K Number
K072318
Device Name
POWRSYRINGE INJECTOR
Date Cleared
2007-09-21

(32 days)

Product Code
Regulation Number
880.5860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The PowrSyringe Injector is a piston syringe to inject fluids into, or aspirate fluids from, the body including use in angiography.
Device Description
The PowrSyringe Injector is a single use manual hand-held piston syringe with handles to inject fluids into, or aspirate fluid from, the body including use in angiography. The PowrSyringe Injector handles allow the user to push the blunger into the barrel when the user squeezes the handles. Users may open the PowrSyringe Injector's handles to aspirate fluid back into the barrel. The PowrSyringe Injector safety features include: - Clear barrel for visualization of air bubbles. a - I Minimum dead space between the plunger and barrel with the handles are fully squeezed. - 트 Handle design to prevent the plunger from being pulled out of the barrel during aspiration.
More Information

Not Found

No
The device description and summary of performance studies describe a purely mechanical, manual syringe with no mention of software, algorithms, or data processing that would indicate AI/ML.

No.
The device is described as a piston syringe used to inject or aspirate fluids, and its functionality is related to fluid handling rather than directly providing a therapeutic effect on the body.

No
The device description states it is a piston syringe for injecting or aspirating fluids; it does not mention any function for diagnosing conditions.

No

The device description explicitly states it is a "single use manual hand-held piston syringe" with physical components like a barrel, plunger, and handles, indicating it is a hardware device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to examine specimens taken from the body (like blood, urine, tissue) to provide information about a person's health. This testing is done outside the body (in vitro).
  • PowrSyringe Injector Function: The description clearly states the device is used to "inject fluids into, or aspirate fluids from, the body". This is a direct interaction with the body, not the testing of specimens taken from the body.
  • Intended Use: The intended use is for procedures like angiography, which involves injecting contrast agents directly into blood vessels.

The PowrSyringe Injector is a medical device, but it falls under a different category than In Vitro Diagnostics. It's a device used for administering substances or removing fluids directly from a patient.

N/A

Intended Use / Indications for Use

The PowrSyringe Injector is a piston syringe to inject fluids into, or aspirate fluids from, the body including use in angiography.

Product codes

FMF

Device Description

The PowrSyringe Injector is a single use manual hand-held piston syringe with handles to inject fluids into, or aspirate fluid from, the body including use in angiography. The PowrSyringe Injector handles allow the user to push the blunger into the barrel when the user squeezes the handles. Users may open the PowrSyringe Injector's handles to aspirate fluid back into the barrel.

The PowrSyringe Injector safety features include:

  • Clear barrel for visualization of air bubbles. a
  • I Minimum dead space between the plunger and barrel with the handles are fully squeezed.
  • 트 Handle design to prevent the plunger from being pulled out of the barrel during aspiration.

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

Bench and animal performance testing to confirm functionality in the intended use and equivalence to predicate device is included.

Key Metrics

Not Found

Predicate Device(s)

The PowrSyringe Injector is substantially equivalent to multiple previous cleared piston syringes and angiographic syringes.

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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).

0

5. 510(k) Summary

SEP 2 1 2007

In accordance with the Safe Medical Devices Act (SMDA) of 1990 and Title of the Code of Federal Regulations Part 807 (21 CFR §807), and in particular §807.92, the following summary of safety and effectiveness information is provided.

Device Information

Trade Name:PowrSyringe Injector
Common Name:Piston Syringe
Classification Name:FMF Syringe, Piston

Predicate Devices

The PowrSyringe Injector is substantially equivalent to multiple previous cleared piston syringes and angiographic syringes.

Device Description

The PowrSyringe Injector is a single use manual hand-held piston syringe with handles to inject fluids into, or aspirate fluid from, the body including use in angiography. The PowrSyringe Injector handles allow the user to push the blunger into the barrel when the user squeezes the handles. Users may open the PowrSyringe Injector's handles to aspirate fluid back into the barrel.

The PowrSyringe Injector safety features include:

  • Clear barrel for visualization of air bubbles. a
  • I Minimum dead space between the plunger and barrel with the handles are fully squeezed.
  • 트 Handle design to prevent the plunger from being pulled out of the barrel during aspiration.

Intended Use

The PowrSyringe Injector is a piston syringe to inject fluids into, or aspirate fluids from, the body including use in angiography.

Comparison to Predicate Devices

Data is provided to demonstrate the PowrSyringe Injector is substantially equivalent to previous cleared devices and does not introduce any new safety risks. Substantial equivalence is based on equivalence in indications for use, intended use, patient contact, materials, design, function, performance, sterilization, and safety.

Non-Clinical Testing

Bench and animal performance testing to confirm functionality in the intended use and equivalence to predicate device is included.

Clinical testing

Not applicable.

1

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three stripes forming its body and wing. The eagle faces right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle.

SEP 2 1 2007

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Pinyons Medical Technology, Incorporated C/O Mr. Mark Job Responsible Third Party Official Regulatory Technology Services, LLC 1394 25th Street North West Buffalo, Minnesota 55313

Re: K072318

Trade/Device Name: PowrSyringe Injector Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: II Product Code: FMF Dated: September 5, 2007 Received: September 6, 2007

Dear Mr. Job:

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.

2

Page 2 - Mr. Job

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) 276-0115. 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours.

Snute Y. Michine Ound.

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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4. Indication for Use Statement

510(k) Number:

K472318

Device Name:

PowrSyringe Injector

Indications for Use:

The PowrSyringe Injector is a piston syringe to inject fluids into, or aspirate fluids from, the body including use in angiography.

Prescription Use X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

Chas V. m

(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number: _ Kanall