K Number
K151090
Manufacturer
Date Cleared
2016-09-21

(517 days)

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

This is a single use sterile insulin pen-injector needle to be used by diabetic patients for the purpose of injecting insulin.

Device Description

CPL insulin pen needle consist of a sterile cap, needle, hub and blister paper. The sterile cap and blister paper function to sustain sterilization of the product. The hub can be connected with pen type insulin syringe. The needle cap protects the needle. This device is single use.

AI/ML Overview

The document describes a 510(k) premarket notification for the "CPL Insulin Pen Needle" and its substantial equivalence to a predicate device. It details performance data to demonstrate this equivalence.

Here's an analysis of the acceptance criteria and the study that proves the device meets them:

1. Table of Acceptance Criteria and Reported Device Performance

The document does not explicitly present a table of "acceptance criteria" with numerical or categorical targets followed by "reported device performance" in the format typically used for AI/ML device evaluations. Instead, it lists various tests performed and states that the device "demonstrated equivalent performance to the predicate devices" or "is substantially equivalent" to the predicate.

However, we can infer the acceptance criteria and performance from the tests conducted against international standards (ISO).

Acceptance Criteria (Inferred Standard Compliance)Reported Device Performance
Biocompatibility (ISO 10993-1 series)
CytotoxicityPerformed and suitable
SensitizationPerformed and suitable
Intracutaneous reactivity (Acute)Performed and suitable
Systemic toxicity (Acute)Performed and suitable
PyrogenicityPerformed and suitable
HemolysisPerformed and suitable
Physical/Mechanical Performance (ISO 11608-2 & ISO 9626)
Inner/outside and structurePerformed and demonstrated equivalent performance
DimensionPerformed and demonstrated equivalent performance
Draw testPerformed and demonstrated equivalent performance
Elasticity testPerformed and demonstrated equivalent performance
Flexural rigidityPerformed and demonstrated equivalent performance
Inner and outside of needlePerformed and demonstrated equivalent performance
Size designationPerformed and demonstrated equivalent performance
Elasticity of the needle tubePerformed and demonstrated equivalent performance
PullPerformed and demonstrated equivalent performance
LubricantPerformed and demonstrated equivalent performance
Limits for acidity and alkalinityPerformed and demonstrated equivalent performance
StiffnessPerformed and demonstrated equivalent performance
Resistance to breakage (ISO 7864)Performed and demonstrated equivalent performance
Resistance to corrosionPerformed and demonstrated equivalent performance
Determination of flow rate through the needle (ISO 9626)Performed and demonstrated equivalent performance
Bond between hub and needle tubePerformed and demonstrated equivalent performance
Freedom from defectsPerformed and demonstrated equivalent performance
Penetration resistancePerformed and demonstrated equivalent performance
Cap-hub fitting strengthPerformed and demonstrated equivalent performance
Dislocation of measuring point at patient endPerformed and demonstrated equivalent performance
Needle dose accuracy testPerformed and demonstrated equivalent performance
Needle hub torque removalPerformed and demonstrated equivalent performance
Ease of assembly and disassembly testPerformed and demonstrated equivalent performance
Compatibility with needle-based injection systemsPerformed and demonstrated equivalent performance and a list of compatible pens is provided
Sterilization effectivenessEO Gas sterilization, stated as "Same" as predicate
Packaging integritySterile cap(PP)+sterile paper, stated as "Similar"

The key acceptance criterion is that the "CPL Insulin Pen Needle" demonstrates substantially equivalent performance to the predicate device (K080904 Feel Fine Insulin Pen Needle) based on compliance with relevant ISO standards and a series of bench tests.

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

The document does not explicitly state the sample size used for the bench tests. It also does not specify the data provenance (e.g., country of origin or whether the data was retrospective or prospective) for these performance tests. The tests are described as "bench tests," implying laboratory testing of the physical devices.

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

This section is not applicable in the context of this 510(k) submission. The CPL Insulin Pen Needle is a physical medical device, not an AI/ML diagnostic or predictive algorithm where expert ground truth for a test set would be established. The "ground truth" here is defined by the technical specifications and performance requirements outlined in the ISO standards and the comparative performance against the predicate device.

4. Adjudication Method for the Test Set

This section is not applicable for the same reasons as point 3. Adjudication methods like "2+1" or "3+1" are relevant for expert consensus in cases of subjective interpretation (e.g., medical image reading), not for objective physical device performance testing against defined standards.

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

This is not applicable. The CPL Insulin Pen Needle is a physical medical device (an insulin pen needle), not an AI-assisted diagnostic or therapeutic system. Therefore, an MRMC study related to human readers improving with AI assistance would not be performed for this type of device.

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

This is not applicable. As explained for point 5, this is a physical medical device, not an algorithm.

7. The Type of Ground Truth Used (expert consensus, pathology, outcomes data, etc.)

The "ground truth" in this context is established by international standards (e.g., ISO 10993-1, ISO 11608-2, ISO 7864, ISO 9626) and the demonstrated performance of the legally marketed predicate device (K080904 Feel Fine Insulin Pen Needle). The product's performance is compared against these objective benchmarks and the predicate device's established performance to determine substantial equivalence.

8. The Sample Size for the Training Set

This is not applicable. As this is a physical medical device, there is no "training set" in the context of machine learning. The device's design, manufacturing, and quality control processes are informed by engineering principles and compliance with standards, not by AI model training.

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

This is not applicable for the same reasons as point 8.

§ 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).