K Number
K081821
Device Name
D.A.R.T. PRO KIT (D.A.R.T. PRO HANDLE AND X-TRACTOR TIP)
Date Cleared
2008-09-02

(67 days)

Product Code
Regulation Number
880.5570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The D.A.R.T. Pro Handle and X-TRACTOR Tip are solely intended for use in the acquisition, removal and storage of darts projected from stun guns and lodged in human tissue and/or clothing. The device is not intended for use as a medical sharps container.
Device Description
The reusable D.A.R.T. Pro Handle and detachable, single-use only X-TRACTOR Tip (including a safety cap) comprise the two components of the device. Each of these components is described generally below. - D.A.R.T. Pro Handle: A reusable handle component that is uniquely designed for the secure attachment (and removal post-use) of the X-TRACTOR Tip. The D.A.R.T. Pro Handle allows the user to hold, control and position the assembled product as required for stun gun dart acquisition and removal within the X-TRACTOR Tip. The D.A.R.T. Pro Handle includes a switch at the top of the handle to activate an internal LED light source to illuminate the X-TRACTOR Tip to ease device use in darkened environments. The LED light requires only a standard 9-volt battery, which the user can easily replace as needed. - X-TRACTOR Tip: A single-use, detachable stun gun dart containment tip specifically designed to securely house up to two stun gun darts. In use, the X-TRACTOR Tip is placed over the stun gun dart and advanced to lock the dart into a sliding tip collet. The D.A.R.T. Pro Handle is then pulled to remove the dart. The external button on the tip collet is then pressed to slide the tip collet and secure the removed dart within the X-TRACTOR Tip. Following removal of up to two stun gun darts, the safety cap is press-fit over the X-TRACTOR Tip to securely house the darts within the X-TRACTOR Tip. Once placed, the safety cap cannot be removed from the X-TRACTOR Tip. The capped X-TRACTOR Tip is then removed from the D.A.R.T. Pro Handle, placed within a zip-seal bag, and the zip-seal bag appropriately identified for provision to law enforcement personnel.
More Information

Not Found

No
The device description and performance testing focus on mechanical function and containment, with no mention of AI/ML or related concepts.

No
Explanation: The device is described as being for "acquisition, removal and storage of darts" and "not intended for use as a medical sharps container." Its function is to remove foreign objects rather than to treat a condition or disease. The predicate devices are also sharps containers.

No

The device is intended for the acquisition, removal, and storage of darts from stun guns, which is a physical removal task, not a diagnostic one. Its function is to extract objects, not to diagnose medical conditions or analyze biological data.

No

The device description clearly outlines physical hardware components: a reusable handle, a detachable tip, an LED light, and a battery. There is no mention of software as a component or function of the device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is clearly stated as "acquisition, removal and storage of darts projected from stun guns and lodged in human tissue and/or clothing." This is a physical process of removing a foreign object, not a diagnostic test performed on a biological sample in vitro (outside the body).
  • Device Description: The description details a handle and a tip designed for physically grasping and containing the dart. There is no mention of analyzing biological samples, detecting biomarkers, or providing diagnostic information.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analysis of biological specimens (blood, urine, tissue, etc.)
    • Detection or measurement of analytes
    • Providing information for diagnosis, monitoring, or prognosis of a disease or condition.
  • Predicate Devices: The predicate devices listed are all sharps disposal containers, which are not IVDs.

The device is designed for the safe removal and containment of a physical object (a stun gun dart) from the body or clothing. This falls under the category of a medical device, but not specifically an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The D.A.R.T. Pro Handle and X-TRACTOR Tip are solely intended for use in the acquisition, removal and storage of darts projected from stun guns and lodged in human tissue and/or clothing. The device is not intended for use as a medical sharps container.

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

MMK

Device Description

The reusable D.A.R.T. Pro Handle and detachable, single-use only X-TRACTOR Tip (including a safety cap) comprise the two components of the device. Each of these components is described generally below.

