Highway Safety Programs; Model Specifications for Screening Devices to Measure Alcohol in Bodily Fluids |
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Topics: National Highway Traffic Safety Administration
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Michael B. Brownlee
Federal Register
February 15, 1994
[Federal Register: February 15, 1994] DEPARTMENT OF TRANSPORTATION National Highway Traffic Safety Administration [NHTSA Docket No. 94-004; Notice 1] Highway Safety Programs; Model Specifications for Screening Devices to Measure Alcohol in Bodily Fluids AGENCY: National Highway Traffic Safety Administration (NHTSA), DOT. ACTION: Notice; Request for comments. ----------------------------------------------------------------------- SUMMARY: This notice proposes Model Specifications for the performance and testing of alcohol screening devices. These devices test for the presence of alcohol, and may use breath or other bodily fluids, such as saliva, to do so. NHTSA is proposing these specifications to support State laws that target youthful offenders (i.e., ``zero tolerance'' laws) and the Department of Transportation's regulations on Alcohol Misuse Prevention, and in recognition of industry efforts to develop new technologies (i.e., non-breath devices) that measure alcohol content from bodily fluids. A Conforming Products List (CPL) will be published identifying the devices that meet NHTSA's Model Specifications. The CPL can serve as a guide for those interested in purchasing devices that screen for the presence of alcohol. DATES: Comments must be received no later than April 18, 1994. ADDRESSES: Comments should refer to the docket number and the number of this notice and be submitted (preferably in ten copies) to the Docket Section, room 5109, 400 Seventh Street, SW., Washington, DC 20590 (Docket hours are from 9:30 a.m. to 4 p.m.). FOR FURTHER INFORMATION CONTACT: Ms. Lori A. Miller, Office of Alcohol and State Programs, NTS-21, National Highway Traffic Safety Administration, 400 Seventh Street, SW., Washington, DC 20590. Telephone (202) 366-9835. SUPPLEMENTARY INFORMATION: On December 14, 1984 (49 FR 48854), the National Highway Traffic Safety Administration (NHTSA) issued a notice converting the mandatory standards for breath alcohol testing devices (38 FR 30459) to Model Specifications. The notice indicated that the agency would continue to test evidential breath testing devices (EBTs) and would release its findings by publishing a Conforming Products List (CPL) to provide States that choose not to conduct their own testing with adequate information upon which to base their purchasing decisions. These Model Specifications provided for EBTs to be tested at alcohol concentration levels of 0.000, 0.050, 0.101 and 0.151. Since 1984, a number of States have amended their laws by lowering the alcohol level at which drivers are deemed to be impaired or enacted new laws targeting youthful offenders, including ``zero tolerance'' laws, which provide that it is an offense for a person under the age of 21 to drive with any alcohol concentration level above 0.00 (or in some cases above 0.01 or 0.02). On December 15, 1992 (57 FR 59382), the U.S. Department of Transportation (DOT) published a Notice of Proposed Rulemaking (NPRM) proposing rules to implement the ``Omnibus Transportation Employee Testing Act of 1991,'' which requires alcohol testing programs in the aviation, motor carrier, rail, and mass transit industries, in the interest of public safety. The Research and Special Programs Administration (RSPA) proposed similar regulations for the pipeline industry. In general, the NPRM proposed to prohibit covered employees from performing safety-sensitive functions when test results indicate alcohol concentration levels of 0.04 or greater. The NPRM proposed to apply slightly different consequences to employees having alcohol concentration levels of 0.02 or greater but less than 0.04. To determine alcohol concentration, the NPRM proposed to use breath as measured by only those EBTs listed on NHTSA's CPL which are capable of providing a printed result, sequentially numbering the tests conducted, and distinguishing alcohol from acetone at the 0.02 BAC level. DOT received comments in response to this rulemaking action recommending that if NHTSA's Model Specifications are to be used for the transportation workplace alcohol testing programs, the Model Specifications should be consistent with the requirements of the rules. They suggested, for example, that the Model Specifications which test devices at 0.000, 0.050, 0.101 and 0.151 BAC should be amended to test devices at the 0.020 and 0.040 BAC levels. In light of the trend in the States toward lowering alcohol levels and to address the comments received in response to DOT's NPRM, NHTSA amended its Model Specifications for EBTs on September 17, 1993 (58 FR 48705), by changing the alcohol concentration levels at which instruments are evaluated. The amended Model Specifications provide for devices to be tested at 0.000, 0.020, 0.040, 0.080 and 0.160 BAC. Tests for the presence of acetone were also added in the revised Model Specifications. In addition, the agency tested EBTs against the new Model Specifications and updated the CPL. On October 15, 1993, Enzymatics, Inc., submitted a petition for reconsideration to NHTSA regarding the