← Product Code LCM · K994017

# ONTRAK TESTCUP 5 M2K, CAT. 11 1850 1 (K994017)

_Roche Diagnostics Corp. · LCM · Jan 27, 2000 · TX · SESE_

**Canonical URL:** https://fda.innolitics.com/device/K994017

## Device Facts

- **Applicant:** Roche Diagnostics Corp.
- **Product Code:** LCM
- **Decision Date:** Jan 27, 2000
- **Decision:** SESE
- **Submission Type:** Traditional
- **Device Class:** Class U
- **Review Panel:** TX

## Intended Use

OnTrak TesTcup®5 M2K is an in vitro test intended for professional use for the qualitative detection of drug or drug metabolite in urine. OnTrak TesTcup-5 M2K simultaneously tests for the presence of multiple drugs or drug metabolites. The OnTrak TesTcup-5 M2K profile (cutoff) consists of amphetamines (1000 ng/mL), cocaine metabolite (300 ng/mL), THC (50 ng/mL), morphine (2000 ng/mL) and PCP (25 ng/mL). OnTrak TesTcup-5 M2K 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 judgment should be applied to any drug abuse result, particularly when preliminary positive results are used.

## Device Story

OnTrak TesTcup-5 M2K is an in vitro diagnostic device for professional use; performs qualitative detection of drugs of abuse in urine. Principle of operation: competitive microparticle capture inhibition. Urine sample collected in cup; flows through membrane via capillary action. In absence of drug, antibody-coated blue microparticles bind to immobilized drug conjugate, forming blue band (negative result). If drug present, it binds to microparticles, inhibiting conjugate binding, preventing blue band formation (positive result). Includes 'TEST VALID' area using antibody/antigen reaction to confirm test integrity. Healthcare providers interpret color-based results visually. Provides preliminary screening; requires GC/MS confirmation for clinical decision-making. Benefits include rapid, simultaneous multi-drug screening in clinical settings.

## Clinical Evidence

Bench testing only. Evaluated 397 urine samples (90 positive, 307 negative) against GC/MS confirmation and Abuscreen OnLine. Demonstrated 100% agreement with GC/MS and 100% agreement with predicate device. Precision >95% at 150% of cutoff.

## Technological Characteristics

Competitive microparticle capture inhibition assay. Components: blue-dyed microparticles coated with mouse monoclonal anti-phencyclidine, drug conjugates immobilized on membrane, mouse monoclonal anti-BSA antibody. Qualitative colorimetric endpoint. Standalone, single-use cup form factor.

## Predicate Devices

- OnTrak TesTcup-5 M2K ([K990337](/device/K990337.md))

## Reference Devices

- Abuscreen OnLine for PCP

## Submission Summary (Full Text)

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## 510(k) Summary

| Introduction                        | According to the requirements of 21 CFR 807.92, the following information provides sufficient detail to understand the basis for a determination of substantial equivalence. |  |
|-------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|
| 1) Submitter name, address, contact | Roche Diagnostics Corporation<br>9115 Hague Rd.<br>Indianapolis, IN 46250<br>Contact Person: Jennifer Tribbett<br>Date Prepared: November 24, 1999                           |  |
| 2) Device name                      |                                                                                                                                                                              |  |

| Product Name            | Classification<br>Name                  | Product Code | CFR<br>Classification |
|-------------------------|-----------------------------------------|--------------|-----------------------|
| OnTrak TesTcup-5<br>M2K | Enzyme<br>Immunoassay,<br>Phencyclidine | 91LCM        | Unassigned            |

3) Predicate We claim substantial equivalence to the currently marketed Roche device Diagnostics OnTrak TesTcup-5 M2K (K990337).

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# 510(k) Summary, Continued

| 4) Device Description         | The OnTrak TesTcup-5 M2K is an <i>in vitro</i> test intended for professional use in the qualitative detection of amphetamines (1000ng/mL), cocaine metabolite (300 ng/mL), THC (50 ng/mL), morphine (2000 ng/mL) and PCP (25 ng/mL).                                                                                                                                                                                                                                |
|-------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|                               | The TesTcup assays are based on the principle of microparticle capture inhibition. The test relies on the competition between drug, which may be present in the urine being tested, and drug conjugate immobilized on a membrane in the test chamber.                                                                                                                                                                                                                |
|                               | Urine is collected directly in the OnTrak TesTcup-5 M2K. After closing the cap and moving it to the “TEST” position, the sample reservoir is filled by tilting the cup. Urine then flows through a membrane by capillary action and reacts with antibody-coated microparticles and drug conjugate present on the membrane. In the absence of drug, the antibody is free to interact with the drug conjugate, causing the formation of a blue band (“negative” sign). |
|                               | When drug is present in the specimen, it binds to the antibody-coated microparticles. If sufficient drug is present, the microparticles are inhibited from binding the drug conjugate, and no blue band is formed. A positive sample causes the membrane to remain white (“positive” sign).                                                                                                                                                                          |
|                               | An additional antibody/antigen reaction occurs at the “TEST VALID” area for all assays. The “TEST VALID” blue band forms when antibodies, which are imbedded in the membrane, interact with, and bind to, the antigen on the blue-dyed microparticles.                                                                                                                                                                                                               |
| 5. Technology Characteristics | Table 1 shown on the next page outlines the technological characteristics (methodologies) of the modified OnTrak TesTcup-5 M2K in comparison to the predicate device.                                                                                                                                                                                                                                                                                                |

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#### 510(k) Summary, Continued

Table 1 also provides the results of evaluation studies performed using the 6. Substantial modified OnTrak TesTcup-5 M2K . The significant performance Equivalence characteristics relied upon for a determination of substantial equivalence is summarized in this chart. This information concludes that the performance of the modified OnTrak TesTcup-5 M2K device is substantially equivalent to the predicate device.

