QuickScreen Pro Multi Drug Screening Test, Model 9395Z
K181945 · Phamatech, Inc. · DKZ · Oct 18, 2018 · Clinical Toxicology
Device Facts
Record ID
K181945
Device Name
QuickScreen Pro Multi Drug Screening Test, Model 9395Z
Applicant
Phamatech, Inc.
Product Code
DKZ · Clinical Toxicology
Decision Date
Oct 18, 2018
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 862.3100
Device Class
Class 2
Indications for Use
The QuickScreen™ Pro Multi Drug Screening Test Model 9395Z is a screening test for the qualitative detection of amphetamines, barbiturates, benzodiazepines, cocaine, ecstasy, methadone, methamphetamine, opiates, oxycodone, phencyclidine, marijuana, tricyclic antidepressants (imipramine) and buprenorphine in urine at the cut-off concentrations listed below. Test for barbiturates, benzodiazepine, oxycodone, buprenorphine and tricyclic antidepressants (imipramine) cannot distinguish between abused drugs and certain prescription medications. The test is intended for professional use only.
Device Story
Single-use, cup-format lateral flow immunoassay; detects drugs of abuse in urine. Input: urine sample; mechanism: competitive immunoassay using monoclonal/polyclonal antibodies on porous membrane; drug/metabolites compete with drug/protein conjugate for binding sites. Output: visual qualitative result indicated by self-timer. Used in professional point-of-care settings; interpreted by healthcare professionals. Provides preliminary results; requires confirmation via GC/MS or other methods. Benefits: rapid screening for clinical decision-making.
Clinical Evidence
No clinical studies performed. Evidence consists of analytical performance data including precision/reproducibility studies (n=80 per level) and method comparison studies against GC/MS reference method. Method comparison conducted at multiple POC sites using unaltered clinical urine samples. Results demonstrated high concordance with GC/MS; discrepant results were observed near the cut-off concentrations. Analytical specificity (cross-reactivity and interference) and stability (22-month claim) were also evaluated.
Technological Characteristics
Lateral flow immunochromatographic assay; competitive binding principle. Materials: monoclonal anti-drug antibody/colloidal gold conjugate, drug derivative/protein conjugate, goat anti-rabbit antibody. Format: single-use disposable cup with 12 test strips. No external controls. No electronic components; visual readout.
Indications for Use
Indicated for professional, prescription-only qualitative screening of urine for amphetamines, barbiturates, benzodiazepines, cocaine, ecstasy (MDMA), methadone, methamphetamine, opiates, oxycodone, phencyclidine, marijuana, tricyclic antidepressants (Imipramine), and buprenorphine.
Regulatory Classification
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.
Special Controls
*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).
Predicate Devices
At Home Drug Test 12: Model 9308Z (k070009)
Submission Summary (Full Text)
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1
# 510(k) SUBSTANTIAL EQUIVALENCE DETERMINATION DECISION SUMMARY ASSAY ONLY TEMPLATE
A. 510(k) Number:
k181945
B. Purpose for Submission:
Modification of a previously cleared device to add Imipramine and Buprenorphine to the test panel.
C. Measurand:
Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Ecstasy (MDMA), Methadone, Methamphetamine, Opiates, Oxycodone, Phencyclidine, Marijuana, Imipramine, Buprenorphine
D. Type of Test:
Qualitative lateral flow immunoassay
E. Applicant:
Phamatech, Inc.
