K Number
K191659
Manufacturer
Date Cleared
2019-10-10

(111 days)

Product Code
Regulation Number
880.5860
Panel
HO
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Instylla Delivery Kit is intended to be used for the intra-arterial or intra-venous administration of radiographic contrast media, saline and other aqueous solutions.

Device Description

The Instylla Delivery Kit is comprised of two 1mL delivery syringes, a syringe holder, and a plunger clip (link).

AI/ML Overview

This document describes a 510(k) premarket notification for the "Instylla Delivery Kit," a piston syringe for administering medical solutions. The document does not contain any information about acceptance criteria or a study proving the device meets said criteria in the context of performance metrics like sensitivity, specificity, accuracy, or any AI/algorithm performance. The provided text details bench and functional testing for mechanical and material properties, rather than clinical performance or AI evaluation.

Therefore, I cannot provide the requested information regarding acceptance criteria and performance data in the context of an AI device.

However, I can extract information related to the device's non-AI performance testing, as detailed in the document:

1. Table of Acceptance Criteria and Reported Device Performance

The document lists performance testing that was conducted, but it does not explicitly state specific acceptance criteria values or detailed quantitative reported performance metrics. It generally states that these tests were performed "to verify specifications fundamental to the device" and that the syringes are "compliant against FDA recognized standards ISO 7886-1 and ISO 594-2."

Performance TestAcceptance Criteria (Not explicitly stated with values in document, generally "meets specifications" or "compliant")Reported Device Performance
Visual InspectionTo verify specifications fundamental to the devicePerformed
Dimensional VerificationTo verify specifications fundamental to the devicePerformed
Functional Testing:
- Syringe Holder and Plunger Clip Connection ForceTo verify specifications fundamental to the devicePerformed
- Syringe Holder and Plunger Clip Disconnection ForceTo verify specifications fundamental to the devicePerformed
- Syringe CompatibilityTo verify specifications fundamental to the devicePerformed
- Syringe Glide Force and Break ForceTo verify specifications fundamental to the devicePerformed
- Fluids CompatibilityTo verify specifications fundamental to the devicePerformed
- Delivery IntegrityTo verify specifications fundamental to the devicePerformed
Particulate Matter TestingTo verify specifications fundamental to the devicePerformed
Syringe ComplianceFDA recognized standards ISO 7886-1 and ISO 594-2Compliant
Biocompatibility Testing:In accordance with ISO 10993-1 for indirect blood contact (≤24 hours)Successfully completed
- CytotoxicityMeets ISO 10993-1 requirementsPerformed
- SensitizationMeets ISO 10993-1 requirementsPerformed
- Irritation or Intracutaneous toxicityMeets ISO 10993-1 requirementsPerformed
- Acute Systemic ToxicityMeets ISO 10993-1 requirementsPerformed
- Material-Mediated PyrogenicityMeets ISO 10993-1 requirementsPerformed
- HemolysisMeets ISO 10993-1 requirementsPerformed
SterilitySterility Assurance Level (SAL) of 10-6 (validated per ISO 11135)Achieved
Endotoxin Level

§ 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).