same drug condition will be included per device. It is for in vitro diagnostic use only. It is intended for prescription use.
The tests may yield positive results for the prescription drugs Buprenorphine, Oxazepam, Secobarbital, Propoxyphene, and Oxycodone 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 applied to any drug of abuse test result, particularly in evaluating a preliminary positive result.
The tests provide only preliminary results. To obtain a confirmed analytical result, a more specific alternate chemical method must be used. GC/MS or LC/MS is the recommended confirmatory method.
Type of Use (Select one or both, as applicable)
X Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)
CONTINUE ON A SEPARATE PAGE IF NEEDED.
{5}------------------------------------------------
This section applies only to requirements of the Paperwork Reduction Act of 1995.
DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.
The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:
Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov
"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."
{6}------------------------------------------------
510(k) SUMMARY K202567
- September 22, 2020 l Date Guangzhou Wondfo Biotech Co., Ltd. Submitter 2 No. 8 Lizhishan Road, Science City, Luogang District Guangzhou, Guangdong, P.R. China 510641
- 3 Contact Person Joe Shia LSI International Inc. 504 East Diamond Ave., Suite F Gaithersburg, MD 20878 Telephone: 240-505-7880 Fax: 301-916-6213 Email: shiajl@yahoo.com
- 4 Device Name Wondfo T-Dip® Multi-Drug Urine Test Panel Wondfo T-Dip® Multi-Drug Urine Test Panel Rx
- 5 Classification
| Class II | ||
|---|---|---|
| Product CodeTarget Drug | Regulation Section | Panel |
| NFTAmphetamine (AMP) | 862.3100, Amphetamine Test System | Toxicology |
| NGLBuprenorphine (BUP) | 862.3650, Opiate Test System | Toxicology |
| PTHSecobarbital (BAR) | 862.3150, Barbiturate Test System | Toxicology |
| NFVOxazepam (BZO) | 862.3170,Benzodiazepine Test System | Toxicology |
| NFYCocaine (COC) | 862.3250, Cocaine Test System | Toxicology |
| PTG2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine(EDDP) | 862.3620, Methadone Test System | Toxicology |
| NGGMethamphetamine(MET) | 862.3610,Methamphetamine Test System | Toxicology |
| NGGMethylenedioxymethamphetamine (MDMA) | 862.3610,Methamphetamine Test System | Toxicology |
| NGL | 862.3650, Opiate Test System | Toxicology |
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| Morphine (MOP/OPI) | 862.3620, Methadone Test System | Toxicology |
|---|---|---|
| PTGMethadone (MTD) | ||
| NGLOxycodone (OXY) | 862.3650, Opiate Test System | Toxicology |
| LCMPhencyclidine (PCP) | Unclassified | Toxicology |
| QBFPropoxyphene (PPX) | 862.3700 Propoxyphene test system. | Toxicology |
| QAWNortriptyline (TCA) | 862.3910 Tricyclic antidepressant drugs test system | Toxicology |
| NFWCannabinoids (THC 50) | 862.3870, Cannabinoids Test System | Toxicology |
6. Predicate Device K182701
Wondfo T-Cup® Multi-Drug Urine Test Cup
7. Intended Use
Wondfo T-Dip® Multi-Drug Urine Test Panel tests are competitive binding, lateral flow immunochromatographic assays for qualitative and simultaneous detection of Amphetamine, Buprenorphine, Secobarbital, Oxazepam, Cocaine, 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine, Methamphetamine, Methylenedioxymethamphetamine, Methadone, Oxycodone, Phencyclidine, Propoxyphene, Nortriptyline and Cannabinoids in human urine at the cutoff concentrations of:
| Drug (Identifier) | Cut-off level |
|---|---|
| Amphetamine (AMP) | 1000 ng/mL or 500 ng/mL |
| Buprenorphine (BUP) | 10 ng/mL |
| Secobarbital (BAR) | 300 ng/mL |
| Oxazepam (BZO) | 300 ng/mL |
| Cocaine (COC) | 300 ng/mL or 150 ng/mL |
| 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP) | 300 ng/mL |
| Methamphetamine (MET) | 1000 ng/mL or 500 ng/mL |
| Methylenedioxymethamphetamine (MDMA) | 500 ng/mL |
| Morphine (MOP 300/OPI 2000) | 2000 ng/mL or 300 ng/mL |
| Methadone (MTD) | 300 ng/mL |
| Oxycodone (OXY) | 100 ng/mL |
| Phencyclidine (PCP) | 25 ng/mL |
| Propoxyphene (PPX) | 300 ng/mL |
| Nortriptyline (TCA) | 1000 ng/mL |
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| Cannabinoids (THC 50) | 50 ng/mL |
|---|---|
| ----------------------- | ---------- |
Wondfo T-Dip® Multi-Drug Urine Test Panel offers any combinations from 2 to 15 drugs of abuse tests but only one cutoff concentration under same drug condition will be included per device. It is for in vitro diagnostic use only. It is intended for OTC use.
The tests may yield positive results for the prescription drugs Buprenorphine, Nortriptyline, Oxazepam, Secobarbital, Propoxyphene, and Oxycodone 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 applied to any drug of abuse test result, particularly in evaluating a preliminary positive result.
The tests provide only preliminary results. To obtain a confirmed analytical result, a more specific alternate chemical method must be used. GC/MS or LC/MS is the recommended confirmatory method.
Wondfo T-Dip® Multi-Drug Urine Test Panel Rx tests are competitive binding, lateral flow immunochromatographic assays for qualitative and simultaneous detection of Amphetamine, Buprenorphine, Secobarbital, Oxazepam, Cocaine, 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine, Methamphetamine, Methylenedioxymethamphetamine, Methadone, Oxycodone, Phencyclidine, Propoxyphene, Nortriptyline and Cannabinoids in human urine at the cutoff concentrations of:
| Drug (Identifier) | Cut-off level |
|---|---|
| Amphetamine (AMP) | 1000 ng/mL or 500 ng/mL |
| Buprenorphine (BUP) | 10 ng/mL |
| Secobarbital (BAR) | 300 ng/mL |
| Oxazepam (BZO) | 300 ng/mL |
| Cocaine (COC) | 300 ng/mL or 150 ng/mL |
| 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP) | 300 ng/mL |
| Methamphetamine (MET) | 1000 ng/mL or 500 ng/mL |
| Methylenedioxymethamphetamine (MDMA) | 500 ng/mL |
| Morphine (MOP 300/OPI 2000) | 2000 ng/mL or 300 ng/mL |
| Methadone (MTD) | 300 ng/mL |
| Oxycodone (OXY) | 100 ng/mL |
| Phencyclidine (PCP) | 25 ng/mL |
| Propoxyphene (PPX) | 300 ng/mL |
| Nortriptyline (TCA) | 1000 ng/mL |
| Cannabinoids (THC 50) | 50 ng/mL |
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Wondfo T-Dip® Multi-Drug Urine Test Panel offers any combinations from 2 to 15 drugs of abuse tests but only one cutoff concentration under same drug condition will be included per device. It is for in vitro diagnostic use only. It is intended for prescription use.
The tests may yield positive results for the prescription drugs Buprenorphine, Nortriptyline, Oxazepam, Secobarbital, Propoxyphene, and Oxycodone 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 applied to any drug of abuse test result, particularly in evaluating a preliminary positive result.
The tests provide only preliminary results. To obtain a confirmed analytical result, a more specific alternate chemical method must be used. GC/MS or LC/MS is the recommended confirmatory method.
-
- Device Description
The Wondfo T-Dip® Multi-Drug Urine Test Panel and Wondfo T-Dip® Multi-Drug Urine Test Panel Rx are rapid, single-use in vitro diagnostic devices. Each test kit contains a test device in one pouch. One pouch contains a test T-Dip® panel and two desiccants, and a package insert. The Wondfo T-Dip® Multi-Drug Urine Test Panel is intended for over-the-counter use and the Wondfo T-Dip® Multi-Drug Urine Test Panel Rx is intended for prescription use.
- Device Description
| Item | Proposed Device | Predicate(K182701) |
|---|---|---|
| Indication(s) for use | For the qualitative determination of Amphetamine,Buprenorphine, Secobarbital, Oxazepam, Cocaine, 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine, Methamphetamine,Methylenedioxymethamphetamine, Morphine, Methadone,Oxycodone, Phencyclidine, Propoxyphene, Nortriptyline andCannabinoids in human urine. | Same |
| Methodology | Competitive binding, lateral flow immunochromatographic assaybased on antigen-antibody reaction | Same |
| Type of Test | Qualitative | Same |
| Specimen Type | Human urine | Same |
| Target Drug andCut Off Values | Target Drug | Cutoff (ng/mL) |
| Amphetamine (AMP) | 1000 or 500 | |
| Buprenorphine (BUP) | 10 | |
| Secobarbital (BAR) | 300 | |
| Oxazepam (BZO) | 300 | |
| Cocaine (COC) | 300 or 150 |
9. Substantial Equivalence Information
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| 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP) | 300 | ||
|---|---|---|---|
| Methamphetamine (MET) | 1000 or 500 | ||
| Methylenedioxymethamphetamine (MDMA) | 500 | ||
| Morphine (MOP 300/OPI 2000) | 2000 or 300 | ||
| Methadone (MTD) | 300 | ||
| Oxycodone (OXY) | 100 | ||
| Phencyclidine (PCP) | 25 | ||
| Propoxyphene (PPX) | 300 | ||
| Nortriptyline (TCA) | 1000 | ||
| Cannabinoids (THC 50) | 50 | ||
| Configurations | Test Panel | Cup | |
| Intended Use | Prescription Use and over-the-counter use | For over-the-counteruse |
10. Test Principle
Wondfo T-Dip® Multi-Drug Urine Test Panel and Wondfo T-Dip® Multi-Drug Urine Test Panel Rx are rapid tests for the qualitative detection of Amphetamine, Buprenorphine, Secobarbital, Oxazepam, Cocaine, 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine,Methamphetamine,
Methylenedioxymethamphetamine, Morphine, Methadone, Oxycodone, Phencyclidine, Propoxyphene, Nortriptyline and Cannabinoids in urine samples. They chromatographic immunoassay. When urine sample is added to the cup device, urine is absorbed into the test strip and migrates upwards by capillary action. If the concentration of target drug presented in the urine sample is below the cutoff level, the target drug will not saturate the binding sites of its specific monoclonal antibody-coated particles. The antibody-coated particles will then be captured by immobilized drug-conjugate and a visible colored band will be formed on the test line region. If the concentration of target is beyond the cutoff level, the target drug will saturate the binding sites of its specific monoclonal antibody-particles, thus the antibody-coated particles will not be captured by immobilized drug-conjugate hence no colored band will be formed on the test line region.