Notice published on September 17, 1993. The petitioner, a manufacturer of a saliva alcohol test, argued that NHTSA should establish a procedure for the inclusion on the CPL of devices other than breath alcohol devices. More specifically, the petitioner objected to the ``exclusive reliance on EBTs'' in DOT's proposed rules. In a final rule published elsewhere in today's Federal Register, DOT amends its procedures for conducting urine drug testing and adds procedures for conducting alcohol testing in transportation workplaces (49 CFR Part 40). This final rule differs from the NPRM in a number of key respects. The final rule does require the use of breath testing devices listed on the CPL for EBTs. However, the final rule permits the use of portable EBTs that are on NHTSA's CPL as screening tests, provided confirmation tests are conducted using EBTs that are capable of providing a printed result, sequentially numbering the tests conducted and distinguishing alcohol from acetone at the 0.02 BAC level. In addition, the final rule indicates that NHTSA is publishing a separate notice in today's Federal Register proposing to adopt Model Specifications and a CPL that would permit additional alcohol testing devices to be used for screening purposes. This Federal Register notice is the one to which the final rule refers. It proposes to establish Model Specifications for alcohol screening devices, which differ from the Model Specifications for Evidential Breath Testing devices in a number of important respects. These proposed Model Specifications are designed to test whether devices are suitable for screening, not evidential, purposes. In addition, they are designed to test the performance of devices that may use bodily fluids other than breath (such as saliva) to determine the presence of alcohol. Under these proposed Model Specifications, an alcohol screening device is defined as a device that is used to detect the presence of 0.020 or more BAC. The Model Specifications propose that the test result may be indicated by numerical read-out or by other means, such as by the use of lights or color changes. The Model Specifications propose that the device may measure any bodily fluid, but the output must be in blood alcohol concentration (BAC) units. Further, the relationship between the bodily fluid being measured and BAC must be properly established so that a means for evaluating the device can be devised. The relationship between breath alcohol concentration (BrAC) and blood alcohol concentration (BAC) is well established, and several studies have been published establishing a relationship between BAC and saliva alcohol concentration1. Accordingly, the proposed Model Specifications specifically provide that blood, breath or saliva may be used. --------------------------------------------------------------------------- \1\Jones, A.W., ``Distribution of ethanol between saliva and blood in man,'' Clinical and Experimental Pharmacology and Physiology, 1979a, 6(1), 53-59. Jones, A.W., ``Inter- and intra-individual variations in the saliva/blood alcohol ratio during ethanol metabolism in man,'' Clinical Chemistry, 1979b, 25(8), 1394-1398. Jones, A.W., ``Quantitative relationships among ethanol concentrations in blood, breath, saliva and urine during ethanol metabolism in man,'' In Goldberg, L. (Ed.) Alcohol Drugs and Traffic Safety, Vol. II. Proceedings, 8th International Conference on Alcohol, Drugs and Traffic Safety, June 15-19, 1980, Stockholm, Sweden: Almqvist & Wiksell International, 1981, pp. 550-569. --------------------------------------------------------------------------- In addition, these Model Specifications identify the proposed conversion factors for devices that use these bodily fluids. The conversion factors between blood and breath are commonly accepted. Based on the available literature, NHTSA believes it is appropriate to use a one-to-one conversion factor between blood and saliva, and has included this factor in these proposed Model Specifications. We request comments on the proposed use of this conversion factor. NHTSA proposes that if a manufacturer intends to use any bodily fluid other than blood, breath, or saliva to determine the presence of alcohol, the relationship between that fluid's alcohol concentration and blood alcohol concentration must be established according to scientifically acceptable standards. Under these proposed Model Specifications, alcohol screening devices would be tested at 0.008 and 0.032 BAC under normal laboratory conditions to determine their precision and accuracy at detecting the presence of 0.020 or more BAC (Test 1), and at 0.000 BAC to determine the performance of these devices when providing blank readings (Test 2). The .008 and .032 BAC levels were selected based on criteria for precision and accuracy that are equivalent to those used for EBTs. They require that devices perform at a level of accuracy within0.005 of 0.020 BAC (thereby establishing target values within 0.015 and 0.025 BAC), and a level of precision which yields a standard deviation not greater than 0.0042. To achieve a confidence rate of 95% in the results of these 20 tests, we propose to establish measurement points at 1.73 standard deviations (or 0.007 BAC) below and above the lower and upper values, respectively (i.e., 0.015 - 0.007 = 0.008 BAC and 0.025 + 0.007 = 0.032 