K Number
K092943
Device Name
ASPIRATING SYRINGE, NON-ASPIRATING SYRINGE
Date Cleared
2009-12-11

(78 days)

Product Code
Regulation Number
872.6770
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Cartridge Syringes are indicated to be used in conjunction with anesthetic needles and anesthetic cartridges for injection of anesthetic solutions in the oral cavity.
Device Description
Dental Aspirating Syringes/Self Aspirating Syringes include standard, petite and medium sizes. All syringes are made of stainless steel and have aluminum handles. Syringes are reusable, sterilizable and packaged non-sterile.
More Information

Not Found

No
The summary describes a mechanical syringe and does not mention any software, algorithms, or AI/ML capabilities.

No
The device is described as a 'Cartridge Syringe' used for the injection of anesthetic solutions. It is designed to administer a substance rather than directly provide a therapeutic effect itself. While it facilitates a medical procedure, the syringe itself is a tool for drug delivery, not a therapeutic device.

No
The device is described as an instrument for injecting anesthetic solutions, not for identifying the presence or nature of a disease or condition.

No

The device description explicitly states it is made of stainless steel and aluminum, indicating it is a physical hardware device, not software only.

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

Here's why:

  • Intended Use: The intended use is for injecting anesthetic solutions into the oral cavity. This is a direct medical procedure performed on a patient, not a test performed on a sample taken from the body to diagnose a condition.
  • Device Description: The device is a syringe designed for injection. IVD devices are typically used for analyzing biological samples (blood, urine, tissue, etc.).
  • Lack of IVD Characteristics: The description does not mention any components or functions related to analyzing samples, detecting biomarkers, or providing diagnostic information.

IVD devices are specifically designed to be used in vitro (outside the body) to examine specimens from the human body to provide information for the diagnosis, monitoring, or treatment of a disease or condition. This device clearly operates in vivo (within the body) for a therapeutic purpose (anesthesia).

N/A

Intended Use / Indications for Use

Cartridge Syringes are indicated to be used in conjunction with anesthetic needles and anesthetic cartridges for injection of anesthetic solutions in the oral cavity.

Product codes

EJI

Device Description

Dental Aspirating Syringes/Self Aspirating Syringes include standard, petite and medium sizes. All syringes are made of stainless steel and have aluminum handles. Syringes are reusable, sterilizable and packaged non-sterile.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

oral cavity

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)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K083796, K040671

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 872.6770 Cartridge syringe.

(a)
Identification. A cartridge syringe is a device intended to inject anesthetic agents subcutaneously or intramuscularly. The device consists of a metal syringe body into which a disposable, previously filled, glass carpule (a cylindrical cartridge) containing anesthetic is placed. After attaching a needle to the syringe body and activating the carpule by partially inserting the plunger on the syringe, the device is used to administer an injection to the patient.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 872.9.

0

K092943

510 (k) Premarket Submission

Page: 8

Document No: Revision: 1.1 Date: 08/27/2009

DEC 1 1 2009

510(k) Summary

Submitter: Arnold Tuber Industries DBA Sci-Dent, Inc. Address: 97 Main Street, Hamburg, NY 14075 Phone number: 716-648-3363 Fax number: 716-648-9296 Contact person: Michael Tuber Date prepared: 08/27/2009 Trade name: Cartridge Dental Syringe Common name: Cartridge Syringe Classification name: Cartridge Syringe Substantial equivalence claimed to: 510(k) Number - K083796

l . Miltex 510(k) Number - K040671 2. Anthogyr

Dental Aspirating Syringes/Self Aspirating Syringes include standard, petite and medium sizes. All syringes are made of stainless steel and have aluminum handles. Syringes are reusable, sterilizable and packaged non-sterile.

Intended use: Cartridge Syringes are indicated to be used in conjunction with anesthetic needles and anesthetic cartridges for injection of anesthetic solutions in the oral cavity.

Summary of technological characteristics: Cartridge syringes are produced with various sized thumb rings to accommodate a large spectrum of practitioners. They also come in different colors.

1

Image /page/1/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" written around it. Inside the circle is a stylized image of an eagle or bird with its wings spread.

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room W-066-0609 Silver Spring, MD 20993-0002

DEC 1 1 2009

:::

Mr. Michael Tuber President Arnold Tuber Industries 97 Main Street Hamburg, New York 14075

Re: K092943

Trade/Device Name: Cartridge Syringe Regulation Number: 21CFR 872.6770 Regulation Name: Cartridge System Regulatory Class: II Product Code: EJI Dated: August 27, 2009 Received: September 24, 2009

Dear Mr. Tuber:

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.

2

Page 2 - Mr. Tuber

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/CentersOffices/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/MedicalDevices/Safety/ReportaProblem/default.htm 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 (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industrv/default.htm.

Sincerely yours,

Th for

Anthony D. Watson, B.S., M.S., M.B.A. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

3

Document No: Revision: 1.1 Date: 08/27/2009

K092943

Cartridge Svringe 510 (k) Premarket Submission

Indications for Use

510(k) Number:

Device Name: Cartridge Syringe

Indications for Use: Cartridge Syringes are indicated to be used in conjunction with anesthetic needles and anesthetic cartridges for injection of anesthetic solutions in the oral cavity.

Prescription Use 15 (Per 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 IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Ruitzstetz mrs Lor Dr. Keina Maly (Acting)

(Division Sign-Off) Division of Anesthestology, General H Infection Control, Dantal Devices

510(k) Number: K092943