K Number
K210399
Device Name
Unifine SafeControl
Manufacturer
Date Cleared
2021-09-17

(219 days)

Product Code
Regulation Number
880.5570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Unifine SafeControl™ range of pen needles are intended for use with multi-dose injection devices for the subcutaneous injection of FDA approved drugs, including insulin.
Device Description
The Unifine SafeControl™ safety pen needle is a sterile, single-use, disposable device intended for use with multi-dose Injector devices for the subcutaneous injection of FDA approved drugs, including insulin. The device is designed for prescription and overthe-counter use and to be used by self-administering patients, caregivers and healthcare professionals. The safety pen needle is currently available in 30-gauge size with 5mm and 8mm lengths. The pen needle assembly consists of a cannula attached to a needle carrier assembled into a plastic moulded needle hub and safety guard, a primary container that houses the entire assembly and a sterility seal that covers the assembly inside the primary container. The entire device is packaged and labelled as a sterile singleuse device. The purpose of this Special 510(k) Premarket Notification is to increase the range of Unifine SafeControl™ safety pen needle devices to include qauge sizes of 31G and 32G in 4, 5, 6, and 8mm lengths.
More Information

No
The device description and performance studies focus on the mechanical and physical properties of a pen needle, with no mention of software, algorithms, or data processing that would indicate the use of AI/ML.

No
The device is a safety pen needle intended for the subcutaneous injection of FDA approved drugs. It is used to deliver medication, not to provide therapy itself.

No
The device is described as an "injection device" and a "pen needle" for the "subcutaneous injection" of drugs, indicating its therapeutic rather than diagnostic function.

No

The device description clearly outlines a physical, sterile, single-use, disposable pen needle assembly with various hardware components (cannula, needle carrier, hub, safety guard, container, seal). The submission is for expanding the range of physical sizes for this hardware device.

Based on the provided text, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for the "subcutaneous injection of FDA approved drugs, including insulin." This describes a device used to administer substances into the body, not to test samples taken from the body.
  • Device Description: The description details a "pen needle assembly" designed for injection. It does not mention any components or functions related to analyzing biological samples.
  • Lack of IVD Characteristics: The text does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring specific substances in samples
    • Providing information for diagnosis, monitoring, or screening

The device is clearly intended for drug delivery, which falls under a different category of medical devices than IVDs.

N/A

Intended Use / Indications for Use

The Unifine SafeControl™ range of pen needles are intended for use with multi-dose injection devices for the subcutaneous injection of FDA approved drugs, including insulin.

Product codes

FMI

Device Description

The Unifine SafeControl™ safety pen needle is a sterile, single-use, disposable device intended for use with multi-dose Injector devices for the subcutaneous injection of FDA approved drugs, including insulin. The device is designed for prescription and overthe-counter use and to be used by self-administering patients, caregivers and healthcare professionals. The safety pen needle is currently available in 30-gauge size with 5mm and 8mm lengths.

The target population includes male and female right or left-handed self-administering patients, care givers and healthcare professionals. The frequency of use and intended patient population is dependent on qiven treatment regime.

The pen needle assembly consists of a cannula attached to a needle carrier assembled into a plastic moulded needle hub and safety guard, a primary container that houses the entire assembly and a sterility seal that covers the assembly inside the primary container. The entire device is packaged and labelled as a sterile singleuse device.

The purpose of this Special 510(k) Premarket Notification is to increase the range of Unifine SafeControl™ safety pen needle devices to include qauge sizes of 31G and 32G in 4, 5, 6, and 8mm lengths.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

self-administering patients, caregivers and healthcare professionals.

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

Risk management was performed to identify required verification/validation testing needed to support the introduction of the new needle lengths and gauges. To support this submission, design verification testing was performed to demonstrate that the device operates safely and effectively.

Bench Testing:
Visual Inspection, Needle Retention, Glide Force, Penetration Force, Flow Rate, Needle Dislocation, Accelerated Aging. All met the stated standards/requirements.
Real Time Aging is Ongoing.

