K Number
K211728
Device Name
Sterile hypodermic syringes for single use
Date Cleared
2021-10-05

(123 days)

Product Code
Regulation Number
880.5860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Sterile hypodermic syringes for single use are intended to inject fluids into or withdraw fluids from the body.
Device Description
The Sterile hypodermic syringes for single use are intended for manual and single use only to aspirate and inject of fluids for medical purpose, and consist of syringe (barrel, plunger, piston) and hypodermic needle (needle tube, hub, needle cap). The proposed device is available in a variety of syringe and needle sizes.
More Information

Not Found

No
The device description and performance studies focus on the physical components and standard performance characteristics of a syringe and needle, with no mention of AI or ML.

No
Explanation: The device is a syringe used for injecting or withdrawing fluids, which is a medical procedure but not inherently a therapeutic device in itself. It is a tool used in therapy, not a therapy itself.

No

The device description clearly states its intended use is for injecting or withdrawing fluids from the body, which are therapeutic or interventional actions, not diagnostic ones. There is no mention of analysis, measurement, or detection of a disease or condition.

No

The device description clearly outlines physical components (syringe, barrel, plunger, piston, needle tube, hub, needle cap) and performance studies related to physical properties (biocompatibility, sterilization, package integrity, performance testing), indicating it is a hardware device.

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

Here's why:

  • Intended Use: The intended use is to "inject fluids into or withdraw fluids from the body." This describes a direct interaction with the patient's body for therapeutic or diagnostic purposes in vivo (within the living organism).
  • IVD Definition: In vitro diagnostics (IVDs) are devices used to examine specimens, such as blood, urine, or tissue, that are taken from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This process happens in vitro (outside the living organism).
  • Device Description: The description of the syringe and needle aligns with a device used for direct patient interaction, not for analyzing samples outside the body.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, reagents, or any processes typically associated with IVD testing.

Therefore, the Sterile hypodermic syringes for single use, as described, are medical devices used for direct patient care, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The Sterile hypodermic syringes for single use are intended to inject fluids into or withdraw fluids from the body.

Product codes

FMF

Device Description

The Sterile hypodermic syringes for single use are intended for manual and single use only to aspirate and inject of fluids for medical purpose, and consist of syringe (barrel, plunger, piston) and hypodermic needle (needle tube, hub, needle cap). The proposed device is available in a variety of syringe and needle sizes.
Syringe Size: Available in 1ml, 2ml, 3ml, 5ml, 10ml, 20ml, 30ml, 50ml, 60ml
Needle Gauge: Available in 16G, 18G, 20G, 21G, 22G, 23G, 24G, 25G, 26G, 27G, 29G, 30G
Needle Length: Available in 8mm (5/16"), 13mm (1/2"), 15mm (3/5"), 20mm (4/5"), 25mm (1"), 30mm (1 1/6"), 32mm (1 1/4"), 33mm(1 3/10"), 38mm (1 1/2")
The different gauge of needles could fit every specification of syringes. The needle is optional.

Main structure and materials:
Barrel: Polypropylene
Plunger: Polypropylene
Piston: Polyisoprene
Needle tube: Stainless steel
Hub: Polypropylene
Needle cap: Polypropylene

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

Not Found

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

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

Biocompatibility testing:
Biocompatibility of the Sterile hypodermic syringes for single use were 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 ()

Sterilization and shelf life testing:
The sterilization method has been validated to ISO11135, which has thereby determined the routine control and monitoring parameters. Bacteria Endotoxin Limit is carried out according to USP42-NF37 Bacterial Endotoxins Test.
Testing performed according to:

  • EO residue (ISO 10993-7:2008)
  • ECH residue (ISO 10993-7:2008)
  • Bacteria Endotoxin (USP42-NF37 )
    The shelf life of 5 year is determined based on stability studies which include ageing test according to FDA recognized standard ASTM F1980-16.
    Package integrity testing was conducted on the final, packaged, and sterile devices after environmental conditioning and simulated transportation. All packaging deemed acceptable for protection of product and sterility maintenance.
    Testing performed according to:
  • Seal strength (ASTM F88/F88M-15)
  • Seal integrity (ASTM F 1929-2015)

Performance testing:
Performed according to the following standards:

  • ISO 7886-1: 2017 (Appearance, Limits for acidity or alkalinity, Limits for extractable metals, Lubricant, Tolerance on Graduated capacity, Scale, Barrel flanges, Plunger stopper / Plunger assembly, Nozzle, Dead Space, Freedom from air and liquid leakage past plunger stopper, Force to operate the piston, Fit of plunger stopper/ plunger in barrel)
  • ISO 7864: 2016 (Cleanliness, Limits for acidity or alkalinity, Limits for extractable metals, Tubular needle designation, Colour coding, Needle hub, Needle cap, Needle tube, Needle Point, Bond between Tube and Hub, Patency of Lumen)
  • ISO 80369-7:2016 (Leakage by pressure decay, Positive pressure liquid leakage, Sub-atmospheric pressure air leakage, Stress cracking, Resistance to separation from axial load, Resistance to separation from unscrewing, Resistance to overriding)
  • ISO 9626:2016 (Stiffness, Resistance to breakage)

Key Results: The non-clinical testing demonstrates that the device is as safe, as effective and performs as well as the legally marketed device.

