K Number
K211482
Date Cleared
2022-01-24

(257 days)

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

Sterile single-use syringe with needle is intended to inject fluids into or withdraw fluids from the body.

Device Description

The subject device is for single use only, which is comprised of syringes and needles with various specifications. The syringe consists of barrel, plunger, piston, and the needle consist of needle hub, needle cap. The proposed devices shall be operated manually, and are not intended for use with syringe pumps. The proposed devices are available in a variety combination of needle size and syringe volume.

AI/ML Overview

This submission is for a medical device (Disposable Syringe with Needle) and does not involve AI or algorithms, nor does it present any studies that would involve human readers or experts to establish ground truth from a test set. Therefore, questions relating to AI performance criteria, sample sizes for test and training sets, expert qualifications, adjudication methods, multi-reader multi-case studies, or standalone algorithm performance are not applicable.

The document describes the device's acceptance criteria in terms of performance testing against established international standards for syringes, needles, Luer connectors, sterile barrier packaging, sterilization, shelf life, and biocompatibility.

Here's a breakdown of the requested information based on the provided text, focusing on the relevant parts for a medical device:

  1. Table of acceptance criteria and reported device performance:

    Test ItemStandardReported Device Performance
    Syringe PerformanceISO 7886-1: 2017 Sterile hypodermic syringes for single use - Part 1: Syringes for manual useComplies with the standard
    Needle PerformanceISO 9626: 2016 Stainless steel needle tubing for the manufacture of medical devices - Requirements and test methodsComplies with the standard
    Needle PerformanceISO 7864: 2016 Sterile hypodermic needles for single use - Requirements and test methodsComplies with the standard
    Luer Connector PerformanceISO 80369-7: 2016 Small-bore connectors for liquids and gases in healthcare applications - Part 7: Connectors for intravascular or hypodermic applicationsComplies with the standard
    Seal StrengthASTM F88/F88M-2015Complies with the standard
    Detecting Seal LeaksASTM F1929-2015Complies with the standard
    Determining Seal IntegrityASTM F1886/F1886M-2016Complies with the standard
    EO ResidueISO 10993-7:2008Complies with the standard
    ECH ResidueISO 10993-7:2008Complies with the standard
    Bacteria Endotoxin LimitUSP 36-NF 31<85>Complies with the standard
    Shelf Life EvaluationPhysical, Mechanical, Chemical, Package and Sterility Tests performed on aging samples to verify the shelf lifeVerified shelf life of 3 years
    Hub Color ComplianceISO 6009:2016 (for different needle gauges)Complies with the standard (hub is made of pigmented material)
    Cytotoxicity TestISO 10993-5:2009Complies with the standard
    Skin Sensitization TestISO 10993-10:2010Complies with the standard
    Intracutaneous Reactivity TestISO 10993-10:2010Complies with the standard
    Acute Systemic Toxicity TestISO 10993-11:2017Complies with the standard
    Pyrogen TestISO 10993-11:2017Complies with the standard
    Hemolysis TestISO 10993-4:2017Complies with the standard
    ParticulateUSP <788>Complies with the standard
    Sterilization (SAL)ISO 11135 (Sterilization of health-care products for ethylene oxide - requirements for the development, validation and routine control of a sterilization process)SAL of 10⁻⁶
  2. Sample size used for the test set and the data provenance: Not applicable. The testing described involves physical, chemical, mechanical, and biological evaluations of device components and finished products, not a "test set" in the context of an AI/algorithm study. The document does not specify exact sample sizes for each test but refers to compliance with the methodology outlined in the cited standards.

  3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable, as this is a medical device and not an AI/algorithm study requiring expert review for ground truth.

  4. Adjudication method (e.g., 2+1, 3+1, none) for the test set: Not applicable.

  5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs. without AI assistance: Not applicable.

  6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done: Not applicable.

  7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): The "ground truth" for this device's performance is established by its adherence to the technical specifications and performance requirements outlined in published international and national standards (e.g., ISO, ASTM, USP). This involves objective measurements and assessments defined within these standards.

  8. The sample size for the training set: Not applicable, as this is a medical device and does not involve AI/machine learning training sets.

