K Number
K212635
Device Name
Sofjec
Date Cleared
2023-02-13

(543 days)

Product Code
Regulation Number
880.5860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Single use Needle is intended for use with syringes and injection devices for general purpose fluid injection/aspiration. Single use Syringe with Needle is intended to be used for medical purposes to inject fluid into or withdraw fluid from body. Membrane Filter Syringe is intended to be used for medical purposes to inject fluid into or withdraw fluid from body. The filter operates when injecting the drug into the human body to remove foreign substances from the drug solutions.
Device Description
The device has three model with the following: (1) Single use Needle (108 model codes including Sofjec-16-13) Single use Needle consist of Cap, Needle and Hub and Blister paper function to sustain sterilization of the product. The Cap function to protect the needle. This device is single use. This device is provided EO Sterilization. (2) Single use Syringe with Needle (1734 model codes including HJ-1-16G-13) Single use Syringe with Needle consist of Syringe, Cap, Needle and Hub and Blister paper function to sustain sterilization of the product. The Cap function to protect the needle. This device is single use. This device is provided EO Sterilization and the syringes are two type of Luer Slip and Luer Lock. These device are injecting the medicine with syringes. This device is finished biocompatibility test and performance test for safety. (3) Membrane Filter Syringe (16 model codes including HJM-18-1) This devices are consists of membrane filter needle and syringe. Membrane filter needle is attached 0.5nm filtration membrane (Acrylic copolymer material). Syringe is two type. (Luer slip type and Luer lock type) This device is Filtering with syringes and injection device is finished biocompatibility test and performance test for safety.
More Information

Not Found

No
The device description and performance studies focus on the physical components, sterilization, and basic performance characteristics of needles and syringes. There is no mention of software, algorithms, or data processing that would indicate the use of AI/ML.

No

The device is intended for "general purpose fluid injection/aspiration" and to "inject fluid into or withdraw fluid from body," and does not itself treat or prevent disease.

No

This device is designed for fluid injection and aspiration, and filtration of drug solutions, which are therapeutic or procedural functions, not diagnostic ones.

No

The device description clearly outlines physical components such as needles, hubs, caps, syringes, and filter membranes. The performance studies also focus on physical and biological properties, not software validation.

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

Here's why:

  • Intended Use: The intended use clearly states the devices are for "general purpose fluid injection/aspiration," "inject fluid into or withdraw fluid from body," and "injecting the drug into the human body to remove foreign substances from the drug solutions." These are all actions performed on the body or with substances being introduced into or removed from the body.
  • Device Description: The description details components like needles, syringes, caps, and filters, all of which are consistent with devices used for administering or withdrawing substances from a living organism.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens in vitro (outside of the body) to provide information for diagnosis, monitoring, or screening. IVDs typically involve analyzing biological samples like blood, urine, or tissue.
  • Performance Studies: The performance studies focus on biocompatibility, physical performance (needle and syringe standards), sterilization, and shelf-life, which are relevant to devices used for injection and aspiration, not for in vitro analysis.

In summary, the device's function is to facilitate the physical act of injecting or withdrawing fluids from the body, which falls under the category of medical devices used for treatment or procedural purposes, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

Single use Needle
Single use Needle is intended for use with syringes and injection devices for general purpose fluid injection/aspiration.

Single use Syringe with Needle
Single use Syringe with Needle is intended to be used for medical purposes to inject fluid into or withdraw fluid from body.

Membrane Filter Syringe
Membrane Filter Syringe is intended to be used for medical purposes to inject fluid into or withdraw fluid from body. The filter operates when injecting the drug into the human body to remove foreign substances from the drug solutions.

Product codes (comma separated list FDA assigned to the subject device)

FMF, MEG, FMI

Device Description

The device has three model with the following:

  • (1) Single use Needle(108 model codes including Sofjec-16-13)
    Single use Needle consist of Cap, Needle and Hub and Blister paper function to sustain sterilization of the product. The Cap function to protect the needle. This device is single use. This device is provided EO Sterilization.

  • (2) Single use Syringe with Needle (1734 model codes including HJ-1-16G-13)
    Single use Syringe with Needle consist of Syringe, Cap, Needle and Hub and Blister paper function to sustain sterilization of the product. The Cap function to protect the needle. This device is single use. This device is provided EO Sterilization and the syringes are two type of Luer Slip and Luer Lock. These device are injecting the medicine with syringes. This device is finished biocompatibility test and performance test for safety.

