K Number
K162088
Device Name
Ecomed Disposable Angiographic Syringes
Date Cleared
2017-01-27

(183 days)

Product Code
Regulation Number
870.1650
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The product is a family of Angiographic Syringes for the injection of contrast media and saline. The syringe is for single use with US legally marketed angiographic injectors.
Device Description
The Ecomed Disposable Angiographic Syringes are disposable syringes for use with contrast delivery systems that deliver contrast media or saline into the vascular system for the purpose of obtaining enhanced diagnostic images. The syringes are available in several sizes and configurations to ensure compatibility with US legally marketed contrast delivery systems. The syringes are provided in kits that are configured from the following list of components: - . Syringe(s) - . Fill tube - Vial Spike (small/large) - . Transfer tubing set (length, y vs straight)
More Information

No
The 510(k) summary describes a disposable syringe for injecting contrast media and saline, with no mention of AI or ML capabilities in the intended use, device description, or performance studies.

No
The device is an angiographic syringe used to inject contrast media for diagnostic imaging, not for treating a disease or condition.

No

The device is an angiographic syringe used to inject contrast media for enhanced diagnostic images, but it does not perform the diagnostic imaging itself or analyze the images to make a diagnosis.

No

The device description clearly states it is a disposable syringe and lists physical components like syringes, fill tubes, vial spikes, and transfer tubing sets. This indicates a physical 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 for the injection of contrast media and saline into the vascular system for the purpose of obtaining enhanced diagnostic images. This is a procedure performed on the patient, not a test performed on a sample taken from the patient.
  • Device Description: The device is a syringe and associated components for delivering substances into the body. This is consistent with a medical device used in a clinical procedure, not a device used to analyze biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information based on the analysis of such samples.

IVD devices are specifically designed to be used in vitro (outside the body) to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device's function is to deliver substances into the body.

N/A

Intended Use / Indications for Use

The product is a family of Angiographic Syringes for the injection of contrast media and saline. The syringe is for single use with US legally marketed angiographic injectors.

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

DXT

Device Description

The Ecomed Disposable Angiographic Syringes are disposable syringes for use with contrast delivery systems that deliver contrast media or saline into the vascular system for the purpose of obtaining enhanced diagnostic images. The syringes are available in several sizes and configurations to ensure compatibility with US legally marketed contrast delivery systems. The syringes are provided in kits that are configured from the following list of components: . Syringe(s) . Fill tube Vial Spike (small/large) . Transfer tubing set (length, y vs straight)

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Peripheral Intravenous

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)

Non-clinical performance (bench) tests were conducted. Comparison testing was performed at T=0 to demonstrate dimensional compatibility with competitive syringe delivery systems by verifying the key physical dimensions that interact with the syringe delivery system (Barrel and Plunger dimensions). Physical Performance testing includes leak testing and an examination of fill tube diameters and extension tube diameters. The results showed that fill tube diameters and extension tube diameters are stable over the T=1, T=2, and T=3 test intervals. The testing confirmed that the Ecomed Disposable Angiographic Syringes are substantially equivalent to the predicate and reference devices.

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.

K082439

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.

K073592, K082212, K903390

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

§ 870.1650 Angiographic injector and syringe.

(a)
Identification. An angiographic injector and syringe is a device that consists of a syringe and a high-pressure injector which are used to inject contrast material into the heart, great vessels, and coronary arteries to study the heart and vessels by x-ray photography.(b)
Classification. Class II (special controls). The device, when it is a non-patient contacting balloon inflation syringe intended only to inflate/deflate balloon catheters and monitor pressure within the balloon, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & 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 a stylized image of three human profiles facing to the right, with the profiles overlapping to create a sense of depth.

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

January 27, 2017

Ecomed Solutions, LLC % Christina Henza Regulatory Ultra Lifescience Solutions, Inc 146 N. Greenview Ave Mundelein, Illinois 60060

Re: K162088

Trade/Device Name: Ecomed Disposable Angiographic Syringes Regulation Number: 21 CFR 870.1650 Regulation Name: Angiographic Injector And Syringe Regulatory Class: Class II Product Code: DXT Dated: December 26, 2016 Received: December 28, 2016

Dear Christina Henza:

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.

