K Number
K233277
Date Cleared
2024-05-10

(224 days)

Product Code
Regulation Number
880.5440
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

This product is intended for the aspiration and preparation of medical fluid, not including injection.

Device Description

The Filter Needle for Single Use is a single use, irradiation sterilized device that is designed to be used for use in conjunction with luer taper infusion sets conforming to EN ISO 80369-7 for the extraction, filtration and configuration of medicinal solutions and is not intended for injection purposes. Filter Needle for Single Use consists of cap, needle cannula, needle hub, sheath and filter. The cap, needle hub and sheath are made of polycarbonate (PC), the needle tube is made of medical stainless steel (SUS304), and filter is made of polyamide (PA).

The needle holder is a 6% standard tapered connector with good connectivity to the infusion apparatus.

AI/ML Overview

The provided text describes the 510(k) premarket notification for a "Filter Needle for Single Use" (K233277) and its substantial equivalence to a predicate device. However, it does not contain information about a study proving that an AI/Software as a Medical Device (SaMD) meets acceptance criteria, nor does it refer to performance metrics typically associated with AI/SaMD (e.g., sensitivity, specificity, AUC).

The document focuses on the substantial equivalence of a physical medical device (a filter needle) based on material, design, performance, biocompatibility, sterilization, and shelf-life testing, primarily against established international standards.

Therefore, I cannot extract the requested information regarding AI/SaMD acceptance criteria and studies from this document. The tables and study details you've asked for (e.g., sample size for test set, data provenance, number of experts, MRMC studies, standalone performance, ground truth establishment for training and test sets) are relevant to the validation of AI/SaMD, but are not present in this clearance document for a conventional medical device.

To directly answer your request based on the provided text, I must state that the information is not available.

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May 10, 2024

Hangzhou Qiantang Longyue Biotechnology Co., LTD % Esther Zhang Regulatory Affairs Shanghai Ling Fu Technology Co., Ltd. 4F, No.585-2 Wanyuan Road, Minhang District Shanghai, Shanghai 201102 China

Re: K233277

Trade/Device Name: Filter Needle for Single Use Regulation Number: 21 CFR 880.5440 Regulation Name: Intravascular Administration Set Regulatory Class: Class II Product Code: FPB Dated: April 10, 2024 Received: April 11, 2024

Dear Esther Zhang:

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 (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"

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(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).

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 OS 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); 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-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 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.

David Walloschek

David Wolloscheck, Ph.D. Assistant Director DHT3C: Division of Drug Delivery and General Hospital Devices, and Human Factors

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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) K233277

Device Name Filter Needle for Single Use

Indications for Use (Describe)

This product is intended for the aspiration and preparation of medical fluid, not including injection.

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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K233277_510(k) summary

I Submitter

Device submitter:Hangzhou Qiantang Longyue Biotechnology Co., LTD104, 301, 302, building 12, building 1,619 WangMeRoad Linping street, Linping District, Hangzhou
Contact person:Chunyu WangQuality Assurance ManagerPhone: 0086-571-89150121Email: chunyu_wang@nextech-x.comFax: 86-571-89150091

Prepare Date: May 10, 2024

II Correspondent

CompanyShanghai Ling Fu Technology Co., Ltd.4F, No.585-2 Wanyuan Road, Minhang District, ShanghaiP.R.China
Contact person:Esther ZHANGRegulatory affairsPhone: 0086-13771505757Email: Esther.zhang@llins-tech.com

III Device

Trade Name of Device: Filter Needle for Single Use Common Name: Infusion Line Filter Regulation Number: 21 CFR 880.5440 Regulation Name: Intravascular administration set Regulatory Class: II Product code: FPB Review Panel: General Hospital

IV Predicate Devices

Trade name:B-D FILTER NEEDLE
Common name:Infusion Line Filter
Classification:Class II, 21 CFR 880.5440
Product Code:FPB
Premarket Notification:K801343
Manufacturer:BD BECTON DICKINSON VACUTAINER SYSTEMSPREANALYTIC

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V Device description

The Filter Needle for Single Use is a single use, irradiation sterilized device that is designed to be used for use in conjunction with luer taper infusion sets conforming to EN ISO 80369-7 for the extraction, filtration and configuration of medicinal solutions and is not intended for injection purposes. Filter Needle for Single Use consists of cap, needle cannula, needle hub, sheath and filter. The cap, needle hub and sheath are made of polycarbonate (PC), the needle tube is made of medical stainless steel (SUS304), and filter is made of polyamide (PA).

