K Number
K111797
Device Name
27 G X 1/2 K-PACK SURSHIELD NEEDLE
Manufacturer
Date Cleared
2011-09-22

(90 days)

Product Code
Regulation Number
880.5570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The K-Pack Surshield™ Needle is a sterile hypodermic needle for single use with a passive sharps protection feature that covers the cannula immediately and permanently after use; and is intended for use in combination with hypodermic syringes for subcutaneous and intramuscular injection.
Device Description
The 27G K-Pack Surshield™ Needle is a hypodermic single lumen needle, for single use consisting of a stainless steel tube that is sharpened at one end and at the other end joined to a female luer connector (hub) made of polypropylene designed to be connected with a male connector (nozzle) of a piston syringe. Furthermore the needle has a passive sharps protection feature that covers the cannula immediately and permanently after use. The K-Pack Surshield™ Needle is packed in a hard pack (cap - case) which is sealed with a perforated self-adhesive paper label.
More Information

Not Found

No
The device description and performance studies focus on the mechanical and material properties of a hypodermic needle with a passive safety feature. There is no mention of AI or ML in the intended use, device description, or performance testing.

No
This device is a hypodermic needle intended for use in combination with hypodermic syringes for subcutaneous and intramuscular injection, and also features a sharps protection mechanism. It facilitates the delivery of therapeutic substances, but is not a therapeutic device itself.

No
The device is a hypodermic needle intended for use in combination with hypodermic syringes for subcutaneous and intramuscular injection. Its function is to deliver substances, not to diagnose conditions.

No

The device description clearly outlines physical components like a stainless steel tube, polypropylene hub, and a passive sharps protection feature, indicating it is a hardware device. The performance studies also focus on physical characteristics and mechanical testing.

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

Here's why:

  • Intended Use: The intended use is for "subcutaneous and intramuscular injection" in combination with hypodermic syringes. This describes a device used for administering substances into the body, not for examining specimens taken from the body to provide information about a physiological state, health, or disease.
  • Device Description: The description details a hypodermic needle with a safety feature. This aligns with a device used for injection, not for in vitro diagnostic testing.
  • Performance Studies: The performance studies focus on the physical characteristics and safety features of the needle (cleanliness, acidity/alkalinity, extractable metals, size, bonding strength, flow rate, safety feature activation, etc.). These are relevant to a device used for injection, not for the analytical performance of an IVD.

IVD devices are specifically designed to perform tests on samples like blood, urine, or tissue outside of the body to diagnose or monitor medical conditions. This device's function is to deliver substances into the body.

N/A

Intended Use / Indications for Use

The K-Pack Surshield™ Needle is a sterile hypodermic needle for single use with a passive sharps protection feature that covers the cannula immediately and permanently after use; and is intended for use in combination with hypodermic syringes for subcutaneous and intramuscular injection.

Product codes

FMI

Device Description

The 27G K-Pack Surshield™ Needle is a hypodermic single lumen needle, for single use consisting of a stainless steel tube that is sharpened at one end and at the other end joined to a female luer connector (hub) made of polypropylene designed to be connected with a male connector (nozzle) of a piston syringe. Furthermore the needle has a passive sharps protection feature that covers the cannula immediately and permanently after use. The K-Pack Surshield™ Needle is packed in a hard pack (cap - case) which is sealed with a perforated self-adhesive paper label.

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

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 necessary verification and validation tests have been performed by testing the K-Pack Surhiela™ Needle 27G x 1/2" - 0.4 x 12 mm in accordance with EN ISO 7864 (1995) and ISO 23908 (2011).
Key results summarized in a table of tests and acceptance criteria including:

  1. Cleanliness
  2. Limits for acidity or alkalinity
  3. Limits for extractable metals
  4. Size designation
  5. Colour coding
  6. Conical fitting
  7. Effective needle length
  8. Lubricant
  9. Needle point
  10. Bonding strength between hub and cannula
  11. Patency of lumen
  12. Flow rate
  13. Visual marking indicating status of safety feature
  14. Forces for activating the sharps injury protection feature
  15. Forces for challenging the safety feature
  16. Challenging the safety feature once in safe mode