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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

1

the quality systems (OS) 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/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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,

Fernando
Aguel-S

for Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K162088

Device Name

Ecomed Disposable Angiographic Syringes

Indications for Use (Describe)

The product is a family of Angiographic Syringes for the injection of contrast media and saline. The syringe is for single use with US legally marketed angiographic injectors.

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)

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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510 (K) SUMMARY FOR ECOMED DISPOSABLE ANGIOGRAPHIC SYRINGES

1. Date Prepared: Jan 23, 2016

SUBMITTTER/ 510(K) HOLDER 2.

Ecomed Solutions, Inc. 214 Terrace Drive, Mundelein, IL 60060 Primary Contact: David Yurek david.yurek@ecomed-solutions.com Telephone: 866-817-7114 Fax: 847-984-9286

3. DEVICE NAME

Proprietary Name:Ecomed Disposable Angiographic Syringes
Common/Usual Name:Angiographic Syringes
Classification Name:Injector and Syringe, Angiographic
Device Class:DXT
Product Code:21 C.F.R. § 870.1650

PREDICATE DEVICES 4.

The following legally marketed medical devices have been identified as predicates:

Primary Predicate:

  • Disposable Angiographic Syringes (WeiGao) K082439
    Reference Devices:

  • Optistar Elite Injection System K073592

  • Syringe with Handi-fil K082212

  • Medrad Mark V Plus Injector K903390

DEVICE DESCRIPTION ഗ്

The Ecomed Disposable Angiographic Syringes are disposable syringes for use with contrast delivery systems that deliver contrast media or saline into the vascular system for the purpose of obtaining enhanced diagnostic images. The syringes are available in several sizes and configurations to ensure compatibility with US legally marketed contrast delivery systems.

The syringes are provided in kits that are configured from the following list of components:

  • . Syringe(s)
  • . Fill tube

4

  • Vial Spike (small/large)
  • . Transfer tubing set (length, y vs straight)

Kit Contents:

| Ecomed Kit Number | Kit Contents | Maximum
Pressure | Compatible
System |
|-------------------|-------------------------------------------------------------------------------------------------|---------------------|-----------------------------------|
| ECO-200360 | 150mL syringe
J shaped Fill tube (7.2 inch) | 1200 psi | Angiomat |
| ECO-100150 | 150mL syringe
J shaped Fill tube (7.2 inch) | 1200 psi | Mark IV and Mark
V Plus |
| ECO-200801 | 60 mL Syringe
Y-type transfer tubing set (90 inch)
large spike (3 inch) | 300 psi | Optistar Elite and
Optistar LE |
| ECO-200800 | (2) 60 mL syringes
Y-type transfer tubing set (90 inch)
large spike, small spike (3 inch) | 300 psi | Optistar Elite and
Optistar LE |

INDICATIONS FOR USE 6.

The product is a family of Angiographic Syringes for the injection of contrast media and saline. The syringe is for single use with US legally marketed angiographic injectors.

PRINCIPLES OF OPERATION 7.

The principle of operation of the proposed Ecomed Disposable Angiographic Syringes are identical to the predicates, with the only variation being that they have the ability to connect to different injector systems which are supported by the inclusion of associated reference devices.

The Ecomed Disposable Angiographic Syringes are connected to US commercially available injector systems Angiomat, Mark IV and Mark V Plus, Optistar Elite and Optistar LE

SUMMARY OF TECHNOLOGICAL CHARACTERISTICS OF PROPOSED COMPARED 8. TO THE PREDICATE DEVICE

The proposed Ecomed Disposable Angiographic Syringes are substantially equivalent in both function and use to the predicate device, K082439 (cleared on 03/23/2009). Reference devices K073592 (cleared on 05/07/20008), K082212 (cleared on 01/22/2009) and K903390 (cleared on 09/26/1990) are used to support dimensional variations from the predicate devices.

The predicate device and all of the reference devices are class II legally marketed devices as shown by the associated 510(k) numbers and clearance dates. All of the devices are disposable Angiographic Syringes for use with angiographic injectors, FDA product code DXT regulation number 870.1650.

