K Number
K021095
Device Name
HOLY DRAGON BRAND ACUPUNCTURE NEEDLES
Date Cleared
2002-05-17

(43 days)

Product Code
Regulation Number
880.5580
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
To pierce the skin in the practice of acupuncture by qualified practitioners of acupuncture as determined by the States.
Device Description
The Holy Dragon Brand Acupuncture Needles are sterile disposable, surgical stainless steel with a spiral wound silver or copper handle that is mechanically attached. The needles are supplied individually blister sealed packaged with polypropylene insertion tubes and medical grade paper. They are sold in paper carton boxes in quantities of either 100 or 500 needles per box. Statements "For single use only," "Federal law restricts this device to sale by or on the order of qualified practitioners of acupuncture as determined by the States," "Pyrogen Free," and "made in China" are shown in box labeling.
More Information

Not Found

No
The device description and intended use are for a simple, sterile acupuncture needle. There is no mention of any computational or analytical capabilities that would suggest the use of AI or ML. The "Mentions AI, DNN, or ML" field is explicitly marked as "Not Found".

Yes
The device, acupuncture needles, is used in the practice of acupuncture, which is a therapeutic intervention aimed at treating various conditions.

No

The device description indicates that the acupuncture needles are used to "pierce the skin in the practice of acupuncture." This is a therapeutic action, not a diagnostic one. There is no mention of the device being used to identify or analyze a condition.

No

The device description clearly states it is a physical acupuncture needle made of surgical stainless steel with a handle and insertion tube, indicating it is a hardware device.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is "To pierce the skin in the practice of acupuncture." This is a direct interaction with the patient's body for therapeutic purposes.
  • IVD Definition: In Vitro Diagnostics (IVDs) are devices used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information for diagnosis, monitoring, or screening.
  • Device Description: The description details a needle for piercing the skin, not for analyzing biological samples.

The device described is a therapeutic device used for acupuncture, not a diagnostic device used for testing biological samples.

N/A

Intended Use / Indications for Use

Holy Dragon Brand Acupuncture Needles are used to pierce the skin in the practice of acupuncture by qualified practitioners of acupuncture as determined by the States. They are not suitable for home use.

Product codes (comma separated list FDA assigned to the subject device)

MQX

Device Description

The Holy Dragon Brand Acupuncture Needles are sterile disposable, surgical stainless steel with a spiral wound silver or copper handle that is mechanically attached. The needles are supplied individually blister sealed packaged with polypropylene insertion tubes and medical grade paper. They are sold in paper carton boxes in quantities of either 100 or 500 needles per box. Statements "For single use only," "Federal law restricts this device to sale by or on the order of qualified practitioners of acupuncture as determined by the States," "Pyrogen Free," and "made in China" are shown in box labeling.

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

qualified practitioners of acupuncture as determined by the States.

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)

Substantial equivalence is not based on an assessment of performance data.
Acupuncture Needle Buckling/Stiffness Test Results (Batch: 150,000 pieces, Test Basis: GB/T 4342 -91(Chinese National Standard))
Inspection/Test records For The hardness Of Body part of the needles (at HV 0.2kg): 468, 472, 475, 470, 468, 465, 468, 470.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

The Holy Dragon Brand Acupuncture Needles are substantially equivalent in design, materials and performance to other acupuncture needle brands that were in commercial distribution before May 28, 1976. They are also equivalent to acupuncture needles which have been found to be substantially equivalent through the 510(k) premarket process. These are Holy Dragon K002910 (2/7/2001) and Holy Dragon K011247 (10/17/2001).

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 880.5580 Acupuncture needle.

(a)
Identification. An acupuncture needle is a device intended to pierce the skin in the practice of acupuncture. The device consists of a solid, stainless steel needle. The device may have a handle attached to the needle to facilitate the delivery of acupuncture treatment.(b)
Classification. Class II (special controls). The device, when it is an acupuncture point locator or a single use acupuncture needle, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 880.9. Acupuncture needles must comply with the following special controls:(1) Labeling for single use only and conformance to the requirements for prescription devices set out in 21 CFR 801.109,
(2) Device material biocompatibility, and
(3) Device sterility.

0

MAY 1 7 2002

WUJIANG CITY HUA XIN MEDICAL APPLIANCE CO. LTD.

