K Number
K070117
Date Cleared
2007-08-06

(206 days)

Product Code
Regulation Number
880.5860
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Safe Plus Disposable Safety Syringe is an ETO sterile, non-toxic, non-pyrogenic, latex free, single-use, non-reusable, disposable manual retractable safety syringe in which medication can be injected into or fluid withdrawn from the human body. This device aids in prevention of needle stick injuries and reuse of the needle.

Device Description

The Safe Plus Disposable Syringe is a single use hypodermic syringe similar to a traditional syringe in application and function except for its safety mechanism which when activated:

  1. completely retracts and encloses the needle in the barrel thereby preventing finger access
  2. renders the needle unusable again as it is crushed within the puncture resistant barrel.
AI/ML Overview

I am sorry, but based on the provided text, there is no information about a study that assesses acceptance criteria for the "Safe Plus Disposable Safety Syringe".

The document is a 510(k) summary for the device, which focuses on demonstrating substantial equivalence to a predicate device. It lists specifications and attributes of the device and compares them to the predicate, but it does not detail specific acceptance criteria values or a study proving those criteria are met.

Therefore, I cannot provide a table of acceptance criteria and reported device performance, nor details about sample sizes, data provenance, expert involvement, adjudication methods, MRMC studies, standalone performance, ground truth types, or training set information.

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K070117

5. 510(k) Summary

AUG - 6 2007

Submitted on behalf of:

Dolomite Biotech Sdn. Bhd 3 Jalan SBC 2, Taman Sri Batu Caves, 68100 Batu Caves, Selangor Darul Ehsan, Malaysia Tel: 603-6186-0000 Fax: 603-6187-2310 Email: taicp@pc.jaring.my

By official correspondent and contact:

Timothy Liew Tel: 510-686-2481 Tel: 510-686-2588 Email: epitome.ent@comcast.net

Date Prepared: 01/05/2007

Proprietary Name: Safe Plus Disposable Safety Syringe Common Name: Piston Syringe Classification Name: Piston Syringe Class: II Panel: 80 Product Code: MEG - Antistick Syringe

Predicate Device: SEZ Safety Syringe by SEZ Corporation (K031163)

Device Description:

The Safe Plus Disposable Syringe is a single use hypodermic syringe similar to a traditional syringe in application and function except for its safety mechanism which when activated:

  1. completely retracts and encloses the needle in the barrel thereby preventing finger access

  2. renders the needle unusable again as it is crushed within the puncture resistant barrel.

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No special techniques are required to use the safety mechanism and the user is clearly able to visualize the results when the sharps prevention feature has been activated.

Indications for Use:

The Safe Plus Disposable Safety Syringe is a sterile, non-pyrogenic, single-use, non-reusable, disposable manual retractable safety syringe in which medication can be injected into or fluid withdrawn from the human body. This device aids in prevention of needle stick injuries and reuse of the needle.

Device NamePredicate Device:SEZ Safety Syringe (K031163)Safe Plus Disposable SafetySyringe
Intended UseThis device is a safety hypodermicsyringe for intramuscular andsubcutaneous injection. This deviceaids in prevention of needle stickinjuries.Identical
Principal ofOperationActivation of safety feature consistsof:1. disassemble needle assemblyfrom the plunger by turning theplunger2. retract needle into the barreland confine it by pushingplunger forward beforedisposalActivation of safety feature consistof:1. pushing the plunger forwarduntil the gasket locks ontoadaptor, hub and needle.2. Identical
Volume3 and 5 ml sizesIdentical
Nozzle TypeFemale conical lock fitting withrotatable internally threaded neckIdentical
Barrel MarkingScale: conforms to ISO 7886-1:1993(E).Identical
ReuseNon-reusableIdentical
BiocompatibilityConforms to ISO 10993-1Identical
Materials1. Plastic parts: polypropylene (homotype)2. Gasket: thermoplastic rubber3. O-Ring: nitrile rubber4. Packing film: Medipeel film1. Identical2. thermoplastic elastomer3. thermoplastic elastomer4. Polyester/polyethylene
SterilitySterilized by ethylene oxide gasSAL=10-6Identical

Safety and Effectiveness, comparison to predicate device

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K 070117

Conclusion:

Based on tests performed in accordance with "Guidance for Industry and FDA Staff, Medical Devices with Sharps Injury Prevention Features", "Guidance on the Content of Premarket Notification 510(k) Submissions for Piston Syringes" and internationally recognized standards for syringe performance, the Safe Plus Disposable Safety Syringe has been shown to be substantially equivalent to the legally marketed predicate device.

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Image /page/3/Picture/1 description: The image shows the seal of the Department of Health and Human Services (HHS) of the United States. The seal features a stylized caduceus, a symbol often associated with medicine and healthcare, consisting of a staff with two snakes coiled around it. The text "DEPARTMENT OF HEALTH AND HUMAN SERVICES . USA" is arranged in a circular pattern around the caduceus.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG - 6 2007

Dolomite Biotech Sdn Bhd C/O Mr. Timothy Liew President Epitome Enterprises 417 Whitney Street San Leandro, California 94577

Re: K070117

Trade/Device Name: Safe Plus Disposable 2.5, 3cc syringes with needles 23 g x 1 inch, 25 g x 1 inch and 5 cc syringes with needles 21g x 1 1/2 inches, 20g x 1 inch, 20g x 1 1/2 inches and 21g x 1 inch Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: II Product Code: MEG Dated: June 4, 2007 Received: June 11, 2007

Dear Mr. Liew:

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. Liew

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) 276-0120. 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,

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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K070117

4. Indications for Use

510(k) Number (if known): K070117

Device Name: Safe Plus Disposable Safety Syringe

Indications for Use:

The Safe Plus Disposable Safety Syringe is an ETO sterile, non-toxic, non-pyrogenic, latex free, single-use, non-reusable, disposable manual retractable safety syringe in which medication can be injected into or fluid withdrawn from the human body. This device aids in prevention of needle stick injuries and reuse of the needle.

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 OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

and and (Division Sign-Off) (Division of Anesthesiology, General Hospital Page of of nfection Control, Dental Devices

10(k) Number: _kg7947

§ 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).