510(k) Report

510(k) · Cleared

Recalled · Class II · 2020

Ameditech Immutest Milti-Drug Screen

K113046510(k) SpecialCleared Nov 10, 201128-day reviewClass II21 CFR 862.3100Recalls 84

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Ameditech, Inc. · DKZ Enzyme Immunoassay, Amphetamine

Cleared on Nov 10, 2011 as substantially equivalent to K050186 (Ameditech, Inc., 2005) and 3 other predicates after a 28-day review. Its family tree reaches back 1 generation to 2004. 1 later device descends from it. It has been recalled 84 times.

Decided
Nov 10, 2011
Review
28 days
Class
Class II
Product code
DKZ
Recalls
84
Predicates
4

Its longest line of descent runs back 1 generation to K040092 (2004). 4 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2006: 1 other ancestor2005: 1 other ancestor2004: 1 other ancestor2011: 1 descendant clearedK040092 · Ameditech Immu Test Drug Screen Panel · Ameditech, Inc. · 2004200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors 1 generation forward: 1 descendant K040092 · Ameditech Immu Test Drug Screen Panel · Ameditech, Inc. · 20040
  1. Root · 1 generation backK040092 Ameditech Immu Test Drug Screen PanelAmeditech, Inc. · 2004
  2. This deviceK113046 Ameditech Immutest Milti-Drug ScreenAmeditech, Inc. · 2011
  3. Descendant · cites it directly · 0 of its ownK113501 Ameditech Checkcup Multi Drug Test (Flat/Round Cup)Ameditech, Inc. · 2011 · Recalled

Most influential descendants

Showing 1 of 1 · See all
  • K113501Ameditech Checkcup Multi Drug Test (Flat/Round Cup)Ameditech, Inc. · 2011 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K040092Ameditech Immu Test Drug Screen PanelAmeditech, Inc.2004—
0 (this device)K113046Ameditech Immutest Milti-Drug ScreenAmeditech, Inc.2011—
+1K113501Ameditech Checkcup Multi Drug Test (Flat/Round Cup)Ameditech, Inc.201179

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200410
200510
200610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201110
FIG. 1 — Lineage of K113046, 2004–2011Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in DKZ? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new DKZ device

  1. #1 K233019 AllTest Multi-Drug Rapid Test Cup; AllTest…score 14.6 · 8 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (4)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K050186Ameditech Immutest Multi-Drug Screen Panel Iii
Summary page 1
…Drug Screen Dipcard Ameditech ImmuTest Multi-Drug Screen Cassette Ameditech ImmuTest Multi-Drug Screen Cup Predicates: Ameditech ImmuTest Multi-Drug Screen Panel 1ll (K050186) C. Device Description: The Ameditech ImmuTest Multi-Drug Screen is a lateral flow immunoassay intended for professional (presc…
Ameditech, Inc.20053
*K040092Ameditech Immu Test Drug Screen Panel
Summary page 2
…ds. E. Comparison with the Predicate The modified device isidentical to the cleared predicates referenced above (KOSO186). The drug strips cleared by FDA in submissions K040092, K(042975, and K(063015 will be consolidated into a single device. The purpose of this submission isto cover all the drug strips…
Ameditech, Inc.2004—
*K042975Ameditech Immutest Multi-Drug Screen Panel II
Summary page 2
…parison with the Predicate The modified device isidentical to the cleared predicates referenced above (KOSO186). The drug strips cleared by FDA in submissions K040092, K(042975, and K(063015 will be consolidated into a single device. The purpose of this submission isto cover all the drug strips and their…
Ameditech, Inc.20043
*K063015Ameditech Immutest Multi-Drug Screen Bup/PPX/COC150
Summary page 2
…he Predicate The modified device isidentical to the cleared predicates referenced above (KOSO186). The drug strips cleared by FDA in submissions K040092, K(042975, and K(063015 will be consolidated into a single device. The purpose of this submission isto cover all the drug strips and their respective cut…
Ameditech, Inc.20062

Also cleared against K050186: 1 other device →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K113501Ameditech Checkcup Multi Drug Test (Flat/Round Cup)Ameditech, Inc.20110

