K Number
K072739
Date Cleared
2008-03-21

(176 days)

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

The Sterile Hypodermic Syringe for Single Use With/without needle is intended to be used for medical purposes to inject fluid into or withdraw fluid from body.

The sterile Insulin Syringe for single use with needle is a device intended for medical purposes for the manual aspiration of insulin, and for the injection of insulin into parts of the body below the surface skin.

The Retractable Auto-Disable Syringe for single use with/without needle is intended to be used for medical purposes to inject fluid into or withdraw fluid from body. Its secondary intended use is to retract inside the safety barrel, contain the contaminated needle and aid in the prevention of accidental needle stick injuries.

The Sterile Hypodermic Needle for single use is intended for use with syringes and injection devices for general purpose fluid injection/aspiration.

Device Description
Device NameIntended UseNozzelVolumeMaterialRemark
Sterile HypodermicSyringe for single useThe Sterile Hypodermic Syringe for Single UseWith/without needle is intended to be used for medicalpurposes to inject fluid into or withdraw fluid frombody.Luer Slip1,2,3,5,10,20,30,50,100(ml)PPWith or WithoutNeedle
Sterile InsulinSyringe for single useThe sterile Insulin Syringe for single use with needle isa device intended for medical purposes for the manualaspiration of insulin, and for the injection of insulin intoparts of the body below the surface skin.Fixed0.5,1(ml)PPWith Fixed Needle
RetractableAuto-Disable Syringefor single useThe Retractable Auto-Disable Syringe for single usewith/without needle is intended to be used for medicalpurposes to inject fluid into or withdraw fluid frombody. Its secondary intended use is to retract inside thesafety barrel, contain the contaminated needle and aid inthe prevention of accidental needle stick injuries.Luer Lock3,5,10(ml)PPWith or WithoutNeedle
Sterile HypodermicNeedle for single useThe Sterile Hypodermic Needle for single use isintended for use with syringes and injection devices forgeneral purpose fluid injection/aspirationLuer SlipLuer Lock16G,18G,19G,20G,21G,22G,23G,24G,25G,26G,27G,29GStainlessSteel
AI/ML Overview

The provided 510(k) summary for K072739 describes Jierui Syringes and Needles, which are mechanical devices, not AI/ML-driven software. Therefore, the questions regarding acceptance criteria and studies typical for AI/ML performance evaluation (such as sample sizes for test/training sets, expert ground truth, MRMC studies, standalone performance, and data provenance) are not applicable in this context.

Instead, the document details the substantial equivalence determination to predicate devices based on regulatory classification, intended use, sterilization specifications, performance, biocompatibility, chemical specifications, and physical/mechanical specifications.

Here's an overview of the "effectiveness and safety considerations" relevant to this medical device:

1. Acceptance Criteria and Reported Device Performance

The acceptance criteria for Jierui Syringes and Needles are primarily based on achieving substantial equivalence to predicate devices and compliance with established performance standards and biological evaluation tests. The device's performance is reported in terms of meeting these standards for effectiveness and safety.

Acceptance Criteria CategoryReported Device Performance
Intended UseSame as predicate devices
Sterilization SpecificationsSame as predicate devices
PerformanceEquivalent to predicate devices; all variant models evaluated regarding performance
BiocompatibilityIn compliance with ISO 10993 "Biological Evaluation of Medical Devices"
- Cytotoxicity
- Sensitization
- Irritation or Intracutaneous Reactivity
- Systemic Toxicity (Acute)
- Haemo-compatibility
Chemical SpecificationsSame as predicate devices
Physical and Mechanical SpecsSimilar to predicate devices, with slight variants deemed not to influence effectiveness and safety
Safety AspectsCompliance with ISO 10993 standards and substantial equivalence to predicate devices

2. Sample Size and Data Provenance

Not applicable. This information is relevant for AI/ML performance studies, not for the substantial equivalence demonstration of mechanical medical devices like syringes and needles described here. The evaluation is based on compliance to standards and comparison to predicate devices, not on data sets.

3. Number of Experts and their Qualifications for Ground Truth

Not applicable. This information is relevant for AI/ML performance studies. For this device, "ground truth" is established by adherence to recognized standards (e.g., ISO 10993) and comparison to the characteristics of legally marketed predicate devices.

4. Adjudication Method

Not applicable. This is a concept related to reviewing discrepancies in expert opinions for AI/ML ground truth establishment.

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

No, a MRMC study was not done. This type of study is typically performed to evaluate the impact of AI assistance on human reader performance, which is not relevant for this mechanical device.

6. Standalone Performance Study (Algorithm Only)

No, a standalone performance study was not done. This concept is for AI algorithms, not for physical medical devices.