  9. How the ground truth for the training set was established: Not applicable.

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January 24, 2022

Image /page/0/Picture/1 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Shandong Qinkai Medical Industry Co., Ltd. Alice Gong Manager South Section of Quancheng Road, Medical Equipment Industrial Park, Chengwu County Heze Citv. Shandong Province 274200 China

Re: K211482

Trade/Device Name: Disposable Syringe with Needle Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: Class II Product Code: FMF, FMF, FMI Dated: December 14, 2021 Received: December 27, 2021

Dear Alice Gong:

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 requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part

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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 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,

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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Indications for Use

510(k) Number (if known) K211482

Device Name Disposable Syringe with Needle

Indications for Use (Describe)

Sterile single-use syringe with needle is intended to inject fluids into or withdraw fluids from the 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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K211482 510(K) SUMMARY

Preparation Date:January 24, 2022
Submitter Name:Shandong Qinkai Medical Industry Co., Ltd.,South Section of Quancheng Road,Medical Equipment Industrial Park,Chengwu County, Heze City,Shandong Province,China 274200
Contact Person:Mr. Ou Kai JiangGeneral Manager
Telephone Number:(86) 0530-6112108
Fax Number:(86) 0530-6112108
E-mail Address:490566042@qq.com
Trade Name:Disposable Syringe with Needle
Regulation Name:Syringe, Piston
Regulation Number:21 CFR 880.5860
Product Code:FMF
Device Class:Class II
Regulation Name:Hypodermic Single Lumen Needle
Regulation Number:21 CFR 880.5570
Product Code:FMI
Device Class:Class II
Predicate Device:K163161 Sterile Single-use Syringe with Needle

Device Description

The subject device is for single use only, which is comprised of syringes and needles with various specifications. The syringe consists of barrel, plunger, piston, and the needle consist of needle hub, needle cap. The proposed devices shall be operated manually, and are not intended for use with syringe pumps. The proposed devices are available in a variety combination of needle size and syringe volume. The syringe sizes, needle gauges and lengths are provided in the following table.

Syringe SizeNeedle GaugeNeedle Length
Available in 1ml, 2ml, 3ml, 5ml, 10ml, 20ml, 30ml, 50mlAvailable in 18G, 20G, 21G, 22G, 23G, 25G, 26G, 27G, 28G, 29G, 30GAvailable in 1/2", 5/8", 1", 1 1/4", 1 1/2"

The subject device is provided sterile and is for single use only. The EO gas sterilization process is validated with a resulting sterility assurance level (SAL) of 106. It meets requirements of ISO 11135, sterilization of

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health-care products for ethylene oxide - requirements for the development, validation and routine control of a sterilization process for medical devices.

Below is the list of different combinations:

No.Syringe SizeNeedle Gauge & Length
11 ml30G1/2", 29G1/2", 28G*5/8"
22 ml27G1/2", 26G1/2", 25G*1"
33 ml25G1", 23G1 1/4", 22G*1 1/4"
45 ml23G1 1/4", 22G1 1/2", 21G*1 1/2"
510 ml22G1 1/2", 21G1 1/2", 20G*1 1/2"
620 ml22G1 1/2", 21G1 1/2", 20G1 1/2", 18G1 1/2"
730 ml21G1 1/2", 20G1 1/2", 18G*1 1/2"
850 ml21G1 1/2", 20G1 1/2", 18G*1 1/2"

Indications for Use

CharacteristicPredicate DeviceSterile Single-use Syringe withNeedle K163161Subject DeviceDisposable Syringe with NeedleK211482
Indications for UseSterile Single-use Syringe withNeedle is intended to inject fluidsinto or withdraw fluids from thebody.Sterile single-use syringe withneedle is intended to inject fluidsinto or withdraw fluids from thebody.
Prescription OnlyorOver the CounterPrescription OnlyPrescription Only

Discussions of differences in Indications for Use statement

The indications for use statement for the subject device is identical to the predicate device.