All of the devices have the same intended use and primary technological characteristics. The different technological characteristics include dimensional differences between the syringes for the purpose of compatibility with different injectors. Comparison testing to reference devices Optistar Elite Injection

5

System cleared via K073592 (05/07/20008), Syringe with Handi-fil (Angiomat) K082212 (01/22/2009) and Medrad Mark V Plus Injector K903390 (09/26/1990) are used to support dimensional variations from the predicate devices. The different technological characteristics are included in the risk assessment and testing (see section 14, 15, and 18). No new questions of safety and effectiveness were introduced.

6

| Identification | | Proposed Device | Predicate Device
(Primary) | Reference Device 1 | Reference Device 2 | Reference Device 3 |
|------------------------|----------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | Name | Ecomed Disposable
Angiographic Syringes | Disposable
Angiographic Syringes
(WeiGao) | Optistar Elite Injection
System | Syringe with Handi-
fil | Medrad Mark V Plus
Injector |
| Regulatory Information | 510(k)# | K162088 | K082439 | K073592 | K082212 | K903390 |
| | Predicates | K082439 | K072696 | K984088 | K963071 | Unavailable |
| | Product Code | DXT | DXT | DXT | DXT | DXT |
| | Class | 2 | 2 | 2 | 2 | 2 |
| | Combination
Product | No | No | No | No | No |
| | Regulation
Number | 870.1650 | 870.1650 | 870.1650 | 870.1650 | 870.1650 |
| | Regulation
Generic Name | Injector and Syringe,
Angiographic | Injector and Syringe,
Angiographic | Injector and Syringe,
Angiographic | Injector and Syringe,
Angiographic | Injector and Syringe,
Angiographic |
| Intended use | Regulation
Intended Use | "used to inject contrast
material into the heart,
great vessels, and
coronary arteries to
study the heart and
vessels by x-ray
photography." | "used to inject contrast
material into the heart,
great vessels, and
coronary arteries to
study the heart and
vessels by x-ray
photography." | "used to inject
contrast material into
the heart, great
vessels, and coronary
arteries to study the
heart and vessels by x-
ray photography." | "used to inject
contrast material
into the heart, great
vessels, and
coronary arteries to
study the heart and
vessels by x-ray
photography." | "used to inject
contrast material
into the heart, great
vessels, and
coronary arteries to
study the heart and
vessels by x-ray
photography." |
| | Indications | The product is a family
of Angiographic Syringes
for the injection of
contrast media and
saline. The syringe is for
single use with US
legally marketed
angiographic injectors. | Disposable
Angiographic Syringe is
intended for the
injection of contrast
media or saline. This
syringe is for single use
with US legally
marketed angiographic
injectors. | The Optistar Elite
Injection System is a
contrast delivery
system and is designed
to inject MR contrast
media and flushing
solutions into a
patient's vascular
system to obtain
diagnostic images
when used with
Magnetic
Resonance Imaging
equipment. | The Syringe with
Handi-Fil is part of
the contrast delivery
system which is
designed to inject
radiopaque contrast
media and/or saline
into the vascular
system for
Angiographic or CT
procedures as
prescribed by
qualified healthcare
professionals | This device is
intended to be used
specifically for the
purposes of injecting
intravenous contrast
medium into
humans for
diagnostic studies. |
| Identification | | Proposed Device | Predicate Device
(Primary) | Reference Device 1 | Reference Device 2 | Reference Device 3 |
| Name | | Ecomed Disposable
Angiographic Syringes | Disposable
Angiographic Syringes
(WeiGao) | Optistar Elite
Injection System | Syringe with Handi-
fil | Medrad Mark V
Plus Injector |
| Anatomical
sites | | Peripheral Intravenous | Peripheral Intravenous | Peripheral
Intravenous | Peripheral
Intravenous | Peripheral
Intravenous |
| Contact Type | | External communicating
device -blood path,
indirect | External communicating
device -blood path,
indirect | External
communicating device
-blood path, indirect | External
communicating
device -blood path,
indirect | External
communicating
device -blood path,
indirect |
| Contact
duration | | Limited ≤ 24 hours | Limited ≤ 24 hours | Limited ≤ 24 hours | Limited ≤ 24 hours | Limited ≤ 24 hours |
| Biocompatibility | | Biocompatible | Biocompatible | Biocompatible | Biocompatible | Biocompatible |
| Storage
conditions | | General warehouse. | General warehouse. | General warehouse. | General warehouse. | General warehouse. |
| Shelf Life | | 3 years | 3 years | 5 years | 3 years | 3 years |
| Luer connectors | | ISO 594 compliant | ISO 594 compliant | ISO 594 compliant | ISO 594 compliant | ISO 594 compliant |
| Fill size | | 60mL
150 mL | 60 mL
110mL
200mL | 60mL | 150mL
200mL | 150mL |
| Technology | Compatible
injectors | Optistar
Angiomat
Mark IV and Mark V Plus | Stellant
Spectris
Solaris
CT900 & CT900ADV
Dual Shot CT | Optistar | Angiomat | Mark IV and Mark V
Plus |

