K Number
K143070
Device Name
Disposable Safety Self-destructive Syringes, 5 ML
Date Cleared
2015-07-07

(253 days)

Product Code
Regulation Number
880.5860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Disposable Safety Self-destructive is used to inject fluids into, or withdraw fluids from the body. In addition, it is designed to aid in the prevention of needle stick injuries.
Device Description
The JIANGSU YILE MEDICAL ARTICAL C0., LTD Disposable Safety Self-destructive Syringes, 5MLs are single lumen hypodermic needles with a safety mechanism to prevent needle stick after the usage. The Disposable Safety Self-destructive Syringe is used to inject fluids into, or withdraw fluids from the body. In addition, it is designed to aid in the prevention of needle stick injuries. The syringes are made of a protector, needle, up connector, 0-ring seal, down connector, barrel, piston and plunger. The syringe and body are constructed of Polypropylene (PP). The piston and 0-ring seal are made of natural rubber. Lumens are constructed of 304 Stainless Steel.
More Information

Not Found

No
The device description and intended use focus on the mechanical design of a safety syringe and do not mention any computational or data-driven components.

No
The device is a syringe, which is used for injection or withdrawal of fluids, and includes a safety mechanism for preventing needle stick injuries. It does not provide any therapeutic effect itself.

No
The device is described as a syringe used for injecting or withdrawing fluids, with a safety mechanism for preventing needle stick injuries. Its function is primarily for fluid delivery/collection and safety, not for diagnosing medical conditions.

No

The device description clearly outlines physical components like a protector, needle, barrel, piston, and plunger, and specifies materials like Polypropylene and Stainless Steel. This indicates a hardware-based medical device, not a software-only one.

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

Here's why:

  • Intended Use: The intended use is clearly stated as "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 drawing blood for testing, but the syringe itself isn't the test).
  • Device Description: The description details a syringe with a needle and safety mechanism, designed for injecting and withdrawing fluids. This aligns with a medical device used for patient care, not for testing samples in vitro (outside the body).
  • Lack of IVD Characteristics: There is no mention of the device being used to test samples (like blood, urine, or tissue) in vitro to diagnose a condition, monitor treatment, or screen for diseases. IVDs are typically reagents, instruments, or systems used for these purposes.

In summary, the Disposable Safety Self-destructive Syringe is a medical device used for administering or collecting substances from the body, not for performing diagnostic tests on those substances outside the body.

N/A

Intended Use / Indications for Use

The Disposable Safety Self-destructive is used to inject fluids into, or withdraw fluids from the body. In addition, it is designed to aid in the prevention of needle stick injuries.

Product codes

MEG, FMI

Device Description

The JIANGSU YILE MEDICAL ARTICAL C0., LTD Disposable Safety Self-destructive Syringes, 5MLs are single lumen hypodermic needles with a safety mechanism to prevent needle stick after the usage. The Disposable Safety Self-destructive Syringe is used to inject fluids into, or withdraw fluids from the body. In addition, it is designed to aid in the prevention of needle stick injuries.
The syringes are made of a protector, needle, up connector, 0-ring seal, down connector, barrel, piston and plunger. The syringe and body are constructed of Polypropylene (PP). The piston and 0-ring seal are made of natural rubber. Lumens are constructed of 304 Stainless Steel.

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

Non-clinical and Performance Tests:
Biocompatibility: Cytotoxicity Test (ISO10993-5: 2009); Sensitization Test (ISO10993-10: 2010); Intracutaneous Reactivity Test (ISO10993-10: 2010); Acute Systemic Toxicity Test (ISO 10993-11: 2006); Hemolysis Test (ASTM F756-13)
Performance: ISO 7886-1:1993/ Corrigendum 1:1995 Sterile hypodermic syringes for single use - Part 1: Syringes for manual use; ISO 7864:1993 Sterile hypodermic needles for single use; ISO 9626: 2001 Stainless steel needle tubing for the manufacture of medical devices; ISO 23908: 2011 Sharps injury protection-requirements and test methods-sharps protection features for single-use hypodermic needles, introducers for catheters and needles used for blood sampling; ISO 7886-4:2006 Sterile hypodermic syringes for single use-Part 4: Syringes with re-use; ISO 594/1, Conical fittings with a 6% (luer) taper for syringes, needles and certain other medical equipment - part 1: general requirements.; ISO 594-2 Second edition 1998-09-01, Conical fittings with a 6% (luer) taper for syringes, needles and certain other medical equipment - part 2: lock fittings.; USP 788 Light Obscuration Particle Count Test
Simulated clinical use: FDA guidance "Guidance for industry and FDA Stuff, Medical Devices with Sharps Injury Prevention Features, August 9, 2005".
Package and Shelf Life: - Real Time Stability Test; - Accelerated Aging Test; - Sterile test; - Vacuum leak test; - Dye penetration test; - Agar contact-attack test (Microbial barrier properties); - Tensile Seal Strength Test
Related standards: ISO11607-1: Packaging for terminally sterilized medical devices - Part1: Requirements for materials, sterile barrier systems and packaging systems.; ISO11737-2: Sterilization of medical devices - Microbiological methods - Part 2: Tests of sterility performed in the validation of a sterilization process.; ASTM F1980-07: Standard guide for accelerated aging of sterile barrier systems for medical devices.; ASTM D3078-02: Standard Test Method for Determination of Leaks in Flexible Packaging by Bubble Emission.; ASTM F1929-98: Standard Test Method for Detecting Seal Leaks in Porous Medical Packaging by Dye Penetration.; ASTM F88 -09 Standard Test Method for Seal Strength of Flexible Barrier Materials; ISO7886-1: Sterile hypodermic syringes for single use - Part1: Syringes for manual use.; ISO 23908: Sharps injury protection-requirements and test methods-sharps protection features for single-use hypodermic needles, introducers for catheters and needles used for blood sampling; ISO7864: Sterile hypodermic needles for single use.
Key Results: All test results were satisfactory.

