K Number
K190149
Date Cleared
2019-10-15

(259 days)

Product Code
Regulation Number
880.5440
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Vial Adapter Ø20mm are indicated for the transfer and mixing of drugs contained in vials.

Device Description

The vial adapter (VA) are sterile polycarbonate molded devices that allows easy transfer of fluids into and out of drug vials. It incorporates a siliconized hollow spike for puncturing the stopper in the neck of the vial and a luer fitting that allows connection of a syringe on opposite side. After puncturing the hollow spike seats securely around the ferrule of drug vial utilizing the "legs" of the vial adapter. The opposite side of the vial adapter contains a luer fitting for the connection of a standard Luer Lock syringe for the reconstitution and removal of the contents of the drug vial. The proposed VA is available in Ø20mm to accommodate Ø20 drug vials and is available in 3 configurations, no filter, inline 5-micron or 15-micron disc filter sub- assembly for particulate filtration.

AI/ML Overview

Based on the provided document, the device in question is a "Vial Adapter Ø20 mm", which is a medical device for transferring and mixing drugs contained in vials. The document is a 510(k) summary submitted to the FDA for market clearance.

Here's the breakdown of the acceptance criteria and study information:

Acceptance Criteria and Reported Device Performance

The document describes non-clinical testing to demonstrate performance and substantial equivalence to a predicate device. There are no specific "acceptance criteria" presented in a table with numerical goals and actual performance values for each, but rather the document states that "All testing met the required acceptance criteria." The tests performed are primarily related to mechanical function, fluid dynamics, filter performance (for some configurations), and Luer lock characteristics.

Here is a table summarizing the tests, standards, and the general statement of performance:

CategoryTestTesting StandardReported Device Performance
A: PackagingA1: Seal integrity test by dye penetrationISO 11607-1Met required criteria
A2: Sealing strength (resistance)ISO 11607-1Met required criteria
A3: Peeling open characteristics testISO 11607-1Met required criteria
B: Mechanical tests and leaksB1: VA Snapping forceInternal performance standardsMet required criteria
B2: VA Unsnapping forceInternal performance standardsMet required criteria
B3: Leak Spike/VialISO 8871-5:2016(F)Met required criteria
B6: Spike ductilityInternal performance standardsMet required criteria
D: Fluid flowD1: Flow injection from syringe to VialInternal performance standardsMet required criteria
D2: Flow aspiration from Vial to syringeInternal performance standardsMet required criteria
D3: Dead volumeInternal performance standardsMet required criteria
E: FilterE1: Filter integrityInternal performance standardsMet required criteria
E2: Filter holding force / VAInternal performance standardsMet required criteria
E3: Leak external filter / internal VAInternal performance standardsMet required criteria
E3: Particle Filtration Efficiency (Particulate)Internal specificationMet required criteria
F: Luer LockF1: GaugingISO 80369-7Met required criteria
F2: Liquid leak checking of the liquid-tightness of the cone LuerISO 80369-7Met required criteria
F3: Air leak checking of the air-tightness of the cone LuerISO 80369-7Met required criteria
F4: Separation forceISO 80369-7Met required criteria
F5: Unscrewing torque forceISO 80369-7Met required criteria
F6: Friendly assemblyISO 80369-7Met required criteria
F7: Thread resistanceISO 80369-7Met required criteria
F8: Cracks and change colorISO 80369-7Met required criteria
OtherParticulate TestingUSPMet required criteria
Biocompatibility (Cytotoxicity, Sensitization, Hemolysis, Intracutaneous Reactivity, Systemic Toxicity, Rabbit Pyrogen Test)ISO 10993 series, ASTM F756Successfully completed
Sterilization ValidationISO 11137-1, ISO 11137-2, AAMI TIR 33Validated to minimum SAL 10-6
LAL Testing (Bacterial Endotoxin)Validated LAL methodSuccessfully tested

Study Details:

This document describes a 510(k) submission for a Class II medical device, which typically relies on demonstrating substantial equivalence to a predicate device rather than extensive clinical efficacy trials. The "study" here refers to the non-clinical testing performed to support this claim.

  1. Sample size used for the test set and the data provenance:

    • The document does not specify the exact sample sizes (N) for each of the non-clinical tests performed. It only lists the types of tests conducted.
    • Data Provenance: The submitter is Avenir Performance Européenne Medical (APEM), located in Château Landon, France. The testing standards are international (ISO, ASTM) and US-based (USP). The document does not explicitly state whether the data is retrospective or prospective, but for device testing, it would generally be prospective (tests conducted specifically for this submission).
  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    • This question is not applicable to this type of submission. The "ground truth" for the non-clinical performance of a device like a vial adapter is established through standardized engineering and laboratory testing protocols, not through expert consensus or clinical interpretation of data. The "acceptance criteria" are derived from these standards or internal specifications, not expert diagnostic agreement.
  3. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

    • This question is not applicable. Adjudication methods like 2+1 or 3+1 are used in clinical studies, typically for establishing ground truth in image analysis or diagnostic tasks where human interpretation is involved and subject to variability. For engineering performance testing of a physical device, the outcome is measured against predefined physical/chemical standards, not adjudicated by experts.
  4. 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. An MRMC study is relevant for AI-powered diagnostic devices where human readers (e.g., radiologists) interpret cases with and without AI assistance. This device is a mechanical vial adapter, not an AI diagnostic tool.
    • The document explicitly states: "There was no clinical testing required to support the medical device as the Indications for Use is equivalent to the predicate device. The substantial equivalence of the device is supported by the non-clinical testing."
  5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

    • This is not applicable. This device is a mechanical adapter, not an algorithm or AI. The tests performed are on the physical device itself.
  6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

    • The "ground truth" for this device's performance is based on established engineering and medical device standards (ISO, USP, ASTM) and internal performance specifications. For example, "Leak Spike/Vial" is tested against ISO 8871-5:2016(F), and "Particulate Testing" against USP . Biocompatibility is tested against ISO 10993. These standards define the acceptable range or limits for specific performance parameters.
  7. The sample size for the training set:

    • This is not applicable. The concept of a "training set" is relevant for machine learning algorithms. This device is a mechanical medical device, not an AI.
  8. How the ground truth for the training set was established:

    • This is not applicable for the same reason as point 7.

§ 880.5440 Intravascular administration set.

(a)
Identification. An intravascular administration set is a device used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein. The device may include the needle or catheter, tubing, a flow regulator, a drip chamber, an infusion line filter, an I.V. set stopcock, fluid delivery tubing, connectors between parts of the set, a side tube with a cap to serve as an injection site, and a hollow spike to penetrate and connect the tubing to an I.V. bag or other infusion fluid container.(b)
Classification. Class II (special controls). The special control for pharmacy compounding systems within this classification is the FDA guidance document entitled “Class II Special Controls Guidance Document: Pharmacy Compounding Systems; Final Guidance for Industry and FDA Reviewers.” Pharmacy compounding systems classified within the intravascular administration set are exempt from the premarket notification procedures in subpart E of this part and subject to the limitations in § 880.9.