K Number
K223286
Date Cleared
2022-12-28

(64 days)

Product Code
Regulation Number
880.5570
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The BD AutoShield Duo™ Pen Needle is intended for use with pen injector devices for the subcutaneous injection of drugs.

The product has two safety shields, which lock in place after use (patient-end) and upon removal of the needle from the pen (pen connection-end). The locked shields help reduce the occurrence of needle sticks from both ends of the needle.

Device Description

The pen needle assembly consists of a double-ended cannula that is assembled onto an injection molded hub. The internal threads allow the subject device to be screwed onto a pen injector device, further enabling the non-patient end of the cannula to penetrate through the septum of the pen injector cartridge.

The patient and non-patient ends of the cannula are visible prior to attachment to the pen injector device. The BD AutoShield Duo™ Pen Needle has safety mechanisms on both the patient and non-patient ends of the needle, allowing the needle to be shielded and locked after use, which is designed to reduce the occurrence of accidental needle-stick injuries. The BD AutoShield Duo™ Pen Needle is a single use disposable device and is provided sterile. The subject device is non-toxic and non-pyrogenic.

AI/ML Overview

The provided document describes the FDA 510(k) clearance for the BD AutoShield Duo™ Pen Needle. It focuses on demonstrating substantial equivalence to a predicate device (K110703) rather than a comprehensive study proving the device meets specific acceptance criteria for a novel functionality.

Therefore, much of the requested information regarding detailed acceptance criteria and a study to prove meeting them, particularly in the context of AI/ML or comparative effectiveness, is not directly applicable or available in this document. This submission is for a medical device that has minor administrative updates to its intended use statement, harmonizing it with other existing pen needles, and confirms its continued safety and effectiveness through non-clinical testing.

Here's an attempt to extract and infer the information based on the provided text, while noting the limitations:

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

The document doesn't present a specific table of acceptance criteria with corresponding performance metrics as would be typical for a new device claiming specific performance against a novel metric. Instead, it refers to compliance with established international standards and internal BD test requirements. The "performance" is generally stated as "passed" or "met requirements".

Acceptance Criteria CategorySpecific Standard/RequirementReported Device Performance
Functional PerformanceISO 11608-2:2012 (Needles)Passed
ISO 9626:2016 (Needle Tubing)Passed
ISO 23908:2011 (Sharps Injury Protection)Passed
BD internal test requirementsPassed
BiocompatibilityISO 10993-1:2018 (General)Passed
- CytotoxicityPassed
- Intracutaneous ReactivityPassed
- Skin SensitizationPassed
- Acute Systemic ToxicityPassed
- Subacute/Subchronic ToxicityPassed
- GenotoxicityPassed
- Material-Mediated PyrogenicityPassed
- ImplantationPassed
Particulate MatterUSP <788>Met USP acceptance criteria
SterilityISO 11137-2:2013 (Sterilization Dose)Sterilization dose provides a minimum SAL of 10-6
Endotoxin ContentLimulus Amebocyte Lysate (LAL) assayMet requirement, product is non-pyrogenic
Package IntegrityASTM D4169-16 (Shipping and Shelf-Life)All packaging deemed acceptable for protection of product and sterility maintenance
Shelf-LifeAccelerated stability testingSupported 3 years

2. Sample size used for the test set and the data provenance

The document does not explicitly state the sample sizes for each specific test conducted (e.g., number of needles tested for each ISO standard). It generally mentions that testing was conducted to validate the design.

  • Sample Size: Not specified in the provided text for individual tests.
  • Data Provenance: The testing was conducted by BD (Becton, Dickinson and Company) as part of its design control process, implying internal, prospective testing for regulatory submission. The country of origin of the data is not specified beyond being generated by Becton, Dickinson and Company in Franklin Lakes, New Jersey.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

This information is not applicable to the type of tests described. The "ground truth" for these tests (functional performance, biocompatibility, sterility) is established by adhering to widely accepted international standards (ISO, ASTM, USP) and internal engineering/quality requirements, rather than expert consensus on subjective evaluations.