Technological Characteristics

The table below includes a comparison of the technological characteristics between the new device and those of the predicate device:

TechnologicalCharacteristicPredicate DeviceSterile Single-use Syringewith NeedleK163161Subject DeviceDisposable Syringe withNeedleK211482Comments
Product CodeFMF and FMIFMF and FMISame
RegulationNumber21 CFR 880.5860, 21 CFR880.557021 CFR 880.5860, 21 CFR880.5570Same
ClassIIIISame

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Configurationand materialBarrel, Plunger, Needle huband Needle cap is made ofPolypropylene (PP).Piston is made ofPolyisoprene.Needle tube is made ofStainless Steel, SUS304Barrel, Plunger, Needle huband Needle cap is made ofPolypropylene (PP).Piston is made ofPolyisoprene.Needle tube is made ofStainless Steel, SUS304Same
Operation ModeFor manual use onlyFor manual use onlySame
Syringe Volume1ml, 3ml, 5ml, 10ml, 20ml,60ml1ml, 2ml, 3ml, 5ml, 10ml,20ml, 30ml, 50mlSimilarComment 1
Connector TypeLuer Slip and Luer LockLuer Slip and Luer LockSame
Needle Gauge18G, 20G, 21G, 22G, 23G,25G, 26G, 27G, 28G, 29G,30G18G, 20G, 21G, 22G, 23G,25G, 26G, 27G, 28G, 29G,30GSame
Needle Length1/2", 5/8", 1", 1 1/4", 1 1/2"1/2", 5/8", 1", 1 1/4", 1 1/2"Same
Biocompatibilitymeet ISO 10993requirements.meet ISO 10993 requirements.Same
SterilizationEO SterilizationEO SterilizationSame
SAL10-610-6Same
Single UseSingle UseSingle UseSame
Label/LabelingComplied with 21 CFR part801Complied with 21 CFR part801Same

Discussions of differences in technological characteristics

Comment 1

The subject device has more syringe volume specification than the predicated device, however the subject device has met the requirements of product performance standards and biocompatibility standards. The volume specifications are also within the overall range included in the predicate. This difference does not affect intended use, so it will not raise new questions of safety or effectiveness.

Performance Testing

Bench tests were conducted to verify that proposed device meet all design specifications as was Substantially Equivalent (SE) to the predicate device. The test results demonstrated that proposed device complies with the following standards:

Test ItemStandard
SyringeISO 7886-1: 2017 Sterile hypodermic syringes for single use - Part 1:Syringes for manual use
NeedleISO 9626: 2016 Stainless steel needle tubing for the manufacture of medicaldevices - Requirements and test methods
NeedleISO 7864: 2016 Sterile hypodermic needles for single use - Requirements andtest methods
Luer connectorISO 80369-7: 2016 Small-bore connectors for liquids and gases in healthcareapplications - Part 7: Connectors for intravascular or hypodermicapplications

A. Physical, Mechanical and Chemical Tests performed on the proposed device:

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B. Sterile Barrier Packaging Testing performed on the proposed device:

Test ItemStandard
Seal strengthASTM F88/F88M-2015
Detecting seal leaksASTM F1929-2015
Determining integrity of sealsASTM F1886/F1886M-2016
  • C. Sterilization and Shelf Life Testing performed on the proposed device:
Test ItemStandard
EO residueISO 10993-7:2008
ECH residueISO 10993-7:2008
Bacteria Endotoxin LimitUSP 36-NF 31<85>
Shelf Life EvaluationPhysical, Mechanical, Chemical, Package andSterility Tests were performed on aging samplesto verify the shelf life of 3 years for the subjectdevice
  • D. The hub is made of pigmented material and the hub color for different needle gauge comply with ISO 6009:2016.
  • E. Biocompatibility Testing is conducted according to ISO 10993-1:2018:
Test ItemStandard
Cytotoxicity TestISO 10993-5:2009
Skin Sensitization TestISO 10993-10:2010
Intracutaneous Reactivity TestISO 10993-10:2010
Acute Systemic Toxicity TestISO 10993-11:2017
Pyrogen TestISO 10993-11:2017
Hemolysis TestISO 10993-4:2017
ParticulateUSP <788>

Conclusions

The differences between the predicate and the subject device do not raise any new or different questions of safety or effectiveness. The subject Device, Disposable Syringe with Needle, K211482 is substantially equivalent to the predicate Device, Sterile Single-use Syringe with Needle, K163161.

§ 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).