K Number
K173155
Device Name
Pakter Curved Needle Set
Manufacturer
Date Cleared
2018-06-07

(251 days)

Product Code
Regulation Number
868.5150
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Pakter Curved Needle Set is intended for discography, diagnostic sampling, aspiration, and injection.
Device Description
The Pakter Curved Needle Set is manufactured as a coaxial needle set and includes a preshaped curved needle and an introducer needle. The curved needle consists of a nitinol cannula connected to a polycarbonate hub at the proximal end and is characterized with a distal curve and a 30° bevel distal tip. It also includes a stainless steel stylet that is designed for a transitional fit. The curved needle with stylet is 25 gage in diameter and has a length of 20 or 15 centimeters. The introducer needle consists of a stainless steel cannula connected to an acrylic hub at the proximal end. The introducer needle is also designed with a stainless steel stylet. The introducer needle with stylet is 21 gage in diameter and has a length of 15 or 10 centimeters. When used as intended, the introducer needle and stylet are first inserted percutaneously and advanced adjacent to the target anatomy. After removing the introducer needle stylet, the curved needle is then inserted through the introducer needle cannula and slowly advanced to the target anatomy. The Pakter Curved Needle Set is sterilized by ethylene oxide and intended for one-time use.
More Information

Not Found

No
The device description and performance studies focus solely on the physical characteristics and mechanical performance of a needle set, with no mention of software, algorithms, or data processing.

No
The device is described for diagnostic sampling, aspiration, and injection, rather than for treating a disease or condition.

Yes
The "Intended Use / Indications for Use" section explicitly states that the device is "intended for discography, diagnostic sampling, aspiration, and injection," with "diagnostic sampling" being directly related to a diagnostic purpose.

No

The device description clearly outlines physical components (needles, stylets, hubs, cannulas) made of materials like nitinol, polycarbonate, stainless steel, and acrylic. The performance studies focus on physical properties and biocompatibility, not software validation.

Based on the provided information, the Pakter Curved Needle Set is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for procedures performed on the patient (discography, diagnostic sampling, aspiration, and injection). IVDs are used to examine specimens from the body (like blood, urine, tissue) to diagnose or monitor conditions.
  • Device Description: The device is a needle set designed for percutaneous insertion into the body. This is consistent with a surgical or interventional device, not an IVD.
  • Lack of IVD Characteristics: There is no mention of reagents, assays, or any components typically associated with in vitro testing of biological samples.

Therefore, the Pakter Curved Needle Set is a medical device used for procedures performed directly on a patient, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The Pakter Curved Needle Set is intended for discography, diagnostic sampling, aspiration, and injection.

Product codes

BSP

Device Description

The Pakter Curved Needle Set is manufactured as a coaxial needle set and includes a preshaped curved needle and an introducer needle. The curved needle consists of a nitinol cannula connected to a polycarbonate hub at the proximal end and is characterized with a distal curve and a 30° bevel distal tip. It also includes a stainless steel stylet that is designed for a transitional fit. The curved needle with stylet is 25 gage in diameter and has a length of 20 or 15 centimeters. The introducer needle consists of a stainless steel cannula connected to an acrylic hub at the proximal end. The introducer needle is also designed with a stainless steel stylet. The introducer needle with stylet is 21 gage in diameter and has a length of 15 or 10 centimeters. When used as intended, the introducer needle and stylet are first inserted percutaneously and advanced adjacent to the target anatomy. After removing the introducer needle stylet, the curved needle is then inserted through the introducer needle cannula and slowly advanced to the target anatomy. The Pakter Curved Needle Set is sterilized by ethylene oxide and intended for one-time use.

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

Bench Testing (including time-zero and five-year accelerated aged testing):

