ONTRAK TESTCARD 9

K050321 · Varian, Inc. · DIO · Apr 18, 2005 · Clinical Toxicology

Device Facts

Record IDK050321
Device NameONTRAK TESTCARD 9
ApplicantVarian, Inc.
Product CodeDIO · Clinical Toxicology
Decision DateApr 18, 2005
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 862.3250
Device ClassClass 2

Indications for Use

The OnTrak TesTCARD® 9 is an in vitro diagnostic test intended for use by health care professional only for the qualitative detection of drug or drug metabolites in urine. The On Trak TesTCARD 9 simultaneously tests for the presence of multiple drugs or drug metabolites at or above the stated concentrations. Cutoff Concentrations: Amphetamines – 1000 ng/mL Barbiturates – 200 ng/mL Benzodiazepines – 100 ng/mL Cocaine metabolite – 300 ng/mL Methamphetamine – 500 ng/mL Morphine – 300 ng/mL PCP (phencyclidine – 25 ng/mL Tricyclic Antidepressants –1000 ng/mL Tetrahydrocannabinol (TCH) 50 ng/mL On Trac TesTCARD 9 product provides only a preliminary analytical test result. A more specific alternate chemical method must be used in order to obtain a confirmed analytical result. Gas chromatography mass spectrometry (GC/MS) is the preferred confirmation method. Clinical consideration and professional judgement should apply to any drug of abuse test result, particularly when positive results are used.

Device Story

OnTrak TesTCARD 9 is a single-use, visually read diagnostic cassette containing nine test strips. Input is a urine sample. Principle of operation is competitive microparticle capture inhibition; drug in urine competes with immobilized drug conjugate for binding to antibody-coated blue microparticles. In absence of drug, microparticles bind to immobilized conjugate, forming a visible band in the test region. Device includes an internal process control (Test Validation region). Used by healthcare professionals in clinical settings for preliminary drug screening. Results are qualitative; positive results require confirmation by GC/MS or other specific chemical methods. Clinical judgment is required for interpretation.

Clinical Evidence

No clinical data. Performance characteristics, including precision, analytical specificity, and method comparison, were established in the predicate device submission (k012396).

Technological Characteristics

In vitro diagnostic test card for qualitative urine drug screening. Employs immunoassay technology for simultaneous detection of multiple drug analytes at defined cutoff concentrations. Standalone, non-electronic, manual test format.

Indications for Use

Indicated for healthcare professionals for the qualitative detection of drugs or drug metabolites in human urine. Targets: Amphetamines (1000 ng/mL), Barbiturates (200 ng/mL), Benzodiazepines (100 ng/mL), Cocaine metabolite (300 ng/mL), Methamphetamine (500 ng/mL), Morphine (300 ng/mL), Phencyclidine (25 ng/mL), Tricyclic Antidepressants (1000 ng/mL), and Tetrahydrocannabinols (50 ng/mL).

Regulatory Classification

Identification

A cocaine and cocaine metabolite test system is a device intended to measure cocaine and a cocaine metabolite (benzoylecgonine) in serum, plasma, and urine. Measurements obtained by this device are used in the diagnosis and treatment of cocaine use or overdose.

Special Controls

*Classification.* Class II (special controls). A cocaine and cocaine metabolite 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).

Submission Summary (Full Text)