Key Metrics

Not Found

Predicate Device(s)

K163161

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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).

0

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October 5, 2021

Jiangsu Kangyou Medical Instrument Co., Ltd. Xiang Yao Product Manager Tangzhuang Yaotang Town Jintan, Jiangsu 213223 China

Re: K211728

Trade/Device Name: Sterile hypodermic syringes for single use Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: Class II Product Code: FMF Dated: August 20, 2021 Received: August 30, 2021

Dear Xiang Yao:

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

2

Indications for Use

510(k) Number (if known) K211728

Device Name

Sterile hypodermic syringes for single use

Indications for Use (Describe)

The Sterile hypodermic syringes for single use are intended to inject fluids into or withdraw fluids from the body.

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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K211728 510(k) summary

Preparation Date: October 5, 2021

l Submitter

Device submitter: Jiangsu Kangyou Medical Instrument Co., Ltd. Tangzhuang, Yaotang Town 213223 Jintan, Jiangsu, People's Republic of China

Contact person: Xiang Yao Product Manager Phone: 13813652889 Fax: 86 519 82582461 Email: export@kym.cn

II Device

Trade Name of Device: Sterile hypodermic syringes for single use Common Name: Piston Syringe with Needle Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe with Needle Regulatory Class: II Product code: FMF Review Panel: General Hospital

III Predicate Devices

Trade name:Sterile Single-use Syringe with Needle
Common name:Piston Syringe with Needle
Classification:Class II, 21 CFR 880.5860
Product Code:FMF
Premarket Notification:K163161
Manufacturer:JiangXi HongDa Medical Equipment Group Ltd

IV Device description

The Sterile hypodermic syringes for single use are intended for manual and single use only to aspirate and inject of fluids for medical purpose, and consist of syringe (barrel, plunger, piston) and hypodermic needle (needle tube, hub, needle cap). The proposed device is available in a variety of syringe and needle sizes.

Syringe SizeNeedle GaugeNeedle Length
Available in 1ml、2ml、3ml、Available in 16G, 18G,Available in 8mm (5/16"),

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5ml、10ml、20ml、30ml、20G, 21G, 22G, 23G,13mm (1/2"), 15mm (3/5"),
50ml, 60ml24G, 25G, 26G, 27G,20mm (4/5"), 25mm (1"),
29G, 30G30mm (1 1/6"), 32mm (1 1/4"),
33mm(1 3/10"), 38mm (1
1/2")

The different gauge of needles could fit every specification of syringes. The needle is optional.

| Gauge

Syringe30G29G27G26G25G24G23G22G21G20G18G16G
1ml
2ml
3ml
5ml
10ml
20ml
30ml
50ml
60ml

V Indications for use

The Sterile hypodermic syringes for single use are intended to inject fluids into or withdraw fluids from the body.

VI Comparison of technological characteristics with the predicate devices

The Sterile hypodermic syringes for single use have intended use, technology, design and performance specifications are either identical or substantially equivalent to existing legally marketed predicate devices. The differences between Sterile hypodermic syringes for single use and predicate devices are the specification of syringe volume, needle gauge and needle length. However, syringes will be selected by physician per injection requirement and this difference does not affect indication for use. Additionally, the performance of syringe and needle has been evaluated and the test results met the requirements of ISO 7886-1 and ISO 7864. Therefore, this difference does not affect substantially equivalency on safety and effectiveness.