  • Tensile Strength:
    • Curved Needle Cannula Hub-to-Shaft: The peak tensile load for the hub-to-shaft section of the curved needle cannula shall be greater than or equal to 22 N in accordance with BS EN ISO 7864:2016 and BS EN ISO 11070:2014. The acceptance criterion was met.
    • Curved Needle Stylet Hub-to-Shaft: The peak tensile load for the hub-to-shaft section of the curved needle stylet shall be greater than or equal to 11 N in accordance with BS EN ISO 7864:2016 and BS EN ISO 11070:2014. The acceptance criterion was met.
    • Introducer Needle Cannula Hub-to-Shaft: The peak tensile load for the hub-to-shaft section of the introducer needle cannula shall be greater than or equal to 44 N in accordance with BS EN ISO 7864:2016 and BS EN ISO 11070:2014. The acceptance criterion was met.
    • Introducer Needle Stylet Hub-to-Shaft: The peak tensile load for the hub-to-shaft section of the introducer needle stylet shall be greater than or equal to 22 N in accordance with BS EN ISO 7864:2016 and BS EN ISO 11070:2014. The acceptance criterion was met.
  • Stiffness - Introducer Needle Cannula and Stylet: The introducer needle cannula and stylet shall show a deflection of less than 0.45 mm when a force of 9.6 N is applied in accordance with BS EN ISO 9626:2016. The acceptance criterion was met.
  • Resistance to Breakage:
    • Curved Needle Cannula: The curved needle cannula shall show no visible breakage after cyclic testing in accordance with BS EN ISO 9626:2016. The acceptance criterion was met.
    • Introducer Needle Cannula: The introducer needle cannula shall show no visible breakage after cyclic testing in accordance with BS EN ISO 9626:2016. The acceptance criterion was met.
  • Resistance to Corrosion: Following testing in accordance with the method given in Annex B of BS EN ISO 11070. the curved needle and introducer needle will be examined for visual signs of corrosion and the results will be reported. The acceptance criterion was met.
  • Tensile Strength Post-Corrosion:
    • Curved Needle Cannula Hub-to-Shaft: The peak tensile load for the hub-to-shaft section of the curved needle cannula shall be greater than or equal to 22 N in accordance with BS EN ISO 7864:2016 and BS EN ISO 11070:2014. The acceptance criterion was met.
    • Curved Needle Stylet Hub-to-Shaft: The peak tensile load for the hub-to-shaft section of the curved needle stylet shall be greater than or equal to 11 N in accordance with BS EN ISO 7864:2016 and BS EN ISO 11070:2014. The acceptance criterion was met.
    • Introducer Needle Cannula Hub-to-Shaft: The peak tensile load for the hub-to-shaft section of the introducer needle cannula shall be greater than or equal to 44 N in accordance with BS EN ISO 7864:2016 and BS EN ISO 11070:2014. The acceptance criterion was met.
    • Introducer Needle Stylet Hub-to-Shaft: The peak tensile load for the hub-to-shaft section of the introducer needle stylet shall be greater than or equal to 22 N in accordance with BS EN ISO 7864:2016 and BS EN ISO 11070:2014. The acceptance criterion was met.
  • Liquid Leakage Under Positive Pressure: The curved needle cannula shall maintain a positive pressure of 300 kPa for 30 seconds without leakage in accordance with BS EN ISO 11070:2014. The acceptance criterion was met.
  • Patency of Lumen: A stainless steel stylet with a diameter of 0.009 inches (0.23 mm) shall pass through the lumen of the curved needle cannula. The acceptance criterion was met.
  • Dimensional Analysis and Compatibility: Testing conducted demonstrated that the curved needle and introducer needle dimensions are within the specified tolerances and the components are compatible.

Biocompatibility Testing:

  • Per ISO 10993-1 and FDA guidance, testing for cytotoxicity, sensitization, intracutaneous irritation, acute systemic toxicity, material mediated pyrogen, and hemolysis study demonstrated the biocompatibility of the subject device.

Conclusion: The results of these tests confirm that the Pakter Curved Needle Set meets the design input requirements based on the intended use and support the conclusion that this device does not raise different questions of safety and/or effectiveness and is substantially equivalent to the predicate device, Atraumatic Standard Sprotte® Needle (K911260).

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

Not Found

Predicate Device(s)

K911260

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 868.5150 Anesthesia conduction needle.

(a)
Identification. An anesthesia conduction needle is a device used to inject local anesthetics into a patient to provide regional anesthesia.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" in a square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION".

June 7, 2018

Cook Incorporated Johnathan Liu Regulatory Affairs Specialist 750 Daniels Way Bloomington, Indiana 47404

Re: K173155

Trade/Device Name: Pakter Curved Needle Set Regulation Number: 21 CFR 868.5150 Regulation Name: Anesthesia Conduction Needle Regulatory Class: Class II Product Code: BSP Dated: May 7, 2018 Received: May 8, 2018

Dear Johnathan Liu:

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 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);

1

and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Michael J. Ryan -S

for Tina Kiang, Ph.D. 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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Indications for Use

510(k) Number (if known) K173155

Device Name Pakter Curved Needle Set

Indications for Use (Describe)

The Pakter Curved Needle Set is intended for discography, diagnostic sampling, aspiration, and injection.

