K Number
K151398
Device Name
K-Pack II Needle - 29G x 5/16 Thin Wall
Manufacturer
Date Cleared
2015-06-25

(30 days)

Product Code
Regulation Number
880.5570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The 29G x 5/16" Thin Wall K-Pack II Needles being Hypodermic Single Lumen Needles are sterile medical devices for single use, intended to inject fluids into, or withdraw fluids from, parts of the body below the surface of the skin.
Device Description
Comprised of a stainless steel tube that is sharpened at one end and at the other end joined to a female luer connector (hub) designed to be connected with a male connector (nozzle) of a piston syringe.
More Information

No
The device description and performance studies focus on the physical properties and intended use of a hypodermic needle, with no mention of AI or ML.

No
The device is a hypodermic needle intended for injecting or withdrawing fluids, which are procedural actions, not inherently therapeutic. Therapy involves treating a disease or disorder, which is not the stated purpose of this needle itself.

No.
The device is a hypodermic needle used for injecting or withdrawing fluids, which aligns with therapeutic or procedural uses, not diagnostic, as it does not gather information to identify a disease (e.g., through imaging or analysis of body substances).

No

The device description clearly states it is comprised of a stainless steel tube and a female luer connector, indicating it is a physical hardware device (a needle).

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

Here's why:

  • Intended Use: The intended use is to "inject fluids into, or withdraw fluids from, parts of the body below the surface of the skin." This describes a direct interaction with the human body for therapeutic or diagnostic purposes in vivo (within the living organism).
  • Device Description: The description of a hypodermic needle with a luer connector aligns with a device used for injecting or withdrawing substances from the body.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) in vitro (outside the living organism) to provide information for diagnostic, monitoring, or compatibility purposes.

IVD devices are specifically designed to perform tests on samples taken from the body, not to directly interact with the body itself in the way a hypodermic needle does.

N/A

Intended Use / Indications for Use

The 29G x 5/16" Thin Wall K-Pack II Needle being a Hypodermic Single Lumen Needle is a sterile medical device for single use, intended to inject fluids into, or withdraw fluids from, parts of the body below the surface of the skin.

Product codes

FMI

Device Description

Comprised of a stainless steel tube that is sharpened at one end and at the other end joined to a female luer connector (hub) designed to be connected with a male connector (nozzle) of a piston syringe.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

parts of the body below the surface of the skin

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Design verification activities were conducted for the 29G x 5/16" Thin Wall K-Pack II Needles to demonstrate substantial equivalence to the predicate devices.
Studies conducted:

  1. Visual appearance
  2. Limits for acidity or alkalinity
  3. Limits for extractable metals
  4. Needle Penetration Resistance
  5. Conical fitting
  6. Fitting strength hub/case
  7. Effective needle length
  8. Silicon amount on cannula
  9. Resistance to breakage
  10. Stiffness test cannula
  11. Corrosion Resistance (cannula)
  12. Bonding strength between hub and cannula
  13. Liquid leakage
  14. Air leakage
  15. Flow rate
  16. Torque Force Cap-Case
  17. Endotoxin reaction
  18. Abnormal toxicity
  19. Sterility

The expiration dating for the 29G x 5/16" Thin Wall K-Pack II Needles has been established at 5 years which is the same as the cleared K-Pack II Needles.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K984576, K082820

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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).

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized representation of three human profiles facing right, stacked on top of each other. The profiles are rendered in a dark color, creating a sense of depth and unity. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the central image.

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

June 25, 2015

Terumo Europe N.V. Mrs. M. J. Aerts Regulatory Affairs Manager Interleuvenlaan 40 3001 Leuven BELGIUM

Re: K151398

Trade/Device Name: K- Pack II Needles- 29 G x 5/16" Thin Wall Regulation Number: 21 CFR 880.5570 Regulation Name: Hypodermic Single Lumen Needle Regulatory Class: II Product Code: FMI Dated: May 21, 2015 Received: May 26, 2015

Dear Mrs. Aerts:

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

Page 2 - Mrs. M.J. Aerts

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 vours.

Tina
Kiang -S

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

Enclosure

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Indication for Use

510(k) Number (if known): K151398

Device Name: K-Pack II Needle - 29G x 5/16" Thin Wall

Indication For Use:

The 29G x 5/16" Thin Wall K-Pack II Needle being a Hypodermic Single Lumen Needle is a sterile medical device for single use, intended to inject fluids into, or withdraw fluids from, parts of the body below the surface of the skin.

Prescription Use X (21 CFR Part 801 Subpart D) And/Or

Over the Counter Use ______ (21 CFR Part 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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510(k) SUMMARY as required by 807.92

Submitter information

| Prepared for: | TERUMO EUROPE N.V.
Interleuvenlaan 40,
3001 Leuven,
BELGIUM |
|-----------------------------|-------------------------------------------------------------------------------------------------|
| Prepared by/Contact person: | Mrs. M.J. Aerts – Manager Regulatory Affairs
Tel. (+32) 16 38 13 53
Fax (+32) 16 40 02 49 |
| Date prepared: | May 2015 |

II.1. Device Name

Proprietary Name

K-Pack II Needle - 29G x 5/16" Thin Wall

Classification Name

Hypodermic Single Lumen Needle

21CFR, Section 880.5570

Classification: Class II

Product Code

FMI

II.2. Predicate Devices

The following cleared devices are selected as predicate devices:

    1. K-Pack II Needles (K984576)
    1. 29G x ½'' Thin Wall K-Pack II Needles (K082820)

II.3. Reason for Submission

This 510k is being submitted to extend the cleared K-Pack II Needle (K984576) product line with the K-Pack II Needle - 29G x 5/16" Thin Wall.

