K Number
K210227
Date Cleared
2021-09-10

(225 days)

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

The Sterile syringes for single use with/without needle are intended to be used for medical purposes to inject fluid into or withdraw fluid from body.

Device Description

The Sterile Syringes for Single Use with/without Needle are three-piece, sterile, single use hypodermic syringes with a 6% (Luer) male connector/lock fitting in various sizes. Each syringe assembly consists of a lubricated polypropylene barrel with a graduated scale, a lubricated synthetic rubber stopper and a polypropylene plunger rod. The plunger rod is pulled back to aspirate fluids or depressed to inject or expel fluids.

AI/ML Overview

The provided document is an FDA 510(k) clearance letter and associated summary for a medical device (Sterile syringes for single use with/without needle). This document describes the device, its intended use, comparison to a predicate device, and the testing conducted to demonstrate substantial equivalence.

However, the document does not describe a study involving an AI/algorithm-driven device with human-in-the-loop performance, nor does it detail acceptance criteria and performance for such a device in the way requested by your prompt. The device cleared is a manual medical device (syringes), not an AI-powered diagnostic or therapeutic tool.

Therefore, many of the requested details regarding AI acceptance criteria, data provenance, expert ground truth, MRMC studies, or standalone algorithm performance are not applicable and not present in this document.

Below is a breakdown of the relevant information found in the document, framed as closely as possible to your prompt's structure, along with clear statements about what information is not available given the nature of the cleared device:


Analysis of Acceptance Criteria and Study for the Sterile Syringes for Single Use with/without Needle

The acceptance criteria and study detailed in the provided FDA 510(k) summary pertain to the physical, chemical, and biological performance of a manual medical device (sterile syringes), not an AI-powered system. As such, information regarding AI-specific criteria, human reader improvement with AI assistance, or expert consensus on AI outputs is not present.

The study proves the device meets the acceptance criteria through demonstrating substantial equivalence to a legally marketed predicate device, primarily by showing compliance with recognized international and national standards for syrings and needles.

1. Table of Acceptance Criteria and the Reported Device Performance

The acceptance criteria are generally established by compliance with a comprehensive set of recognized industry standards. The reported device performance is that it "meets the requirements" or "complies with" these standards.

Acceptance Criteria CategorySpecific Standard/TestReported Device Performance
BiocompatibilityISO 10993-1:2018 (overall)The evaluation of the testing items meets the requirements.
Cytotoxicity (ISO 10993-5:2009)Meets requirements
Skin sensitization (ISO 10993-10:2010)Meets requirements
Hemolysis (ISO 10993-4:2017)Meets requirements
Intracutaneous reactivity (ISO 10993-10:2010)Meets requirements
Acute systemic toxicity (ISO 10993-11:2017)Meets requirements
Pyrogenicity (ISO 10993-11:2017)Meets requirements (also "Non-pyrogenic" in comparison table)
Particulate (USP <788>)Meets requirements
Sterilization & Shelf-LifeISO 11135 (Sterilization)Validated; thereby determined routine control and monitoring parameters.
Shelf Life Evaluation (e.g., physical, chemical, biological, sterility, seal strength, leakage)3 years shelf life determined based on stability studies (including accelerated aging). Tests performed: EO residue (ISO 10993-7), ECH residue (ISO 10993-7), Packaging Standards (ISO 11607, ASTM F1980, ASTM D4169, ASTM F88/F88M, ASTM F1140/F1140M, ASTM F1929, ASTM F2096), Microbial Barrier (DIN 58953-6).
Performance Testing (Syringe)ISO 7886-1:2017 (general)Complies with the standard.
Cleanliness (Cl 6.1)Complies
Acidity/Alkalinity Limits (Cl 6.2)Complies
Extractable metals Limits (Cl 6.3)Complies
Lubricant (Cl 7)Complies
Graduated capacity tolerance (Cl 8)Complies
Scale, Numbering, Length, Position (Cl 9.1-9.4)Complies
Dimensions, Barrel flanges (Cl 10.1-10.2)Complies
Design (Cl 11.1)Complies
Conical fitting (Cl 12.1, ISO 80369-7)Complies
Nozzle position/lumen (Cl 12.2-12.3)Complies
Dead Space (Cl 13.1)Complies
Freedom from air/liquid leakage past plunger stopper (Cl 13.2)Complies
Force to operate piston (Cl 13.3)Complies
Fit of plunger stopper/plunger (Cl 13.4)Complies
Performance Testing (Needle)ISO 7864:2016 (general)Complies with the standard.
Cleanliness (Cl 4.3)Complies
Acidity/Alkalinity Limits (Cl 4.4)Complies
Extractable metals Limits (Cl 4.5)Complies
Tubular needle designation (Cl 4.6)Complies
Color coding (Cl 4.7)Complies (Color-coded per ISO 6009)
Needle hub (Cl 4.8, ISO 80369-7, ISO 6009)Complies
Needle cap (Cl 4.9)Complies
Needle tube (length, defects, lubricant) (Cl 4.10)Complies
Needle Point (Cl 4.11)Complies
Bond between Tube and Hub (Cl 4.12)Complies
Patency of Lumen (Cl 4.13)Complies
Performance Testing (Luer Connectors)ISO 80369-7:2016 (now 2021) (general)Complies with the standard.
Dimensional requirements (Cl 5)Complies
Fluid leakage (Cl 6.1.3)Complies
Sub-atmospheric pressure air leakage (Cl 6.2)Complies
Stress cracking (Cl 6.3)Complies
Resistance to separation (axial/unscrewing) (Cl 6.4-6.5)Complies
Resistance to overriding (Cl 6.6)Complies
Performance Testing (Needle Tube - Materials)ISO 9626:2016 (general)Complies with the standard.
Surface finish, visual appearance (Cl 5.2)Complies
Cleanliness (Cl 5.3)Complies
Acidity/Alkalinity Limits (Cl 5.4)Complies
Size designation (Cl 5.5)Complies
Dimensions (Cl 5.6)Complies
Stiffness (Cl 5.8)Complies
Resistance to breakage (Cl 5.9)Complies
Resistance to corrosion (Cl 5.10)Complies
Labeling21 CFR Part 801Meets the requirements.