Table 1. Comparison of Ecomed Disposable Angiographic Syringes with Predicate Devices

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SUMMARY OF NON-CLINICAL TESTING PERFORMANCE AS BASIS OF 9. SUBSTANTIAL EQUIVALENCE

The performance standards listed below were used to demonstrate substantial equivalence of the proposed Ecomed Disposable Angiographic Syringes to the predicate device included in K082439 (cleared on 03/23/2009). Reference devices cleared via K073592 (cleared on 05/07/20008), K082212 (cleared on 01/22/2009) and K903390 (cleared on 09/26/1990) are used to support dimensional variations from the predicate devices and confirmation of equivalence is shown by comparison testing.

8

Non-clinical performance (bench) tests conducted on the subject devices to support substantial equivalence includes comparison testing and physical performance testing. Comparison testing was performed at T=0 to demonstrate dimensional compatibility with competitive syringe delivery systems by verifying the key physical dimensions that interact with the syringe delivery system (Barrel and Plunger dimensions). Physical Performance testing includes leak testing and an examination of fill tube diameters and extension tube diameters which are shown by the results to be stable over the T=1, T=2, and T=3 test intervals.

Testing was performed to verify compliance of the Ecomed Disposable Angiographic Syringes with the following standards:

  • ISO 11135-1 sterilization of health-care products ethylene oxide requirements for the development, validation and routine control of a sterilization process for medical devices. (Sterility)
  • · ISO 11607-1 packaging for terminally sterilized medical devices part 1: requirements for materials, sterile barrier systems and packaging systems [including: amendment 1 (2014)]. (Sterility)
  • ASTM F1980-07 (Reapproved 2011), standard guide for accelerated aging of sterile barrier systems for medical devices. (Sterility)
  • · ISO 10993-1 (2009), "Biological evaluation of medical devices Part 1: Evaluation and testing within a risk management process"
  • · ISO 10993-5 (2010), "Biological evaluation of medical devices Part 5: Tests for in vitro cytotoxicity
  • ISO 10993-10 (2009), "Biological evaluation of medical devices Part 10: Tests for irritation and skin sensitization"
  • · ISO 10993-11 biological evaluation of medical devices part 11: tests for systemic toxici-ty. (Biocompatibility)
  • USP pyrogen test (usp rabbit test). (Sterility)
  • · ASTM F756-13 standard practice for assessment of he-molytic properties of materi-als. (Biocompatibility)
  • ISO 7886-1 sterile hypodermic syringes for single use part 1: syringes for manual use [includ-ing: technical corrigendum 1 (1995)]. (General Plastic Surgery/General Hospital
  • ISO 594-1 conical fittings with a 6% (luer) taper for syringes, needles and certain other med-ical equipment - part 1: general require-ments. (General Plastic Surgery/General Hospital)
  • ISO 14971 (2007), "Medical Devices-Risk Management, Part 1: Application of Risk Analysis to Medical Devices"

The results of this testing as confirm that the Ecomed Disposable Angiographic Syringes are substantially equivalent to the predicate and reference devices.

CONCLUSION DRAWN FROM NON-CLINICAL AND CLINICAL TESTS 10.

Based on the information and supporting documentation provided in the premarket notification, the Ecomed Disposable Angiographic Syringes are substantially equivalent to the cited predicate devices.

9

Testing demonstrates that the Ecomed Disposable Angiographic Syringes fulfill prospectively defined design and performance specifications.