K Number
K220713
Device Name
Sol-Guard Auto-disable Syringe
Date Cleared
2023-05-04

(419 days)

Product Code
Regulation Number
880.5860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Sol-Guard Auto-Disable Syringe is intended for aspiration and injection of fluids into the body. In addition, the Sol-Guard™ Auto-Disable Syringe is designed to prevent syringe and needle reuse.
Device Description
The SOL-GUARD Auto-Disable syringe is a sterile, single-use, 3-part hypodermic syringe with an auto-disable feature that is intended to deliver a fixed dose of medicine/vaccine immediately after filling. The SOL-GUARD Auto-Disable syringe has a fixed needle and plunger rod with affixed metal clip which is designed for the prevention of the syringe and needle re-use by automatically activating the clip and locking the plunger after injection. The syringe is individually blister packaged, and EtO sterilized with SAL of 106. This syringe is intended for aspiration and injection of fluids.
More Information

Not Found

No
The description focuses on the mechanical auto-disable feature and does not mention any AI or ML components.

No

The device is a syringe intended for aspiration and injection of fluids, designed to deliver fixed doses of medicine/vaccine and prevent reuse. While it is used in the delivery of therapeutic substances, it is not itself a therapeutic device that treats or cures a condition.

No
The device is described as a syringe for "aspiration and injection of fluids into the body" and to "deliver a fixed dose of medicine/vaccine." These are therapeutic or delivery functions, not diagnostic ones.

No

The device description clearly states it is a physical syringe with a fixed needle, plunger rod, and metal clip, indicating it is a hardware device. There is no mention of software as the primary or sole component.

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

Here's why:

  • Intended Use: The intended use is for "aspiration and injection of fluids into the body" and preventing reuse. This describes a device used for administering substances directly into a living organism, not for testing samples in vitro (outside the body).
  • Device Description: The description focuses on the mechanical function of a syringe for delivering a fixed dose and preventing reuse. It doesn't mention any components or processes related to analyzing biological samples.
  • Anatomical Site: The anatomical site is "into the body," which is consistent with an in-vivo device, not an in-vitro diagnostic.
  • Performance Studies: The performance studies focus on the mechanical functionality, sterilization, shelf-life, and biocompatibility of the syringe itself, not on the accuracy or reliability of diagnostic results from analyzing samples.
  • Predicate Devices: The predicate devices are "Sol-M Insulin Syringe" and "Sol-M TB Syringe," which are also devices for administering substances into the body, not for in-vitro diagnostics.

IVD devices are used to examine specimens (like blood, urine, or tissue) taken from the human body to provide information for diagnosis, monitoring, or screening. This syringe's function is to introduce substances into the body.

N/A

Intended Use / Indications for Use

The Sol-Guard Auto-Disable Syringe is intended for aspiration and injection of fluids into the Sol-Guard Auto-Disable Syringe is designed to prevent syringe and needle reuse.

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

FMF

Device Description

The SOL-GUARD Auto-Disable syringe is a sterile, single-use, 3-part hypodermic syringe with an auto-disable feature that is intended to deliver a fixed dose of medicine/vaccine immediately after filling. The SOL-GUARD Auto-Disable syringe has a fixed needle and plunger rod with affixed metal clip which is designed for the prevention of the syringe and needle re-use by automatically activating the clip and locking the plunger after injection. The syringe is individually blister packaged, and EtO sterilized with SAL of 10-6. This syringe is intended for aspiration and injection of fluids.

The auto-disable syringes are configured as follows.

Product SizeNeedle GaugeNeedle length
0.3ml23G1"
0.3ml23G1 1/2"
0.3ml25G1"
0.5ml23G1"
0.5ml23G1 1/2"
0.5ml25G1"
0.65ml26G3/8"

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

body

Indicated Patient Age Range

Not Found

Intended User / Care Setting

physicians, nurses, and other qualified 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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Performance testing was conducted to support the addition of the auto-disable feature of the syringe. The Sol-Guard™ Auto-Disable Syringe has been subjected to Design Controls and tested to appropriate device specific standards to support substantial equivalence, and validation to standards necessary to demonstrate the functionality of the device.

Biocompatibility testing was leveraged from the predicate device submission since there was no change in the patient direct or in-direct contact components and no biological concern is introduced.

There was no change in the sterilization process or materials involved with the sterilization, and the sterility assurance level remains unchanged. The Microbiology Product Adoption was done in accordance with ISO 11135:2014 Sterilization of health care products - Ethylene oxide -Requirements for development, validation and routine control of a sterilization process for medical devices and AAMI TIR28:2016 Product adoption and process equivalence for ethylene oxide sterilization.