2. Sample Size Used for the Test Set and the Data Provenance

The document does not specify exact sample sizes for each test mentioned (e.g., how many syringes were tested for each performance criterion). It generally states that "The Sterile Syringes for Single Use with/without Needle are intended to be used for medical purposes to inject fluid into or withdraw fluid from body."

  • Data Provenance: The testing was conducted by or on behalf of the manufacturer, Zhejiang Kangkang Medical-Devices CO., Ltd., based in China. The data would therefore originate from China and pertain to laboratory testing of the manufactured device. The studies described are prospective laboratory tests performed specifically for this submission.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and the Qualifications of Those Experts

This information is not applicable as the evaluation is based on compliance with harmonized standards for physical and chemical properties of a device, not on clinical interpretation or ground truth established by medical experts for diagnostic accuracy. The "ground truth" here is the pass/fail result against established standard specifications.

4. Adjudication Method for the Test Set

This information is not applicable. Adjudication methods (like 2+1, 3+1) are used for clinical trials involving human interpretation of medical images or data, not for laboratory compliance testing of a physical medical device. The "adjudication" is the assessment of compliance with the specified test methods and criteria in the standards.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

No, an MRMC comparative effectiveness study was not done. This type of study is relevant for AI-powered diagnostic devices that assist human readers (e.g., radiologists, pathologists). The device under review is a manual syringe, which does not involve human readers in this context or AI assistance.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

No, a standalone algorithm performance study was not done. This concept is completely irrelevant to a manual medical device like a syringe.

7. The Type of Ground Truth Used

The "ground truth" for this device's performance is defined by the specified physical, chemical, and biological requirements and test methods outlined in the referenced international and national standards (e.g., ISO 7886-1, ISO 10993, USP <788>, etc.). For instance, for sterility, the ground truth is achieving a Sterility Assurance Level (SAL) of $10^{-6}$. For dimensions, the ground truth is meeting the specified dimensional tolerances. This is entirely lab-based and objective measurement.

8. The Sample Size for the Training Set

This information is not applicable. The device is a physical medical device (syringe), not an AI algorithm that requires a "training set."

9. How the Ground Truth for the Training Set Was Established

This information is not applicable for the same reason as above. There is no AI training set.