F. Proprietary and Established Names:
QuickScreen Pro Multi Drug Screening Test, Model 9395Z
G. Regulatory Information:
1. Regulation section:
| Product Code | Regulation Number | Regulation Description |
| --- | --- | --- |
| DKZ | 862.3100 | Amphetamine test system |
| DIS | 862.3150 | Barbiturate test system |
| JXM | 862.3170 | Benzodiazepine test system |
| DIO | 862.3250 | Cocaine and cocaine metabolite test system |
| DJC | 862.3610 | Methamphetamine test system |
| DJR | 862.3620 | Methadone test system |
| DJG | 862.3650 | Opiate test system |
{1}
2
| Product Code | Regulation Number | Regulation Description |
| --- | --- | --- |
| LCM | Unclassified | Phencyclidine |
| LDJ | 862.3870 | Cannabinoid test system |
| LFG | 862.3910 | Tricyclic antidepressant drugs test system |
2. Classification:
Class II
4. Panel:
Toxicology
H. Intended Use:
1. Intended use(s):
See indications for use below.
2. Indication(s) for use:
The QuickScreen™ Pro Multi Drug Screening Test Model 9395Z is a screening test for the qualitative detection of amphetamines, barbiturates, benzodiazepines, cocaine, ecstasy (MDMA), methadone, methamphetamine, opiates, oxycodone, phencyclidine, marijuana, tricyclic antidepressants (Imipramine) and buprenorphine in urine at the cut-off concentrations listed below. Test for barbiturates, benzodiazepine, oxycodone, buprenorphine and tricyclic antidepressants (Imipramine) cannot distinguish between abused drugs and certain prescription medications. The test is intended for professional use only.
| Analyte | Abbreviation | Cut-off Concentration (ng/ml) |
| --- | --- | --- |
| Amphetamines | AMP | 1000 |
| Barbiturates | BAR | 200 |
| Benzodiazepines | BZD | 200 |
| Cocaine | COC | 300 |
| Ecstasy | MDMA | 500 |
| Methadone | MTD | 300 |
| Methamphetamine | MET | 500 |
| Opiates | OPI | 300 |
| Oxycodone | OXY | 100 |
| Phencyclidine | PCP | 25 |
| Marijuana | THC | 50 |
{2}
| Analyte | Abbreviation | Cut-off Concentration (ng/ml) |
| --- | --- | --- |
| Tricyclic Antidepressants (Imipramine) | TCA (Imipramine) | 1000 |
| Buprenorphine | BUP | 10 |
This test provides only a preliminary test result. A more specific alternate testing method must be used in order to obtain a confirmed analytical result. Gas chromatography/mass spectrometry (GC/MS) is the preferred confirmatory method. Other 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 observed.
3. Special conditions for use statement(s):
For prescription use only
4. Special instrument requirements:
Not applicable. These devices are single use and disposable.
I. Device Description:
The QuickScreen™ Pro Multi Drug Screening Test, Model 9395Z is a competitive immunoassay that is used to screen for the presence of the following drugs of abuse in urine: Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Ecstasy, Methadone, Methamphetamine, Opiates, Oxycodone, Phencyclidine, Marijuana, Imipramine, and Buprenorphine. The device is single-use utilizing a cup format. Each kit consists of the following materials:
- Twelve separate test strips for the 13 target drugs. Each test strip device includes monoclonal anti-drug antibody/colloidal gold conjugate specific to each drug coated in the sample path, drug derivative/protein conjugate immobilized as a line in the Test Region (T), and goat anti-rabbit antibody immobilized as a line in the Control Region (C).
