K Number
K250067
Device Name
Dochek® Multi-Drug Urine Test Cup; Dochek® Multi-Drug Urine Test Cup Pro
Date Cleared
2025-02-20

(41 days)

Regulation Number
862.3650
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Dochek® Multi-Drug Urine Test Cup is an immunoassay for the qualitative determination of single or multiple drugs in human urine at the following cutoff concentrations. Dochek® Multi-Drug Urine Test Cup offers any combinations from 1 to 17 drugs but only one cutoff concentration under same drug condition will be included per device. It is intended for over-the-counter (OTC) use. For in vitro diagnostic use only. The test provides only preliminary results. Clinical consideration and professional judgment should be applied to any drug of abuse test result, particularly in evaluating a postive result. To obtain a confirmed analytical result, a more specific alternate chemical method is needed. GC/MS or LC/MS is the recommended confirmatory method. Dochek® Multi-Drug Urine Test Cup Pro is an immunoassay for the qualitative determination of single or multiple drugs in human urine at the following cutoff concentrations. Dochek® Multi-Drug Urine Test Cup Pro offers any combinations from 1 to 17 drugs but only one cutoff concentration under same drug condition will be included per device. For in vitro diagnostic use only. The test provides only preliminary results. Clinical consideration and professional judgment should be applied to any drug of abuse test result, particularly in evaluating a preliminary positive result. To obtain a confirmed analytical result, a more specific alternate chemical method is needed. GC/MS or LC/MS is the recommended confirmatory method.
Device Description
Dochek® Multi-Drug Urine Test Cup Pro and Dochek® Multi-Drug Urine Test Cup are immunochromatographic assays that use a lateral flow system for the qualitative detection of single or multiple drugs in human urine at or above the cut-off levels as indicated. The products are single use in vitro diagnostic medical devices. This device is a cup format, with the test strips integrated into the plastic cup provided, and the urine sample is collected directly into the cup containing the strips. Each cup device is sealed in an aluminum foil pouch with two sachets of desiccant. The device is in a ready-to-use format and no longer requires assembly before use.
More Information

No
The device is described as an immunochromatographic assay (lateral flow system) for qualitative detection, which is a standard biochemical method and does not involve AI/ML. The document explicitly states "Not Applicable (Immunoassay device, not AI/ML)" for the training set description.

No
Explanation: The Dochek® Multi-Drug Urine Test Cup is an in vitro diagnostic device used for the qualitative determination of drugs in human urine. It is not designed to treat, mitigate, prevent, or cure any disease or condition; rather, it provides diagnostic information.

Yes
The "Intended Use / Indications for Use" section explicitly states "For in vitro diagnostic use only." Additionally, the "Device Description" calls the products "single use in vitro diagnostic medical devices."

No

The device description explicitly states it is an "immunochromatographic assay that use a lateral flow system" and is a "cup format, with the test strips integrated into the plastic cup provided". This indicates a physical, hardware-based device for urine testing, not a software-only device.

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

The document explicitly states in multiple places:

  • "For in vitro diagnostic use only." in the Intended Use/Indications for Use section for both the Dochek® Multi-Drug Urine Test Cup and the Dochek® Multi-Drug Urine Test Cup Pro.
  • "The products are single use in vitro diagnostic medical devices." in the Device Description section.

N/A

Intended Use / Indications for Use

Dochek® Multi-Drug Urine Test Cup is an immunoassay for the qualitative determination of single or multiple drugs in human urine at the following cutoff concentrations.

Drug (Identifier)Cut-off level
Amphetamine (AMP)1000 or 500 ng/mL
Secobarbital (BAR)300 ng/mL
Buprenorphine (BUP)10 ng/mL
Oxazepam (BZO)300 ng/mL
Cocaine (COC)300 or 150 ng/mL
2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP)300 ng/mL
Methylenedioxymethamphetamine (MDMA)500 ng/mL
Methamphetamine (MET)1000 or 500 ng/mL
Morphine (MOP/OPI)300 or 2000 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 ng/mL
6-Monoacetylmorphine (6-MAM)10 ng/mL
Fentanyl (FTY)1 ng/mL

Dochek® Multi-Drug Urine Test Cup offers any combinations from 1 to 17 drugs but only one cutoff concentration under same drug condition will be included per device.

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

The test provides only preliminary results. Clinical consideration and professional judgment should be applied to any drug of abuse test result, particularly in evaluating a postive result. To obtain a confirmed analytical result, a more specific alternate chemical method is needed. GC/MS or LC/MS is the recommended confirmatory method.

Dochek® Multi-Drug Urine Test Cup Pro is an immunoassay for the qualitative determination of single or multiple drugs in human urine at the following cutoff concentrations.

Drug (Identifier)Cut-off level
Amphetamine (AMP)1000 or 500 ng/mL
Secobarbital (BAR)300 ng/mL
Buprenorphine (BUP)10 ng/mL
Oxazepam (BZO)300 ng/mL
Cocaine (COC)300 or 150 ng/mL
2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP)300 ng/mL
Methylenedioxymethamphetamine (MDMA)500 ng/mL
Methamphetamine (MET)1000 or 500 ng/mL
Morphine (MOP/OPI)300 or 2000 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 ng/mL
6-Monoacetylmorphine (6-MAM)10 ng/mL
Fentanyl (FTY)1 ng/mL

Dochek® Multi-Drug Urine Test Cup Pro offers any combinations from 1 to 17 drugs but only one cutoff concentration under same drug condition will be included per device.

