K Number
K133738
Manufacturer
Date Cleared
2014-05-21

(163 days)

Product Code
Regulation Number
880.5570
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

NovoFine® Plus needles are intended for use with pen injector devices for the subcutaneous injection of drugs, including insulin, GLP-1 analogs, and somatropin.

Device Description

NovoFine® Plus needles are single use, sterile need in conjunction with pen injector devices. Prior to giving an injection, the protective tab is removed from the outer needle cap of the single-use disposable needle. With the disposable needle remaining in the outer needle cap, it is then carefully screwed onto the injection delivery device until tight and then the needle outer and inner caps are removed. Use the needles as described in the instructions for use that comes with the pen-injector device and as instructed by the healthcare professional. After the injection, the needle is removed from the skin. The needle is detached from the injection device and disposed of in accordance with national/local regulations. For each subsequent injection, another disposable needle must be used.

AI/ML Overview

Here's an analysis of the provided text regarding the acceptance criteria and study for the NovoFine® Plus 32G x 4 mm Disposable Needle:

This document is a 510(k) summary for a medical device cleared via substantial equivalence. As such, it does not detail a study to "prove the device meets acceptance criteria" in the way one might expect for a novel device undergoing clinical trials to establish efficacy. Instead, it demonstrates that the device is as safe and effective as a legally marketed predicate device through non-clinical testing and comparison of technological characteristics. Therefore, many of the typical acceptance criteria and study details for an AI/algorithm-based device outlined in your prompt are not applicable here.

However, I will extract the relevant information where possible, and explicitly state when a particular detail is not available or not applicable based on the provided text.

1. Table of Acceptance Criteria and Reported Device Performance

Acceptance Criteria CategorySpecific Criteria (from relevant standards or comparison)Reported Device Performance (as demonstrated in testing or comparison)
BiocompatibilityCompliance with ISO 10993-1:2009Tests performed, results in compliance.
PerformanceCompliance with ISO 11608-2:2012 (Pen injectors for medical use - Part 2: Needles - Requirements and test methods)Tests performed, results in compliance.
Manufacturing QualityCompliance with cGMP for Medical Devices (ISO 13485:2012)Manufactured, sterilized, packaged, and labeled on validated equipment and QA-released in accordance with cGMP.
Packaging & SterilityCompliance with ISO 11607-1:2006 (Packaging for terminally sterilized medical devices) & ASTM F1980-07 (Accelerated Aging for Shelf Life)Final design verification test supports meeting specified requirements; Shelf life testing performed according to standard.
Safety & EffectivenessSubstantial equivalence to predicate devices (NovoFine® 32G Tip x 6 mm (K090111), NovoTwist® 32G Tip x 5 mm (K093109), BD Pen Needle 32G x 4 mm (K123300))Demonstrated through design equivalency and functional testing, concluding differences do not raise significant safety/effectiveness issues.
Intended UseFor use with pen injector devices for subcutaneous injection of drugs.Device is intended for this use, consistent with predicate devices.
Technological CharacteristicsMatching or not raising new safety/effectiveness concerns compared to predicate devices (e.g., materials, principles of operation).Considered substantially equivalent in intended use, technology, principles of operation, and materials.

2. Sample Size Used for the Test Set and the Data Provenance

  • Sample Size for Test Set: Not explicitly stated. The document mentions "The needle samples tested are manufactured..." and "The NovoFine® Plus 32G 4 mm needles are subjected to a final design verification test." This implies a sample was tested for engineering and performance characteristics, but the size is not specified.
  • Data Provenance: The device was developed and tested by Novo Nordisk R&D. The testing was non-clinical, involving laboratory and engineering tests against international standards. The origin of "data" in the sense of patient data is not applicable, as this is a device and not an AI or diagnostic algorithm which would use patient data.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and the Qualifications of Those Experts

Not applicable. "Ground truth" in the context of expert consensus on medical images or diagnoses is not relevant for a hypodermic needle. The "ground truth" here is compliance with established engineering and biocompatibility standards, and functional performance, which is determined through laboratory testing by specialized personnel (e.g., engineers, quality control staff).

4. Adjudication Method for the Test Set

Not applicable. This is not an observational or diagnostic study requiring expert adjudication of results. Compliance is determined by objective measurement against standard specifications.

5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study Was Done, If So, What Was the Effect Size of How Much Human Readers Improve with AI vs Without AI Assistance

Not applicable. This device is a hypodermic needle, not an AI or diagnostic tool, and therefore MRMC studies are not relevant.

6. If a Standalone (i.e. algorithm only without human-in-the-loop performance) Was Done

Not applicable. This device does not have an algorithm and is not a standalone diagnostic or AI tool. Performance is inherently "standalone" in the sense that the needle's physical characteristics and function are tested without a human "reading" or "interpreting" its output beyond using it for its intended purpose.

7. The Type of Ground Truth Used

The "ground truth" for the device's acceptance is its compliance with international and domestic consensus standards (e.g., ISO 11608-2, ISO 10993-1, ISO 11607-1, ASTM F1980) and its demonstrated functional performance in non-clinical laboratory tests. Additionally, the concept of substantial equivalence to existing, legally marketed predicate devices forms a key part of the "ground truth" for its regulatory clearance.

8. The Sample Size for the Training Set

Not applicable. This is a physical medical device, not a machine learning model, so there is no "training set" in the AI sense.

9. How the Ground Truth for the Training Set Was Established

Not applicable. See point 8.

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Image /page/0/Picture/1 description: The image shows the logo for Novo Nordisk. The logo features a bull with a circle above its head. Below the bull, the words "novo nordisk" are written in lowercase letters.

K133738

510(k) Summary

21 CFR 807.87(h)

As required by 21 CFR 807.92(a)

(1) Date Prepared: December 6, 2013

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92. The NovoFine® Plus needle meets all applicable product and quality standards for hypodermic single lumen needle products.

Submitter's Name and Address:

Novo Nordisk Inc. 800 Scudders Mill Road Plainsboro, New Jersey 08536

Contact Person: Rick Spring Associate Director, Regulatory Affairs Tel: 609-987-5046 Fax: 609-987-3916

(2) Name of Device:

Proprietary Name:NovoFine ® Plus32G x 4 mm
Common or usual name:Sterile disposable hypodermic needle
Classification Name:Hypodermic single lumen needle (21 CFR 880.5570)
Class:Class II
Product Code:FMI

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(3) Substantial Equivalence:

NovoFine® Plus is a disposable needle which is substantially equivalent to Novo Nordisk's NovoFine® 32G Tip x 6 mim needle, cleared under 510(k) K090111, and NovoTwist® 32G Tip x 5 mm needle, cleared under 510(k) K093109, and to Becton Dickinson's BD Pen Needle 32G x 4 mm, cleared under 510(k) K123300.

The term "substantial equivalence" as used in this 510(k) notification is limited to the definition of substantial equivalence as found in the Federal Food, Drug, and Cosmetic Act, as amended and as supplied under 21 CFR 807, Subpart E under which a device can be marketed without pre-market approval or reclassification. A determination of substantial equivalency under this notification is not intended to have any bearing whatsoever on the resolution of patent infringement suits or any other patent matters. No statement related to, or in support of substantial equivalence herein shall be construed as an admission against interest under the US Patent laws or their application by the court.

(4) Device Description:

NovoFine® Plus needles are single use, sterile need in conjunction with pen injector devices. Prior to giving an injection, the protective tab is removed from the outer needle cap of the single-use disposable needle. With the disposable needle remaining in the outer needle cap, it is then carefully screwed onto the injection delivery device until tight and then the needle outer and inner caps are removed. Use the needles as described in the instructions for use that comes with the pen-injector device and as instructed by the healthcare professional. After the injection, the needle is removed from the skin. The needle is detached from the injection device and disposed of in accordance with national/local regulations. For each subsequent injection, another disposable needle must be used.

(5) Intended Use:

NovoFine® Plus 32G is intended for use with pen injector devices for the subcutaneous injection of drugs, including insulin, GLP-1 analogs, and somatropin.