- Instructional insert
- Urine sample collection cup
- Built-in timer to identify when test test results should be read
J. Substantial Equivalence Information:
1. Predicate device name(s):
At Home Drug Test 12: Model 9308Z
{3}
2. Predicate 510(k) number(s): k070009
3. Comparison with predicate:
| Similarities | | |
| --- | --- | --- |
| Item | QuickScreen™ Pro Multi Drug Screening Test, Model 9395Z | At Home Drug Test 12: Model 9308Z (k070009) Predicate Device |
| Indications for use | The QuickScreen™ Pro Multi Drug Screening Test Model 9395Z is an screening test for the qualitative detection of amphetamines, barbiturates, benzodiazepines, cocaine, ecstasy, methadone, methamphetamine, opiates, oxycodone, phencyclidine, marijuana, tricyclic antidepressants (Imipramine) and buprenorphine in urine at the cut-off concentrations listed. | Same |
| Methodology | Lateral flow immunoassay based on the principle of antigen and antibody immunochemistry | Same |
| Results | Qualitative | Same |
| Analyte Cut-off | Amphetamines (AMP): 1000 ng/ml
Barbiturates (BAR): 200 ng/ml
Benzodiazepines: (BZD): 200 ng/ml
Cocaine (COC): 300 ng/ml
Ecstasy (MDMA): 500 ng/ml
Methadone (MTD): 300 ng/ml
Methamphetamine (MET): 500 ng/ml
Opiates (OPI): 300 ng/ml
Oxycodone (OXY): 100 ng/ml
Phencyclidine (PCP): 25 | Same for shared analytes |
4
{4}
| Similarities | | |
| --- | --- | --- |
| Item | QuickScreen™Pro Multi Drug Screening Test, Model 9395Z | At Home Drug Test 12: Model 9308Z (k070009) Predicate Device |
| | ng/ml
Marijuana (THC): 50
ng/ml
Tricyclic Antidepressants (TCA): 1000 ng/ml
Buprenorphine (BUP): 10
ng/ml | |
| Configuration | Cup | Same |
| Specimen Type | Urine | Same |
| Use | Single-use | Same |
| Differences | | |
| --- | --- | --- |
| Item | QuickScreen™Pro Multi Drug Screening Test Model 9395Z | At Home Drug Test 12: Model 9308Z (k070009) Predicate Device |
| Use Setting | Prescription | OTC |
# K. Standard/Guidance Document Referenced (if applicable):
None referenced.
# L. Test Principle:
TheQuickScreen™ Pro Multi Drug Screening Test, Model 9395Z device employs lateral flow immunochromatographic technology, which involves the recognition and formation of a specific antibody/target drug complex. Drug in the sample and drug-labeled conjugate compete for antibody binding sites. During testing, a urine specimen migrates upward by capillary action. If target drugs present in the urine specimen are below the cut-off concentration, it will not saturate the binding sites of its specific monoclonal mouse antibody coated on the particles. The antibody-coated particles will then be captured by immobilized drug-conjugate and a visible colored line will show up in the test line region (T). The colored line will not form in the test line region if the target drug level exceeds its cutoff-concentration because it will saturate all the binding sites of the antibody coated on the particles. The control line (C) serves as an internal quality control to ensure proper sample volume has been added to the test and that the sample has correctly migrated up the test strip.
{5}
M. Performance Characteristics (if/when applicable):
1. Analytical performance:
a. Precision/Reproducibility:
A precision/reproducibility study was performed using the QuickScreen™ Pro Multi Drug Screening Test Model 9395Z device at three separate point of care (POC) sites. Multiple replicates of each of the nine drug concentrations (prepared by spiking negative urine samples with buprenorphine or TCA (Imipramine)) was assayed over a minimum of 5 days. The tests were done in accordance with the package insert instructions using one lot of the device, and a summary of the results are provided in the table below. Precision performance for Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Ecstasy, Methadone, Methamphetamine, Opiates, Oxycodone, Phencyclidine, and Marijuana, was reviewed in k070098.
