K Number
K191976
Device Name
Piper GO-IO Intraosseous Infusion System
Manufacturer
Date Cleared
2019-11-13

(112 days)

Product Code
Regulation Number
880.5570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Piper GO-IO® Intraosseous Infusion System provides intraosseous access in the proximal tibia, distal tibia and humeral head (proximal humerus) of adult and pediatric patients, and the distal femur in pediatric patients when intravenous access is difficult or impossible to obtain in emergent, urgent, or medically necessary cases for up to 24 hours.
Device Description
The Piper GO-IO® Intraosseous Infusion System provides clinicians and emergency personnel with access to the intraosseous space for resuscitation and lifesaving fluid delivery for up to 24 hours. The Piper GO-IO® Intraosseous Infusion System consists of the following: - a single use hypodermic needle (with needle safety cap), ● - a powered or manual driver to assist with needle insertion, ● - an extension set, and; - an adhesive-backed securement dressing. For insertions using the powered driver, the hypodermic needle hub that mates with a stylet connected to a drive adapter hub. The drive adapter hub includes a magnetic insert that attaches to the powered driver prior to needle insertion. The Piper GO-IO® Powered Driver is a hand-held, batterypowered device with a rechargeable lithium battery used to assist in the insertion of the subject device needle through the bone cortex. The assembly of the hypodermic needle and stylet with connected drive adapter hub is referred to as the needle set. For insertions using the manual driver, the needle and the needle hub mate with a stylet in the same way as the needle set that is used with the powered driver, except the stylet is integrated into the handle of the manual driver instead of a drive adaptor hub (i.e. the manual driver needle assembly does not include a drive adapter hub). The stylet was designed to include a passive safety feature to protect the placer from sharps injury. After the needle is inserted, the stylet is separated from the needle and needle hub. Upon separation of the stylet from the needle hub, the passive safety feature is released onto the stylet tip and can be safely discarded into a sharps container. Following needle insertion, the securement dressing can be applied to secure the needle hub to the skin. An extension set is available for access to the needle hub to support fluid exchange. The subject device Piper GO-IO® Intraosseous Infusion System will be offered in needle set (for use with the powered driver) and manual driver needle kit configurations. Each kit configuration will include a securement dressing and an extension set.
More Information

Not Found

No
The device description and performance studies focus on mechanical and electrical components for needle insertion and fluid delivery, with no mention of AI or ML capabilities.

Yes
The device is used to gain intraosseous access for resuscitation and fluid delivery in emergent or urgent situations, which directly addresses a medical condition to restore health or improve a medical condition.

No

The device is an intraosseous infusion system designed to provide access for fluid delivery, not to diagnose a medical condition.

No

The device description explicitly lists multiple hardware components, including a hypodermic needle, powered or manual driver, extension set, and securement dressing. The performance studies also detail testing of these physical components.

Based on the provided information, the Piper GO-IO® Intraosseous Infusion System is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use is to provide intraosseous access for fluid delivery in emergent, urgent, or medically necessary cases when intravenous access is difficult or impossible. This is a therapeutic and access procedure, not a diagnostic test performed on samples outside the body.
  • Device Description: The device components (needle, driver, extension set, securement dressing) are designed for physically accessing the intraosseous space and delivering substances, not for analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

Therefore, the Piper GO-IO® Intraosseous Infusion System is a medical device used for providing access and delivering fluids, not an IVD.

N/A

Intended Use / Indications for Use

The Piper GO-IO® Intraosseous Infusion System provides intraosseous access in the proximal tibia, distal tibia and humeral head (proximal humerus) of adult and pediatric patients, and the distal femur in pediatric patients when intravenous access is difficult or impossible to obtain in emergent, urgent, or medically necessary cases for up to 24 hours.

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

FMI

Device Description

The Piper GO-IO® Intraosseous Infusion System provides clinicians and emergency personnel with access to the intraosseous space for resuscitation and lifesaving fluid delivery for up to 24 hours. The Piper GO-IO® Intraosseous Infusion System consists of the following: a single use hypodermic needle (with needle safety cap), a powered or manual driver to assist with needle insertion, an extension set, and; an adhesive-backed securement dressing.

For insertions using the powered driver, the hypodermic needle hub that mates with a stylet connected to a drive adapter hub. The drive adapter hub includes a magnetic insert that attaches to the powered driver prior to needle insertion. The Piper GO-IO® Powered Driver is a hand-held, battery-powered device with a rechargeable lithium battery used to assist in the insertion of the subject device needle through the bone cortex. The assembly of the hypodermic needle and stylet with connected drive adapter hub is referred to as the needle set.

For insertions using the manual driver, the needle and the needle hub mate with a stylet in the same way as the needle set that is used with the powered driver, except the stylet is integrated into the handle of the manual driver instead of a drive adaptor hub (i.e. the manual driver needle assembly does not include a drive adapter hub).

The stylet was designed to include a passive safety feature to protect the placer from sharps injury. After the needle is inserted, the stylet is separated from the needle and needle hub. Upon separation of the stylet from the needle hub, the passive safety feature is released onto the stylet tip and can be safely discarded into a sharps container. Following needle insertion, the securement dressing can be applied to secure the needle hub to the skin. An extension set is available for access to the needle hub to support fluid exchange.

The subject device Piper GO-IO® Intraosseous Infusion System will be offered in needle set (for use with the powered driver) and manual driver needle kit configurations. Each kit configuration will include a securement dressing and an extension set.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

proximal tibia, distal tibia, humeral head (proximal humerus), distal femur

Indicated Patient Age Range

adult and pediatric patients

Intended User / Care Setting

clinicians and emergency personnel

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)

The following tables identify the performance tests completed on the subject device system, including the standard followed for each test.

Needle Set Kit and Manual Driver Kit Performance Tests:

  • Needle Outer Diameter (OD) - ISO 9626: 2016
  • Effective Needle Length - ISO 7864: 2016
  • Needle Lubricity - ISO 7864: 2016
  • Needle Cleanliness - ISO 9626: 2016
  • Needle to Hub Assembly Tensile - Internal Protocol/Standard
  • Stylet to Drive Adapter Hub Tensile - Internal Protocol/Standard
  • Needle and Stylet Disassembly Force - ISO 23908: 2011
  • Safety Activation - FDA Guidance for Sharps Injury Prevention Features & ISO 23908: 2011
  • Stylet Safety Override (force to failure) - ISO 23908: 2011
  • Securement Dressing - Pinch Force - Internal Protocol/Standard
  • Securement Dressing – Peel Strength - Internal Protocol/Standard
  • Securement Dressing – Liner Removal - Internal Protocol/Standard
  • Manual Driver Hub to Stylet Tensile - Internal Protocol/Standard
  • Cannula Needle Resistance to Corrosion - ISO 9626: 2016
  • Cannula Needle Surface Finish - ISO 7864: 2016
  • Needle Surface Finish and Visual Appearance - ISO 9626: 2016
  • Needle Hub Luer - ISO 594-1: 1986 and ISO 594-2: 1998
  • Needle Hub Cleanliness - ISO 7864: 2016
  • Needle Point - ISO 7864: 2016
  • Needle Resistance to Breakage - ISO 9626: 2016
  • Needle Stiffness - ISO 9626: 2016
  • Gravity Flow Rate - Internal Protocol/Standard
  • Liquid Leak Needle Hub - Internal Protocol/Standard
  • Limits for Acidity or Alkalinity (Needle) - ISO 7864: 2016
  • Limits for Extractable Metals (Needle) - ISO 7864: 2016
  • Depth Markings - Internal Protocol/Standard
  • Chemical Resistance - Internal Protocol/Standard
  • Needle Durability - Internal Protocol/Standard
  • Manual Drilling - Internal Protocol/Standard
  • Packaging Integrity and Seal Strength - ISO 11607-1:2006, ASTM F88/F88M: 2015, ASTM F1886/F1886M: 2016, ASTM F1929: 2015
  • Sharps Injury Prevention Feature (in Simulated Clinical Use) - FDA Guidance for Sharps Injury Prevention Features & ISO 23908: 2011

Powered Drill Performance Tests:

  • Needle Set Coupling - Internal Protocol/Standard
  • Battery Capacity/Indicator - Internal Protocol/Standard
  • Battery Usable Life - Internal Protocol/Standard
  • Battery Indicator / State of Charge - Internal Protocol/Standard
  • Drill High Temperature Shut Down - Internal Protocol/Standard
  • Use Life - Internal Protocol/Standard
  • Duty Cycle - Internal Protocol/Standard
  • Motor Stall/Stuck Shutoff - Internal Protocol/Standard
  • Usability - IEC 60601-1-6: 2013
  • Electrical Safety and Electromagnetic Compatibility - ANSI AAMI ES60601-1:2005/(R)2012, A1:2012, C1:2009/(R)2012, A2:2010/(R)2012; IEC 60601-1-2: 2014; IEC 60601-1-12: 2014; IEC 62133: 2012
  • Firmware Verification and Validation - Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices

Sterilization, Packaging, and Shelf-Life:

  • Sterilization Validation/Adoption - ISO 11135:2014
  • Packaging/Shelf-Life Validations - ISO 11607-1 AMD 1: 2014, ASTM F88/F88M: 2015, ASTM F1886/F1886M: 2016, ASTM F1929: 2015
  • Residuals - ISO 10993-7: 2008
  • Bacterial Endotoxin - USP , USP

Biocompatibility Evaluation (per ISO 10993-1:2009):

  • Cytotoxicity - ISO 10993-05: 2009
  • Sensitization - ISO 10993-10: 2010
  • Irritation/Intracutaneous Reactivity - Not Found (listed as blank in table)
  • Acute Systemic Toxicity - ISO 10993-11: 2006
  • Material Mediated Pyrogenicity - Not Found (listed as blank in table)
  • Hemocompatibility - ISO 10993-4: 2017

Key results: The results of performance and biological tests conducted on the Piper GO-IO® Intraosseous Infusion System met all predetermined acceptance criteria and demonstrated that the different technological characteristics of the subject device do not raise different questions of safety and effectiveness.

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.

K141117

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.

Not Found

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

§ 880.5570 Hypodermic single lumen needle.

(a)
Identification. A hypodermic single lumen needle is a device intended to inject fluids into, or withdraw fluids from, parts of the body below the surface of the skin. The device consists of a metal tube that is sharpened at one end and at the other end joined to a female connector (hub) designed to mate with a male connector (nozzle) of a piston syringe or an intravascular administration set.(b)
Classification. Class II (performance standards).

0

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

November 13, 2019

Piper Access, LLC % Mark Job Official Correspondent Regulatory Technology Services, LLC 1000 Westgate Drive, Suite 510k Saint Paul, Minnesota 55114

Re: K191976

Trade/Device Name: Piper GO-IO Intraosseous Infusion System Regulation Number: 21 CFR 880.5570 Regulation Name: Hypodermic single lumen needle Regulatory Class: Class II Product Code: FMI Dated: September 5, 2019 Received: September 17, 2019

Dear Mark Job:

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.

1

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) 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.

Alan Stevens Assistant Director DHT3C: Division of Drug Delivery and General Hospital Devices, and Human Factors OHT3: Office of Gastrorenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known)

K191976

Device Name Piper GO-IO® Intraosseous Infusion System

Indications for Use (Describe)

The Piper GO-IO® Intraosseous Infusion System provides intraosseous access in the proximal tibia, distal tibia and humeral head (proximal humerus) of adult and pediatric patients, and the distal femur in pediatric patients when intravenous access is difficult or impossible to obtain in emergent, urgent, or medically necessary cases for up to 24 hours.

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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3

K191976

510(k) Summary 21 CFR 807.92(a)

Applicant

Name:Piper Access, LLC
Address:3981 South 700 East Suite #15
Salt Lake City, UT 84107
Ph:801-210-2886
Manufacturer Contact:Jay Muse, President and CEO
Email:Jay.muse@piperaccess.com
Application Correspondent:Jacob Lee
Email:Jacob.Lee@bd.com
Date prepared:November 08, 2019

Subject Device

Trade Name:Piper GO-IO® Intraosseous Infusion System
Common Name:Intraosseous Infusion System
Classification Name:Hypodermic single lumen needle
Class:II
Regulation:21 CFR 880.5570
Product Code:FMI
Panel:General Hospital

Predicate Device

510(k):K141117 (Clearance Date July 8, 2014)
Trade Name:EZ-IO® Intraosseous Infusion System
Manufacturer:Arrow/Teleflex Medical
Common Name:Intraosseous Infusion System
Classification Name:Hypodermic single lumen needle
Class:II
Regulation:21CFR 880.5570
Product Code:FMI
Panel:General Hospital

Reason for Submission

This is a new device.