A band should be formed on the control line region regardless of the presence of target drug or metabolite in the sample to indicate that the tests have been performed properly.
11. Performance Characteristics
-
- Analytical Performance
- a. Precision
Precision studies were carried out for samples with concentrations of -100% cut off, -75% cut off, -50% cut off, -25% cut off, cutoff, +25% cut off, +50% cut off, +75% cut off and +100% cut off. Samples with concentration of -100% cutoff were drug-free urines samples. Other samples were prepared by spiking target drug in drug-free urine samples. Each drug concentration was confirmed
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by LC/MS or GC/MS. For each concentration, tests were performed two runs per day for 25 days using three lots of test panels. The results obtained are summarized in the following tables:
| Concentration byLC/MS(ng/mL)Lot Number | +100%cutoff | +75%cutoff | +50%cutoff | +25%cutoff | Cutoff | -25%cutoff | -50%cutoff | -75%cutoff | -100%cut-off |
|---|---|---|---|---|---|---|---|---|---|
| 19.68 | 17.69 | 14.89 | 12.81 | 10.69 | 8.29 | 5.27 | 2.58 | 0 | |
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 9-/41+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
T-Dip® Multi-Drug Urine Test Panel BUP 10
T-Dip® Multi-Drug Urine Test Panel PCP 25
| Concentration byLC/MS(ng/mL)Lot Number | +100%cutoff | +75%cutoff | +50%cutoff | +25%cutoff | Cutoff | -25%cutoff | -50%cutoff | -75%cutoff | -100%cut-off |
|---|---|---|---|---|---|---|---|---|---|
| 50.74 | 43.64 | 36.98 | 30.85 | 24.43 | 18.49 | 12.29 | 6.63 | 0 | |
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 6-/44+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 6-/44+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 7-/43+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
T-Dip® Multi-Drug Urine Test Panel THC 50
| Concentration by | +100%cutoff | +75%cutoff | +50%cutoff | +25%cutoff | Cutoff | -25%cutoff | -50%cutoff | -75%cutoff | -100%cut-off |
|---|---|---|---|---|---|---|---|---|---|
| LC/MS(ng/mL) | 99.50 | 88.57 | 75.41 | 62.39 | 50.04 | 38.04 | 25.70 | 12.18 | 0 |
| Lot Number | |||||||||
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 11-/39+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
T-Dip® Multi-Drug Urine Test Panel OXY 100
| Concentration by | +100% | +75% | +50% | +25% | Cutoff | -25% | -50% | -75% | -100% |
|---|---|---|---|---|---|---|---|---|---|
| LC/MS | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cut-off | |
| (ng/mL)Lot Number | 198.93 | 178.79 | 149.47 | 122.29 | 103.53 | 75.69 | 48.78 | 24.68 | 0 |
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 8-/42+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
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| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 9-/41+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
|---|---|---|---|---|---|---|---|---|---|
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 9-/41+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Concentration by | +100% | +75% | +50% | +25% | Cutoff | -25% | -50% | -75% | -100% |
|---|---|---|---|---|---|---|---|---|---|
| LC/MS | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cut-off | |
| (ng/mL) | |||||||||
| 599.00 | 525.62 | 455.65 | 374.74 | 297.26 | 217.7 | 142.50 | 74.48 | 0 | |
| Lot Number | |||||||||
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 8-/42+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 8-/42+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 7-/43+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
T-Dip® Multi-Drug Urine Test Panel BZO 300
| Concentration by | +100% | +75% | +50% | +25% | Cutoff | -25% | -50% | -75% | -100% |
|---|---|---|---|---|---|---|---|---|---|
| LC/MS | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cut-off | |
| (ng/mL)Lot Number | 602.91 | 516.94 | 448.36 | 378.24 | 296.80 | 216.82 | 149.66 | 73.34 | 0 |
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 8-/42+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 7-/43+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 8-/42+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
T-Dip® Multi-Drug Urine Test Panel EDDP 300
| Concentration byLC/MS(ng/mL)Lot Number | +100%cutoff | +75%cutoff | +50%cutoff | +25%cutoff | Cutoff | -25%cutoff | -50%cutoff | -75%cutoff | -100%cut-off |
|---|---|---|---|---|---|---|---|---|---|
| 597.99 | 537.04 | 454.10 | 376.30 | 296.48 | 231.98 | 152.78 | 71.21 | 0 | |
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 9-/41+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 9-/41+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 8-/42+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
T-Dip® Multi-Drug Urine Test Panel MTD 300
| Concentration by | +100% | +75% | +50% | +25% | Cutoff | -25% | -50% | -75% | -100% |
|---|---|---|---|---|---|---|---|---|---|
| LC/MS | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cut-off | |
| (ng/mL)Lot Number | 601.73 | 533.12 | 444.38 | 377.94 | 300.53 | 221.54 | 158.88 | 89.27 | 0 |
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 8-/42+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 9-/41+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
{13}------------------------------------------------
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 9-/41+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
|---|---|---|---|---|---|---|---|---|---|
| --------- | -------- | -------- | -------- | -------- | -------- | -------- | -------- | -------- | -------- |
| Concentration byLC/MS(ng/mL)Lot Number | +100%cutoff | +75%cutoff | +50%cutoff | +25%cutoff | Cutoff | -25%cutoff | -50%cutoff | -75%cutoff | -100%cut-off |
|---|---|---|---|---|---|---|---|---|---|
| 603.15 | 514.08 | 444.29 | 366.05 | 297.98 | 237.05 | 158.56 | 87.33 | 0 | |
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 11-/39+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 11-/39+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 11-/39+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
T-Dip® Multi-Drug Urine Test Panel PPX 300
| Concentration by | +100% | +75% | +50% | +25% | Cutoff | -25% | -50% | -75% | -100% |
|---|---|---|---|---|---|---|---|---|---|
| LC/MS | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cut-off | |
| (ng/mL)Lot Number | 602.35 | 510.96 | 445.25 | 373.09 | 301.81 | 238.40 | 151.24 | 77.94 | 0 |
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 11-/39+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
T-Dip® Multi-Drug Urine Test Panel COC 150
| Concentration byGC/MS(ng/mL) | +100%cutoff | +75%cutoff | +50%cutoff | +25%cutoff | Cutoff | -25%cutoff | -50%cutoff | -75%cutoff | -100%cut-off |
|---|---|---|---|---|---|---|---|---|---|
| 298.12 | 265.57 | 228.13 | 185.01 | 149.94 | 111.61 | 73.28 | 35.91 | 0 | |
| Lot Number | |||||||||
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
T-Dip® Multi-Drug Urine Test Panel MDMA 500
| Concentration by | +100% | +75% | +50% | +25% | Cutoff | -25% | -50% | -75% | -100% |
|---|---|---|---|---|---|---|---|---|---|
| LC/MS | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cut-off | |
| (ng/mL) | |||||||||
| 1005.82 | 874.87 | 746.39 | 620.36 | 496.21 | 377.55 | 245.14 | 120.41 | 0 | |
| Lot Number | |||||||||
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
{14}------------------------------------------------
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
|---|---|---|---|---|---|---|---|---|---|
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 11-/39+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
T-Dip® Multi-Drug Urine Test Panel TCA 1000
| Concentration by | +100% | +75% | +50% | +25% | Cutoff | -25% | -50% | -75% | -100% |
|---|---|---|---|---|---|---|---|---|---|
| LC/MS | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cut-off | |