Shelf-life verification studies were conducted at T=5 under accelerated aging conditions to verify that the claimed shelf life of 5years is supported. There were no failures identified and the test confirmed that the claimed expiration date is supported.

Sol-Millennium has conducted non-clinical testing according to the FDA consensus standards. The performance and design testing conducted serve as the basis for establishing substantial equivalence, the testing included the following.

  • ISO 7886-3:2020 Sterile hypodermic syringes for single use Part 3: Auto-disabled ● syringes for fixed-dose immunization
  • ISO 7886-1:2017 Sterile hypodermic syringes for single use - Part 1: Syringes for manual use

The compatibility of the metal clip of the syringe to the plunger that provides the auto-disable feature for the subject device was considered the technological characteristic which introduced the greatest potential risk of the subject device. Potential functional performance risks include risk on the ability of the plunger to travel within the barrel, scale mark legibility, ability to maintain shelf-life, resulting in a delay in therapy, and inaccurate medication delivery. Compliance to ISO 7886-3 Sterile hypodermic syringes for single use - Part 3: Auto-disabled syringes for fixed-dose immunization, in conjunction with ISO7886-1, serves as the mitigations to the identified safety concerns. The non-clinical testing included assessments related to device material biocompatibility, where it was deemed the metal clip does contact fluid or skin during its intended use.

Results of non-clinical testing both validated the modifications made and served to mitigate the identified risks such that the subject device met requirements for its intended use demonstrating substantial equivalence to its predicate device.

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.

K153537

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).

0

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left, there is a symbol representing the Department of Health & Human Services. To the right of the symbol, there is a blue square with the letters "FDA" in white. Next to the blue square, the words "U.S. FOOD & DRUG ADMINISTRATION" are written in blue.

May 4, 2023

Sol-Millennium Medical Inc. Ying Zhao Senior manager, Regulatory Affairs 315 Shawnee North Dr. Suite 100 Suwanee, Georgia 30024

Re: K220713

Trade/Device Name: Sol-Guard Auto-disable Syringe Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: Class II Product Code: FMF Dated: April 6, 2023 Received: April 7, 2023

Dear Ying Zhao:

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

1

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 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,

Alan St

CAPT Alan M. 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)

K220713

Device Name SOL-GUARD Auto-Disable Syringe

Indications for Use (Describe)

The Sol-Guard Auto-Disable Syringe is intended for aspiration and injection of fluids into the Sol-Guard Auto-Disable Syringe is designed to prevent syringe and needle reuse.

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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510(k) SUMMARY

In accordance with 21 CFR 807.92(a) the following summary of information is provided:

Date Summary Prepared:May 5, 2023
Submitter/Applicant:Sol-Millennium Medical Inc.
315 Shawnee North Dr.
Suite 100
Suwanee, GA 30024
Phone: 815-578-2200
Fax:
815-759-2548
Primary Contact Person:Ying Zhao
Sol-Millennium Medical Inc.
Sr. Manager, Regulatory Affairs
Phone: 847-363-1264
Email: yzhao@sol-m.com
Device InformationTrade/Device Name: Sol-GuardTM Auto-Disable Syringe
Regulatory Number: 21 CFR § 880.5860
Regulatory Name: Syringe, Piston
Regulatory Class: II
Product Code: FMF
Review Panel: General Hospital
Predicate Device
InformationK153537
Manufacturer: Sol-Millennium Medical Inc.
Sol-M Insulin Syringe, Sol-M TB Syringe
The predicate device has not been subject to a design-related
recall.

4

Device Description:

The SOL-GUARD Auto-Disable syringe is a sterile, single-use, 3-part hypodermic syringe with an auto-disable feature that is intended to deliver a fixed dose of medicine/vaccine immediately after filling. The SOL-GUARD Auto-Disable syringe has a fixed needle and plunger rod with affixed metal clip which is designed for the prevention of the syringe and needle re-use by automatically activating the clip and locking the plunger after injection. The syringe is individually blister packaged, and EtO sterilized with SAL of 106. This syringe is intended for aspiration and injection of fluids.

The auto-disable syringes are configured as follows.

Product SizeNeedle GaugeNeedle length
0.3ml23G1"
0.3ml23G1 1/2"
0.3ml25G1"
0.5ml23G1"
0.5ml23G1 1/2"
0.5ml25G1"
0.65ml26G3/8"

Indications For Use:

The Sol-Guard™ Auto-Disable Syringe is intended for aspiration and injection of fluids into the body. In addition, the Sol-Guard™ Auto-Disable Syringe is designed to prevent syringe and needle reuse.