4

Subject Device Description

The Piper GO-IO® Intraosseous Infusion System provides clinicians and emergency personnel with access to the intraosseous space for resuscitation and lifesaving fluid delivery for up to 24 hours. The Piper GO-IO® Intraosseous Infusion System consists of the following:

  • a single use hypodermic needle (with needle safety cap), ●
  • a powered or manual driver to assist with needle insertion, ●
  • an extension set, and;
  • an adhesive-backed securement dressing.

For insertions using the powered driver, the hypodermic needle hub that mates with a stylet connected to a drive adapter hub. The drive adapter hub includes a magnetic insert that attaches to the powered driver prior to needle insertion. The Piper GO-IO® Powered Driver is a hand-held, batterypowered device with a rechargeable lithium battery used to assist in the insertion of the subject device needle through the bone cortex. The assembly of the hypodermic needle and stylet with connected drive adapter hub is referred to as the needle set.

For insertions using the manual driver, the needle and the needle hub mate with a stylet in the same way as the needle set that is used with the powered driver, except the stylet is integrated into the handle of the manual driver instead of a drive adaptor hub (i.e. the manual driver needle assembly does not include a drive adapter hub).

The stylet was designed to include a passive safety feature to protect the placer from sharps injury. After the needle is inserted, the stylet is separated from the needle and needle hub. Upon separation of the stylet from the needle hub, the passive safety feature is released onto the stylet tip and can be safely discarded into a sharps container. Following needle insertion, the securement dressing can be applied to secure the needle hub to the skin. An extension set is available for access to the needle hub to support fluid exchange.

The subject device Piper GO-IO® Intraosseous Infusion System will be offered in needle set (for use with the powered driver) and manual driver needle kit configurations. Each kit configuration will include a securement dressing and an extension set.

Intended Use

The Piper GO-IO® is intended to provide clinicians and emergency personnel with access to the intraosseous space.

Indications for Use

The Piper GO-IO® Intraosseous Infusion System provides intraosseous access in the proximal tibia, distal tibia and humeral head (proximal humerus) of adult and pediatric patients, and the distal femur in pediatric patients when intravenous access is difficult or impossible to obtain in emergent, urgent, or medically necessary cases for up to 24 hours.

Technological Characteristics

The technological characteristics of the subject Piper GO-IO® Intraosseous Infusion System are substantially equivalent with respect to the basic design and function as compared to the predicate EZ-IO® Intraosseous Infusion System. The differences between the subject and predicate devices are not critical to the intended use of the device and do not raise different questions of safety and effectiveness.

5

The following table provides a comparison of the technological characteristics between the subject and predicate device in sufficient detail to provide an understanding of the basis for a determination of substantial equivalence.