  • D.A.R.T. Pro Handle: A reusable handle component that is uniquely designed . for the secure attachment (and removal post-use) of the X-TRACTOR Tip. The D.A.R.T. Pro Handle allows the user to hold, control and position the assembled product as required for stun gun dart acquisition and removal within the X-TRACTOR Tip. The D.A.R.T. Pro Handle includes a switch at the top of the handle to activate an internal LED light source to illuminate the X-TRACTOR Tip to ease device use in darkened environments. The LED light requires only a standard 9-volt battery, which the user can easily replace as needed.
  • X-TRACTOR Tip: A single-use, detachable stun gun dart containment tip . specifically designed to securely house up to two stun gun darts. In use, the X-TRACTOR Tip is placed over the stun gun dart and advanced to lock the dart into a sliding tip collet. The D.A.R.T. Pro Handle is then pulled to remove the dart. The external button on the tip collet is then pressed to slide the tip collet and secure the removed dart within the X-TRACTOR Tip. Following removal of up to two stun gun darts, the safety cap is press-fit over the X-TRACTOR Tip to securely house the darts within the X-TRACTOR Tip. Once placed, the safety cap cannot be removed from the X-TRACTOR Tip. The capped X-TRACTOR Tip is then removed from the D.A.R.T. Pro Handle, placed within a zip-seal bag, and the zip-seal bag appropriately identified for provision to law enforcement personnel.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

human tissue and/or clothing

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)

Performance testing of the D.A.R.T. Pro Kit included the following sharps container tests conducted on the capped X-TRACTOR Tip, which houses the removed stun gun darts.

TestStandardDescriptionResults
PunctureHealth Devices 22
ASTM F04.33.01Sharps (needle) penetration forcePass
Leak ResistanceHealth Devices 2224 hours filled with waterPass
Vibration49 CFR 178.6081 hour repetitive bouncePass
Free Fall Drop49 CFR 178.6035 drops from 3.9 feetPass
Stacking49 CFR 178.60624 hours under 16.6 lbsPass

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.

K020664, K955514, K070577

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

§ 880.5570 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

K081821

SEP - 2 2008 SECTION 5: 510(k) SUMMARY

In accordance with the requirements of 21 CFR 807.92(c) Global Pathogen Solutions Inc. (hereafter "GPS") has prepared this 510(k) Summary to provide information supporting the substantial equivalence of the D.A.R.T. (stun gun Dart-Acquiring and Removal Tool) Pro Kit, comprised of the reusable D.A.R.T. Pro Handle and the single-use only X-TRACTOR Tip.

General Information:

Date of Summary Preparation:June 26, 2008
Name and Address of Manufacturer:Global Pathogen Solutions Inc.
9515 312th Ave
Camas, Washington 98607
Contact Person:Carson Linker
President/CEO
Phone: (503) 679-7612
Trade Name:D.A.R.T. Pro Kit (D.A.R.T. Pro Handle and
X-TRACTOR Tip)
Common Name:Sharps Container
Device Classification:Hypodermic Single Lumen Needle
Classification Panel:General Hospital
CFR Reference:880.5570
Product Code:MMK
Device Class:Class II

Indications for Use: The D.A.R.T. Pro Handle and X-TRACTOR Tip are solely intended for use in the acquisition, removal and storage of darts projected from stun guns and lodged in human tissue and/or clothing. The device is not intended for use as a medical sharps container.

Predicate Devices: The D.A.R.T. Pro Kit, including the D.A.R.T. Pro Handle and the X-TRACTOR Tip, is substantially equivalent to the following legally marketed predicate devices in consideration of the limited and specific use of the device for stun gun dart removal:

  • Sterilogic Waste Systems, Inc. SteriSharp™ Sharps Disposal Containers . (K020664)
    Global Pathogen Solutions Inc.