  • (3) Membrane Filter Syringe(16 model codes including HJM-18-1)
    This devices are consists of membrane filter needle and syringe. Membrane filter needle is attached 0.5nm filtration membrane (Acrylic copolymer material). Syringe is two type. (Luer slip type and Luer lock type) This device is Filtering with syringes and injection device is finished biocompatibility test and performance test for safety.

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

Prescription Use (Part 21 CFR 801 Subpart D)

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Non-Clinical Test Summary

    1. Biocompatibility Test
      The devices were tested for biocompatibility per ISO 10993-1 Biological evaluation of medical devices -Part 1: Evaluation and testing within a risk management process.

Result of evaluation test for consideration
Category: External communicating device Contact: Blood path, Indirect Contact duration: A-Limited (≤24) Test item:

  • . Cytotoxicity
  • In vitro hemolysis
  • Skin Sensitization ●
  • Pyrogen
  • ◆ Acute Toxicity
  • Intracutaneous reactivity ●

Particulate matter testing was conducted in accordance with USP Particulate Matter in Injection and met the USP acceptance criteria.

2) Performance Test

  • ISO 7864:2016 Sterile hypodermic needles for single use

  • ISO 7886-1:2017 Sterile Hypodermic Syringes For Single Use

  • ISO 9626:2016 Stainless steel needle tubing for the manufacture of medical devices .

  • ISO 80369-7:2016, Small-bore connectors for liquids and gases in healthcare applications - Patt 7: Connectors for intravascular or hypodermic applications

    1. Sterilization, Shelf-life Testing and Simulated Shipping
    • Shelf-life test for 3years: ASTM F1980:2002 Standard Guide for Accelerated Aging of Sterile medical ● device packages
    • Ethylene Oxide Sterilization Validation Test: EN ISO11135:2014 Sterilization of medical devices-Validation and routine control of sterilization by ethylene oxide sterilization.
    • Ethylene oxide gas residual test : ISO10993-7:2008 Biological evaluation of medical devices -- Part 7: Ethylene oxide sterilization residuals
    • Pyrogen Test: Endotoxin: USP 39, Bacterial Endotoxins Tests, USP 45, Medical Devices - Bacterial Endotoxin and Pyrogen Tests
    • ISTA 2017 Integrity Test Procedure 2A: Simulated transportation test

Clinical Test Summary
No clinical studies were considered necessary and performed.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K190002, K173743

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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).

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Image /page/0/Picture/0 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 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.

February 13, 2023

Hwajin Medical Co.,Ltd. Jeon Hun Q.m.r 20, Seongsimwon-gil, Seongnam-myeon, Dongnam-gu Cheonan-si. Chungcheongnam-do 31244 Korea. South

Re: K212635

Trade/Device Name: Sofjec Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: Class II Product Code: FMF, MEG, FMI Dated: January 11, 2023 Received: January 13, 2023

Dear Jeon Hun:

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 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for

1

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.

Alan M.
Stevens
-S3

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) K212635

Device Name Sofjec

Indications for Use (Describe) Single use Needle

Single use Needle is intended for use with syringes and injection devices for general purpose fluid injection/aspiration.

Single use Syringe with Needle

Single use Syringe with Needle is intended to be used for medical purposes to inject fluid into or withdraw fluid from body.

Membrane Filter Syringe

Membrane Filter Syringe is intended to be used for medical purposes to inject fluid into or withdraw fluid from body. The filter operates when injecting the drug into the human body to remove foreign substances from the drug solutions.

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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Image /page/3/Picture/0 description: The image shows the logo for Hwajin. The logo is black, except for two orange dots above the "J" in Hwajin. The "A" in Hwajin is stylized to look like an upside down "V".

20, Seongsimwon-gil, Seongnam-myeon, Dongnam-gu, Cheonan-si, Chungcheongnam-do, Republic of Korea Tel: +82 (41) 554 6181 Fax:+82 (41) 554 7178

K212635- 510(k) Summary

1. Date Prepared

February 13, 2023

Submitter's Information & Contact Person 2.