For in vitro diagnostic use only.

The test provides only preliminary results. Clinical consideration and professional judgment should be applied to any drug of abuse test result, particularly in evaluating a preliminary positive result. To obtain a confirmed analytical result, a more specific alternate chemical method is needed. GC/MS or LC/MS is the recommended confirmatory method.

Product codes

NGL, NFT, PTH, NFV, NFY, PTG, NGG, NGM, QBF, QAW, NFW

Device Description

Dochek® Multi-Drug Urine Test Cup Pro and Dochek® Multi-Drug Urine Test Cup are immunochromatographic assays that use a lateral flow system for the qualitative detection of single or multiple drugs in human urine at or above the cut-off levels as indicated. The products are single use in vitro diagnostic medical devices.

This device is a cup format, with the test strips integrated into the plastic cup provided, and the urine sample is collected directly into the cup containing the strips. Each cup device is sealed in an aluminum foil pouch with two sachets of desiccant. The device is in a ready-to-use format and no longer requires assembly before use.

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

It is intended for over-the-counter (OTC) 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

A method comparison study for the candidate device was performed in-house by three operators. Operators ran 80 (40 negative and 40 positive) unaltered urine clinical samples for each drug. The samples were blind labeled and compared to LC-MS/MS results. The fentanyl results are presented in the table below. The accuracy data for Amphetamine (AMP), Secobarbital (BAR), Buprenorphine (BUP), Oxazepam (BZO), Cocaine (COC), 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP), Methamphetamine (MET), Methylenedioxymethamphetamine (MDMA), Morphine (MOP300/OPI2000), Methadone (MTD), Oxycodone (OXY), Phencyclidine (PCP), Propoxyphene (PPX), Nortriptyline (TCA), Cannabinoids (THC) and 6-Monoacetylmorphine (6-MAM) were reported in K232659.

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

13.1. Analytical Performance

A. Precision/Reproducibility
Precision studies were carried out for samples with concentrations of +100% cutoff, +50% cutoff, +25% cutoff, cutoff, -25% cutoff, -50% cutoff and -100% cutoff. Samples with concentration of -100% cutoff were drug-free urines samples. Other samples were prepared by spiked target drug in drug-free urine samples. Each drug concentration was confirmed by LC-MS/MS. For each concentration, tests were performed two runs per day for 25 days using three lots of candidate device.

C. Stability
The device is stable at 2-30℃ for 36 months based on real time stability study.

E. Analytical specificity/Interference
Specificity and Cross-Reactivity a.
Analytical specificity for this device was determined through adding the potential interfering substances to drug-free urine samples. The relative cross-reactivity represents the minimum concentration necessary to yield a result similar to the cutoff level of the respective assay.

b. Interfering Substances
To evaluate the potential interference, non-structurally related compounds were added to drug-free urine and to urine samples containing the target drugs at 25% below and 25% above each corresponding cutoff level.

Effect of Urinary pH and Specific Gravity
Interference by pH and specific gravity were also evaluated using pooled urine specimens with concentrations of 0 (drug-free), at 25% below and 25% above each corresponding cutoff. The results demonstrated that pH levels of 4 to 9 and specific gravity levels of 1.035 do not affect the results of the assays.

13.2 Method Comparison Study
A method comparison study for the candidate device was performed in-house by three operators. Operators ran 80 (40 negative and 40 positive) unaltered urine clinical samples for each drug. The samples were blind labeled and compared to LC-MS/MS results.

13.3. Lay Person Study
A lay user study was conducted at three intended user sites by 280 lay users using three lots of the candidate device. The lay users had diverse educational and professional backgrounds and ranged in age from 21 to >50 years. 68 male and 72 female tested the Dochek® Multi-Drug Urine Test Cup for Configuration 1; 74 male and 64 female tested the Dochek® Multi-Drug Urine Test Cup for Configuration 2. Urine samples were prepared at the following concentrations: -100%, +/-75%, +/-50%, +/-25% of the cutoff by spiking drug(s) into drug free-pooled urine specimens. The concentrations of the drugs in these samples were confirmed by LC-MS/MS. Each sample was aliquoted into individual containers and blind-labeled. Each participant was provided with the package insert, 1 blind labeled sample and a device.

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

Not Found

Predicate Device(s)

K232659

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 contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health and Human Services logo on the left and the FDA logo on the right. The FDA logo features the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in blue, with the word "ADMINISTRATION" underneath.

February 20, 2025

Guangzhou Decheng Biotechnology Co., Ltd. Mango Huang Regulatory Affairs Manager Floor 3/4/5/7, Building A1, No.12, Nanyun 1st Road Science City, Huangpu District Guangzhou, Guangdong 510663 China

Re: K250067

Trade/Device Name: Dochek® Multi-Drug Urine Test Cup: Dochek® Multi-Drug Urine Test Cup Pro Regulation Number: 21 CFR 862.3650 Regulation Name: Opiate test system Regulatory Class: Class II Product Code: NGL, NFT, PTH, NFV, NFY, PTG, NGG, NGM, QBF, QAW, NFW Dated: January 10, 2025 Received: January 10, 2025

Dear Mango Huang:

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.

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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).

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 QS 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 (QS) 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.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

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 mediation-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-regulatory

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assistance/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,

Image /page/2/Picture/3 description: The image shows a digital signature. The signature is from Joseph A. Kotarek. The date of the signature is 2025.02.20, and the time is 09:07:05-05'00'.

Joseph Kotarek, Ph.D. 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

Enclosure

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Indications for Use

510(k) Number (if known) K250067

Device Name

Dochek® Multi-Drug Urine Test Cup Dochek® Multi-Drug Urine Test Cup Pro

Indications for Use (Describe)

Dochek® Multi-Drug Urine Test Cup is an immunoassay for the qualitative determination of single or multiple drugs in human urine at the following cutoff concentrations.

Drug (Identifier)Cut-off level
Amphetamine (AMP)1000 or 500 ng/mL
Secobarbital (BAR)300 ng/mL
Buprenorphine (BUP)10 ng/mL
Oxazepam (BZO)300 ng/mL
Cocaine (COC)300 or 150 ng/mL
2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP)300 ng/mL
Methylenedioxymethamphetamine (MDMA)500 ng/mL
Methamphetamine (MET)1000 or 500 ng/mL
Morphine (MOP/OPI)300 or 2000 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 ng/mL
6-Monoacetylmorphine (6-MAM)10 ng/mL
Fentanyl (FTY)1 ng/mL

Dochek® Multi-Drug Urine Test Cup offers any combinations from 1 to 17 drugs but only one cutoff concentration under same drug condition will be included per device.

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

The test provides only preliminary results. Clinical consideration and professional judgment should be applied to any drug of abuse test result, particularly in evaluating a postive result. To obtain a confirmed analytical result, a more specific alternate chemical method is needed. GC/MS or LC/MS is the recommended confirmatory method.

Dochek® Multi-Drug Urine Test Cup Pro is an immunoassay for the qualitative determination of single or multiple drugs in human urine at the following cutoff concentrations.

Drug (Identifier)Cut-off level
Amphetamine (AMP)1000 or 500 ng/mL
Secobarbital (BAR)300 ng/mL
Buprenorphine (BUP)10 ng/mL
Oxazepam (BZO)300 ng/mL
Cocaine (COC)300 or 150 ng/mL
2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP)300 ng/mL
Methylenedioxymethamphetamine (MDMA)500 ng/mL
Methamphetamine (MET)1000 or 500 ng/mL
Morphine (MOP/OPI)300 or 2000 ng/mL
Methadone (MTD)300 ng/mL
Oxycodone (OXY)100 ng/mL
Phencyclidine (PCP)25 ng/mL
Propoxyphene (PPX)300 ng/mL

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Nortriptyline (TCA)1000 ng/mL
Cannabinoids (THC)50 ng/mL
6-Monoacetylmorphine (6-MAM)10 ng/mL
Fentanyl (FTY)1 ng/mL
Dochek® Multi Drug Urine Test Cup Pro offers any combinations from 1 to 17 drugs but only one cutoff concentration

Dochek® Multi-Drug Urine Test Cup Pro offers any combinations from 1 to 17 drugs but only one cutoff concentration under same drug condition will be included per device.

For in vitro diagnostic use only.

The test provides only preliminary results. Clinical consideration and professional judgment should be applied to any drug of abuse test result, particularly in evaluating a preliminary positive result. To obtain a confirmed analytical result, a more specific alternate chemical method is needed. 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)

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510(k) SUMMARY

510(k) number: K250067

1.Date:February 17, 2025
2.Submitter:Guangzhou Decheng Biotechnology Co., Ltd.
Address: Floor 3/4/5/7, Building A1, No.12, Nanyun 1st Road, Science
City, Huangpu District, Guangzhou, Guangdong, 510663, P.R. China
Contact Person: Mango Huang
Contact Email Address: mango.huang@dochekbio.com
Telephone: +86-020-82557192
3.Correspondent:Guangzhou Decheng Biotechnology Co., Ltd.
Address: Floor 3/4/5/7, Building A1, No.12, Nanyun 1st Road, Science
City, Huangpu District, Guangzhou, Guangdong, 510663, P.R. China
Contact Person: Mango Huang
Contact Email Address: mango.huang@dochekbio.com
Telephone: (888) 695-5248
4.Device Name:Dochek® Multi-Drug Urine Test Cup Pro
Dochek® Multi-Drug Urine Test Cup
    1. Classification: Class II
Product CodeRegulation SectionPanel
Target Drug
NFT
Amphetamine (AMP)862.3100, Amphetamine Test
SystemToxicology
PTH
Secobarbital (BAR)862.3150, Barbiturate Test SystemToxicology
NGL
Buprenorphine (BUP)
Morphine (MOP/OPI)
Oxycodone (OXY)
6-Monoacetylmorphine (6-MAM)
Fentanyl (FTY)862.3650, Opiate Test SystemToxicology
NFV
Oxazepam (BZO)862.3170, Benzodiazepine Test
SystemToxicology
NFY
Cocaine (COC)862.3250, Cocaine and cocaine
metabolite test systemToxicology
PTG
2-ethylidene-1,5-dimethyl-3,3-
diphenylpyrrolidine (EDDP)
Methadone (MTD)862.3620, Methadone Test SystemToxicology

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| NGG
Methylenedioxymethamphetamine
(MDMA)
Methamphetamine (MET) | 862.3610,
Methamphetamine Test System | Toxicology |
|-------------------------------------------------------------------------|--------------------------------------------------------|------------|
| NGM
Phencyclidine (PCP) | Unclassified | Toxicology |
| QBF
Propoxyphene (PPX) | 862.3700 Propoxyphene test
system. | Toxicology |
| QAW
Nortriptyline (TCA) | 862.3910 Tricyclic antidepressant
drugs test system | Toxicology |
| NFW
Cannabinoids (THC) | 862.3870, Cannabinoids Test
System | Toxicology |

Purpose for Submission 6.

Modification of previously cleared devices (K232659) to add fentanyl device (1 ng/mL cutoff).

7. Predicate Devices

K232659 Dochek® Multi-Drug Urine Test Cup Rx Dochek® Multi-Drug Urine Test Cup

8. Intended Use

Dochek® Multi-Drug Urine Test Cup Pro is an immunoassay for the qualitative determination of single or multiple drugs in human urine at the following cutoff concentrations.

Drug (Identifier)Cut-off level
Amphetamine (AMP)1000 or 500 ng/mL
Secobarbital (BAR)300 ng/mL
Buprenorphine (BUP)10 ng/mL
Oxazepam (BZO)300 ng/mL
Cocaine (COC)300 or 150 ng/mL
2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP)300 ng/mL
Methylenedioxymethamphetamine (MDMA)500 ng/mL
Methamphetamine (MET)1000 or 500 ng/mL
Morphine (MOP/OPI)300 or 2000 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 ng/mL
6-Monoacetylmorphine (6-MAM)10 ng/mL
Fentanyl (FTY)1 ng/mL

7

Dochek® Multi-Drug Urine Test Cup Pro offers any combinations from 1 to 17 drugs but only one cutoff concentration under same drug condition will be included per device.

For in vitro diagnostic use only.

The test provides only preliminary results. Clinical consideration and professional judgment should be applied to any drug of abuse test result, particularly in evaluating a preliminary positive result. To obtain a confirmed analytical result, a more specific alternate chemical method is needed. GC/MS or LC/MS is the recommended confirmatory method.

Dochek® Multi-Drug Urine Test Cup is an immunoassay for the qualitative determination of single or multiple drugs in human urine at the following cutoff concentrations.

Drug (Identifier)Cut-off level
Amphetamine (AMP)1000 or 500 ng/mL
Secobarbital (BAR)300 ng/mL
Buprenorphine (BUP)10 ng/mL
Oxazepam (BZO)300 ng/mL
Cocaine (COC)300 or 150 ng/mL
2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP)300 ng/mL
Methylenedioxymethamphetamine (MDMA)500 ng/mL
Methamphetamine (MET)1000 or 500 ng/mL
Morphine (MOP/OPI)300 or 2000 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 ng/mL
6-Monoacetylmorphine (6-MAM)10 ng/mL
Fentanyl (FTY)1 ng/mL

Dochek® Multi-Drug Urine Test Cup offers any combinations from 1 to 17 drugs but only one cutoff concentration under same drug condition will be included per device.

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

The test provides only preliminary results. Clinical consideration and professional judgment should be applied to any drug of abuse test result, particularly in evaluating a preliminary positive result. To obtain a confirmed analytical result, a more specific alternate chemical method is needed. GC/MS or LC/MS is the recommended confirmatory method.

Device Description 9.

Dochek® Multi-Drug Urine Test Cup Pro and Dochek® Multi-Drug Urine Test Cup are immunochromatographic assays that use a lateral flow system for the qualitative detection of single or multiple drugs in human urine at or above the cut-off levels as indicated. The products are single

8

use in vitro diagnostic medical devices.

This device is a cup format, with the test strips integrated into the plastic cup provided, and the urine sample is collected directly into the cup containing the strips. Each cup device is sealed in an aluminum foil pouch with two sachets of desiccant. The device is in a ready-to-use format and no longer requires assembly before use.