Page 5-1

1

  • . Dura-Vac Sharps Safe (K955514)
  • MedPort, LLC On the Go Sharps Transport and Disposal with Safe Lock™ ● (K070577)

Device Description: The reusable D.A.R.T. Pro Handle and detachable, single-use only X-TRACTOR Tip (including a safety cap) comprise the two components of the device. Each of these components is described generally below.

  • D.A.R.T. Pro Handle: A reusable handle component that is uniquely designed . for the secure attachment (and removal post-use) of the X-TRACTOR Tip. The D.A.R.T. Pro Handle allows the user to hold, control and position the assembled product as required for stun gun dart acquisition and removal within the X-TRACTOR Tip. The D.A.R.T. Pro Handle includes a switch at the top of the handle to activate an internal LED light source to illuminate the X-TRACTOR Tip to ease device use in darkened environments. The LED light requires only a standard 9-volt battery, which the user can easily replace as needed.
  • X-TRACTOR Tip: A single-use, detachable stun gun dart containment tip . specifically designed to securely house up to two stun gun darts. In use, the X-TRACTOR Tip is placed over the stun gun dart and advanced to lock the dart into a sliding tip collet. The D.A.R.T. Pro Handle is then pulled to remove the dart. The external button on the tip collet is then pressed to slide the tip collet and secure the removed dart within the X-TRACTOR Tip. Following removal of up to two stun gun darts, the safety cap is press-fit over the X-TRACTOR Tip to securely house the darts within the X-TRACTOR Tip. Once placed, the safety cap cannot be removed from the X-TRACTOR Tip. The capped X-TRACTOR Tip is then removed from the D.A.R.T. Pro Handle, placed within a zip-seal bag, and the zip-seal bag appropriately identified for provision to law enforcement personnel.

Device Testing: Performance testing of the D.A.R.T. Pro Kit included the following sharps container tests conducted on the capped X-TRACTOR Tip, which houses the removed stun gun darts.

TestStandardDescriptionResults
PunctureHealth Devices 22
ASTM F04.33.01Sharps (needle) penetration forcePass
Leak ResistanceHealth Devices 2224 hours filled with waterPass
Vibration49 CFR 178.6081 hour repetitive bouncePass
Free Fall Drop49 CFR 178.6035 drops from 3.9 feetPass
Stacking49 CFR 178.60624 hours under 16.6 lbsPass

2

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 eagle head with three trailing ribbons, symbolizing care and support. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle emblem. The logo is presented in black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Carson Linker President/ Chief Executive Officer Global Pathogen Solutions, Incorporated 9515 N.E.312th Avenue Camas, Washington 98607

SEP - 2 2008

Re: K081821

Trade/Device Name: D.A.R.T. (Stun Gun Dart-Acquiring and Removal Tool) Pro Kit, Including the D.A.R.T. Pro Handle and X-TRACTOR Tip Regulation Number: 880.5570 Regulation Name: Hypodermic Single Lumen Needle Regulatory Class: II Product Code: MMK Dated: August 20, 2008 Received: August 22, 2008

Dear Mr. Linker:

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.

3

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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Parl 807.97). For questions regarding postmarket surveillance, please contact CDRIT's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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 vours.

JHSamuelsteno, mis foell

Chiu S. Lin, Ph. D Division Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

4

SECTION 4: INDICATIONS FOR USE

510(k) Number (if known): K08182|

Device Name: D.A.R.T. (stun gun Dart-Acquiring and Removal Tool) Pro Kit, including the D.A.R.T. Pro Handle and X-TRACTOR Tip

Indications for Use: The D.A.R.T. Pro Handle and X-TRACTOR Tip are solely intended for use in the acquisition, removal and storage of darts projected from stun guns and lodged in human tissue and/or clothing. The device is not intended for use as a medical sharps container.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (Part 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 Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number:

Page __ of ___________________________________________________________________________________________________________________________________________________________________

Global Pathogen Solutions Inc.

CONFIDENTIAL

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