K Number
K231373
Device Name
BD Vacutainer® K2 EDTA Blood Collection Tubes
Date Cleared
2024-02-02

(266 days)

Product Code
Regulation Number
862.1675
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
BD Vacutainer® K2 EDTA Blood Collection Tubes are evacuated, sterile, single use, in vitro diagnostic medical devices. They are intended to be used by trained healthcare professionals for the collection, containment, preservation, and transport of human venous blood specimens used for in vitro diagnostic testing. BD Vacutainer® K2 EDTA Blood Collection Tubes are used for Hemoglobin A1c (HbA1c) testing.
Device Description
BD Vacutainer® K2EDTA Blood Collection Tubes are used for collection, containment, preservation, and transport of human venous blood specimens in a closed tube. The evacuated blood collection tube consists of a Vacutainer® Hemogard™ Closure Assembly, a plastic tube and EDTA additive. The EDTA anticoagulant is spray coated in the dipotassium (K2) form. The EDTA additive prevents specimen coagulation. The plastic tubes are closed with the Vacutainer® Hemogard™ Closure Assembly which consists of a rubber stopper and protective plastic shield. The Hemogard™ Closure Assembly, introduced in 1995, is intended to help reduce user exposure to blood. All stopper/closures are color coded to reflect additive type; the closures included in this submission are lavender to indicate the presence of the EDTA additive. The plastic tube is manufactured from Polyethylene terephthalate (PET). These plastic tubes were introduced in 1990. Plastic tubes enhance user safety and disposal because of the reduced risk of tube breakage and the availability of incineration as a method of disposal.
More Information

No
The device description and performance studies focus on the physical characteristics and performance of a blood collection tube, with no mention of AI or ML.

No.
This device is an in vitro diagnostic medical device used for the collection, containment, preservation, and transport of human venous blood specimens for diagnostic testing, not for therapeutic purposes.

No

The device is a blood collection tube used to collect, contain, preserve, and transport blood specimens for in vitro diagnostic testing, not to perform the diagnostic testing itself.

No

The device is a physical blood collection tube with a closure assembly and additive, not a software program.

Yes, the device is an IVD (In Vitro Diagnostic).

The "Intended Use / Indications for Use" section explicitly states: "BD Vacutainer® K2 EDTA Blood Collection Tubes are evacuated, sterile, single use, in vitro diagnostic medical devices."

N/A

Intended Use / Indications for Use

BD Vacutainer® K2 EDTA Blood Collection Tubes are evacuated, sterile, single use, in vitro diagnostic medical devices. They are intended to be used by trained healthcare professionals for the collection, containment, preservation, and transport of human venous blood specimens used for in vitro diagnostic testing.

BD Vacutainer® K2 EDTA Blood Collection Tubes are used for Hemoglobin A1c (HbA1c) testing.

Product codes

JKA, GIM

Device Description

BD Vacutainer® K2EDTA Blood Collection Tubes are used for collection, containment, preservation, and transport of human venous blood specimens in a closed tube. The evacuated blood collection tube consists of a Vacutainer® Hemogard™ Closure Assembly, a plastic tube and EDTA additive. The EDTA anticoagulant is spray coated in the dipotassium (K2) form. The EDTA additive prevents specimen coagulation.

The plastic tubes are closed with the Vacutainer® Hemogard™ Closure Assembly which consists of a rubber stopper and protective plastic shield. The Hemogard™ Closure Assembly, introduced in 1995, is intended to help reduce user exposure to blood. All stopper/closures are color coded to reflect additive type; the closures included in this submission are lavender to indicate the presence of the EDTA additive.

The plastic tube is manufactured from Polyethylene terephthalate (PET). These plastic tubes were introduced in 1990. Plastic tubes enhance user safety and disposal because of the reduced risk of tube breakage and the availability of incineration as a method of disposal.

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

General Use - all populations

Intended User / Care Setting

trained healthcare 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)

Non-clinical performance testing was conducted following defined protocols and with established acceptance criteria to evaluate the following attributes of the BD Vacutainer® K2 EDTA Blood Collection Tubes at time-zero and over the shelf life: Draw Volume, X-Value, Second Stopper Pullout, Stopper/Shield Separation, Stopper Leakage, Tube Leakage and Resistance to Breakage during Drop Testing. Additionally, Ship Testing was conducted to assess the functional performance of the packaging materials. All bench testing was completed on final, finished devices and conducted on a minimum of three unique lots of product to assess potential sources of lot-to-lot variability. Each test was also completed on a subset of product sterilized in excess of the maximum specified irradiation dosage. Testing over shelf life was conducted over 13-20 months of accelerated aging, and over 13-20 months of real time aging. Real time aging studies were completed to confirm all accelerated aging data, and both sets of aging results met the predetermined acceptance criteria.

