fda 510k clearance documentation for breath scan k060761 drug testing kits

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K o/o7 I Akers Biosciences, Inc. BreathScan® Alcohol Detector 510(k) Notification SECTION 5. 510(k) SUMMARY STATEMENT 5.1 Date: April 25, 2006 5.2 Submitter: Name: Akers Biosciences, Inc Address: 201 Grove Road Thorofare, New Jersey, 08086 Telephone: 856-848-8698 Contact: Barbara Bagby 5.3 Device: Trade or Proprietary Name: BreathScan® Alcohol Detector. 02, .04, .05 and .08% BAC Sensitivity Cut-Offs Other Brand Names: Biotech Redwood, EZ Screen, Alco Limit, and Breath Alcohol B Common or usual Name: Breath-alcohol test Classification Name: Devices, Breath Trapping, Alcohol Product Code: DJZ Regulation Number: 862.3050 5.4 Predicate Device: BreathScan is equivalent to: CONNECTABLES® Alcohol Tester manufactured by Connectables, LLC in Waukegan, IL (K052448). 5.5 Indications for Use The BreathScan® Alcohol Detector is an in vitro medical device to qualitatively detect the presence of alcohol in the human breath. It is a disposable screening device for one-time use. The detector is available at several detection cut-offs: 0.02, 0.04, 0.05, and 0.08 percent breath alcohol. The device is used only as a screening device and is only an indication of the possible presence of alcohol in the blood of the test subject. Correlation between breath alcoholcontent and blood alcohol content depends on many variables. BreathScan is not intended to legally determine blood alcohol presence, level, or inference of intoxication.

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Official FDA 510k Clearance Certification Documentation for BreathScan K060761. This FDA 510 Clearance Certification Documentation and many more can be found on www.EmployeeDrugTestingAce.com within the Resource Library and Product Pages. Aka: www.EDTAce.com. This fast, disposable, portable drug test kit for work place employee alcohol screening is proven to be highly accurate and FDA 510k cleared. It is alcohol reactive only, with no false positive employee drug testing results. This alcohol drug test has an average shelf life at room temperature of 9-12 months. Our reliable breath tests for alcohol are highly recommended and approved for all government agencies or anyone needing employment drug testing. All work place Alcohol Drug Tests are near laboratory accurate, reliable, meet commercial requirements and are non-invasive. There is zero contact with employee saliva or breath, making them tamper proof. No false positives. BS02, BS .02, BS05, BS .05, BS08, BS .08

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Page 1: FDA 510K Clearance Documentation for Breath Scan K060761 Drug Testing Kits

K o/o7 I

Akers Biosciences, Inc.BreathScan® Alcohol Detector510(k) Notification

SECTION 5. 510(k) SUMMARY STATEMENT

5.1 Date: April 25, 2006

5.2 Submitter:

Name: Akers Biosciences, Inc

Address: 201 Grove Road

Thorofare, New Jersey, 08086Telephone: 856-848-8698

Contact: Barbara Bagby

5.3 Device:

Trade or Proprietary Name: BreathScan® Alcohol Detector.02, .04, .05 and .08% BAC Sensitivity Cut-Offs

Other Brand Names: Biotech Redwood, EZ Screen, Alco Limit, and

Breath Alcohol BCommon or usual Name: Breath-alcohol test

Classification Name: Devices, Breath Trapping, Alcohol

Product Code: DJZ

Regulation Number: 862.3050

5.4 Predicate Device:

BreathScan is equivalent to: CONNECTABLES® Alcohol Tester manufacturedby Connectables, LLC in Waukegan, IL (K052448).

5.5 Indications for Use

The BreathScan® Alcohol Detector is an in vitro medical device to qualitativelydetect the presence of alcohol in the human breath. It is a disposable screeningdevice for one-time use. The detector is available at several detection cut-offs:0.02, 0.04, 0.05, and 0.08 percent breath alcohol. The device is used only as ascreening device and is only an indication of the possible presence of alcohol inthe blood of the test subject. Correlation between breath alcoholcontent andblood alcohol content depends on many variables. BreathScan is not intended tolegally determine blood alcohol presence, level, or inference of intoxication.

