K Number
K233284
Device Name
Vial Adapter with Filter
Date Cleared
2024-05-01

(215 days)

Product Code
Regulation Number
880.5440
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Vial adapter with filter is intended for use by Healthcare Professionals for the transfer and mixing of drugs contained in vials within clinical, hospital, or healthcare environments.
Device Description
The sterile device pierces the elastomeric septum of a drug vial with its integrated piercing spike. The device is then pushed fully onto the drug vial and seats securely around the ferrule of the drug vial utilizing the housing of the vial adapter. The connector on opposite side of the vented vial adapter is for the connection of a standard luer syringe for the reconstitution and removal of the contents of the drug vial. The device is intended for use by Healthcare Professionals (HCPs) in a clinical, hospital, or other healthcare environment. The subject device is available by prescription use only and has no known contraindications. The proposed vented vial adapter is available in 13mm, 20mm diameter to accommodate respective sizes of drug vials.
More Information

Not Found

No
The device description and performance studies focus on the physical and functional aspects of a vial adapter, with no mention of AI or ML capabilities.

No.
The device's intended use is for the transfer and mixing of drugs from vials, not for direct therapeutic intervention or treatment of a disease or condition in a patient.

No

Explanation: The device description states its purpose is for "transfer and mixing of drugs contained in vials" and the "reconstitution and removal of the contents of the drug vial." There is no mention of diagnosing conditions, detecting health information, or analyzing patient data.

No

The device description clearly outlines a physical, sterile device with components like a piercing spike, housing, and luer connector, intended for the physical transfer and mixing of drugs. There is no mention of software as part of the device's function.

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

Here's why:

  • Intended Use: The intended use is for the "transfer and mixing of drugs contained in vials." This is a drug delivery or preparation function, not a diagnostic function.
  • Device Description: The description details how the device facilitates the connection between a drug vial and a syringe for reconstitution and removal of contents. This is a mechanical process related to drug handling.
  • Lack of Diagnostic Elements: There is no mention of the device being used to analyze samples (like blood, urine, tissue), detect biomarkers, or provide information about a patient's health status or disease.
  • Performance Studies: The performance studies focus on the physical and chemical properties of the device, sterilization, and biocompatibility – all relevant to a medical device used for drug handling, but not typical for IVD performance evaluation (which would involve metrics like sensitivity, specificity, etc.).

In summary, the device's function is to facilitate the safe and efficient handling of drugs in vials, which falls under the category of a medical device, but not specifically an In Vitro Diagnostic device.

N/A

Remaining content is 100% human written:

Intended Use / Indications for Use

The Vial adapter with filter is intended for use by Healthcare Professionals for the transfer and mixing of drugs contained in vials within clinical, hospital, or healthcare environments.

Product codes (comma separated list FDA assigned to the subject device)

LHI

Device Description

The sterile device pierces the elastomeric septum of a drug vial with its integrated piercing spike. The device is then pushed fully onto the drug vial and seats securely around the ferrule of the drug vial utilizing the housing of the vial adapter. The connector on opposite side of the vented vial adapter is for the connection of a standard luer syringe for the reconstitution and removal of the contents of the drug vial.

The device is intended for use by Healthcare Professionals (HCPs) in a clinical, hospital, or other healthcare environment. The subject device is available by prescription use only and has no known contraindications.

The proposed vented vial adapter is available in 13mm, 20mm diameter to accommodate respective sizes of drug vials.

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

Healthcare Professionals for the transfer and mixing of drugs contained in vials within clinical, hospital, or healthcare environments.

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)

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

Biocompatibility testing:
Biocompatibility of the Vial Adapter 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 () - Pass

Clinical data was not conducted to support a substantial equivalence determination.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K222718

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 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.

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Image /page/0/Picture/0 description: The image contains two logos. On the left is the Department of Health & Human Services logo, which features a stylized caduceus. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

May 1, 2024

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

Re: K233284

Trade/Device Name: Vial Adapter with Filter Regulation Number: 21 CFR 880.5440 Regulation Name: Intravascular Administration Set Regulatory Class: Class II Product Code: LHI Dated: April 3, 2024 Received: April 3, 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 (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"

1

(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.