BAC). NHTSA proposes to use a Breath Alcohol Sample Simulator (BASS), non-alcoholic human breath, and a calibrating unit to test breath devices. The agency proposes to use preparations of bodily fluids or scientifically acceptable substitutes for non-breath devices. For example, the agency proposes to use aqueous alcohol test solutions equivalent to blood or saliva on a one-to-one basis to test saliva devices. The agency proposes to conduct 40 trials under Test 1 (20 at .008 BAC and 20 at .032 BAC) and 20 trials under Test 2 (at .000 BAC). For reusable devices, these 60 trials would be conducted using a single unit. For disposable devices, these 60 trials would be conducted using 60 separate units. Some alcohol screening devices indicate the presence of alcohol in a manner that is unambiguous and requires no interpretation, such as by the use of a light or numerical reading. For these devices, NHTSA proposes that Tests 1 and 2 (at .008, .032 and .000 BAC) would be performed by an investigator at the DOT Volpe National Transportation Systems Center (VNTSC). To conform with the Model Specifications, the device must perform with no positive results at .000 BAC, not more than one positive result at .008 BAC and not more than one non-positive result at .032 BAC. If the device is capable of providing a reading of greater than 0.000 BAC and less than 0.020 BAC, the device must perform with not more than one such result at .000 BAC. Other devices indicate the presence of alcohol in a manner that requires interpretation and may involve some ambiguity, such as by the use of color changes. For these devices, NHTSA proposes that Tests 1 and 2 (at .008, .032 and .000 BAC) would be performed by ten individuals who have no knowledge of test BACs and qualify as test interpreters. VNTSC would select these individuals using manufacturer's restrictions, if any. These individuals would be asked to read the manufacturer's instructions for the interpretation of the device's read-out, and interpret the test results independently. To conform with the Model Specifications, the device must perform, with each interpreter, with no positive results at .000 BAC, not more than one positive result at .008 BAC and not more than one non-positive result at .032 BAC. If the device is capable of providing a reading of greater than 0.000 BAC and less than 0.020 BAC, the device must perform, with each interpreter, with not more than one such result at .000 BAC. Through the independent interpretation of ten individuals, NHTSA believes the Model Specifications would ensure that the results of tested devices are visible and will remain so for a reasonable period of time (the tests require approximately two hours to run), and are likely to be interpreted in a consistent manner. NHTSA requests comments on this aspect of the proposed Model Specifications. To NHTSA's knowledge, no reusable devices use interpretive readings. Typically, these readings are produced using a chemical reaction, which results in a color change, a method which lends itself more readily to a single use device. For this reason, the agency believes it is unlikely that manufacturers would begin to use such interpretive readings in reusable devices. Accordingly, NHTSA has not proposed a methodology for testing reusable interpretive devices. We request comments on this aspect of the agency's proposal. For disposable devices that use interpretive readings, the Model Specifications propose to combine Tests 1 and 2, and number the units and expose them to the three BAC levels using a methodology that would not reveal to the person interpreting the test the dosage received by any particular unit. NHTSA requests comments on this proposed methodology. Devices would also be tested to determine whether acetone or, in the case of breath or saliva devices, cigarette smoke affects the functioning of the instruments. NHTSA requests comments on whether devices should be tested for interference from other substances. In addition, high (40 deg.C) and low (10 deg.C) ambient temperature and vibration tests would be conducted for these devices to determine their ability to function under a range of environmental conditions. NHTSA proposes that these tests (3.1, 3.2, 4.1, 4.2 and 5) would be performed by an investigator at VNTSC. Five trials would be conducted at .000 BAC under Test 3.2. Forty trials (including 20 at .008 and 20 and .032 BAC) would be conducted under each of these other tests. To conform with the Model Specifications, the device must perform with no positive results at each test performed at .000 BAC, not more than one positive result at each test performed at .008 BAC and not more than one non-positive result at each test performed at .032 BAC. If the device is capable of providing a reading of greater than 0.000 BAC and less than 0.020 BAC, the device must perform with not more than one such result at .000 BAC. When devices such as these are used for medical purposes, the manufacturers of the devices are required to obtain marketing clearance from the Food and Drug Administration (FDA), in accordance with FDA regulations that address issues such as quality assurance in manufacturing, shelf-life and labeling. Currently, FDA does not assert jurisdiction (provide marketing clearance) for alcohol screening devices used for law enforcement purposes and