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

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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2.0 510(k) SUMMARY

Pakter Curved Needle Set 21 CFR §807.92(c) Date Prepared: May 2, 2018

Submitted By:

Submission:Traditional 510(k) Premarket Notification
510(k) Number:K173155
Applicant:Cook Incorporated
Applicant Address:Cook Incorporated
750 Daniels Way
Bloomington, IN 47404
Contact:Johnathan Liu
Email:regsubmissions@cookmedical.com
Contact Phone Number:(812) 335-3575 x104509
Contact Fax Number:(812) 332-0281

Device Information:

Trade Name:Pakter Curved Needle Set
Common Name:Needle, Conduction, Anesthetic (W/Wo Introducer)
Classification Name:Anesthesia conduction needle
Regulation:21 CFR §868.5150
Product Code:BSP
Device Class:II
Classification Panel:Anesthesiology

Predicate Device:

The Pakter Curved Needle Set is considered substantially equivalent to the following device: Atraumatic Standard Sprotte® Needle (K911260, Pajunk GMBH) cleared on October 21, 1991.

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Device Description:

The Pakter Curved Needle Set is manufactured as a coaxial needle set and includes a preshaped curved needle and an introducer needle. The curved needle consists of a nitinol cannula connected to a polycarbonate hub at the proximal end and is characterized with a distal curve and a 30° bevel distal tip. It also includes a stainless steel stylet that is designed for a transitional fit. The curved needle with stylet is 25 gage in diameter and has a length of 20 or 15 centimeters. The introducer needle consists of a stainless steel cannula connected to an acrylic hub at the proximal end. The introducer needle is also designed with a stainless steel stylet. The introducer needle with stylet is 21 gage in diameter and has a length of 15 or 10 centimeters. When used as intended, the introducer needle and stylet are first inserted percutaneously and advanced adjacent to the target anatomy. After removing the introducer needle stylet, the curved needle is then inserted through the introducer needle cannula and slowly advanced to the target anatomy. The Pakter Curved Needle Set is sterilized by ethylene oxide and intended for one-time use.

Indications for Use:

The Pakter Curved Needle Set is intended for discography, diagnostic sampling, aspiration, and injection.

Comparison to Predicate Device:

The Pakter Curved Needle Set and the predicate device, Atraumatic Standard Sprotte® Needle (K911260), are considered substantially equivalent in that these devices are identical in principles of operation and fundamental technologies. Additionally, the subject device has similar indications for use, coaxial design, materials, and dimensions as the predicate device.

The differences in technological characteristics between the subject device and the predicate device include the following:

  • . Materials - The subject device needle cannula is made of Nitinol, while the predicate device's cannula is made of stainless steel. The subject device's introducer needle cannula hub is acrylic, while the predicate device's hub is made of polycarbonate.
  • . Dimensions - The subject device's needle cannula and introducer needle cannula are longer in length than those of the predicate device: the subject device's needle cannula gage size is smaller than that of the predicate device; the needle cannula tip of the subject device is curved with a 30-degree bevel, while that of the predicate

5

device is straight with a pencil point bevel; and the introducer needle cannula gage size of the subject device is smaller than that of the predicate device.

  • . Additionally, the subject device set includes a needle cannula stylet, while the predicate device set does not.
    These differences in technological characteristics between the subject and predicate devices do not raise any different questions of safety and/or effectiveness.
PREDICATE DEVICESUBJECT DEVICE
Atraumatic Standard Sprotte®
Needle
(K911260)Pakter Curved Needle Set
Regulation21 CFR § 868.5150Identical
Product CodeBSPIdentical
ClassificationIIIdentical
Indications for UseTo gain entry into or puncture the
spinal cavity permitting
injection/withdrawal of fluids for
purposes of diagnostic lumbar
puncture, myelography/discography
and chemonuceolysis procedures.The Pakter Curved Needle Set is
intended for discography, diagnostic
sampling, aspiration, and injection.
Device is for One-time
UseYesIdentical
Needle *Cannula
MaterialStainless SteelNitinol
Cannula Hub
MaterialPolycarbonateIdentical
Cannula Length7 to 15 cm15, 20 cm
Cannula Size19.5 to 24 gage25 gage
Cannula TipStraight, Pencil pointCurved, 30° bevel
Stylet MaterialStainless SteelIdentical
Introducer NeedleCannula
MaterialStainless SteelIdentical
Cannula Hub
MaterialPolycarbonateAcrylic
Cannula Size0.7 to 1.0 mm21 gage (0.82 mm)
Cannula Length3, 4 cm10, 15 cm
Stylet MaterialNo styletStainless Steel
PackagingPouchPeel Pouch
Sterilization MethodEtOIdentical
Sterility Assurance
Level10-6Identical

*Subject device needle is curved. Predicate device needle is not curved.

Indications for Use: The indications for use of the subject device is similar to that of the predicate device. Both the subject device and predicate device are indicated for discography. Although the wording is different, the subject device indications for

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"diagnostic sampling, aspiration, and injection" are synonymous with the predicate device indications for "injection/withdrawal of fluids." The only difference between the subject device and predicate device intended use statements is that the subject device is not indicated for myelography and chemonucleolysis. The wording differences and exclusion of myelography and chemonucleolysis in the indications for use statement of the subject device do not raise different questions of safety and/or effectiveness.