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

Not Found

Predicate Device(s)

K110527

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

K 111794

SEP 2 2 2011

510(k) SUMMARY as required by 807.92 Summary of Safety & Effectiveness Information

Submitter information

| Prepared for: | TERUMO EUROPE N.V.
Interleuvenlaan 40
3001 Leuven
BELGIUM |
|----------------------------------|-------------------------------------------------------------------------------------------------|
| Prepared by/ :
Contact Person | Mrs. M.J. Aerts - Manager Regulatory Affairs
Tel. (+32) 16 38 13 53
Fax (+32) 16 40 02 49 |
| Date prepared: | June 2011 |

II.1. Device Name

Proprietary Name

27G x ½" K-Pack Surshield™ Needle

Classification Name

Hypodermic Single Lumen Needle 21CFR, Section 880.5570 Classification: Class II

11.2. Reason for Submission

This premarket notification [510(k)] is being submitted for the 27G x 1/2' K-Pack Surshield '10 Needle which is an addition to the existing K-Pack Surshield™ Needle manufactured by Terumo Europe N.V. The size of the 27G x 1/2" needle is smaller than what is currently cleared under the 25 G x 5/8" K-Pack Surshield™ Needle (K 110527). The proposed 27G x ½³ K-Pack Surshield™ Needle has a regular wall and the cleared predicated device 25 G x 5/8" K-Pack Surshield 100 Needle has a thin wall. This Special 510k is being submitted because of potential issues of safety and effectiveness specific for a smaller needle with a regular wall. This 510k will provide supporting information that the 27G x 1/2" K-Pack Surshield" Needle is safe and effective and an acceptable addition to the existing K-Pack SurshieldTM Needle.

II.3. Intended Use

A single use injection needle with an integrated passive sharps protection feature designed to reduce needle stick injury and to be used in combination with a (pre-)filled syringe for subcutaneous and intramuscular injection.

11.4. Description

The 27G K-Pack Surshield™ Needle is a hypodermic single lumen needle, for single use consisting of a stainless steel tube that is sharpened at one end and at the other end joined to a female luer connector (hub) made of polypropylene designed to be connected with a male connector (nozzle) of a piston syringe. Furthermore the needle has a passive sharps protection feature that covers the

1

a piston syringe. Furthermore the needle has a passive sharps protection feature that covers the cannula immediately and permanently after use. The K-Pack Surshield™ Needle is packed in a hard pack (cap - case) which is sealed with a perforated self-adhesive paper label.

II.5. Substantial Equivalence

The "27 G x 1/2" K-Pack Surshield Needle", manufactured by Terumo Europe N.V., submitted in this 510(k) file is substantially equivalent in intended use, description/specifications, technology/principles of operation, materials and performance to the following cleared devices: - 25G x 5/8" K-Pack Surshield™ Needle (K110527)

Any differences between the devices do not raise any significant issues of safety and effectiveness.

II.6. Summary of Verification Activities

All necessary verification and validation tests have been performed by testing the K-Pack Surhiela™ Needle 27G x 1/2" - 0.4 x 12 mm in accordance with EN ISO 7864 (1995) and ISO 23908 (2011). Summary of the verification activities including acceptance criteria is given in the table below:

TESTACCEPTANCE CRITERIA
1. CleanlinessInspected by normal or corrected-to-normal vision without magnification under
an illuminance of 300 lx, the surface of the hypodermic needle tube shall appear
free from particles and extraneous matter.
When examined under x2.5 magnification, the hub socket shall appear free from
particles and extraneous matter.
2. Limits for acidity or alkalinityA pH for K-Pack Needles extract solution is within 1 unit of the control fluid.
3. Limits for extractable metalsThe extract solution of the K-Pack Surshield Needles has a content of
extractable metals which is, when corrected for the metal content of the control
fluid:
$Σ$ Pb, Sn, Zn, Fe ≤ 5 mg/l
Cd