7. Type of Ground Truth Used

The "ground truth" for this submission is implicitly defined by:

  • Compliance with recognized international standards: e.g., ISO 10993 for biological evaluation.
  • Characteristics of legally marketed predicate devices: The Jierui Syringes and Needles are compared against previously cleared predicate devices (K070936, K071630, K053519, K070440) to establish substantial equivalence in terms of design, materials, intended use, and performance outputs.

8. Sample Size for the Training Set

Not applicable. This refers to AI/ML models.

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

Not applicable. This refers to AI/ML models.

In summary, the K072739 submission for Jierui Syringes and Needles demonstrates safety and effectiveness through a substantial equivalence argument, supported by compliance with relevant performance and biocompatibility standards, rather than through empirical studies involving human readers or AI algorithms on specific datasets.

{0}------------------------------------------------

K072739
l of 5

510(k) Summary

MAR 2 1 2008

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 9807.92.

The Assigned 510(k) Number is

1. Applicant Device Information

Trade/Proprietary Name: Jierui Syringes and Needle

Classification Information:

  • a. Sterile Hypodermic Syringe for single use, with/without needle
  • (1) Classification Name: Syringe, Piston
  • (2) Regulation Number: 880.5860
  • (3) Product Code: FMF
  • (4) Class: II
  • (5) Review Panel: General Hospital

b. Retractable Auto-Disable Syringe for single use, with/without needle

  • (1) Classification Name: Syringe, Antistick
  • (2) Regulation Number: 880.5860
  • (3) Product Code: MEG
  • (4) Class: II
  • (5) Review Panel: General Hospital

c. Sterile Insulin Syringe for single use, with fixed needle

(1) Classification Name: Syringe, Piston

  • (2) Regulation Number: 880.5860
  • (3) Product Code: FMF
  • (4) Class: II
  • (5) Review Panel: General Hospital

d. Sterile Hypodermic Needle for single use

  • (1) Classification Name: Needle, Hypodermic, Single Lumen
  • (2) Regulation Number: 880.5570
  • (3) Product Code: FMI
  • (4) Class: II
  • (5) Review Panel: General Hospital

{1}------------------------------------------------

K07739

2 of 5

2. Submitter Information

Manufacturer Name:

ShanDong WeiGao Group Medical Polymer Products Co., LTD No.312, Shichang Road Weihai, Shandong, China, 264209

Contact Person of the Submission:

Ms. Diana. Hong

Mr. Eric. Chen

Suite 8D, Zhongxin Zhongshan Mansion,

No. 19, Lane 999, Zhongshan No.2 Road(S)

Shanghai, China 20030

Phone: +86-21-64264467 x 152

Fax: +86-21-64264468 x 809

3. Predicate Device

a. K number: K070936

Trade Name: Welmed Hypodermic Syringe (various sizes) Common Name: Syringes, Hypodermic Classification Name: Piston Syringe Product Code: FMF

b. K number: K071630

Trade Name: TERUMO 31G ThinPro Insulin Syringe Classification Name: Piston syringe with fixed hypodermic single lumen needle Product Code: FMF

c. K number: K053519

Trade Name: Safety Syringe Common Name: Syringe Classification Name: Syringe, Antistick Product Code: MEG

d. K number: K070440

Trade Name: BD Hypoint Common Name: Hypodermic Needle Classification Name: Single Lumen Hypodermic Needle Product Code: FMI

{2}------------------------------------------------

Premarket Notification 510(k) Submission—510(k) Summar
Report No.: A20071005

Device Descriptio 4.

Device NameIntended UseNozzelVolumeMaterialRemark
Sterile HypodermicSyringe for single useThe Sterile Hypodermic Syringe for Single UseWith/without needle is intended to be used for medicalpurposes to inject fluid into or withdraw fluid frombody.Luer Slip1,2,3,5,10,20,30,50,100(ml)PPWith or WithoutNeedle
Sterile InsulinSyringe for single useThe sterile Insulin Syringe for single use with needle isa device intended for medical purposes for the manualaspiration of insulin, and for the injection of insulin intoparts of the body below the surface skin.Fixed0.5,1(ml)PPWith Fixed Needle
RetractableAuto-Disable Syringefor single useThe Retractable Auto-Disable Syringe for single usewith/without needle is intended to be used for medicalpurposes to inject fluid into or withdraw fluid frombody. Its secondary intended use is to retract inside thesafety barrel, contain the contaminated needle and aid inthe prevention of accidental needle stick injuries.Luer Lock3,5,10(ml)PPWith or WithoutNeedle
Sterile HypodermicNeedle for single useThe Sterile Hypodermic Needle for single use isintended for use with syringes and injection devices forgeneral purpose fluid injection/aspirationLuer SlipLuer Lock16G,18G,19G,20G,21G,22G,23G,24G,25G,26G,27G,29GStainlessSteel