Technological Characteristics:

The subject device. Pakter Curved Needle Set, underwent the following applicable testing to ensure reliable design and performance under the specified testing parameters:

Bench Testing (including time-zero and five-year accelerated aged testing)

  • Tensile Strength .
    • Curved Needle Cannula Hub-to-Shaft The peak tensile load for the hub-to-. shaft section of the curved needle cannula shall be greater than or equal to 22 N in accordance with BS EN ISO 7864:2016 and BS EN ISO 11070:2014. The acceptance criterion was met.
    • . Curved Needle Stylet Hub-to-Shaft – The peak tensile load for the hub-to-shaft section of the curved needle stylet shall be greater than or equal to 11 N in accordance with BS EN ISO 7864:2016 and BS EN ISO 11070:2014. The acceptance criterion was met.
    • Introducer Needle Cannula Hub-to-Shaft The peak tensile load for the hub-to-. shaft section of the introducer needle cannula shall be greater than or equal to 44 N in accordance with BS EN ISO 7864:2016 and BS EN ISO 11070:2014. The acceptance criterion was met.
    • Introducer Needle Stylet Hub-to-Shaft The peak tensile load for the hub-to-. shaft section of the introducer needle stylet shall be greater than or equal to 22 N in accordance with BS EN ISO 7864:2016 and BS EN ISO 11070:2014. The acceptance criterion was met.
  • . Stiffness - Introducer Needle Cannula and Stylet: The introducer needle cannula and stylet shall show a deflection of less than 0.45 mm when a force of 9.6 N is applied in accordance with BS EN ISO 9626:2016. The acceptance criterion was met.

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  • . Resistance to Breakage
    • . Curved Needle Cannula - The curved needle cannula shall show no visible breakage after cyclic testing in accordance with BS EN ISO 9626:2016. The acceptance criterion was met.
    • . Introducer Needle Cannula – The introducer needle cannula shall show no visible breakage after cyclic testing in accordance with BS EN ISO 9626:2016. The acceptance criterion was met.
  • . Resistance to Corrosion - Following testing in accordance with the method given in Annex B of BS EN ISO 11070. the curved needle and introducer needle will be examined for visual signs of corrosion and the results will be reported. The acceptance criterion was met.
  • . Tensile Strength Post-Corrosion
    • Curved Needle Cannula Hub-to-Shaft The peak tensile load for the hub-to-. shaft section of the curved needle cannula shall be greater than or equal to 22 N in accordance with BS EN ISO 7864:2016 and BS EN ISO 11070:2014. The acceptance criterion was met.
    • . Curved Needle Stylet Hub-to-Shaft – The peak tensile load for the hub-to-shaft section of the curved needle stylet shall be greater than or equal to 11 N in accordance with BS EN ISO 7864:2016 and BS EN ISO 11070:2014. The acceptance criterion was met.
    • Introducer Needle Cannula Hub-to-Shaft The peak tensile load for the hub-to-. shaft section of the introducer needle cannula shall be greater than or equal to 44 N in accordance with BS EN ISO 7864:2016 and BS EN ISO 11070:2014. The acceptance criterion was met.
    • Introducer Needle Stylet Hub-to-Shaft The peak tensile load for the hub-to-. shaft section of the introducer needle stylet shall be greater than or equal to 22 N in accordance with BS EN ISO 7864:2016 and BS EN ISO 11070:2014. The acceptance criterion was met.
  • Liquid Leakage Under Positive Pressure The curved needle cannula shall maintain a . positive pressure of 300 kPa for 30 seconds without leakage in accordance with BS EN ISO 11070:2014. The acceptance criterion was met.
  • . Patency of Lumen – A stainless steel stylet with a diameter of 0.009 inches (0.23 mm) shall pass through the lumen of the curved needle cannula. The acceptance criterion was met.

8

  • . Dimensional Analysis and Compatibility - Testing conducted demonstrated that the curved needle and introducer needle dimensions are within the specified tolerances and the components are compatible.
    Biocompatibility Testing:

  • . Per ISO 10993-1 and FDA guidance, testing for cytotoxicity, sensitization, intracutaneous irritation, acute systemic toxicity, material mediated pyrogen, and hemolysis study demonstrated the biocompatibility of the subject device.

Conclusion:

The results of these tests confirm that the Pakter Curved Needle Set meets the design input requirements based on the intended use and support the conclusion that this device does not raise different questions of safety and/or effectiveness and is substantially equivalent to the predicate device, Atraumatic Standard Sprotte® Needle (K911260).