K Number
K110771
Device Name
BD SINGLE USE, HYPODERMIC SYRINGE
Date Cleared
2011-05-13

(53 days)

Product Code
Regulation Number
880.5860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The BD Single Use, Hypodermic Syringe is intended for use by health care professionals for general purpose fluid aspiration/injection.
Device Description
The modified BD Single Use, Hypodermic Syringe is a three-piece single use, hypodermic syringe with a 6% (Luer) connector in 1ml Luer Slip, 3ml and 5ml Luer Lok and Luer Slip syringe sizes. The syringe assembly consists of a plastic barrel with a graduated scale, a synthetic rubber stopper, and a plastic plunger rod. The changes to the modified device from the predicate include a new synthetic stopper material and a new silicone based stopper lubricant formulation. The syringe performance characteristics are equivalent to the predicate device. The BD Single Use, Hypodermic Syringe is intended for use by health care professionals for general purpose fluid aspiration/injection. The modified BD Single Use, Hypodermic Syringe are provided sterile, by either EO or an Irradiation sterilization method, in a syringe only configuration or with a pre-attached or side-by-side hypodermic needle.
More Information

Not Found

No
The device description and performance studies focus on the physical components and functional performance of a syringe, with no mention of AI or ML technologies.

No
The device is a hypodermic syringe for general purpose fluid aspiration/injection, which is used for diagnostic or delivery purposes, not for treating a disease or condition itself.

No

Explanation: The device is a syringe intended for general purpose fluid aspiration/injection, which directly describes a therapeutic or interventional function, not a diagnostic one.

No

The device description clearly describes a physical syringe with a barrel, stopper, and plunger rod, and mentions materials and sterilization methods, indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use is "for general purpose fluid aspiration/injection." This describes a device used to physically move fluids into or out of the body, not to perform tests on samples taken from the body.
  • Device Description: The description details a syringe with a barrel, stopper, and plunger rod. This is consistent with a device for fluid delivery or withdrawal, not for analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. There is no mention of reagents, test strips, or any components typically associated with IVD devices.

IVD devices are specifically designed to perform tests on biological samples (like blood, urine, tissue) outside of the body to diagnose conditions, monitor health, or determine compatibility. This syringe is a tool for administering or withdrawing fluids directly from or into the body.

N/A

Intended Use / Indications for Use

The BD Single Use, Hypodermic Syringe is intended for use by health care professionals for general purpose fluid aspiration/injection.

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

FMF

Device Description

The modified BD Single Use, Hypodermic Syringe is a three-piece single use, hypodermic syringe with a 6% (Luer) connector in 1ml Luer Slip, 3ml and 5ml Luer Lok and Luer Slip syringe sizes. The syringe assembly consists of a plastic barrel with a graduated scale, a synthetic rubber stopper, and a plastic plunger rod. The changes to the modified device from the predicate include a new synthetic stopper material and a new silicone based stopper lubricant formulation. The syringe performance characteristics are equivalent to the predicate device. The BD Single Use, Hypodermic Syringe is intended for use by health care professionals for general purpose fluid aspiration/injection.

The modified BD Single Use, Hypodermic Syringe are provided sterile, by either EO or an Irradiation sterilization method, in a syringe only configuration or with a pre-attached or side-by-side hypodermic needle.

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

health care professionals

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)

Design Verification tests were performed based on the risk analysis performed, and the results of these tests demonstrate that the BD Single Use, Hypodermic Syringe performed in an equivalent manner to the predicate device and is safe and effective when used as intended.

Design Verification testing included the following:

  • Functional Testing:
    • Sustaining Force: Determination of forces required to operate plunger ISO 7886-1 - Annex G. Acceptance Criteria: Per ISO 7886-1.
    • Break-Out Force: Determination of forces required to operate plunger ISO 7886-1 - Annex G. Acceptance Criteria: Per ISO 7886-1.
    • Pump Sticktion / Force: Determination of forces required to move the piston ISO 7886-2 - Annex C. Acceptance Criteria: Per ISO 7886-2.
    • Stopper Seal: Water Leakage Test ISO 7886-1 - Annex D. Acceptance Criteria: Per ISO 7886-1.
    • Autoclavability: Water Leakage Test ISO 7886-1 - Annex D After Syringe autoclave for 15mins at 270°F. Acceptance Criteria: Per ISO 7886-1.
  • Chemical Testing (Extractables):
    • Zinc: ISO 7886-1. Acceptance Criteria: Per ISO 7886-1.
    • Lead, Tin, Iron: ISO 7886-1. Acceptance Criteria: Per ISO 7886-1.
    • Cadmium: ISO 7886-1. Acceptance Criteria: Per ISO 7886-1.
    • pH shift: ISO 7886-1. Acceptance Criteria: Per ISO 7886-1.
  • Biocompatibility Testing:
    • Cytotoxicity: ISO10993-5:1999. Acceptance Criteria: Non-Toxic.
    • Hemolysis: ISO10993-4:2002/A:2006. Acceptance Criteria: Non-Toxic.
    • Acute Systemic Toxicity: ISO10993-11:2006. Acceptance Criteria: Non-Toxic.
    • Intracutaneous Reactivity: ISO10993-10:2002/A1:2006. Acceptance Criteria: Non-Irritant.
    • Murine Local Lymph Node Assay: ISO10993-10:2002/A1:2006. Acceptance Criteria: Non-Sensitizer.
    • Pyrogenicity: ISO10993-11:2006. Acceptance Criteria: Non-Pyrogenic.

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.

K980987

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

§ 880.5860 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

510(K) Summary of Safety and Effectiveness

MAY 13 2011

KU0771

Date Prepared: 16 March 2011

Submitted By: 1.

