K Number
K231519

Validate with FDA (Live)

Device Name
Revital Cady
Date Cleared
2023-11-06

(165 days)

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

Auto-Disable Syringe is used to administer intramuscular / intravenous medicines or fixed dose immunization.

Device Description

The Revital Cady is an Auto Disable Fixed Dose Immunization Syringe. It is a three-piece Syringe having male 6% luer slip connection. The Syringe is supplied sterile with nonintegrated Needle having female 6% luer slip connection. The device is sterilized by ETO gas. lt is a disposable, single use and non-pyrogenic device. The Syringe is available in volume of 0.5ml and packed with a needle of 23G size. It is individually packed in blister pouch. The Syringe has an early activation auto disable feature. When the plunger is pulled back, it is connected to a stainless-steel clip inside the barrel and the auto-disable feature is activated at the start of dose administration. After completion of administration, the plunger is detached from the gasket by pulling back. The Syringe consist of four components i.e. 1. Barrel 2. Plunger 3. Gasket 4. S.S Clip The barrel is made of Polypropylene (PP) with graduated scale printed on its outer wall. The barrel has a nozzle with 6% male luer slip connector that facilitates the connection with the female luer slip connection of the needle. The graduated scale on barrel is indicated in millimetres. The plunger is a solid rod made of Polypropylene. It is used to draw fluid in and out of the barrel by pulling and pushing. The plunger has small rectangular holes on which a clip is fitted. The clip is made up of stainless steel and it is use to activate the auto disable feature. The gasket is made up of PTFE and fitted on top of the plunger. The Syringe is supplied with a Hypodermic Needle is made of three components i.e. 1. Needle tube 2. Needle hub 3. Needle cap The Needle is made up of stainless steel and bonded to the Needle hub by epoxy and UV glue. The hub and cap of the Needle is made of Polypropylene. The cap is used to protect the needle tip from damage as well as injury.

AI/ML Overview

The provided text describes the Revital Cady Auto-Disable Syringe, a Class II medical device, and its substantial equivalence to predicate devices, K210464 and K211214 (for the needle). The submission focuses on non-clinical performance data to demonstrate that the device meets acceptance criteria.

Here's an organized breakdown of the requested information based on the provided document:

1. Table of Acceptance Criteria and Reported Device Performance

The Revital Cady device, including both the syringe and the needle, was tested against various ISO standards and USP tests. The reported performance uniformly states that the results were "satisfactory" or "complied with" the respective standards, indicating that the device met the acceptance criteria defined by these standards.

Test Parameter / StandardAcceptance Criteria (Implicit)Reported Device Performance
Syringe Performance
ISO 7886-1:2017Compliance with standardComplied / Satisfactory
ISO 7886-3:2020Compliance with standardComplied / Satisfactory
ISO 80369-7:2021Compliance with standardComplied / Satisfactory
Needle Performance
ISO 9626:2016Compliance with standardComplied / Satisfactory
ISO 7864:2016Compliance with standardComplied / Satisfactory
Sterility & Biocompatibility
USP <71> (Sterility)SterilityMet requirement
USP <85> (Bacterial Endotoxin)Compliance with USP <85>Met requirement
USP <788> (Particulate Contamination)Compliance with standard (implied)Complied / Satisfactory
Cytotoxicity (ISO 10993-5:2009)Acceptable toxicity levelsAcceptable
Acute Systemic Toxicity (ISO 10993-11:2017)Acceptable toxicity levelsAcceptable
Skin Sensitization (ISO 10993-10:2021)Acceptable sensitization levelsAcceptable
Intracutaneous Reactivity (ISO 10993-23:2021)Acceptable reactivity levelsAcceptable
Hemolysis (ISO 10993-4:2017 & ASTM F756-17)Acceptable hemolysisAcceptable
Material Mediated PyrogenicityNo pyrogenicityAcceptable
Packaging & Transit Study
ISO 11607-1:2019Compliance with standardComplied
ISO 11607-2:2019Compliance with standardComplied
ASTM D4169-16Compliance with standardComplied
Sterilization Test
ISO 11135:2014/AMD 1:2018Compliance with standardComplied
EO Residual Test
ISO 10993-7:2008/Amd 1:2019Meets requirements of standardMeets requirement

2. Sample Size Used for the Test Set and Data Provenance

The document does not specify the exact sample sizes used for each non-clinical test. It only states that tests were "conducted" and "results were found satisfactory" or "met the requirement of the standard."