| Test Results for BUP | | | | |
| --- | --- | --- | --- | --- |
| Level | BUP Conc. (ng/ml) | % of cutoff | Result (Neg/Pos) | % Correct |
| 1 | 0.00 | 0 | 80/0 | 100% |
| 2 | 2.58 | - 75% | 80/0 | 100% |
| 3 | 5.62 | - 50% | 80/0 | 100% |
| 4 | 7.13 | - 25% | 80/0 | 100% |
| 5 | 10.42 | cutoff | 0/80 | 100% |
| 6 | 12.27 | + 25% | 0/80 | 100% |
| 7 | 16.83 | + 50% | 0/80 | 100% |
| 8 | 17.69 | + 75% | 0/80 | 100% |
| 9 | 20.43 | +100% | 0/80 | 100% |
| Test Results for TCA (Imipramine) | | | | |
| --- | --- | --- | --- | --- |
| Level | TCA Conc. (ng/ml) | % of cutoff | Result (Neg/Pos) | % Correct |
| 1 | 0.00 | 0 | 80/0 | 100% |
| 2 | 249.53 | - 75% | 80/0 | 100% |
| 3 | 547.65 | - 50% | 80/0 | 100% |
| 4 | 767.56 | - 25% | 80/0 | 100% |
| 5 | 1026.32 | cutoff | 0/80 | 100% |
| 6 | 1267.91 | + 25% | 0/80 | 100% |
| 7 | 1589.23 | + 50% | 0/80 | 100% |
| 8 | 1789.60 | + 75% | 0/80 | 100% |
| 9 | 2089.3 | +100% | 0/80 | 100% |
b. Linearity/assay reportable range:
Not applicable.
{6}
c. Traceability, Stability, Expected values (controls, calibrators, or methods):
There are no external controls supplied with the device.
Real time stability tests were conducted over 24 months. Protocol and acceptance criteria were found to be acceptable. The manufacturer claims that the devices are stable for 22 months.
d. Detection limit:
See precision data in Section M.1.a., above, for assay performance around the claimed cutoff concentrations.
e. Analytical specificity:
Cross-reactivity: Cross-reactivity studies for BUP and Imipramine were conducted for the QuickScreen™ Pro Multi Drug Screening Test Model 9395Z device (BUP and TCA) by testing structurally similar compounds. The compounds in the below table were tested for cross reactivity, and the lowest concentration causing a positive result was determined to calculate the percentage of cross-reactivity. Cross-reactivity performance for Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Ecstasy, Methadone, Methamphetamine, Opiates, Oxycodone, Phencyclidine, and Marijuana, was reviewed in k070098.
| BUP Cross Reactivity | | |
| --- | --- | --- |
| Compound | Lowest conc. resulting in positive result | % cross reactivity |
| Norbuprenorphine | 20 ng/ml | 50% |
| Morphine | N/A | <0.01% |
| Buprenorphine-3-β-D-Glucuronide | 10 μg/ml | 0.1% |
| Norbuprenorphine-3-β-D-Glucuronide | 20 μg/ml | 0.2% |
| Oxymorphone | N/A | <0.01% |
| Hydromorphone | N/A | <0.01% |
| TCA Cross Reactivity | | |
| Compound | Lowest conc. resulting in positive result | % cross reactivity |
| Amitriptyline | 250 ng/ml | 400% |
| N-Desmethylclomipramine | 100 mg/ml | 1% |
| N-Desmethyltrimipramine-maleate | 100 mg/ml | 1% |
| Cyclobenzaprine | 500 ng/ml | 200% |
| Cyproheptadine | 100 mg/ml | 1% |
| Desiprimine | 250 ng/ml | 400% |
| Doxepin | 100 ng/ml | 1000% |
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Interference: The following compounds did not show interference with the QuickScreen™ Pro Multi Drug Screening Test Model 9395Z device (for BUP and Imipramine) when tested at BUP and Imipramine concentration of 50% and 150% of cut-off values. Interference performance for Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Ecstasy, Methadone, Methamphetamine, Opiates, Oxycodone, Phencyclidine, and Marijuana, was reviewed in k070098.