  • Name of Manufacturer: HWAJIN MEDICAL CO., LTD.
  • Address: 20, Seonsimwon-gil, Seongnam-myeon, Dongnam-gu, Cheonan-si, Chungcheongnamdo, 31244, Republic of Korea
  • Contact Name: Jeon Sung Hun/Q.M.R
  • Telephone No.: +82-41-554-6181
  • Fax No.: +82-41-554-7178
  • Email Address: sh-jeon(@hwajinmedical.com

3. Trade Name, Common Name, Classification

Common name: Syringe, Piston Trade name: Sofjec

Classification Description21 CFR SectionProduct CodeClass
Syringe, Piston880.5860FMFII
Syringe, Antistick880.5860MEGII
Needle, Hypodermic, Single Lumen880.5570FMIII

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Image /page/4/Picture/0 description: The image shows the word "HWAJIN" in a bold, sans-serif font. The letters are dark gray, except for two orange dots above the "J". The "A" is stylized with a triangle shape in the middle. The logo appears to be for a company or brand named Hwajin.

Tel: +82 (41) 554 6181 Fax:+82 (41) 554 7178

4. Identification of Predicate Device(s)

The identified predicate devices within this submission are shown as follow:

Predicate device

  • K190002 - Sterile Hypodermic Syringe for Single Use, with/without needle, Sterile Insulin Syringe for Single Use, Sterile Hypodermic needle for Single use
  • K173743 Greenmedi Safety Filter Syringe ●

5. Description of the Device

The device has three model with the following:

  • (1) Single use Needle(108 model codes including Sofjec-16-13)
    Single use Needle consist of Cap, Needle and Hub and Blister paper function to sustain sterilization of the product. The Cap function to protect the needle. This device is single use. This device is provided EO Sterilization.

Needle length according to gauge of Sofjec

NoModel nameGaugeNeedle length
1Sofjec-161613,16,19,25,32,38
2Sofjec-171713,16,19,25,32,38
3Sofjec-181813,16,19,25,32,38
4Sofjec-191913,16,19,25,32,38
5Sofjec-202013,16,19,25,32,38
6Sofjec-212113,16,19,25,32,38
7Sofjec-222213,16,19,25,32,38
8Sofjec-232313,16,19,25,32,38
9Sofjec-242413,16,19,25,32,38
10Sofjec-252513,16,19,25,32,38
11Sofjec-262613,16,19,25,32,38
12Sofjec-272713,16,19,25,32,38
13Sofjec-282813,16,19,25,32,38
14Sofjec-29294,5,6,10,13,16,19,25,32,38
15Sofjec-30304,5,6,10,13,16,19,25,32,38
16Sofjec-31314,5,6,10,13,16,19,25,32,38

5

Image /page/5/Picture/0 description: The image shows the word "HWAJIN" in a bold, sans-serif font. The letters are black, except for two orange dots above the "J". The "A" in the word is stylized with a caret symbol instead of a horizontal bar.

20, Seongsimwon-gil, Seongnam-myeon, Dongnam-gu, Cheonan-si, Chungcheongnam-do, Republic of Korea Tel: +82 (41) 554 6181 Fax:+82 (41) 554 7178

  • (2) Single use Syringe with Needle (1734 model codes including HJ-1-16G-13) Single use Syringe with Needle consist of Syringe, Cap, Needle and Hub and Blister paper function to sustain sterilization of the product. The Cap function to protect the needle. This device is single use. This device is provided EO Sterilization and the syringes are two type of Luer Slip and Luer Lock. These device are injecting the medicine with syringes. This device is finished biocompatibility test and performance test for safety.
  • (3) Membrane Filter Syringe(16 model codes including HJM-18-1) This devices are consists of membrane filter needle and syringe. Membrane filter needle is attached 0.5nm filtration membrane (Acrylic copolymer material). Syringe is two type. (Luer slip type and Luer lock type) This device is Filtering with syringes and injection device is finished biocompatibility test and performance test for safety.

6

Image /page/6/Picture/0 description: The image shows the logo for Hwajin. The logo is in black text, except for two orange dots above the letter 'I'. The font is sans-serif and bolded.

20, Seongsimwon-gil, Seongnam-myeon, Dongnam-gu, Cheonan-si, Chungcheongnam-do, Republic of Korea Tel: +82 (41) 554 6181 Fax:+82 (41) 554 7178

6. Indications for Use

| Characteristics | Subject Device
Sofjec Single use Needle,
Single use Syringe with
needle
K212635 | Predicate Device
Sterile Hypodermic Syringe
for Single Use with/without
Needle, Hypodermic Needle
for Single Use
K190002 | Secondary Predicate
Greenmedi Safety Filter
Syringe
K173743 | |
|---------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|
| Indication for
Use | Single use Needle
Single use Needle is intended
for use with syringes and
injection devices for general
purpose fluid
injection/aspiration.
Single use Syringe with
Needle
Single use Syringe with
Needle is intended to be used
for medical purposes to inject
fluid into or withdraw fluid
from body.
Membrane Filter Syringe
Membrane Filter Syringe is
intended to be used for
medical purposes to inject
fluid into or withdraw fluid
from body. The filter operates
when injecting the drug into
the human body to remove
foreign substances from the
drug solutions. | Sterile Hypodermic Needle
for single use
The Sterile Hypodermic
Needle for single use is
intended for use with syringes
and injection devices for
general purpose fluid
injection/ aspiration.
Sterile Hypodermic Syringe
for Single Use with/without
Needle
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. | The Greenmedi safety filter
syringe is intended to inject
the drug solutions into the
human body. It is designed to
prevent needle stick injuries.
The 0.5um filter operates
when injecting the drug into
the human body to remove
foreign substances from the
drug solutions. | |
| Prescription
Only or Over
the Counter | Prescription Only | Prescription Only | Prescription Only | |
| | Proposed Device | Predicate Device - K190002 | SE decision | |
| Indications
for Use | Single use Needle
Single use Needle is intended for use with
syringes and injection devices for general
purpose fluid injection / aspiration.

Single use Syringe with Needle
Single use Syringe with Needle is
intended to be used for medical purposes
to inject fluid into or withdraw fluid
from body. | Sterile Hypodermic Needle for single
use
The Sterile Hypodermic Needle for single
use is intended for use with syringes and
injection devices for general purpose
fluid injection/ aspiration.

Sterile Hypodermic Syringe for Single
Use with/without Needle
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. | Same | |
| Operation
Mode | For manual use only | For manual use only | Same | |
| Configuration | Single use Needle
Protective cap, Needle tube,
Adhesives, Needle hub

Single use Syringe with Needle
Piston, Plunger, Barrel, (Needle) | Sterile Hypodermic
Needle for single use
Protective cap, Needle tube,
Adhesives, Needle hub

Sterile Hypodermic Syringe for Single
Use with/without Needle
Piston, Plunger, Barrel, (Needle) | Same | |
| Tip type | Luer Slip, Luer Lock | Luer Slip, Luer Lock | Same | |
| Principle of
operation | Normal | Normal | Same | |
| Volume/Sizes | Single use Needle
16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27,
28, 29, 30 ,31(G)

Single use Syringe with Needle
Luer slip
Syringe Volume 1,2,2.5,3,5,10,20,30,50 | Sterile Hypodermic
Needle for single use
18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28,
29, 30(G)

Sterile Hypodermic Syringe for Single
Use with/without Needle | Difference | |
| | Proposed Device | Predicate Device - K190002 | SE decision | |
| | Needle gauge
| 16, 17, 18, 19, 20, 21,
22, 23, 24, 25, 26, 27,
28, 29, 30 ,31 (G) | Luer slip
Syringe
Volume
1,2,3,5,10,20,30,35,50,60
(ml) | |
| | Luer Lock | | | |
| | Syringe Volume | 1,2,2.5,3,5,10,20,1G,1
W,1B(ml) | Luer Lock
Syringe
Volume
1,2,3,5,10,20,30,35,50,60
(ml) | |
| | Needle gauge | 16, 17, 18, 19, 20, 21,
22, 23, 24, 25, 26, 27,
28, 29, 30 ,31(G) | Needle
gauge
18, 19, 20, 21, 22,
23, 24, 25, 26, 27,
28, 29, 30(G) | |

Same between proposed device and the predicate is applicable.

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Image /page/7/Picture/0 description: The image shows the logo for Hwajin. The logo is in black font, except for two orange dots above the letter 'I'. The letter 'A' is stylized to look like an upside down 'V'.

Tel: +82 (41) 554 6181 Fax:+82 (41) 554 7178

Determination of Substantial Equivalence 7.

There are no significant differences in the technological characteristics of this device compared to the predicate device which adversely affect safety or effectiveness. Provided below is a table summarizing and comparing the technological characteristics of the Sofjec and the predicate devices:

Table 1. General Comparison of Syringe with Needle.

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Image /page/8/Picture/0 description: The image shows the logo for HWAJIN. The logo is in black text, except for two orange dots above the letter 'J'. The letter 'A' is stylized to look like an upside down 'V'.