workplace testing. However, because of the nature of alcohol screening devices and the conditions under which they are to be used, NHTSA believes it is important for manufacturers of these devices to conform with certain requirements, imposed by FDA on devices used for medical purposes, prior to the inclusion of the devices on NHTSA's CPL. Accordingly, NHTSA proposes to require that each device submitted for testing under the Model Specifications must be accompanied by a self-certification from the manufacturer, certifying that it meets the requirements contained in FDA's Good Manufacturing Practices regulations for devices used for medical purposes (21 CFR Part 820), and that the device's label meets the requirements contained in FDA's Labeling regulations for devices used for medical purposes (21 CFR Part 809.10), even if the devices are not to be used for medical purposes. By requiring a self-certification, NHTSA is not requiring that manufacturers obtain FDA marketing clearance, but simply that they self-certify that they believe that they have met the above-referenced requirements. (For technical assistance or a copy of the Device Good Manufacturing Practices Manual for Medical Devices, manufacturers should contact FDA's Division of Small Manufacturers by calling toll free at 1-800-638-2041.) This notice includes, as an Appendix, a proposed set of Labeling Instructions for Alcohol Screening Devices that has been prepared in consultation with FDA to assist manufacturers of alcohol screening devices in developing a label that conforms to 21 CFR Part 809.10. The template addresses issues such as restrictions that may apply to operators of the device and conditions under which the device should or should not be operated. These Model Specifications are not regulations. Organizations and agencies may adopt these Model Specifications and rely on NHTSA's test results or may conduct their own tests according to their own procedures and specifications. It should be noted, however, that transportation employers covered by 49 CFR Part 40, Procedures for Transportation Workplace Drug and Alcohol Testing Programs, are required to use only alcohol testing devices that meet the criteria established by that regulation. See DOT's final rule published elsewhere in today's Federal Register. Once the Model Specifications for Alcohol Screening Devices are finalized and a CPL of conforming devices is published, DOT will issue procedural rules for using approved alcohol screening devices in transportation workplaces, including provisions for how and where such devices could be used and the steps that must be taken to collect bodily fluids. Procedures NHTSA proposes that testing of products submitted by manufacturers to these Model Specifications would be conducted by the DOT Volpe National Transportation Systems Center (VNTSC), DTS 75, Kendall Square, Cambridge, MA 02142. Tests would be conducted semiannually, or as necessary. Manufacturers would be required to apply to NHTSA for a test date by writing to the Office of Alcohol and State Programs (OASP), NTS-21, NHTSA, 400 Seventh Street, SW., Washington, DC 20590. Normally, at least 30 days would be required from the date of notification until the test could be scheduled. One week prior to the scheduled initiation of the test program, a manufacturer would be required to deliver its devices to VNTSC. If the devices are disposable, the manufacturer would be required to deliver 300 such devices; if the devices are reusable, the manufacturer would be required to submit only a single device. If a manufacturer wishes to submit a duplicate, backup instrument, however, it may do so. The manufacturer would be responsible for ensuring that the devices operate properly and are packaged correctly. The manufacturer would also be required to deliver the operator's manual (or instructions) and the maintenance manual (if any) supplied with the purchase of the device, as well as specifications and drawings which fully describe these devices. Proprietary information would be respected. (See 49 CFR Part 512, regarding the procedure by which NHTSA will consider claims of confidentiality.) In addition, the manufacturer would be required to submit a self- certification, certifying that the manufacturer meets the requirements in FDA's Good Manufacturing Practices regulations for devices used for medical purposes (21 CFR Part 820), and that the device's label meets the requirements in FDA's Labeling regulations for devices used for medical purposes (21 CFR 809.10) even if the devices are not to be used for medical purposes. See Appendix to this notice. NHTSA proposes that the manufacturer would have the right to check its devices between the time of their arrival at VNTSC and the start of the tests, but would have no access to the devices during the tests. Any malfunction of a device which results in failure to complete any of the tests satisfactorily would result in a determination that the device does not conform to the Model Specifications. If a device is found not to conform, it may be resubmitted for the next testing series after appropriate corrections have been made. Following publication of this notice and the public comment period, NHTSA plans to publish a second notice in the Federal Register containing the final Model Specifications. After the second notice is