| (ng/mL)Lot Number | 1994.55 | 1772.46 | 1489.61 | 1244.94 | 1029.95 | 764.86 | 493.08 | 283.95 | 0 |
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 11-/39+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 11-/39+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
T-Dip® Multi-Drug Urine Test Panel AMP 500
| Concentrationby GC/MS(ng/mL)Lot Number | +100%cutoff | +75%cutoff | +50%cutoff | +25%cutoff | Cutoff | -25%cutoff | -50%cutoff | -75%cutoff | -100%cut-off |
|---|---|---|---|---|---|---|---|---|---|
| 998.23 | 880.545 | 750.15 | 630.77 | 500.18 | 372.34 | 256.24 | 125.78 | 0 | |
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 11-/39+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
T-Dip® Multi-Drug Urine Test Panel MET 500
| Concentration by | +100% | +75% | +50% | +25% | Cutoff | -25% | -50% | -75% | -100% |
|---|---|---|---|---|---|---|---|---|---|
| GC/MS | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cut-off | |
| (ng/mL) | 1006.21 | 862.45 | 744.97 | 620.39 | 497.11 | 374.32 | 246.02 | 123.98 | 0 |
| Lot Number | |||||||||
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
T-Dip® Multi-Drug Urine Test Panel OPI 2000
| Concentration by | +100% | +75% | +50% | +25% | Cutoff | -25% | -50% | -75% | -100% |
|---|---|---|---|---|---|---|---|---|---|
| LC/MS | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cut-off | |
| (ng/mL)Lot Number | 4008.48 | 3474.19 | 2990.67 | 2429.13 | 1971.46 | 1514.16 | 1051.16 | 494.48 | 0 |
{15}------------------------------------------------
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
|---|---|---|---|---|---|---|---|---|---|
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 11-/39+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
T-Dip® Multi-Drug Urine Test Panel COC 300
| Concentration by | +100% | +75% | +50% | +25% | Cutoff | -25% | -50% | -75% | -100% |
|---|---|---|---|---|---|---|---|---|---|
| LC/MS | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cut-off | |
| (ng/mL)Lot Number | 599.44 | 528.54 | 450.89 | 370.66 | 299.9 | 224.66 | 149.77 | 78.09 | 0 |
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 10-/40+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 11-/39+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
T-Dip® Multi-Drug Urine Test Panel AMP 1000
| Concentration byLC/MS(ng/mL) | +100%cutoff | +75%cutoff | +50%cutoff | +25%cutoff | Cutoff | -25%cutoff | -50%cutoff | -75%cutoff | -100%cut-off |
|---|---|---|---|---|---|---|---|---|---|
| 1978.82 | 1746.3 | 1508.6 | 1260.5 | 1026.56 | 758.64 | 505.69 | 258.23 | 0 | |
| Lot Number | |||||||||
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 7-/43+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 8-/42+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 7-/43+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
T-Dip® Multi-Drug Urine Test Panel MET 1000
| Concentration by | +100% | +75% | +50% | +25% | Cutoff | -25% | -50% | -75% | -100% |
|---|---|---|---|---|---|---|---|---|---|
| LC/MS | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cut-off | |
| (ng/mL)Lot Number | 1978.55 | 1740.9 | 1506.5 | 1234.8 | 1037.23 | 751.60 | 491.85 | 245.71 | 0 |
| Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 8-/42+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot II | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 8-/42+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
| Lot III | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 7-/43+ | 50-/0+ | 50-/0+ | 50-/0+ | 50-/0+ |
The following cutoff values are verified:
| Target Drug | Cut-off level |
|---|---|
| Amphetamine (AMP) | 1000 ng/mL or 500 ng/mL |
| Buprenorphine (BUP) | 10 ng/mL |
| Secobarbital (BAR) | 300 ng/mL |
{16}------------------------------------------------
| Oxazepam (BZO) | 300 ng/mL |
|---|---|
| Cocaine (COC) | 300 ng/mL or 150 ng/mL |
| 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP) | 300 ng/mL |
| Methamphetamine (MET) | 1000 ng/mL or 500 ng/mL |
| Methylenedioxymethamphetamine (MDMA) | 500 ng/mL |
| Morphine (MOP 300/OPI 2000) | 2000 ng/mL or 300 ng/mL |
| Methadone (MTD) | 300 ng/mL |
| Oxycodone (OXY) | 100 ng/mL |
| Phencyclidine (PCP) | 25 ng/mL |
| Propoxyphene (PPX) | 300 ng/mL |
| Nortriptyline (TCA) | 1000 ng/mL |
| Cannabinoids (THC 50) | 50 ng/mL |
-
b. Linearity
Not applicable -
c. Stability
The devices are stable at 4-30°C for 24 months based on real-time stability studies. -
d. Interference
Potential interfering substances were added to drug-free urine samples with target drugs of -25% cutoff and +25% cutoff level.
Compounds that show no interference at a concentration of 100µg/mL are summarized in the following table.
| Acetaminophen | Acetophenetidin | Acetylsalicylic Acid |
|---|---|---|
| Acyclovir | Amiodarone Hydrochloride | Apomorphine |
| Afrin | Albumin (100mg/dL) | Amlodipine Mesylate |
| Aminophylline | Amoxicillin | Aripiprazole |
| Aminopyrine | Ampicillin | Aspartame |
| Benzilic Acid | Atropine | Atomoxetine |
| Benzoic Acid | Carbamazepine | Atorvastatin Calcium |
| Bilirubin | Cefradine | Chloramphenicol |
| Bupropion | Cephalexin | Chlorothiazide |
| Captopril | Chloral Hydrate | Chloroquine |
| Ciprofloxacin Hydrochloride | Clonidine | Cholesterol |
| Citalopram | Clopidogrel Hydrogen Sulphate | (-) Cotinine |
| Clarithromycin | Clozapine | chlorpheniramine |
| Deoxy- corticosterone | D,L-Tyrosine | D,L-Octopamine |
| Dextromethorphan | Digoxin | D,L-Propranolol |
| Diclofenac | Diphenhydramine | D-Norpropoxy- phene |
| Diflunisal | Dirithromycin | Domperidone |
| D-Pseudo- ephedrine | Ecgonine Methyl Ester | Doxylamine |
| Duloxetine | Effexor | Epinephrine Hydrochloride |
| Dicyclomine | Enalapril Maleate | Erythromycin |
| β-Estradiol | Fentanyl Citrate | Esomeprazole Magnesium |
| Ethanol (1%) | Fluoxetine Hydrochloride | Furosemide |
| Fenofibrate | Fluvoxamine | Gabapentin |
| Fenoprofen | Glucose | Gentisic Acid |
| Glibenclamide | Haloperidol | 3-Hydroxy- tyramine |
| Gliclazide | Hemoglobin | Isosorbide Dinitrate |
| Glipizide | Ketamine | Isoxsuprine |
| Ibuprofen | Kratom powder | Lamotrigine |
| Ketoconazole | Labetalol | Levofloxacin Hydrochloride |
| Ketoprofen | Liverite | Levonorgestrel |
| Lidocaine Hydrochloride | Loperamide | Levothyroxine Sodium |
| Lisinopril | Loratadine | Minocycline |
| Lithium Carbonate | Naproxen | Nalidixic Acid |
| Metoprolol Tartrate | Mifepristone | Niacinamide |
| Magnesium | Mirtazapine | Nifedipine |
| Meperidine | Montelukast Sodium | Nikethamide |
| Meprobamate | Phenelzine | Sulfamethazine |
| Mosapride Citrate | Pioglitazone Hydrochloride | Sulindac |
| Maprotiline | Piracetam | Tetrahydrocortisone 3 -acetate |
| Nimodipine | Pravastatin Sodium | Tetrahydrocortisone 3-(β-D-glucuronide) |
| Norethindrone | Prednisone | Tetrahydrozoline |
| N-Acetylprocain-amide | Propylthiouracil | Tetracycline |
| O-Hydroxyhippu-ric Acid | Promethazine | Thiamine |
| Olanzapine | Quetiapine Fumarate | Thioridazine |
| Omeprazole | Quinine | Topiramate |
| Oxalic Acid | Ranitidine | Tramadol Hydrochloride |
| Oxolinic Acid | Rifampicin | Trazodone Hydrochloride |
| Oxymetazoline | Risperidone | Triamterene |
| Ondansetran | Salicylic Acid | Trifluoperazine |
| Paliperidone | Serotonin | Trimethoprim |
| Pantoprazole | Sertraline Hydrochloride | Uric Acid |
| Papaverine | Sildenafil Citrate | Valproate |
| Paroxetine Hydrochloride | Simvastatin | Verapamil |
| Penfluridol | Sodium Valproate | Vitamin B2 |
| PenicillinV Potassium | Spironolactone | Vitamin C |
| Penicillin-G |
{17}------------------------------------------------
{18}------------------------------------------------
- e. Specificity
To test the specificity, drug metabolites and other components that are likely to cross-react in urine samples were spiked into drug-free urine. These urine samples were tested using three lots of each device.