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

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized image of three faces in profile, stacked on top of each other. The faces are oriented to the right and are depicted in a simple, line-art style. The logo is surrounded by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement.

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

July 7, 2015

Jiangsu Yile Medical Article Co., Ltd C/O Mr. Charles Mack Principal Engineer International Regulatory Consulting 12226 Washington Lane Parker, AZ 85344

Re: K143070

Trade/Device Name: Disposable Safety Self-destructive Syringes, 5ML Regulation Number: 21 CFR 880.5860 Regulation Name: Piston syringe Regulatory Class: II Product Code: MEG, FMI Dated: May 27, 2015 Received: June 04, 2015

Dear Mr. Mack:

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.

1

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 Industry and Consumer Education 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. 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 Industry and Consumer Education 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,

Tejashri Purohit-Sheth, M.D.

Tejashri Purohit-Sheth, M.D. Clinical Deputy Director DAGRID/ODE/CDRH FOR

Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

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Indications for Use

510(k) Number (if known)

K143070

Device Name

Disposable Safety Self-destructive Syringes, 5ML

Indications for Use (Describe)

The Disposable Safety Self-destructive is used to inject fluids into, or withdraw fluids from the body. In addition, it is designed to aid in the prevention of needle stick injuries.

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)

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K143070

510(k) Summary

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

Date: June 24, 2015

    1. Company and Correspondent making the submission:
      Name - Jiangsu Yile Medical Article Co., Ltd Address - Sanhekou Development Zone, Changzhou City Jiangsu Province China 213115 Tel: 86-519-88675299 Fax: 86-519-88679018 Contact - Mr. Feng Xingvuan General Manager Email - charliemack@irc-us.com

Primary contact and correspondent: Name: Charles Mack Address: 12226 Washington Lane, Parker, Arizona 85344 Phone" 931-625-4938 Email: charliemack@irc-us.com

    1. Device :
      Trade/proprietary name: Disposable Safety Self-destructive Syringes, 5ML Common Name : Syringe, Antistick; needle; hypodermic, single lumen Classification Name : Piston syringe, Hypodermic single lumen needle
    1. Predicate Devices :
      InviroSnap Safety Syringe 1ML, 3ML, 5ML, 10ML, 20ML, (K092430)
    1. Classifications Names & Citations :
      21CFR 880.5860, MEG, syringe, antistick; 21CFR880.5570, FMI, needle, hypodermic, single lumen; both classifications are Class 2

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5. Description :

The JIANGSU YILE MEDICAL ARTICAL C0., LTD Disposable Safety Self-destructive Syringes, 5MLs are single lumen hypodermic needles with a safety mechanism to prevent needle stick after the usage. The Disposable Safety Self-destructive Syringe is used to inject fluids into, or withdraw fluids from the body. In addition, it is designed to aid in the prevention of needle stick injuries.

The syringes are made of a protector, needle, up connector, 0-ring seal, down connector, barrel, piston and plunger. The syringe and body are constructed of Polypropylene (PP). The piston and 0-ring seal are made of natural rubber. Lumens are constructed of 304 Stainless Steel.

  1. Indication for use :

The Disposable Safety Self-destructive Syringe is used to inject fluids into, or withdraw fluids from the body. In addition, it is designed to aid in the prevention of needle stick injuries.

    1. Technological Characteristics and Comparison with predicate device : Jiangsu Yile Medical Article Co., Ltd believes that the Disposable Safety Selfdestructive Syringes, 5ML are substantially equivalent to the InviroSnap Safety Syringe 1ML, 3ML, 5ML, 10ML, 20ML (K092430).
      Please note the comparison table on the following page, which demonstrates the similarities of the Jiangsu Yile Medical Article Co., Ltd Disposable Safety Selfdestructive Syringes, 5MLs and the predicate device.