published, NHTSA plans to begin testing of alcohol screening devices to determine whether they comply with the performance criteria included in the Model Specifications. A Conforming Products List (CPL) will be published and updated periodically. It will include a list of alcohol screening devices that were submitted with the proper certifications and found to meet or exceed the proposed Model Specifications. NHTSA proposes to modify and improve these Model Specifications as new data and test procedures become available and to alter the test procedures, if necessary, to meet unique design features of a specific device. For each such modification, NHTSA would provide notification in the Federal Register and would retest devices when necessary. OASP would be the point of contact for information about acceptance testing and field performance of devices. NHTSA requests that users of these devices provide both acceptance and field performance data to OASP when such data are available. Information from users would help NHTSA monitor whether alcohol screening devices are performing according to the NHTSA Model Specifications. If information gathered indicates that a device on the CPL is not performing in accordance with the Model Specifications, NHTSA would direct VNTSC to conduct a special investigation. An investigation may include visits to users and additional tests of the device obtained from the open market. If the investigation indicates that the devices actually sold on the market are not meeting the Model Specifications, the manufacturer would be notified that the device may be removed from the list. In this event, the manufacturer would have 30 days from the date of notification to reply. Based on the VNTSC investigation and any data provided by the manufacturer, NHTSA would decide whether the device should remain on the list. If the device is removed from the list, the manufacturer would be permitted to resubmit an improved device to VNTSC for testing when it believes the problems causing its failure have been resolved. Upon resubmission, the manufacturer would be required to submit a statement describing what has been done to overcome the problems which led to failure of the device. If information gathered indicates that the manufacturer of a device on the CPL does not comply with the requirements in FDA's Good Manufacturing Practices regulations for devices used for medical purposes or that the device's label does not comply with the requirements in FDA's Labeling regulations for devices used for medical purposes, NHTSA would investigate the matter in consultation with FDA and would notify the manufacturer that the device may be removed from the list. The manufacturer would have 30 days from the date of notification to reply. Based on any data provided by the manufacturer and investigative findings, NHTSA would decide whether the device should remain on the list. If the device is removed from the list, the manufacturer would be permitted to resubmit a self-certification, certifying that the manufacturer complies with these FDA requirements when it believes the problems causing its non-compliance have been resolved. Upon resubmission, the manufacturer would be required to submit a statement describing what has been done to overcome the problems which led to non-compliance. Comments Interested persons are invited to comment on this proposal. Comments are sought on the proposed conversion factors included in these proposed Model Specifications, particularly for saliva, and what may constitute acceptable criteria for bodily fluids other than saliva, blood and breath. Related issues regarding screeners that are of interest include the potential of interfering substances (i.e. nicotine and acetone) to affect results, and whether the Model Specifications should test for additional potentially interfering substances. NHTSA also requests comments, particularly from manufacturers or users (and potential users) of these devices, regarding problems that have occurred or could arise due to insufficient labeling or manufacturing practices. Commentors should identify issues they believe need to be addressed by NHTSA's notice regarding manufacturing practices and labeling requirements, and indicate whether they believe FDA regulations are most appropriate to address these issues. Alternatively, if commentors believe there is not a need to apply manufacturing practices and labeling requirements to alcohol screening devices when used for law enforcement and workplace testing purposes, they should submit comments to this effect and include the reasons for their belief. It is requested but not required that 10 copies be submitted. Comments must not exceed 15 pages in length (49 CFR 553.221). Necessary attachments may be appended to those submissions without regard to the 15 page limit. This limitation is intended to encourage commentors to detail their primary arguments in a concise fashion. All comments received before the close of business on the comment closing date indicated above will be considered, and will be available for examination in the docket at the above address, both before and after that date. To the extent possible, comments filed after the closing date will also be considered. However, the Model Specifications may be published at any time after that date, and any comments received