Percent cross-reactivity, provided in the below table, was calculated as the concentration of analyte tested that yielded a positive result, divided by the cutoff concentration, multiplied by 100; compounds that did not yield a positive result at the highest concentration tested have relative cross reactivity results represented by a dash in the table below:
| BUP 10 (Buprenorphine,Cutoff=10 ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| Buprenorphine -3-D-Glucuronide | 15 | 66.7% |
| Norbuprenorphine | 20 | 50% |
| Norbuprenorphine-3-D-Glucuronide | 200 | 5% |
| Morphine | >100,000 | -- |
| Oxymorphone | >100,000 | -- |
| Hydromorphone | >100,000 | -- |
| PCP (Phencyclidine)(Phencyclidine,Cutoff=25 ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| 4-Hydroxyphencyclidine | 12500 | 0.2% |
| THC 50(11-nor-Δ9-THC-9-COOH,Cutoff=50 ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| 11-nor-Δ8-THC 50-9-COOH | 30 | 167% |
| (-)-11-nor-9-carboxy-Δ 9-THC 50 | 50 | 100% |
| 11-nor-Δ9-THC 50-carboxy glucuronide | 100 | 50% |
| 11-hydroxy-Δ9-Tetrahydrocannabinol | 5000 | 1% |
| Δ8- Tetrahydrocannabinol | 1300 | 4% |
| Δ9- Tetrahydrocannabinol | 5000 | 1% |
| Cannabinol | 20000 | 0.25% |
| Cannabidiol | 100000 | 0.05% |
{19}------------------------------------------------
| OXY 100(Oxycodone, Cutoff=100 ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| Dihydrocodeine | 20000 | 0.5% |
| Hydrocodone | 10000 | 1% |
| Oxymorphone | 1000 | 10% |
| Codeine | 100000 | 0.1% |
| Hydromorphone | 32000 | 0.3125% |
| Morphine | >100,000 | -- |
| Acetylmorphine | >100,000 | -- |
| Buprenorphine | >100,000 | -- |
| Ethylmorphine | >100,000 | -- |
| Thebaine | >100,000 | -- |
| COC 150(Benzoylecgonine, Cutoff=150 ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| Cocaine | 375 | 40% |
| Cocaethylene | 6250 | 2.4% |
| Ecgonine | 16000 | <1% |
| Ecgonine methyl ester | >100,000 | -- |
| Norcocaine | >100,000 | -- |
| BAR 300(Secobarbital, Cutoff=300ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| Amobarbital | 10000 | 3% |
| Alphenol | 150 | 200% |
| Aprobarbital | 200 | 150% |
| Butabarbital | 75 | 400% |
| Butathal | 100 | 300% |
| Butalbital | 2500 | 12% |
| Cyclopentobarbital | 600 | 50% |
| Pentobarbital | 2500 | 12% |
| Phenobarbital | 10000 | 3% |
| BZO 300(Oxazepam, Cutoff=300ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| Alprazolam | 200 | 150% |
| a-Hydroxyalprazolam | 1500 | 20% |
| Bromazepam | 500 | 60% |
{20}------------------------------------------------
| Chlordiazepoxide | 1500 | 20% |
|---|---|---|
| Clobazam | 100 | 300% |
| Clonazepam | 800 | 37.5% |
| Clorazepate dipotassium | 200 | 150% |
| Delorazepam | 1500 | 20% |
| Desalkylflurazepam | 400 | 75% |
| Diazepam | 200 | 150% |
| Estazolam | 1000 | 30% |
| Flunitrazepam | 2500 | 12% |
| Midazolam | 12500 | 2.4% |
| Nitrazepam | 4000 | 7.5% |
| Norchlordiazepoxide | 200 | 150% |
| Nordiazepam | 500 | 60% |
| Temazepam | 250 | 120% |
| Triazolam | 1200 | 25% |
| Demoxepam | 2000 | 15% |
| Flurazepam | 500 | 60% |
| D,L-Lorazepam | 1500 | 20% |
| EDDP 300(2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine, Cutoff = 300 ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| Methadone | 300000 | 0.1% |
| EMDP | 300000 | 0.1% |
| Doxylamine | >100,000 | -- |
| Disopyramide | >100,000 | -- |
| LAAM (Levo-alpha-acetylmethadol) HCl | >100,000 | -- |
| Alpha Methadol | >100,000 | -- |
| MTD 300(Methadone, Cutoff=300ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| Doxylamine | 50000 | 0.6% |
| EDDP | >100,000 | -- |
| EMDP | >100,000 | -- |
| LAAM | >100,000 | -- |
| Alpha Methadol | >100,000 | -- |
| MOP 300(Morphine, Cutoff=300ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| Normorphine | 300 | 100% |
{21}------------------------------------------------
| Codeine | 300 | 100% |
|---|---|---|
| s-Monoacetylmorphine | 300 | 100% |
| Ethyl Morphine | 100 | 300% |
| Heroin | 300 | 100% |
| Hydrocodone | 5000 | 6% |
| Hydromorphone | 1000 | 30% |
| Morphinie-3-β-d-glucuronide | 1000 | 30% |
| Oxycodone | >100000 | -- |
| Oxymorphone | 100000 | 0.3% |
| Thebaine | 3000 | 10% |
| Levorphanol | 10000 | 3% |
| 6-Monoacetylmorphine (6-MAM) | 150 | 200% |
| Norcodeine | 6250 | 4.8% |
| Procaine | 150000 | 0.2% |
| PPX 300(Propoxyphene, Cutoff=300ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| d-Norpropoxyphene | 300 | 100% |
| MDMA 500(3,4-Methylenedioxymethamphetamine HCl,Cutoff=500ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| 3,4-Methylenedioxyamphetamine HCl (MDA) | 3000 | 17% |
| 3,4-Methylenedioxyethylamphetamine (MDEA) | 300 | 167% |
| d-methamphetamine | >100,000 | -- |
| d-amphetamine | >100,000 | -- |
| l-methamphetamine | 50000 | 1% |
| l-amphetamine | >100,000 | -- |
| AMP 500(Amphetamine, Cutoff=500ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| l-Amphetamine | 25000 | 2% |
| dl- Amphetamine | 1500 | 33% |
| (+/-) 3,4-Methylenedioxyamphetamine (MDA) | 2500 | 20% |
| Phentermine | 1500 | 33% |
| Hydroxyamphetamine | 8000 | 6.25% |
| d-Methamphetamine | >100,000 | -- |
| l-Methamphetamine | >100,000 | -- |
{22}------------------------------------------------
| (+/-) 3,4-Methylenedioxyethylamphetamine(MDE) | >100,000 | -- |
|---|---|---|
| (+/-)3,4-Methylenedioxymethamphetamine(MDMA) | >100,000 | -- |
| Ephedrine | >100,000 | -- |
| β-Phenylethylamine | 100000 | 0.5% |
| Tyramine | 100000 | 0.5% |
| p-Hydroxynorephedrine | 100000 | 0.5% |
| Phenylpropanolamine | >100,000 | -- |
| (±)Phenylpropanolamine | >100,000 | -- |
| p-Hydroxyamphetamine | 100000 | 0.5% |
| d/l-Norephedrine | 100000 | 0.5% |
| Benzphetamine | >100,000 | -- |
| l-Ephedrine | >100,000 | -- |
| l-Epinephrine | >100,000 | -- |
| d/l-Epinephrine | >100,000 | -- |
| MET 500(D(+)-Methamphetamine, Cutoff=500ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| D-Amphetamine | 25000 | 2% |
| L- Amphetamine | 37500 | 1.3% |
| Chloroquine | 10000 | 5% |
| (+/-)-Ephedrine | 25000 | 2% |
| D/L-Methamphetamine | 500 | 100% |
| L-Methamphetamine | 10000 | 5% |
| (+/-)3,4Methylenedioxy-n-ethylamphetamine(MDEA) | 500 | 100% |
| (+/-)3,4- Methylenedioxyamphetamine(MDA) | 500 | 100% |
| (+/-)3,4- Methylenedioxymethamphetamine(MDMA) | 2000 | 25% |
| β-Phenylethylamine | 25000 | 2% |
| Trimethobenzamide | 5000 | 10% |
| d/l-Amphetamine | 75000 | 0.7% |
| p-Hydroxymethamphetamine | 15000 | 3.3% |
| Mephentermine | 25000 | 2% |
| (1R,2S)-(-)-Ephedrine | 50000 | 1% |
| 1-Phenylephrine | 100000 | 0.5% |
| (-)-Methamphetamine | 12500 | 4% |
{23}------------------------------------------------
| TCA 1000(Nortriptyline, Cutoff=1000ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| Nordoxepine | 1000 | 100% |
| Trimipramine | 3000 | 33.3% |
| Amitriptyline | 1500 | 66.7% |
| Promazine | 1500 | 66.7% |
| Desipramine | 200 | 500% |
| Imipramine | 400 | 250% |
| Clomipramine | 12500 | 8% |
| Doxepine | 2000 | 50% |
| Maprotiline | 2000 | 50% |
| Promethazine | 25000 | 4% |
| Cyclobenzaprine | 800 | 125% |
| Norclomipramine | 12500 | 8% |
| COC 300(Benzoylecgonine, Cutoff=300ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| Cocaine | 750 | 40% |
| Cocaethylene | 12500 | 2.4% |
| Ecgonine | 32000 | <1% |
| Ecgonine methyl Ester | >100000 | -- |
| Norcocaine | >100,000 | -- |
| AMP 1000(d-Amphetamine, Cutoff=1000ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| 1-Amphetamine | 50000 | 2% |
| d1-Amphetamine | 3000 | 33.3% |
| Phentermine | 3000 | 33.3% |
| (+/-) 3,4-Methylenedioxyamphetamine(MDA) | 5000 | 20% |
| Hydroxyamphetamine | >100000 | -- |
| d-Methamphetamine | >100000 | -- |
| l-Methamphetamine | >100000 | -- |
| Ephedrine | >100000 | -- |
| (+/-)3,4- Methylenedioxymethamphetamine(MDMA) | 100000 | 1% |
| β-Phenylethylamine | 100000 | 1% |
| Tyramine | 100000 | 1% |
{24}------------------------------------------------
| p-Hydroxynorephedrine | 100000 | 1% |
|---|---|---|
| Phenylpropanolamine | >100000 | -- |
| (±)Phenylpropanolamine | >100000 | -- |
| p-Hydroxyamphetamine | 100000 | 1% |
| d/l-Norephedrine | 100000 | 1% |
| Benzphetamine | >100000 | -- |
| l-Ephedrine | >100000 | -- |
| l-Epinephrine | >100000 | -- |
| d/l-Epinephrine | >100000 | -- |
| Hydroxyamphetamine | 8000 | 12.5% |
| MET 1000(D(+)-Methamphetamine, Cutoff=1000ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| (+/-)3,4-Methylenedioxy-n-ethylamphetamine(MDEA) | 1000 | 100% |
| D/L-Methamphetamine | 1000 | 100% |
| p-Hydroxymethamphetamine | 30000 | 3.3% |
| D-Amphetamine | >100000 | -- |
| L-Amphetamine | 75000 | 1.3% |
| Chloroquine | 50000 | 2% |
| (+/-)-Ephedrine | 50000 | 2% |
| (-)-Methamphetamine | 25000 | 4% |
| (+/-)3,4-Methylenedioxyamphetamine (MDA) | 1000 | 100% |
| (+/-)3,4-Methylenedioxymethamphetamine(MDMA) | 4000 | 25% |
| β-Phenylethylamine | 50000 | 2% |
| Trimethobenzamide | 10000 | 10% |
| d,l-Amphetamine | 100000 | 1% |
| Mephetermine | 50000 | 2% |
| (1R,2S)-(-)-Ephedrine | >100000 | -- |
| l-phenylephrine | >100000 | -- |
| L-Methamphetamine | 25000 | 4% |
| OPI 2000(Morphine, Cutoff=2000ng/mL) | Minimum concentrationrequired to obtain apositive result (ng/mL) | % Cross-Reactivity |
|---|---|---|
| Codeine | 2000 | 100% |
| Ethyl Morphine | 1500 | 133% |
| Hydrocodone | 12500 | 16% |
| Hydromorphone | 3500 | 57% |
{25}------------------------------------------------
| Levorphanol | 75000 | 2.7% |
|---|---|---|
| 6-Monoacetylmorphine (6-MAM) | 1500 | 133% |
| Morphine 3-β-D-glucuronide | 2000 | 100% |
| Norcodeine | 12500 | 16% |
| Normorphine | 50000 | 4% |
| Oxycodone | 25000 | 8% |
| Oxymorphone | 25000 | 8% |
| Procaine | 150000 | 1.3% |
| Thebaine | 5000 | 40% |
| Heroin | 2000 | 100% |
| s-Monoacetylmorphine | 2000 | 100% |
f. Effect of Urine Specific Gravity and Urine pH
To investigate the effect of urine specific gravity, urine samples with specific gravity from 1.000 to 1.035 were spiked with target drugs at +25% cutoff and -25% cutoff levels. Three viewers tested each sample using test devices from three different lots. The results were all positive for samples at +25% cutoff and all negative for samples at -25% cutoff, indicating that urine specific gravity between 1.000 and 1.035 has no effect on the accuracy and precision of the test device.