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Element of comparisonSubject DeviceClaimed SE Device
CompanyJIANGSU YILE MEDICAL ARTICLE CO.,LTDINVIRO MEDICAL DEVICES, INC.
FDA510(K) NumberK143070K092430
Device NameDisposable Safety Self-destructive Syringes, 5MLInviroSnap Safety Syringe
Model Number5ML1, 3, 5, 10 and 20ML
Intended UseThe Disposable Safety Self-destructive Syringe is used to
inject fluids into, or withdraw fluids from the body. In
addition, it is designed to aid in the prevention of needle
stick injuries.The 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.
Manually retractable safety syringe with permanent disable
Safety featureIdenticalManually retractable safety syringe with permanent disable
Material
BarrelPPPP
PlungerPPPP
PistonNatural RubberNatural Rubber
NeedleStainless SteelStainless Steel
Needle ProtectorPPPP
LubricantPolydimethylsiloxane OilSilicone Oil
Specific drug useIdenticalConventional drugs
SterilizationIdenticalEO Sterilization
Needle length1 1/2 Inch1 1/4 Inch
Needle gauge21G21/22/23G
Needle tip configurationIdenticalTri-Beveled Tip
Wall typeIdenticalRegular wall
Nozzle typeIdenticalNeedle and hub are separated to the syringe
Barrel marking specsIdenticalConforms to ISO 7886-1
Gradations legibilityIdentical0.2ml
Needle cover colorIdenticalClarity
Lubricant compositionPolydimethylsiloxane OilSilicone Oil
Lubricant amount/cm²IdenticalBiocompatibility:
Cytotoxicity Test (ISO10993-5: 2009)
Sensitization Test (ISO10993-10: 2010)
Intracutaneous Reactivity Test (ISO10993-10: 2010)
Acute Systemic Toxicity Test (ISO 10993-11: 2006)
Hemolysis Test (ASTM F756-13)
Performance:
ISO 7886-1:1993/ Corrigendum 1:1995 Sterile hypodermic syringes for single use - Part 1: Syringes for manual use
ISO 7864:1993 Sterile hypodermic needles for single use
ISO 9626: 2001 Stainless steel needle tubing for the manufacture of medical devices
ISO 23908: 2011 Sharps injury protection-requirements and test methods-sharps protection features for single-use hypodermic needles, introducers for catheters and needles used for blood sampling
ISO 7886-4:2006 Sterile hypodermic syringes for single use-Part 4: Syringes with re-use
ISO 594/1, Conical fittings with a 6% (luer) taper for syringes, needles and certain other medical equipment - part 1: general requirements.
ISO 594-2 Second edition 1998-09-01, Conical fittings with a 6% (luer) taper for syringes, needles and certain other medical equipment - part 2: lock fittings.
USP 788 Light Obscuration Particle Count Test
Simulated clinical use:
FDA guidance "Guidance for industry and FDA Stuff, Medical Devices with Sharps Injury Prevention Features, August 9, 2005".
Package and Shelf Life:
  • Real Time Stability Test
  • Accelerated Aging Test
  • Sterile test
  • Vacuum leak test
  • Dye penetration test
  • Agar contact-attack test (Microbial barrier properties)
  • Tensile Seal Strength Test |
    | Related standards:
    ISO11607-1: Packaging for terminally sterilized medical devices - Part1: Requirements for materials, sterile barrier systems and packaging systems.
    ISO11737-2: Sterilization of medical devices - Microbiological methods - Part 2: Tests of sterility performed in the validation of a sterilization process.
    ASTM F1980-07: Standard guide for accelerated aging of sterile barrier systems for medical devices.
    ASTM D3078-02: Standard Test Method for Determination of Leaks in Flexible Packaging by Bubble Emission.
    ASTM F1929-98: Standard Test Method for Detecting Seal Leaks in Porous Medical Packaging by Dye Penetration.
    ASTM F88 -09 Standard Test Method for Seal Strength of Flexible Barrier Materials
    ISO7886-1: Sterile hypodermic syringes for single use - Part1: Syringes for manual use.
    ISO 23908: Sharps injury protection-requirements and test methods-sharps protection features for single-use hypodermic needles, introducers for catheters and needles used for blood sampling |

| ISO7864: Sterile hypodermic needles for single use.
All test results were satisfactory.

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9. Conclusions:

In accordance with the Federal Food, Drug and Cosmetic Act, 21 CFR Part 807 and based on the information provided in this premarket notification Jiangsu Yile Medical Article Co., Ltd concludes that the Disposable Safety Self-destructive Syringes, 5ML are substantially equivalent to predicate devices as described herein.

END