K Number
K011984
Device Name
BD VACUTAINER PUSH BUTTON BLOOD COLECTION SET
Date Cleared
2001-08-29

(64 days)

Product Code
Regulation Number
880.5570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The BD VACUTAINER™ Push Button Blood Collection Set is a sterile, multiplesample, single-use winged blood collection set intended for venipuncture to obtain blood specimens from patients. The recommended use of the device is to activate the needle prior to removal from the venipuncture site. The retraction of the intravenous (IV) end of the needle aids in the prevention of needlestick injury.
Device Description
The BD VACUTAINER™ Push Button Blood Collection Set is for venous blood collection. The wing set contains a needle that will retract into the body of the device when a button is depressed, helping to prevent accidental needle sticks. The retraction of the needle occurs when the user depresses the button.
More Information

Not Found

No
The description focuses on a mechanical safety feature (needle retraction via a button) and does not mention any computational or data-driven processes indicative of AI/ML. The "Mentions AI, DNN, or ML" field is explicitly marked as "Not Found".

No
The device is described as a blood collection set for obtaining blood specimens, which is a diagnostic procedure, not a therapeutic treatment.

No
This device is a blood collection set, used to obtain blood specimens, which is a collection tool, not a diagnostic tool itself.

No

The device description clearly outlines a physical blood collection set with a needle and a retraction mechanism, indicating it is a hardware device.

Based on the provided information, the BD VACUTAINER™ Push Button Blood Collection Set is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is for venipuncture to obtain blood specimens from patients. This is a procedure to collect a sample from the body.
  • Device Description: The description focuses on the mechanism for collecting blood and preventing needlestick injuries.
  • Lack of IVD Characteristics: An IVD device is used to examine specimens derived from the human body in vitro (outside the body) to provide information for diagnostic, monitoring, or compatibility purposes. This device does not perform any analysis or testing on the collected blood. It is solely a tool for collecting the sample.

Therefore, the BD VACUTAINER™ Push Button Blood Collection Set is a medical device used for specimen collection, but it does not fit the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The BD VACUTAINER™ Push Button Blood Collection Set is a sterile, multiplesample, single-use winged blood collection set intended for venipuncture to obtain blood specimens from patients. The recommended use of the device is to activate the needle prior to removal from the venipuncture site. The retraction of the intravenous (IV) end of the needle aids in the prevention of needlestick injury.

Product codes

FMI, JKA

Device Description

The BD VACUTAINER™ Push Button Blood Collection Set is for venous blood collection. The wing set contains a needle that will retract into the body of the device when a button is depressed, helping to prevent accidental needle sticks. The retraction of the needle occurs when the user depresses the button.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Mechanical and Simulated Use testing was performed to confirm the robustness of the design and reliability of the safety feature function. Clinical use testing was performed to evaluate the function of the safety feature in a blood drawing environment.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K921636, K931367, K965202, K980414

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.5570 Hypodermic single lumen needle.

(a)
Identification. A hypodermic single lumen needle is a device intended to inject fluids into, or withdraw fluids from, parts of the body below the surface of the skin. The device consists of a metal tube that is sharpened at one end and at the other end joined to a female connector (hub) designed to mate with a male connector (nozzle) of a piston syringe or an intravascular administration set.(b)
Classification. Class II (performance standards).

0

AUG 2 9 2001

Koll 984

I. 510(k) Summary of Safety and Effectiveness

510(k) Summary Of Safety and Effectiveness

  • I. General Information
    Caonofal Information accordance with the requirements of the SMDA of 1990 and 21 § 807.92

Establishment:

| • | Address: | Becton Dickinson VACUTAINER
Systems
1 Becton Drive
Franklin Lakes, NJ 07417-1885 |
|---------------|----------------------|------------------------------------------------------------------------------------------------------------|
| • | Registration Number: | 2243072 |
| • | Contact Person: | M. Wendy Bosshardt
Regulatory Affairs Specialist
Telephone no.: 201-847-6280
Fax No. 201-847-4858 |
| • | Date of Summary: | June 25, 2001 |
| Device | | |
| • | Trade Name: | BD VACUTAINER™ Push Button Blood
Collection Set |
| • | Classification Name: | Tubes, Vials, Systems, Serum
Separators, Blood Collection |
| • | Classification: | Class II |

None Established under 514 of the Performance Standards: . Food, Drug and Cosmetic Act

1

II. Safety and Effectiveness Information Supporting Substantial Equivalence

Substantial Equivalence Declaration:

The term "Substantial Equivalence" as used in this 510(k) Premarket Notification is limited to the definition of Substantial Equivalence found in the Federal Food, Drug, and Cosmetic Act, as amended and as applied under 21 CFR § 807, Subpart E, under which a device can be marketed without pre-market approval or reclassification. A determination of substantial equivalency under this notification is not intended to have any bearing whatsoever on the resolution of patent infringement suits or any other patent matters. No statements related to, or in support of, substantial equivalence herein shall be construed as an admission against interest under the US Patent Laws or their application by the courts.