To investigate the effect of urine pH, urine samples with pH value from 4 to 9 were spiked with target drugs at +25% cutoff and -25% cutoff levels. Three viewers tested each sample using test devices from three different lots. The results were all positive for samples at +25% cutoff and all negative for samples at -25% cutoff, indicating that urine pH value between 4.0 and 9.0 has no effect on the accuracy and precision of the test device.
-
- Comparison Studies
The method comparison studies for Wondfo T-Dip® Multi-Drug Urine Test Panel were performed in-house with three operators.
- Comparison Studies
Operators ran 80 (40 negative and 40 positive) unaltered urine samples were blind labeled and compared to LC/MS or GC/MS results are presented in the table below:
For T-Dip® Multi-Drug Urine Test Panel:
| WondfoT-Dip® | Drug-Free | LowNegative byGC/MS (lessthan -50%) | Near CutoffNegative byGC/MS(Between -50%and the Cutoff) | Near CutoffPositive byGC/MS(Between thecutoff and+50%) | High Positiveby GC/MS(greater than+50%) | |
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 2 | 30 | 10 |
| Negative | 10 | 17 | 11 | 0 | 0 | |
| Viewer B | Positive | 0 | 0 | 1 | 30 | 10 |
AMP 500
{26}------------------------------------------------
| Negative | 10 | 17 | 12 | 0 | 0 | |
|---|---|---|---|---|---|---|
| Viewer C | Positive | 0 | 0 | 1 | 30 | 10 |
| Negative | 10 | 17 | 12 | 0 | 0 |
Discordant Results for AMP 500:
| Viewer | Sample Number | LC/MS Result (ng/mL) | T-Dip Result |
|---|---|---|---|
| Viewer A | 20327 | 479.507 | + |
| Viewer B | 20327 | 479.507 | + |
| Viewer C | 20716 | 480.687 | + |
| Viewer A | 20716 | 480.687 | + |
BUP 10
| WondfoT-Dip® | Drug-Free | LowNegative byLC/MS (lessthan -50%) | Near CutoffNegative byLC/MS(Between -50%and the Cutoff) | Near CutoffPositive byLC/MS(Between thecutoff and+50%) | High Positiveby LC/MS(greater than+50%) | |
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 2 | 28 | 10 |
| Negative | 10 | 18 | 10 | 2 | 0 | |
| Viewer B | Positive | 0 | 0 | 2 | 28 | 10 |
| Negative | 10 | 18 | 10 | 2 | 0 | |
| Viewer C | Positive | 0 | 0 | 2 | 28 | 10 |
| Negative | 10 | 18 | 10 | 2 | 0 |
Discordant Results for BUP 10:
| Viewer | Sample Number | LC/MS Result (ng/mL) | T-Dip Result |
|---|---|---|---|
| Viewer A | 20181 | 10.039 | - |
| Viewer B | 20181 | 10.039 | - |
| Viewer C | 20181 | 10.039 | - |
| Viewer A | 20317 | 11.063 | - |
| Viewer B | 20317 | 11.063 | - |
| Viewer C | 20317 | 11.063 | - |
| Viewer A | 20644 | 8.226 | + |
| Viewer B | 20644 | 8.226 | + |
| Viewer C | 20644 | 8.226 | + |
| Viewer A | 20611 | 9.000 | + |
| Viewer B | 20611 | 9.000 | + |
| Viewer C | 20611 | 9.000 | + |
{27}------------------------------------------------
| WondfoT-Dip® | Drug-Free | LowNegative byLC/MS (lessthan -50%) | Near CutoffNegative byLC/MS(Between -50%and the Cutoff) | Near CutoffPositive byLC/MS(Between thecutoff and+50%) | High Positiveby LC/MS(greater than+50%) | |
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 1 | 29 | 11 |
| Negative | 10 | 19 | 10 | 0 | 0 | |
| Viewer B | Positive | 0 | 0 | 1 | 28 | 11 |
| Negative | 10 | 19 | 10 | 1 | 0 | |
| Viewer C | Positive | 0 | 0 | 1 | 28 | 11 |
| Negative | 10 | 19 | 10 | 1 | 0 |
Discordant Results for BAR 300:
| Viewer | Sample Number | LC/MS Result (ng/mL) | T-Dip Result |
|---|---|---|---|
| Viewer A | 20564 | 247.29 | + |
| Viewer B | 20564 | 247.29 | + |
| Viewer C | 20564 | 247.29 | + |
| Viewer B | 20332 | 307.799 | - |
| Viewer C | 20012 | 307.127 | - |
BZO 300
| WondfoT-Dip® | Drug-Free | Low Negative byLC/MS (lessthan -50%) | Near CutoffNegative byLC/MS(Between -50%and the Cutoff) | Near CutoffPositive byLC/MS(Between thecutoff and+50%) | High Positiveby LC/MS(greater than+50%) | |
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 2 | 29 | 10 |
| Negative | 10 | 15 | 13 | 1 | 0 | |
| Viewer B | Positive | 0 | 0 | 0 | 28 | 10 |
| Negative | 10 | 15 | 15 | 2 | 0 | |
| Viewer C | Positive | 0 | 0 | 3 | 29 | 10 |
| Negative | 10 | 15 | 12 | 1 | 0 |
Discordant Results for BZO 300:
| Viewer | Sample Number | LC/MS Result (ng/mL) | T-Dip Result |
|---|---|---|---|
| Viewer A | 20556 | 274.237 | + |
| Viewer C | 20556 | 274.237 | + |
| Viewer C | 20848 | 286.984 | + |
| Viewer A | 21006 | 289.534 | + |
{28}------------------------------------------------
| Viewer C | 21006 | 289.534 | + |
|---|---|---|---|
| Viewer A | 20605 | 307.387 | - |
| Viewer B | 20605 | 307.387 | - |
| Viewer C | 20605 | 307.387 | - |
| Viewer B | 20995 | 313.241 | - |
COC 150
| Wondfo T-Dip® | Drug-Free | LowNegative byGC/MS(less than -50%) | Near CutoffNegative byGC/MS(Between -50% and theCutoff) | Near CutoffPositive byGC/MS(Between thecutoff and+50%) | HighPositive byGC/MS(greaterthan +50%) | |
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 2 | 31 | 9 |
| Negative | 10 | 18 | 10 | 0 | 0 | |
| Viewer B | Positive | 0 | 0 | 1 | 30 | 9 |
| Negative | 10 | 18 | 11 | 1 | 0 | |
| Viewer C | Positive | 0 | 0 | 2 | 30 | 9 |
| Negative | 10 | 18 | 10 | 1 | 0 |
Discordant Results for COC 150:
| Viewer | Sample Number | LC/MS Result (ng/mL) | T-Dip Result |
|---|---|---|---|
| Viewer A | 21001 | 145.437 | + |
| Viewer B | 21001 | 145.437 | + |
| Viewer C | 20447 | 133.375 | + |
| Viewer A | 20261 | 146.311 | + |
| Viewer C | 20261 | 146.311 | + |
| Viewer B | 21126 | 162.825 | - |
| Viewer C | 21051 | 150.712 | - |
EDDP 300
| Wondfo T-Dip® | Drug-Free | LowNegative byLC/MS (lessthan -50%) | Near CutoffNegative byLC/MS(Between -50% and theCutoff) | Near CutoffPositive byLC/MS(Between thecutoff and+50%) | High Positiveby LC/MS(greater than+50%) | |
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 1 | 32 | 8 |
| Negative | 10 | 18 | 11 | 0 | 0 | |
| Viewer B | Positive | 0 | 0 | 1 | 32 | 8 |
{29}------------------------------------------------
| Negative | 10 | 18 | 11 | 0 | 0 | |
|---|---|---|---|---|---|---|
| Viewer C | Positive | 0 | 0 | 1 | 32 | 8 |
| Negative | 10 | 18 | 11 | 0 | 0 |
Discordant Results for EDDP 300:
| Viewer | Sample Number | LC/MS Result (ng/mL) | T-Dip Result |
|---|---|---|---|
| Viewer A | 21064 | 246.737 | + |
| Viewer B | 21064 | 246.737 | + |
| Viewer C | 21064 | 246.737 | + |
MET 500
| WondfoT-Dip® | Drug-Free | LowNegative byGC/MS (lessthan -50%) | Near CutoffNegative byGC/MS(Between -50%and the Cutoff) | Near CutoffPositive byGC/MS(Between thecutoff and+50%) | High Positiveby GC/MS(greater than+50%) | |
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 2 | 20 | 20 |
| Negative | 10 | 15 | 13 | 0 | 0 | |
| Viewer B | Positive | 0 | 0 | 2 | 20 | 20 |
| Negative | 10 | 15 | 13 | 0 | 0 | |
| Viewer C | Positive | 0 | 0 | 3 | 20 | 20 |
| Negative | 10 | 15 | 12 | 0 | 0 |
Discordant Results for MET 500:
| Viewer | Sample Number | LC/MS Result (ng/mL) | T-Dip Result |
|---|---|---|---|
| Viewer A | 20402 | 478.249 | + |
| Viewer B | 20402 | 478.249 | + |
| Viewer C | 20402 | 478.249 | + |
| Viewer A | 20731 | 499.295 | + |
| Viewer B | 20731 | 499.295 | + |
| Viewer C | 20731 | 499.295 | + |
| Viewer C | 20459 | 384.376 | + |
MDMA 500
| WondfoT-Dip® | Drug-Free | LowNegative byLC/MS (lessthan -50%) | Near CutoffNegative byLC/MS(Between -50%and the Cutoff) | Near CutoffPositive byLC/MS(Between thecutoff and+50%) | High Positiveby LC/MS(greater than+50%) |