Porsche Bennett

Porsche Bennett For David Wolloscheck, Ph.D. Assistant Director DHT3C: Division of Drug Delivery and General Hospital Devices, and Human Factors OHT3: Office of Gastrorenal, ObGyn,

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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) K233284

Device Name Vial Adapter with Filter

Indications for Use (Describe)

The Vial adapter with filter is intended for use by Healthcare Professionals for the transfer and mixing of drugs contained in vials within clinical, hospital, or healthcare environments.

Prescription Use (Part 21 CFR 801 Subpart D)

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

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K233284- 510(k) Summary

Submitter l

| Device submitter: | Hangzhou Qiantang Longyue Biotechnology Co., LTD
104, 301, 302, building 12, building 1,619 WangMei Roadinping
street, Linping District, Hangzhou |
|-------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact person: | Chunyu Wang
Quality Assurance Manager |
| | Phone: 0086-13965638723 |
| | Email: chunyu_wang@nextech-x.com |
| Prepare Date: | April 26, 2024 |

ll Correspondent

CompanyShanghai Ling Fu Technology Co., Ltd.
4F, No.585-2 Wanyuan Road, Minhang District, Shanghai
P.R.China
Contact person:Esther ZHANG
Regulatory affairs
Phone: 0086-13771505757
Email: Esther.zhang@llins-tech.com

��� Subject Device

Trade Name of Device: Vial Adapter with Filter Common Name: Fluid Transfer IV Set Regulation Number: 21 CFR 880.5440 Regulation Name: Intravascular Administration Set Regulatory Class: II Product code: LHI Review Panel: General Hospital

IV Predicate Device

Trade name:Vial Adapter
Regulation Name:Intravascular Administration Set
Regulation Number:21 CFR 880.5440
Classification:Class II
Product Code:LHI
Premarket Notification:K222718
Manufacturer:Hangzhou Qiantang Longyue Biotechnology Co., LTD

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> Device description

The sterile device pierces the elastomeric septum of a drug vial with its integrated piercing spike. The device is then pushed fully onto the drug vial and seats securely around the ferrule of the drug vial utilizing the housing of the vial adapter. The connector on opposite side of the vented vial adapter is for the connection of a standard luer syringe for the reconstitution and removal of the contents of the drug vial.

The device is intended for use by Healthcare Professionals (HCPs) in a clinical, hospital, or other healthcare environment. The subject device is available by prescription use only and has no known contraindications.

The proposed vented vial adapter is available in 13mm, 20mm diameter to accommodate respective sizes of drug vials.

VI Indications for use

The Vial adapter with filter is intended for use by Healthcare Professionals for the transfer and mixing of drugs contained in vials within clinical, hospital, or healthcare environments.

VII Comparison of technological characteristics with the predicate devices

The Vial Adapter intended use, technological characteristics, design and performance specifications are either identical or substantially equivalent to the existing legally marketed predicate device. The differences between the subject and predicate devices do not raise different questions of safety and effectiveness.

| Device feature | Subject Device
K233284 | Predicate Device
K222718 | Comments |
|----------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|-----------|
| Indications for use | The Vial adapter with filter
is intended for use by
Healthcare Professionals
for the transfer and mixing
of drugs contained in vials
within clinical, hospital, or
healthcare environments. | The Vial Adapter is
indicated for the transfer
and mixing of drugs
contained in vials. | Identical |
| Product code | LHI | LHI | Identical |
| Regulation
number | 21 CFR 880.5440 | 21 CFR 880.5440 | Identical |

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ClassClass IIClass IIIdentical
Principle of operationSingle useSingle useIdentical
Size13mm, 20mm13mm, 20mm, 28mmDifferent
Comment 1
MaterialPolycarbonate,
Polyethylene, Acrylic,
PolyamidePolycarbonateDifferent
Comment 2
ConnectorFemale Luer fittingFemale Luer fitting;
Male Luer fittingDifferent
Comment 3
Piercing SpikePlastic - Single LumenPlastic - Single LumenIdentical
FilterYesNoDifferent
Comment 4
PerformancePerformance test of:
Penetration force.
Detachment
force from Drug
Vial.
Spike Tip Ductility.
Fluid Leakage.
Liquid FiltrationPerformance test of:
Penetration force;
Detachment
force from Drug
Vial;
Spike Tip Ductility;
Fluid Leakage.Different
Comment 5
Vial Adapter Fit
(Vial Side)Snap Fit to VialSnap Fit to VialIdentical
Sterilization
MethodElectron beam IrradiationElectron beam IrradiationIdentical
Sterility
Assurance LevelSAL 10-6SAL 10-6Identical
BiocompatibilityConforms to ISO 10993Conforms to ISO 10993Identical
LabelingProposed device
labeling (IFU) includes
transfer and mixing
instructionsProposed device
labeling (IFU) includes
transfer and mixing
instructionsIdentical
Shelf life4 years3 yearsDifferent
Comment 6

