K Number
K083687
Device Name
BAIXIN INTRAVASCULAR ADMINISTRATION SET
Date Cleared
2009-06-11

(181 days)

Product Code
Regulation Number
880.5440
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Intravascular Administration Set is used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein.
Device Description
BAIXIN™ Intravascular Administration Set is used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein. This device is sterile and for single use only.
More Information

Not Found

Not Found

No
The device description and performance studies focus on the physical and material properties of a standard administration set, with no mention of AI or ML capabilities.

No.
The device description and intended use state that it is used to administer fluids, which is a supportive function rather than a direct therapeutic action that treats or cures a disease.

No
The device is described as an "Intravascular Administration Set" used to administer fluids, not to diagnose a condition. The performance studies focus on the materials and functional integrity for fluid administration, not diagnostic accuracy.

No

The device description clearly states it is an "Intravascular Administration Set," which is a physical medical device used for administering fluids. There is no mention of software as the primary component or function.

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

Here's why:

  • Intended Use: The intended use is to administer fluids into a patient's vascular system. This is a therapeutic or procedural use, not a diagnostic one.
  • Device Description: The description reinforces the administration of fluids, which is an in-vivo action.
  • Lack of Diagnostic Elements: There is no mention of analyzing samples from the body (like blood, urine, tissue) or providing information about a patient's health status based on such analysis. IVDs are designed to perform tests on these types of samples.

The device is an intravascular administration set, which is a medical device used for delivering substances directly into the bloodstream.

N/A

Intended Use / Indications for Use

The intended use of the BAIXINTM Intravascular Administration Set is used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein.
Indications for Use: Intravascular Administration Set is used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein.

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

FPA

Device Description

BAIXIN™ Intravascular Administration Set is used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein. This device is sterile and for single use only, so the following precautions shall be observed during use:

  • (1) Don't use when visual damage on its packaging is detected or the
  • protective cap is found not in position.
  • (2) Only for single use, discard after use.
  • (3) Use before expiration date.
  • (4) It shall be used immediately after the individual package is opened.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

patient's vascular system

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)

All materials used in the fabrication of the Anhui Kangda piston syringe and hypodermic needles were evaluated for:

Test itemsRequirements
SterilityNo evidence of growth of BI
PyrogenicityFree from pyrogenicity (Bacterial endotoxin test)
HaemolysisThe infusion set shall be free from haemolytic reactions
ToxicityFree from toxicity
Reducing (oxidizable) matterThe total amount of potassium permanganate solution used [c(KMnO4)=0.002mol/l]shall not exceed 2.0ml;
Metal ionsThe extract shall not contain in total more than 1µg/ml of cadmium, chromium, copper, lead and tin. Not more than 0.1µg/ml of cadmium, when determined by atomic absorption spectroscopy (AAS) or equivalent method.
Titration acidity or alkalinityNot more than 1ml of either standard volumetric solution shall be required for the indicator to change to the colour grey
Residue on evaporationThe total amount of dry residue shall not exceed 5 mg.
UV absorption of extract solutionThe extract solution S, shall not show absorption greater than 0.1.
EO residueLess than 0.5mg/set
Particulate contaminationContamination index1000ml
Injection portThere shall be no leakage of more than one falling drop of water.
Male conical fittingIn accordance with ISO594-1 or ISO594-2
Protective capThe protective caps shall maintain the sterility of the closure-piercing device, the male conical fitting and the interior of the infusion set.
Individual packageThe infusion set and/or the air-inlet device shall be individually packed so that they remain sterile during storage. The unit container shall be sealed in a tamper-evident manner.
no flattened portions and kinksThe infusion set and/or the air-inlet devices shall be packed and sterilized in such a way that there are no flattened portions or kinks when they are ready for use

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.

Not Found

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

§ 880.5440 Intravascular administration set.

(a)
Identification. An intravascular administration set is a device used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein. The device may include the needle or catheter, tubing, a flow regulator, a drip chamber, an infusion line filter, an I.V. set stopcock, fluid delivery tubing, connectors between parts of the set, a side tube with a cap to serve as an injection site, and a hollow spike to penetrate and connect the tubing to an I.V. bag or other infusion fluid container.(b)
Classification. Class II (special controls). The special control for pharmacy compounding systems within this classification is the FDA guidance document entitled “Class II Special Controls Guidance Document: Pharmacy Compounding Systems; Final Guidance for Industry and FDA Reviewers.” Pharmacy compounding systems classified within the intravascular administration set are exempt from the premarket notification procedures in subpart E of this part and subject to the limitations in § 880.9.

