K Number
K973784
Device Name
TRIAGE PANEL FOR DRUGS OF ABUSE, PLUS TRICYCLIC ANTIDEPRESSANTS AND OTHER TRIAGE DRUG TESTS
Date Cleared
1997-12-03

(61 days)

Regulation Number
862.3100
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Triage® Panel for Drugs of Abuse plus Trycyclic Antidepressants - Oplates 2000 (and other forms of the product) The mage Faller of Drugs of Audie plus Tryoyano of the major metabolites of drugs of also Phencyclidine, Benzodiazepines, Cocain Metabolite, Amphetamines, THC, Opiates, Barbiturates, and Tricyclic Antideoressants in urine, This test provides only a preliminary test result. A more specific atternate chemical must be used in order to obtain a confirmed analytical result. Gas chromatographylmass spectrometry (GCMS) is the preferred Clinical consideration and Other chemical confirmation methods are available. confirmatory method. professional judgment should be applied to any drug of abuse test result, particularly when preliminary positive results are used. The tricyclic test is a qualitative screening test. A negative result does not ellminate the possibility of the presence of tricyclic antidepressants in the urine specimen at concentrations lower than 1000 ng/ml. Should confirmation of the test result for the parent compound or the metabolites be desired, an alternative method that is capable of identification and quantification should be used, e.g. HPLC, GC or GC/MS. A positive screening result may be due to the reactivity of the parent tricyclic antidepressant and the various metabolites of the respective compound.
Device Description
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More Information

Not Found

No
The summary describes a qualitative screening test for drugs of abuse in urine, which is a standard immunoassay technology. There is no mention of AI, ML, image processing, or any other technology typically associated with AI/ML in medical devices.

No
Explanation: This device is a diagnostic test (screening for drugs of abuse) and does not provide therapy or treatment.

Yes

This device is a qualitative screening test that provides preliminary results for the presence of certain substances in urine, which is used to aid in the diagnosis or detection of these substances.

No

The device is described as a test for drugs of abuse in urine, which is a chemical assay and not a software-only medical device.

Based on the provided text, yes, this device is an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The text explicitly states the device is used to "detect the presence of the major metabolites of drugs of abuse... in urine." This is a classic description of an in vitro diagnostic test, as it analyzes a biological sample (urine) outside of the body to provide information about a person's health status (presence of drugs).
  • Sample Type: The device analyzes "urine," which is a biological specimen.
  • Purpose: The purpose is to provide a "preliminary test result" for the presence of specific substances in the urine.

The fact that it's a "preliminary test result" and requires confirmation doesn't negate its status as an IVD. Many IVDs are screening tests that require further investigation for definitive diagnosis.

N/A

Intended Use / Indications for Use

The Triage® Panel for Drugs of Abuse plus Trycyclic Antidepressants - Oplates 2000 (and other forms of the product ) The mage Faller of Drugs of Audie plus Tryoyano of the major metabolites of drugs of also Phencyclidine, Benzodiazepines, Cocain Metabolite, Amphetamines, THC, Opiates, Barbiturates, and Tricyclic Antideoressants in urine,

Product codes

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

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

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Anatomical Site

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Indicated Patient Age Range

Not Found

Intended User / Care Setting

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

Not Found

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

Not Found

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

Not Found

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

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.3100 Amphetamine test system.

(a)
Identification. An amphetamine test system is a device intended to measure amphetamine, a central nervous system stimulating drug, in plasma and urine. Measurements obtained by this device are used in the diagnosis and treatment of amphetamine use or overdose and in monitoring levels of amphetamine to ensure appropriate therapy.(b)
Classification. Class II (special controls). An amphetamine test system is not exempt if it is intended for any use other than employment or insurance testing or is intended for Federal drug testing programs. The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9, provided the test system is intended for employment and insurance testing and includes a statement in the labeling that the device is intended solely for use in employment and insurance testing, and does not include devices intended for Federal drug testing programs (e.g., programs run by the Substance Abuse and Mental Health Services Administration (SAMHSA), the Department of Transportation (DOT), and the U.S. military).

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three stripes forming its wing and tail. The eagle is positioned to the right of a circular text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA".