K072739

3 of 5

3

{3}------------------------------------------------

Premarket Notification 510(k) Submission—510(k) SummaryReport No.: A200710054
5. Substantially Equivalence Determination
Comparison Analysis:The Applicant device has the same classification information, intended use, sterilization specifications, performance, biocompatibility, chemicalspecifications and similar physical and mechanical specifications with the predicate device. The only difference between applicant device and predicatedevice is some physical specifications variant which is too slight to influence the effectiveness and safety.
Conclusion:The applicant device is Substantially Equivalent (SE) to the predicate device in terms of Effectiveness and Safety.
Shanghai Midlink Business Consulting Co.,Ltd

{4}------------------------------------------------

K072733
5 of 5

6. Effectiveness and Safety Considerations

Effectiveness:

All the variant models of the applicant device are evaluated regarding the performance.

Safety Considerations:

With accordance with the Table 1 Initial Evaluation Tests for Consideration and Table 2 Supplementary Evaluation Tests for Consideration in ISO 10993-1:2003(E), Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing, the necessary tests for Biocompatibility Testing includes: Cytotoxicity, Sensitization, Irritation or Intracutaneous Reactivity, Systemic Toxicity (Acute), Haemo-compatibility.

Conclusion: The all conducted Biological Evaluation Tests are in compliance with the standards of ISO 10993, "Biological Evaluation of Medical Devices". The compatibility of all the possible skin-contact component material in the finished product meets the requirement of Biocompatibility

The applicant device is Substantially Equivalent (SE) to the predicate device which is US legally market device. Therefore, the applicant device is determined as safe and effectiveness,

{5}------------------------------------------------

Image /page/5/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle with three tail feathers, representing the department's commitment to health, human services, and well-being. The eagle is encircled by the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 2 1 2008

ShanDong WeiGao Group Medical Polymer Products Company, Limited C/O Ms. Diana Hong General Manager Shanghai Mid-Link Business Consulting Company, Limited Suite 8D, No. 19, Lane 999 Zhongshan No. 2 Road (S) Shanghai 200030 CHINA

Re: K072739

Trade/Device Name: Sterile Hypodermic Syringe for Single Use With/Without Needle Retractable Auto-Disable Syringe for Single Use With/Without Needle Sterile Insulin Syringe for Single Use With Fixed Needle Sterile Hypodermic Needle for Single Use

Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: II Product Code: FMF, MEG, FMI Dated: March 11, 2008 Received: March 11, 2008

Dear Ms. Hong:

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.

{6}------------------------------------------------

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. 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,

Senate Y. Michael Yeds.
Chia-Lin Pi, Ph.D.

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

Enclosures

{7}------------------------------------------------

510(k) Number: ___ K072739 ___________________________________________________________________________________________________________________________________________________

Device Name: Sterile Hypodermic Syringe for Single Use With/without need le

Indications for Use:

The Sterile Hypodermic Syringe for Single Use With/without needle is intended to be used for medical purposes to inject fluid into or withdraw fluid from body.

Prescription Use _ √ (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)

Division of Anestheslology, General Hospital Infection Control, Dental Devices

Page

510(k) Number: _ K472739

{8}------------------------------------------------

510(k) Number:

Device Name: Retractable Auto-Disable Syringe for single use With/without needle

Indications for Use:

The Retractable Auto-Disable Syringe for single use with/without needle is intended to be used for medical purposes to inject fluid into or withdraw fluid from body. Its secondary intended use is to retract inside the safety barrel, contaminated needle and aid in the prevention of accidental needle stick injuries.

Prescription Use _ √ (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Cinta Veres

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

Page 2_of 4

510(k) Number: __ Kyn 2039

2

{9}------------------------------------------------

510(k) Number: K072739

Device Name: Sterile Insulin Syringe for single use with fixed needle

Indications for Use:

The sterile Insulin Syringe for single use with fixed needle is a device intended for medical purposes for the manual aspiration of insulin, and for the injection of insulin into parts of the body below the surface skin.

Prescription Use _____________________________________________________________________________________________________________________________________________________________ (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use .. (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Camen ha

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

Page 3_ of __ 4

510(k) Number: Kyn2739 -----

:

{10}------------------------------------------------

510(k) Number: K072739

Device Name: Sterile Hypodermic Needle for single use

Indications for Use:

The Sterile Hypodernic Needle for single use is intended for use with syringes and injection devices for general purpose fluid injection/aspiration.

Prescription Use _ (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Anton vr. my

Page 4 of __ 4

4

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

510(k) Number: __ K472734

§ 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).