4. Adjudication method for the test set

Not applicable. The tests performed are objective, measurable parameters against defined standards, not requiring an adjudication method like those used for subjective clinical assessments or AI model evaluations.

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. The BD AutoShield Duo™ Pen Needle is a physical medical device (pen needle), not an AI/ML software device or a diagnostic tool that involves human readers or AI assistance in interpretation. No MRMC study was mentioned or implied.

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

Not applicable. This is not an algorithm or AI product.

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

As mentioned in point 3, the ground truth for the non-clinical tests is based on the specifications and acceptance criteria defined within established international standards (ISO, USP, ASTM) and the manufacturer's own validated internal requirements for device function, safety, and sterility. For example:

  • Functional: Compliance with dimensional tolerances, force measurements, safety mechanism activation as per ISO standards.
  • Biocompatibility: Absence of toxicological responses as per ISO 10993 series.
  • Sterility: Sterility assurance level (SAL) of 10-6 as per ISO 11137-2.

8. The sample size for the training set

Not applicable. This is not an AI/ML product that utilizes a training set.

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

Not applicable, as there is no training set for this type of device submission.

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food & Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which 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.

December 28, 2022

Becton, Dickinson and Company Alec Paterno Senior Regulatory Affairs Specialist 1 Becton Drive Franklin Lakes, New Jersey 07417

Re: K223286

Trade/Device Name: BD AutoShield Duo™ Pen Needle Regulation Number: 21 CFR 880.5570 Regulation Name: Hypodermic Single Lumen Needle Regulatory Class: Class II Product Code: FMI Dated: October 25, 2022 Received: October 25, 2022

Dear Alec Paterno:

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

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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,

Courtney Digitally signed by Date: 2022.12.28 Evans -S 14:45:36 -05'00'

For 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) K223286

Device Name BD AutoShield Duo™ Pen Needle

Indications for Use (Describe)

The BD AutoShield Duo™ Pen Needle is intended for use with pen injector devices for the subcutaneous injection of drugs.

The product has two safety shields, which lock in place after use (patient-end) and upon removal of the needle from the pen (pen connection-end). The locked shields help reduce the occurrence of needle sticks from both ends of the needle.

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)
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

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

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K223286 510(k) Summary

Submitted By:Alec Paterno
Senior Regulatory Affairs Specialist
Becton Dickinson and Company
1 Becton Drive
Franklin Lakes, NJ 07417
Tel: 908 670 3376
Date Prepared:December 21, 2022
Device Name:Trade Name:BD AutoShield Duo™ Pen NeedleCommon Name:Pen NeedleClassification:Class II device; 21 CFR 880.5570, (hypodermic single lumen needle)Product Code:FMI (hypodermic single lumen needle)Trade Name:BD AutoShield Duo™ Pen NeedleCommon Name:Pen NeedleClassification:Class II device; 21 CFR 880.5570, (hypodermic single lumen needle)Product Code:FMI (hypodermic single lumen needle)
Trade Name:BD AutoShield Duo™ Pen Needle
Common Name:Pen Needle
Classification:Class II device; 21 CFR 880.5570, (hypodermic single lumen needle)
Product Code:FMI (hypodermic single lumen needle)

Legally marketed predicate device to which substantial equivalence is being claimed:

K110703: BD AutoShield™ Duo Pen Needle

Purpose of Submission:

The purpose of this submission is to provide a minor administrative update to the BD AutoShield Duo™ Pen Needle intended use statement in order to align the statement with that of other marketed BD Pen Needles (cleared under K213478, K213156, and K212015). The overall intended use is the same as the predicate device (K110703), with the clarification, adding the word "subcutaneous", solely intended to harmonize the statement with the rest of our pen needle portfolio. The proposed clarification has no impact on the use of the device, the user interface, technological characteristics, or overall safety and effectiveness of the subject device compared to its predicate.

