K Number
K023752
Manufacturer
Date Cleared
2003-02-07

(91 days)

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

The BD Integra™ Syringe is used for aspiration of fluids from vials and ampoules and a variety of fluid injections below the surface of the skin. It is not intended to be used for phlebotomy. The insulin syringe has scale lines in insulin units and is used for insulin injections. The tuberculin syringe can be used for any of the 3 types of common injections (intra-dermal, intra-muscular or subcutaneous).

The BD Integra™ 1ml Syringe has a permanently attached needle. The BD Integra™ 1ml Syringe contains a tool used to cut through the hub and stopper allowing the needle to become retracted inside the plunger rod of the syringe after use. After activation the needle is fully contained inside the syringe guarding against accidental needle sticks during normal handling and disposal of the used needle/syringe combination.

Device Description

Single-use syringe with a needle protection system. Needle sizes: 30G-25G, Syringe sizes: 1ml.

The BD Integra™ Iml Syringe has a permanently attached needle. The BD Integra™ Iml Syringe contains a tool used to cut through the hub and stopper allowing the needle to become retracted inside the plunger rod of the syringe after use. After activation the needle is fully contained inside the syringe guarding against accidental needle sticks during normal handling and disposal of the used needle/syringe combination.

AI/ML Overview

The provided document describes the BD Integra™ 1ml Syringe and its equivalence to predicate devices, but it does not contain the specific details about acceptance criteria or a formal study proving the device meets particular acceptance criteria as you've requested.

Instead, the document focuses on demonstrating substantial equivalence to existing legally marketed devices (K980580 BD Insulin Syringe, K011103 BD Spring Based Syringe, RTI VanishPoint® Syringe K980069) for the purpose of a 510(k) premarket notification to the FDA.

Here's an analysis of the information available in the document, addressing your points where possible, and highlighting what is not provided:

1. Table of Acceptance Criteria and Reported Device Performance

The document lists performance characteristics that were compared to predicate devices for equivalence, but it does not specify numerical acceptance criteria or quantitative performance metrics within a table.

Instead, it states:

  • "The BD Integra™ Syringes performed in a similar manner to the predicate devices."
  • "A Simulated Use Study was performed on the BD Integra™ 1ml Syringe. The BD Integra™ 1 ml Syringe performed equivalently to the BD conventional insulin and tuberculin syringes with respect to the following characteristics:
    • Overall performance
    • Ease of maintaining standard injection technique
    • Ability to maintain aseptic technique
    • Ability to aspirate medication from a vial
    • Ability to read the syringe scale on the barrel
    • Ability to passively re-shield and transport
    • Ability to easily and safely dispose of the used device in a sharps container
    • Perceived safety of the device"

Therefore, a table of acceptance criteria and reported device performance cannot be generated from the provided text. The evaluation was qualitative ("similar manner," "equivalently") against existing devices, not against specific predefined numeric thresholds.


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

The document mentions a "Simulated Use Study" but does not specify the sample size for this study or whether it was a test set in the context of an AI/algorithm evaluation.

The data provenance (country of origin, retrospective/prospective) is not mentioned.


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

This information is not provided in the document. The "Simulated Use Study" likely involved human users, but details on their number or qualifications are absent.


4. Adjudication Method for the Test Set

The document does not describe an adjudication method.


5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

There is no mention of an MRMC comparative effectiveness study, nor any evaluation of human reader improvement with or without AI assistance. This document predates widespread AI in medical device regulatory submissions in this context.


6. Standalone (Algorithm Only) Performance Study

There is no mention of an algorithm or standalone performance study. The device described is a physical medical device, not an AI/software algorithm.


7. Type of Ground Truth Used

For the "Simulated Use Study," the "ground truth" seems to have been based on observational equivalence or user feedback regarding the listed characteristics (e.g., ease of use, ability to aspirate, perceived safety) compared to conventional syringes. It's not explicitly stated as expert consensus, pathology, or outcomes data.

For the physical tests (shield removal, cannula removal, leakage, forces, etc.), the "ground truth" would be the measured physical properties and performance of the device, compared against predicate devices.


8. Sample Size for the Training Set

Since there is no mention of an algorithm or AI component, there is no training set, and therefore no sample size for it.


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

As there is no training set, this information is not applicable.


In summary: The provided document is a 510(k) summary for a physical medical device (syringe) seeking substantial equivalence. It describes comparative testing against predicate devices and a simulated use study; however, it does not detail specific acceptance criteria, sample sizes, expert involvement, or AI-related metrics that are typical for an AI/algorithm-based device's validation.