after the closing date and too late for consideration with regard to the action will be treated as suggestions for future revisions to the specifications. NHTSA will continue to file relevant material in the docket after the closing date as it becomes available. It is recommended that interested persons continue to examine the docket for new material. Those persons who desire to be notified upon receipt of their comments in the docket should enclose a self-addressed stamped postcard in the envelope with their comments. Upon receiving the comments, the docket supervisor will return the postcard by mail. This action has been analyzed in accordance with the principles and criteria contained in Executive Order 12612 and it has been determined that it has no federalism implication that warrants the preparation of a federalism assessment. In accordance with the foregoing, the proposed Model Specifications for performance testing of alcohol screening devices are set forth below. Authority: 23 U.S.C. 402; delegations of authority at 49 CFR 1.50 and 501. Michael B. Brownlee, Associate Administrator for Traffic Safety Programs. Model Specifications for Alcohol Screening Devices 1. Purpose and Scope These specifications establish performance criteria and methods for testing of alcohol screening devices. Alcohol screening devices use bodily fluids to detect the presence of 0.020 or more BAC with sufficient accuracy for screening purposes. These specifications are intended primarily for use in the conformance testing of alcohol screening devices. 2. Classification 2.1 Disposable Alcohol Screening Devices Alcohol screening devices designed for a single use. 2.2 Reusable Alcohol Screening Devices Alcohol screening devices designed to be reused. 3. Definitions. 3.1 Alcohol The intoxicating agent in beverage alcohol, ethyl alcohol or other low molecular weight alcohols including methyl or isopropyl alcohol. 3.2 Alcohol Screening Device A device that is used to detect the presence of 0.020 or more BAC. The device may measure any bodily fluid for this purpose, but shall provide output in BAC units. Test results may be indicated by numerical read-out or by other means, such as by the use of lights or color changes. 3.3 Blood alcohol concentration (BAC) Grams alcohol per 100 milliliters of blood or grams alcohol per 210 liters of breath in accordance with the Uniform Vehicle Code, Section 11-903(a)(5)2 (BrAC is often used to indicate that the measurement is a breath measurement); or grams alcohol per 100 milliliters of saliva. \2\Available from the National Committee on Traffic Laws and Ordinances, 405 Church Street, Evanston IL 60201. --------------------------------------------------------------------------- 3.4 Calibrating Unit A device that produces an alcohol-in-air test sample of known concentration that meets the NHTSA Model Specifications for Calibrating Units (49 FR 48865). 3.5 Breath Alcohol Sample Simulator (BASS) A device that provides an alcohol-in-air test sample with known and adjustable alcohol concentration profile, flow rate, and air composition at 34 deg. centigrade. (See NBS Special Publication 480-41, July 19813 for a description of a BASS unit suitable for use in the required testing.) \3\Available from Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402. --------------------------------------------------------------------------- 3.6 Bodily Fluid Any bodily fluid capable of being used to estimate alcohol concentration, provided the relationship between such bodily fluid and BAC has been established according to scientifically acceptable standards. Such fluids include but are not limited to blood, exhaled deep lung breath and saliva. 3.7 Scientifically Acceptable Substitutes Fluids that have been scientifically accepted as equivalent to bodily fluids for testing purposes, such as aqueous alcohol test solutions on a one-to-one basis for blood or saliva. 4. Test Methods and Requirements Testing will be performed according to the instructions which normally accompany the submitted device and under the conditions specified in the tests below. 4.1 Test 1. Precision and Accuracy. Perform 40 trials under normal laboratory conditions, including 20 trials at 0.008 BAC and 20 trials at 0.032 BAC. Use the BASS device for breath devices and preparations of bodily fluids or scientifically acceptable substitutes for non-breath devices. For disposable alcohol screening devices that indicate the presence of alcohol in a manner that requires interpretation, combine Tests 1 and 2, in accordance with 4.3 below. For alcohol screening devices that indicate the presence of alcohol in a manner that does not require interpretation, perform the test using a VNTSC investigator. To conform at 0.008 BAC, not more than one positive result. To conform at 0.032 BAC, not more than one non- positive result. 4.2 Test 2. Blank Reading. Perform 20 trials under normal laboratory conditions at 0.000 BAC. Use non-alcoholic human breath for breath devices and preparations of non-alcoholic bodily fluids or scientifically acceptable substitutes for non-breath devices. For disposable alcohol screening devices that indicate the presence of alcohol in a manner that requires interpretation, combine Tests 1 and 2, in accordance with 4.3 below. For alcohol screening devices that indicate the presence of alcohol in a manner that does not require interpretation, perform the test using a VNTSC investigator. To conform, no positive results. If the device is capable of providing a reading of greater than 0.000 BAC and less than 0.020 BAC, not more than one such result. 