Device Description:

The BD AutoShield Duo™ Pen Needle has the same intended use/indications for use, technological characteristics, and principles of operation as the predicate device cleared under K110703.

The pen needle assembly consists of a double-ended cannula that is assembled onto an injection molded hub. The internal threads allow the subject device to be screwed onto a pen injector device, further enabling the non-patient end of the cannula to penetrate through the septum of the pen injector cartridge.

The patient and non-patient ends of the cannula are visible prior to attachment to the pen injector device. The BD AutoShield Duo™ Pen Needle has safety mechanisms on both the patient and non-patient ends of the needle, allowing the needle to be shielded and locked after use, which is designed to reduce the

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occurrence of accidental needle-stick injuries. The BD AutoShield Duo™ Pen Needle is a single use disposable device and is provided sterile. The subject device is non-toxic and non-pyrogenic.

Intended Use:

The BD AutoShield Duo™ Pen Needle is intended for use with pen injector devices for the subcutaneous injection of drugs.

The product has two safety shields, which lock in place after use (patient-end) and upon removal of the needle from the pen (pen connection-end). The locked shields help reduce the occurrence of needle sticks from both ends of the needle.

The intended use of the subject device remains the same as the predicate device.

Comparison with Predicate Devices:

The subject device has the same fundamental scientific technology and device performance as the predicate device (K110703). The purpose of this submission is to provide a minor update to the wording of the BD AutoShield Duo™ Pen needle intended use statement to clarify proper use of the device and align the statement with that of other marketed BD Pen Needles. The table below provides a side-by-side comparison of the subject device compared to its predicate.

FeatureSubject Device:BD AutoShield Duo™ PenNeedlePredicate Device:BD AutoShield™ Duo PenNeedleComparison
510(k) NumberPendingK110703N/A
Product CodeFMIFMIUnchanged
Regulation Number21 CFR 880.557021 CFR 880.5570Unchanged
ClassClass IIClass IIUnchanged
Intended UseThe BD AutoShield Duo™ PenNeedle is intended for use withpen injector devices for thesubcutaneous injection ofdrugs.The product has two safetyshields, which lock in place afteruse (patient-end) and uponremoval of the needle from thepen (pen connection-end). Thelocked shields help reduce theoccurrence of needle sticksfrom both ends of the needle.The BD AutoShield Duo™ PenNeedle is intended for use withpen injector devices for thesubcutaneous injection ofdrugs.The product has two safetyshields, which lock in place afteruse (patient-end) and uponremoval of the needle from thepen (pen connection-end). Thelocked shields help reduce theoccurrence of needle sticksfrom both ends of the needle.Unchanged, withaddition of word"subcutaneous" toclarify properinjection depth
Needle Gauge30G30G and 31GUnchanged
Needle Length5mm and 8mm5mm and 8mmUnchanged
Outer CoverOuter CoverUnchanged
SleeveSleeveUnchanged
Outer ShieldOuter ShieldUnchanged
Inner ShieldInner ShieldUnchanged
Pen NeedleComponentsHubHubUnchanged
CannulaCannulaUnchanged
Non-patient end ShieldNon-patient end ShieldUnchanged
Tear Drop LabelTear Drop LabelUnchanged
Patient end &Non-patient end SpringsPatient end &Non-patient end SpringsUnchanged
Needle insertionmethodManualManualUnchanged
Provided SterileYes (gamma irradiation)Yes (gamma irradiation)Unchanged
Component MaterialsOuter CoverPolyethyleneUnchanged
PolyethyleneUnchanged

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FeatureSubject Device:BD AutoShield Duo™ PenNeedlePredicate Device:BD AutoShield™ Duo PenNeedleComparison
SleevePolycarbonatePolycarbonateIntroduction ofalternate resin
Outer ShieldPolycarbonatePolycarbonateIntroduction ofalternate resin
Inner ShieldPolycarbonatePolycarbonateIntroduction ofalternate resin
HubPolypropylenePolypropyleneUnchanged
CannulaStainless SteelStainless SteelUnchanged
LubricantMedical Grade LubricantMedical Grade LubricantUnchanged
Non-patient end ShieldPolycarbonatePolycarbonateIntroduction ofalternate resin
Tear Drop LabelPaperPaperUnchanged
Patient end & Non-patient end SpringsStainless SteelStainless SteelUnchanged

The differences between the predicate and subject device do not raise any new questions of safety or effectiveness.