Table 6-1 Substantial equivalence discussion

| Device

featureSubject DevicePredicate Device K163161Comment
Device featureSubject DevicePredicate Device K163161Comment
Syringe typeStandard piston syringeStandard piston syringeSame
Indications for useThe Sterile hypodermic syringes for single use are intended to inject fluids into or withdraw fluids from the body.Sterile Single-use Syringe with Needle is intended to inject fluids into or withdraw fluids from the body.Same
Product codeFMFFMFSame
Regulation number21 CFR 880.586021 CFR 880.5860Same
ClassIIIISame
Principle of operationFor manual use onlyFor manual use onlySame
Needle gauge16G, 18G, 20G, 21G, 22G, 23G, 24G, 25G, 26G, 27G, 29G, 30G,18G, 20G, 21G, 22G, 23G, 25G, 26G, 27G, 28G, 29G, 30GDifference 1
Needle Length5/16", 1/2", 3/5", 4/5", 1", 1 1/6", 1 1/4", 1 3/10", 1 1/2"1/2", 5/8", 1", 1 1/4", 1 1/2"
Syringe Volume1ml、2ml、3ml、5ml、10ml、20ml、30ml、50ml、60ml1ml, 3ml, 5ml, 10ml, 20ml, 60ml
Connector TypeLuer Slip and Luer LockLuer Slip and Luer LockSame
main structure and materialsBarrel
Polypropyle neBarrel
Polypropyle ne (PP)Same
Plunger
Polypropyle nePlunger
Polypropyle ne (PP)
Piston
Polyisopren ePiston
Polyisopren e
Needle tube
Stainless steelNeedle tube
Stainless Steel, SUS304
Hub
Polypropyle neNeedle hub
Polypropyle ne (PP)
Needle cap
Polypropyle neNeedle cap
Polypropyle ne (PP)
Performance specificationsComplies with ISO 7886-1Complies with ISO 7886-1Same
Single UseYesYesSame
Device
featureSubject DevicePredicate Device K163161Comment
SterilizationEO SterilizationEO SterilizationSame
SAL10-610-6Same
BiocompatibilityCytotoxicity
No cytotoxicityCytotoxicity
No cytotoxicitySame
Intracutaneous reactivity
No intracutaneous reactivityIrritation
No intracutaneous reactivitySame
Sensitization
No skin sensitizationSensitization
No skin sensitizationSame
Systemic Toxicity
No systemic toxicitySystemic Toxicity
No systemic toxicitySame
Hemolysis
No HemolysisHemolysis
No HemolysisSame
Pyrogen
No PyrogenPyrogen
No PyrogenSame
LabelingComplied with 21 CFR part 801Complied with 21 CFR part 801Same

5

6

Difference 1

The syringe volume, needle gauge and length of subject devices are different from the predicate device. However, this difference is just in dimension. Different needle specification will be selected by physician per patient's condition. This difference does not affect intended use. In addition, differences were addressed through ISO 7886-1, ISO 7864, ISO 9626 and ISO 80369-7. Therefore, the differences on syringe volume, needle gauge and length do not raise different question of safety and effectiveness.

VII Performance data

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

Biocompatibility testing

Biocompatibility of the Sterile hypodermic syringes for single use were 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 (

Sterilization and shelf life testing

The sterilization method has been validated to ISO11135, which has thereby determined the routine control and monitoring parameters. Bacteria Endotoxin Limit is carried out according to USP42-NF37 Bacterial Endotoxins Test.

The testing is performed according to the following standards:

EO residueISO 10993-7:2008
ECH residueISO 10993-7:2008
Bacteria EndotoxinUSP42-NF37

The shelf life of 5 year is determined based on stability studies which include ageing test according to FDA recognized standard ASTM F1980-16.

Package integrity testing was conducted on the final, packaged, and sterile devices after environmental conditioning and simulated transportation. All packaging deemed acceptable for protection of product and sterility maintenance.

The testing is performed according to the following standards:

Seal strengthASTM F88/F88M-15
Seal integrityASTM F 1929-2015

Performance testing

Performance testing is performed according to the following standards:

➤ ISO 7886-1: 2017
AppearanceClause 5 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- 9.4 of ISO 7886-1:2017
Barrel flangesClause 10.2 of ISO 7886-1:2017
Plunger stopper / Plunger assemblyClause 11 of ISO 7886-1:2017
NozzleClause 12 of ISO 7886-1:2017 and ISO 80369-7
Dead SpaceClause 13.1 of ISO 7886-1:2017
Freedom from air and liquid leakage past plunger 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

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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, ISO 80369-
and ISO 6009
Needle capClause 4.9 of ISO 7864: 2016
Needle tubeClause 4.10 of ISO 7864: 2016 and ISO
9626:2016
Needle 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 80369-7:2016
Leakage by pressure decayClause 6.1.2 of ISO 80369-7: 2021
Positive pressure liquid leakageClause 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 from unscrewingClause 6.5 of ISO 80369-7: 2021
Resistance to overridingClause 6.6 of ISO 80369-7: 2021
> ISO 9626:2016
StiffnessClause 5.8 of ISO 9626:2016
Resistance to breakageClause 5.9 of ISO 9626:2016

VIII Conclusion

The Sterile hypodermic syringes for single use are substantially equivalent to its predicate devices. The non-clinical testing demonstrates that the device is as safe, as effective and performs as well as the legally marketed device.