4.3 Methodology for Combining Tests 1 and 2 for Disposable Interpretive Devices. Perform the test using ten individuals who qualify as test interpreters (according to the manufacturer's restrictions, if any) and who have no knowledge of test BACs. Ask each individual to read the manufacturer's instructions for interpretation of the device's read- out. Label sixty devices from 1 to 60 and randomly separate them into three groups of twenty. Record the numbers in each group. Use two of the groups of devices for Test 1 and the remaining group for Test 2. Dose each group at the BAC levels specified in Tests 1 and 2. Order the sixty devices into a single set from 1 to 60 and ask each individual to independently interpret the results of these trials. Ask each individual to record each result as being one of the following: ``at .00 BAC''; ``above .00 and below .02 BAC''; ``at or above .02 BAC''; or ``can't tell''. Dosing of devices and interpretation of results will be accomplished within a two hour period. To conform, with each interpreter, no positive results at .000 BAC, not more than one positive result at .008 BAC and not more than one non-positive result at .032 BAC. If the device is capable of providing a reading of greater than 0.000 BAC and less than 0.020 BAC, with each interpreter, not more than one such result at .000 BAC. 4.4 Interference Test for the effect of acetone and, in the case of breath or saliva devices, cigarette smoke. 4.4.1 Test 3.1. Acetone. Perform 40 trials, including 20 trials at 0.008 BAC and 20 trials at 0.032 BAC. Use a calibrating unit for this test for breath devices and preparations of bodily fluids or scientifically acceptable substitutes for non-breath devices. Prepare test BACs to include an acetone concentration equivalent to a BAC of 0.010 grams per 100 milliliters blood. For breath screening devices, add 115 microliters of acetone per 500 milliliters of solution for use in the calibrating unit.\4\ --------------------------------------------------------------------------- \4\Based on an experimentally determined water to air partition factor 365 to 1 at 34 deg. to yield acetone-in-air concentrations of 0.5 milligrams per liter. --------------------------------------------------------------------------- To conform at 0.008 BAC, not more than one positive result. To conform at 0.032 BAC, not more than one non-positive result. 4.4.2 Test 3.2. Cigarette smoke (breath and saliva test devices only). Perform five trials at 0.000 BAC. Use non-alcoholic human breath for breath devices and preparations of non-alcoholic bodily fluids or scientifically acceptable substitutes for non-breath devices. Select a person who smokes cigarettes for this test. Ask the person selected to smoke approximately one half of a cigarette. Within one minute after smoking, or after a waiting period specified in the manufacturer's instructions, ask him or her to blow into the screening device according to manufacturer's instructions. Then ask the person to smoke another inhalation and repeat the test to produce a total of five trials. To conform, no positive results. 4.5 Temperature. Test at low and high ambient temperature. 4.5.1 Test 4.1 Low Ambient Temperature. Perform 40 trials at 10 deg.C, including 20 trials at 0.008 BAC and 20 trials at 0.032 BAC. Use a calibrating unit for this test for breath devices and preparations of bodily fluids or scientifically acceptable substitutes for non-breath devices. To conform at 0.008 BAC, not more than one positive result. To conform at 0.032 BAC, not more than one non-positive result. 4.5.2 Test 4.2 High Ambient Temperature. Perform trials of 40 devices at 40 deg.C, including 20 trials at 0.008 BAC and 20 trials at 0.032 BAC. Use a calibrating unit for this test for breath devices and preparations of bodily fluids or scientifically acceptable substitutes for non-breath devices. To conform at 0.008 BAC, not more than one positive result. To conform at 0.032 BAC, not more than one non-positive result. 4.6 Test 5.0. Vibration. Perform 40 trials, including 20 trials at 0.008 BAC and 20 trials at 0.032 BAC. Use a calibrating unit for this test for breath devices and preparations of bodily fluids or scientifically acceptable substitutes for non-breath devices. Mount the screening device on a shake table and vibrate the table in simple harmonic motion through each of its three major axes, as specified below. Sweep through each frequency range in 2.5 minutes, then reverse the sweep to the starting frequency in 2.5 minutes. The 40 disposable testers may be placed in a suitable box mounted on the shake table. Test after vibration. ------------------------------------------------------------------------ Amplitude Frequency (hertz) (inches, peak to peak) ------------------------------------------------------------------------ 10 to 30................................................ 0.30 30 to 60................................................ 