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September 10, 2021

Zhejiang Kangkang Medical-Devices CO., Ltd. Chun Guo General Manager Longwang Industrial District, Chumen Town Yuhuan, Zhejiang 317605 China

Re: K210227

Trade/Device Name: Sterile syringe for single use with/without needle Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: Class II Product Code: FMF Dated: August 6, 2021 Received: August 12, 2021

Dear Chun Guo:

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.

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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.

For 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

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Indications for Use

510(k) Number (if known) K210227

Device Name

Sterile syringes for single use with/without needle

Indications for Use (Describe)

The Sterile syringes for single use with/without needle are intended to be used for medical purposes to inject fluid into or withdraw fluid from body.

Type of Use (Select one or both, as applicable)

X Prescription Use (Part 21 CFR 801 Subpart D)

| Over-The-Counter Use (21 CFR 801 Subpart C)

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K210227 510(k) Summary

Date

September 10, 2021

Submitter

Device submitter: Zhejiang Kangkang Medical-Devices CO., Ltd. Longwang Industrial District, Chumen Town, Yuhuan, Zhejiang, 317605, China

Contact person: Chun Guo General Manager Phone: 13586180908 / 89902728 Fax: 0576-87427630 Email: guochun@vip.126.com

Device

Trade Name of Device: Sterile syringes for single use with/without needle Common Name: Piston Syringe Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: II Product code: FMF Review Panel: General Hospital

Predicate Device

Trade name:Sterile Hypodermic Syringe for Single use with/withoutNeedle (used as Predicate Device)Sterile Insulin Syringe for single use, with needleSterile Hypodermic Needle for single use
Common name:Piston Syringe
Classification:Class II, 21 CFR 880.5860
Product Code:FMF
Premarket Notification:K112057
Manufacturer:Shanghai Kindly Enterprise Division Group Company

Device description

The Sterile Syringes for Single Use with/without Needle are three-piece, sterile, single use hypodermic syringes with a 6% (Luer) male connector/lock fitting in various sizes. Each syringe assembly consists of a lubricated polypropylene barrel with a graduated scale, a lubricated synthetic rubber stopper and a polypropylene plunger rod. The plunger rod is pulled back to aspirate fluids or depressed to inject or expel fluids.

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ItemsSpecification
Type of nozzleCentral nozzle (1, 2, 3, 5, 10ml),Central nozzle or Eccentric nozzle (20, 30, 50, 60, 100ml)
StructureThree-piece structure
Color of needlehubYellowGreyMediumBrownOrangePurpleMiddle blueBlackDeep greenYellowCreamPink
OD of needletube30G27G26G25G24G23G22G21G20G19 G18 G
Length of needletube1/2"5/8"1", 1 1/4", 1 1/2"
Length of needlecovers (mm)12.512.5,16, 2516,2516,2525, 32, 38
Color of needlecoversTransparent
Type of wallNormal wall and thin wall
Blade angleShort bevel and long bevel

Indications for use

The Sterile Syringes for Single Use with/without Needle are intended to be used for medical purposes to inject fluid into or withdraw fluid from body.

Comparison of technological characteristics with the predicate devices

The Sterile Syringes for Single Use with/without Needle have the same intended use, technology, and are substantially equivalent to the predicate device. The differences between the Sterile Syringes for Single Use with/without Needle and the predicate device do not alter suitability of the proposed device for its intended use.

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Table 5-1 Substantial equivalence discussion – Sterile syringes for single use with/without needle

