K Number
K124026
Device Name
LOBSTER AUTO-INJECTOR
Date Cleared
2013-09-13

(259 days)

Product Code
Regulation Number
880.6920
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Lobster device is intended for use with a ImL glass syringe, containing a fixed needle of 27G to 29G gauge, and drug product solutions with a viscosity between 1 and 4 mPa*s. The Lobster auto-injector is a reusable injection device for the subcutaneous injection of FDA approved drugs. For single patient or individual use only.
Device Description
The Lobster Auto-injector is a reusable, spring-loaded injection device that is for use with 1.0 ml pre-filled glass syringes with staked needle. Lobster Auto-injector consists of two subassemblies into which the syringe is loaded and connected together to form the delivery system for self-injection.
More Information

Not Found

No
The document describes a mechanical auto-injector and does not mention any AI or ML components or functionalities.

No.
The device description indicates that the Lobster Auto-injector is a reusable, spring-loaded injection device that is used to deliver medications, but it does not directly treat a disease or condition itself.

No

The device is described as an "auto-injector" and "reusable injection device" for "subcutaneous injection of FDA approved drugs," indicating its function is to deliver medication, not to diagnose a condition.

No

The device description explicitly states it is a reusable, spring-loaded injection device that is for use with pre-filled glass syringes, indicating it is a hardware device. The performance studies also focus on physical characteristics like activation force and injection time, further supporting it is not a software-only device.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is for the "subcutaneous injection of FDA approved drugs." This describes a device used to administer medication directly into the body, not to perform tests on samples taken from the body.
  • Device Description: The description details a "reusable, spring-loaded injection device" for use with pre-filled syringes. This aligns with a drug delivery device, not an IVD.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device's function is solely for drug delivery.

N/A

Intended Use / Indications for Use

The Lobster device is intended for use with a 1mL glass syringe, containing a fixed needle of 27G to 29G gauge, and drug product solutions with a viscosity between 1 and 4 mPa*s. The Lobster auto-injector is a reusable injection device for the subcutaneous injection of FDA approved drugs.

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

KZH

Device Description

The Lobster Auto-injector is a reusable, spring-loaded injection device that is for use with 1.0 ml pre-filled glass syringes with staked needle. Lobster Auto-injector consists of two subassemblies into which the syringe is loaded and connected together to form the delivery system for self-injection.

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

For single patient or individual use only.

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)

Lobster Auto-injector was assessed using the applicable sections and methods specified in the ISO standard, ISO 11608:2012, "Needle-based injection systems for medical use - Requirements and test methods - Part 1: Needle-based injection systems". Activation force, needle extension, injection time, completeness of injection, functionality, and robustness were assessed; Lobster auto-injector met all requirements and specifications.

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.

K945660, K013362, K033696

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

§ 880.6920 Syringe needle introducer.

(a)
Identification. A syringe needle introducer is a device that uses a spring-loaded mechanism to drive a hypodermic needle into a patient to a predetermined depth below the skin surface.(b)
Classification. Class II (performance standards).

0

KIZ4026

3 2013

Image /page/0/Picture/1 description: The image contains the logo for SHL Group. The logo consists of a stylized graphic to the left of the text "SHL GROUP". The graphic appears to be two horizontal lines with angled ends, resembling an abstract design. The text is in a bold, sans-serif font.

510(k) Summary of Safety and Effectiveness (21 CFR 807.92(a)) 5.

Date Prepared: September 6, 2013

5.1 Submitted By:

Scandinavian Health Ltd. 136, Kuo Sheng 2nd Street Taoyuan City 330, Taiwan

Contact: James Haynes Manager, Regulatory Affairs SHL Pharma LLC Phone: 954-725-2046 E-mail: James.Haynes@shl-group.com

5.2 Name of Device:

Common Name:Auto-Injector
Regulation Number:880.6920
Classification Name:Syringe Needle Introducer
Classification:Class II
Product Code:KZH

Predicate Devices: 5.3

Device name:Autoject 2
510(k) number:K945660
Device name:Autoject 2
510(k) number:K013362
Device name:Personal InjectorTM
510(k) number:K033696

1

Image /page/1/Picture/0 description: The image shows the logo for SHL Group. The logo consists of a stylized graphic to the left of the text "SHL GROUP". The graphic appears to be a stylized representation of two arrows pointing in opposite directions. The text is in a bold, sans-serif font.

5.4 Substantial Equivalence

The Lobster Auto-injector has a similar intended use and the same principle of operation as the Autoject 2 from Owen Mumford and Personal Injector™ from Union Medico. In addition, the equivalence is supported by the performance characteristics and materials as compared to the Autoject 2 that was also the predicate devices for Personal Injector™. The Lobster Auto-injector shares the same intended use and marketing intent (e.g. prescription and OTC use) as Union Medico's Personal Injector™.

ર્સ્ડ Device Description

The Lobster Auto-injector is a reusable, spring-loaded injection device that is for use with 1.0 ml pre-filled glass syringes with staked needle. Lobster Auto-injector consists of two subassemblies into which the syringe is loaded and connected together to form the delivery system for self-injection.

ર્સ્વ Intended Use

For single patient or individual use only.

The Lobster device is intended for use with a 1mL glass syringe, containing a fixed needle of 27G to 29G gauge, and drug product solutions with a viscosity between 1 and 4 mPa*s. The Lobster auto-injector is a reusable injection device for the subcutaneous injection of FDA approved drugs.

5.7 Technological Characteristics

The Lobster Auto-injector has similar technological characteristics to the Owen Mumford's Autoject 2. Differences between the devices do not raise any significant issues of safety and effectiveness.

5.8 Performance Data

Lobster Auto-injector was assessed using the applicable sections and methods specified in the ISO standard, ISO 11608:2012, "Needle-based injection systems for medical use - Requirements and test methods - Part 1: Needle-based injection systems". Activation force, needle extension, injection time, completeness of injection, functionality, and robustness were assessed; Lobster auto-injector met all

2

Image /page/2/Picture/0 description: The image shows the logo for SHL Group. The logo consists of a stylized arrow pointing to the right, followed by the text "SHL GROUP" in bold, sans-serif font. The arrow is made up of two horizontal lines, one above the other, with a gap in the middle.

requirements and specifications.

5.9 Conclusion

Based on the information presented herein, the Lobster Auto-injector is substantially equivalent to similar products that have received FDA clearance and are currently legally marketed in the USA.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G605 Silver Spring, MD 20993-0002

September 13, 2013

Scandinavian Health Limited C/O Mr. James Haynes Manager, Regulatory Affairs SHL Pharma LLC 588 Jim Moran Boulevard DEERFIELD BEACH FL 33442

Re: K124026

Trade/Device Name: Lobster Auto-Injector Regulation Number: 21 CFR 880.6920 Regulation Name: Syringe Needle Introducer Regulatory Class: II Product Code: KZH Dated: July 25, 2013 Received: July 29, 2013

Dear Mr. Haynes:

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 I ho general ocharity 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. Haynes

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 contact the Division of Small Manufacturers. International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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/Industry/default.htm.

Sincerely vours.

Mary S. Runner -S

Kwame Ulmer M.S. Acting Division Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known): K124026

Device Name: Lobster Auto-injector

Indications for Use:

The Lobster device is intended for use with a ImL glass syringe, containing a fixed needle of 27G to 29G gauge, and drug product solutions with a viscosity between 1 and 4 mPa*s. The Lobster auto-injector is a reusable injection device for the subcutaneous injection of FDA approved drugs.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-the-Counter Use_ 2 (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)

Richard C. Chapman 2013.09.13 1 1:24:41 -04'00'

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

510(k) Number: