K Number
K222801
Device Name
Safety Lancet
Date Cleared
2023-01-25

(131 days)

Product Code
Regulation Number
878.4850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Safety-Lancets with safety feature are used for single use capillary blood sampling.
Device Description
The Safety Lancet consists of the following components: colorless plastic body, needle holder with needle or blade shaped lancing device, protective cap, carrier device, two springs, and the release button. The release button, the needle holder, and the protective cap are colored according to the variant available. The lancets are offered with different needle or blade shaped lancing devices, different sharpening and penetration depths, and accordingly in different colors. The lancets contain a safety feature. After puncture the needle retracts automatically into the housing to prevent sharps injuries.
More Information

Not Found

Not Found

No
The device description and performance studies focus on mechanical safety features and physical characteristics, with no mention of AI or ML.

No
The device is used for single-use capillary blood sampling, which is a diagnostic procedure, not a therapeutic intervention.

No
The device is a Safety Lancet, used for capillary blood sampling, which is a tool for obtaining a sample, not for diagnosing a condition based on the sample.

No

The device description clearly outlines physical components like a plastic body, needle holder, protective cap, springs, and a release button, indicating it is a hardware device. The performance studies also focus on physical characteristics and functionality.

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

Here's why:

  • Intended Use: The intended use is "for single use capillary blood sampling." This describes a device used to collect a sample, not to test or analyze a sample.
  • Device Description: The description details a mechanical device for puncturing the skin to obtain blood. It does not mention any components or functions related to analyzing the blood sample itself.
  • Lack of IVD Characteristics: The description does not mention any reagents, test strips, or analytical components typically found in IVD devices.
  • Performance Studies: The performance studies focus on the mechanical and safety aspects of the device (activation, retraction, sterilization, etc.), not on the accuracy or performance of a diagnostic test.

IVD devices are used to examine specimens derived from the human body (like blood) to provide information for diagnostic, monitoring, or screening purposes. This device's function is solely to obtain the specimen.

N/A

Intended Use / Indications for Use

Safety-Lancets with safety feature are used for single use capillary blood sampling.

Product codes

FMK

Device Description

The Safety Lancet consists of the following components: colorless plastic body, needle holder with needle or blade shaped lancing device, protective cap, carrier device, two springs, and the release button. The release button, the needle holder, and the protective cap are colored according to the variant available.
The lancets are offered with different needle or blade shaped lancing devices, different sharpening and penetration depths, and accordingly in different colors. The lancets contain a safety feature. After puncture the needle retracts automatically into the housing to prevent sharps injuries.

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

qualified medical personnel in hospitals, clinics and reference laboratories

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)

Bench tests were conducted to verify that the proposed device met all design specifications and to prove that the device was substantially equivalent to the predicate device.
The design specification tests included:

  • Aesthetics and correct assembly
  • Inspection for self-activation
  • Activation according to instructions for use
  • Needle retraction after activation
    The testing also included sterilization validation, packaging validation, shelf-life validation, and biocompatibility testing.
    Conclusion: The Safety Lancet pre November 22, 2021 and the Safety Lancet described in this submission are physically and functionally the same. The non-clinical testing has shown that the Safety Lancet is as safe, as effective and performs as well as the legally marketed predicate device. The products will differ on the required labelling described in 21 CFR 878.4850.

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

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4850 Blood lancets.

(a)
Single use only blood lancet with an integral sharps injury prevention feature —(1)Identification. A disposable blood lancet intended for a single use that is comprised of a single use blade attached to a solid, non-reusable base (including an integral sharps injury prevention feature) that is used to puncture the skin to obtain a drop of blood for diagnostic purposes. The integral sharps injury prevention feature allows the device to be used once and then renders it inoperable and incapable of further use.(2)
Classification. Class II (special controls). The special controls are:(i) The design characteristics of the device must ensure that the structure and material composition are consistent with the intended use and must include a sharps injury prevention feature.
(ii) Mechanical performance testing must demonstrate that the device will withstand forces encountered during use and that the integral sharps injury prevention feature will irreversibly disable the device after one use.
(iii) The device must be demonstrated to be biocompatible.
(iv) Sterility testing must demonstrate the sterility of any device component that breaches the skin (
e.g., blade).(v) Labeling must include:
(A) Detailed descriptions, with illustrations, of the proper use of the device and its sharps injury prevention feature.
(B) Handwashing instructions for the user before and after use of the device.
(C) Instructions on preparation (
e.g., cleaning, disinfection) of the skin to be pierced.(D) Instructions for the safe disposal of the device.
(E) Labeling must be appropriate for the intended use environment.
(
1 ) For those devices intended for health care settings, labeling must address the health care facility use of these devices, including how these lancets are to be used with personal protective equipment, such as gloves.(
2 ) For those devices intended for use in the home, labeling must be written so that it is understandable to lay users.(vi) Labeling must also include the following statements, prominently placed:
(A) “For use only on a single patient. Discard the entire device after use.”
(B) “Warning: Not intended for more than one use. Do not use on more than one patient. Improper use of blood lancets can increase the risk of inadvertent transmission of bloodborne pathogens, particularly in settings where multiple patients are tested.”
(b)
Single use only blood lancet without an integral sharps injury prevention feature —(1)Identification. A disposable blood lancet intended for a single use that is comprised of a single use blade attached to a solid, non-reusable base that is used to puncture the skin to obtain a drop of blood for diagnostic purposes.(2)
Classification. Class II (special controls). The special controls are:(i) The design characteristics of the device must ensure that the structure and material composition are consistent with the intended use and address the risk of sharp object injuries and bloodborne pathogen transmissions.
(ii) Mechanical performance testing must demonstrate that the device will withstand forces encountered during use.
(iii) The device must be demonstrated to be biocompatible.
(iv) Sterility testing must demonstrate the sterility of any device component that breaches the skin (
e.g., blade).(v) Labeling must include:
(A) Detailed descriptions, with illustrations, of the proper use of the device.
(B) Handwashing instructions for the user before and after use of the device.
(C) Instructions on preparation (
e.g., cleaning, disinfection) of the skin to be pierced.(D) Instructions for the safe disposal of the device.
(E) Labeling must be appropriate for the intended use environment.
(
1 ) For those devices intended for health care settings, labeling must address the health care facility use of these devices, including how these lancets are to be used with personal protective equipment, such as gloves.(
2 ) For those devices intended for use in the home, labeling must be written so that it is understandable to lay users.(vi) Labeling must also include the following statements, prominently placed:
(A) “For use only on a single patient. Discard the entire device after use.”
(B) “Warning: Not intended for more than one use. Do not use on more than one patient. Improper use of blood lancets can increase the risk of inadvertent transmission of bloodborne pathogens, particularly in settings where multiple patients are tested.”
(c)
Multiple use blood lancet for single patient use only —(1)Identification. A multiple use capable blood lancet intended for use on a single patient that is comprised of a single use blade attached to a solid, reusable base that is used to puncture the skin to obtain a drop of blood for diagnostic purposes.(2)
Classification. Class II (special controls). The special controls are:(i) The design characteristics of the device must ensure that:
(A) The lancet blade can be changed with every use, either manually or by triggering a blade storage unit to discard the used blade and reload an unused blade into the reusable base; and
(B) The structure and material composition are consistent with the intended use and address the risk of sharp object injuries and bloodborne pathogen transmissions and allow for validated cleaning and disinfection.
(ii) Mechanical performance testing must demonstrate that the device will withstand forces encountered during use.
(iii) The device must be demonstrated to be biocompatible.
(iv) Sterility testing must demonstrate the sterility of any device component that breaches the skin (
e.g., blade).(v) Validation testing must demonstrate that the cleaning and disinfection instructions are adequate to ensure that the reusable lancet base can be cleaned and low level disinfected.
(vi) Labeling must include:
(A) Detailed descriptions, with illustrations, of the proper use of the device.
(B) The Environmental Protection Agency (EPA) registered disinfectant's contact time for disinfectant use.
(C) Handwashing instructions for the user before and after use of the device.
(D) Instructions on preparation (
e.g., cleaning, disinfection) of the skin to be pierced.(E) Instructions on the cleaning and disinfection of the device.
(F) Instructions for the safe disposal of the device.
(G) Instructions for use must address the safe storage of the reusable blood lancet base between uses to minimize contamination or damage and the safe storage and disposal of the refill lancet blades.
(H) Labeling must be appropriate for the intended use environment.
(
1 ) For those devices intended for health care settings, labeling must address the health care facility use of these devices, including how these lancets are to be used with personal protective equipment, such as gloves.(
2 ) For those devices intended for use in the home, labeling must be written so that it is understandable to lay users.(vii) Labeling must also include the following statements, prominently placed:
(A) “For use only on a single patient. Disinfect reusable components according to manufacturer's instructions between each use.”
(B) “Used lancet blades must be safely discarded after a single use.”
(C) “Warning: Do not use on more than one patient. Improper use of blood lancets can increase the risk of inadvertent transmission of bloodborne pathogens, particularly in settings where multiple patients are tested. The cleaning and disinfection instructions for this device are intended only to reduce the risk of local use site infection; they cannot render this device safe for use for more than one patient.”
(d)
Multiple use blood lancet for multiple patient use —(1)Identification. A multiple use capable blood lancet intended for use on multiple patients that is comprised of a single use blade attached to a solid, reusable base that is used to puncture the skin to obtain a drop of blood for diagnostic purposes.(2)
Classification. Class III (premarket approval).(3)
Date PMA or notice of completion of a PDP is required: A PMA or a notice of completion of a PDP is required to be filed with the Food and Drug Administration on or before May 22, 2024, for any multiple use blood lancet for multiple patient use described in paragraph (d)(1) of this section that was in commercial distribution before May 28, 1976, or that has, on or before May 22, 2024, been found to be substantially equivalent to a multiple use blood lancet for multiple patient use described in paragraph (d)(1) of this section that was in commercial distribution before May 28, 1976. Any other multiple use blood lancet for multiple patient use shall have an approved PMA or a declared completed PDP in effect before being placed in commercial distribution.