The needle holder is a 6% standard tapered connector with good connectivity to the infusion apparatus.

Model NumberDescription
FN-B1838RW18 Gauge, 38 mm length
FN-B1850RW18 Gauge, 50 mm length
FN-L1938TW19 Gauge, 38 mm length
FN-L1950TW19 Gauge, 50 mm length

VI Indications for use

This product is intended for the aspiration, filtration and preparation of medical fluid, not including injection.

VII Comparison of technological characteristics with the predicate devices

The Filter Needle for Single Use has the same intended use, technology, design and performance specifications are either identical or substantially equivalent to existing legally marketed predicate devices. The differences between the Filter Needle for Single Use and predicate devices do not alter suitability of the proposed device for its intended use.

Device featureSubject DevicePredicate DeviceK801343Comments
Product codeFPBFPBIdentical
Regulationnumber21 CFR 880.544021 CFR 880.5440Identical
ClassCLASS IICLASS IIIdentical
Number ofusesSingle use Rx onlySingle use Rx onlyIdentical
MaterialNeedle holder material ofpolycarbonate(PC),needle tube material ofstainless steel (SUS304),filter membrane material ofpolyamide (PA)Needle holder material(PC),Needle tubematerial (SUS304),Filter membranematerial (PA)Identical
Device featureSubject DevicePredicate DeviceK801343Comments
SheathImage: Subject Device SheathImage: Predicate Device SheathDifferentComment1
Indications forUseThis product is intendedfor the aspiration, filtrationand preparation of medicalfluid, not includinginjection.The B-D FILTERNEEDLE is intendedfor the aspiration,filtration andpreparation of medicalfluid, not includinginjection.Identical
OperatingprinciplesManualManualIdentical
DesignspecificationsNeedle Gauge:18G, 19GLength:38 mm,50 mmGauge: 18 GLength (mm): 40Length (inch): 1 1/2"DifferentComment2
PerformanceConforms to the standardrequirements of ISO7864:2016 and ISO22413:2021Conforms to thestandard requirementsof ISO 7864:2016 andISO 22413:2021Identical
BiocompatibilityBiocompatibleThefinished device's patientcontacting parts wereassessed in accordancewith tests recommended inthe FDA Guidance - Use ofInternational StandardISO-10993- 1, "Biologicalevaluation of medicaldevices - Part 1:Evaluation and testingwithin a risk managementprocess."BiocompatibleThefinished device'spatient contacting partswere assessed inaccordance with testsrecommended in theFDA Guidance - Use ofInternational StandardISO-10993- 1,"Biological evaluationof medical devices -Part 1: Evaluation andtesting within a riskmanagement process."Identical
SterilizationmethodIrradiation sterilizationIrradiation sterilizationIdentical
BacterialendotoxinUSP <85>USP <85>Identical
Expiration Date4 years5 yearsDifferentComment3

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Discussion:

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Comment 1

Although there are differences in the size and design of the two sheaths of needle, their general forms are essentially the same. Since the structure and intended use of the body of the subject and predicate device remain unchanged, modifications to the sheath do not raise different safety concerns or new ones.

Comment 2

Needle length specification our needle length specification is 38mm and 50mm, and BD needle length specification is 40mm. Tests on the varying needle lengths of the subj are performed per ISO 7864:2016. These test results confirm that the differences in needle lengths do not impact the safety or effectiveness.