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Page 2: FDA 510K Clearance Documentation for Breath Scan K060761 Drug Testing Kits

Akers Biosciences, Inc.BreathScan® Alcohol Detector510(k) Notification

5.6 Description of the device

The BreathScan® Alcohol Detector (Tester) is a visual qualitative test for alcoholin human breath. The Tester contains chemicals that change color in the presenceof alcohol vapors) utilizing the patented technology (4,740,475). The Tester ismade up of a 2-part glass vessel inside a plastic tube. One part contains lightyellow crystals that change color when exposed to alcohol vapors. The other partis an opening to blow into while running the test.

If alcohol is present, the crystals will change from yellow to light green/blue.How many crystals turn color will depend on the cut-off of the Tester and howmuch alcohol is in the breath.

The yellow crystals in the Tester are coated with potassium dichromate (K2 Cr2O 7)and sulfuric acid (H 2 SO4). The amount of these indicator chemicals is adjustedaccording to the selected cutoff of the Tester. A color change is produced whenalcohol vapors are oxidized to acetic acid and the indicator chemicals change tochromium sulfate [Cr 2 (SO4 )3]. The majority of crystals change from yellow tolight aqua (greenish-blue/bluish-green) when alcohol vapors are present at a levelequal to or exceeding the cutoff of the Tester.

The BreathScan® Tester is available in several cut-offs (.02%, .04%, .05%, and.08%). The cut-off is printed on the Tester label and is expressed as a specificpercentage of breath alcohol.

5.7 Safety and Effectiveness

The results of bench and user testing indicates that the new device is as safe andeffective as an evidentiary breath test, the ALCO SENSOR IV manufactured byIntoximeters, Inc. which is a DOT/NHITSA approved device (ConformingProducts List of Evidentiary Breath Measurement Devices - FR/Vol.69,No.134/July 2004/Notices/42237. Multiple user studies were performed toestablish that the user could read and understand the directions provided andproperly use the device (Table 1).

Table 1Comparison to Evidentiary Breath Test (Alco-Sensor IV)

Predicate ResultsBreathScan® Less than 60% Near Cut-off Near Cut-off High.04% Tester below the Cutoff Negative Positive PositiveResult < 0.016%) (0.016 to 0.040%) (>0.040 to 0.064%) (> 0.064%)Positive 0 0 15 10Negative 37 25 5 1

Page 3: FDA 510K Clearance Documentation for Breath Scan K060761 Drug Testing Kits

Akers Biosciences, Inc.BreathScan® Alcohol Detector510(k) Notification

Additionally, the BreathScan® Alcohol Detector was evaluated and found to meetthe guidelines provided in the DOT/NHTSA Model Specifications for AlcoholScreening Devices -(Federal Register/ Vol. 59, No. 147, August 2, 1994 /Notices/39382) with one exception. This exception was that 1 false positivereading out of 1200 readings of the .04 tester that did not contain alcohol.

5.8 Substantial Equivalence

Similarities and Differences Between BreathScan® and CONNECTABLES®

SIMILARITIESParameter BreathScan® CONNECTABLES®

Indications for Use Detect the presence of alcohol Detect the presence of alcoholin the human breath. in the human breath.

Target Populations Over the Counter Over the CounterCalibration/Accuracy None required None requiredChecksAnatomical Site Mouth MouthTest Sample Human breath Human breath

DIFFERENCESParameter BreathScan® CONNECTABLES®

Result Qualitative Semi-QuantitativeInterpretation Visual Color Change Red, Yellow, and Green LEDsInstrument system None Semiconductor-Oxide SensorMeasurement Range Separate devices are pre- Upper limit undefined - any

calibrated to turn color at concentration greater thandifferent cut-offs: .02%, 0.04% will produce red light.04%, .05%, and .08%

Mouthpiece None required ReplaceableBlowing Time 12 seconds 3 secondsWarm Up Time None 5-15 secondsSize 2 /4 by 1/3 inches 2.1 by 1.64 inchesWeight 1.9067 grams 42 gramsPower Requirement None 2-AAA alkaline batteries