0.15 ------------------------------------------------------------------------ To conform at 0.008 BAC, not more than one positive result. To conform at 0.032 BAC, not more than one non-positive result. Appendix--Labeling Instructions for Alcohol Screening Devices Intended Use Provide the intended use including the specimen matrix (e.g. saliva, breath), the assay type (quantitative, semi-quantitative) the purpose of performing the assay and the individual designated to perform the assay. e.g. This product is intended for the (quantitative, semiquantitative) determination of alcohol in----define matrix (for e.g., saliva, breath, sweat) to perform screening alcohol assays. This product is recommended for use by individuals who have been trained in the administration of screening devices. Description of Testing System Provide the principles of the procedure for performing the alcohol screening assay. e.g. This product uses alcohol dehydrogenase, infrared technology, etc. to perform the test. Chemical Reaction Sequence Describe the chemical reaction sequence, if applicable. Reagents List the concentration, strength, composition of the reactive ingredients. List the non-reactive ingredients. Reagent Preparation and Storage Provide instructions for preparing the reagents, if applicable. Provide the instructions for storing the reagents, if applicable. Provide any signs of deterioration of the reagents, if applicable. Provide the reagent's shelf life and opened expiration dating, if applicable. e.g. Unopened tests are stable until the date printed on the product container when stored at 22-28 deg.C. Opened test must be used at once. Provide a caution not to use the reagents beyond the expiration dating. Precautions 1. List any reagents that may be hazardous such as caustic compounds, sodium azide or other hazardous reagents and instructions for disposal, if applicable. 2. If visually read, warn the user the result should not be interpreted by readers who are color-blind or visually impaired. 3. Provide warning to user to treat all samples as potentially infective. Include instructions for handling and disposal of the sample. Specimen Collection Provide instructions for collecting and handling the sample. Provide criteria for specimen rejection, if applicable. Calibration Disposable tests are pre-calibrated. No additional calibration is required. Reusable (Instrumented) tests require calibration. Provide information regarding how calibrations are to be conducted, if applicable, including the number and concentration of calibrators, and the frequency of calibration. Provide instructions for calibration and recalibration. Provide the criteria for acceptability of calibration. Test Procedure (Disposable) Provide adequate step-by-step instructions for performing the test. If the test is disposable (non-instrumented) and involves a color reaction, include the time frame for which the test must be read and recorded. e.g. Read within 15 minutes. Test Procedure (Reusable/Instrumented) Provide adequate step-by-step instruction for performing the test. Provide the installation procedures and, if applicable, any special requirements. Provide the space and ventilation requirements. Provide the description of the required frequency of equipment maintenance and function checks. Provide the instructions for any remedial action to be taken when the equipment performs outside of operating range. Provide any operational precautions and limitations. Provide the instructions for the protection of equipment and instrumentation from fluctuations or interruptions in electrical current that could adversely affect test results and reports, if applicable. Quality Control (QC) Disposable Tests If applicable, the function and stability of the test can be determined by examination of the procedural ``built in'' controls contained in the product. If these controls are not working, the test is invalid and must be repeated. Disposable/Instrumented Devices If external quality control materials are used, provide number, type, matrix and concentration of the QC materials. Provide directions for performing quality control procedures. Provide an adequate description of the remedial action to be taken when the QC results fail to meet the criteria for acceptability. Provide directions for interpretation of the results of quality control samples. Results Describe how the user obtains the test results, from a colored bar, instrument read-out, printout, etc. Describe the results in terms of blood alcohol concentration. Describe what concentration indicates a positive result and what concentration indicates a negative result. Limitations List the substances or factors that may interfere with the test and cause false results including technical or procedural errors. Dynamic Range Provide the operating range of the product. Precision and Accuracy Precision and Accuracy specifications are included in the National Highway Traffic Safety Administration's (NHTSA's) Model Specifications for Alcohol Screening Devices. Only devices that meet these model specifications will be included on NHTSA's Conforming Products List for alcohol screening devices. Specificity List the substances that have been evaluated with your product that do or do not interfere at the concentration indicated. References Provide pertinent bibliography Technical Assistance List an 800 number the user may contact for further information or technical assistance. [FR Doc. 94-1858 Filed 2-3-94; 1:00 pm] BILLING CODE 4910-59-P