(14 days)
This device is intended for injection of fluids into, or withdrawing fluids from, parts of the body below the surface of the skin. Syringe with plunger for general medical uses. The Insulin syringes are intended for insulin injection.
The Devon Standard Syringe is a sterile, single use, disposable syringe with attachable hypodermic needle. The Devon Standard Syringe consists of a syringe barrel, a plunger rod, piston, nozzle cap and a single lumen hypodermic needle. The Insulin syringes are used for the injection of U100 insulin only and have scale lines in insulin units.
The provided text does not contain information about acceptance criteria or specific study details that would allow for a comprehensive answer to your request. The document is a 510(k) summary for a medical device (Devon Standard Syringe, Hypodermic Needle, and Insulin Syringe) and primarily focuses on establishing substantial equivalence to predicate devices.
Here's what can be extracted based on your request, and what is missing:
1. A table of acceptance criteria and the reported device performance
- Missing. The document states: "The Devon Standard Syringe has been shown to meet internationally recognized standards for syringe performance and labeling characteristics." However, it does not list specific acceptance criteria (e.g., force to depress plunger, leakage rates, accuracy of markings) or report quantitative device performance against those criteria.
2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
- Missing. The document does not provide details on the sample size used for any testing, nor does it specify the provenance of the data (country, retrospective/prospective).
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)
- Not Applicable. This question typically pertains to studies where expert interpretation is needed to establish ground truth, such as in image analysis or diagnostic accuracy studies. For a syringe, the "ground truth" would be objective physical measurements and adherence to functional standards, not expert interpretation.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
- Not Applicable. Similar to point 3, adjudication methods are relevant for studies involving human interpretation where consensus or arbitration is needed to resolve discrepancies. This is not typically applied to the performance testing of a physical device like a syringe.
5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
- Not Applicable. This type of study relates to AI-assisted diagnostic tools and involves human readers. The Devon Standard Syringe is a physical medical device, not an AI diagnostic tool.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
- Not Applicable. This question also pertains to AI algorithm performance.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
- The "ground truth" for a syringe's performance would be objective measurements and adherence to internationally recognized standards. The document implicitly states this by mentioning "internationally recognized standards for syringe performance and labeling characteristics." This would include things like:
- Dimensional accuracy
- Fluid leakage (seal integrity)
- Force required to depress plunger
- Accuracy of volume markings
- Sterility
- Biocompatibility (if applicable)
8. The sample size for the training set
- Missing. This device is a physical product, not an AI algorithm that requires a training set of data.
9. How the ground truth for the training set was established
- Missing. Not applicable for this type of device.
In summary, the provided 510(k) summary is a regulatory document focused on demonstrating substantial equivalence to existing devices. It confirms that the device meets "internationally recognized standards" but does not detail the specific acceptance criteria, test methodologies, sample sizes, or personnel involved in validating those claims. These details would typically be found in more extensive design control and risk management documentation, which is not part of this summary.
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SEP 3 0 2005
K452551 (Pior2)
510(k) Summary
Submitted on behalf of:
Devon Safety Products DBA Devon Medical Supplies 1100 First Avenue, Suite 100 King Of Prussia, PA 19406
| Telephone: | 1-800-431-2273 |
|---|---|
| Fax: | 610-768-4509 |
| By: | Barry BerlerChief Operating Officer1100 First Avenue, Suite 100King of Prussia, PA 19406 |
|---|---|
| Telephone: | 1-800-431-2273 x 4102 |
| Fax: | 610-768-4509 |
CONTACT PERSON: Barry Berler
DATE PREPARED: July 10, 2005
TRADE NAME: Devon Standard Syringe and as sold under various trade names COMMON NAME: Piston Syringe and Hypodermic Needle
SUBSTANTIALLY EQUIVALENT TO:
The Devon Standard Syringe is substantially equivalent to:
K980181: Terumo, Disposable Hypodermic Syringe K941657: Becton Dickinson, Insulin Syringes. K021993: Shandong Zibo Shanchuan Medical Instrument, Co., Ltd., Piston Syringe, Hypodermic Needle: Insulin Syringe K013293: Nipro Medical Corp., Hypodermic Needle.
DESCRIPTION of the DEVICE:
The Devon Standard Syringe is a sterile, single use, disposable syringe with attachable hypodermic needle. The Devon Standard Syringe consists of a syringe barrel, a plunger rod, piston, nozzle cap and a single lumen hypodermic needle.
The Insulin syringes are used for the injection of U100 insulin only and have scale lines in insulin units.
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K452551 (P.2 of 2)
INDICATIONS FOR USE:
The Devon Standard Syringe is intended for injection of fluids into, or withdrawing fluids from, parts of the body below the surface of the skin.
Syringe with plunger for general medical uses.
The Insulin syringes are intended for insulin injection.
SUMMARY of TESTING:
The Devon Standard Syringe has been shown to meet internationally recognized standards for syringe performance and labeling characteristics.
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Image /page/2/Picture/1 description: The image is a black and white logo for the Department of Health and Human Services - USA. The logo features a stylized image of an eagle with three lines representing its wings. The text "DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle image. The logo is simple and recognizable, representing the department's mission to protect the health of all Americans.
SEP 3 0 2005
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Devon Safety products, Incorporated C/O Mr. Mark Job Reviewer Regulatory Technology Services, LLC 1394 25th Street, NW Buffalo, Minnesota, 55313
Re: K052551
Trade/Device Name: DEVON STANDARD SYRINGE, HYPODERMIC NEEDLE AND INSULIN SYRINGE Regulation Number: 21 CFR 880.5860 Regulation Name: PISTON SYRINGE Regulatory Class: II Product Code: FMF and FMI Dated: September 13, 2005 Received: September 16, 2005
Dear Mr. Job:
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and 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) 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. 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 (PMA), 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 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
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Page 2 - Mr. Job
Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. This letter will allow you to begin marketing your device as described in your Section 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), please contact the Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.
Sincerely yours,
Sujata y. Michie Oms.
Chiu Lin, Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Indications for Use
K4222221 510(k) Number (if known):
Device Name: Devon Standard Syringe
Indications For Use:
This device is intended for injection of fluids into, or withdrawing fluids from, parts of the body below the surface of the skin.
Syringe with plunger for general medical uses.
The Insulin syringes are intended for insulin injection.
Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR
Over-The-Counter Use (21 CFR 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Cim Un
Page 1 of ____________________________________________________________________________________________________________________________________________________________________
(Division Sign-Off) (Division of Anesthesiology, General Hospital, Infection Control, Dental Devices
510(k) Number ________________________________________________________________________________________________________________________________________________________________
§ 880.5860 Piston syringe.
(a)
Identification. A piston syringe is a device intended for medical purposes that consists of a calibrated hollow barrel and a movable plunger. At one end of the barrel there is a male connector (nozzle) for fitting the female connector (hub) of a hypodermic single lumen needle. The device is used to inject fluids into, or withdraw fluids from, the body.(b)
Classification. Class II (performance standards).