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Discussion:

Comment 1

The subject device consists of Vial Adapters that are 13mm, 20mm for different diameter standard vials. The size of Vial Adapter with filter was demonstrated to meet specification according to internal performance standards. This difference does not raise new questions of safety and effectiveness.

Comment 2

The material of the subject device is polycarbonate, polyethylene, acrylic/polyamide, and the predicate device material is polycarbonate. Although there is a difference in the material, the biocompatibility test of the subject device complies with the standard requirements. This difference does not raise new questions of safety and effectiveness.

Comment 3

The connector of the Vial Adapter with filter have only one type, while the predicated device has two types. This difference was addressed through ISO 80369-7 testing and therefore, this difference does not raise new questions of safety and effectiveness.

Comment 4

The inclusion of a Filtration Membrane in the subject device (K233284) differentiates it from the predicate device (K222718), which does not include a filter. Despite this difference, the additional filtration functionality in K233284 does not raise new questions of safety and effectiveness. It is supported by adherence to standards detailed below, which set requirements for transfer sets and infusion equipment, including the performance of fluid filters. The subject device has been tested to ensure that the filter performs adequately. Testing includes visual inspection for defects, dimensional measurements of the membrane, and filtration efficiency tests, all of which the device has passed. Therefore, the difference does not raise different questions of safety and effectiveness.

Comment 5

Performance testing of the Vial adapter with filter inlet and outlet functions demonstrates that the difference does not raise new questions of safety and effectiveness.

Comment 6

The shelf life of the subject device is 4 years which is longer than the predicated device; however, performance testing after accelerated aging passed all applicable and internal test methods. The difference does not raise new questions of substantially equivalence on safety

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and effectiveness.

VIII Performance data

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

Biocompatibility testing

Biocompatibility of the Vial Adapter 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 ( ISO 11607-1: 2019 Packaging for terminally sterilized medical devices - Part 1:

Requirements for materials, sterile barrier systems and packaging systems

  • ISO 11607-2: 2019 Packaging for terminally sterilized medical devices - Part 2:
    Validation requirements for forming, sealing and assembly processes

ASTM F1980-16 Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices

A ASTM F1929-15 Standard Test Method for Detecting Seal Leaks in Porous Medical Packaging by Dye Penetration

ISO 80369-7:2021 Small-bore connectors for liquids and gases in healthcare A

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applications Part 7: Connectors for intravascular or hypodermic applications

» ISO 8536-4:2019 Infusion equipment for medical use Part 4: Infusion sets for single use, gravity feed

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

Performance testing

Performance testing Summary

ItemsTesting standardResult
AppearanceInternal performance standardsPass
ParticulateISO 22413 -2021Pass
Tensile strengthISO 22413 -2021Pass
LeakageISO 22413 -2021Pass
UnobstructedISO 22413 -2021Pass
Piercing SpikeISO 22413 -2021Pass
Puncture forceISO 22413 -2021Pass
puncture chipISO 22413 -2021Pass
DimensionInternal performance standardsPass
HousingISO 22413 -2021Pass
Luer ConnectorISO 80369-7Pass
Detachment forceInternal performance standardsPass
Spike tip ductilityInternal performance standardsPass
Filtration rateISO 22413 -2021Pass
Chemical propertyISO 8536-4:2019Pass
Chemical
PropertiesReducing substances
(easy oxides)Internal performance standardsPass
Metal ions
pH
Evaporation residues
UV absorbance
SterileUSP46-NF41Pass
Bacterial endotoxinUSP-NFPass

IX Clinical Data

Clinical data was not conducted to support a substantial equivalence determination.

× Conclusion

The Vial Adapter with Filter are substantially equivalent to the predicate device (Vial Adapter). The non-clinical testing demonstrates that the differences between the subject and

10

predicate device do not raise different questions of safety and effectiveness.