EAST OF TUN CUN, WUJIANG CITY, JIANGSU PROVINCE, P. R. OF CHINA, 215216 FAX: +86-512-371370 TEL: +86-512-3373566

PREMARKET NOTIFICATION 510(k) SUMMARY

As required by 21 CFR 807.92(c)

Date Summary Prepared: March 15, 2002

Wujiang City Hua Xin Medical Appliance Co., Ltd. Submitter: East of Tun Cun Wujiang City, Jiangsu Province, PR of China Telephone: 011-86-512-3373566 Fax: 011-86-512-371370

Mr. Liu Jin Xin, Factory Director Contact Person:

Laura J. Thome US Contact: Thorne Sales & Distributing, Inc. 10 Westmont Road Candler, North Carolina 28715 Telephone: (828) 670-5464 Fax: (828) 670-8610

Name of Device: Holy Dragon Brand Acupuncture Needles for Single Use

Product Code: MQX

Classification: Class II

Acupuncture Needles Common or Usual Name:

510(k) Number: K021095

Substantial Equivalence:

The Holy Dragon Brand Acupuncture Needles are substantially equivalent in design, materials and performance to other acupuncture needle brands that were in commercial distribution before May 28, 1976. They are also equivalent to acupuncture needles which have been found to be substantially equivalent through the 510(k) premarket process. These are Holy Dragon K002910 (2/7/2001) and Holy Dragon K011247 (10/17/2001).

510(k) Submission

1

Description of Device:

The Holy Dragon Brand Acupuncture Needles are sterile disposable, surgical stainless steel with a spiral wound silver or copper handle that is mechanically attached. The needles are supplied individually blister sealed packaged with polypropylene insertion tubes and medical grade paper. They are sold in paper carton boxes in quantities of either 100 or 500 needles per box. Statements "For single use only," "Federal law restricts this device to sale by or on the order of qualified practitioners of acupuncture as determined by the States," "Pyrogen Free," and "made in China" are shown in box labeling.

Intended Use:

Holy Dragon Brand Acupuncture Needles are used to pierce the skin in the practice of acupuncture by qualified practitioners of acupuncture as determined by the States. They are not suitable for home use.

Comparison:

Holy Dragon Brand Acupuncture Needles have the same technological characteristics as the predicate devices identified before. They are manufactured in the same lengths and gauges (thickness); handle length and design (spiral wound mechanical attached) and packaging methods (single blister). The validation of sterilization method is the same and residues of ETO and derivates are according to the required regulations. The method of insertion in polypropylene guide tubes is the same use for the predicates.

Substantial equivalence is not based on an assessment of performance data.

Lin Jin Xin

Mr. Liu Jin Xin, Factory Director

May 09, 2002

2

Acupuncture Needle Buckling/Stiffness Test Results

DescriptionAcupuncture NeedleSpecification0.30* 25mm
Test dateThe factory will add.Batch number002/05
Batch150,000 piecesTest BasisGB/T 4342 -91(Chinese National Standard)

Inspection/Test records For The hardness Of Body part of the needles (at HV 0.2kg):

468, 472, 475, 470, 468, 465, 468, 470.

3

Image /page/3/Picture/1 description: The image is a black and white seal for the U.S. Department of Health & Human Services. The seal is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is an abstract image of an eagle's head and neck.

Public Health Service

MAY 1 7 2002

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Wujiang City Hua Xin Medical Appliance Company Limited C/O Ms. Laura J. Thorne Thorne Sales & Distributing, Incorporated 10 Westmont Road Candler, North Carolina 28715

Re: K021095

Trade/Device Name: Holy Dragon Acupuncture Needles Regulation Number: 880.5580 Regulation Name: Acupuncture Needle Regulatory Class: II Product Code: MQX Dated: March 15, 2002 Received: April 4, 2002

Dear Ms. Thorne:

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.

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.

4

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 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4618. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained 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/dsma/dsmamain.html

Sincerely yours,

Susan Runne

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

K021095

Attachment B

STATEMENT OF INDICATIONS FOR USE

510(k) NUMBER: K021095

DEVICE NAME: Holy Dragon Acupuncture Needles

INDICATIONS FOR USE:

To pierce the skin in the practice of acupuncture by qualified practitioners of acupuncture as determined by the States.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)

OR

Over-the-Counter Use

Patrice Vincent

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

Wujiang City Hua Xin Medical Appliance Co., Ltd.

510(k) Submission

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