20, Seongsimwon-gil, Seongnam-myeon, Dongnam-gu, Cheonan-si, Chungcheongnam-do, Republic of Korea Tel: +82 (41) 554 6181 Fax:+82 (41) 554 7178

Different- Syringe Volume and Connector Type

The Syringe volume for proposed device is different from the predicate devices. However, this difference is just in dimension. Different volume device will be selected by physician per patient's condition. This difference does not affect intended use. Moreover, the syringe volume of the proposed syringe is covered by the syringe volume of the predicate device. Therefore, this difference does not affect substantially equivalence on safety and effectiveness.

| Needle

Lengths4, 5, 6, 10, 13, 16, 19, 25, 32, 38 (mm)Difference
4-38mm

Different-Needle Size and Length

The needle size and length for proposed device is different from the predicate device. However, this difference is just in dimension. Different size and length device will be selected by physician per patient's condition. This difference does not affect intended use. Moreover, the needle length of the range of the needle length of the predicate device. The needle size of the syringe is very close to that of the comparison product. Therefore, this difference does not affect substantially equivalence on safety and effectiveness with the predicate device.

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Image /page/9/Picture/0 description: The image shows the word "HWAJIN" in bold, dark gray letters. Above the letters "JI" are two orange dots. The font is sans-serif and the letters are closely spaced together.

Proposed DevicePredicate Device - K190002SE decision
MaterialsSingle use NeedleSterile Hypodermic
Needle for single useDifferent
PartRaw materialPartRaw material
Protective capPPPistonIsoprene Rubber
HubPP
PigmentBarrelPP
NeedleStainless Steel
(SUS 304L)PlungerPP
SiliconePolydimethylsiloxaneNeedle CoverPP
NeedleStainless Steel (SUS304)
Single use Syringe with NeedleSterile Hypodermic Syringe for Single
Use with/without Needle
BarrelPolypropylene (PP)PartRaw material
GasketThermoplastic elastomerProtective capPP
PlungerPolypropylene (PP)
PigmentNeedle tubeStainless steel (SUS304)
SiliconePolydimethylsiloxaneAdhesivesEpoxy resin
AdhesivesEpoxy ResinNeedle hubPP
The differences between the subject device and the predicate are the following
The color of the plunger is pink color. The difference does not affect substantially equivalence on safety and effectiveness with the predicate.
Sterilization method and SALSterilized by ethylene
oxide gas SAL = 10-6Sterilized by ethylene
oxide gas SAL = 10-6Same
Product performanceComplied with
ISO 7886-1
ISO 7864
ISO 9626Complied with
ISO 7886-1
ISO 7864
ISO 9626Same

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Image /page/10/Picture/0 description: The image shows the logo for Hwajin. The logo is in a dark gray color, with the letters "HWAJIN" in a bold, sans-serif font. Above the "JI" in Hwajin are two orange dots. The logo is simple and modern.

20, Seongsimwon-gil, Seongnam-myeon, Dongnam-gu, Cheonan-si, Chungcheongnam-do, Republic of Korea Tel: +82 (41) 554 6181 Fax:+82 (41) 554 7178

Proposed DevicePredicate Device - K173743SE decision
Indications
for UseMembrane Filter Syringe
Membrane Filter Syringe is intended to be
used for medical purposes to inject fluid into
or withdraw fluid from body. The 0.5nm filter
operates when injecting the drug into the
human body to remove foreign substances
from the drug solutions.The Greenmedi safety filter syringe is
intended to inject the drug solutions into
the human body. It is designed to prevent
needle stick injuries. The 0.5um filter
operates when injecting the drug into the
human body to remove foreign
substances from the drug solutions.Same
Operation
ModeFor manual use onlyFor manual use onlySame
ConfigurationMembrane Filter Syringe
Needle, Protective cap, Filter, Bushing,
Syringe (Barrel, Gasket, Plunger)Needle, Lubricant For needle, Hub,
Protective Cap, Barrel, Lubricant For
barrel, Plunger, Gasket, Filter, Check
valveDifferent
Different-Configuration
The configuration of proposed syringe with needle is similar as predicate device, considering the needle may become
disengaged from the syringe when activating the syringe with luer-slip connector, therefore the proposed
syringe doesn't have the configuration of barrel with check valve. We think the difference on configuration will not raise
new questions on safety and effectiveness of the proposed device.
Principle of
operationNormalNormalSame
Volume/SizesMembrane Filter Syringe
Luer slip:
1,2,2.5,3,5,10,20,30,50(ml)
Luer Lock:
1,2,2.5,3,5,10,20,50(ml)

