K Number
K241100
Device Name
Rapid Urine Fentanyl (FYL) Test Strip; Rapid Urine Fentanyl (FYL) Test Dipcard
Date Cleared
2024-05-22

(30 days)

Product Code
Regulation Number
862.3650
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Rapid Urine Fentanyl (FYL) Test Strip is a rapid, screening test for the qualitative detection of Fentanyl (FYL) in human urine at the cut-off concentration of 1 ng/mL. For in vitro diagnostic use only. This assay provides only a preliminary analytical test result. To obtain a confirmed analytical result, a more specific alternative chemical method must be used. GC/MS or LC/MS is the preferred confirmatory method. Rapid Urine Fentanyl (FYL) Test Dipcard is a rapid, screening test for the qualitative detection of Fentanyl (FYL) in human urine at the cut-off concentration of 1 ng/mL. For in vitro diagnostic use only. This assay provides only a preliminary analytical test result. To obtain a confirmed analytical result, a more specific alternative chemical method must be used. GC/MS is the preferred confirmatory method.
Device Description
Rapid Urine Fentanyl (FYL) Test Strip and Rapid Urine Fentanyl (FYL) Test Dipcard are competitive binding, lateral flow immunochromatographic assays for qualitatively the detection of fentanyl at or above the cut-off concentration of 1 ng/mL. The tests can be performed without the use of an instrument. Test Strip and Test Dipcard use identical test strips made with same chemical formulation and manufacturing procedures.
More Information

Not Found

No
The device description and performance studies indicate a simple lateral flow immunoassay, which does not involve AI or ML. The text explicitly states "Mentions AI, DNN, or ML: Not Found".

No.
This device is an in vitro diagnostic (IVD) test for screening fentanyl in urine, used for qualitative detection, not for treating a condition.

Yes

The "Intended Use / Indications for Use" section explicitly states "For in vitro diagnostic use only," which confirms its diagnostic purpose.

No

The device is described as a physical test strip and dipcard that uses immunochromatographic assays to detect fentanyl in urine. It is explicitly stated that the tests can be performed without the use of an instrument, indicating it is a hardware-based in vitro diagnostic device, not software.

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

Here's why:

  • Explicit Statement: The "Intended Use / Indications for Use" section explicitly states "For in vitro diagnostic use only."
  • Nature of the Test: The device is designed to detect a substance (Fentanyl) in a biological sample (human urine) to provide information about a person's health status (presence of Fentanyl). This is the core definition of an in vitro diagnostic device.
  • Testing in a Lab Setting (Implicit): While the intended user is Over-The-Counter, the test is performed on a sample taken from the body and analyzed outside of the body, which is characteristic of an in vitro test.

N/A

Intended Use / Indications for Use

Rapid Urine Fentanyl (FYL) Test Strip is a rapid, screening test for the qualitative detection of Fentanyl (FYL) in human urine at the cut-off concentration of 1 ng/mL.
For in vitro diagnostic use only.
This assay provides only a preliminary analytical test result. To obtain a confirmed analytical result, a more specific alternative chemical method must be used. GC/MS or LC/MS is the preferred confirmatory method.

Rapid Urine Fentanyl (FYL) Test Dipcard is a rapid, screening test for the qualitative detection of Fentanyl (FYL) in human urine at the cut-off concentration of 1 ng/mL.
For in vitro diagnostic use only.
This assay provides only a preliminary analytical test result. To obtain a confirmed analytical result, a more specific alternative chemical method must be used. GC/MS or LC/MS is the preferred confirmatory method.

Product codes

NGL

Device Description

Rapid Urine Fentanyl (FYL) Test Strip and Rapid Urine Fentanyl (FYL) Test Dipcard are competitive binding, lateral flow immunochromatographic assays for qualitatively the detection of fentanyl at or above the cut-off concentration of 1 ng/mL. The tests can be performed without the use of an instrument.
Test Strip and Test Dipcard use identical test strips made with same chemical formulation and manufacturing procedures.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Over-The-Counter Use

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

A lay user study was performed at three intended user sites with 360 lay persons. They had diverse educational and professional backgrounds and ranged in age from 18 to 65 years. Urine samples were prepared at the following concentrations: 0, +/- 50% cutoff, +/- 25% cutoff and +100% cutoff by spiking target drug fentanyl into drug free urine specimens. The concentrations of samples were confirmed by LC/MS. Each sample was aliquoted into individual containers, blind-labeled and randomized. Each participant was provided with the English package insert, 1 blind labeled sample, and a device.