No animal studies were performed in support of this submission.

Clinical testing was conducted on blood collected in both the subject devices (BD Vacutainer® K2 EDTA Blood Collection Tubes), and legally marketed comparator devices to demonstrate Clinical Equivalence. Additional clinical testing was completed to evaluate Within-Tube Stability, Shelf-Life Performance, and Repeatability/Reproducibility. Clinical testing was conducted for HbA1C with the distribution of subjects selected to be approximately representative of the general US population. Results based on pre-determined acceptance criteria demonstrated the BD Vacutainer® K2 EDTA Blood Collection Tubes are suitable for use in HbA1C testing.

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

Not Found

Predicate Device(s)

K981013

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 862.1675 Blood specimen collection device.

(a)
Identification. A blood specimen collection device is a device intended for medical purposes to collect and to handle blood specimens and to separate serum from nonserum (cellular) components prior to further testing. This generic type device may include blood collection tubes, vials, systems, serum separators, blood collection trays, or vacuum sample tubes.(b)
Classification. Class II.

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" followed by the words "U.S. Food & Drug Administration".

February 2, 2024

Becton, Dickinson and Company Brice Biggins Sr. Regulatory Affairs Specialist, SM 1 Becton Drive Franklin Lakes, New Jersey 07417

Re: K231373

Trade/Device Name: BD Vacutainer® K2 EDTA Blood Collection Tubes Regulation Number: 21 CFR 862.1675 Regulation Name: Blood Specimen Collection Device Regulatory Class: Class II Product Code: JKA, GIM Dated: January 4, 2024 Received: January 4, 2024

Dear Brice Biggins:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

1

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 and Part 809); medical device reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safetyreporting-combination-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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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,

Paula V. Caposino -S

Paula Caposino, Ph.D. Acting Deputy Division Director Division of Chemistry and Toxicology Devices OHT7: Office of In Vitro Diagnostics Office of Product Evaluation and Quality Center for Devices and Radiological Health

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Indications for Use

510(k) Number (if known) K231373

Device Name

BD Vacutainer® K2 EDTA Blood Collection Tubes

Indications for Use (Describe)

BD Vacutainer® K2 EDTA Blood Collection Tubes are evacuated, sterile, single use, in vitro diagnostic medical devices. They are intended to be used by trained healthcare professionals for the collection, contamment, preservation, and transport of human venous blood specimens used for in vitro diagnostic testing.

BD Vacutainer® K2 EDTA Blood Collection Tubes are used for Hemoglobin A1c (HbA1c) testing.

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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న్. 510(K) SUMMARY K231373

5.1 Device Name

BD Vacutainer® K2 EDTA Blood Collection Tubes

Summary Preparation Date: 5.2

Date: 12/22/2023

5.3 Submitted by:

Becton, Dickinson and Company 1 Becton Drive Franklin Lakes, NJ 07417-1885

Phone: (201) 847-6800

Contact: 5.4

Brice Biggins Senior Regulatory Affairs Specialist, SM Phone: (410) 456-3633 email: Brice.Biggins@bd.com

ર્સ્ટ Alternate Contact:

Matthew Trachtenberg Director Regulatory Affairs, SM email: Matthew Trachtenberg(@BD.com Phone: (201) 847-6337

Proprietary Names: 5.6

BD Vacutainer® K2 EDTA Blood Collection Tubes

5.7 Common or Usual Names:

EDTA Blood Collection Tubes

ર્સ્ક Regulatory Information:

Classification Name: Tubes, Vacuum Sample, With Anticoagulant Classification Regulation: 21 CFR § 862.1675 Regulatory Class: Class II Product Code: GIM/JKA

4

5.9 Predicate Device(s):

K981013 Vacutainer® Brand Plus Tube with EDTA Anticoagulant

Device Establishment 5.10

Becton, Dickinson and Company

5.11 Registration Number:

2243072

Performance Standards: 5.12

  • . ASTM D4169-22 Standard Practice for Performance Testing of Shipping Containers and Systems
  • ANSI/AAMI/ISO 11137-1:2006/(R)2015 Sterilization of health care products Radiation ● - Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices Including: Amendment 1 (2013) and Amendment 2 (2019)]
  • ANSI AAMI ISO 11137-2:2013/(R)2019 Sterilization of health care products Radiation . - Part 2: Establishing the sterilization dose
  • ANSI/AAMI/ISO 11137-3:2017 Sterilization of health care products Radiation Part 3: ● Guidance on dosimetric aspects of development, validation and routine control
  • ANSI/AAMI/ISO 11737-1:2018 Sterilization of health care products Microbiological . methods - Part 1: Determination of a population of microorganisms on products
  • ANSI/AAMI/ISO 11737-2:2019 Sterilization of medical devices Microbiological . methods - Part 2: Tests of sterility performed in the definition, validation and maintenance of a sterilization process
  • . ANSI AAMI ST67:2019 Sterilization of health care products - Requirements and guidance for selecting a sterility assurance level (SAL) for products labeled "sterile"
  • EN ISO 14971:2019 Medical Devices Application of risk management to medical . devices

5.13 Intended Use

BD Vacutainer® K2 EDTA Blood Collection Tubes are evacuated, sterile, single use, in vitro diagnostic medical devices. They are intended to be used by trained healthcare

5

professionals for the collection, containment, preservation, and transport of human venous blood specimens used for in vitro diagnostic testing.

BD Vacutainer® K2 EDTA Blood Collection Tubes are used for Hemoglobin A1c (HbA1c) testing."

5.14 Device Description

BD Vacutainer® K2EDTA Blood Collection Tubes are used for collection, containment, preservation, and transport of human venous blood specimens in a closed tube. The evacuated blood collection tube consists of a Vacutainer® Hemogard™ Closure Assembly, a plastic tube and EDTA additive. The EDTA anticoagulant is spray coated in the dipotassium (K2) form. The EDTA additive prevents specimen coagulation.

The plastic tubes are closed with the Vacutainer® Hemogard™ Closure Assembly which consists of a rubber stopper and protective plastic shield. The Hemogard™ Closure Assembly, introduced in 1995, is intended to help reduce user exposure to blood. All stopper/closures are color coded to reflect additive type; the closures included in this submission are lavender to indicate the presence of the EDTA additive.

The plastic tube is manufactured from Polyethylene terephthalate (PET). These plastic tubes were introduced in 1990. Plastic tubes enhance user safety and disposal because of the reduced risk of tube breakage and the availability of incineration as a method of disposal.

Substantial Equivalence રું 15

The subject and predicate device are substantially equivalent as described in Table 1.

6

CharacteristicSubject DevicePredicate DeviceComments
BD Vacutainer® K2EDTAVacutainer® Brand Plus Tube with
Blood Collection TubesEDTA Anticoagulant
K981013
Indication for useBD Vacutainer® K2 EDTA
Blood Collection Tubes are
evacuated, sterile, single use, in
vitro diagnostic medical
devices. They are intended to
be used by trained healthcare
professionals for the collection,
containment, preservation, and
transport of human venous
blood specimens used for in
vitro diagnostic testing.
BD Vacutainer® K2 EDTA
Blood Collection Tubes are
used for Hemoglobin A1c
(HbA1c) testing.The Vacutainer® Brand PLUS (plastic)
Tube with EDTA anticoagulant are
evacuated blood collection tubes which
provide a means of collecting,
transporting separating and processing
blood in a plastic tube. When the tube is
used together with Vacutainer® Brand
Needles and Holders, is a closed system
for the collection of venous blood with the
same indications as described herein.1The intended use of the subject device is the same as
the predicate with regard to the claims for
collection, and transportation of blood for in vitro
diagnostic use, with the subject device providing
additional clarity on certain information consistent
with current best practices. The addition of HbA1c
is not considered a new intended use because the
subject and predicate devices are both intended for
determination of analytes in whole blood. HbA1c is
a diagnostic test completed on a venous whole blood
sample.
Therefore, the subject and predicate devices have
the same intended use.
Intended
PopulationGeneral Use - all populationsGeneral Use - all populationsIdentical
Evacuated Blood
Collection TubeYesYesIdentical
Clot/Anti-
coagulationAnti-coagulationAnti-coagulationIdentical
Additive TypeK2EDTAK2EDTAIdentical
Additive
Quantity1.8 mg/mL1.8 mg/mLIdentical
Tube Dimensions
(mm)13x75, 13x100, 16x10013x75The additional sizes do not raise different questions
of safety or effectiveness.
Draw Volume2, 3, 4, 6, 10 mL6 mLThe additional draw volumes do not raise different
questions of safety or effectiveness.
Tube MaterialPlasticPlasticIdentical
Tube ClosureHemogard™ Safety ClosureHemogard™ Safety ClosureIdentical
Stopper
FabricationCompression Molded RubberCompression Molded RubberIdentical
Hemogard™
Shield fabricationInjection Molded PlasticInjection Molded PlasticIdentical
Additive
DispenseSpray Dry (K2EDTA)Spray Dry (K2EDTA)Identical
Tube EvacuationVacuum ChamberVacuum ChamberIdentical
Unit LabelingPrinted paper labelPrinted paper label or imprinted on tubeChanging from paper label and imprinted label
options to paper label only does not raise different
questions of safety or effectiveness.
Sterilization
MethodGamma IrradiationGamma IrradiationIdentical
Sterility
Assurance Level
(SAL)$