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Aug 18, 2020Class IIZ-3051-2020Process controlVarious immunoassay enzymes failed product performance, thereby the products do not consistently detect all calibrator and secondary compounds at the levels stated in the labeling.
Aug 18, 2020Class IIZ-3042-2020Process controlVarious immunoassay enzymes failed product performance, thereby the products do not consistently detect all calibrator and secondary compounds at the levels stated in the labeling.
Aug 18, 2020Class IIZ-3036-2020Process controlVarious immunoassay enzymes failed product performance, thereby the products do not consistently detect all calibrator and secondary compounds at the levels stated in the labeling.
Nov 16, 2015Class IIIZ-0511-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0512-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0542-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0520-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0517-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0536-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0527-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0530-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0503-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0487-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0518-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0486-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0514-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0521-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0534-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0532-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0529-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0502-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0505-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0496-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0501-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0488-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0500-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0509-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0493-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0504-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0497-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0516-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0484-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0522-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0498-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0524-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0523-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0515-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0525-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0519-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0507-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0541-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0499-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0528-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0489-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0485-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0491-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0492-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0510-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0508-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…
Nov 16, 2015Class IIIZ-0506-2016Nonconforming Material/ComponentAmeditechs Drugs of Abuse Tests listed above have shown reduced reactivity for up to two (2) of the nineteen (19) Benzodiazepine (BZO) compounds for which specificity information is provided in the product insert. The particular BZO…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • 3 of the 4 ancestors have a recall of any class.
  • Of its descendants, K113501 (Ameditech, Inc., 2011) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K050186.

How does its category compare?

All DKZ devices

DKZ Enzyme Immunoassay, Amphetamine: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

FDA decisions per year · DKZ

1in 2024

2008: 22009: 22010: 42011: 62012: 52013: 82014: 82015: 52016: 52018: 32019: 32020: 12023: 22024: 1
2007high 8 (2013) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DKZ

180in 2019

2010: 233 days median2011: 123 days median2012: 55 days median2013: 103 days median2014: 128 days median2015: 107 days median2016: 215 days median2018: 128 days median2019: 180 days median
2007high 233 (2010) · low 55 (2012)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · DKZ

1in 2017

2007: 12008: 32009: 52011: 42013: 12014: 32017: 1
2007high 5 (2009) · low 0 (2010)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · DKZ

2in 2025

2008: 122009: 12010: 12011: 22013: 12014: 92015: 82016: 82021: 32022: 42023: 72024: 12025: 2
2007high 12 (2008) · low 0 (2007)2025

MAUDE reports naming product code DKZ, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—10
20082—312
20092—51
2010423301
2011612342
201255500
2013810311
2014812839
2015510708
2016521508
20170—10
2018312800
2019318000
20201—00
20210—03
20220—04
20232—07
20241—01
20250—02
20260—0—

What is it indicated for?

The ImmuTest Multi-Drug Screen is a one-step immunoassay for the qualitative detection of multiple drugs and drug metabolites in human urine at the following cutoff concentrations: Test Calibrator Cut-off (ng/ml) AMP d-Amphetamine 1000 BAR Secobarbital 300 SUPD Buprenorphine 10 BZO Oxazepam 300 COC 150 Benzoylecgonine 150 CCC Benzoylecgonine 300 MVDMA 3,4-methylenedioxymethamphetamine *500 MET 500 d-Methamphetamine 500 MET d-Methamphetamine 1000 MTD…

Read the full statement (190 words)

The ImmuTest Multi-Drug Screen is a one-step immunoassay for the qualitative detection of multiple drugs and drug metabolites in human urine at the following cutoff concentrations:

Test Calibrator Cut-off (ng/ml)

AMP d-Amphetamine 1000

BAR Secobarbital 300

SUPD Buprenorphine 10

BZO Oxazepam 300

COC 150 Benzoylecgonine 150

CCC Benzoylecgonine 300

MVDMA 3,4-methylenedioxymethamphetamine *500

MET 500 d-Methamphetamine 500

MET d-Methamphetamine 1000

MTD dI-Methadone 300

OPI 300 Morphine 300

OPI Morphine 2000

OXY Oxycodone 100

PCP Phencyclidline 25

PPX Propoxyphene 300

TCA Nortriptyline 1000

THC 11-nor-A9-THC-9-COOH 50

The ImmuTest Multi-Drug Screen consists of three test formats: card, cassette and cup. The configurations of the ImmuTest Multi-Drug Screen consist of any combination of the drugs listed above. The ImmuTest Multi-Drug Screen is used to obtain a visual, qualitative result and is intended for professional use only.

This assay provides only a preliminary result. Clinical consideration and professional judgment must be applied to any drug of abuse test result, particularly in evaluating a preliminary positive result. in order to obtain a-confirmed analytical result, a more specific alternate chemical method is needed. Gas Chromatography/Mass Spectrometry (GC/fWS) and Liquid Chromatography/Mass Spectrometry (LC/MS) are the preferred confirmation methods.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K113046: Ameditech Immutest Milti-Drug Screen.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K113046

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026