K Number
K132011
Device Name
APOTECA DUG COMPOUNDING DOSING DEVICE,APOTECA I.V. TRANSFER SET
Manufacturer
Date Cleared
2014-03-21

(263 days)

Product Code
Regulation Number
880.5860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The APOTECA® Drug Compounding Dosing Device is indicated for use by pharmacists or other healthcare professionals for the preparation of chemotherapy drugs, for the transfer of drug from vials to IV bag for infusion. The drug transfer through the device can be performed manually or through an automatic pharmacy compounding system. The specific assembly configuration of the needle allows a robotic arm to manage the device and an automatic dosing device to transfer drug from a vial to a bag by applying pressure on the syringe plunger. The APOTECA® Drug Compounding Dosing Device is intended for use with APOTECAchemo automatic compounding system or for manual drug compounding. The APOTECA® I.V. Transfer Set is a non-vented infusion set indicated to be used as a connecting part between the IV bag and an external IV line when the drug preparation is performed through an automatic pharmacy compounding system. The APOTECA® I.V. Transfer Set is intended for use with APOTECAchemo automatic compounding system.
Device Description
The APOTECA® Drug Compounding Dosing Device and I.V. Transfer Set is a system for preparation and administration of drugs intended for use with APOTECAchemo automatic compounding system. APOTECA® Drug Compounding Dosing Device: a single use piston syringe that consists of a syringe (3ml, 5ml, 10ml, 20ml, 50ml) with a luer lock connector bonded to a needle. The syringe consists of a plastic barrel with a graduated scale, a synthetic rubber stopper and a plastic plunger rod. The needle is a Huber point non-coring needle with 16G thin wall cannula (0.5" plus 0.5" inside the vented hub). The device is not manufactured with natural rubber latex. The device is designed to be handled manually or by automatic pharmacy compounding system for the preparation and admixture of drugs in healthcare establishments. APOTECA® I.V. Transfer Set: a non-vented infusion set used as a connecting part between an IV bag and an external infusion line. The device comprises of the following components: Non-vented spike, Connecting tube, Spike port adaptor with Twist-Off cap and safety membrane, Luer lock adaptor with protective cap.
More Information

Not Found

No
The document describes a mechanical device (syringe, needle, transfer set) and its use with an automatic compounding system. There is no mention of AI or ML in the description, intended use, or performance studies. The automation described is mechanical and likely based on pre-programmed instructions, not learning algorithms.

No
This device is for the preparation and administration of drugs, not for the treatment or diagnosis of a condition.

No

The device is described as a system for the preparation and administration of drugs, specifically for compounding chemotherapy drugs and transferring drugs from vials to IV bags. Its function is to facilitate drug handling and transfer, not to diagnose a medical condition.

No

The device description clearly outlines physical components such as syringes, needles, and infusion sets, indicating it is a hardware device, not software-only.

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

Here's why:

  • Intended Use: The intended use is for the preparation and transfer of chemotherapy drugs for infusion. This is a process related to drug administration, not the diagnosis of a disease or condition.
  • Device Description: The device components are described as syringes, needles, and infusion sets, all of which are used for handling and delivering substances into the body.
  • Lack of Diagnostic Function: There is no mention of the device being used to analyze biological samples (blood, urine, tissue, etc.) or to provide information about a patient's health status.
  • Performance Studies: The performance studies focus on the device's ability to be handled by an automatic compounding system, biocompatibility, and leak/airtightness – all related to its function in drug preparation and administration. There are no studies related to diagnostic accuracy or performance.

In summary, the APOTECA® Drug Compounding Dosing Device and I.V. Transfer Set are tools for preparing and administering drugs, which falls outside the scope of In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The APOTECA® Drug Compounding Dosing Device is indicated for use by pharmacists or other healthcare professionals for the preparation of chemotherapy drugs, for the transfer of drug from vials to IV bag for infusion. The drug transfer through the device can be performed manually or through an automatic pharmacy compounding system. The specific assembly configuration of the needle allows a robotic arm to manage the device and an automatic dosing device to transfer drug from a vial to a bag by applying pressure on the syringe plunger. The APOTECA® Drug Compounding Dosing Device is intended for use with APOTECAchemo automatic compounding system or for manual drug compounding.

The APOTECA® I.V. Transfer Set is a non-vented infusion set indicated to be used as a connecting part between the IV bag and an external IV line when the drug preparation is performed through an automatic pharmacy compounding system. The APOTECA® I.V. Transfer Set is intended for use with APOTECAchemo automatic compounding system.

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

FMF, LHI

Device Description

The APOTECA® Drug Compounding Dosing Device and I.V. Transfer Set is a system for preparation and administration of drugs intended for use with APOTECAchemo automatic compounding system.

APOTECA® Drug Compounding Dosing Device:
The APOTECA® Drug Compounding Dosing Device is a single use piston syringe that consists of a syringe (3ml, 5ml, 10ml, 20ml, 50ml) with a luer lock connector bonded to a needle. The syringe consists of a plastic barrel with a graduated scale, a synthetic rubber stopper and a plastic plunger rod. The needle is a Huber point non-coring needle with 16G thin wall cannula (0.5" plus 0.5" inside the vented hub). The device is not manufactured with natural rubber latex. The device is designed to be handled manually or by automatic pharmacy compounding system for the preparation and admixture of drugs in healthcare establishments.
The APOTECA® Drug Compounding Dosing Device is provided sterile by EO sterilization method.

APOTECA® I.V. Transfer Set:
APOTECA® I.V. Transfer Set is a non-vented infusion set used as a connecting part between an IV bag and an external infusion line.
The device comprises of the following components:

  • Non-vented spike
  • Connecting tube
  • Spike port adaptor with Twist-Off cap and safety membrane
  • Luer lock adaptor with protective cap

The APOTECA® I.V. Transfer Set with a spike port adaptor is intended for the connection to the spike port of an IV infusion line. The short tubing enables the transfer of drug in a bag to a delivery set in the hospital ward.
The APOTECA® I.V. Transfer Set with a luer lock adaptor enables the connection of the female luer port of an intravenous infusion line for direct drug transfer.
The APOTECA® I.V. Transfer Set with UV resistant connecting tube is indicated to be used with photosensitive drugs.
All devices are packaged sterile.

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

pharmacists or other healthcare professionals for the preparation of chemotherapy drugs, for the transfer of drug from vials to IV bag for infusion.

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)

A product risk analysis was conducted according to ISO 14971:2007 and there were no new issues of safety and effectiveness. Bench tests were performed based on risk analysis to verify that the APOTECA® Drug Compounding Dosing Device and I.V. Transfer Set can be handled by the APOTECAchemo automatic pharmacy compounding system for drug preparation.

Biocompatibility testing included the following:
Hemolysis (ISO 10993-4:2002/A:2006): Non-Toxic
Cytotoxicity (ISO 10993-5:1999): Non-Toxic
EO Residual (ISO 10993-7:2008): .

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.

K110771, K980987, K832347, K071741, K980381, K002705

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

APOTECA

510(k) Summary K132011

1.Submitter Information
Company Name:AEA SRL
Company Address:Via Fiume 16, Angeli di Rosora, Ancona, 60030, Italy
Company Phone:0039-0731-8161
Company Fax:0039-0731-816700
Contact Person:Michele Mengoni
Quality Assurance & Regulatory Affairs
Loccioni Humancare
Date Summary Prepared:June 6, 2013
2.Device Identification
Trade Name:APOTECA® Drug Compounding Dosing Device and I.V. Transfer Set
Common Name:IV Fluid Transfer Set
Classification NameSet, IV Fluid Transfer
Regulatory Class:Class II
Regulation Number:APOTECA® Drug Compounding Dosing Device: 21 CFR 880.5860
APOTECA® I.V. Transfer Set: 880.5440
Product Code:APOTECA® Drug Compounding Dosing Device: FMF
APOTECA® I.V. Transfer Set: LHI
Panel IdentificationGeneral Hospital
3.Predicate Devices
Trade Name:Becton Dickinson Single Use Hypodermic Syringes
Manufacturer:Becton, Dickinson and Company
510(k) NumberK110771, K980987
Trade Name:Two-Fer™ Non-Coring Huber Point Needle
Manufacturer:BAXA CORP. Englewood CO
510(k) NumberK832347
Trade Name:TEVADAPTOR™ Spike Port Adaptor
Manufacturer:Teva Medical Ltd. (Migada Plant)
510(k) NumberK071741
Trade Name:TEVADAPTOR™ Connecting Set
Manufacturer:Teva Medical Ltd. (Migada Plant)
510(k) NumberK071741
Trade Name:PhaSeal® Secondary Set
Manufacturer:Carmel Pharma AB.
510(k) NumberK980381
Trade Name:Exacta-Mix 2400 Compounding System Administration Set
Manufacturer:BAXA CORP. Englewood CO
510(k) Number:K002705

LOCCIONI


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Image /page/1/Picture/0 description: The image contains the word "APOTECA" in a bold, sans-serif font. The letters are black and outlined in black, giving them a distinct and modern appearance. The font style is geometric, with sharp angles and clean lines, making the word easily readable.

4. Device Description

The APOTECA® Drug Compounding Dosing Device and I.V. Transfer Set is a system for preparation and administration of drugs intended for use with APOTECAchemo automatic compounding system.

APOTECA® Drug Compounding Dosing Device

The APOTECA® Drug Compounding Dosing Device is a single use piston syringe that consists of a syringe (3ml, 5ml, 10ml, 20ml, 50ml) with a luer lock connector bonded to a needle. The syringe consists of a plastic barrel with a graduated scale, a synthetic rubber stopper and a plastic plunger rod. The needle is a Huber point non-coring needle with 16G thin wall cannula (0.5" plus 0.5" inside the vented hub). The device is not manufactured with natural rubber latex. The device is designed to be handled manually or by automatic pharmacy compounding system for the preparation and admixture of drugs in healthcare establishments.

The change from the predicate devices is limited to its assembly configuration.

The APOTECA® Drug Compounding Dosing Device is provided sterile by EO sterilization method.

APOTECA® I.V. Transfer Set is a non-vented infusion set used as a connecting part between an IV bag and an external infusion line.

The device comprises of the following components:

  • . Non-vented spike
  • Connecting tube .
  • . Spike port adaptor with Twist-Off cap and safety membrane
  • . Luer lock adaptor with protective cap

The APOTECA® I.V. Transfer Set with a spike port adaptor is intended for the connection to the spike port of an IV infusion line. The short tubing enables the transfer of drug in a bag to a delivery set in the hospital ward.

The APOTECA® I.V. Transfer Set with a luer lock adaptor enables the connection of the female luer port of an intravenous infusion line for direct drug transfer.

The APOTECA® I.V. Transfer Set with UV resistant connecting tube is indicated to be used with photosensitive drugs,

All devices are packaged sterile.

5. Intended Use

The APOTECA® Drug Compounding Dosing Device is indicated for use by pharmacists or other healthcare professionals for the preparation of chemotherapy drugs, for the transfer of drug from vials to IV bag for infusion. The drug transfer through the device can be performed manually or through an automatic pharmacy compounding system. The specific assembly configuration of the needle allows a robotic arm to manage the device and an automatic dosing device to transfer drug from a vial to a bag by applying pressure on the syringe plunger. The APOTECA® Drug Compounding Dosing Device is intended for use with APOTECAchemo automatic compounding system or for manual drug compounding.

The APOTECA® I.V. Transfer Set is a non-vented infusion set indicated to be used as a connecting part between the IV bag and an external IV line when the drug preparation is performed through an automatic pharmacy compounding system. The APOTECA® I.V. Transfer Set is intended for use with APOTECAchemo automatic compounding system.

2

APOTECA

Technological Characteristics Comparison to Predicate Device 6.

A comparison of the technological characteristics of APOTECA® Drug Compounding Dosing Device and I.V. Transfer Set and the predicate devices has been performed. The APOTECA® Drug Compounding Dosing Device and I.V. Transfer Set is Substantially Equivalent to the predicate devices, qiven that:

  • The APOTECA® Drug Compounding Dosing Device and I.V. Transfer Set has the same V intended use as the predicate device.
  • The APOTECA® Drug Compounding Dosing Device syringe use an identical design and > identical materials as the predicate device.
  • The APOTECA® Drug Compounding Dosing Device needle use an identical design and > identical materials as the predicate device.
  • V The APOTECA® Drug Compounding Dosing Device and the predicate devices meet the requirements for manual use and use with power-driven pumps as defined by ISO 7886-1 and ISO 7886-2 respectively.
  • The APOTECA® Drug Compounding Dosing Device and the predicate devices are made of medical grade polypropylene compatible with cytotoxyc drugs.

  • The APOTECA® Drug Compounding Dosing Device and the predicate device cannula are made of stainless steel AISI 304.

  • The APOTECA® I.V. Transfer Set has the same components and materials as the predicate devices

  • The APOTECA® I.V. Transfer Set has the same fitting connection to external standard IV bag as the predicate devices

  • The APOTECA® I.V. Transfer Set has the same fitting connection to external standard IV line as > the predicate devices
  • The materials of the components of the APOTECA® Drug Compounding Dosing Device and I.V. > Transfer and of the predicate devices comply with ISO 10993 as applicable to the intended use of the devices.
  • The APOTECA® Drug Compounding Dosing Device and I.V. Transfer demonstrated > equivalence performances to the predicate devices.

7. Performance Data

A product risk analysis was conducted according to ISO 14971:2007 and there were no new issues of safety and effectiveness. Bench tests were performed based on risk analysis to verify that the APOTECA® Drug Compounding Dosing Device and I.V. Transfer Set can be handled by the APOTECAchemo automatic pharmacy compounding system for drug preparation.

Performance CharacteristicTestAcceptance Criteria
HemolysisISO 10993-4:2002/A:2006Non-Toxic
CytotoxicityISO 10993-5:1999Non-Toxic
EO ResidualISO 10993-7:2008.

10 Conclusion

The APOTECA® Drug Compounding Dosing Device and I.V. Transfer Set has the same intended use as the predicate devices for the preparation and administration of parenteral drugs and has equivalent performance characteristics. The device submitted is therefore substantially equivalent to predicate devices.

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Image /page/4/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is an emblem featuring a stylized caduceus, a symbol often associated with healthcare, with a triple-stranded helix design.

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

March 21, 2014

AEA SRL C/O Mr. Michele Mengoni Quality Assurance & Regulatory Affairs Via Fiume 16, Angeli di Rosora Ancona, 60030 ITALY

Re: K132011

Trade/Device Name: APOTECA® Drug Compounding Dosing Device and I.V. Transfer Set

Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: II Product Code: FMF, LHI Dated: March 10, 2014 Received: March 13, 2014

Dear Mr. Mengoni:

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.

5

Page 2 - Ms. Mengoni

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/Resourcesfor You/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/ReportalProblem/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 yours,

Image /page/5/Picture/7 description: The image shows the name "Kwame O. Ulmer" in a bold, sans-serif font. Below the name, there is some faded text that is difficult to read. The letter "-S" is on the bottom left of the image.

for

Erin I. Keith, M.S. Acting 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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Image /page/6/Picture/1 description: The image contains the word "LOCCION" in a bold, sans-serif font. Below the word, there are three shapes, two of which are outlined squares and the third is a filled-in square. The text and shapes are arranged in a single line.

Indications for Use

510(k) Number (if known): __ K132011

APOTECA® Drug Compounding Dosing Device and I.V. Transfer Set Device Name:

Indications For Use:

APOTECA® Drug Compounding Dosing

The APOTECA® Drug Compounding Dosing Device is indicated for use by pharmacists or other healthcare professionals for the preparation of chemotherapy drugs, for the transfer of drug from vials to IV bag for infusion. The drug transfer through the device can be performed manually or through an automatic pharmacy compounding system. The specific assembly configuration of the needle allows a robotic arm to manage the device and an automatic dosing device to transfer drug from a vial to a bag by applying pressure on the syringe plunger. The APOTECA® Drug Compounding Dosing Device is intended for use with APOTECAchemo automatic compounding system or for manual drug compounding.

APOTECA® I.V. Transfer Set

The APOTECA® I.V. Transfer Set is a non-vented infusion set indicated to be used as a connecting part between the IV bag and an external IV line when the drug preparation is performed through an automatic pharmacy compounding system. The APOTECA® I.V. Transfer Set is intended for use with APOTECAchemo automatic compounding system.

Prescription Use × (Part 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)

Digitally signed by Richard C. Chapman Date: 2014.03.21 08:22:53 -04'00'

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Document : Indicable for Use - APOTECA® Drug Compounding Dosing Device and LV. Transfer Sel