Subject and Predicate Device Comparison Table
AttributePiper GO-IO® Intraosseous
Infusion System
(Subject Device)EZ-IO® Intraosseous
Infusion System
(Predicate)
510(k)Subject of this Premarket
NotificationK141117
Product CodeSame as predicateFMI
Intended UseSame as predicateIntended to provide clinicians and
emergency personnel with access to
the intraosseous space.
Indications for UseSame as predicate with the
exception of the subject device
brand nameThe EZ-IO® Intraosseous Infusion
System provides intraosseous access
in the proximal tibia, distal tibia and
humeral head (proximal humerus) of
adult and pediatric patients, and the
distal femur in pediatric patients
when intravenous access is difficult
or impossible to obtain in emergent,
urgent, or medically necessary cases
for up to 24 hours.
Target Patient
PopulationSame as predicateAdults and Pediatrics
Anatomical
Insertion SiteSame as predicateAdults: Proximal tibia, distal tibia,
proximal humerus
Pediatrics: Proximal tibia, distal
tibia, proximal humerus, distal
femur
Primary IO System
ComponentsSame as predicate with the
exception of the subject stylet,
which includes a passive safety
sharps prevention feature• Hypodermic Needle w/Stylet
· Needle Safety Cap
· Securement Dressing
· Extension Set
• Powered Driver
· Manual Driver
Needle: Dwell TimeSame as predicate24 hours or less
Needle: UseSame as predicateSingle Use
Needle Lengths15mm (3-39kg)
25mm (>3kg)
45mm (>40kg)15 mm (3-39kg)
25 mm (3kg and over)
45 mm (40kg and over)
Subject and Predicate Device Comparison Table
AttributePiper GO-IO® Intraosseous
Infusion System
(Subject Device)EZ-IO® Intraosseous
Infusion System
(Predicate)
Needle: Outer
DiameterSame as predicate15 gauge
Needle: MaterialsSame as predicate304 Stainless Steel
Needle: Tip DesignTouhy/Huber Style Needle TipFaceted Tip
Needle: Depth
MarkersSame as predicateDepth markers every 1 cm
Needle: Hub
MaterialSame as predicateMedical grade polycarbonate
Needle: Hub
ConnectionSame as predicateStandard Luer Lock
Stylet: MaterialsSame as predicateStainless Steel
Stylet: Sharps
Injury Prevention
FeatureIncludes a stylet tip safety featureDoes not include a sharps
prevention feature on the stylet
Drive Adapter Hub:
MaterialsSame as predicatePolycarbonate and stainless steel
Inclusion of a
Needle Protective
CoverYes, includes a cover made of
polypropyleneYes, includes a cover made of
unknown material
Needle Set
Sterilization Method
& SALSame as predicateEO, 10-6
Manual Driver
AttachmentManual driver handle with
integrated stylet mates with internal
lumen of needle and needle hub
attaches to manual driverManual handle attaches to
needle set (i.e. assembly of needle
and stylet) with magnet
Manual Driver
Component
MaterialsHandle: ABS
Stylet: Stainless Steel (304)Handle: Polycarbonate
Stylet: The manual handle does not
include an integrated stylet
Manual Driver
Sterilization MethodSame as predicateEO
Manual Driver SALSame as predicate10-6
Powered Driver
FeaturesSame as predicateCordless, Battery-powered
Powered Driver UseSame as predicateReusable
Powered Driver
MaterialsCopolyesterPolycarbonate
Powered Driver
Energy SourceRechargeable Lithium BatteriesLithium Batteries
Subject and Predicate Device Comparison Table
AttributePiper GO-IO® Intraosseous
Infusion System
(Subject Device)EZ-IO® Intraosseous
Infusion System
(Predicate)
Powered Driver
Battery Light
Indicator4 battery light indicators to
represent battery charge levelOne battery light indicator
Powered Driver
Needle AttachmentSame as predicateMagnetic
Powered Driver
Cleaning MethodSame as predicateHigh level disinfectant
Powered Driver:
Type of protection
against electric
shockInternally Powered and Class IIInternally Powered
Powered Driver:
Degree of protection
against electric
shockSame as predicateType BF applied part
Powered Driver:
Degree of protection
against ingress of
waterIP33, Spraying water and solid
foreign body protection (objects

2.5mm diameter) | IPX0 Ordinary Protection |
| Means to Insert
Needle | Same as predicate | Manual or Powered Driver |
| General Method of
Insertion | Same as predicate | Push needle through soft tissue until
it contacts bone. Confirm depth
markings. Insert needle set through
bone until change in pressure is felt
or to desired depth. Remove stylet.
Connect IV extension set. |
| Degree of safety
or application in
the presence of a
flammable
anesthetic
mixture: | Not intended for use in an oxygen
rich environment | Equipment not suitable for use in
the presence of a flammable
anesthetic mixture with air or with
oxygen or nitrous oxide |

6

7

8

Subject and Predicate Device Comparison Table
AttributePiper GO-IO® Intraosseous
Infusion System
(Subject Device)EZ-IO® Intraosseous
Infusion System
(Predicate)
Expected Service
Life (Powered
Driver)Expected service life is
approximately 400 insertions.
Service life expectancy is
dependent on actual usage (bone
density and average insertion time),
storage, and frequency of testing.The predicate device is warranted to
a service life of 500 insertions.
Service Life expectancy is
dependent on actual usage (bone
density and average insertion
time), storage, and frequency of
testing.
Electromagnetic
Immunity and
Emissions (IEC
60601-1-2)Same as predicateComplies with standard
Maximum RPMSame as predicate1587 or less

9

Performance Testing

The following tables identify the performance tests completed on the subject device system, including the standard followed for each test.