{0} 510(k) SUBSTANTIAL EQUIVALENCE DETERMINATION DECISION SUMMARY DEVICE ONLY TEMPLATE A. 510(k) Number: k050321 B. Purpose for Submission: The purpose is to obtain a new 510(k) number(s) under new ownership, Varian, Inc. C. Measurands: Amphetamine Barbiturate, Benzodiazepine Cocaine, Methamphetamine, Morphine, PCP, Tricyclic Antidepressant, and THC. D. Type of Test: Competitive microparticle capture inhibition. E. Applicant: Varian, Inc. F. Proprietary and Established Names: Varian, Inc. OnTrak TesTCARD™ 9 G. Regulatory Information: 1. Regulation section: (See below table) 2. Classification: All Class II 3. Product Code: (See below table) 4. Panel: Toxicology (91) | Analytes | Classification Name | CFR Classification Number | Product Code | | --- | --- | --- | --- | | Amphetamine | Amphetamine Test System | 21 CFR 862.3100 | 91DKZ | | Barbiturates | Barbiturate Test System | 21 CFR 862.3150 | 91DIS | | Benzodiazepines | Benzodiazepine Test System | 21 CFR 862.3170 | 91JXM | | Cocaine | Cocaine Test System | 21 CFR 862.3250 | 91DIO | | Methamphetamine | Methamphetamine Test System | 21 CFR 862.3610 | 91LAF | | Morphine | Morphine Test System | 862.3640 | 91DJJ | | PCP | PCP Test System | Not Assigned | 91LCM | | Tricyclic Antidepressant | Tricyclic Antidepressant Test System | 21 CFR 862.3910 | 91LFG | | THC | Cannabinoid Test System | 21 CFR 862.3870 | 91LDJ | {1} Page 2 of 5 ## H. Intended Use: 1. Intended use(s): See Indication(s) for use below 2. Indication(s) for use: The OnTrak TesTCARD® 9 is an in vitro diagnostic test intended for use by health care professional only for the qualitative detection of drug or drug metabolites in urine. The On Trak TesTCARD 9 simultaneously tests for the presence of multiple drugs or drug metabolites at or above the stated concentrations. **Cutoff Concentrations:** | Amphetamines | – 1000 ng/mL | Morphine | – 300 ng/mL | | --- | --- | --- | --- | | Barbiturates | – 200 ng/mL | PCP (phencyclidine | – 25 ng/mL | | Benzodiazepines | – 100 ng/mL | Tricyclic Antidepressants | –1000 ng/mL | | Cocaine metabolite | – 300 ng/mL | Tetrahydrocannabinol (TCH) | 50 ng/mL | | Methamphetamine | – 500 ng/mL | | | On Trac TesTCARD 9 product provides only a preliminary analytical test result. A more specific alternate chemical method must be used in order to obtain a confirmed analytical result. Gas chromatography mass spectrometry (GC/MS) is the preferred confirmation method. Clinical consideration and professional judgement should apply to any drug of abuse test result, particularly when positive results are used. 3. Special condition for use statement(s): The On Trac TesTcard 9 product provides only a preliminary analytical test result. A more specific alternative chemical method must be used to obtain a confirmed analytical result. Gas chromatography/Mass spectrometry is the preferred confirmatory method. Other chemical confirmation methods are available. Clinical consideration and professional judgment should be applied to any drug of abuse test result, particularly when preliminary positive results are used. 4. Special instrument Requirements: Not applicable. The device is a visually read single-use device. ## I. Device Description: The device is a cassette containing nine strips. Each strip contains a test region and a Test Validation region, which serves as a process control. The test is based on microparticle capture inhibition. Drug which may be present in the urine competes with drug conjugate immobilized on the strip's membrane for binding {2} Page 3 of 5 to antibody coated blue microparticles. In the absence of drug in the urine the antibody-coated blue microparticles bind to the immobilized drug conjugate and form a band in the test region. The test is visually read. **J. Substantial Equivalence Information:** 1. Predicate device name(s): Roche Diagnostics Corporation, On Trak TesTcard 9 2. Predicate K number(s): k012396 3. Comparison with predicate: This device is unchanged. It has the same intended use, indications for use and is based upon the same technology. **K. Standard/Guidance Document Referenced (if applicable):** The standards were referenced in k012396. **L. Test Principle:** The TesTcard 9 assay is based on the principle of microparticle capture inhibition. **M. Performance Characteristics (if/when applicable):** 1. Analytical performance: a. Precision/Reproducibility: The precision was previously established in k012396 b. Linearity/assay reportable range: Not applicable. The assay is intended for qualitative use. c. Traceability (controls, calibrators, or method): Traceability for this device was determined in k012396. The device has an internal process control. Users are instructed to follow federal, state, and local guidelines when determining when to run external controls. d. Detection limit: Sensitivity of this assay is characterized by validating performance around the claimed cutoff concentration of the assay, including a determination of the lowest concentration of drug that is capable of {3} Page 4 of 5 producing a positive result. Detection Limits for this device were determined in k012396. e. Analytical specificity: Cross-reactivity was established by spiking various concentrations of similarly structured drug compounds into drug-free urine /a negative control. By analyzing various concentration of each compound the sponsor determined the concentration of the drug that produced a response approximately equivalent to the cutoff concentration of the assay. The Analytical Specificity for this device was determined in k012396. f. Assay cut-off: The TesTcard 9 cutoff levels were based on US federal mandatory guidelines for SAMHSA (Substance Abuse and Mental Health Services Administration) drugs with the exception of morphine which has a SAMHSA cutoff level of 2000 ng/mL and benzodiazepines, barbiturates, methamphetamine and TCA which have no SAMHSA cutoff levels.¹ **Cutoff Concentrations:** Amphetamines – 1000 ng/mL Barbiturates – 200 ng/mL Benzodiazepines – 100 ng/mL Cocaine metabolite – 300 ng/mL Methamphetamine – 500 ng/mL Morphine – 300 ng/mL PCP (phencyclidine – 25 ng/mL Tetrahydrocannabinol (TCH) 50 ng/mL Tricyclic Antidepressants -1000 ng/mL 1. Mandatory Guidelines for Federal Workplace Drug Testing Programs. Federal Register September 30, 1997. Department of Health and Human Services Administration. 2. **Comparison studies:** a. **Method comparison with predicate device:** The method comparisons were determined in k012396. b. **Matrix comparison:** Not applicable. The assay is intended for only one sample matrix. {4} Page 5 of 5 3. Clinical studies: a. Clinical sensitivity: Not applicable. Clinical studies are not typically submitted for this device type. b. Clinical specificity: Not applicable. Clinical studies are not typically submitted for this device type. c. Other clinical supportive data (when a and b are not applicable): 4. Clinical cut-off: Not applicable. 5. Expected values/Reference range: Not applicable. N. Proposed Labeling: The labeling is sufficient and it satisfies the requirements of 21 CFR Part 809.10 O. Conclusion: The submitted information in this premarket notification is complete and supports a substantial equivalence decision.
Innolitics

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