K Number
K121637
Device Name
AUTO-DISABLE STERILE SAFTY SYRING FOR SINGLE USE
Date Cleared
2012-10-25

(143 days)

Product Code
Regulation Number
880.5860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Auto-Disable Sterile Safety Syringe for Single Use ,5ml, is used to inject fluids into, or withdraw fluids from the body. In addition, the retractable needle of the syringe goes into the barrel after use. It is designed to aid in the prevention of needle stick injuries.
Device Description
The Auto-Disable Sterile Safety Syringe for Single Use is used to inject fluids into, or withdraw fluids from the body. In addition, the retractable needle of the syringe goes into the barrel after use. It is designed to aid in the prevention of needle stick injuries. The retractable type of piston syringe is a plastic disposable anti-needle stick syringe made of the below components: Cap, Needle, Needle house, Hub, Barrel, Gasket, Plunger.
More Information

No
The device description and performance studies focus on the mechanical safety features of a syringe and do not mention any computational or data-driven components indicative of AI/ML.

No
A therapeutic device is used to treat a disease or condition. This device is a syringe used to inject or withdraw fluids, and its primary purpose, beyond fluid handling, is to prevent needle stick injuries, which is a safety mechanism rather than a therapeutic action.

No
The device, a syringe, is used for injecting or withdrawing fluids and preventing needle stick injuries, not for diagnosing medical conditions.

No

The device description clearly outlines physical components like a needle, barrel, and plunger, indicating it is a 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 to "inject fluids into, or withdraw fluids from the body." This describes a device used for direct interaction with the patient's body for therapeutic or diagnostic purposes (like administering medication or drawing blood).
  • IVD Definition: In vitro diagnostics are devices used to examine specimens (like blood, urine, or tissue) outside of the body to provide information about a patient's health.
  • Device Description: The description details the physical components of a syringe, which is a tool for administering or withdrawing substances from the body.
  • Lack of IVD Indicators: There is no mention of analyzing specimens, performing tests on samples, or providing diagnostic information based on laboratory analysis.

Therefore, this device falls under the category of a medical device used for direct patient care, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Auto-Disable Sterile Safety Syringe for Single Use ,5ml, is used to inject fluids into, or withdraw fluids from the body. In addition, the retractable needle of the syringe goes into the barrel after use. It is designed to aid in the prevention of needle stick injuries.

Product codes

MEG

Device Description

The Auto-Disable Sterile Safety Syringe for Single Use is used to inject fluids into, or withdraw fluids from the body. In addition, the retractable needle of the syringe goes into the barrel after use. It is designed to aid in the prevention of needle stick injuries.

The retractable type of piston syringe is a plastic disposable anti-needle stick syringe made of the below components:

  1. Cap - Covers the needle until the syringe is to be used
  2. Needle - The needle penetrates the patient's skin to inject/withdraw fluid from the body
  3. Needle house - a plastic part, as a assembly part with needle to fasten together with epoxy glues
  4. Hub - a plastic part for minimizes the risk of leakage around the needle assembly
  5. Barrel - The barrel has a scale showing the capacity of the syringe , in addition ,the top of the barrel has a airproof ring lock fitting for minimize risk of leakage around the Hub
  6. Gasket - A TPE (Thermoplastic Elastomer) molding part. The gasket is to be assembled with plunger for bring plus/minus pressure within barrel when the plunger to be fully depressed/retracted
  7. Plunger - Once the plunger is fully depressed, it engages the needle assembly, as the plunger is retracted ,the needle assembly is retracted into the barrel, once the plunger is fully retracted and locked in place, the plunger is snapped off leaving the needle in the barrel of the syringe

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

Simulated Clinical Use Study: Sunwell Biotech Co., Ltd conducted simulated clinical use study of Auto-Disable Sterile Safety Syringe for Single Use, 5ml, in accordance with the FDA Guidance for industry and FDA Staff, Medical Devices with Sharps Injury Prevention Features, August 9, 2005. The objective was to assess the reliability and usability of the safety feature of that device. Based on the simulated clinical use test recommended in that document, 10 nurses were recruited. They tested a total of 500 Auto-Disable Sterile Safety Syringe for Single Use and 100 samples of a similar products, the Invirosnap Safety Syringe( Which is already marketed in the United States with K092430), and reported their experience with each sample. The safety mechanisms and the user actions of the two devices are similar. Samples of the both syringes were provided by Sunwell Biotech Co., Ltd.