|---|---|---|---|---|---|
| ------------------ | ----------- | ------------------------------------------------- | ------------------------------------------------------------------------- | ---------------------------------------------------------------------------- | ----------------------------------------------------- |
{30}------------------------------------------------
| Viewer A | Positive | 0 | 0 | 2 | 30 | 10 |
|---|---|---|---|---|---|---|
| Negative | 10 | 18 | 10 | 0 | 0 | |
| Viewer B | Positive | 0 | 0 | 2 | 30 | 10 |
| Negative | 10 | 18 | 10 | 0 | 0 | |
| Viewer C | Positive | 0 | 0 | 2 | 30 | 10 |
| Negative | 10 | 18 | 10 | 0 | 0 |
Discordant Results for MDMA 500:
| Viewer | Sample Number | LC/MS Result (ng/mL) | T-Dip Result |
|---|---|---|---|
| Viewer A | 21109 | 409.82 | + |
| Viewer B | 21109 | 409.82 | + |
| Viewer C | 21109 | 409.82 | + |
| Viewer A | 20810 | 417.972 | + |
| Viewer B | 20810 | 417.972 | + |
| Viewer C | 20810 | 417.972 | + |
MOP 300
| WondfoT-Dip® | Drug-Free | LowNegative byGC/MS (lessthan -50%) | Near CutoffNegative byGC/MS(Between -50%and the Cutoff) | Near CutoffPositive byGC/MS(Between thecutoff and+50%) | High Positiveby GC/MS(greater than+50%) | |
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 0 | 29 | 10 |
| Negative | 10 | 18 | 12 | 1 | 0 | |
| Viewer B | Positive | 0 | 0 | 0 | 29 | 10 |
| Negative | 10 | 18 | 12 | 1 | 0 | |
| Viewer C | Positive | 0 | 0 | 0 | 29 | 10 |
| Negative | 10 | 18 | 12 | 1 | 0 |
Discordant Results for MOP 300:
| Viewer | Sample Number | GC/MS Result (ng/mL) | T-Dip Result |
|---|---|---|---|
| Viewer A | 20893 | 304.731 | - |
| Viewer B | 20893 | 304.731 | - |
| Viewer C | 20893 | 304.731 | - |
MTD 300
| WondfoT-Dip® | Drug-Free | LowNegative byLC/MS (lessthan -50%) | Near CutoffNegative byLC/MS | Near CutoffPositive byLC/MS | High Positiveby LC/MS(greater than+50%) |
|---|---|---|---|---|---|
| ------------------ | ----------- | ------------------------------------------------- | ------------------------------------- | ------------------------------------- | ----------------------------------------------------- |
{31}------------------------------------------------
| (Between -50%and the Cutoff) | (Between thecutoff and+50%) | |||||
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 2 | 28 | 12 |
| Negative | 10 | 18 | 10 | 0 | 0 | |
| Viewer B | Positive | 0 | 0 | 1 | 27 | 12 |
| Negative | 10 | 18 | 11 | 1 | 0 | |
| Viewer C | Positive | 0 | 0 | 2 | 27 | 12 |
| Negative | 10 | 18 | 10 | 1 | 0 |
Discordant Results for MTD 300:
| Viewer | Sample Number | LC/MS Result (ng/mL) | T-Dip Result |
|---|---|---|---|
| Viewer A | 20646 | 282.733 | + |
| Viewer B | 20646 | 282.733 | + |
| Viewer C | 20646 | 282.733 | + |
| Viewer A | 20404 | 285.038 | + |
| Viewer C | 20404 | 285.038 | + |
| Viewer B | 20572 | 309.555 | - |
| Viewer C | 20572 | 309.555 | - |
OXY 100
| WondfoT-Dip® | Drug-Free | LowNegative byLC/MS (lessthan -50%) | Near CutoffNegative byLC/MS(Between -50%and the Cutoff) | Near CutoffPositive byLC/MS(Between thecutoff and+50%) | High Positiveby LC/MS(greater than+50%) | |
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 1 | 30 | 10 |
| Negative | 10 | 18 | 11 | 0 | 0 | |
| Viewer B | Positive | 0 | 0 | 1 | 29 | 10 |
| Negative | 10 | 18 | 11 | 1 | 0 | |
| Viewer C | Positive | 0 | 0 | 0 | 29 | 10 |
| Negative | 10 | 18 | 12 | 1 | 0 |
Discordant Results for OXY 100:
| Viewer | Sample Number | LC/MS Result (ng/mL) | T-Dip Result |
|---|---|---|---|
| Viewer A | 20008 | 75.7 | + |
| Viewer B | 20008 | 75.7 | + |
| Viewer B | 20840 | 113.792 | - |
| Viewer C | 20840 | 113.792 | - |
{32}------------------------------------------------
PCP 25
| WondfoT-Dip® | Drug-Free | LowNegative byLC/MS (lessthan -50%) | Near CutoffNegative byLC/MS(Between -50%and the Cutoff) | Near CutoffPositive byLC/MS(Between thecutoff and+50%) | High Positiveby LC/MS(greater than+50%) | |
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 1 | 28 | 10 |
| Negative | 10 | 20 | 9 | 2 | 0 | |
| Viewer B | Positive | 0 | 0 | 1 | 29 | 10 |
| Negative | 10 | 20 | 9 | 1 | 0 | |
| Viewer C | Positive | 0 | 0 | 1 | 29 | 10 |
| Negative | 10 | 20 | 9 | 1 | 0 |
Discordant Results for PCP 25:
| Viewer | Sample Number | LC/MS Result (ng/mL) | T-Dip Result |
|---|---|---|---|
| Viewer A | 21197 | 20.203 | + |
| Viewer B | 21197 | 20.203 | + |
| Viewer C | 21197 | 20.203 | + |
| Viewer A | 20041 | 25.049 | - |
| Viewer B | 20041 | 25.049 | - |
| Viewer C | 20065 | 25.105 | - |
| Viewer A | 20065 | 25.105 | - |
PPX 300
| WondfoT-Dip® | Drug-Free | LowNegative byLC/MS (lessthan -50%) | Near CutoffNegative byLC/MS(Between -50%and the Cutoff) | Near CutoffPositive byLC/MS(Between thecutoff and+50%) | High Positiveby LC/MS(greater than+50%) | |
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 2 | 31 | 8 |
| Negative | 10 | 17 | 11 | 1 | 0 | |
| Viewer B | Positive | 0 | 0 | 2 | 31 | 8 |
| Negative | 10 | 17 | 11 | 1 | 0 | |
| Viewer C | Positive | 0 | 0 | 2 | 31 | 8 |
| Negative | 10 | 17 | 11 | 1 | 0 |
Discordant Results for PPX 300:
| Viewer | Sample Number | LC/MS Result (ng/mL) | T-Dip Result |
|---|---|---|---|
| Viewer A | 20831 | 245.38 | + |
{33}------------------------------------------------
| Viewer B | 20831 | 245.38 | + |
|---|---|---|---|
| Viewer C | 20831 | 245.38 | + |
| Viewer A | 20108 | 252.045 | + |
| Viewer B | 20108 | 252.045 | + |
| Viewer C | 20108 | 252.045 | + |
| Viewer A | 20805 | 314.373 | - |
| Viewer B | 20805 | 314.373 | - |
| Viewer C | 20805 | 314.373 | - |
TCA 1000
| WondfoT-Dip® | ||||||
|---|---|---|---|---|---|---|
| Drug-Free | LowNegative byLC/MS (lessthan -50%) | Near CutoffNegative byLC/MS(Between -50%and the Cutoff) | Near CutoffPositive byLC/MS(Between thecutoff and+50%) | High Positiveby LC/MS(greater than+50%) | ||
| Viewer A | Positive | 0 | 0 | 2 | 29 | 10 |
| Negative | 10 | 18 | 10 | 1 | 0 | |
| Viewer B | Positive | 0 | 0 | 2 | 29 | 10 |
| Negative | 10 | 18 | 10 | 1 | 0 | |
| Viewer C | Positive | 0 | 0 | 2 | 29 | 10 |
| Negative | 10 | 18 | 10 | 1 | 0 |
Discordant Results for TCA 1000:
| Viewer | Sample Number | LC/MS Result (ng/mL) | T-Dip Result |
|---|---|---|---|
| Viewer A | 20720 | 806.195 | + |
| Viewer B | 20720 | 806.195 | + |
| Viewer C | 20720 | 806.195 | + |
| Viewer A | 20937 | 812.065 | + |
| Viewer B | 20937 | 812.065 | + |
| Viewer C | 20937 | 812.065 | + |
| Viewer A | 20534 | 1007.857 | - |
| Viewer B | 20534 | 1007.857 | - |
| Viewer C | 20534 | 1007.857 | - |
THC 50
| WondfoT-Dip® | Drug-Free | LowNegative byLC/MS (lessthan -50%) | Near CutoffNegative byLC/MS(Between -50%and the Cutoff) | Near CutoffPositive byLC/MS | High Positiveby LC/MS(greater than+50%) | |
|---|---|---|---|---|---|---|
| ------------------ | -- | ----------- | ------------------------------------------------- | ------------------------------------------------------------------------- | ------------------------------------- | ----------------------------------------------------- |
{34}------------------------------------------------