| Compound | Conc. tested (μg/ml) | Compound | Conc. tested (μg/ml) |
| --- | --- | --- | --- |
| 6-Acetylcodeine | 100 | Ketamine | 100 |
| 6-Acetylmorphine | 100 | Levallorphan Tartrate | 100 |
| Acetaminophen | 100 | Lidocaine | 100 |
| Acetaminophen | 500 | Lormetazepam | 100 |
| Acetylsalicylic Acid (Aspiring) | 500 | Lysergic Acid Diethylamide | 100 |
| Acetylsalicylic Acid (Aspiring) | 1000 | MDEA | 100 |
| Alprazolam | 100 | d-Methamphetamine | 100 |
| α-Hydroxyaprazolam | 100 | I-Methamphetamine | 100 |
| Aminogluthethimide | 100 | Metanphrine | 100 |
| Amobarbital | 100 | Methaqualone | 100 |
| S(+) Amphetamine | 100 | Metoprolol | 100 |
| Aprobarbital | 100 | Methylenedioxyamphetamine (MDA) | 100 |
| Apromorphine | 100 | Methylphenidate | 100 |
| Ascorbic Acid | 10,000 | Methylphenidate | 500 |
| Ascorbic Acid | 15,000 | Methylphenidate | 1000 |
| Ampicillin | 100 | Metoclopramide | 150 |
| Amoxicillin | 100 | Metoclopramide | 300 |
| Barbituric Acid | 100 | Morphine | 100 |
| Benzoylecgonine | 100 | Morphine-3-β-D Glucuronide | 100 |
| Oxalic Acid | 100 | Nafcillin | 100 |
| Benzphetamine | 100 | Nalbuphine | 100 |
| Benztropine Methane Sulfonate | 100 | Naloxone | 100 |
| Bilirubin | 100 | Naltrexone | 100 |
{8}
| Compound | Conc. tested (μg/ml) | Compund | Conc. tested (μg/ml) |
| --- | --- | --- | --- |
| Bromazepam | 100 | Naphazoline | 100 |
| Brompheniramine | 100 | Netilmicin | 100 |
| Butabarbital | 100 | Nifedipine | 100 |
| Butabital | 100 | Nitrazepam | 100 |
| Butalbital | 100 | Norbuprenorphine | 100 |
| N-Desmethylimipramine | 100 | Norcodeine | 100 |
| Caffeine | 100 | Nordoxepin | 100 |
| Caffeine | 500 | Normorphine | 100 |
| Cannabidiol | 100 | Noroxymorphone | 100 |
| Cannabidiol | 100 | Nylidren | 100 |
| Cannabinol Delta 9 | 5 | Oxazepam | 100 |
| Chlordiazepoxide | 100 | Oxycodone | 100 |
| Chlorpropamide | 100 | Oxymetazoline | 100 |
| Chloroprothixene | 100 | Penicillin-G | 100 |
| Chloroquine | 100 | Pentazocine | 100 |
| Chlorpheniramine | 100 | Pentobarbital | 100 |
| Clamastine | 100 | Phencyclidine | 100 |
| Clorimpramine | 100 | Phenylephrine | 100 |
| Clonazepam | 100 | Phenylbutazone | 100 |
| Codeine | 100 | Phenylcyclopropylamine HCl | 100 |
| Cotinine | 100 | Phenylethylamine | 100 |
| Creatinine | 2500 | Terbutaline | 100 |
| Creatinine | 5000 | Phenytoin | 100 |
| Cyclizine | 100 | Prazepam | 100 |
| Cyclosporin | 100 | Prednisolone | 100 |
| Desalkylflurazepam | 100 | Primadone | 100 |
| Dextromethorphan | 100 | Procainamide | 100 |
| Diazepam | 100 | Promethazine | 100 |
| Dihydrocodeine | 100 | Promazine | 100 |
| Dipehnylhydantoin | 100 | Proproxyphine | 100 |
| Dipehnylhydantoin | 2500 | S, S (+)-Pseudoephedrine | 100 |
| Dipehnylhydantoin | 5000 | Pyrilamine | 100 |
| Doxylamine | 100 | Quinidine | 100 |
| Ecgonine | 100 | Ranitidine | 100 |