Key Metrics

Rapid Urine Fentanyl (FYL) Test Strip:

  • 0ng/ml, Negative: 100% Agreement
  • 0.5ng/ml, -50%cutoff: 100% Agreement
  • 0.75ng/ml, -25%cutoff: 93% Agreement
  • 1.25ng/ml, +25%cutoff: 97% Agreement
  • 1.5ng/ml, +50%cutoff: 100% Agreement
  • 2ng/ml, +100%cutoff: 100% Agreement

Rapid Urine Fentanyl (FYL) Test Dipcard:

  • 0ng/ml, Negative: 100% Agreement
  • 0.5ng/ml, -50%cutoff: 100% Agreement
  • 0.75ng/ml, -25%cutoff: 97% Agreement
  • 1.25ng/ml, +25%cutoff: 90% Agreement
  • 1.5ng/ml, +50%cutoff: 100% Agreement
  • 2ng/ml, +100%cutoff: 100% Agreement

Predicate Device(s)

K231904

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.3650 Opiate test system.

(a)
Identification. An opiate test system is a device intended to measure any of the addictive narcotic pain-relieving opiate drugs in blood, serum, urine, gastric contents, and saliva. An opiate is any natural or synthetic drug that has morphine-like pharmocological actions. The opiates include drugs such as morphine, morphine glucoronide, heroin, codeine, nalorphine, and meperedine. Measurements obtained by this device are used in the diagnosis and treatment of opiate use or overdose and in monitoring the levels of opiate administration to ensure appropriate therapy.(b)
Classification. Class II (special controls). An opiate test system is not exempt if it is intended for any use other than employment or insurance testing or is intended for Federal drug testing programs. The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9, provided the test system is intended for employment and insurance testing and includes a statement in the labeling that the device is intended solely for use in employment and insurance testing, and does not include devices intended for Federal drug testing programs (e.g., programs run by the Substance Abuse and Mental Health Services Administration (SAMHSA), the Department of Transportation (DOT), and the U.S. military).

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Co-Innovation Biotech Co.,Ltd. Hong Feng Product Manager No.9 Baihe 3 Street, Economic And Technological Development East Zone Guangzhou, 510530, Guangdong P.R. China

Re: K241100

Trade/Device Name: Rapid Urine Fentanyl (FYL) Test Strip: Rapid Urine Fentanyl (FYL) Test Dipcard Regulation Number: 21 CFR 862.3650 Regulation Name: Opiate test system Regulatory Class: Class II Product Code: NGL Dated: April 22, 2024 Received: April 22, 2024

Dear Hong Feng:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

1

2

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review. the OS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safetyreporting-combination-products); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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,

Joseph A.
Kotarek -S
Digitally signed by Joseph A.
Kotarek -S
Date: 2024.05.22 12:02:56 -04'00"

Joseph Kotarek Branch Chief Division of Chemistry and Toxicology Devices OHT7: Office of In Vitro Diagnostics Office of Product Evaluation and Quality Center for Devices and Radiological Health

2

Indications for Use

510(k) Number (if known) K241100

Device Name

Rapid Urine Fentanyl (FYL) Test Strip Rapid Urine Fentanyl (FYL) Test Dipcard

Indications for Use (Describe)

Rapid Urine Fentanyl (FYL) Test Strip is a rapid, screening test for the qualitative detection of Fentanyl (FYL) in human urine at the cut-off concentration of 1 ng/mL.

For in vitro diagnostic use only.

This assay provides only a preliminary analytical test result. To obtain a confirmed analytical result, a more specific alternative chemical method must be used. GC/MS or LC/MS is the preferred confirmatory method.

Rapid Urine Fentanyl (FYL) Test Dipcard is a rapid, screening test for the qualitative detection of Fentanyl (FYL) in human urine at the cut-off concentration of 1 ng/mL.

For in vitro diagnostic use only.

This assay provides only a preliminary analytical test result. To obtain a confirmed analytical result, a more specific alternative chemical method must be used. GC/MS is the preferred 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)

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Section 5 - 510(k) Summary

Date of Summary Preparation: May 22, 2024 510 (K) number:K241100

1. Submitter's Identifications

Submitter: Co-Innovation Biotech Co., Ltd. Address: No.9 Baihe 3 Street, Economic And Technological Development East Zone , Guangzhou,510530, Guangdong P.R. CHINA Contact Person: Hong Feng Contact Email Address: fenghongfda@126.com Telephone: + 86 -20-82109823 Fax: + 86 -20-82109823

2. Correspondent's Identifications

Correspondent's Name: Co-Innovation Biotech Co., Ltd. Address: No.9 Baihe 3 Street, Economic And Technological Development East Zone , Guangzhou,510530, Guangdong P.R. CHINA Contact Person: Hong Feng Contact Email Address: fenghongfda(@126.com Telephone: + 86 -20-82109823 Fax: + 86 -20-82109823

3. Name of the Device

Recommended classification regulation:

21 CFR 862.3650 Opiate test system

Device class: ClassII Panel: Toxicology (91) Product code: NGL Common Name:

Fentanyl (FYL) Test System

Proprietary names:

Rapid Urine Fentanyl (FYL) Test Strip Rapid Urine Fentanyl (FYL) Test Dipcard

4. The Predicate Devices

  • K231904 Rapid Fentanyl (FYL) Test Strip Rapid Fentanyl (FYL) Test Dipcard

4

5. Device Description

Rapid Urine Fentanyl (FYL) Test Strip and Rapid Urine Fentanyl (FYL) Test Dipcard are competitive binding, lateral flow immunochromatographic assays for qualitatively the detection of fentanyl at or above the cut-off concentration of 1 ng/mL. The tests can be performed without the use of an instrument.

Test Strip and Test Dipcard use identical test strips made with same chemical formulation and manufacturing procedures.

6. Intended Use of Device

Rapid Urine Fentanyl (FYL) Test Strip is a rapid, screening test for the qualitative detection of Fentanyl (FYL) in human urine at the cut-off concentration of 1 ng/mL.

For in vitro diagnostic use only.

This assay provides only a preliminary analytical test result. To obtain a confirmed analytical result, a more specific alternative chemical method must be used. GC/MS or LC/MS is the preferred confirmatory method.

Rapid Urine Fentanyl (FYL) Test Dipcard is a rapid, screening test for the qualitative detection of Fentanyl (FYL) in human urine at the cut-off concentration of 1 ng/mL.

For in vitro diagnostic use only.

This assay provides only a preliminary analytical test result. To obtain a confirmed analytical result, a more specific alternative chemical method must be used. GC/MS or LC/MS is the preferred confirmatory method.

7. Substantial Equivalence Information:

A summary comparison of features of Rapid Urine Fentanyl (FYL) Test Strip, Rapid Urine Fentanyl (FYL) Test Dipcard and the predicate devices is provided in the following Table:

ItemDevicePredicate (K231904)
Indication for useQualitative detection of fentanyl in urineSame
Intended UseOver-The-Counter UsePrescription Use
SpecimenUrineSame
Cutoff1 ng/mLSame
ResultsQualitativeSame
MethodologyCompetitive binding, Lateral flow
immunochromatographic assay based
on the principle of antigen antibodySame

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immunochemistry
ConfigurationStrip and DipcardSame
Platform RequiredNoSame
Storage4-30°CSame

Remark:

The subject devices have all features of the predicate device except Intended Use.

8. Performance Characteristics:

8.1 Analytical Performance Clearance of candidate device is for addition of OTC claim. See analytical performance in predicate K231904.

8.2 Comparison Studies See studies in predicate K231904.

8.3 Lay User Study

A lay user study was performed at three intended user sites with 360 lay persons. They had diverse educational and professional backgrounds and ranged in age from 18 to 65 years. Urine samples were prepared at the following concentrations: 0, +/- 50% cutoff, +/- 25% cutoff and +100% cutoff by spiking target drug fentanyl into drug free urine specimens. The concentrations of samples were confirmed by LC/MS. Each sample was aliquoted into individual containers, blind-labeled and randomized. Each participant was provided with the English package insert, 1 blind labeled sample, and a device. Results were as follows:

| Approximate
concentration
of sample | % of cutoff | Number of
determinations per lot | Layer user Results | | Agreement
(%) |
|-------------------------------------------|-------------|-------------------------------------|--------------------|----|------------------|
| 0ng/ml | Negative | 30 | 0 | 30 | 100% |
| 0.5ng/ml | -50%cutoff | 30 | 0 | 30 | 100% |
| 0.75ng/ml | -25%cutoff | 30 | 2 | 28 | 93% |
| 1.25ng/ml | +25%cutoff | 30 | 29 | 1 | 97% |
| 1.5ng/ml | +50%cutoff | 30 | 30 | 0 | 100% |
| 2ng/ml | +100%cutoff | 30 | 30 | 0 | 100% |

Rapid Urine Fentanyl (FYL) Test Strip:

Rapid Urine Fentanyl (FYL) Test Dipcard:

| Approximate
concentration | % of cutoff | Number of
determinations | Layer user Results | | Agreement
(%) |
|------------------------------|-------------|-----------------------------|--------------------|----------|------------------|
| | | | Positive | Negative | |

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of sampleons per lot
0ng/mlNegative30030100%
0.5ng/ml-50%cutoff30030100%
0.75ng/ml-25%cutoff3012997%
1.25ng/ml+25%cutoff3027390%
1.5ng/ml+50%cutoff30300100%
2ng/ml+100%cutoff30300100%

9. Conclusion:

Based on the test principle and performance characteristics of the device, it's concluded that Rapid Urine Fentanyl (FYL) Test is substantially equivalent to the predicate