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January 25, 2023

Sarstedt AG & CO KG % Susan Smith Quality Manager Sarstedt, Inc. 1025 St. James Church Road Newton, North Carolina 28658

Re: K222801

Trade/Device Name: Safety Lancet Regulation Number: 21 CFR 878.4850 Regulation Name: Blood Lancets Regulatory Class: Class II Product Code: FMK Dated: October 20, 2022 Received: October 24, 2022

Dear Susan Smith:

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,

Colin K. Chen -S

for

Long Chen, Ph.D. Assistant Director DHT4A: Division of General Surgery Devices OHT4: Office of Surgical and Infection Control 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) K22801

Device Name Safety-Lancet

Indications for Use (Describe)

Safety-Lancets with safety feature are used for single use capillary blood sampling.

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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(5) 510(k) SummaryPrepared January 10, 2023
Submission # K222801
Submission Sponsor
SARSTEDT AG & CO KG
Sarstedtstrasse 1 Nuembrecht North Rhine – Westphalia 51588 Germany
Contact: Jochen HoffmannPhone: 49 2293 305 4100

Submission Correspondent

SARSTEDT, Inc.

1025 St. James Church Road, Newton, NC 28658 USA
Contact: Susan SmithPhone: 828-468-6655

Device identification

Trade Name:Safety Lancet®
Product Nomenclature:Single use blood lancet with an integral sharps injury with
prevention feature
Class II
79 FMK
21 CFR 878.4850
Legally Marketed Predicate Device
Trade Name:Safety Lancet®
Product Nomenclature:Blood lancet
Class I
79 FMK

21 CFR 878.4800

Device Description

The Safety Lancet consists of the following components: colorless plastic body, needle holder with needle or blade shaped lancing device, protective cap, carrier device, two springs, and the release button. The release button, the needle holder, and the protective cap are colored according to the variant available.