Technological Charateristic

The subject device is a standard 3-piece piston syringe with a permanently attached needle and with an auto-disable feature that prevents reuse of the syringe after injection by locking the plunger in place after injection. The syringe consists of a syringe barrel with a permanently attached needle, a plunger rod with an integral metal clip, and a rubber stopper (gasket).

The subject device has a feature that passively activates upon delivering an injection of the nominal fixed dose to prevent subsequent reuse of the syringe and the needle. The passive activation is where the reuse prevention feature does not require an additional step by the user during injection to activate the protection feature.

The reuse prevention is achieved using serrations on the internal wall of the barrel and a metal clip/claw on the plunger that automatically blocks the plunger once depressed so it cannot be retracted again. This is a single-use device.

Comparison of Technological Characteristic

The design and technological features of the Sol-Guard™ Auto-Disable Syringe, which is the subject of this Special 510(k), are the same as Sol-M Insulin Syringe and Sol-M TB Syringe

5

previously cleared under K153537. The differences between the subject device and the predicate devices are the inclusion of the auto-disable feature that locks the plunger after injection. Table 1 presents a comparison of the devices' technology, features, and materials.

Element of ComparisionProposed DevicePredicate Device (K153537)
Sol-Guard™Auto-Disable SyringeSol-M Insulin Syringe, Sol-M TB
Syringe
Product CodeFMFFMF
Syringe TypePiston, syringePiston, syringe
Indication for useThe Sol-GuardTM Auto-Disable Syringe is
intended for aspiration and injection of fluids
into the body. In addition, the Sol-Guard™
Auto-Disable Syringe is designed to prevent
syringe and needle reuse.TB Syringe is intended to be used for
medical purposes to inject fluids into or
withdraw fluids from the body.
Insulin Syringe with needle, with the
calibration unit of insulin for U-100, is
device intended for medical purposes
for the manual aspiration of insulin, and
for the injection of insulin into parts of
the body below the surface of the skin.
Intended UseThe SOL-GUARD™ Auto Disable syringes
are used to inject vaccine/medications into the
body by physicians, nurses, and other
qualified health care professionals. It isTB Syringe is intended to be used for
medical purposes to inject fluids into or
withdraw fluids from the body.
designed with safety feature for the prevention
of the syringe reuse.Insulin Syringe with needle, with the
calibration unit of insulin for U-100, is
device intended for medical purposes
for the manual aspiration of insulin, and
for the injection of insulin into parts of
the body below the surface of the skin.
Principle of operationThree-piece piston syringe.
Plunger is used to fill syringe
as well as discharge the fluid.
The Auto-Disable syringe has a fixed needle
and plunger rod with affixed metal clip which
is designed for the prevention of the syringe
and needle re-use by automatically activating
the clip and locking the plunger after injection.Three-piece piston syringe.
Plunger is used to fill syringe
as well as discharge the fluid. The
syringe has a fixed needle.
Specific Drug UseVaccine/MedicationInsulin syringes - Insulin
TB syringes - General Use (included
vaccine/medication)
LengthAssembly length 131mmAssembly length 131mm
DiameterI.D. of barrel: 4.7mmI.D. of barrel: 4.7mm
Tip TypeFixed NeedleFixed Needle
Volume0.3ml, 0.5ml, 0.65mlInsulin Syringes - 0.3, 0.5, 1ml
TB Syringes - 0.5, 1 ml
Needle Length3/8" to 1 1/2"5/16" to 1 1/2"
Needle Gauge23-26 gaugeInsulin- 29-31 gauge
TB - 23-27 gauge
Needle Tip ConfigurationHypodermic needleHypodermic needle
Barrel Marking SpecsGraduated scale in ml for fixed doseInsulin: graduated scale in U100
TB: graduated scale in ml
Device ComponentBarrel, piston, plunger, needle, needle cover,
metal clipBarrel, piston, plunger, needle, needle
cover, metal clip
Element of ComparisionProposed DevicePredicate Device (K153537)
Sol-Guard™Auto-Disable SyringeSol-M Insulin Syringe, Sol-M TB
Syringe
Graduation LegibilityBold MarkingsBold Markings
Needle Cover/Cap DimensionsNeedle cover length from 25mm to 49mm
based on nominal needle lengthNeedle cover length from 25mm to
49mm based on nominal needle length
Needle Cover/Cap ColorClear (transparent, not colored)Insulin: Orange according to ISO 8537
TB: according to ISO 6009 except 25G
that needle cover is not colored
Lubricant CompositionDow Corning Medical
Silicone 360Dow Corning Medical
Silicone 360
Lubricant Amount/cm2≤ 0.25 mg/cm2≤ 0.25 mg/cm2
Barrel transparencyClearClear
Delivery AccuracyPer Auto-disabled syringes for fixed-dose
immunization - ISO 7886-3:2020Insulin Syringes- Per ISO
8537:2016
Hypodermic Syringes - Per
ISO 7886-1: 2016Hypodermic Syringes - Per
ISO 7886-1: 2016
Needle Cover/Cap StrengthInternal requirement: force to remove the
needle cover below 15NInternal requirement: force to remove
the needle cover below 15N
Hub/Needle bond StrengthPer ISO 7864Per ISO 7864
BiocompatibilityPer ISO 10993-1ISO 10993-1
BarrelPolypropylenePolypropylene
PlungerPolypropylene and SS 304 stainless (metal
clip)Polypropylene
Gasket/StopperIR rubberIR rubber
NeedleSS 304SS 304
Needle Cover/CapPolypropylenePolypropylene
LabelingPer 21 CFR 801Per 21 CFR 801
Sterilization MethodEtOEtO
Sterility Level (SAL)10-610-6
Shelf Life5 years5 years

