ACON QUIK-CHECK II MIDSTREAM HOME PREGNANCY TEST

K032510 · ACON Laboratories, Inc. · LCX · Sep 22, 2003 · Clinical Chemistry

Device Facts

• Record ID: K032510
• Device Name: ACON QUIK-CHECK II MIDSTREAM HOME PREGNANCY TEST
• Applicant: ACON Laboratories, Inc.
• Product Code: LCX · Clinical Chemistry
• Decision Date: Sep 22, 2003
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 862.1155
• Device Class: Class 2

Intended Use

The ACON Quik-Check II Midstream Home Pregnancy Test is a qualitative test for the detection the elevated level of human Chorionic Gonadotropin (hCG) in urine to aid in the determination of pregnancy. It is intended for non-professional, over-the counter use.

Device Story

Qualitative immunochromatographic assay; detects hCG in urine. Device consists of absorbent fiber tip, result window, control window, and thumb grip. User places tip in urine stream or dips into collected sample; urine migrates via capillary action. hCG binds to anti-hCG-colored particle conjugate; forms colored line in test region if hCG present. Control line indicates valid test. Intended for home use by lay individuals. Provides visual qualitative result to aid in pregnancy determination.

Clinical Evidence

Consumer field study (n=113). Compared consumer performance against lab professional performance using subject device and predicate. Lab professionals achieved 100% concordance between subject and predicate (77 positive, 36 negative). Consumers achieved 100% negative agreement; 75/77 positive agreement with one discrepant and one invalid result. Demonstrates ability of lay users to perform test and interpret results.

Technological Characteristics

Qualitative solid-phase sandwich-format immunochromatographic assay. Materials include absorbent fiber tip and membrane. Sensitivity 25 mIU/mL. Standardized to WHO 3rd International Standard. No electronic components or software.

Indications for Use

Indicated for non-professional, over-the-counter use for the qualitative detection of elevated human Chorionic Gonadotropin (hCG) in urine to aid in pregnancy determination.

Regulatory Classification

Identification

A human chorionic gonadotropin (HCG) test system is a device intended for the early detection of pregnancy is intended to measure HCG, a placental hormone, in plasma or urine. A human chorionic goadotropin (HCG) test system is a device intended for any uses other than early detection of pregnancy (such as an aid in the diagnosis, prognosis, and management of treatment of persons with certain tumors or carcinomas) is intended to measure HCG, a placental hormone, in plasma or urine.

Predicate Devices

• ACON Midstream Pregnancy Test (K983090)

Submission Summary (Full Text)

{0}

510(k) SUBSTANTIAL EQUIVALENCE DETERMINATION
DECISION SUMMARY
DEVICE ONLY TEMPLATE

A. 510(k) Number:
K032510

B. Analyte:
Human Chorionic Gonadotropin (hCG)

C. Type of Test:
Qualitative solid-phase sandwich-format immunochromatographic assay

D. Applicant:
ACON Laboratories, Inc.

E. Proprietary and Established Names:
ACON Quik-Check II Midstream Home Pregnancy Test

F. Regulatory Information:
1. Regulation section:
CFR 862.1155
2. Classification:
Class II
3. Product Code:
LCX
4. Panel:
Clinical Chemistry (75)

G. Intended Use:
1. Indication(s) for use:
The ACON Quik-Check II Midstream Home Pregnancy Test is a qualitative test for the detection of the elevated levels of human Chorionic Gonadotropin (hCG) in urine to aid in the determination of pregnancy. It is intended for non-professional, over-the-counter use.
2. Special condition for use statement(s):
Non-professional, over-the-counter use
3. Special instrument Requirements:
N/A

H. Device Description:
The device consists of an absorbent fiber tip with a cap at one end, a result window and control window in the middle, and a thumb grip at the other end. When the tip absorbs urine (either through placing in the urine stream or by dipping into a collected urine sample) the urine migrates via capillary action. hCG if present reacts with an anti-hCG-colored particle conjugate to form a colored line in the test region of the membrane. A colored line in the control region of the device indicates adequate sample volume and capillary action. Absence of a colored line in the control region is an indication of an invalid result.

{1}

Page 2 of 3

# I. Substantial Equivalence Information:

1. Predicate device name(s):
ACON Midstream Pregnancy Test
2. Predicate K number(s):
K983090
3. Comparison with predicate:

| Similarities | | |
| --- | --- | --- |
| Item | Predicate | Device |
| Intended Use | OTC use for the qualitative identification of hCG to aid in detection of pregnancy | same |
| Matrix | Urine | same |
| Endpoint | Colored lines | same |
| Storage | 15° – 30° C (59° – 86° F) | same |
| Read Time | 3 minutes | same |
| Antibodies | Rabbit, goat | same |
| Sensitivity | 25 mIU/mL | same |
| Specificity | No interference when tested with LH, FSH, or TSH | same |
| Accuracy | >99% at cutoff | same |
| Standardization | WHO 3rd International Standard | same |
| | Differences | |
| --- | --- | --- |
| Item | Predicate | Device |
| Methodology | Membrane EIA | Proprietary membrane ligand-binding EIA |

# J. Standard/Guidance Document Referenced (if applicable):

None referenced

# K. Test Principle:

Qualitative solid-phase sandwich-format immunochromatographic assay

# L. Performance Characteristics (if/when applicable):

1. Analytical performance:

a. Precision/Reproducibility:
N/A
b. Linearity/assay reportable range:
N/A
c. Traceability (controls, calibrators, or method):
WHO 3rd International Standard
d. Detection limit:
25 mIU/mL
e. Analytical specificity:
Cross-reactivity was tested at 0 and 25 mIU/mL with hLH (300 mIU/mL), hFSH (1,000 mIU/mL), and hTSH (1,000mIU/mL) with

{2}

Page 3 of 3

no variation from expected results. Also tested were variations in pH (5-9), specific gravity (1.003 – 1.028) and the addition of 22 common compounds, none of which showed any variation from the expected results.

f. Assay cut-off:
See detection limit above

2. Comparison studies:
a. Method comparison with predicate device:
A consumer field study was done which included 113 participants. Urine samples were analyzed using the new device by both consumers and lab professionals and with the predicate device by lab professionals. The study evaluated the participants’ ability to understand the package insert and to accurately perform the test. When tested by lab professionals, 77 samples tested positive by both methods and 36 samples tested negative by both methods. When tested by consumers, the same 36 samples tested negative. Of the 77 positive samples, 75 tested positive with one discrepant result and one invalid result.
b. Matrix comparison:

3. Clinical studies:
a. Clinical sensitivity:
b. Clinical specificity:
c. Other clinical supportive data (when a and b are not applicable):

4. Clinical cut-off:

5. Expected values/Reference range:
Human Chorionic Gonadotropin is not found in healthy males or healthy non-pregnant females in concentrations that can be detected by the ACON Quik-Check II Midstream Home Pregnancy Test.

M. Conclusion:
Based upon the information provided for the file, I recommend that the ACON Quik-Check II Midstream Home Pregnancy Test is substantially equivalent to the predicate device.