K Number
K182765
Device Name
5cc Neuraxial Slip Tip Glass Syringe,5cc Neuraxial Lock Tip Glass Syringe,5cc Neuraxial Additive Slip Tip Glass Syringe,10cc Neuraxial Slip Tip Glass Syringe,10cc Neuraxial Lock Tip Glass Syringe
Manufacturer
Date Cleared
2019-09-03

(340 days)

Product Code
Regulation Number
880.5860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Top NRFit Lock Tip and Slip Tip LOR Syringes and the Additive Slip Tip Syringe are intended to be used with the ISO 80369-6 NRFit neuraxial compliant epidural needles for locating the epidural space, for local administration, and regional administration excluding subarachnoid/spinal block.
Device Description
The TOP NRFit™ Tip Syringes are provided sterile. They are single use devices consisting of rigid USP 2 glass plungers and glass barrels with metal slip tips designed as the ISO 80369 - 6 compliant neuraxial connector which allows for connections of neuraxial specific applications while reducing the likelihood of misconnections to non-neuraxial devices. The syringe barrels are printed with graduated markings in cc (milliliters) indicating the volume of liquid inside the syringe barrel.
More Information

Not Found

No
The device description and performance studies focus on the mechanical and material properties of a syringe, with no mention of AI or ML.

No.
The device is a syringe for administering substances, not an active therapeutic device itself.

Yes

The intended use explicitly states "for locating the epidural space," which indicates a diagnostic function.

No

The device description clearly states it is a physical syringe made of glass and metal, and the performance studies are focused on physical properties and standards for syringes and connectors. There is no mention of software.

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

Here's why:

  • Intended Use: The intended use describes the device being used for locating the epidural space and administering substances within the body (local and regional administration). This is an in vivo application.
  • Device Description: The description details a syringe designed for delivering liquids, not for analyzing samples outside the body.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes, which are the hallmarks of an IVD.

The device is clearly intended for direct medical intervention on a patient, not for laboratory testing of biological samples.

N/A

Intended Use / Indications for Use

The Top NRFit Lock Tip and Slip Tip LOR Syringes and the Additive Slip Tip Syringe are intended to be used with the ISO 80369-6 NRFit neuraxial compliant epidural needles for locating the epidural space, for local administration, and regional administration excluding subarachnoid/spinal block.

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

OEH

Device Description

The TOP NRFit™ Tip Syringes are provided sterile. They are single use devices consisting of rigid USP 2 glass plungers and glass barrels with metal slip tips designed as the ISO 80369 - 6 compliant neuraxial connector which allows for connections of neuraxial specific applications while reducing the likelihood of misconnections to non-neuraxial devices. The syringe barrels are printed with graduated markings in cc (milliliters) indicating the volume of liquid inside the syringe barrel. The proposed models for the neuraxial devices are listed below in Table 1 and 1a, where Table 1a part numbers identify products which include a distributor logo on the syringe barrel.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

neuraxial

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 Tests:

    1. Ink Adhesion
    1. Visual Inspection, including (burrs, hooks, cracks, foreign contamination, missing components)
    1. NRFit Associated Device Testing
    1. NRFit Device Interconnectibility
    1. Pressure/Injection Testing
    1. Tolerance on Graduated Capacity per ISO 7886-1:2017
    1. Determination of Dead Space per ISO 7886-1:2017
    1. Liquid Leakage at Syringe Piston under Compression per ISO 7886-1:2017
    1. Force to Operate Piston per ISO 7886-1:2017
    1. Fit of Piston within Barrel per ISO 7886-1:2017
    1. Leakage Under Pressure/During Aspiration per ISO 7886-1:2017
    1. Stress Cracking per ISO 80369-20:2015 with conformance to ISO 80369-6:2016
  • 13.Fluid Leakage by Pressure Decay per ISO 80369-20:2015 with conformance to ISO 80639-6:2016
  • 14.Subatmospheric Leakage per ISO 80369-20:2015 with conformance to ISO 80369-6:2016
  • 15.Resistance to Separation from Unscrewing per ISO 80369-20:2015 with conformance to ISO 80369-6:2016
  • 16.Resistance to Separation from Axial Load per ISO 80369-20:2015 with conformance to ISO 80369-6:2016
    1. Resistance to Overriding per ISO 80369-20:2015 with conformance to ISO 80369-6:2016
    1. Particulate Matter per USP

