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8. 510(k) SUMMARY SEP 1 6 2004 This summary of safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92. The Assigned 510(k) number is1'pl$ Submitter: ACON Laboratories, Inc. 4108 Sorrento Valley Boulevard San Diego, California 92121 Tel.: 858-535-2030 Fax: 858-535-2038 Date: July 2, 2004 Contact Person: Edward Tung, Ph.D. Product Names: ACON® AMP 300 One Step Amphetamine Test Strip ACON® AMP 300 One Step Amphetarmine Test Device Common Name: Immunochromatographic test for the qualitative detection of Amphetamine in unine. Regulation Name: Amphetamine test system. Product Code: DKZ 39

FDA 510K Clearance Certification K041822 Amphetamine (AMP) 300 Drug Testing Kits

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Official FDA 510k Clearance Certification for AMP 300 K041822. More found on www.EmployeeDrugTestingAce.com/Library and Product Pages. Aka: www.EDTAce.com. Amphetamine (AMP) is a Schedule II controlled substance available by prescription (Dexedrine®) and is also available on the illicit market. Amphetamines are a class of potent sympathomimetic agents with therapeutic applications… DOA1155, DOA2155, DAM102, DOA1105051, DOA22105, DOA2165, DOA1104, DOA2104, DOA1124011T, DOA244, DOA154, DOA254, DOA454, DOA754, DOA1364, DOA164, DOA164551, DOA264, DOA364, DOA184, DOA194, DAM114, DUD1104051, DUD154201, DUD164141, DSD765011, IDOA1155, IDOA2155, IDOA1165, IDAM102, IDOA11105, IDOA1185, IDOA1195, IDOA177031, IDOA1107051, IDOA1137011, IDOA197041, IDUA157013, IDUA157023, IDUA167012, IDUD1107012, IDUE1107141, IDUE1127022, IDUA157115, IDUA167022, IDUD187013, IDUE187071, IDUD197014, IDSB755011, IDSB765011, IS10, IS4A, IDOA1154, IS5A,

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8. 510(k) SUMMARY SEP 1 6 2004

This summary of safety and effectiveness information is being submitted in accordance with therequirements of SMDA 1990 and 21 CFR 807.92.

The Assigned 510(k) number is1'pl$

Submitter:

ACON Laboratories, Inc.4108 Sorrento Valley BoulevardSan Diego, California 92121

Tel.: 858-535-2030Fax: 858-535-2038

Date:

July 2, 2004

Contact Person:

Edward Tung, Ph.D.

Product Names:

ACON® AMP 300 One Step Amphetamine Test StripACON® AMP 300 One Step Amphetarmine Test Device

Common Name:

Immunochromatographic test for the qualitative detection of Amphetamine in unine.

Regulation Name:

Amphetamine test system.

Product Code:

DKZ

39

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Amphetamine 300 Drug Testing Kits

Classification Number:

21 CFR, 862.3100

Device Classification:

The Amphetamine test systems have been classified as Class I1 devices with moderate complexity.The ACON AMP 300 One Step Amphetamine Test Strip and the ACON AMP 300 One StepAmphetamine Test Device are similar to another FDA-cleared device for the qualitative detectionof Amphetamine in urine specimens. These tests are used to provide only a preliminary analyticalresult. All positive test results obtained with these devices must be confirmed by another testmethod, preferably GC/MS analysis.

Intended Use:

The ACON AMP 300 One Step Amphetamine Test Strip and ACON AMP 300 One StepAmphetamine Test Device are rapid chromatographic immunoassays for the qualitative detectionof Amphetamine in urine at a cutoff concentration of 300 ng/mL. These tests are used to provideonly a preliminary analytical result. All positive test results obtained with these devices must beconfirmed by another test method, preferably GCUMS analysis. They are intended for healthcareprofessionals including professionals at point-of-care sites.