Comment 3

Our products are valid for 4 years and BD' products are valid for 5 years. We have implemented validation of our products, and the safety and validity of our products meet the requirements within the validity period.

In conclusion, there is no substantial difference between our products and similar products currently marketed in the United States.

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VIII Performance data

The following performance data were provided in support of the substantial equivalence determination.

Biocompatibility testing

Biocompatibility of the Filter Needle for Single Use was evaluated in accordance with ISO 10993-1:2018 for the body contact category of "External communication device -Blood path indirect" with a contact duration of "Limited (< 24 hours)". The following tests were performed, as recommended:

CytotoxicityISO 10993-5: 2009
Skin sensitizationISO 10993-10: 2021
HemolysisISO 10993-4: 2017
Intracutaneous reactivityISO 10993-23: 2021
Acute systemic toxicityISO 10993-11: 2017
PyrogenicityISO 10993-11: 2017

In addition to the above tests, particulate contamination was evaluated to ensure compliance with particulate cleanliness requirements. The particulate testing was conducted following:

Particulate Testing Standard: ISO 8536-4:2019 and USP 788.

Sterilization and shelf-life testing

The sterilization method has been validated to ISO 11137, which has thereby determined the routine control and monitoring parameters. The sterilization process is validated to a minimum SAL 10-6.

The shelf life of the Filter Needle for Single Use is determined based on stability study which includes ageing test. The testing is performed according to the following standards:

  • ISO 11607-1: 2019 Packaging for terminally sterilized medical devices Part 1: A Requirements for materials, sterile barrier systems and packaging systems
  • A ISO 11607-2: 2019 Packaging for terminally sterilized medical devices - Part 2: Validation requirements for forming, sealing and assembly processes
  • A ASTM F1980-21 Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices
  • ASTM F1929-2015 Standard Test Method for Detecting Seal Leaks in Porous Medical Packaging by Dye Penetration

  • A ASTM D4169-22 Standard Practice for Performance Testing of Shipping Containers and Systems

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Performance testing

Performance testing Summary
NumberItemTesting standardResult
1.Exterior ConditionISO 7864:2016Pass
2.Needle LengthISO 7864:2016Pass
3.Needle HolderTapered FittingsISO 7864:2016Pass
4.UprightnessISO 7864:2016Pass
5.Firmness ofConnectionISO 7864:2016Pass
6.ParticulateContaminationISO 22413-2021Pass
7.TightnessISO 22413-2021Pass
8.Piercing ForceISO 22413-2021Pass
9.Puncture ChipISO 22413-2021Pass
10.Filtration RateISO 22413-2021Pass
11.Seat to SheathMatingISO 7864:2016Pass
12.Chemical PropertyISO 7864:2016Pass
13.SterilityUnited States PharmacopeiaPass
14.Bacterial EndotoxinUSP <85>Pass

IX Conclusion

The Filter Needle for Single Use are substantially equivalent to its predicate device (B-D FILTER NEEDLE). The non-clinical testing demonstrates that the device is as safe and as effective as the legally marketed predicate device.

§ 880.5440 Intravascular administration set.

(a)
Identification. An intravascular administration set is a device used to administer fluids from a container to a patient's vascular system through a needle or catheter inserted into a vein. The device may include the needle or catheter, tubing, a flow regulator, a drip chamber, an infusion line filter, an I.V. set stopcock, fluid delivery tubing, connectors between parts of the set, a side tube with a cap to serve as an injection site, and a hollow spike to penetrate and connect the tubing to an I.V. bag or other infusion fluid container.(b)
Classification. Class II (special controls). The special control for pharmacy compounding systems within this classification is the FDA guidance document entitled “Class II Special Controls Guidance Document: Pharmacy Compounding Systems; Final Guidance for Industry and FDA Reviewers.” Pharmacy compounding systems classified within the intravascular administration set are exempt from the premarket notification procedures in subpart E of this part and subject to the limitations in § 880.9.