Key Metrics

Not Found

Predicate Device(s)

K092430

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

K121637

510(k) Summary

OCT 25 2012

This summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of 21 CFR Part 807.92.

Date: June 4, 2012

Company and Correspondent making the submission:

Name - Sunwell Biotech Co., Ltd.

Address - No.9,Yongxing Road, Gangzha Economic Development Zone, Nantong City, Jiangsu, China 226002

Telephone - 86-513-85308888

Fax - 86-513-85308899

Contact - Mr. Charlie Mack

Email - charliemack@irc-us.com

Device :

Trade/proprietary name: Auto-Disable Sterile Safety Syringe For Single Use, 5mL

Common Name

: Antistick Syringe

Classification Name : Piston, Syringe

Predicate Device:

ModelManufacturerK NumberSubmitted Device
Invirosnap
Safety
Syringe, 1ml
2ml 3ml 5ml
10ml and
20mlInviro Medical
Devices, Inc.K092430Auto-Disable Sterile
Safety Syringe for
Single Use, 5mL

Classifications Names & Citations : 21CFR 880.5860, MEG, Anti-Stick Syringe, Class II

1

Description :

General

The Auto-Disable Sterile Safety Syringe for Single Use is used to inject fluids into, or withdraw fluids from the body. In addition, the retractable needle of the syringe goes into the barrel after use. It is designed to aid in the prevention of needle stick injuries.

The retractable type of piston syringe is a plastic disposable anti-needle stick syringe made of the below components:

  1. Cap - Covers the needle until the syringe is to be used

  2. Needle - The needle penetrates the patient's skin to inject/withdraw fluid from the body

  3. Needle house - a plastic part, as a assembly part with needle to fasten together with epoxy glues

  4. Hub - a plastic part for minimizes the risk of leakage around the needle assembly

  5. Barrel - The barrel has a scale showing the capacity of the syringe , in addition ,the top of the barrel has a airproof ring lock fitting for minimize risk of leakage around the Hub

  6. Gasket - A TPE (Thermoplastic Elastomer) molding part. The gasket is to be assembled with plunger for bring plus/minus pressure within barrel when the plunger to be fully depressed/retracted

  7. Plunger - Once the plunger is fully depressed, it engages the needle assembly, as the plunger is retracted ,the needle assembly is retracted into the barrel, once the plunger is fully retracted and locked in place, the plunger is snapped off leaving the needle in the barrel of the syringe

Indications For Use

The Auto-Disable Sterile Safety Syringe for Single Use ,5ml, is used to inject fluids into, or withdraw fluids from the body. In addition, the retractable needle of the syringe goes into the barrel after use. It is designed to aid in the prevention of needle stick injuries.

2

Sterilization:

Sunwell Biotech Co., Ltd., has successfully performed the EO validation according to ISO 11135-1:2007 for Auto-Disable Sterile Safety Syringe for Single Use. All predetermined parameters have been met.

Biocompatibility:

The biocompatibility study has been conducted for Auto-Disable Sterile Safety Syringe for Single Use 5ml according to the below applicable standards:

In Vitro Cytotoxicity (ISO 10993-5:2009) Delayed Contact Sensitization Study in the Guinea Pig (ISO10993-10:2010) Intracutaneous Test (ISO10993-10:2010) Systemic Toxicity (Acute) (ISO10993-11:2006) Hemolysis Test (ISO 10993-4-2002/Amd. 1:2006) Complement Activity Test (ISO 10993-4-2002/Amd. 1:2006) Thrombosis Test (ISO 10993-4-2002/Amd. 1:2006)

Package and Shelf Life:

Testing was performed to demonstrate package and shelf life verification. The study shows that the subject sterilization package complies with the applicable standards and support the 3 years shelf life claim. The tests noted below were performed:

Accelerated Aging of Sterile Barrier Systems (ASTM F1980-07) Sterilization of medical devices - Microbiological methods (AAMI/ANSI/ISO 11737-2:2009 - Part 2)

Standard Test Method for Determination of Leaks in Flexible Packaging by Bubble Emission (ASTM D3078-02)

Standard Test Method for Detecting Seal Leaks in Porous Medical Packaging by Dye Penetration (ASTM F1929-98)

Test Method for Seal Strength of Flexible Barrier Materials (ASTM F88/F88M-09) for terminally sterilized medical devices - Part 1: (AAMI/ANSI/ISO 11607-1:2006/) Sterile hypodermic syringes for single use - Part 1: (ISO 7886-1:1993) Sterile hypodermic needles for single use (ISO 7864 Third edition 1993-05-15) Stainless steel needle tubing for the manufacture of medical devices (ISO 9626 First edition 1991-09-01, AMENDMENT 1 2001-06-01)

3

Simulated Clinical Use Study

Sunwell Biotech Co., Ltd conducted simulated clinical use study of Auto-Disable Sterile Safety Syringe for Single Use, 5ml, in accordance with the FDA Guidance for industry and FDA Staff, Medical Devices with Sharps Injury Prevention Features, August 9, 2005. The objective was to assess the reliability and usability of the safety feature of that device. Based on the simulated clinical use test recommended in that document, 10 nurses were recruited. They tested a total of 500 Auto-Disable Sterile Safety Syringe for Single Use and 100 samples of a similar products, the Invirosnap Safety Syringe( Which is already marketed in the United States with K092430), and reported their experience with each sample. The safety mechanisms and the user actions of the two devices are similar. Samples of the both syringes were provided by Sunwell Biotech Co., Ltd.

Product Picture

Image /page/3/Picture/3 description: The image shows a syringe with a needle. The syringe is made of clear plastic and has a black plunger. The syringe is marked with measurements from 1 to 5 ml. The brand name "Dr. Needl" is printed on the side of the syringe.

Comparison with predicate device :- Please see the next page

4

SE Table

Element of comparisonSubject DeviceClaimed SE Device
CompanySunwell Biotech Co., Ltd.Inviro Medical Devices, Inc.
FDA510(K) NumberN/AK092430
Device NameAuto-Disable Sterile Safety Syringe for Single UseInvirosnap Safety Syringe
Model Number5ml1ml 2ml 3ml 5ml 10ml and 20ml
Intended UseThe Auto-Disable Sterile Safety Syringe for Single Use
is used to inject fluids into, or withdraw fluids from the
body. In addition, the retractable needle of the syringe
goes into the barrel after use. It is designed to
aid in the prevention of needle stick injuriesThe InviroSnap Safety Syringe is used to inject fluids into, or
withdraw fluids from, the body. In addition, the InviroSnap
Safety Syringe is designed to aid in the prevention of needle
stick injuries.
Principle of operationIdenticalAfter use, the health care professional fully depresses the
plunger to engage the luer assembly. Once the luer
assembly is engaged, pulling back the plunger causes the
Adapter and the attached needle to be withdrawn into the
safety of the barrel. In this position against the flange, lateral
pressure on the plunger results in a controlled fracture of
the plunger. Both the syringe and plunger are discarded in a
sharps container.
Safety featureIdenticalManually retractable safety syringe with permanent disable
Specific drug useIdenticalConventional drugs
SterilizationIdenticalSterilized by ethylene oxide gas
Needle lengthIdentical1 1/4 Inch
Needle gauge22G21/22/23G
Needle tip configurationIdenticalTri-Beveled Tip
Wall typeIdenticalRegular wall
Nozzle typeIdenticalNeedle and hub are integral to the syringe, not separable.
Barrel marking specsidenticalconforms to ISO 7886-1:1993/ Corrigendum 1:1995
Gradations legibilityidentical0.2ml
Needle cover coloridenticalclarity
Lubricant compositionidenticalPolydimethylsiloxane oil (PDMS)
Lubricant amount/cm²Identical