Page 4: FDA 510K Clearance Documentation for Breath Scan K060761 Drug Testing Kits

Akers Biosciences, Inc.BreathScan® Alcohol Detector510(k) Notification

5.9 Conclusions

After analyzing bench test and user testing data, it is the conclusion of AkersBiosciences, Inc. that the BreathScan® Alcohol Detector is as safe and effective asthe predicate and comparative devices. Users studies showed that the over thecounter purchaser of this device could read and understand the instructions, couldproperly use the device and obtain results that were comparable to those providedby a predicate device administered by a trained technician.

Page 5: FDA 510K Clearance Documentation for Breath Scan K060761 Drug Testing Kits

DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service

Food and Drug Administration2098 Gaither RoadRockville MD 20850

Ms. Barbara Bagby APP 282006Director Regulatory AffairsAkers BioSciences, Inc.201 Grove RoadThorofare, NJ 08086

Re: k060761Trade/Device Name: BreathScan Alcohol Detectors (0.02, 0.04, 0.05 and 0.08% BAC)Regulation Number: 21 CFR 862.3050Regulation Name: Breath-alcohol test systemRegulatory Class: Class IProduct Code: DJZDated: March 17, 2006Received: March 22, 2006

Dear Ms. Bagby:

We have reviewed your Section 510(k) premarket notification of intent to market the devicereferenced above and have determined the device is substantially equivalent (for the indicationsfor use stated in the enclosure) to legally marketed predicate devices marketed in interstatecommerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or todevices 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. Thegeneral controls provisions of the Act include requirements for annual registration, listing ofdevices, good manufacturing practice, labeling, and prohibitions against misbranding andadulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), itmay be subject to such additional controls. Existing major regulations affecting your device canbe found in Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. In addition, FDAmay publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not meanthat FDA has made a determination that your device complies with other requirements of the Actor any Federal statutes and regulations administered by other Federal agencies. You mustcomply with all the Act's requirements, including, but not limited to: registration and listing (21CFR Part 807); labeling (21 CFR Parts 801 and 809); and good manufacturing practicerequirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

Page 6: FDA 510K Clearance Documentation for Breath Scan K060761 Drug Testing Kits

Page 2 -

This letter will allow you to begin marketing your device as described in your Section 5 10(k)premarket notification. The FDA finding of substantial equivalence of your device to a legallymarketed predicate device results in a classification for your device and thus, permits yourdevice 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 InVitro Diagnostic Device Evaluation and Safety at (240) 276-0484. Also, please note theregulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97).You may obtain other general information on your responsibilities under the Act from theDivision 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/industry/support/index.html.

Sincerely yours,

Alberto Gutie ez, Ph.D.DirectorDivision of Chemistry and ToxicologyOffice of In Vitro Diagnostic Device

Evaluation and SafetyCenter for Devices and

Radiological Health

Enclosure

Page 7: FDA 510K Clearance Documentation for Breath Scan K060761 Drug Testing Kits

Indications for Use

510(k) Number (if known): K060761

Device Name: BreathScan® Alcohol Detector

Indications For Use:

The BreathScan e Alcohol Detector is an in vitro medical device to qualitatively detectthe pres(nce of alcohol in the human breath. It is a disposable screening device forone-time use. The detector is available at several detection cut-offs including 0.02,0.04, 0.05, and 0.08 percent breath alcohol. The device is used only as a screeningdevice and is only an indication of the possible presence of alcohol in the blood of thetest subject.

Prescription Use AND/OR Over-The-Counter Use X(Part 21 CFR 801 Subpart D) (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (OIVD)

aI~~isl~~n,$ign...Off ~Page 1 of 1 _

Office of In Vitro Diagnostic DeviceEvalt-:::ion and Safety

http://www.employee-drug-testing-ace.com/employment-drug-screening-resources/employee-drug-screening-and-testing-library

Page 8: FDA 510K Clearance Documentation for Breath Scan K060761 Drug Testing Kits

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