K Number
K201356
Date Cleared
2021-02-12

(267 days)

Product Code
Regulation Number
868.5140
Panel
AN
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Plastic LOR Syringe is intended for use in conjunction with an epidural needle, to verify the needle tip placement in the epidural space by the loss of Resistance technique, it will be filled with air and/or saline during use. The loss of Resistance Syringe is not intended for injection or aspiration. The syringe will be sold sterile individually packaged, and as part of a sterile kit.

Device Description

The Plastic LOR syringe is a piston syringe of three pieces. It consists of barrel, plunger and piston. The barrel is available with Luer slip, NRFit lock, NRFit Slip male connector. The Plastic LOR syringe is provided in combinations of four connectors and four syringe capacities (5ml, 7ml, 10ml, 20ml). The device is a sterile finished disposable device, supplied sterile to the end user and non-sterile will be supplied to Anesthetic Conduction Kit manufacturers to be sterile and packaged into kit. The Plastic LOR syringe is a single use device which will be supplied as sterile individually packaged and the non-sterile bulk packed. The sterilized by Ethylene Oxide Gas to achieve a SAL of 10° and supplied sterility maintenance package which could maintain the sterility of the device during the s helf life of five years.

AI/ML Overview

This document is a 510(k) Summary for a Plastic LOR Syringe. The purpose of this summary is to demonstrate that the device is substantially equivalent to legally marketed predicate devices.

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

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria are primarily derived from various ISO and ASTM standards for syringes, neuraxial, and Luer connectors, as well as biocompatibility and sterilization standards. The reported device performance indicates compliance with these standards.

Acceptance Criteria CategorySpecific Standard/ClauseReported Device Performance
Physical/MechanicalClause 5 of ISO 7886-1:2017 (General requirements)Conforms to requirements
Clause 6 of ISO 7886-1:2017 (Extraneous matter)Conforms to requirements
Clause 7 of ISO 7886-1:2017 (Lubricant)Conforms to requirements
Clause 8 of ISO 7886-1:2017 (Tolerance on graduated capacity)Conforms to requirements
Clause 9 of ISO 7886-1:2017 (Graduated scale)Conforms to requirements
Clause 10 of ISO 7886-1:2017 (Barrel)Conforms to requirements
Clause 11 of ISO 7886-1:2017 (Piston stopper/plunger assembly)Conforms to requirements
Clause 12 of ISO 7886-1:2017 (Nozzle)Conforms to requirements
Clause 13 of ISO 7886-1:2017 (Performance)Conforms to requirements
Neuraxial Small-Bore ConnectorClause 5 of ISO 80369-6:2016 (Dimensional requirements)Conforms to requirements
Clause 6.1 of ISO 80369-6:2016 (Fluid leakage)Conforms to requirements
Clause 6.2 of ISO 80369-6:2016 (Sub-atmospheric pressure air leakage)Conforms to requirements
Clause 6.3 of ISO 80369-6:2016 (Stress cracking)Conforms to requirements
Clause 6.4 of ISO 80369-6:2016 (Resistance to separation from axial load)Conforms to requirements
Clause 6.5 of ISO 80369-6:2016 (Resistance to separation from unscrewing)Conforms to requirements
Clause 6.6 of ISO 80369-6:2016 (Resistance to overriding)Conforms to requirements
Luer ConnectorClause 5 of ISO 80369-7:2016 (Dimensional requirements)Conforms to requirements
Clause 6.1 of ISO 80369-7:2016 (Fluid leakage)Conforms to requirements
Clause 6.2 of ISO 80369-7:2016 (Sub-atmospheric pressure air leakage)Conforms to requirements
Clause 6.3 of ISO 80369-7:2016 (Stress cracking)Conforms to requirements
Clause 6.4 of ISO 80369-7:2016 (Resistance to separation from axial load)Conforms to requirements
Clause 6.5 of ISO 80369-7:2016 (Resistance to separation from unscrewing)Conforms to requirements
Clause 6.6 of ISO 80369-7:2016 (Resistance to overriding)Conforms to requirements
Sterile Barrier PackagingASTM F1886/F1886M-16 (Visual inspection)Maintained integrity
ASTM F88/F88-15 (Seal strength)Maintained integrity
ASTM F1929-15 (Dye penetration test)Maintained integrity
Sterilization & Shelf LifeISO 10993-7:2008 (EO residue)EO ECH residue did not exceed the limit
USP 39-NF 34 (Bacteria Endotoxin Limit)Endotoxin limit did not exceed 2.15 EU/device
Shelf Life Evaluation (Physical, Mechanical, Chemical, Package Tests on aging samples)Maintained performance during claimed shelf life (5 years)
Biocompatibility(Implicitly based on ISO 10993 for indirect contact,

§ 868.5140 Anesthesia conduction kit.

(a)
Identification. An anesthesia conduction kit is a device used to administer to a patient conduction, regional, or local anesthesia. The device may contain syringes, needles, and drugs.(b)
Classification. Class II (performance standards).