(6) Technological Characteristics:

The NovoFine® Plus needle is considered substantially equivalent to the NovoFine® 32G Tip x 6 mm disposable needle, NovoTwist® 32G Tip x 5 mm, and to the BD Pen Needle 32G x 4 mm in intended use, technology, principles of operation, materials and performance. Differences between the devices do not raise any significant issues of safety and effectiveness. For a detailed side by side comparison to the predicate needles cleared by the Agency, please see the table: Comparison to a legally marketed device.

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As required by 21 CFR 807.92(b)

(1) Non-Clinical Tests Performed:

The NovoFine® Plus needle will be manufactured in accordance with current Good Manufacturing Practices for Medical Devices. Biocompatibility and performance tests have been performed and the results are in compliance with existing domestic and international standards.

The NovoFine® Plus 32G 4 mm needles have been subjected to non-clinical tests throughout the development by Novo Nordisk R&D, and these tests comply with ISO 11608-2:2012 Pen injectors for medical use - Part 2: Needles - Requirements and test methods.

The needle samples tested are manufactured, sterilized, packaged, and labelled on validated equipment and QA-released in accordance with cGMP for Medical Devices as per ISO 13485:2012 Medical devices – Quality Management systems Requirements for regulatory purposes.

The NovoFine® Plus 32G 4 mm needles are subjected to a final design verification test. The design verification of the NovoFine® Plus 32G 4 mm needles has been conducted as per ISO 11607-1:2006 Packaging for terminally sterilized medical devices - Part 1: Requirements for materials, sterile barrier systems and packaging systems. In summary, the final design verification test supports that NovoFine® Plus 32G 4 mm needles meet the specified requirements and that the needles can be safely used according to the Instructions for Use.

Shelf life testing has been performed on the final released NovoFine® Plus 32G 4 mm needles in accordance with ASTM F1980 – 07: Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices.

The biocompatibility tests for NovoFine Plus® 32G 4mm needles were conducted in accordance with ISO 10993-1:2009 Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management system.

(2) Clinical Tests Performed:

No clinical tests are required.

(3) Conclusion drawn from the non-clinical and clinical tests:

Based on the design equivalency and the functional testing, Novo Nordisk has determined that the NovoFine® Plus is substantially equivalent to NovoFine® 32G Tip 6 mm, K090111, NovoTwist® 32G Tip x 5 mm, K093109, and to the Becton Dickinson (BD) Pen Needle 32G x 4 mm, K123300, which are currently marketed in the United States. Differences between the devices do not raise any significant issues of safety and effectiveness.

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Image /page/3/Picture/0 description: The image shows the text "DEPARTMENT OF HEALTH & HUMAN SERVICES" in all caps. The text is in a bold, sans-serif font. The words are arranged on a single line and are centered horizontally.

Public Health Service

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

May 21, 2014

Novo Nordisk Incorporated Mr. Rick Spring Associate Director, Regulatory Affairs Post Office Box 846 Plainsboro, NJ 08536

Re: K133738

Trade/Device Name: NovoFine® Plus 32G x 4 mm (1/6") Disposable Needle Regulation Number: 21 CFR 880.5570 Regulation Name: Hypodermic Single Lumen Needle Regulatory Class: II Product Code: FMI Dated: April 25, 2014 Received: April 28, 2014

Dear Mr. Spring:

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.

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Page 2 - Mr. Spring

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) 638-204 l 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/ResourcesforYou/Industry/default.htm.

Sincerely yours.

Mary S. Runner -S

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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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: December 31, 2013 See PRA Statement on last page.

510(k) Number (if known) K133738

Devica Name

NovoFine® Plus 32G x 4 mm (1/6") Disposable Needle

Indications for Use (Describe)

NovoFine® Plus needles are intended for use with pen injector devices for the subcutaneous injection of drugs, including insulin, GLP-1 analogs, and somatropin.

Type of Use (Select one or both, as applicable)

| Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY
Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)
Digitally signed byRichard C. Chapman
Date: 2014.05.21
14:00:36 -04'00'

FORM FDA 3881 (9/13)

§ 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).