Food and Drug Administration 2098 Gaither Road Rockville MD 20850

DEC - 3 1997

John F. Bruni, Ph.D. . Director, Clinical and Regulatory Affairs Biosite Diagnostics 11030 Roselle Street San Diego, California 92121

K973784 Re : Triage® Panel for Drugs of Abuse plus Trycyclic Antidepressants and Opiates 2000 Regulatory Class: II Product Code: DKZ, DIS, JXM, DIO, DJR, DJG, LFG, LCM October 1, 1997 Dated: October 3, 1997 Received:

Dear Dr. Bruni:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Failure to Administration (FDA) will verify such assumptions. comply with the GMP regulation may result in regulatory In addition, FDA may publish further announcements action. concerning your device in the Federal Register. Please note:

this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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Under the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88), this device may require a CLIA complexity categorization. To determine if it does, you should contact the Centers for Disease Control and Prevention (CDC) at (770) 488-7655.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling requlation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4588. Additionally, for questions on the promotion and advertising of your device, please contact Also, please note the Office of Compliance at (301) 594-4639. the regulation entitled, "Misbranding by reference to Other general information on your responsibilities under the Act may be ... obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,
Steven Gutman

Steven I. Gutman, M.D., M.B.A. Director Division of Clinical Laboratory Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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1-11 1

S 10(k) Number if known)

97 3724

Device Names: Triage® Panel for Drugs of Abuse plus Tricyclic Antidepressants - Opiates 2000 - 8 test panel Triage Panel for Drugs of Abuse -- Opiates 2000 - 7 test Panel

ITriage | Lance for Drugs of Abuse plus Methadone – Opiates 2000 – Methadone substituted for PCP

Triage 8 Panel for Drugs of Abuse - Opiates 2000 - Methadone substituted for PCP

Triage Intervention Panel for Drugs of Abuse - Opiates 2000 - 5 test panel

Triage Panel for Drugs of Abuse plus Tricyclic Antidepressants -8 test panel

Triage Panel for Drugs of Abuse - 7 test Panel

Triage Panel for Drugs of Abuse plus Methadone - Methadone substituted for PCP

8 Panel for Drugs of Abuse - Methadone substituted for PCP Triage T

Triage Intervention Panel for Drugs of Abuse - 5 test panel

The above products have the screening cut-off concentrations s outlined below:

Indications for Use:

The Triage® Panel for Drugs of Abuse plus Trycyclic Antidepressants - Oplates 2000 (and other forms of the product ) The mage Faller of Drugs of Audie plus Tryoyano of the major metabolites of drugs of also Phencyclidine, Benzodiazepines, Cocain Metabolite, Amphetamines, THC, Opiates, Barbiturates, and Tricyclic Antideoressants in urine,

The cut off concentrations are provided below:

(Division Sign-Off)
Division of Clinical Laboratory Devices
510(k) Number 673784

MTD Methadone 300 no/mL РСР Phencyclidine 25 na/mL* BZO Benzodiazepines 300 ng/mL 300 ng/mL COC Cocaine (Benzoylecgonine) 1000 ng/mL* AMP Amphetamines 50 ng/mL THC THC(11-nor42-THC-9-carboxylic acid) 2000 ng/mL (300 ng/mL-other test formats) OPI Opiates (Morphine) 300 ng/mL BAR Barbiturates TCA Tricyclic Antidepressants 1000 ng/mL

This test provides only a preliminary test result. A more specific atternate chemical must be used in order to obtain a confirmed analytical result. Gas chromatographylmass spectrometry (GCMS) is the preferred Clinical consideration and Other chemical confirmation methods are available. confirmatory method. professional judgment should be applied to any drug of abuse test result, particularly when preliminary positive results are used.

The tricyclic test is a qualitative screening test. A negative result does not ellminate the possibility of the presence of tricyclic antidepressants in the urine specimen at concentrations lower than 1000 ng/ml. Should confirmation of the test result for the parent compound or the metabolites be desired, an alternative method that is capable of identification and quantification should be used, e.g. HPLC, GC or GC/MS. A positive screening result may be due to the reactivity of the parent tricyclic antidepressant and the various metabolites of the respective compound.

  • Recommended Screening cut of concentrations by the Substance Abuse and Mental Health Services Administration formerly the National Institute on Drug Abuse.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use

OR

Over-The Counter Use
(Optional Format 1-2-96)