K Number
K213158
Device Name
Syringe with permanently attached needle
Date Cleared
2022-07-21

(296 days)

Product Code
Regulation Number
880.5860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Syringe with permanently attached needle is intended for use by health care professionals for general purpose aspiration of fluid from vials, ampoules and liquid injection below the surface of the skin.
Device Description
The Syringe with permanently attached needle is intended for single use only. The proposed device is available in 0.3ml, 0.5ml, 1ml volumes with a 20G-34G gauge needle. The product is for single use and provided sterile (EtO). The shelf-life of the product is five-years. The proposed syringes are available in different combination of syringe volumes and/or needle sizes.
More Information

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

No
The device is described as a syringe with a needle intended for general purpose aspiration of fluid from vials and injections below the skin, which are delivery mechanisms rather than direct therapeutic actions from the device itself.

No

The device description states its intended use is for "aspiration of fluid from vials, ampoules and liquid injection below the surface of the skin," which are actions related to administering or withdrawing substances, not diagnosing conditions.

No

The device description clearly indicates it is a physical syringe with a needle, which is a hardware medical device, not software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states "for general purpose aspiration of fluid from vials, ampoules and liquid injection below the surface of the skin." This describes a device used for administering substances into the body or withdrawing substances from the body, which are typical functions of a medical device used in vivo (within a living organism).
  • IVD Definition: In Vitro Diagnostics (IVDs) are devices used to examine specimens (like blood, urine, tissue) taken from the human body to provide information about a person's health status. They are used in vitro (outside the living organism).
  • Device Description: The description focuses on the physical characteristics of the syringe and needle, its sterility, and shelf-life, all of which are relevant to a medical device used for injection or aspiration.
  • Lack of IVD Indicators: There is no mention of analyzing samples, detecting analytes, or providing diagnostic information based on the analysis of biological specimens.

Therefore, based on the provided information, this device is a standard medical device used for injection and aspiration, not an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

The Syringe with permanently attached needle is intended for use by health care professionals for general purpose aspiration of fluid from vials, ampoules and liquid injection below the surface of the skin.

Product codes

FMF, MEG

Device Description

The Syringe with permanently attached needle is intended for single use only. The proposed device is available in 0.3ml, 0.5ml, 1ml volumes with a 20G-34G gauge needle.

The product is for single use and provided sterile (EtO). The shelf-life of the product is five-years.

The proposed syringes are available in different combination of syringe volumes and/or needle sizes (refer to Table 1).

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

health care 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

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

  • ISO 10993-5: 2009 Biological evaluation of medical Devices-Part 5: Tests for in . Vitro Cytotoxicity
  • ISO 10993-10: 2010 Biological evaluation of medical devices- Part 10: Test for . irritation and skin sensitization.
  • ISO 10993-11: 2017 Biological evaluation of medical devices- Part 11: Tests for . systemic toxicity
  • ISO 7886-1:2017 Sterile hypodermic syringes for single use- Part 1: Syringes for . manual use.
  • ISO 9626:2016, Stainless Steel Needle Tubing for the Manufacture of Medical ● Devices.
  • ISO 7864:2016 Sterile hypodermic needles for single use Requirements and . test methods
  • ISO 10993-7:2008 Biological Evaluation of Medical Devices Part 7: Ethylene . Oxide Sterilization Residuals.
  • USP 41-NF36:2018 Bacterial Endotoxin Limit ●
  • USP Particulate Matter in injections ●
  • ASTM F88/F88M-15, Standard Test Method for Seal Strength of Flexible Barrier . Materials. (Sterility)
  • ASTM F1929-15 Standard Test Method for Detecting Seal Leaks in Porous . Medical Package by Dye Penetration
  • ASTM F1886/F1886M-16, Standard Test Method for Determining Integrity of . Seals for Flexible Packaging by Visual Inspection

Biocompatibility Testing:
The devices meet biocompatibility endpoints for cytotoxicity, irritation, sensitization, systemic toxicity, hemolysis and material-mediated pyrogens. The data was supplied in the reference device submission, K162180, and the manufacturer certified that the devices, in their final finished form, are identical to the K162180 reference device (cleared 12/29/2016) in formulation, processing, sterilization, and geometry and no other chemicals have been added (e.g., plasticizers, fillers, additives, cleaning agents, mold release agents).