The 29G Thin Wall K-Pack II Needle is the same needle as the cleared 29G Thin Wall Needle covered in K082820, the only difference is that the needle length of the 29G x 5/16" Thin Wall K-Pack II Needle is shorter than what is currently cleared under the 29G x ½2" Thin Wall Needle K082820.

The packaging of the 29G x 5/16" Thin Wall K-Pack II Needle in a short case is the same as the packaging of the cleared 29G x ½" Thin Wall K-Pack II Needle covered in K082820.

4

Although there are no potential issues of safety and effectiveness for a shorter length needle, this Special 510k is being submitted due to the fact that the new length is out of the range of the previously cleared needles.

This 510k will provide supporting information that the 29G x 5/16" Thin Wall K-Pack II Needles are an acceptable extension of the current K-Pack II Needle product line.

II.4. Intended Use

The 29G x 5/16" Thin Wall K-Pack II Needles being Hypodermic Single Lumen Needles are sterile medical devices for single use, intended to inject fluids into, or withdraw fluids from, parts of the body below the surface of the skin.

Note: This is the same intended use as the predicate devices, K-Pack II Needle - K984576 and 29G x ½" Thin Wall K-Pack II Needle K082820.

II.5. Substantial Equivalence

The 29G x 5/16" Thin Wall K-Pack II Needles are substantially equivalent in intended use, design, technology/principles of operation, materials, and performance to the following cleared devices:

    1. K-Pack II Needles (K984576)
  • 29G x 1/2" Thin Wall K-Pack II Needles (K082820) 2.

Differences between the devices do not raise any significant issues of safety and effectiveness.

| | 29G x 5/16" Thin Wall
K-Pack II Needle
(Terumo Europe, Belgium)
(Subject of this 510k) | 29G x 1/2" Thin Wall K-Pack II
Needles
(Terumo Europe, Belgium)
(K082820) | K-Pack II Needles
(Terumo Europe, Belgium)
(K984576) |
|--------------------------------|-------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use | Same as predicate | Intended to inject fluids into, or
withdraw fluids from, parts of
the body below the surface of the
skin. | Intended to inject fluids into, or
withdraw fluids from, parts of
the body below the surface of the
skin. |
| Materials | Same as predicate | Same as predicate | Same as predicate |
| Cannula | Stainless Steel | Stainless Steel | Stainless Steel |
| Hub | Polypropylene | Polypropylene | Polypropylene |
| Glue | Epoxy glue | Epoxy glue | Epoxy glue |
| Lubricant | Silicone | Silicone | Silicone |
| Description/
Specifications | Same as predicate | Comprised of a stainless steel
tube that is sharpened at one end
and at the other end joined to a
female luer connector (hub)
designed to be connected with a
male connector (nozzle) of a
piston syringe. | Comprised of a stainless steel
tube that is sharpened at one end
and at the other end joined to a
female luer connector (hub)
designed to be connected with a
male connector (nozzle) of a
piston syringe. |
| Needle Gauge/ length | 29G x 5/16" | 29G x 1/2" | Ranging from 18G – 27G
3/8" - 1 1/2" |
| Principle of Operation | Same as predicate | Manually | Manually |

The similarities and differences are summarized in the table below.

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| Unit packaging | Hard pack consisting of cap and
short case | Hard pack consisting of cap and
short case | Hard pack consisting of cap and
long or short case |
|----------------|-----------------------------------------------|-----------------------------------------------|-------------------------------------------------------|
| Wall Thickness | Thin Wall | Thin wall | Ultra thin + thin + regular wall |
| Sterilization | EtO to SAL 10-6 | EtO to SAL 10-6 | EtO to SAL 10-6 |
| Shelf life | 5 years | 5 years | 5 years |

II.6. Summary of Verification Activities

Design verification activities were conducted for the 29G x 5/16" Thin Wall K-Pack II Needles to demonstrate substantial equivalence to the predicate devices. This is for confirmation purpose only.

Summary of the verification activities including acceptance criteria is given in the table below:

TESTACCEPTANCE CRITERIA
1. Visual appearanceSilicon amount on cannula not visible as droplets.
2. Limits for acidity or alkalinity$\Delta$ pH for K-Pack Needles extract solution is within 1 unit of the control fluid.
3. Limits for extractable metalsThe extract solution of the 29G K-Pack II Needles has a content of extractable metals
which is, when corrected for the metal content of the control fluid:
$\Sigma Pb, Sn, Zn, Fe \le 5 mg/l$
$Cd