Performance Testing:

Non-Clinical Test Summary

The subject device has the same technological characteristics as the predicate device cleared under K110703. BD has validated the design of the subject device as part of its design control process in accordance with the Quality System Regulation. This testing included functional performance per ISO 11608-2:2012, ISO 9626:2016, ISO 23908:2011, BD internal test requirements, as well as Biocompatibility testing per ISO 10993-1:2018.

Functional Performance Testing

  • ISO 11608-2:2012 - Needle-based injection systems for medical use - Requirements and test methods - Part 2: Needles
  • . ISO 9626:2016 - Stainless steel needle tubing for the manufacture of medical devices requirements and test methods
  • ISO 23908:2011 Sharps injury protection Requirements and test methods Sharps protection . features for single-use hypodermic needles, introducers for catheters and needles used for blood sampling
  • . BD internal test requirements

Biocompatibility Testing:

The following testing was conducted according to ISO 10993-1:2018 – Biological Evaluation of Medical Devices - Part 1: Evaluation and testing within a risk management process:

  • Cytotoxicity
  • Intracutaneous Reactivity
  • Skin Sensitization ●
  • Acute Systemic Toxicity
  • Subacute/Subchronic Toxicity
  • Genotoxicity - Bacterial and Mammalian
  • Material-Mediated Pyrogenicity ●
  • Implantation ●

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  • . Bacterial Endotoxin
    Particulate matter testing was conducted in accordance with USP <788> Particulate Matter in Injections and met the USP acceptance criteria.

Sterility, Shipping and Shelf-Life:

  • The BD AutoShield Duo™ Pen Needle is sterilized using a validated gamma irradiation . method by Cobalt-60. It has been validated via the method described in ISO 11137-2:2013 -Sterilization of Health Care Product – radiation – Part 2: Establishing the Sterilization Dose. The sterilization parameters were chosen to assure the sterilization dose provides a minimum SAL of 10-6.
  • . Residuals are not applicable for the gamma irradiation sterilization method
  • . Limulus Amebocyte Lysate (LAL) assay was used to measure the endotoxin limit and the requirement was met. The product is non-pyrogenic.
  • . This device is packaged in an Outer Cover with a tamper evident peel-away tear drop label. The tear drop label is the sterility barrier of the medical device
    • o Sterile barrier testing performed on the subject device:
      • . Tear drop label removal force
      • . Seal integrity
  • . Package integrity testing under simulated shipping conditions was conducted to satisfy the requirements in ASTM D4169-16 Standard Practice for Performance Testing of Shipping Containers and Systems. All packaging was deemed acceptable for protection of product and sterility maintenance.
  • Accelerated stability testing has been conducted to validate the sterility and performance of the BD ● AutoShield Duo™ Pen Needle device to support a shelf-life of 3 years.

Clinical Test Summary

No clinical study was included in this submission.

Conclusion:

The results of functional performance and biocompatibility testing passed and successfully demonstrated the subject device met requirements. The non-clinical testing has demonstrated the is substantially equivalent to its predicate device.

§ 880.5570 Hypodermic single lumen needle.

(a)
Identification. A hypodermic single lumen needle is a device intended to inject fluids into, or withdraw fluids from, parts of the body below the surface of the skin. The device consists of a metal tube that is sharpened at one end and at the other end joined to a female connector (hub) designed to mate with a male connector (nozzle) of a piston syringe or an intravascular administration set.(b)
Classification. Class II (performance standards).