#### Table 1

| Item                               | OnTrak TesTcup-5 M2K<br>New PCP Monoclonal Antibody                             | OnTrak TesTcup-5 M2K<br>Predicate                                                |
|------------------------------------|---------------------------------------------------------------------------------|----------------------------------------------------------------------------------|
| Methodology                        | Competitive microparticle capture<br>inhibition                                 | Same                                                                             |
| Measurement                        | Qualitative                                                                     | Same                                                                             |
| Sample Type                        | Urine                                                                           | Same                                                                             |
| Endpoint read                      | Color                                                                           | Same                                                                             |
| PCP Cutoff                         | 25 ng/mL                                                                        | Same                                                                             |
| Reagent<br>(active<br>ingredients) | •Blue dyed microparticles coated<br>with mouse monoclonal<br>antiphencyclidine. | •Blue dyed microparticles<br>coated with rabbit polyclonal<br>antiphencyclidine. |
|                                    | •Drug conjugates immobilized on a<br>membrane                                   | •Drug conjugates immobilized<br>on a membrane                                    |
|                                    | •Mouse monoclonal anti-BSA<br>antibody immobilized on membrane                  | •Mouse monoclonal anti-BSA<br>antibody immobilized on a<br>membrane              |
| Controls                           | OnTrak TesTcup Positive and<br>Negative Controls                                | Same                                                                             |
| Performance:<br>Precision          | >95% confidence at 150% cutoff                                                  | Same                                                                             |

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| Item                            | OnTrak TesTcup-5 M2K<br>New PCP Monoclonal Antibody                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       | OnTrak TesTcup-5 M2K<br>Predicate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          |
|---------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| PCP<br>Performance:<br>Accuracy | OnTrak TesTcup-5 M2K was<br>evaluated using specimens<br>screened by an automated<br>immunoassay and confirmed<br>positive by GC/MS at the 25<br>ng/mL cutoff. All ninety (90) of<br>the PCP positive samples (100%)<br>were positive by OnTrak<br>TesTcup-5 M2K.<br><br>Three hundred seven (307) urine<br>samples, obtained from a clinical<br>laboratory and screened negative<br>by an automated immunoassay<br>relative to a 25 ng/mL cutoff for<br>PCP were evaluated using OnTrak<br>TesTcup-5 M2K. All three<br>hundred seven (307) were<br>negative for PCP (100%)<br><br>All positive and negative samples<br>were also assayed by, and<br>compared to, Abuscreen OnLine<br>for PCP. Three hundred ninety<br>seven (397) samples by both<br>OnTrak TesTcup-5 M2K and<br>Abuscreen OnLine for PCP<br>demonstrated 100% agreement | OnTrak TesTcup-5 M2K was<br>evaluated using specimens<br>screened by an automated<br>immunoassay and confirmed<br>positive by GC/MS at the 25<br>ng/mL cutoff. All ninety (90) of<br>the PCP positive samples<br>(100%) were positive by<br>OnTrak TesTcup-5 M2K.<br><br>Three hundred seven (307) urine<br>samples, obtained from a<br>clinical laboratory and screened<br>negative by an automated<br>immunoassay relative to a 25<br>ng/mL cutoff for PCP were<br>evaluated using OnTrak<br>TesTcup-5 M2K. All three<br>hundred seven (307) were<br>negative for PCP (100%)<br><br>All positive and negative<br>samples were also assayed by,<br>and compared to, Abuscreen<br>OnTrak for PCP. Three hundred<br>ninety seven (397) samples<br>tested by both OnTrak TesTcup-<br>5 M2K and Abuscreen OnTrak<br>for PCP demonstrated 100% |

## Table 1 (Continued)

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Food and Drug Administration 2098 Gaither Road Rockville MD 20850

### JAN 2 7 2000

Ms. Jennifer L. Tribbett Regulatory Affairs Specialist Roche Diagnostics Corporation 9115 Hague Road P.O. Box 50457 Indianapolis, Indiana 46250-0457

Re: K994017 Trade Name: OnTrak TesTcup-5 M2K Regulatory Class: II Product Code: LCM Dated: November 24 1999 Received: November 26, 1999

Dear Ms. Tribbett:

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 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). 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 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 Regulations, 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 (OS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic OS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements 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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Page 2

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 regulation (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 the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR 807.97). 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/dsma/dsmamain.html".

Sincerely yours,

Steven Sutman

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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510(k) Number (if known): Device Name: Roche Diagnostics Corporation, OnTrak TesTcup-5 M2K

Indications for Use:

OnTrak TesTcup®5 M2K is an in vitro test intended for professional use for the qualitative detection of drug or drug metabolite in urine. OnTrak TesTcup-5 M2K simultaneously tests for the presence of multiple drugs or drug metabolites.

The OnTrak TesTcup-5 M2K profile (cutoff) consists of amphetamines (1000 ng/mL), cocaine metabolite (300 ng/mL), THC (50 ng/mL), morphine (2000 ng/mL) and PCP (25 ng/mL).

OnTrak TesTcup-5 M2K 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 judgment should be applied to any drug abuse result, particularly when preliminary positive results are used.

Concurrence of CDRH, Office of Device Evaluation (ODE)

Jean Cooger
(Division Sign-Off)
Division of Clinical Laboratory Devices
510(k) Number k994017

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use

(Optional Format 1-2-96)

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