| Ecgonine Methyl Ester | 100 | Salicylic Acid | 100 |
| Efavirenz | 100 | Scopolamine | 100 |
| Ephedrine | 100 | Secobarbital | 100 |
| Epinephrine | 100 | Temazepam | 100 |
| Erythromycin | 100 | Thioridazine | 250 |
| Ethanol | 10,000 | Thioridazine | 500 |
| Ethanol | 25,000 | Thiothixene | 100 |
| Ethanol | 50,000 | Traylcyromine | 100 |
{9}
| Compound | Conc. tested (μg/ml) | Compound | Conc. tested (μg/ml) |
| --- | --- | --- | --- |
| Ethylmorphine | 100 | Triampterene | 100 |
| Fenfluramine | 100 | Triazolam | 100 |
| Fentanyl | 100 | α-Hydroxytriazolam | 100 |
| Flunitrazepam | 100 | Triflupromazine | 100 |
| Griseofuvin | 100 | Trimipramine | 100 |
| Hydrocodone | 100 | Tyramine | 100 |
| Hydromorphine | 100 | Urea | 10,000 |
| Hexabarbital | 100 | Urea | 30,000 |
| Ibuprofen | 50 | Urea | 60,000 |
| Ibuprofen | 100 | Uric Acid | 100 |
| Indomethacin | 100 | Verapamil | 100 |
| Isoxsuprine | 100 | Verapamil | 500 |
| Kanamycin | 100 | Verapamil | 1000 |
| MDMA | 100 | Naproxime | 100 |
| Mephentermine | 100 | | |
pH sensitivity: Testing was conducted for BUP and Imipramine with the QuickScreen™ Pro Multi Drug Screening Test Model 9395Z device to determine the influence of sample pH on test results. Samples were tested in triplicate at a pH of 4.0, 4.5, 5.5, 6.5, 7.5, 8.5 and 9.0. No interference was observed for any pH test conditions. pH interference performance for Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Ecstasy, Methadone, Methamphetamine, Opiates, Oxycodone, Phencyclidine, and Marijuana, was reviewed in k070098.
Specific Gravity: Testing was conducted for BUP and Imipramine with the QuickScreen™ Pro Multi Drug Screening Test Model 9395Z device to determine the influence of sample specific gravity on test results. Four samples were tested, spanning a range of specific gravity from 1.002 to 1.040. All were tested in quadruplicate. No interference was observed for any specific gravity test conditions. Specific gravity interference performance for Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Ecstasy, Methadone, Methamphetamine, Opiates, Oxycodone, Phencyclidine, and Marijuana, was reviewed in k070098.
f. Assay cut-off:
Characterization of how the device performed analytically around the claimed cutoff concentration appears in the precision section M.1.a., above.
2. Comparison studies:
a. Method comparison with predicate device:
Method comparison studies were conducted for BUP and Imipramine at four different
{10}
sites for the detection of BUP and two sites for the detection of Imipramine, using the QuickScreen™ Pro Multi Drug Screening Test Model 9395Z device. All tests were conducted using unaltered urine clinical samples. Accuracy performance for Amphetamines, Barbiturates, Benzodiazepines, Cocaine, Ecstasy, Methadone, Methamphetamine, Opiates, Oxycodone, Phencyclidine, and Marijuana, was reviewed in k070098.
