K Number
K221777
Date Cleared
2023-10-06

(472 days)

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

Disposable Sterile Syringe is intended to inject fluids into or withdraw fluids from the body.

Device Description

Disposable Sterile Syringe, is a plastic syringe designed for intended to inject fluids into or withdraw fluids from the body. The product is a single use, sterile, non-toxic, non-pyrogenic, disposable syringe that consists of a barrel, plunger, Piston, Needle tube, Needle hub and Needle cap.

All specifications of product subject to the same design and the difference between each specification is syringe volume and needle size. The product is available in a variety combination of needle size and syringe volume.

AI/ML Overview

The provided text describes the 510(k) summary for a Disposable Sterile Syringe (K221777) and its substantial equivalence to a predicate device. This document is a regulatory submission for a medical device that does not involve AI or complex software, and therefore, many of the requested details regarding acceptance criteria, study methodologies for AI/software performance (e.g., sample size for test sets, expert adjudication, MRMC studies, standalone performance, ground truth for AI), and training set information are not applicable.

The device is a simple, physical product (a syringe) and its "performance" is assessed through adherence to established international and ASTM standards for physical, chemical, and biological properties, as well as sterility and packaging integrity. The acceptance criteria for such a device are primarily defined by these international standards.

Here's an attempt to address the points based on the provided document, highlighting what is applicable and what isn't:


Device: Disposable Sterile Syringe (K221777)
Purpose: Intended to inject fluids into or withdraw fluids from the body.

This device is a traditional medical device, not an AI/Software as a Medical Device (SaMD). Therefore, the concept of "acceptance criteria" and "study that proves the device meets the acceptance criteria" refers to compliance with recognized standards and biocompatibility testing, rather than performance metrics like sensitivity, specificity, or AUC for an AI algorithm.


1. A table of acceptance criteria and the reported device performance

The acceptance criteria for this device are its compliance with various ISO and ASTM standards. The "reported device performance" is essentially that the device "meets the requirements of related standards" and that "there are no negative impacts from the materials that are used in the proposed device."

Item / Test CategoryStandard / Acceptance Criteria (Derived from document)Reported Device Performance (Summary from document)
Physical/Mechanical Performance
CleanlinessISO 7864:2016 Clause 4.3; ISO 9626:2016 Clause 5.3Meets requirements (Implied by "complies with")
Acidity/AlkalinityISO 7864:2016 Clause 4.4; ISO 9626:2016 Clause 5.4Meets requirements
Extractable MetalsISO 7864:2016 Clause 4.5Meets requirements
Size DesignationISO 7864:2016 Clause 4.6; ISO 9626:2016 Clause 5.5Meets requirements
Color CodingISO 7864:2016 Clause 4.7; ISO 6009:2016Meets requirements
Needle HubISO 7864:2016 Clause 4.8Meets requirements
SheathISO 7864:2016 Clause 4.9Meets requirements
Needle TubeISO 7864:2016 Clause 4.10Meets requirements
Needle PointISO 7864:2016 Clause 4.11Meets requirements
Bond (hub/tube)ISO 7864:2016 Clause 4.12Meets requirements
Patency of LumenISO 7864:2016 Clause 4.13Meets requirements
Surface FinishISO 9626:2016 Clause 5.1Meets requirements
DimensionsISO 9626:2016 Clause 5.6Meets requirements
StiffnessISO 9626:2016 Clause 5.7Meets requirements
Resistance to BreakageISO 9626:2016 Clause 5.8Meets requirements
Resistance to CorrosionISO 9626:2016 Clause 5.9Meets requirements
Extraneous MatterISO 7886-1:2017 Clause 6Meets requirements
LubricantISO 7886-1:2017 Clause 7Meets requirements
Graduated Capacity ToleranceISO 7886-1:2017 Clause 8Meets requirements
Graduated ScaleISO 7886-1:2017 Clause 9Meets requirements
BarrelISO 7886-1:2017 Clause 10Meets requirements
Piston/Plunger AssemblyISO 7886-1:2017 Clause 11Meets requirements
NozzleISO 7886-1:2017 Clause 12Meets requirements
General PerformanceISO 7886-1:2017 Clause 13Meets requirements
Biocompatibility
CytotoxicityISO 10993-5:2009No cytotoxicity / No negative impacts
IrritationISO 10993-10:2010No intracutaneous reactivity / No negative impacts
SensitizationISO 10993-10:2010No skin sensitization / No negative impacts
Systemic ToxicityISO 10993-11:2017No systemic toxicity / No negative impacts
HemolysisISO 10993-4:2017No Hemolysis / No negative impacts
PyrogenPerformed (Result is "No Pyrogen" listed in Table 2)No Pyrogen / No negative impacts
Sterilization & Packaging
EO residueISO 11737-2:2019Did not exceed the limit
Endotoxin limitNot specified standard, but a limit of 20EU/deviceDid not exceed 20EU/device
Visual InspectionASTM F1886/F1886M-16Package can maintain its integrity
Seal StrengthASTM F88/F88M-15Package can maintain its integrity
Dye Penetration TestASTM F1929-15Package can maintain its integrity
Shelf-LifePhysical, Mechanical, Chemical, Package TestsDevice can maintain its performance during claimed shelf life

2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

  • Sample Size: The document does not specify exact sample sizes for each test. For medical device testing, samples are typically chosen according to relevant standard methods (e.g., lot-based sampling conforming to AQL – Acceptable Quality Level).
  • Data Provenance: Not explicitly stated regarding country of origin for the non-clinical test data. The tests were performed by "Weihai Shengjie Medical Technology Co., Ltd." in China, where the manufacturing entity is located. The tests are "nonclinical" (laboratory-based) and are implicitly prospective for the purpose of demonstrating compliance.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

  • Not Applicable. This is a physical device, not an AI algorithm requiring expert ground truth for image interpretation or diagnosis. The "ground truth" is provided by the universally recognized and standardized test methods and their defined acceptance limits (e.g., ISO, ASTM standards).

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

  • Not Applicable. No human interpretation or adjudication of case data is involved for this type of device submission. Compliance is determined by objective physical, chemical, and biological test results against predefined standard thresholds.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

  • Not Applicable. This is not an AI-assisted device.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

  • Not Applicable. This is not an AI algorithm.

7. The type of ground truth used (expert concensus, pathology, outcomes data, etc)

  • The "ground truth" for this medical device's performance is compliance with established international and national standards (ISO, ASTM). These standards define the acceptable physical, mechanical, chemical, and biological properties for the device. For example, for biocompatibility, the ground truth is "no cytotoxicity" as per ISO 10993-5, determined by validated laboratory methods.

8. The sample size for the training set

  • Not Applicable. This device uses traditional manufacturing and testing, not machine learning, so there is no "training set."

9. How the ground truth for the training set was established

  • Not Applicable. As there is no training set for an AI/ML model, this question is irrelevant.

§ 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).