Table 1. Technology and features

6

Sol-Millennium Medical Inc. Sol-Guard™ Auto-Disable Syringe

Performance Testing Summary:

Performance testing was conducted to support the addition of the auto-disable feature of the syringe. The Sol-Guard™ Auto-Disable Syringe has been subjected to Design Controls and tested to appropriate device specific standards to support substantial equivalence, and validation to standards necessary to demonstrate the functionality of the device.

Biocompatibility Testing

Biocompatibility testing was leveraged from the predicate device submission since there was no change in the patient direct or in-direct contact components and no biological concern is introduced.

Sterilization

There was no change in the sterilization process or materials involved with the sterilization, and the sterility assurance level remains unchanged. The Microbiology Product Adoption was done in accordance with ISO 11135:2014 Sterilization of health care products - Ethylene oxide -Requirements for development, validation and routine control of a sterilization process for medical devices and AAMI TIR28:2016 Product adoption and process equivalence for ethylene oxide sterilization.

7

Shelf Life:

Shelf-life verification studies were conducted at T=5 under accelerated aging conditions to verify that the claimed shelf life of 5years is supported. There were no failures identified and the test confirmed that the claimed expiration date is supported.

Summary of Non-Clinical Tests (Bench Testing)

Sol-Millennium has conducted non-clinical testing according to the FDA consensus standards. The performance and design testing conducted serve as the basis for establishing substantial equivalence, the testing included the following.

  • ISO 7886-3:2020 Sterile hypodermic syringes for single use Part 3: Auto-disabled ● syringes for fixed-dose immunization
  • ISO 7886-1:2017 Sterile hypodermic syringes for single use - Part 1: Syringes for manual use

The compatibility of the metal clip of the syringe to the plunger that provides the auto-disable feature for the subject device was considered the technological characteristic which introduced the greatest potential risk of the subject device. Potential functional performance risks include risk on the ability of the plunger to travel within the barrel, scale mark legibility, ability to maintain shelf-life, resulting in a delay in therapy, and inaccurate medication delivery. Compliance to ISO 7886-3 Sterile hypodermic syringes for single use - Part 3: Auto-disabled syringes for fixed-dose immunization, in conjunction with ISO7886-1, serves as the mitigations to the identified safety concerns. The non-clinical testing included assessments related to device material biocompatibility, where it was deemed the metal clip does contact fluid or skin during its intended use.

Results of non-clinical testing both validated the modifications made and served to mitigate the identified risks such that the subject device met requirements for its intended use demonstrating substantial equivalence to its predicate device.

Clinical Testing:

Clinical studies were not deemed necessary to support the substantial equivalence decision

Conclusion:

Sol-Millennium considers the Sol-Guard™ Auto-Disable Syringe to be substantially equivalent to the predicate device. The subject device's intended use, indications for use, technology, and principles of operation are unchanged compared to the predicate device cleared under K153537. The addition of an auto-disable feature to prevent syringe and needle reuse does not change the effectiveness of the device and it does not represent a change in user tasks or interactions. The potential risks introduced by adding auto-disable feature were successfully mitigated by design control activities. The subject device is as safe and effective as the predicate device. Based on the comparison and analysis above, the subject device is determined to be Substantially Equivalent (SE) to the predicate devices.