Description:

The ACON AMP 300 One Step Amphetamine Test Strip and the ACON AMP 300 One StepAmphetamine Test Device are competitive binding, lateral flow immunochromatographic assays forthe qualitative screening of Amphetamine in a urine sample. The test is based on the principle ofantigen-antibody immunochemistry. It utilizes the mouse monoclonal antibody to selectively detectelevated levels of Amphetamine and its metabolite in urine at a cutoff concentration of 300 ng/mL.These tests can be performed without the use of an instrument.

A drug-positive urine specimen will not generate a colored-line in the designated test region, while anegative urine specimen or a urine specimen containing Amphetamine at the concentration below thecutoff level will generate a colored-line in the test region. To serve as a procedural control, a colored-line should always appear at the control region, indicating that proper volume of specimen has beenadded and membrane wicking has occurred.

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Comparison to a Predicate Device:

A comparison of the features of the ACON AMP 300 One Step Amphetamine Test Strip and theACON AMP 300 One Step Amphetamine Test Device versus a FDA-cleared Amphetamine test with300 ng/mL Amphetamine cutoff is shown below:

* Both tests are assays intended for the qualitative detection of Amphetamine in urine samples.* Both tests are intended as a screening method that provides a preliminary analytical test

result.* Both tests are immunochromatographic, lateral flow assays for the rapid detection of

Amphetamine with a visual, qualitative end result.* Both tests utilize the same basic immunoassay principles that rely on antigen/ antibody

interactions to indicate a positive or negative result.* Both tests have a cutoff Amphetamine concentration of 300 ng/mL.

Safety and Effectiveness Data:

Accuracy

A clinical evaluation was conducted using 300 clinical urine specimens includingapproximately 10% of the specimens containing Amphetamine concentration fell between -25% cutoff to +25% cutoff range. This evaluation compared the test results between ACONAMP 300 One Step Amphetamine Test Strip and ACON AMP 300 One Step AmphetamineTest Device with a FDA-cleared Amphetamine test; as well as compared against data obtainedfrom the customary Gas Chromatography/Mass Spectrometry analysis. These comparisons ofdata yielded the following results:

ACON AMP 300 One Step Amphetamine Test Strip versus a FDA-cleared AMP 300Test:

Positive Agreement: 127 / 127 > 99% (97 % - 99%)**Negative Agreement: 173 / 173 > 99% (98 % - 99%)**Overall Agreement: 300 / 300 > 99% (99 % - 99 %)*** 95% confidence intervals**Since the proportion can not go above 100%, this is really a 97.5% confidence interval.

ACON AMP 300 One Step Amphetamine Test Device versus a FDA-cleared AMP 300Test:

Positive Agreement: 127 / 127 > 99% (97 % - 99%)**Negative Agreement: 173 / 173 > 99% (98 % - 99%)**Overall Agreement: 300 / 300 > 99% (99 % - 99 %)*** 95% confidence intervals**Since the proportion can not go above 100%, this is really a 97.5% confidence interval.

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ACON AMP 300 One Step Amphetamine Test Strip versus data obtained with GC/MS atthe cutoff concentration of 300 ng/mL:

ACON AMP 300 One Step Amphetamine Test Strip versus GC/MS.

Specimen Cutoff Range by GC/MS DataNegativet <-25% -25% to Cutoff to >+25% % Agreement

Cutoff Cutoff +25% Cutoff

ACON Positive 0 1 1 2 123 >99% (125/125)AMP- 300 (97% - 99%)**

Test Negative 150 18 5 0 0 99% (173/175)Strip (96% - 98%)*

Total agreement with GC/MS: 298/300 = 99% (98%- 99%)*

* Denotes 95% confidence interval.** Since the proportion can not go above 100%, this is really a 97.5% confidence interval.t App. 10% negative specimen samples were also confirmed by GC/MS.

ACON AMP 300 One Step Amphetamine Test Device versus GC/MS.