Device featureSubject DevicePredicate Device K112057
Indications for useThe Sterile Syringes for Single Use with/without Needle are intended to be used for medical purposes to inject fluid into or withdraw fluid from body.The Sterile Hypodermic Syringe for Single Use with/without needle is intended to be used for medical purposes to inject fluid into or withdraw fluid from body.
Product codeFMFFMF
Regulation number21 CFR 880.586021 CFR 880.5860
ClassIIII
Principle of operationFor manual use onlyFor manual use only
Intended userMedical professionals and trained care giversMedical professionals and trained care givers
Environment of useHospitals and clinicsHospitals and clinics
Syringe volume11ml, 2ml, 3ml, 5ml, 10ml, 20ml, 30ml, 50ml, 60ml, 100ml1ml, 3ml, 5ml, 6ml, 10ml, 20ml, 30ml, 35ml and 50ml
Nozzle typeLuer slip; Luer lockLuer slip; Luer lock
Lubricant for barrelSilicone oilSilicone oil
Barrel transparencyTransparent and clearTransparent and clear
GradationsLegibleLegible
legibility
Needle gauge18G, 19G, 20G, 21G, 22G, 23G, 24G, 25G, 26G, 27G, 30G18G, 19G, 20G, 21G, 22G, 23G, 24G, 25G, 26G, 27G, 28G, 29G, 30G
Needle hubColor-coded per ISO 6009Color-coded per ISO 6009
Single useYesYes
Performance specificationsComplies with ISO 7886-1:2017 Sterile Hypodermic syringes for single use - Part 1: Syringes for manual useComplies with ISO 7886-1:2017 Sterile Hypodermic syringes for single use - Part 1: Syringes for manual use
SterilizationEOEO
SAL10-610-6
Materials2Barrel: PPPlunger: PPPiston: Silicone RubberNeedle: Stainless 304Needle hub: PPBarrel: PPPlunger: PPPiston: Isoprene RubberNeedle: Stainless 304Needle hub: PP
PyrogenNon-pyrogenicNon-pyrogenic
BiocompatibilityThe biocompatibility evaluation for the subject device was conducted in accordance with the International Standard ISO 10993-1 "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing Within a Risk Management Process," as recognized by FDA and the "Use of International Standard ISO 10993-1 "Biological evaluation of medical devices- Part 1: Evaluation and testing within a risk management process", June 16, 2016. The syringe of testing included the following tests:Cytotoxicity;Skin sensitization;Hemolysis;Intracutaneous reactivity;Acute systemic toxicity;Pyrogenicity.The evaluation of the above testing items meets the requirementsThe biocompatibility evaluation for the subject device was conducted in accordance with the International Standard ISO 10993-1 "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing Within a Risk Management Process,” as recognized by FDA and the "Use of International Standard ISO 10993-1 "Biological evaluation of medical devices- Part 1: Evaluation and testing within a risk management process", June 16, 2016. The syringe of testing included the following tests:Cytotoxicity;Skin sensitization;Hemolysis;Intracutaneous reactivity;Acute systemic toxicity;Pyrogenicity.The evaluation of the above testing items meets the requirements
LabelingMeet the requirements of 21 CFRPart 801Meet the requirements of 21 CFR Part801

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  1. The subject device has larger syringe volume sizes. Differences are addressed through testing per ISO 7886-1:2017.

  2. There are material differences between the subject and predicate device. Differences are addressed through biocompatibility testing per ISO 10993.

Performance data

The following performance data were provided in support of the substantial equivalence determination.

Biocompatibility testing

Biocompatibility of the Sterile syringes for single use with/without needle was evaluated in accordance with ISO 10993-1:2018 for the body contact category of "External communication device - Blood path indirect" with a contact duration of "Limited (< 24 hours)". The following tests were performed, as recommended:

CytotoxicityISO 10993-5: 2009
Skin sensitizationISO 10993-10: 2010
HemolysisISO 10993-4: 2017
Intracutaneous reactivityISO 10993-10: 2010
Acute systemic toxicityISO 10993-11: 2017
PyrogenicityISO 10993-11: 2017
ParticulateUSP <788>

Sterilization and shelf life testing

The sterilization method has been validated per ISO 11135, which has thereby determined the routine control and monitoring parameters. The shelf life of the Sterile syringes for single use with/without needle is 3 years, determined based on stability studies which includes accelerated aging.

Sterilization and shelf life testing listed were performed on the proposed device.

EO residueISO 10993-7:2008
ECH residueISO 10993-7:2008
Shelf Life Evaluationphysical performance, chemicalperformance and biological performance,including sterility, and single package sealstrength test, creep/burst test, leakage test,gross leakage test and antibacterialperformance test were performed

Shelf-Life Testing conducted per:

ISO 11607 Packaging for Terminally Sterilized Medical Devices

ASTM F1980-16 Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices

ASTM D 4169 Standard Practice for Performance Testing of Shipping Containers and Systems ASTM F88/F88M-15 Standard Test Method for Seal Strength of Flexible Barrier Materials

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ASTM F1140/F1140M-13 Standard Test Methods for Internal Pressurization Failure Resistance of Unrestrained Packages