Similarities
ItemCandidate devicePredicate device
(K232659)
Indication for useQualitative detection of drugs of abuse in urine.Same
Intended useFor medical and other professional use, or over-the-counter use.For prescription use or over-the-counter use.
MethodologyCompetitive binding, lateral flow
immunochromatographic assay based on antigen-antibody reactionSame
Type of TestQualitativeSame
Specimen TypeHuman urineSame
Target Drug and
Cutoff ValueTarget DrugCutoff (ng/mL) Same except
Fentanyl (FTY) 1 ng/mL
Amphetamine (AMP)1000 or 500
Secobarbital (BAR)300
Buprenorphine (BUP)10
Oxazepam (BZO)300
Cocaine (COC)300 or 150
2-ethylidene-1,5-dimethyl-3,3-
diphenylpyrrolidine (EDDP)300
Methylenedioxymethamphetamine
(MDMA)500
Methamphetamine (MET)1000 or 500
Morphine (MOP300/OPI2000)2000 or 300
Methadone (MTD)300
Oxycodone (OXY)100
Phencyclidine (PCP)25
Propoxyphene (PPX)300
Nortriptyline (TCA)1000
Cannabinoids (THC)50
6-Monoacetylmorphine (6-MAM)10
Fentanyl (FTY)1
ConfigurationsTest cupSame
Differences
Number of drugs
detected17
(Add fentanyl device with 1 ng/mL cutoff)16

10. Substantial Equivalence Information

9

11. Standard/Guidance Document Reference (if applicable)

None referenced.

12. Test Principle

Dochek® Multi-Drug Urine Test Cup Pro or Dochek® Multi-Drug Urine Test Cup is a competitive immunoassay that is used to screen for the presence of various drugs and drug metabolites in urine. It is chromatographic absorbent device in which, drugs within a urine sample, competitively combined to a limited number of drug monoclonal antibody (mouse) conjugate binding sites.

When the test is activated, the urine is absorbed into each test strip by capillary action, mixes with the respective drug monoclonal antibody conjugate, and flows across a pre-coated membrane. When drug in the urine sample is below the detection level of the test, respective drug monoclonal antibody conjugate binds to the respective drug-protein conjugate immobilized in the Test Region (T) of the test strip. This produces a colored Test line in the Test Region (T) of the strip, which, regardless of its intensity, indicates a negative test result.

When drug level is at or above the detection level of the tree drug in the sample binds to the respective drug monoclonal antibody conjugate, preventing the respective drug monoclonal antibody conjugate from binding to the respective drug-protein conjugate immobilized in the Test Region (T) of the device. This prevents the development of a distinct colored band in the test region, indicating a preliminary positive result.

To serve as a procedure control, a colored line will appear at the Control Region (C) of each strip, if the test has been performed properly.

13. Performance Characteristics

13.1. Analytical Performance

A. Precision/Reproducibility

Precision studies were carried out for samples with concentrations of +100% cutoff, +50% cutoff, +25% cutoff, cutoff, -25% cutoff, -50% cutoff and -100% cutoff. Samples with concentration of -100% cutoff were drug-free urines samples. Other samples were prepared by spiked target drug in drug-free urine samples. Each drug concentration was confirmed by LC-MS/MS. For each concentration, tests were performed two runs per day for 25 days using three lots of candidate device. The results for Fentanyl (FTY) are summarized in the following table. The precision data for Amphetamine (AMP), Secobarbital (BAR), Buprenorphine (BUP), Oxazepam (BZO), Cocaine (COC), 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP), Methamphetamine (MET), Methylenedioxymethamphetamine (MDMA), Morphine (MOP300/OPI2000), Methadone (MTD), Oxycodone (OXY), Phencyclidine (PCP), Propoxyphene (PPX), Nortriptyline (TCA), Cannabinoids (THC) and 6-Monoacetylmorphine (6-MAM) were reported in K232659.

| Drug | Lot
Number | +100%
cutoff | +75%
cutoff | +50%
cutoff | +25%
cutoff | Cutoff | -25%
cutoff | -50%
cutoff | -75%
cutoff | -100%
cut-off |
|------|---------------|-----------------|----------------|----------------|----------------|---------|----------------|----------------|----------------|------------------|
| FTY | Lot I | 0-/50+ | 0-/50+ | 0-/50+ | 0-/50+ | 12-/38+ | 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+ |

10

B. Linearity/assay reportable range

Not applicable. This device is intended for qualitative use only.

C. Stability

The device is stable at 2-30℃ for 36 months based on real time stability study.

D. Detection Limit

Not applicable.

E. Analytical specificity/Interference

Specificity and Cross-Reactivity a.

Analytical specificity for this device was determined through adding the potential interfering substances to drug-free urine samples. The relative cross-reactivity represents the minimum concentration necessary to yield a result similar to the cutoff level of the respective assay. The table below shows the minimum concentration of each compound that produced a positive result and its percent cross-reactivity. The cross-reactivity data for Amphetamine (AMP), Secobarbital (BAR), Buprenorphine (BUP), Oxazepam (BZO), Cocaine (COC), 2-ethylidene-1,5-dimethyl-3,3diphenylpyrrolidine (EDDP), Methamphetamine (MET), Methylenedioxymethamphetamine (MDMA), Morphine (MOP300/OPI2000), Methadone (MTD), Oxycodone (OXY), Phencyclidine (PCP), Propoxyphene (PPX), Nortriptyline (TCA), Cannabinoids (THC) and 6-Monoacetylmorphine (6-MAM) were reported in K232659.

| Drug/Cutoff | Compound | Concentration
(ng/mL) | % Cross-
Reactivity |
|--------------------------------------|------------------------------------|--------------------------|------------------------|
| | Fentanyl | 1.0 | 100% |
| | Acetyl fentanyl | 1.0 | 100% |
| | Acetyl norfentanyl | 10,000 | 0.01% |
| | Acrylfentanyl | 1.5 | 66.7% |
| | Butyryl fentanyl | 2.5 | 40% |
| Fentanyl (FTY)
(Cutoff = 1 ng/mL) | Carfentanil | 50 | 2% |
| | (±)-3-cis-methylfentanyl | 50 | 2% |
| | 4-Fluoro-isobutyrylfentanyl | 5 | 20% |
| | Furanyl fentanyl | 2.8 | 35.7% |
| | ω-1-Hydroxyfentanyl | 20,000 | 0.005% |
| | (±) β-hydroxythiofentanyl | 1.5 | 66.7% |
| | Isobutyryl fentanyl | 1.0 | 100% |
| | Ocfentanil | 1.8 | 55.6% |
| | Para-fluorobutyrylfentanyl (p-FBF) | 4 | 25% |
| | Para-fluoro fentanyl | 3 | 33.3% |
| | Sufentanil | 20 | 5% |
| | Valeryl fentanyl | 5 | 20% |
| | Alfentanil | 5,000 | 0.02% |

11

Despropionyl fentanyl (4-ANPP)20,0000.005%
Remifentanil10,0000.01%
Norcarfentanil10,0000.01%
Norfentanyl10,0000.01%

b. Interfering Substances

To evaluate the potential interference, non-structurally related compounds were added to drug-free urine and to urine samples containing the target drugs at 25% below and 25% above each corresponding cutoff level. Compounds that show no interference at a concentration of 100µg/mL are summarized in the following table.

AcetaminophenDopamine HClNoscapine
Acetone (1000 mg/dL)Doxepin (except TCA test)Octopamine
Acetylsalicylic acidDuloxetineO-Hydroxyhippuric acid
AcyclovirEcgonine methyl esterOmeprazole
Albumin (100 mg/dL)Ephedrine (except MET test)Oxalic acid (100 mg/dL)
Albuterol sulfate (Proair HFA)ErythromycinOxazepam (except BZO test)
AminophyllineEsomeprazole MagnesiumOxolinic acid
AminopyrineEthanol (1%)Oxymetazoline
Amitriptyline (except TCA test)FenoprofenPaliperidone (except FTY test)
Amobarbital (except BAR test)Fluoxetine HydrochloridePapaverine
AmoxicillinFluphenazinePenicillin G
AmpicillinFurosemidePenicillinV Potassium
ApomorphineGabapentinPerphenazine
AripiprazoleGalactose (10 mg/dL)Phenacetin (Acetophenetidin)
AspartameGamma Globulin (500mg/dL)Phencyclidine (except PCP test)
AtomoxetineGentisic acidPhenelzine
Atorvastatin CalciumGlucose (3000 mg/dL)Phenobarbital (except BAR test)
AtropineHemoglobinPrednisone
AzithromycinHydralazinePregablin
Benzilic acidHydrochlorothiazidePropoxyphene (except PPX test)
BenzocaineHydrocortisonePropranolol
Benzoic acidIbuprofenPseudoephedrine
Benzoylecgonine (except COC test)Imipramine (except TCA test)Quinine
BilirubinIsoproterenolRanitidine
Boric Acid (1%)IsoxsuprineRifampicin
Bupropion (except FTY test)KetamineRisperidone (except FTY test)
CaffeineKetoprofenSalicylic acid
CaptoprilLabetalolSecobarbital (except BAR test)
CarbamazepineLevofloxacin HydrochlorideSerotonin (5-Hydroxytyramine)
CefradineLevonorgestrelSertraline Hydrochloride
CephalexinLevothyroxine SodiumSildenafil Citrate
Chloral hydrateLidocaineSimvastatin
ChloramphenicolLisinoprilSulfamethazine
ChlorothiazideLoperamideSulindac
ChlorpheniramineLoratadineTetrahydrocortisone 3-(ß-D-
glucuronide)
ChlorpromazineMagnesiumTetrahydrocortisone 3-acetate
CholesterolMaprotiline (except TCA test)Tetrahydrozoline
Ciprofloxacin HydrochlorideMeperidineTheophylline
CitalopramMeprobamateThiamine
ClarithromycinMethapyrileneThioridazine
Clomipramine (except TCA
test)MethaqualoneTramadol Hydrochloride
ClonidineMethoxyphenamine (except
MET test)Trazodone Hydrochloride
ClozapineMetoprolol TartrateTriamterene
Conjugated EstrogensMetronidazoleTrifluoperazine
CortisoneMifepristoneTrimethoprim
CotinineN-AcetylprocainamideTyramine (except AMP test)
CreatinineNaCl (4000 mg/dL)Urea (2000 mg/dL)
Cyclobenzaprine (except TCA
test)Nalidixic acidUric acid
D,L-TryptophanNaloxoneValproic acid (250 ug/mL)
D,L-TyrosineNaltrexoneVenlafaxine
DeoxycorticosteroneNaproxenVerapamil
Desipramine (except TCA
test)NiacinamideVitamin B2
DextromethorphanNicotineVitamin C (Ascorbic acid)
DiclofenacNifedipineZomepirac
DiflunisalNitroglycerinß-Estradiol
DigoxinNorethindrone
DiphenhydramineNortriptyline (except TCA test)

12

13

Effect of Urinary pH and Specific Gravity ﻦ

Interference by pH and specific gravity were also evaluated using pooled urine specimens with concentrations of 0 (drug-free), at 25% below and 25% above each corresponding cutoff. The results demonstrated that pH levels of 4 to 9 and specific gravity levels of 1.035 do not affect the results of the assays.