Biocompatibility testing has demonstrated the subject devices [externally communicating device, indirect blood path with limited (

§ 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

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September 3, 2019

TOP Corporation % Jonathan Gilbert Regulatory Affairs Consultant to TOP/MHC Jon Gilbert 1641 Jeurissen Lane Chanhassen, Minnesota 55317

Re: K182765

Trade/Device Name: TOP Corporation NRFit™ Tip Glass Syringes Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: Class II Product Code: OEH Dated: July 30, 2019 Received: July 31, 2019

Dear Jonathan Gilbert:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

1

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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

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/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

For Alan Stevens Assistant Director Team Health Technology 3 - Injection Devices Division of Health Technology 3 Office of Health Technology 3 Office of Product Evaluation and Quality Center For Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K182765

Device Name

TOP Corporation NRFit™ Tip Glass Syringes

Indications for Use (Describe)

The Top NRFit Lock Tip and Slip Tip LOR Syringes and the Additive Slip Tip Syringe are intended to be used with the ISO 80369-6 NRFit neuraxial compliant epidural needles for locating the epidural space, for local administration, and regional administration excluding subarachnoid/spinal block.

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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510(k) Summary - K182765

SubmitterTOP Corporation
Sponsor:19-10 Senju
Nakai-cho
Adachi-ku
Tokyo, Japan
Contact:Jon Gilbert, Consultant
+01 (906) 361-3237
jgilb.raca@gmail.com
Date of Preparation:September 24, 2018
Subject Device:
Common Name:Neuraxial Tip Syringes
Trade Name:TOP Corporation NRFitTM Tip Glass Syringes
Regulation Number:21 CFR880.5860
Regulation Name:Piston syringe
Review Panel:General Hospital
Regulatory Class:Class II
Product Code:QEH
Primary Predicate:Vesco Medical NRFit Tip
Syringe 510(k):K170218 cleared Feb 24, 2017

Device Description:

The TOP NRFit™ Tip Syringes are provided sterile. They are single use devices consisting of rigid USP 2 glass plungers and glass barrels with metal slip tips designed as the ISO 80369 - 6 compliant neuraxial connector which allows for connections of neuraxial specific applications while reducing the likelihood of misconnections to non-neuraxial devices. The syringe barrels are printed with graduated markings in cc (milliliters) indicating the volume of liquid inside the syringe barrel. The proposed models for the neuraxial devices are listed below in Table 1 and 1a, where Table 1a part numbers identify products which include a distributor logo on the syringe barrel.

Table 1. TOP Corporation Models and Description
TDR-621-015cc Neuraxial Slip Tip Glass Syringe
TDR-621-025cc Neuraxial Lock Tip Glass Syringe
TDR-620-115cc Neuraxial Additive Slip Tip Glass Syringe
TDR-621-2110cc Neuraxial Slip Tip Glass Syringe
TDR-621-2210cc Neuraxial Lock Tip Glass Syringe

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Table 1a. Part Numbers and Descriptions for syringes with logo
TDR-134-015cc Neuraxial Slip Tip Glass Syringe (w/ logo)
TDR-134-025cc Neuraxial Lock Tip Glass Syringe (w/ logo)
TDR-133-015cc Neuraxial Additive Slip Tip Glass Syringe (w/ logo)
TDR-621-3110cc Neuraxial Slip Tip Glass Syringe (w/ logo)
TDR-621-3210cc Neuraxial Lock Tip Glass Syringe (w/ logo)

Indications for Use:

The Top NRFit Lock Tip and Slip Tip LOR Syringes and the Additive Slip Tip Syringe are intended to be used with the ISO 80369-6 NRFit neuraxial compliant epidural needles for locating the epidural space, for local administration, and regional administration excluding subarachnoid/spinal block.