Specimen Cut off Range by GC/MS DataNegativet <-25% -25% to Cutoff to > +25% % Agreement

Cutoff Cutoff +25% CutoffACON Positive 0 1 1 2 123 >99% (125/125)

AMP- 300 (97% - 99%)**Test Negative 150 18 5 0 0 99% (173/175)

Device (96% - 99%)*

Total agreement with GC/MS: 298/300 = 99% (98% - 99%)*

* Denotes 95% confidence interval.** Since the proportion can not go above 100%, this is really a 97.5% confidence interval.t App. 10% negative specimen samples were also confirmed by GC/MS.

Performance Characteristics and Other information:

The performance characteristics of the ACON AMP 300 One Step Amphetamine Test Stripand the ACON AMP 300 One Step Amphetamine Test Device were verified by analyticalsensitivity study, specificity and cross reactivity study, interference studies, precision study,read time flex study, temperature flex study, specimen storage and stability study. Studyresults indicate that these test devices are robust and can perform satisfactorily when usedaccording to the "Indication for Use" statement specified in their package inserts.

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Conclusion:

These clinical studies demonstrated substantial equivalency on performance among theACON AMP 300 One Step Amphetamine Test Strip, the ACON AMP 300 One StepAmphetamine Test Device and a FDA-cleared Amphetamine test with the sameAmphetamine cutoff concentration. It is also demonstrated that these tests are safe andeffective in qualitatively detecting Amphetamine at a concentration of 300 ng/mL. The POLstudy demonstrated that these tests are suitable for healthcare professionals includingprofessionals at point-of-care sites.

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DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service

Food and Drug Administration2098 Gaither RoadRockville MD 20850

Edward Tung, Ph.D.Regulatory AffairsAcon Laboratories, Inc.4108 Sorrento Valley Blvd.San Diego, CA 92121

Re: k041822Trade/Device Name: ACON AMP 300 One Step Amphetamine Test Strip

ACON AMP 300 One Step Amphetamine Test Device

Regulation Number: 21 CFR 862.3100Regulation Name: Amphetamine test systemRegulatory Class: Class 1-Product Code: DKZDated: July 2, 2004Received: July 6, 2004

Dear Dr. Tung:

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 (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. 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.

If your device is classified (see above) into either class LI (Special Controls) or class III (PMA),

it may be subject to such additional controls. Existing major regulations affecting your device

can be found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. In addition, FDA

may publish further announcements concerning your device in the Federal Register.

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 Parts 801 and 809); and good manufacturing practice

requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

Page 2

This letter will allow you to begin marketing your device as described in your Section 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 information about the application of labeling requirements to your device,

or questions on the promotion and advertising of your device, please contact the Office of

In Vitro Diagnostic Device Evaluation and Safety at (301) 594-3084. Also, please note the

regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97).

You may obtain other general information on your responsibilities under the Act from the

Division of Small Manufacturers, International and Consumer Assistance at its toll-free number

(800) 638-2041 or (301) 443-6597 or at its Internet addresshttp://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely yours,

Kb' ~~~ H C~~~j~e~~~-7 4 V: ean M. Cooper, MS,[D'V.M.DirectorDivision of Chemistry and ToxicologyOffice of In Vitro Diagnostic Device

Evaluation and SafetyCenter for Devices and

Radiological Health

Enclosure

Indications for Use

510(k) Number (if known): K041822

Device Name: ACON AMP 300 One Step Amphetamine Test Strip

ACON AMP 300 One Step Amphetamine Test Device

Indications For Use:

The ACON AMP 300 One Step Amphetamine Test Strip and the ACON AMP 300 One Step

Amphetamine Test Device are rapid chromatographic immunoassays for the qualitative detection

of Amphetamine levels in urine at a designated cutoff con6entration of 300 ng/mL. They are

intended for healthcare professionals including professionals at point-of-care sites.

This assay 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) are the preferred confirmatory methods.

Clinical consideration and professional judgment should be applied to any drug of abuse test result,

particularly when preliminary positive results are used.

Prescription Use X AND/OR Over-The-Counter Use __

(Part 21 CFR 801 Subpart D) (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

DMslon Sign-.QfPage 1 of 1

Office of In Vitro DfignoflODevice Evalualion and SWAtI

51 0(k) __..

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