The data provenance is not explicitly mentioned in terms of country of origin or whether it was retrospective or prospective. However, safety and performance testing for Substantial Equivalence are typically conducted prospectively in a controlled laboratory environment by the manufacturer or a contracted lab. Given the manufacturer is Revital Healthcare (EPZ) Limited in Kenya and the primary correspondent is in India, the testing was likely conducted in one of these locations or by an international lab.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications

This information is not applicable. The study involves non-clinical performance and biocompatibility testing against established international standards (ISO, USP, ASTM). Ground truth in this context is determined by the objective results of these tests and their comparison to the defined acceptance criteria within the standards, not by expert consensus on subjective evaluations.

4. Adjudication Method for the Test Set

Not applicable. As described above, the evaluation is based on objective measurements against established technical standards, not on human adjudication of subjective assessments.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

No. The document explicitly states: "No clinical study is included in this submission." Therefore, an MRMC comparative effectiveness study was not performed. The submission relies solely on non-clinical performance data to demonstrate substantial equivalence.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

Not applicable. The device is a physical medical device (an auto-disable syringe), not an algorithm or software. Therefore, the concept of "standalone algorithm performance" is not relevant.

7. The Type of Ground Truth Used

The ground truth for device performance is defined by adherence to the quantitative and qualitative requirements outlined in the referenced international standards (e.g., ISO 7886-1, ISO 9626, ISO 10993 series, USP monographs). This includes:

  • Quantitative measurements: For aspects like dose volume accuracy (implied by syringe standards), needle dimensions, bond strength, residual EO levels, particulate contamination.
  • Qualitative assessment: For sterility, biocompatibility (e.g., absence of cytotoxicity, irritation), and functional performance demonstrating the auto-disable mechanism works as intended.

Essentially, the "ground truth" is compliance with these universally accepted specifications for medical devices of this type.

8. The Sample Size for the Training Set

Not applicable. This device is a physical auto-disable syringe, not an AI/ML algorithm that requires a "training set" of data.

9. How the Ground Truth for the Training Set Was Established

Not applicable, as there is no training set for a physical device.

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Image /page/0/Picture/0 description: The image shows the logo for the U.S. Food & Drug Administration (FDA). The logo consists of two parts: a symbol on the left and the text on the right. The symbol is a stylized representation of a caduceus, a traditional symbol of medicine, with intertwined snakes and wings. To the right of the symbol is the text "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue, with "FDA" in a larger font size than the rest of the text.

November 6, 2023

Revital Healthcare (EPZ) Limited % Atonu Dutta CEO Alceon Medtech Consulting 1008, 10th Floor, "OCEAN", Sarabhai Compound Near Centre Square mall, Dr. V.S. Marg Vadodara, Gujarat 390007 India

Re: K231519

Trade/Device Name: Revital Cady Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: Class II Product Code: FMF, FMF, FMI Dated: October 4, 2023 Received: October 10, 2023

Dear Atonu Dutta:

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 (the 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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database available at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device"

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(https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review. the OS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

Change to an Existing Device" (https://www.fda.gov/media/99785/download).

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); medical device reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Juliane C. Lessard -S

Juliane C. Lessard, Ph.D. Director DHT3C: Division of Drug Delivery and General Hospital Devices, and Human Factors

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OHT3: Office of Gastrorenal, ObGyn, General Hospital, and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K231519

Device Name REVITAL CADY

Indications for Use (Describe)

Auto-Disable Syringe is used to administer intramuscular / intravenous medicines or fixed dose immunization.

Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D) Over-The-Counter Use (21 CFR 801 Subpart C)

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K231519 510(K) Summary

1. Submission Sponsor

Ankur Vora

(Director Operations/MR) Revital Healthcare (EPZ) Limited LR No. 5025/1239 Takaungu P.O. Box 80713-80100 Mombasa, Kenya Phone: +254 711443366; +254 790 412900 Email: ankur@rhcare-epz.com; quality@rhcare-epz.com

2. Primary Correspondent

Mr. Atonu Dutta (CEO, Alceon Medtech Consulting) 1008, 10th Floor, "OCEAN", Sarabhai Compound, Near Centre Square mall, Dr. V.S. Marg, Vadodara, Gujarat-390023, India. Phone: (+91) 9925023428 Email: regulatory@alceonconsulting.com

3. Date of preparing the summary

11/4/2023

4. Device Details

Table 1: Device details

Device name (Generic):Hypodermic Auto Disable Syringe with Needle
Device name (Trade Name):Revital Cady
Classification Regulation:21 CFR 880.5860, 21 CFR880.5570
Device Class:Class II
Product Code:FMF, FMI
Panel:General hospital

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5. Predicate Device

Table 2: Predicate Device

Subject DeviceManufacturerSubject DevicePrimary PredicateDevice 510KSecondaryPredicateDevice510K
RevitalHealthcare (EPZ)LimitedAuto Disable Syringe withNeedle for Fixed DoseImmunizationK210464K211214(For Needle)

6. Device Description

The Revital Cady is an Auto Disable Fixed Dose Immunization Syringe. It is a three-piece Syringe having male 6% luer slip connection. The Syringe is supplied sterile with nonintegrated Needle having female 6% luer slip connection. The device is sterilized by ETO gas. lt is a disposable, single use and non-pyrogenic device. The Syringe is available in volume of 0.5ml and packed with a needle of 23G size. It is individually packed in blister pouch.

The Syringe has an early activation auto disable feature. When the plunger is pulled back, it is connected to a stainless-steel clip inside the barrel and the auto-disable feature is activated at the start of dose administration. After completion of administration, the plunger is detached from the gasket by pulling back.

The Syringe consist of four components i.e.

    1. Barrel
    1. Plunger
    1. Gasket
    1. S.S Clip

The barrel is made of Polypropylene (PP) with graduated scale printed on its outer wall. The barrel has a nozzle with 6% male luer slip connector that facilitates the connection with the female luer slip connection of the needle. The graduated scale on barrel is indicated in millimetres.

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The plunger is a solid rod made of Polypropylene. It is used to draw fluid in and out of the barrel by pulling and pushing. The plunger has small rectangular holes on which a clip is fitted. The clip is made up of stainless steel and it is use to activate the auto disable feature. The gasket is made up of PTFE and fitted on top of the plunger.

The Syringe is supplied with a Hypodermic Needle is made of three components i.e.

    1. Needle tube
    1. Needle hub
    1. Needle cap

The Needle is made up of stainless steel and bonded to the Needle hub by epoxy and UV glue. The hub and cap of the Needle is made of Polypropylene. The cap is used to protect the needle tip from damage as well as injury.

Raw Materials:

Table 3: Raw Materials

ComponentsMaterialGradeCAS No.Type of Body Contact
Syringe
BarrelPolypropyleneRG568MO9003-07-0Indirect contact with blood path
PlungerPolypropyleneRG568MO9002-88-4Indirect contact with blood path
GasketThermoplastic elastomer3250-0166070-58-4Indirect contact with blood path
ClipStainless SteelSS304-No Contact
Needle
Needle tubeStainless steelSS304Not applicableDirect contact with blood path
Needle capPolypropyleneRG568MO-No contact
Needle hubPolypropyleneRG568MO-No contact

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• Indication for use:

Auto – Disable Syringe is used to administer intramuscular / intravenous medicines or for fixed dose immunization.