## Method Comparison Site #1
| Candidate Device Results | Zero Value Samples by GC/MS | Below 50% cutoff by GC/MS | Near Cutoff Negative (Between 50% below cutoff and cutoff concentration) by GC/MS | Near Cutoff Positive (between cutoff and 150%) by GC/MS | High Positive (above 150%) by GC/MS |
| --- | --- | --- | --- | --- | --- |
| BUP | | | | | |
| QuickScreen | | | | | |
| Positive | 0 | 0 | 3 | 5 | 35 |
| Negative | 40 | 32 | 5 | 0 | 0 |
| | | | | | |
| TCA (Imipramine) | | | | | |
| QuickScreen | | | | | |
| Positive | 0 | 0 | 1 | 23 | 17 |
| Negative | 22 | 20 | 19 | 0 | 0 |
## Discrepant results
| Sample | Analyte Detected | Subject Device Result | GC/MS Result (ng/ml) |
| --- | --- | --- | --- |
| 82 | Buprenophine | Positive | 8.21 |
| 40 | Buprenophine | Positive | 9.04 |
| 17 | Buprenophine | Positive | 9.29 |
| 62 | Imipramine | Positive | 995.9 |
{11}
Method Comparison POC Site 1
| Candidate Device Results | Zero Value Samples | Below 50% cutoff | Near Cutoff Negative (Between 50% below cutoff and cutoff concentration) | Near Cutoff Positive (between cutoff and 150%) | High Positive (above 150%) |
| --- | --- | --- | --- | --- | --- |
| BUP | | | | | |
| QuickScreen | | | | | |
| Positive | 0 | 0 | 3 | 5 | 35 |
| Negative | 40 | 32 | 5 | 0 | 0 |
| | | | | | |
| TCA (Imipramine) | | | | | |
| QuickScreen | | | | | |
| Positive | 0 | 0 | 1 | 23 | 17 |
| Negative | 22 | 20 | 19 | 0 | 0 |
Discrepant Results
| Sample | Analyte Detected | Subject Device Result | GC/MS Result (ng/ml) |
| --- | --- | --- | --- |
| 82 | Buprenophine | Positive | 8.21 |
| 40 | Buprenophine | Positive | 9.04 |
| 17 | Buprenophine | Positive | 9.29 |
| 62 | Imipramine | Positive | 995.9 |
Method Comparison POC Site 2
| Candidate Device Results | Zero Value Samples | Below 50% cutoff | Near Cutoff Negative (Between 50% below cutoff and cutoff concentration) | Near Cutoff Positive (between cutoff and 150%) | High Positive (above 150%) |
| --- | --- | --- | --- | --- | --- |
| BUP | | | | | |
| QuickScreen | | | | | |
| Positive | 0 | 0 | 3 | 5 | 35 |
| Negative | 40 | 32 | 5 | 0 | 0 |
{12}
Discrepant Results
| Sample | Analyte Detected | Subject Device Result | GC/MS Result (ng/ml) |
| --- | --- | --- | --- |
| 82 | Buprenophine | Positive | 8.21 |
| 40 | Buprenophine | Positive | 9.04 |
| 17 | Buprenophine | Positive | 9.29 |
Method Comparison POC Site 3
| Candidate Device Results | Zero Value Samples | Below 50% cutoff | Near Cutoff Negative (Between 50% below cutoff and cutoff concentration) | Near Cutoff Positive (between cutoff and 150%) | High Positive (above 150%) |
| --- | --- | --- | --- | --- | --- |
| BUP | | | | | |
| QuickScreen | | | | | |
| Positive | 0 | 0 | 4 | 5 | 35 |
| Negative | 40 | 32 | 4 | 0 | 0 |
Discrepant Results
| Sample | Analyte Detected | Subject Device Result | GC/MS Result (ng/ml) |
| --- | --- | --- | --- |
| 52 | Buprenophine | Positive | 6.85 |
| 82 | Buprenophine | Positive | 8.21 |
| 40 | Buprenophine | Positive | 9.04 |
| 17 | Buprenophine | Positive | 9.29 |
b. Matrix comparison:
N/A
3. Clinical studies:
a. Clinical Sensitivity:
N/A
b. Clinical specificity:
N/A
{13}
c. Other clinical supportive data (when a. and b. are not applicable):
N/A
4. Clinical cut-off:
N/A
5. Expected values/Reference range:
N/A
N. Proposed Labeling:
The labeling is sufficient and it satisfies the requirements of 21 CFR Parts 801 and 809, as applicable.
O. Conclusion:
The submitted information in this premarket notification is complete and supports a substantial equivalence decision.
14
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Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.