| (Between thecutoff and+50%) | ||||||
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 2 | 30 | 10 |
| Negative | 10 | 19 | 9 | 0 | 0 | |
| Viewer B | Positive | 0 | 0 | 2 | 30 | 10 |
| Negative | 10 | 19 | 9 | 0 | 0 | |
| Viewer C | Positive | 0 | 0 | 2 | 30 | 10 |
| Negative | 10 | 19 | 9 | 0 | 0 |
Discordant Results for THC 50:
| Viewer | Sample Number | LC/MS Result (ng/mL) | T-Dip Result |
|---|---|---|---|
| Viewer A | 20822 | 45.118 | + |
| Viewer B | 20822 | 45.118 | + |
| Viewer C | 20822 | 45.118 | + |
| Viewer A | 20385 | 43.304 | + |
| Viewer B | 20385 | 43.304 | + |
| Viewer C | 20385 | 43.304 | + |
AMP 1000
| WondfoT-Dip® | Drug-Free | LowNegative byLC/MS (lessthan -50%) | Near CutoffNegative byLC/MS(Between -50%and the Cutoff) | Near CutoffPositive byLC/MS(Between thecutoff and+50%) | High Positiveby LC/MS(greater than+50%) | |
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 1 | 30 | 10 |
| Negative | 10 | 16 | 13 | 0 | 0 | |
| Viewer B | Positive | 0 | 0 | 1 | 28 | 10 |
| Negative | 10 | 16 | 13 | 2 | 0 | |
| Viewer C | Positive | 0 | 0 | 1 | 28 | 10 |
| Negative | 10 | 16 | 13 | 2 | 0 |
Discordant Results for AMP 1000:
| Viewer | Sample Number | LC/MS Result (ng/mL) | T-Dip Result |
|---|---|---|---|
| Viewer A | 21354 | 797.646 | + |
| Viewer B | 21354 | 797.646 | + |
| Viewer C | 21354 | 797.646 | + |
| Viewer B | 21426 | 1012.27 | - |
| Viewer C | 21426 | 1012.27 | - |
| Viewer B | 21240 | 1014.805 | - |
{35}------------------------------------------------
| Viewer C | 21240 | 1014.805 | - |
|---|---|---|---|
| ---------- | ------- | ---------- | --- |
COC 300
| WondfoT-Dip® | Drug-Free | LowNegative byLC/MS (lessthan -50%) | Near CutoffNegative byLC/MS(Between -50%and the Cutoff) | Near CutoffPositive byLC/MS(Between thecutoff and+50%) | High Positiveby LC/MS(greater than+50%) | |
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 3 | 28 | 11 |
| Negative | 10 | 13 | 14 | 1 | 0 | |
| Viewer B | Positive | 0 | 0 | 3 | 28 | 11 |
| Negative | 10 | 13 | 14 | 1 | 0 | |
| Viewer C | Positive | 0 | 0 | 3 | 28 | 11 |
| Negative | 10 | 13 | 14 | 1 | 0 |
Discordant Results for COC 300:
| Viewer | Sample Number | LC/MS Result | T-Dip Result |
|---|---|---|---|
| Viewer A | 21495 | 283.934 | + |
| Viewer B | 21495 | 283.934 | + |
| Viewer C | 21495 | 283.934 | + |
| Viewer A | 21503 | 292.623 | + |
| Viewer B | 21503 | 292.623 | + |
| Viewer C | 21503 | 292.623 | + |
| Viewer A | 21368 | 293.871 | + |
| Viewer B | 21368 | 293.871 | + |
| Viewer C | 21368 | 293.871 | + |
| Viewer A | 21467 | 309.73 | - |
| Viewer B | 21467 | 309.73 | - |
| Viewer C | 21467 | 309.73 | - |
MET 1000
| WondfoT-Dip® | Drug-Free | LowNegative byLC/MS (lessthan -50%) | Near CutoffNegative byLC/MS(Between -50%and the Cutoff) | Near CutoffPositive byLC/MS(Between thecutoff and+50%) | High Positiveby LC/MS(greater than+50%) | |
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 2 | 24 | 15 |
| Negative | 10 | 18 | 10 | 1 | 0 | |
| Viewer B | Positive | 0 | 0 | 2 | 24 | 15 |
| Negative | 10 | 18 | 10 | 1 | 0 |
{36}------------------------------------------------
| Y T "Viewer C | Positive | J | ﺎ ﻓﻲ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ | |
|---|---|---|---|---|
| Negative |
Discordant Results for MET 1000:
| Viewer | Sample Number | LC/MS Result | T-Dip Result |
|---|---|---|---|
| Viewer A | 21253 | 888.241 | + |
| Viewer B | 21253 | 888.241 | + |
| Viewer C | 21253 | 888.241 | + |
| Viewer A | 21334 | 890.705 | + |
| Viewer B | 21334 | 890.705 | + |
| Viewer C | 21334 | 890.705 | + |
| Viewer A | 21375 | 1036.001 | - |
| Viewer B | 21375 | 1036.001 | - |
| Viewer C | 21375 | 1036.001 | - |
OPI 2000
| WondfoQ-Cup | Drug-Free | LowNegative byLC/MS (lessthan -50%) | Near CutoffNegative byLC/MS(Between -50%and the Cutoff) | Near CutoffPositive byLC/MS(Between thecutoff and +50%) | High Positiveby LC/MS(greater than+50%) | |
|---|---|---|---|---|---|---|
| Viewer A | Positive | 0 | 0 | 2 | 30 | 10 |
| Negative | 10 | 18 | 10 | 0 | 0 | |
| Viewer B | Positive | 0 | 0 | 3 | 30 | 10 |
| Negative | 10 | 18 | 9 | 0 | 0 | |
| Viewer C | Positive | 0 | 0 | 1 | 30 | 10 |
| Negative | 10 | 18 | 11 | 0 | 0 |
Discordant Results for OPI 2000:
| Viewer | Sample Number | LC/MS Result | T-Dip Result |
|---|---|---|---|
| Viewer A | 21270 | 1830.086 | + |
| Viewer B | 21270 | 1830.086 | + |
| Viewer C | 21270 | 1830.086 | + |
| Viewer B | 21453 | 1882.994 | + |
| Viewer A | 21429 | 1947.150 | + |
| Viewer B | 21429 | 1947.150 | + |
Lay-user study:
A lay user study was performed using urine samples prepared at the following concentrations; -100%, +/-75%, +/-50%, +/-25% of the cutoff by spiking drug(s) into drug free-pooled urine specimens. The
{37}------------------------------------------------
concentrations of the samples were confirmed by LC/MS or GC/MS. Each sample was aliquoted into individual containers and blind-labeled. A total of 280 participants with diverse educational and professional backgrounds aged 20 years and older were recruited from three sites. Ninety-four males and 46 females tested T-Dip® Multi-Drug Urine Test Panel Configuration 1 (including AMP 500, MET 500, MOP 300, COC 150); 88 male and 52 females tested T-Dip® Multi-Drug Urine Test Panel Configuration 2 (including AMP 1000, MET 1000, MOP 2000 (OPI), COC 300). Each participant was provided one package insert, one blind labeled test solution, and one test device. The results are summarized below:
Lay-User Study Results for T-Dip® Multi-Drug Urine Test Panel Configuration 1 (including AMP 500, MET 500, MOP 300, COC 150):
| Assay | Results | Concentration | ||||||
|---|---|---|---|---|---|---|---|---|
| -100% | -75% | -50% | -25% | +25% | +50% | +75% | ||
| cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | cutoff | ||
| Negative | 20 | 20 | 20 | 19 | 2 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 1 | 18 | 20 | 20 | |
| AMP 500 | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| Percentage ofcorrect results (%) | 100% | 100% | 100% | 95% | 90% | 100% | 100% | |
| Negative | 20 | 20 | 20 | 18 | 2 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 2 | 18 | 20 | 20 | |
| BAR 300 | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| Percentage ofcorrect results (%) | 100% | 100% | 100% | 90% | 90% | 100% | 100% | |
| Negative | 20 | 20 | 20 | 18 | 2 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 2 | 18 | 20 | 20 | |
| BZO 300 | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| Percentage ofcorrect results (%) | 100% | 100% | 100% | 90% | 90% | 100% | 100% | |
| Negative | 20 | 20 | 20 | 17 | 2 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 3 | 18 | 20 | 20 | |
| BUP 10 | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| Percentage ofcorrect results (%) | 100% | 100% | 100% | 85% | 90% | 100% | 100% | |
| Negative | 20 | 20 | 20 | 18 | 2 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 2 | 18 | 20 | 20 | |
| COC 150 | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| Percentage ofcorrect results (%) | 100% | 100% | 100% | 90% | 90% | 100% | 100% | |
| Negative | 20 | 20 | 20 | 18 | 1 | 0 | 0 | |