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The lancets are offered with different needle or blade shaped lancing devices, different sharpening and penetration depths, and accordingly in different colors. The lancets contain a safety feature. After puncture the needle retracts automatically into the housing to prevent sharps injuries.

| Item

numberDescriptionSpecificationColor
85.1015Safety-Lancet
Mini 28GPenetration depth:
1,6 mm;
Cross-section:
$0,09858 mm^2$Image: Safety-Lancet Mini 28G color
85.1016Safety-Lancet
Normal 21GPenetration depth:
1,8 mm;
Cross-section: $0,4035 mm^2$Image: Safety-Lancet Normal 21G color
85.1017Safety-Lancet
Extra 18GPenetration depth:
1,8 mm;
Cross-section:
$0,4680 mm^2$Image: Safety-Lancet Extra 18G color
85.1018Safety-Lancet
Super
Blade 1,5 mmPenetration depth:
1,6 mm;
Cross-section:
$0,4639 mm^2$Image: Safety-Lancet Super color
85.1019Safety-Lancet
Neonatal
Blade 1,5 mmPenetration depth:
1,2 mm;
Cross-section:
$0,2574 mm^2$Image: Safety-Lancet Neonatal color

Intended Use/Indications for Use

Safety-Lancets with safety feature are used for single use capillary blood sampling.

Specification

The products are intended for human use in a professional environment by qualified medical personnel.

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Technological characteristics comparison

| Comparison

itemSafety LancetSafety Lancet
ManufacturerSARSTEDTSARSTEDT
510(k)submittedExempt Class I
ClassificationFMKFMK
Intended UseIntended for single use capillary
blood samplingIntended for single use capillary
blood sampling
Userqualified medical personnel in
hospitals, clinics and reference
laboratoriesqualified medical personnel in
hospitals, clinics and reference
laboratories
Materials
contacting
patientHousing - PP
Needle/blade cover - PS
Needle/blade - Stainless steel
Needle/blade lubricant - silicone
Push button - PPHousing - PP
Needle/blade cover - PS
Needle/blade - Stainless steel
Needle/blade lubricant - silicone
Push button - PP
ComponentsHousing, Drive spring, Return spring, Lever, Needle/blade,
Needle/blade cover, Push
buttonHousing, Drive spring, Return spring, Lever, Needle/blade, Needle/blade
cover, Push button
Device
characteristicsSpecification
28 G
21 G
18 G
Blade 1,5 mm
Blade 1,5 mmPenetration
1.6 mm
1.8 mm
1.8 mm
1.6 mm
1.2 mm
Safety
protection
featuresYes, after puncture the needle
retracts automatically into the
housing to prevent sharps
injuries.Yes, after puncture the needle
retracts automatically into the
housing to prevent sharps injuries.
Reuse
durabilitySingle useSingle use
Shelf Life5 years5 years

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| Sterilization method and SAL | Sterilize by radiation
SAL = $10^{-6}$ | Sterilize by radiation
SAL = $10^{-6}$ |
|------------------------------|---------------------------------------------|----------------------------------------------|
| Labeling | According to 21 CFR 801, 809, 830, 878.4850 | According to 21 CFR 801, a809, 830, 878.4800 |

Summary of non-clinical testing

Bench tests were conducted to verify that the proposed device met all design specifications and to prove that the device was substantially equivalent to the predicate device.

The design specification tests included:

  • Aesthetics and correct assembly ●
  • Inspection for self-activation
  • Activation according to instructions for use ●
  • Needle retraction after activation ●

The testing also included sterilization validation, packaging validation, shelf-life validation, and biocompatibility testing.

Conclusion

The Safety Lancet pre November 22, 2021 and the Safety Lancet described in this submission are physically and functionally the same. The non-clinical testing has shown that the Safety Lancet is as safe, as effective and performs as well as the legally marketed predicate device. The products will differ on the required labelling described in 21 CFR 878.4850.