7. Comparison to a predicate device

1. Comparison of Auto Disable Syringe to Predicate device

DescriptionSubject Device(K231519)Primary Predicate Device(K210464)Comparison
ProductAuto Disable Syringe withNeedleAuto Disable SyringeSame
Product codeFMFFMFSame
RegulationNumber21 CFR 880.586021 CFR 880.5860Same
ClassIIIISame
Indication forUseAuto - Disable Syringe isused to administerintramuscular /intravenous medicines orfor fixed doseimmunization.The AUTO DISABLESYRINGE is intendedfor use in the suction andinjection of vaccine formedical purposes.Additionally, after injectionto the body, the plungercan be automaticallylocked by the triggeredmechanism to prevent there-use of this syringe.Same
Technological Characteristics
ConfigurationBarrelPlungerGasketClipBarrelPlungerGasketClipSame
MaterialsBarrel - PolypropylenePlunger - PolypropyleneGasket- ThermoplasticElastomerClip- Stainless SteelBarrel - PolypropylenePlunger - PolypropyleneGasket- PolyisopreneRubberClip- Stainless SteelDifferent 1
ReusePrevention(Safety) FeatureAuto - Disable, preventssyringe re-useAuto - Disable, preventssyringe re-useSame
Auto disablefeatureactivationAutomatically ActivateAutomatically Activate
Type of NeedleNon-integratedIntegratedDifferent 2
DescriptionSubject Device(K231519)Primary Predicate Device(K210464)Comparison
Dose Setting /VolumesFixed dose: 0.5 ml0.05ml, 0.10ml, 0.20ml,0.25ml, 0.30ml, 0.40ml,0.50ml, 1.0mlSame(Predicatedevice havesomeadditionalvolume sizessyringes)
BarreltransparencyTransparent & ClearTransparent & ClearSame
LubricantSilicon OilSilicon OilSame
Biocompatibility1. Cytotoxicity2. Sensitization3. Irritation orIntracutaneousreactivity4. Acute systemictoxicity5. Material mediatedpyrogenicity6. Hemocompatibility1. Cytotoxicity2. Sensitization3. Irritation orIntracutaneousreactivity4. Acute systemictoxicity5. Material mediatedpyrogenicity6. HemocompatibilitySame
SyringePerformanceComplied with ISO 7886-3,ISO 7886-1, ISO 9626, ISO80369-7, ISO 7864Complied with ISO 7886-3,ISO 7886-1, ISO 9626, ISO7864Same
SterilizationMethodEO SterilizedEO SterilizedSame
Single UseYesYesSame
Shelf Life5 years5 yearsSame
LabelingComplies with 21 CFR Part801Complies with 21 CFR Part801Same

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2. Comparison of Needle to Predicate Device

DescriptionSubject Device(K231519)Secondary PredicateDevice(211214)Comparison
ClassClass IIClass IISame
Indication for UseAuto - DisableSyringe is used toadministerintramuscular /intravenousThe sterile hypodermicneedles for single useare intended to usedwith a luer lock or luerslip syringe andDifferent
DescriptionSubject Device(K231519)Secondary PredicateDevice(211214)Comparison
medicines or forfixed doseimmunization.injection devices forgeneral purpose fluidinjection/aspiration
Regulatory number21 CFR Part 880.557021 CFR Part 880.5570Same
Product codeFMIFMISame
ConfigurationNeedle HubNeedle Cap(Protective cover)NeedleNeedle HubProtective coverNeedleSame
Materials
Needle HubPolypropylenePolypropyleneDifferent 4
NeedleStainless steelStainless steel
Needle CoverPolypropylenePolypropylene
Technical specification
Needle gauge23 G30G, 27G, 26G, 25G,24G, 23G,22G, 21G, 20G, 19G,18GSame- (Predicatedevice have someadditional gaugesizes)
Nozzle typeLuer-SlipLuer-lock/ Luer-SlipSame- (Predicatedevice hasadditional nozzletype)
Needle hub colorDeep Blue (Colorcoded as per ISO6009)Color coded as per ISO6009Same
Hub/needle bondstrengthComplies as per ISO7864:2016Complies as per ISO7864:2016Same
Needle performanceISO 9626, ISO 80369-7, ISO 7864ISO 9626, ISO 80369-7,ISO 7864Same

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Substantial Equivalence Discussion:

Different 1:

Thermoplastic Elastomer has a property of elasticity, low Young's modulus and high yield strain. They are permeable and at ambient temperature relatively soft and deformable. Their primary uses are for seals, adhesives, and molded flexible parts¹. However, the device is tested in accordance with ISO 7886-3:2020, ISO 7886-1:2017, ISO 80369-7:2016, ISO

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7864:2016, ISO 9626:2016 standards and results were found satisfactory. The device has also cleared all biocompatibility testing. Considering these factors, the difference of material does not create any safety issue and would perform as intended. Hence, the difference can be considered acceptable.