18G Only | 2ml, 3ml, 5ml, 10ml

23G | Difference |
| Different- Syringe Volume and Connector Type
The Syringe volume for proposed device is different from the predicate devices. However, this difference is just in dimension. Different volume device will be selected by physician per patient's condition. This difference does not affect intended use. Moreover, the syringe volume of the proposed syringe with covered by the range of the syringe volume of the predicate device. Therefore, this difference does not affect needle is substantially equivalence on safety and effectiveness. | | | |
| Needle
Lengths | 4, 5, 6, 10, 13, 16, 19, 25, 32, 38 (mm) | 17mm | Difference |

Table 2. General Comparison of Filter Syringe

The needle size and length for proposed device is different from the predicate device. However, this difference is just in dimension. Different size and length device will be selected by physician per patient's condition. This difference does not affect intended use. Moreover, the needle length of the proposed syringe in the needle length of the predicate device. The needle size of the syringe is very close to that of the comparison product. Therefore, this difference does not affect substantially equivalence on safety and effectiveness with the predicate device.

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Proposed DevicePredicate Device - K173743SE decision
Materials
PartRaw material
NeedleSTS304
Membrane Filter Syringe
CoverPolypropylene (PP)Lubricant
For needleSilicone Oil
HubPolypropylene (PP)HubPolypropyleneDifferent
PigmentProtective
capPolypropylene
FilterMembrane
(Polydimethylsiloxane)BarrelPolypropylene
PlungerPolypropylene
(Pink)Lubricant
For barrelSilicone Oil
PlungerPolypropylene (green)
GasketThermoplastic elastomerGasketThermoplastic elastomer
FilterMembrane
Check
valveSilicon
The differences between the subject device and the predicate are the following
The color of the plunger is pink color. The difference does not affect substantially equivalence on safety and effectiveness.
Filter spec.Membrane Filter Syringe
0.5nm5μmDifferent
Performance testing was done on the filter to ensure that the filter achieve its intended use without affecting the
flow of the drug solutions into the body. Different does not affect intended use. It is only different the filter spec.
Sterilization
method and
SALSterilized by ethylene
oxide gas SAL = 10-6Sterilized by ethylene
oxide gas SAL = 10-6Same
Complied withComplied with
Product
performanceISO 7886-1ISO 7886-1Same
ISO 7864ISO 7864
ISO 9626

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Tel: +82 (41) 554 6181 Fax:+82 (41) 554 7178

Non-Clinical Test Summary

    1. Biocompatibility Test
      The devices were tested for biocompatibility per ISO 10993-1 Biological evaluation of medical devices -Part 1: Evaluation and testing within a risk management process.

Result of evaluation test for consideration

Category: External communicating device Contact: Blood path, Indirect Contact duration: A-Limited (≤24) Test item:

  • . Cytotoxicity
  • In vitro hemolysis
  • Skin Sensitization ●
  • Pyrogen
  • ◆ Acute Toxicity
  • Intracutaneous reactivity ●

Particulate matter testing was conducted in accordance with USP Particulate Matter in Injection and met the USP acceptance criteria.

2) Performance Test

  • ISO 7864:2016 Sterile hypodermic needles for single use
  • ISO 7886-1:2017 Sterile Hypodermic Syringes For Single Use
  • ISO 9626:2016 Stainless steel needle tubing for the manufacture of medical devices .
  • ISO 80369-7:2016, Small-bore connectors for liquids and gases in healthcare applications - Patt 7: Connectors for intravascular or hypodermic applications
    1. Sterilization, Shelf-life Testing and Simulated Shipping
    • Shelf-life test for 3years: ASTM F1980:2002 Standard Guide for Accelerated Aging of Sterile medical ● device packages
    • Ethylene Oxide Sterilization Validation Test: EN ISO11135:2014 Sterilization of medical devices-Validation and routine control of sterilization by ethylene oxide sterilization.
    • Ethylene oxide gas residual test : ISO10993-7:2008 Biological evaluation of medical devices -- Part 7: Ethylene oxide sterilization residuals
    • Pyrogen Test: Endotoxin: USP 39, Bacterial Endotoxins Tests, USP 45, Medical Devices - Bacterial Endotoxin and Pyrogen Tests
    • ISTA 2017 Integrity Test Procedure 2A: Simulated transportation test

Clinical Test Summary

No clinical studies were considered necessary and performed.

8. Conclusion

Based on the above information and all data provided in this submission, the comparison of intended uses, technological characteristics, and non-clinical performance testing demonstrates that the subject device is substantially equivalent to the legally marketed predicate device.