Discussion of differences in Indications for Use

The subject device indications are a subset of indications within the broader indications recently cleared in predicate K170218, and as such are not critical to the intended therapeutic, diagnostic, prosthetic, or surgical use of the device, and, do not affect the safety and effectiveness when used as labeled.

Technological Characteristics:

Table 2. Technological Characteristics & Substantial Equivalence

| Device | Vesco Medical
K170218
Primary Predicate | TOP
K843414
Secondary
Predicate | TOP
CORPORATION
Neuraxial*
K182765
Subject Device | Comparison |
|------------------------------------|-------------------------------------------------|------------------------------------------|---------------------------------------------------------------|----------------------------------------------------------|
| Syringe
Barrel: | Polypropylene | USP 2
borosilicate
glass | USP 1
borosilicate glass | Same as
K843414,
Different
materials
K170218 |
| Plunger Tip: | Synthetic Rubber | Synthetic
Rubber | Synthetic Rubber | Same as
K843414 &
K170218 |
| Plunger: | Polypropylene | USP 2
borosilicate
glass | USP 1
borosilicate glass,
or
Polypropylene | Same as
K843414,
Different
materials
K170218 |
| Syringe
Piston Lube
Coating: | Polydimethylsiloxa
ne, Silanol
Terminated | Medical
Grade Oil | Medical Grade Oil | Same as
K843414,
Different
materials |

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K170218
Syringe sizes:3-20mL1-100mL5mL and 10mLDifferent
sizes
K170218
Connection:NRFitTMLuer lock,
Luer SlipNRFitTMSame
K170218,
Different
connection
K843414
Calibrated Barrel Volume:YesYesYesSame as
K843414 &
K170218
Recommended Sterilization method:EtOEtOEtOSame as
K843414 &
K170218

Discussion of differences in technological characteristics

Differences in materials between the subject device K182765 and primary predicate K170218 were addressed through biocompatibility testing per ISO 10993-1 Biological evaluation of medical devices.

Differences in syringe sizes and neuraxial tip between the subject device K182765 and K843414 were addressed through ISO 80369-6, ISO 80369-20 and ISO 7886-1 performance testing.

These differences do not raise different questions of safety and effectiveness.

The clinical technique, technical specifications, materials used, and sterility status (validation and sterility assurance level) are substantially equivalent to either K843414 or K170218. As stated above, the NRFit™ tip syringes provide connections of neuraxial specific applications while reducing the likelihood of misconnections to non-neuraxial devices.

Performance Testing:

The performance of the subject TOP NRFit™ Tip Syringes is demonstrated as tested per ISO 80369-6, Small bore connectors for liquids and gases in healthcare applications -Part 6: Connectors for neuraxial applications.

Non-Clinical Tests:

    1. Ink Adhesion
    1. Visual Inspection, including (burrs, hooks, cracks, foreign contamination, missing components)
    1. NRFit Associated Device Testing
    1. NRFit Device Interconnectibility
    1. Pressure/Injection Testing
    1. Tolerance on Graduated Capacity per ISO 7886-1:2017
    1. Determination of Dead Space per ISO 7886-1:2017

6

    1. Liquid Leakage at Syringe Piston under Compression per ISO 7886-1:2017
    1. Force to Operate Piston per ISO 7886-1:2017
    1. Fit of Piston within Barrel per ISO 7886-1:2017
    1. Leakage Under Pressure/During Aspiration per ISO 7886-1:2017
    1. Stress Cracking per ISO 80369-20:2015 with conformance to ISO 80369-6:2016
  • 13.Fluid Leakage by Pressure Decay per ISO 80369-20:2015 with conformance to ISO 80639-6:2016
  • 14.Subatmospheric Leakage per ISO 80369-20:2015 with conformance to ISO 80369-6:2016
  • 15.Resistance to Separation from Unscrewing per ISO 80369-20:2015 with conformance to ISO 80369-6:2016
  • 16.Resistance to Separation from Axial Load per ISO 80369-20:2015 with conformance to ISO 80369-6:2016
    1. Resistance to Overriding per ISO 80369-20:2015 with conformance to ISO 80369-6:2016
    1. Particulate Matter per USP

Biocompatibility testing has demonstrated the subject devices [externally communicating device, indirect blood path with limited (