Different 2:

The Hypodermic Auto Disable Syringe comes with integrated and non-integrated type of Needle. The performance of both type of Needle should comply to ISO 7886-3:2020 clause 12. The auto disable syringe manufactured by Revital Healthcare (EPZ) limited comes with non- integrated Needle. The non-integrated needle is tested according to ISO 7886-3:2020 clause 12, and results were found satisfactory. The device has also cleared other performance test required as per ISO 7886-3:2020, ISO 7886-1:2017, ISO 80369-7:2016, ISO 7864:2016, ISO 9626:2016 standards and results were found satisfactory. Considering these factors, the difference of type of Needle does not create any safety issue and would perform as intended. Hence, the difference can be considered acceptable.

Different 3:

The predicate device has an integrated needle, and the subject device has a non-integrated needle. To prove substantial equivalence of the subject device's non-integrated needle, the secondary predicate is selected. However, the subject device needle intends to be used with the subject device syringe only; therefore, the indications for use are considered the same for both the syringe and the needle. Additionally, the non-integrated needle was tested as per ISO 7886-3:2020, ISO 7864:2016, ISO 9626:2016, ISO 80369-7:2021 standard requirements, and the results met the acceptance criteria. Considering the difference of type of Needle does not create any safety issue and would perform as intended. Hence, the difference can be considered acceptable.

Different 4:

The material grade for the predicate device is unknown; therefore, it is considered different in comparison to Table 2. However, the subject device materials were tested for biocompatibility, and the results were acceptable. Considering these factors, the material difference creates no safety issue and the device would perform as intended. Hence, the difference can be considered acceptable.

8. Summary of non-clinical performance data

Non-clinical tests were conducted to verify that the proposed device met all design specifications, and is Substantially Equivalent (SE) to the predicate device and reference device.

STANDARDSTEST PARAMETERS
----------------------------

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ISO 7886-1:2017ISO 7886-1 Second edition 2017-05 - Sterile hypodermic syringes forsingle use - Part 1: Syringes for manual use
ISO 7886-3:2020ISO 7886-3 Second edition 2020-05 - Sterile hypodermic syringes forsingle use - Part 3: Auto-disabled syringes for fixed-dose immunization
ISO 9626:2016ISO 9626 Second edition 2016-08-01 - Stainless steel needle tubing forthe manufacture of medical devices - Requirements and test methods
ISO 80369-7:2021ISO 80369-7 Second edition 2021-05 - Small-bore connectors forliquids and gases in healthcare applications - Part 7: Connectors forintravascular or hypodermic applications
ISO 7864:2016ISO 7864 Fourth edition 2016-08-01 - Sterile hypodermic needles forsingle use - Requirements and test methods
USP <71>Sterility tests
USP <85>Bacterial endotoxin test
USP <788>Particulate contamination test

Biocompatibility Test:

  • Cytotoxicity, ISO 10993-5:2009
  • Acute Systematic Toxicity, ISO 10993-11:2017
  • Skin Sensitization, ISO 10993-10:2021 ●
  • Intracutaneous Reactivity, ISO 10993-23:2021 ●
  • Hemolysis (Direct & Indirect), ISO 10993-4:2017 & ASTM F756-17 0
  • 0 Material Mediated Pyrogenicity

Packaging & Transits Study:

ISO 11607-1:2019 2nd edition - Packaging for terminally sterilized medical devices - Part 1: Requirements for materials, sterile barrier systems, and packaging systems

ISO 11607-2:2019 2nd edition -Packaging for terminally sterilized medical devices - Part 2: Validation requirements for forming, sealing, and assembly processes

ASTM D4169-16 - Standard Practice for Performance Testing of Shipping Containers and Systems

Sterilization Test:

ISO 11135:2014/AMD 1:2018 2nd edition - Sterilization of health care products - Ethylene oxide - Requirements for development, validation, and routine control of a sterilization process for medical devices.

EO Residual Test:

ISO 10993-7:2008/Amd 1:2019 2nd edition- Biological evaluation of medical devices - Part 7:

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Ethylene oxide sterilization residuals, and it meets the requirements of the standard.

Bacterial Endotoxin Test:

The Bacterial endotoxin testing of subject devices was performed by the "Gel-Clot Method" and meets the requirement of USP <85>.

9. Summary of clinical performance data

No clinical study is included in this submission.

10. Conclusion

The differences between the predicate and the subject device do not raise any new or different questions of safety or effectiveness. Based on the comparison and analysis above, the proposed devices are determined to be Substantially Equivalent (SE) to the predicate devices.

§ 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).