| Needle Set Kit and Manual Driver Kit

Performance TestsStandard Followed
Needle Outer Diameter (OD)ISO 9626: 2016
Effective Needle LengthISO 7864: 2016
Needle LubricityISO 7864: 2016
Needle CleanlinessISO 9626: 2016
Needle to Hub Assembly TensileInternal Protocol/Standard
Stylet to Drive Adapter Hub TensileInternal Protocol/Standard
Needle and Stylet Disassembly ForceISO 23908: 2011
Safety ActivationFDA Guidance for Sharps Injury Prevention
Features & ISO 23908: 2011
Stylet Safety Override (force to failure)ISO 23908: 2011
Securement Dressing - Pinch ForceInternal Protocol/Standard
Securement Dressing – Peel StrengthInternal Protocol/Standard
Securement Dressing – Liner RemovalInternal Protocol/Standard
Manual Driver Hub to Stylet TensileInternal Protocol/Standard
Cannula Needle Resistance to CorrosionISO 9626: 2016
Cannula Needle Surface FinishISO 7864: 2016
Needle Surface Finish and Visual AppearanceISO 9626: 2016
Needle Hub LuerISO 594-1: 1986 and ISO 594-2: 1998
Needle Hub CleanlinessISO 7864: 2016
Needle PointISO 7864: 2016
Needle Resistance to BreakageISO 9626: 2016
Needle StiffnessISO 9626: 2016
Gravity Flow RateInternal Protocol/Standard
Liquid Leak Needle HubInternal Protocol/Standard
Limits for Acidity or Alkalinity (Needle)ISO 7864: 2016
Limits for Extractable Metals (Needle)ISO 7864: 2016
Depth MarkingsInternal Protocol/Standard
Chemical ResistanceInternal Protocol/Standard
Needle DurabilityInternal Protocol/Standard
Manual DrillingInternal Protocol/Standard
Packaging Integrity and Seal StrengthISO 11607-1:2006
ASTM F88/F88M: 2015
ASTM F1886/F1886M: 2016
ASTM F1929: 2015
Sharps Injury Prevention Feature (in Simulated
Clinical Use)FDA Guidance for Sharps Injury Prevention
Features & ISO 23908: 2011

10

Powered Drill Performance TestsStandards Followed
Needle Set CouplingInternal Protocol/Standard
Battery Capacity/IndicatorInternal Protocol/Standard
Battery Usable LifeInternal Protocol/Standard
Battery Indicator / State of ChargeInternal Protocol/Standard
Drill High Temperature Shut DownInternal Protocol/Standard
Use LifeInternal Protocol/Standard
Duty CycleInternal Protocol/Standard
Motor Stall/Stuck ShutoffInternal Protocol/Standard
UsabilityIEC 60601-1-6: 2013
Electrical Safety and Electromagnetic
Compatibility• ANSI AAMI ES60601-1:2005/(R)2012,
A1:2012, C1:2009/(R)2012,
A2:2010/(R)2012
• IEC 60601-1-2: 2014
• IEC 60601-1-12: 2014
• IEC 62133: 2012
Firmware Verification and ValidationGuidance for the Content of
Premarket Submissions for Software Contained
in Medical Devices
Sterilization, Packaging, and Shelf-LifeStandard Followed
Sterilization Validation/AdoptionISO 11135:2014
Packaging/Shelf-Life ValidationsISO 11607-1 AMD 1: 2014
ASTM F88/F88M: 2015
ASTM F1886/F1886M: 2016
ASTM F1929: 2015
ResidualsISO 10993-7: 2008
Bacterial EndotoxinUSP
USP

A biocompatibility evaluation was conducted on the subject device per ISO 10993-1:2009, Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing Within a Risk Management Process. According to the evaluation, the biological tests in the table below were conducted.

Biological EndpointStandard Followed
CytotoxicityISO 10993-05: 2009
SensitizationISO 10993-10: 2010
Irritation/Intracutaneous Reactivity
Acute Systemic ToxicityISO 10993-11: 2006
Material Mediated Pyrogenicity
HemocompatibilityISO 10993-4: 2017

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Summary of Substantial Equivalence

The subject device, Piper GO-IO® Intraosseous Infusion System, has the same intended use and the same fundamental scientific technology as the predicate device, EZ-IO Intraosseous Infusion System. The results of performance and biological tests conducted on the Piper GO-IO® Intraosseous Infusion System met all predetermined acceptance criteria and demonstrated that the different technological characteristics of the subject device do not raise different questions of safety and effectiveness. Based on the intended use, technological characteristics, performance and biological test results, the Piper GO-IO® Intraosseous Infusion System can be considered substantially equivalent to the cited predicate device.