  • · Device Description
    The BD VACUTAINER™ Push Button Blood Collection Set is for venous blood collection. The wing set contains a needle that will retract into the body of the device when a button is depressed, helping to prevent accidental needle sticks. The retraction of the needle occurs when the user depresses the button.

  • · Intended Use
    The BD VACUTAINER™ Push Button Blood Collection Set is a sterile, multiplesample, single-use winged blood collection set intended for venipuncture to obtain blood specimens from patients. The recommended use of the device is to activate the needle prior to removal from the venipuncture site. The retraction of the intravenous (IV) end of the needle aids in the prevention of needlestick injury.

  • · Synopsis of Performance Study Results
    Mechanical and Simulated Use testing was performed to confirm the robustness of the design and reliability of the safety feature function. Clinical use testing was performed to evaluate the function of the safety feature in a blood drawing environment.

2

III. Predicate Device Summary Table

· Substantial Equivalence

Based on comparison of the device features, materials, intended use and performance, the BD VACUTAINER™ Push Button Blood Collection Set be shown to be substantially equivalent to the commercially available predicate devices indicated in the table below. The predicate devices, K number, and clearance date are also identified in the table below.

ManufacturerPredicate DeviceK-NumberClearance Date
Becton DickinsonBD VACUTAINER™
Brand Safety-Lok™
Blood Collection SetK921636
K931367
K965202
K980414April 29, 1992
May 18, 1993
February 10, 1997
March 3, 1998

. Wendy Boxshersat

August 17, 2001
Date

M. Wendy Bosshardt Regulatory Affairs Specialist Becton Dickinson VACUTAINER Systems Becton Dickinson and Company

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus, which is a symbol often associated with healthcare. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular fashion around the caduceus.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 2 9 2001

Ms. M. Wendy Bosshardt Regulatory Affairs Specialist Becton Dickinson & Company 1 Becton Drive 07417-1880 Franklin Lakes, New Jersey

K011984 Re:

Trade/Device Name: BD Vacutainer™ Push Button Blood Collection Set Regulation Number: 880.5570 and 862.1675 Regulatory Class: II Product Code: FMI and JKA Dated: June 25, 2001 Received: June 26, 2001

Dear Ms. Bosshardt:

We have reviewed your Section 510(k) notification of intent to we have reviewed referenced above and we have determined the merice 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). You may, therefore, market the device, subject to the general The general controls controls provisions of the Act. 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 (Premarket Approval), 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 895. ਉ substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements

4

Page 2 – Ms. Bosshardt

concerning your device in the Eederal Register. Please note: concerning your device in the Lacks in submission does this response to your premarked the have under sections 531 not arrect any obligation you mages under the Electronic through 542 of the Act for acvices and 1 and 1 and 1 and or requlations.

This letter will allow you to begin marketing your device as This letter will allow your be results notification. The FDA described in your 510(K) premaince of your device to a legally
finding of substantial equivalence of your device for your finding of substancial equivalence of yolassification for your marketed predicate device rebared in a canada to the market.

If you desire specific advice for your device on our labeling If you desire specific advice for for for for any office of regulacion (21 cm Fare 80% are contact the Office of vitro diagnostic devices), proad otionally, for questions on Compilance at (301) 554 issing of your device, please contact the promotion and advertising of Jour dones. The office of the Office of Complia the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 807.97). _ Other general premarked notification - (arch Joies under the Act may be Informacion on your respon of Small Manufacturers
obtained from the Division of Small Manufacturers toll obtained from the Bivibron on image at its toll-free number International and Combamer its internet address
(800) 638-2041 or (301) 443-6597 or at its internet address (800) 850 2041 -52 - 30 - 30 - 30 - 30 - 30 - 10 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Sincerely Yours,

Timothy A. Ulatowski Director

Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

B. INDICATIONS FOR USE

510(K) NUMBER (IFKNOWN): K 011984

K 011984

DEVICE NAME: BD VACUTAINER™ PUSH BUTTON BLOOD COLLECTION SET

INDICATIONS FOR USE:

The BD VACUTAINER™ Push Button Blood Collection Set is a sterile, multiplesample, single-use winged blood collection set intended for venipuncture to obtain blood specimens from patients. The recommended use of the device is to activate the needle prior to removal from the venipuncture site. The retraction of the intravenous (IV) end of the needle aids in the prevention of needlestick injury.

(Please do not Write below this line-continue on another Page if needed)

Concurrence of CDRH, Office of Device Evaluation (ODE)

PRESCRIPTION USE

OR Over-The-Counter Use_

(PER 21 CFR § 801.109)

(OPTIONAL FORMAT 1-2-96)

Paltace Cucente

(Division Sign-Off) Division of Dental, Infection Control, and General Hospital Devices 510(k) Number_________________________________________________________________________________________________________________________________________________________________