0

K083687

510(K) SUMMARY

Submitted by:

Anhui Kangda Medical Products Co., Ltd

88 Zhenxing Road,

Yangcun Town,

Tianchang City,

Anhui Province

P. R. China

Phone: +86 0550 7093893

+86 0550 7093800 Fax:

Preparation Date: Jun. 10. 2008

Contact Person/Prepared by:

Official Correspondent: bian wei giang SHANGHAI CARELIFE INTERNATIONAL TRADING CO., LTD. 1707 vingiao bldg 58 jinxin road jinqiao, pudong, shanghai, CHINA 201206 Phone: 86-21-50324423

US Agent: ROBERTJ. EDWARDS BOCA MEDICAL PRODUCTS, INC. 3550 nw 126th ave coral springs, FL 33065 Phone: 954 346 Fax: 954 346 Email: bob@bocapharmacal.com

510(K) Summary of Safety and Effectiveness for the:

Trade/Proprietary Name: BAIXIN™ Intravascular Administration Set

Common Name: INTRAVASCULAR ADMINISTRATION SET

Classification Name: set, administration, intravascular

Class: Il

JUN 1 1 2009

1

Procodes: FPA - set, administration, intravascular

Device Description:

BAIXIN™ Intravascular Administration Set is used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein. This device is sterile and for single use only, so the following precautions shall be observed during use:

  • (1) Don't use when visual damage on its packaging is detected or the
  • protective cap is found not in position.
  • (2) Only for single use, discard after use.
  • (3) Use before expiration date.
  • (4) It shall be used immediately after the individual package is opened.

Intended Use:

The intended use of the BAIXINTM Intravascular Administration Set is used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein.

Statement to conform to ISO 8536-4-2007:

Anhui Kangda Medical Products Co., Ltd. has established that its family of syringes corm to the FDA recognized consensus standard, ISO 8536-4-2007, Infusion equipment for medical use - Part 4: Infusion sets for single use, gravity feed. Data supporting conformance with the standard is available from Anhui Kangda Medical Products Co., Ltd.

Summary of Testing:

All materials used in the fabrication of the Anhui Kangda piston syringe and hypodermic needles were evaluated for:

Test itemsRequirements
SterilityNo evidence of growth of BI
PyrogenicityFree from pyrogenicity (Bacterial endotoxin test)
HaemolysisThe infusion set shall be free from haemolytic reactions
ToxicityFree from toxicity
Reducing
(oxidizable) matterThe total amount of potassium permanganate solution used
[c(KMnO4)=0.002mol/l]shall not exceed 2.0ml;
Metal ionsThe extract shall not contain in total more than 1µg/ml of cadmium, chromium, copper, lead and tin.
Not more than 0.1µg/ml of cadmium, when determined by atomic
absorption spectroscopy (AAS) or equivalent method.
Titration acidity or
alkalinityNot more than 1ml of either
standard volumetric solution
shall be required for the
indicator to change to the
colour grey
Residue on
evaporationThe total amount of dry
residue shall not exceed 5 mg.
UV absorption of
extract solutionThe extract solution S, shall
not show absorption greater
than 0.1.
EO residueLess than 0.5mg/set
Particulate
contaminationContamination index1000ml
Injection portThere shall be no leakage of
more than one falling drop of
water.
Male conical fittingIn accordance with ISO594-1 or ISO594-2
Protective capThe protective caps shall
maintain the sterility of the
closure-piercing device, the
male conical fitting and the
interior of the infusion set.
Individual packageThe infusion set and/or the air-inlet device shall be individually packed
so that they remain sterile during storage. The unit container shall be
sealed in a tamper-evident manner.
no flattened portions
and kinksThe infusion set and/or the air-inlet devices shall be packed and
sterilized in such a way that there are no flattened portions or kinks
when they are ready for use

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이 지원 기준

3

K08368

Conclusion:

The materials, performance, and operational features of both the submitted device and the predicate device are substantially equivalent and are safe and effective for their intended use. :

4

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/4/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 tail feathers, representing the three levels of government: federal, state, and local. The eagle is enclosed in a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES · USA" around the perimeter.

JUN 1 1 2009

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Anhui Kangda Medical Products Company, Limited C/O Mr. Bian Wei Qiang Shanghai Carelife International Trading Company, Limited 1707 Yingiao Building 58 Jinxin Road, Jinqiao Pudong, Shanghai CHINA 201206

K083687 Re:

Trade/Device Name: BAIXINTM Intravascular Administration Set (BAIXINTM) Regulation Number: 21 CFR 880.5440 Regulation Name: Intravascular Administration Set Regulatory Class: II Product Code: FPA Dated: June 3, 2009 Received: June 3, 2009

Dear Mr. Qiang:

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 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.

5

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Page 2- Mr. Oiang

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/Centers_Offices/CDRH/CDRHOffices /ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/cdrh/mdr/ for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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,

Anthony, is mistaken for
Susan Dunner, D.D.S., M.S.

Susan Runner, D.D.S., M. Acting Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

K083687

Indications for Use

510(k) Number (if known): _ K083687

Device Name: BAIXIN™ Intravascular Administration Set (BAIXIN™)

Indications for Use: Intravascular Administration Set is used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein.

Over-The-Counter Use AND/OR Prescription Use (21 CFR 807 Subpart C) (Part 21 CFR 801 Subpart D)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

sta all

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

510(k) Number: K083687

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