Key Metrics

Not Found

Predicate Device(s)

K192551

Reference Device(s)

K162180

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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July 21, 2022

Berpu Medical Technology Co., Ltd. David Yu Management Representative No. 14 Xingji Road, Yongxing Street, Wenzhou. Zhejiang 325000 China

Re: K213158

Trade/Device Name: Syringe with permanently attached needle Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: Class II Product Code: FMF, MEG Dated: June 14, 2022 Received: June 21, 2022

Dear David Yu:

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 medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

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) K213158

Device Name Syringe with permanently attached needle

Indications for Use (Describe)

Syringe with permanently attached needle

The Syringe with permanently attached needle is intended for use by health care professionals for general purpose aspiration of fluid from vials, ampoules and liquid injection below the surface of the skin.

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

Research Use (Part 21 CFR 361.2 Label D)Over-The-Counter Use (21 CFR 361.2 Label C)
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Prescription Use (Part 21 CFR 801 Subpart D)

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

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510(k) summary

The assigned 510(k) Number: K213158

I Submitter

Berpu Medical Technology Co., Ltd. NO.14 Xingji Road, Yongxing Street, Longwan District, Wenzhou, Zhejiang, China 325000

Establishment Registration Number: 3004496829

Contact person: David Yu Position: Management representative Tel.: +86-18868131179 Fax: 0577-86630389 E-mail: 274269118@qq.com

Preparation date: July 17, 2022

II Proposed Device

Trade Name of Device:Syringe with permanently attached needle
Common name:Piston Syringe
Regulation Number:21 CFR 880.5860
Regulatory Class:Class II
Product code:FMF, MEG
Review PanelGeneral Hospital

III Predicate Devices

510(k) Number:K192551
Trade name:Syringe with permanently attached needle
Common name:Piston Syringe
Classification:Class II
Product Code:FMF, MEG

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Manufacturer Jiangsu Caina Medical Co., Ltd.

IV Device description

The Syringe with permanently attached needle is intended for single use only. The proposed device is available in 0.3ml, 0.5ml, 1ml volumes with a 20G-34G gauge needle.

The product is for single use and provided sterile (EtO). The shelf-life of the product is five-years.

The proposed syringes are available in different combination of syringe volumes and/or needle sizes (refer to Table 1).

DeviceNeedle length (mm)Needle gaugeNeedle wall typeSyringe size/volume
Syringe with permanently attached needle4, 5, 6, 8, 9, 10, 12, 13, 16, 2034G
33GRW
TW
ETW0.3ml
0.5ml
1ml
Specification4, 5, 6, 8, 9, 10, 12, 13, 16, 20, 22, 25, 28, 3232G
31GRW
TW
ETW0.3ml
0.5ml
1ml
4, 5, 6, 8, 9, 10, 12, 13, 16, 20, 22, 25, 28, 32, 35, 38, 4030G
29G
28G
27G
26G
25G
24G
23G
22G
21G
20GRW
TW
ETW0.3ml
0.5ml
1ml

Table 1 specification of proposed device

V Indication for use

Syringe with permanently attached needle

The Syringe with permanently attached needle is intended for use by health care professionals for general purpose aspiration of fluid from vials, ampoules and liquid injection below the surface of the skin.

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VI Comparison of technological characteristics with the predicate devices

The comparison and discussion between the subject device and the predicate devices are listed in below table 2:

| Item | Proposed device | Predicate device
(K192551) | Discussion |
|-------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------|
| Product name | Syringe with
permanently attached
needle | Syringe with
permanently attached
needle | same |
| Product Code | FMF | FMF | same |
| Regulation
No. | 21 CFR 880.5860 | 21 CFR 880.5860 | same |
| Class | II | II | same |
| Indication for
use | The Syringe with
permanently attached
needle is intended for
use by health care
professionals for general
purpose aspiration of
fluid from vials,
ampoules and liquid
injection below the
surface of the skin. | The Syringe with
permanently attached
needle is intended for
use by health care
professionals for
general purpose
aspiration of fluid
from vials, ampoules
and liquid injection
below the surface of
the skin. | same |
| Prescription/o
ver-the-count
er use | Prescription Use | Prescription Use | Same |
| Configuration
and material | (1) needle cap (PP)
(2) needle (Stainless
Steel 304)
(3) piston (Polysoprene
Rubber)
(4) plunger (PP)
(5) barrel (PP) | (1) needle cap (PP or
PE)
(2) needle (Stainless
Steel 304)
(3) piston
(Polysoprene)
(4) plunger (PP)
(5) barrel (PP) | Similar1 |
| Syringe
Volume | 0.3ml, 0.5ml, 1ml | 0.3ml, 0.5ml, 1ml | Same |
| Needle
Gauge | 20G, 21G, 22G, 23G,
24G, 25G, 26G, 27G,
28G, 29G, 30G, 31G,
32G, 33G, 34G | 21G, 23G, 25G, 26G,
27G, 28G, 29G, 30G,
31G | Difference2 |
| Needle
Length (mm) | 4, 5, 6, 8, 9, 10, 12, 13,
16, 20, 22, 25, 28, 32,
35, 38, 40 | 8, 10, 13, 16, 20, 25 | |
| Needle wall
type | RW, TW, ETW | RW, TW | |
| Needle
performance | ISO 9626
ISO 7864 | ISO 9626
ISO 7864 | Same |
| Syringe
performance | ISO 7886-1 | ISO 7886-1 | Same |
| Biocompatibility | Conforms to the
requirements of ISO
10993 series standards. | Conforms to the
requirements of ISO
10993 series
standards. | Same |
| Method | EO Sterilized | EO Sterilized | Same |
| SAL | 10-6 | 10-6 | Same |
| Operation
Principle | For Manual Use Only,
For Single Use Only | For Manual Use Only,
For Single Use Only | Same |
| Label/Labeling | Complied with 21 CFR
part 801 | Complied with 21
CFR part 801 | Same |

Table 2 General Comparison of Syringe with permanently attached needle

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1 The configurations of Syringe with permanently attached needle are same as the configuration of predicate device, but there are some differences in raw materials. The differences on configuration and materials do not raise new questions about safety and effectiveness. Additionally, the proposed syringes' biocompatibility can be demonstrated by the reference device (K162180).

2 The needle gauge and length for proposed devices is different from the predicate devices. 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, differences in needle length and gauge between the predicate and subject device were addressed through ISO 7864:2016 and ISO 9626:2016 performance testing. The needle wall type for predicate device is unknown. However, the performance test for proposed device has been conducted and the test result

7

conform with requirements of ISO 7864:2016 and ISO 9626:2016 standards. The needle bevel for proposed devices are different from the predicate device 2. However, this difference is just in dimension. Different needle bevel will be selected by physician per patient's condition. This difference does not affect intended use. In addition, differences in needle bevel between the predicate and subject device were addressed through ISO 7864:2016 and ISO 9626:2016 performance testing. Therefore, the differences on needle length, gauge, wall type and bevel does not affect substantially equivalence on safety and effectiveness.

VII Non-Clinical Testing

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

  • ISO 10993-5: 2009 Biological evaluation of medical Devices-Part 5: Tests for in . Vitro Cytotoxicity
  • ISO 10993-10: 2010 Biological evaluation of medical devices- Part 10: Test for . irritation and skin sensitization.
  • ISO 10993-11: 2017 Biological evaluation of medical devices- Part 11: Tests for . systemic toxicity
  • ISO 7886-1:2017 Sterile hypodermic syringes for single use- Part 1: Syringes for . manual use.
  • ISO 9626:2016, Stainless Steel Needle Tubing for the Manufacture of Medical ● Devices.
  • ISO 7864:2016 Sterile hypodermic needles for single use Requirements and . test methods
  • ISO 10993-7:2008 Biological Evaluation of Medical Devices Part 7: Ethylene . Oxide Sterilization Residuals.
  • USP 41-NF36:2018 Bacterial Endotoxin Limit ●
  • USP Particulate Matter in injections ●
  • ASTM F88/F88M-15, Standard Test Method for Seal Strength of Flexible Barrier . Materials. (Sterility)
  • ASTM F1929-15 Standard Test Method for Detecting Seal Leaks in Porous . Medical Package by Dye Penetration
  • ASTM F1886/F1886M-16, Standard Test Method for Determining Integrity of . Seals for Flexible Packaging by Visual Inspection

Biocompatibility Testing:

The devices meet biocompatibility endpoints for cytotoxicity, irritation, sensitization, systemic toxicity, hemolysis and material-mediated pyrogens. The data was supplied in the reference device submission, K162180, and the manufacturer certified that the

8

devices, in their final finished form, are identical to the K162180 reference device (cleared 12/29/2016) in formulation, processing, sterilization, and geometry and no other chemicals have been added (e.g., plasticizers, fillers, additives, cleaning agents, mold release agents).

VIII Clinical Testing

No clinical study is included in this submission.

IX Conclusion

The proposed device has the same indication for use and has similar design features and technological characteristic as the predicate device. Performance testing data demonstrates that the proposed device is as safe and as effective as the predicate device. Accordingly, the proposed device is substantially equivalent to the predicate device.