| EDDP 300 | Positive | 0 | 0 | 0 | 2 | 19 | 20 | 20 |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| Percentage ofcorrect results (%) | 100% | 100% | 100% | 90% | 95% | 100% | 100% | |
| MDMA 500 | Negative | 20 | 20 | 20 | 18 | 1 | 0 | 0 |
| Positive | 0 | 0 | 0 | 2 | 19 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| MET 500 | Percentage ofcorrect results (%) | 100% | 100% | 100% | 90% | 95% | 100% | 100% |
| Negative | 20 | 20 | 20 | 18 | 2 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 2 | 18 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| MOP 300 | Percentage ofcorrect results (%) | 100% | 100% | 100% | 90% | 90% | 100% | 100% |
| Negative | 20 | 20 | 20 | 18 | 2 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 2 | 18 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| MTD 300 | Percentage ofcorrect results (%) | 100% | 100% | 100% | 90% | 90% | 100% | 100% |
| Negative | 20 | 20 | 20 | 18 | 3 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 2 | 17 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| OXY 100 | Percentage ofcorrect results (%) | 100% | 100% | 100% | 90% | 85% | 100% | 100% |
| Negative | 20 | 20 | 20 | 18 | 2 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 2 | 18 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| PCP 25 | Percentage ofcorrect results (%) | 100% | 100% | 100% | 90% | 90% | 100% | 100% |
| Negative | 20 | 20 | 20 | 17 | 2 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 3 | 18 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| PPX 300 | Percentage ofcorrect results (%) | 100% | 100% | 100% | 85% | 90% | 100% | 100% |
| Negative | 20 | 20 | 20 | 18 | 3 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 2 | 17 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| TCA 1000 | Percentage ofcorrect results (%) | 100% | 100% | 100% | 90% | 85% | 100% | 100% |
| Negative | 20 | 20 | 20 | 19 | 2 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 1 | 18 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| Percentage ofcorrect results (%) | 100% | 100% | 100% | 95% | 90% | 100% | 100% | |
| THC 50 | Negative | 20 | 20 | 20 | 18 | 1 | 0 | 0 |
| Positive | 0 | 0 | 0 | 2 | 19 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| Percentage ofcorrect results (%) | 100% | 100% | 100% | 90% | 95% | 100% | 100% |
{38}------------------------------------------------
{39}------------------------------------------------
Lay-User Study Results for T-Dip® Multi-Drug Urine Test Panel Configuration 2 (AMP 1000, MET 1000, MOP 2000 (OPI), COC 300):
| Assay | Results | Concentration | ||||||
|---|---|---|---|---|---|---|---|---|
| -100%cutoff | -75%cutoff | -50%cutoff | -25%cutoff | +25%cutoff | +50%cutoff | +75%cutoff | ||
| Negative | 20 | 20 | 20 | 19 | 1 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 1 | 19 | 20 | 20 | |
| AMP 1000 | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| Percentage ofcorrect results (%) | 100% | 100% | 100% | 95% | 95% | 100% | 100% | |
| Negative | 20 | 20 | 20 | 19 | 2 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 1 | 18 | 20 | 20 | |
| BAR 300 | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| Percentage ofcorrect results (%) | 100% | 100% | 100% | 95% | 90% | 100% | 100% | |
| Negative | 20 | 20 | 20 | 18 | 2 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 2 | 18 | 20 | 20 | |
| BZO 300 | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| Percentage ofcorrect results (%) | 100% | 100% | 100% | 90% | 90% | 100% | 100% | |
| Negative | 20 | 20 | 20 | 18 | 3 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 2 | 17 | 20 | 20 | |
| BUP 10 | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| Percentage ofcorrect results (%) | 100% | 100% | 100% | 90% | 85% | 100% | 100% | |
| Negative | 20 | 20 | 20 | 19 | 2 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 1 | 18 | 20 | 20 | |
| COC 300 | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| Percentage ofcorrect results (%) | 100% | 100% | 100% | 95% | 90% | 100% | 100% | |
| Negative | 20 | 20 | 20 | 18 | 2 | 0 | 0 | |
| Positive | 0 | 0 | 0 | 2 | 18 | 20 | 20 | |
| EDDP 300 | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| Percentage ofcorrect results (%) | 100% | 100% | 100% | 90% | 90% | 100% | 100% | |
| MDMA 500 | Negative | 20 | 20 | 20 | 18 | 2 | 0 | 0 |
| Positive | 0 | 0 | 0 | 2 | 18 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| Percentage of | 100% | 100% | 100% | 90% | 90% | 100% | 100% | |
| correct results (%) | ||||||||
| MET 1000 | Negative | 20 | 20 | 20 | 19 | 1 | 0 | 0 |
| Positive | 0 | 0 | 0 | 1 | 19 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| Percentage of | 100% | 100% | 100% | 95% | 95% | 100% | 100% | |
| correct results (%) | ||||||||
| OPI 2000 | Negative | 20 | 20 | 20 | 20 | 0 | 0 | 0 |
| Positive | 0 | 0 | 0 | 0 | 20 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| Percentage of | 100% | 100% | 100% | 100% | 100% | 100% | 100% | |
| correct results (%) | ||||||||
| MTD 300 | Negative | 20 | 20 | 20 | 18 | 2 | 0 | 0 |
| Positive | 0 | 0 | 0 | 2 | 18 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| Percentage of | 100% | 100% | 100% | 90% | 90% | 100% | 100% | |
| correct results (%) | ||||||||
| OXY 100 | Negative | 20 | 20 | 20 | 18 | 1 | 0 | 0 |
| Positive | 0 | 0 | 0 | 2 | 19 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| Percentage of | 100% | 100% | 100% | 90% | 95% | 100% | 100% | |
| correct results (%) | ||||||||
| PCP 25 | Negative | 20 | 20 | 20 | 18 | 2 | 0 | 0 |
| Positive | 0 | 0 | 0 | 2 | 18 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| Percentage of | 100% | 100% | 100% | 90% | 90% | 100% | 100% | |
| correct results (%) | ||||||||
| PPX 300 | Negative | 20 | 20 | 20 | 19 | 2 | 0 | 0 |
| Positive | 0 | 0 | 0 | 1 | 18 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| Percentage of | 100% | 100% | 100% | 95% | 90% | 100% | 100% | |
| correct results (%) | ||||||||
| TCA 1000 | Negative | 20 | 20 | 20 | 20 | 0 | 0 | 0 |
| Positive | 0 | 0 | 0 | 0 | 20 | 20 | 20 | |
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| Percentage of | 100% | 100% | 100% | 100% | 100% | 100% | 100% | |
| correct results (%) | ||||||||
| Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 | |
| Percentage ofcorrect results (%) | 100% | 100% | 100% | 90% | 90% | 100% | 100% |
{40}------------------------------------------------
{41}------------------------------------------------
Participants were given surveys on the ease of understanding the instruction for use. All participants indicated that the device instruction is easy to understand and follow. A Flesch-Kincaid reading analysis was performed on each package insert and the scores revealed a reading Grade Level of 7.
Clinical Studies:
Not applicable.
12. Conclusion
Based on the test principle and performance characteristics of the device including precision, cut-off, interference, specificity, method comparison and lay-user studies of the devices, it's concluded that WondfoT-Dip® Multi-Drug Urine Test Panel and Wondfo T-Dip® Multi-Drug Urine Test Panel Rx are substantially equivalent to the predicate devices.
§ 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).