John Roberts Regulatory Affairs Specialist BD Medical - Medical Surgical Systems 1 Becton Drive Franklin Lakes, NJ 07417 201 847 5473 Tel: 201 847 5307 Fax:

2. Device Name:

BD Single Use, Hypodermic Syringe Trade Name: Common Name: Piston Syringe Classification Name: Syringe, Piston Class II, 21 CFR 880.5860 Classificiation:

Predicate Device: 3.

Becton Dickinson Single Use Hypodermic Syringe Trade Name: Becton, Dickinson and Company Manufacturer: 510(k) Number: K980987

4. Device Description:

The modified BD Single Use, Hypodermic Syringe is a three-piece single use, hypodermic syringe with a 6% (Luer) connector in 1ml Luer Slip, 3ml and 5ml Luer Lok and Luer Slip syringe sizes. The syringe assembly consists of a plastic barrel with a graduated scale, a synthetic rubber stopper, and a plastic plunger rod. The changes to the modified device from the predicate include a new synthetic stopper material and a new silicone based stopper lubricant formulation. The syringe performance characteristics are equivalent to the predicate device. The BD Single Use, Hypodermic Syringe is intended for use by health care professionals for general purpose fluid aspiration/injection.

The modified BD Single Use, Hypodermic Syringe are provided sterile, by either EO or an Irradiation sterilization method, in a syringe only configuration or with a pre-attached or side-by-side hypodermic needle.

న్. Intended Use:

The BD Single Use, Hypodermic Syringe is intended for use by health care professionals for general purpose fluid aspiration/injection.

1

Technological Characteristics: 6.

The principal device of this 510(k) premarket notification is the result of a design change to the predicate device (K980987) conducted in accordance with Quality System Regulations, 21 CFR 820. The BD Single Use, Hypodermic Syringe is Substantially Equivalent to the predicate device, given that:

  • a) The BD Single Use, Hypodermic Syringe has the same intended use as the predicate device
  • b) The BD Single Use, Hypodermic Syringe operates under the same operating principle as the predicate device
  • c) The BD Single Use, Hypodermic Syringe barrel and plunger rod use an identical design and identical materials as the predicate device
  • d) The BD Single Use, Hypodermic Syringe and the predicate device meet the requirements for manual use and use with power-driven pumps as defined by ISO 7886-1 and ISO 7886-2 respectively.
  • e) The BD Single Use, Hypodermic Syringe and the predicate device component materials comply with ISO 10993 as applicable to the intended use of the device
  • The BD Single Use, Hypodermic Syringe and the predicate device are sterilized to an f) SAL of 10-6 via an EtO or Irradiation sterilization process
  • g) The BD Single Use, Hypodermic Syringe are assembled and packaged at the same manufacturing location utilizing the same equipment as the predicate device
  • h) The BD Single Use, Hypodermic Syringe demonstrated equivalent performance to the predicate device during design verification testing.

6. Performance:

Design Verification tests were performed based on the risk analysis performed, and the results of these tests demonstrate that the BD Single Use, Hypodermic Syringe performed in an equivalent manner to the predicate device and is safe and effective when used as intended.

Design Verification testing included the following:

000011

2

Performance CharacteristicTest PerformedAcceptance Criteria
Functional Testing
Sustaining ForceDetermination of forces required
to operate plunger
ISO 7886-1 - Annex GPer ISO 7886-1
Break-Out ForceDetermination of forces required
to operate plunger
ISO 7886-1 - Annex GPer ISO 7886-1
Pump Sticktion / ForceDetermination of forces required
to move the piston
ISO 7886-2 - Annex CPer ISO 7886-2
Stopper SealWater Leakage Test
ISO 7886-1 - Annex DPer ISO 7886-1
AutoclavabilityWater Leakage Test
ISO 7886-1 - Annex D
After Syringe autoclave for
15mins at 270°FPer ISO 7886-1
Chemical Testing (Extractables)
ZincISO 7886-1Per ISO 7886-1
Lead, Tin, IronISO 7886-1Per ISO 7886-1
CadmiumISO 7886-1Per ISO 7886-1
pH shiftISO 7886-1Per ISO 7886-1

Biocompatibility Testing

.

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CytotoxicityISO10993-5:1999Non-Toxic
HemolysisISO10993-4:2002/A:2006Non-Toxic
Acute Systemic ToxicityISO10993-11:2006Non-Toxic
Intracutaneous ReactivityISO10993-10:2002/A1:2006Non-Irritant
Murine Local Lymph Node
AssayISO10993-10:2002/A1:2006Non-Sensitizer
PyrogenicityISO10993-11:2006Non-Pyrogenic

3

Image /page/3/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States. The seal features 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.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Mr. John Roberts Regulatory Affairs Specialist Becton, Dickinson and Company BD Medicalsurgical 1 Becton Drive MC237 Franklin Lakes, New Jersey 07417

MAY 1 3 2011

Re: K110771

Trade/Device Name: BD Single Use, Hypodermic Syringe Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: II Product Code: FMF Dated: April 19, 2011 Received: April 21, 2011

Dear Mr. Roberts:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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.

4

Page 2- Mr. Roberts

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/ResourcesforYou/Industry/default.htm.

Sincerely vours.

Wh 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

Enclosure

5

Indications for Use Statement

510(k) Number (if known): 长儿1077 |

BD Single Use, Hypodermic Syringe Device Name:

Indications for Use:

The BD Single Use, Hypodermic Syringe is intended for use by health care professionls for general purpose fluid aspiration/injection.

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

Page | of |

Rilis C. Chapman 5/12/11
(Division Sign-Off)

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:.0(k) Number: K110771