13.2 Method Comparison Study

A method comparison study for the candidate device was performed in-house by three operators. Operators ran 80 (40 negative and 40 positive) unaltered urine clinical samples for each drug. The samples were blind labeled and compared to LC-MS/MS results. The fentanyl results are presented in the table below. The accuracy data for Amphetamine (AMP), Secobarbital (BAR), Buprenorphine (BUP), Oxazepam (BZO), Cocaine (COC), 2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP), Methamphetamine (MET), Methylenedioxymethamphetamine (MDMA), Morphine (MOP300/OPI2000), Methadone (MTD), Oxycodone (OXY), Phencyclidine (PCP), Propoxyphene (PPX), Nortriptyline (TCA), Cannabinoids (THC) and 6-Monoacetylmorphine (6-MAM) were reported in K232659.

| Drug
test | Test Cup
Result | Drug-Free | Low
Negative by
LC-MS/MS
(less than
-50%) | Near Cutoff
Negative by
LC-MS/MS
(Between
-50% and
the Cutoff) | Near Cutoff
Positive by
LC-MS/MS
(Between
the cutoff
and +50%) | High
Positive by
LC-MS/MS
(greater
than +50%) | |
|--------------|--------------------|-----------|-------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-----------------------------------------------------------|----|
| FTY | Viewer A | + | 0 | 0 | 0 | 25 | 13 |
| | | - | 10 | 14 | 16 | 2 | 0 |
| | Viewer B | + | 0 | 0 | 0 | 25 | 13 |
| | | - | 10 | 14 | 16 | 2 | 0 |
| | Viewer C | + | 0 | 0 | 1 | 25 | 13 |
| | | - | 10 | 14 | 15 | 2 | 0 |

Discordant results for fentanyl (FTY 1 ng/mL) are summarized below.
---------------------------------------------------------------------------

| Drug | Operator | Sample ID | LC-MS/MS Result
(ng/mL) | Dochek Result |
|------|----------------|-----------|----------------------------|---------------|
| FTY | Viewer C | F046 | 0.945 | + |
| | Viewer A, B, C | F062 | 1.012 | - |
| | Viewer A, C | F083 | 1.020 | - |
| | Viewer B | F049 | 1.044 | - |

14

13.3. Lay Person Study

A lay user study was conducted at three intended user sites by 280 lay users using three lots of the candidate device. The lay users had diverse educational and professional backgrounds and ranged in age from 21 to >50 years. 68 male and 72 female tested the Dochek® Multi-Drug Urine Test Cup for Configuration 1; 74 male and 64 female tested the Dochek® Multi-Drug Urine Test Cup for Configuration 2. Urine samples were prepared at the following concentrations: -100%, +/-75%, +/-50%, +/-25% of the cutoff by spiking drug(s) into drug free-pooled urine specimens. The concentrations of the drugs in these samples were confirmed by LC-MS/MS. Each sample was aliquoted into individual containers and blind-labeled. Each participant was provided with the package insert, 1 blind labeled sample and a device. The results are summarized below.

| Drug | Cutoff
(ng/mL) | Results | Drug Concentration | | | | | | |
|-------|-------------------|--------------------------------------|--------------------|----------------|----------------|----------------|----------------|----------------|----------------|
| | | | -100%
cutoff | -75%
cutoff | -50%
cutoff | -25%
cutoff | +25%
cutoff | +50%
cutoff | +75%
cutoff |
| AMP | 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 correct
results (%) | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| BAR | 300 | Negative | 20 | 20 | 20 | 20 | 1 | 0 | 0 |
| | | Positive | 0 | 0 | 0 | 0 | 19 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 95% | 100% | 100% |
| BUP | 10 | Negative | 20 | 20 | 20 | 19 | 0 | 0 | 0 |
| | | Positive | 0 | 0 | 0 | 1 | 20 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 95% | 100% | 100% | 100% |
| BZO | 300 | 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 correct
results (%) | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| COC | 300 | Negative | 20 | 20 | 20 | 19 | 0 | 0 | 0 |
| | | | | | | | | | |
| | | Positive | 0 | 0 | 0 | 1 | 20 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 95% | 100% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 20 | 1 | 0 | 0 |
| EDDP | 300 | Positive | 0 | 0 | 0 | 0 | 19 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 95% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 20 | 1 | 0 | 0 |
| MDMA | 500 | Positive | 0 | 0 | 0 | 0 | 19 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 95% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 20 | 1 | 0 | 0 |
| MET | 1000 | Positive | 0 | 0 | 0 | 0 | 20 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 20 | 0 | 0 | 0 |
| OPI | 2000 | Positive | 0 | 0 | 0 | 0 | 20 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 20 | 0 | 0 | 0 |
| MTD | 300 | Positive | 0 | 0 | 0 | 1 | 20 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 95% | 100% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 19 | 0 | 0 | 0 |
| OXY | 100 | Positive | 0 | 0 | 0 | 0 | 20 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 20 | 0 | 0 | 0 |
| PCP | | Negative | 20 | 20 | 20 | 20 | 1 | 0 | 0 |
| | | Positive | 0 | 0 | 0 | 0 | 19 | 20 | 20 |
| | 25 | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 95% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 20 | 1 | 0 | 0 |
| | | Positive | 0 | 0 | 0 | 0 | 19 | 20 | 20 |
| PPX | 300 | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 95% | 100% | 100% |
| TCA | | Negative | 20 | 20 | 20 | 18 | 0 | 0 | 0 |
| | 1000 | Positive | 0 | 0 | 0 | 2 | 20 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 90% | 100% | 100% | 100% |
| | 50 | Negative | 20 | 20 | 20 | 19 | 0 | 0 | 0 |
| | | Positive | 0 | 0 | 0 | 1 | 20 | 20 | 20 |
| THC | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 95% | 100% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 20 | 0 | 0 | 0 |
| | | Positive | 0 | 0 | 0 | 0 | 20 | 20 | 20 |
| 6-MAM | 10 | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 20 | 0 | 0 | 0 |
| | | Positive | 0 | 0 | 0 | 0 | 20 | 20 | 20 |
| FTY | 1 | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 100% | 100% | 100% |