Biocompatibility:
The biocompatibility of the device is governed by the materials used, which have not been changed as a result of the additional needle gauge sizes and lengths. Therefore, the biocompatibility reports presented in K173881 are still valid and no additional testing is required.

Sterilization:
The sterility of the devices is assured using a sterilization method validated in accordance with ISO 11137 "Medical Devices – Validation and Routine Control of Radiation Sterilization" for Unifine SafeControl™ manufactured by Owen Mumford UK. Through the sterilization methods used, all Unifine SafeControl™ devices are sterilized to provide a Sterility Assurance Level (SAL) of 10-6.

Key Metrics

Not Found

Predicate Device(s)

K173881

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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).

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

September 17, 2021

Owen Mumford Ltd Darren Mansell Regulatory Affairs Manager Brook Hill Woodstock, Oxfordshire OX20 1TU United Kingdom

Re: K210399

Trade/Device Name: Unifine SafeControl Regulation Number: 21 CFR 880.5570 Regulation Name: Hypodermic Single Lumen Needle Regulatory Class: Class II Product Code: FMI Dated: August 20, 2021 Received: August 23, 2021

Dear Darren Mansell:

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.

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

1

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 (OS) 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 mediation-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 CAPT 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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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2023 See PRA Statement below.

510(k) Number (if known) K210399

Device Name Unifine SafeControl™

Indications for Use (Describe)

The Unifine SafeControl™ range of pen needles are intended for use with multi-dose injection devices for the subcutaneous injection of FDA approved drugs, including insulin.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

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SECTION 6.0 SPECIAL 510(k) SUMMARY: 510k Number: K210399

1. Submitter

Prepared by: Darren Mansell Regulatory Affairs Manager Tel: +44(0)1993 812021 Fax: +44(0)1993 813466

Prepared for: Owner/ Operator Owen Mumford Ltd Brook Hill Woodstock Oxfordshire OX20 1TU United Kingdom Establishment Registration Number: 3003348846

Contact Person: Darren Mansell Regulatory Affairs Manager Owen Mumford Ltd, Tel: +44(0)1993 812021 Fax: +44(0)1993 813466 Email: darren.mansell@owenmumford.com

Paul Smith Quality & Regulatory Affairs Director Owen Mumford Ltd, Tel: +44(0)1993 812021 Fax: +44(0)1993 813466 Email: paul.smith@owenmumford.com

Date Prepared: 17 September 2021

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2. Device

Name of Device: Unifine SafeControl™ Common Name: Pen Needle Classification Name: Needle, Hypodermic, Single Lumen Classification Regulation: 21 CFR 880.5570 Requlatory Class: II Product Code: FMI

3. Predicate Devices

The predicate device, Unifine SafeControl™ by Owen Mumford Ltd, was approved under K173881.

The new needle lengths and gauge sizes presented in this submission have not been previously submitted.

4. Description of The Device

The Unifine SafeControl™ safety pen needle is a sterile, single-use, disposable device intended for use with multi-dose Injector devices for the subcutaneous injection of FDA approved drugs, including insulin. The device is designed for prescription and overthe-counter use and to be used by self-administering patients, caregivers and healthcare professionals. The safety pen needle is currently available in 30-gauge size with 5mm and 8mm lengths.

The target population includes male and female right or left-handed self-administering patients, care givers and healthcare professionals. The frequency of use and intended patient population is dependent on qiven treatment regime.

The pen needle assembly consists of a cannula attached to a needle carrier assembled into a plastic moulded needle hub and safety guard, a primary container that houses the entire assembly and a sterility seal that covers the assembly inside the primary container. The entire device is packaged and labelled as a sterile singleuse device.

The purpose of this Special 510(k) Premarket Notification is to increase the range of Unifine SafeControl™ safety pen needle devices to include qauge sizes of 31G and 32G in 4, 5, 6, and 8mm lengths.

5. Indications for Use

The Unifine SafeControl range of pen needles are intended for use with multi-dose injection devices for the subcutaneous injection of FDA approved drugs, including insulin.