ASTM F1929-15 Standard Test Method for Detecting Deal Leaks in Porous Medical Packaging by Dye Penetration

ASTM F2096-11 Standard Test Method for Detecting Gross Leaks in Packaging by Internal Pressurization (Bubble Test)

DIN 58953-6-2010 Sterilization-Sterile Supply-Part 6: Microbial Barrier Testing of Packaging Materials for Medical Devices Which are to be Sterilized

Performance testing

Performance testing is performed according to the following standards:

ISO 7886-1: 2017
CleanlinessClause 6.1 of ISO 7886-1:2017
Limits for acidity or alkalinityClause 6.2 of ISO 7886-1:2017
Limits for extractable metalsClause 6.3 of ISO 7886-1:2017
LubricantClause 7 of ISO 7886-1:2017
Tolerance on Graduated capacityClause 8 of ISO 7886-1:2017
ScaleClause 9.1 of ISO 7886-1:2017
Numbering of scalesClause 9.2 of ISO 7886-1:2017
Overall length of scale to nominalcapacity lineClause 9.3 of ISO 7886-1:2017
Position of scaleClause 9.4 of ISO 7886-1:2017
DimensionsClause 10.1 of ISO 7886-1:2017
Barrel flangesClause 10.2 of ISO 7886-1:2017
DesignClause 11.1 of ISO 7886-1:2017
Conical fittingClause 12.1 of ISO 7886-1:2017 andISO 80369-7
Position of nozzle on end of barrelClause 12.2 of ISO 7886-1:2017
Nozzle lumenClause 12.3 of ISO 7886-1:2017
Dead SpaceClause 13.1 of ISO 7886-1:2017
Freedom from air and liquid leakage pastplunger stopperClause 13.2 of ISO 7886-1:2017
Force to operate the pistonClause 13.3 of ISO 7886-1:2017
Fit of plunger stopper/ plunger in barrelClause 13.4 of ISO 7886-1:2017
ISO 7864: 2016
CleanlinessClause 4.3 of ISO 7864: 2016
Limits for acidity or alkalinityClause 4.4 of ISO 7864: 2016
Limits for extractable metalsClause 4.5 of ISO 7864: 2016
Tubular needle designationClause 4.6 of ISO 7864: 2016
Colour codingClause 4.7 of ISO 7864: 2016
Needle hubClause 4.8 of ISO 7864: 2016, ISO80369-7 and ISO 6009
Needle capClause 4.9 of ISO 7864: 2016
Needle tube (Tolerance on length,Freedom from defects, Lubricant)
Clause 4.10 of ISO 7864: 2016Needle PointClause 4.11 of ISO 7864: 2016
Bond between Tube and HubClause 4.12 of ISO 7864: 2016
Patency of LumenClause 4.13 of ISO 7864: 2016
ISO 80369-7:2016Dimensional requirements for luerconnectors.Clause 5 of ISO 80369-7: 2021
Fluid leakage (Positive pressure liquidleakage)Clause 6.1.3 of ISO 80369-7: 2021
Sub-atmospheric pressure air leakageClause 6.2 of ISO 80369-7: 2021
Stress crackingClause 6.3 of ISO 80369-7: 2021
Resistance to separation from axial loadClause 6.4 of ISO 80369-7: 2021
Resistance to separation fromunscrewingClause 6.5 of ISO 80369-7: 2021
Resistance to overridingClause 6.6 of ISO 80369-7: 2021
ISO 9626:2016Surface finish and visual appearanceClause 5.2 of ISO 9626:2016
CleanlinessClause 5.3 of ISO 9626:2016
Limits for acidity and alkalinityClause 5.4 of ISO 9626:2016
Size designationClause 5.5 of ISO 9626:2016
DimensionsClause 5.6 of ISO 9626:2016
StiffnessClause 5.8 of ISO 9626:2016
Resistance to breakageClause 5.9 of ISO 9626:2016
Resistance to corrosionClause 5.10 of ISO 9626:2016

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-Conclusion

The Sterile Syringes for Single Use with/without Needle are substantially equivalent to its predicate device with respect to the indications for use, target populations, treatment method, and technological characteristics. The differences between the predicate and the subject device do not raise any new or different questions of safety or effectiveness. Through functional performance testing and biocompatibility testing, the subject device has demonstrated substantial equivalence to the predicate device.

§ 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).