Results of Dochek® Multi-Drug Urine Test Cup for Configuration 1:

15

16

Results of Dochek® Multi-Drug Urine Test Cup for Configuration 2:

| Drug | Cutoff
(ng/mL) | Results | Drug Concentration | | | | | | |
|-------|-------------------|--------------------------------------|--------------------|----------------|----------------|----------------|----------------|----------------|----------------|
| | | | -100%
cutoff | -75%
cutoff | -50%
cutoff | -25%
cutoff | +25%
cutoff | +50%
cutoff | +75%
cutoff |
| AMP | 500 | Negative | 20 | 20 | 20 | 20 | 1 | 0 | 0 |
| | | Positive | 0 | 0 | 0 | 0 | 19 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 95% | 100% | 100% |
| BAR | 300 | 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 correct
results (%) | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| BUP | 10 | 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 correct
results (%) | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| BZO | 300 | Negative | 20 | 20 | 20 | 19 | 0 | 0 | 0 |
| | | Positive | 0 | 0 | 0 | 1 | 20 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 95% | 100% | 100% | 100% |
| COC | 150 | 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 correct
results (%) | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| EDDP | 300 | Negative | 20 | 20 | 20 | 19 | 0 | 0 | 0 |
| | | Positive | 0 | 0 | 0 | 1 | 20 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 95% | 100% | 100% | 100% |
| MDMA | 500 | 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 correct
results (%) | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| MET | 500 | Negative | 20 | 20 | 20 | 20 | 1 | 0 | 0 |
| | | Positive | 0 | 0 | 0 | 0 | 19 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 95% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 19 | 0 | 0 | 0 |
| MOP | 300 | Positive | 0 | 0 | 0 | 1 | 20 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 95% | 100% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 19 | 1 | 0 | 0 |
| MTD | 300 | Positive | 0 | 0 | 0 | 1 | 19 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 95% | 95% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 20 | 2 | 0 | 0 |
| OXY | 100 | Positive | 0 | 0 | 0 | 0 | 18 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 90% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 20 | 0 | 0 | 0 |
| PCP | 25 | Positive | 0 | 0 | 0 | 0 | 20 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 19 | 0 | 0 | 0 |
| PPX | 300 | Positive | 0 | 0 | 0 | 1 | 20 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 95% | 100% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 20 | 1 | 0 | 0 |
| TCA | 1000 | Positive | 0 | 0 | 0 | 0 | 19 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 95% | 100% | 100% |
| | | Negative | 20 | 20 | 20 | 20 | 0 | 0 | 0 |
| THC | 50 | Positive | 0 | 0 | 0 | 0 | 20 | 20 | 20 |
| | | Negative | 20 | 20 | 20 | 20 | 0 | 0 | 0 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| 6-MAM | 10 | Negative | 20 | 20 | 20 | 20 | 1 | 0 | 0 |
| | | Positive | 0 | 0 | 0 | 0 | 19 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 100% | 95% | 100% | 100% |
| FTY | 1 | Negative | 20 | 20 | 20 | 19 | 0 | 0 | 0 |
| | | Positive | 0 | 0 | 0 | 1 | 20 | 20 | 20 |
| | | Total | 20 | 20 | 20 | 20 | 20 | 20 | 20 |
| | | Percentage of correct
results (%) | 100% | 100% | 100% | 95% | 100% | 100% | 100% |

17

18

19

Lay users completed given surveys on the ease of understanding the package insert. 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.

13.4 Clinical Studies

Not applicable.

14. 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 Dochek® Multi-Drug Urine Test Cup Pro and Dochek® Multi-Drug Urine Test Cup are substantially equivalent to the predicate devices.