6. Technological Characteristics

The Unifine SafeControl™ safety pen needles are substantially equivalent to the predicate device, with the exception of the gauge sizes and needle lengths as

5

described above. A comparison of the intended use and technological characteristics is summarized in the table below.

Table 8: Comparison of Device Characteristics between Submission Devices and Predicate Device

| Device

CharacteristicPredicate DeviceSubmission DeviceComment
Intended UseThe Unifine SafeControl
range of pen needles are
intended for use with
multi-dose injection
devices for the
subcutaneous injection of
FDA approved drugs,
including insulinUnchanged from the
predicate deviceThe characteristic is
identical
Operating
principleManual with an additional
safety feature allowing
the exposed needle to be
covered after use.Unchanged from the
predicate deviceThe characteristic is
identical
Design/
ConstructionNeedle assembly
(cannula, needle hub
packaged in a needle
shield and primary
container). The safety
guard is integrated into
the device.Unchanged from the
predicate deviceThe characteristic is
identical
Components and
Materials• Cannula - Stainless
Steel
• Lubricant - Silicone
• Adhesive – Medical
Grade Adhesive
• Needle Hub -
Polypropylene
• Needle Shield - High
Density Polyethylene
• Safety guard-
Polystryol
• Outer Container - High
Density Polyethylene
• Sterility Seal - Paper
LaminateUnchanged from the
predicate deviceThe characteristic is
identical
Package• Plastic outer container:
• Sterility Seal
• Shelf boxUnchanged from the
predicate deviceThe characteristic is
identical
Shelf life5 years5 yearsThe characteristic is
identical
Needle Sizes and
Gauges5mm x 30G
8mm x 30G8mm x 31G
6mm x 31G
5mm x 31G
4mm x 32GThe characteristic is
different - the
submission device
presents different
needle lengths and
gauges. The different
needle lengths and
gauges were
addressed through
the bench testing
summarised in Table
9 of this document.

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7. Performance Data

Non-clinical performance data:

Risk management was performed to identify required verification/validation testing needed to support the introduction of the new needle lengths and gauges. To support this submission, design verification testing was performed to demonstrate that the device operates safely and effectively. The following table shows a summary of the performance tests to standards.

Bench Testing:

TestStandard/ RequirementResults
Visual InspectionISO 11608-2:2012 Section 12.2.2 and as per protocols used in K173881Meets standard
Needle RetentionISO 11608-2:2012 Section 9 and as per protocols used in K173881Meets standard
Glide ForceAs per protocols used in K173881Meets standard
Penetration ForceAs per protocols used in K173881Meets standard
Flow RateISO 11608-2:2012 Section 4.3 and as per protocols used in K173881Meets standard
Needle DislocationISO 11608-2:2012 Section 4.8 and as per protocols used in K173881Meets standard
Accelerated AgingISO 11608-2:2012 and as per protocols used in K173881Meets standard
Real Time AgingISO 11608-2:2012 and as per protocols used in K173881Ongoing

Table 9: Summary of the performance tests to standards:

Biocompatibility:

The biocompatibility of the device is governed by the materials used, which have not been changed as a result of the additional needle gauge sizes and lengths. Therefore, the biocompatibility reports presented in K173881 are still valid and no additional testing is required.

Sterilization:

The sterility of the devices is assured using a sterilization method validated in accordance with ISO 11137 "Medical Devices – Validation and Routine Control of Radiation Sterilization" for Unifine SafeControl™ manufactured by Owen Mumford UK. Through the sterilization methods used, all Unifine SafeControl™ devices are sterilized to provide a Sterility Assurance Level (SAL) of 10-6.

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8. Conclusion

In summary, Table 8 in this document indicates that the characteristics between the submission device and the predicate device are identical, with the exception of the additional needle lengths and gauges presented in the submission device.

The results of the bench testing, summarised in Table 9 of this document, demonstrate that the differences between the submission Unifine SafeControl™ and the predicate (additional needle lengths and gauges) have no impact on safety and effectiveness and the product is therefore substantially equivalent to the predicate device.