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1 Becton Drive Franklin Lakes, New Jersey 07417 tel: 201.847.6800 www.bd.com

Attachment 5

K023752

REVISED

Summary of Safety & Effectiveness for the BD Integra™ 1ml Syringe

1. BD Contact Person:

Pasquale Amato Regulatory Affairs Coordinator BD Medical Surgical BD 1 Becton Drive MC226 Franklin Lakes, NJ Phone: 201-847-4513 Fax: 201-847-4855 E-mail: pasquale amato@bd.com

FEB 07 2003

    1. Device Name: BD Integra™ 1ml Syringe
    1. Predicate Devices: BD Insulin Syringe, Latex Free K980580 BD Spring Based Syringe K011103 RTI VanishPoint® Syringe K980069

4. Product Description/Function:

4.1 Description: Single-use syringe with a needle protection system. Needle sizes: 30G-25G, Syringe sizes: 1ml.

    1. Intended uses: The BD Integra™ Syringe is used for aspiration of fluids from vials and ampoules and a variety of fluid injections below the surface of the skin. It is not intended to be used for phlebotomy. The insulin syringe has scale lines in insulin units and is used for insulin injections. The tuberculin syringe can be used for any of the 3 types of common injections (intra-dermal, intra-muscular or subcutaneous).
      The BD Integra™ Iml Syringe has a permanently attached needle. The BD Integra™ Iml Syringe contains a tool used to cut through the hub and stopper allowing the needle to become retracted inside the plunger rod of the syringe after use. After activation the needle is fully contained inside the syringe guarding against accidental needle sticks during normal handling and disposal of the used needle/syringe combination.

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6. Comparison of Modified & Predicate Devices:

6.1 Descriptive Comparison to a Legally Marketed Device The BD Integra™ Syringes can be used in the same fashion as standard BD Insulin/Tuberculin syringes. When the BD Integra™ Syringe is in the "ready-to-use" position it provides the same usable injection needle length and same barrel scale markings as a standard insulin / tuberculin syringes.

Comparison has been made to the BD insulin/tuberculin Syringe. The BD Integra™ Syringe is used for aspiration of fluids from vials and ampoules and a variety of fluid injections below the surface of the skin. It is not intended to be used for phlebotomy.

The BD Integra™ Syringe contains a tool used to cut through the stopper and hub allowing the needle to become retracted inside the plunger rod of the syringe after use. After activation the needle is fully contained inside the syringe guarding against accidental needle sticks during normal handling and disposal of the used needle/syringe combination.

6.2 Material Changes: There are no significant changes in the materials used for the BD Integra™ Syringe

6.3 Manufacturing Process Changes: The manufacturing processes are being modified to assemble the components associated with the BD Integra™ Syringe.

6.4 Manufacturing Site Changes: No new manufacturing site is being utilized.

6.5 Packaging Component Changes: The package design is being modified to accept the size of the BD Integra™ Syringe.

7. Equivalence determination:

The BD Integra™ Syringe was compared to the predicate devices using the following criteria: shield removal, cannula removal, stopper breakout and sustaining force, hub and stopper leakage, dead space, activation forces, hub/barrel separation forces, cannula containment and splatter. The BD Integra™ Syringes performed in a similar manner to the predicate devices.

A Simulated Use Study was performed on the BD Integra™ 1ml Syringe. The BD Integra™ 1 ml Syringe performed equivalently to the BD conventional insulin and tuberculin syringes with respect to the following characteristics:

Overall performance

  • . Ease of maintaining standard injection technique
  • Ability to maintain aseptic technique ●
  • Ability to aspirate medication from a vial ●
  • Ability to read the syringe scale on the barrel
  • Ability to passively re-shield and transport
  • Ability to easily and safely dispose of the used device in a sharps container
  • Perceived safety of the device .

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized depiction of a bird or eagle with three curved lines representing its wings or feathers. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the bird symbol. The logo is black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 0 7 2003

BD

Mr. Pasquale Amato Regulatory Affairs Coordinator BD Medical Surgical 1 Becton Drive MC226 Franklin Lakes, New Jersey 07417

Re: K023752

Trade/Device Name: BD Integra™ 1 ml Syringe Regulation Number: 880.5860 Regulation Name: Piston Syringe Regulatory Class: II Product Code: MEG, FMF Dated: January 16, 2003 Received: January 17, 2003

Dear Ms. Amato:

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 vour 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. Amato

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 (301) 594-4618. 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/dsma/dsmamain.html

Sincerely yours,

Susan O'Kunner

Susan Runner, DDS, MA Interim 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 Statement

510(k) Number (if known): K023752

Device Name: BD Integra™ 1 ml Syringe

Indications for Use:

The BD Integra™ Syringe is used for aspiration of fluids from vials and ampoules and a variety of fluid injections below the surface of the skin. It is not intended to be used for phlebotomy. The insulin syringe has scale lines in insulin units and is used for insulin injections. The tuberculin syringe can be used for any of the 3 types of common injections (intra-dermal, intra-muscular or subcutaneous).

The BD Integra™ 1ml Syringe has a permanently attached needle. The BD Integra™ 1ml Syringe contains a tool used to cut through the hub and stopper allowing the needle to become retracted inside the plunger rod of the syringe after use. After activation the needle is fully contained inside the syringe guarding against accidental needle sticks during normal handling and disposal of the used needle/syringe combination.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)

Over-The-Counter Use

Patricia Lucente
(Division Sign-Off)

OR

sthesiology, General Hospital

510(k) Number: K023752
K023752

§ 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).