K Number
K242143
Date Cleared
2024-12-23

(154 days)

Product Code
Regulation Number
870.1650
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Angiography Injector is intended to aspirate and inject contrast media in the interventional procedure. It can also be used to inject fluids into, or withdraw fluids from the body.

Device Description

The Angiography Injector is intended to provide the function of aspirating and injecting contrast media in the interventional procedure. It can also be used to inject fluids into, or withdraw fluids from the body. The proposed device is intended for single use and is provided sterile using EO sterilization.

The Angiography Injector consists of six components: 1) Piston, 2) Plunger cap, 3) Push-button 4) Barrel, 5) Plunger and 6) Adapter (rotating or fixed). The proposed device is available in volume of 6mL, 8mL, 10mL and 12mL.

The primary package is blister package and plastic paper package. The blister package and plastic paper package all consist of PE film and Tyvek®2FS paper.

AI/ML Overview

The provided text is a 510(k) summary for a medical device called "Angiography Injector." This document describes the device, its intended use, comparison to a predicate device, and the non-clinical testing performed to demonstrate substantial equivalence.

However, the 510(k) summary does not contain information related to a study proving the device meets specific acceptance criteria in the context of AI/ML performance, human reader studies (MRMC), or a detailed setup for establishing ground truth as typically observed in AI/ML medical device submissions.

The document discusses "acceptance criteria" only in the general sense of meeting design specifications and regulatory standards for a conventional angiography injector (e.g., biocompatibility testing results showing acceptance criteria met, performance tests meeting ISO 7886 requirements). It specifically states: "No clinical study is included in this submission."

Therefore, based on the provided text, I cannot answer the questions about:

  • A table of acceptance criteria and reported device performance related to AI/ML or human reader studies.
  • Sample sizes for test sets (for AI/ML).
  • Data provenance.
  • Number of experts and their qualifications for ground truth.
  • Adjudication method for test sets.
  • MRMC comparative effectiveness study or human reader improvement with AI.
  • Standalone (algorithm only) performance.
  • Type of ground truth used (expert consensus, pathology, outcomes data, etc.) for AI/ML.
  • Sample size for the training set (for AI/ML).
  • How ground truth for the training set was established.

This is because the device described is a physical medical instrument (an angiography injector and syringe), not an AI/ML-driven diagnostic or assistive software. The "performance testing" mentioned refers to engineering and safety bench tests (e.g., force to operate piston, freedom from air/liquid leakage, sterility, biocompatibility etc.), not diagnostic performance on medical images.

In summary, the provided document does not support a response to the specific questions regarding AI/ML device performance or clinical study methodologies.

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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. On the right is the FDA logo, which includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

December 23, 2024

Shandong INT Medical Instruments Co., Ltd. Zhang Wei RA specialist No. 188. Fuzhou Road Rizhao. Shandong 276599 China

Re: K242143

Trade/Device Name: Angiography Injector Regulation Number: 21 CFR 870.1650 Regulation Name: Angiographic Injector And Syringe Regulatory Class: Class II Product Code: DXT Dated: December 5, 2024 Received: December 6, 2024

Dear Zhang Wei:

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).

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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.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system.

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).

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Sincerely,

Shruti N. Mistry -S

Shruti Mistry 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

Submission Number (if known)

K242143

Device Name

Angiography Injector

Indications for Use (Describe)

The Angiography Injector is intended to aspirate and inject contrast media in the interventional procedure. It can also be used to inject fluids into, or withdraw fluids from the body.

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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K242143 - 510(K) summary

I. Submitter

Submission SponsorShandong INT Medical Instruments Co., Ltd.No. 188, Fuzhou Road, Rizhao, Shandong 276599, China
Submission Correspondent:Zhang WeiRA specialistTel.: +8615601952252E-mail: zhangwei@int-medical.com
Submission Date:December 5, 2024

Proposed Device II.

Trade or Proprietary Name:Angiography Injector
Common or Usual Name:Angiographic Injector And Syringe
Regulation Number:21 CFR 870.1650
Product code:DXT
Regulatory Class:Class II
Review Panel:Cardiovascular
Reason for Submission:New device

III. Predicate Devices

Primary predicate device
510(k) Number:K163084
Trade name:Merit Coronary Control Syringe
Classification:Class II
Product Code:DXT
Manufacturer:Merit Medical Systems, Inc.

IV. Indications for Use

The Angiography Injector is intended to aspirate and inject contrast media in the interventional procedure. It can also be used to inject fluids into, or withdraw fluids from the body.

V. Device Description

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The Angiography Injector is intended to provide the function of aspirating and injecting contrast media in the interventional procedure. It can also be used to inject fluids into, or withdraw fluids from the body. The proposed device is intended for single use and is provided sterile using EO sterilization.

The Angiography Injector consists of six components: 1) Piston, 2) Plunger cap, 3) Push-button 4) Barrel, 5) Plunger and 6) Adapter (rotating or fixed). The proposed device is available in volume of 6mL, 8mL, 10mL and 12mL.

The primary package is blister package and plastic paper package. The blister package and plastic paper package all consist of PE film and Tyvek®2FS paper.

VI. Comparison to the Predicate Device

The proposed Angiography Injector has the same indications for use, as well as similar materials, design and mode of action as the Merit Coronary Control Syringe predicate device.

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ItemProposed devicePredicate deviceK163084Discussion
Product nameAngiography InjectorMerit Coronary Control Syringe
Product CodeDXTDXTSame
Regulation No.21 CFR 870.165021 CFR 870.1650Same
ClassClass IIClass IISame
Indications forUseThe Angiography Injector is intended toaspirate and inject contrast media in theinterventional procedure. It can also beused to inject fluids into, or withdrawfluids from the body.The Merit Coronary Control Syringe isintended to be used for the intraarterialor intravenous administration ofradiographic contrast media. Thesyringe can also be used to inject fluidsinto, or withdraw fluids from the body.Same
Mode of ActionIntended for manual useIntended for manual useSame
Environment ofuseSurgical operating roomSurgical operating roomSame
MaterialsBarrel - PCPlunger - ABSPiston - Polyisoprene rubberPlunger Cap - HDPEPush-button - ABSRotating adapter - PC + SiliconeBarrel - PCPlunger - ABSSeal - SiliconeRotator O - Ring - SiliconeSimilar1(Discussion 1)
Design StandardsLuer Connector to ISO 80369-7Injector to ISO 7886-1Luer Connector to ISO 80369-7Injector to ISO 7886-1Same
Duration of UseLess than 24hLess than 24hSame
Volume6~12mL6~20 mLSimilar2(Discussion 2)
GraduationPrinted with accurate graduation linesPrinted with accurate graduation linesSame
that are compliant with ISO 7886-1.that are compliant with ISO 7886-1.
SterileYesYesSame
Single for UseYesYesSame
Prescription(Rx Only)YesYesSame
SterilizationMethodEthylene OxideEthylene OxideSame
SAL10-610-6Same
Shelf life3 years3 yearsSame
BarrelTransparencyClearClearSame
Physical andMechanicalISO 7886-1ISO 7886-1Same

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Comparison Discussion

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

Discussion 11 The difference in the materials does not raise additional questions for safety and effectiveness of the device when compared to the predicate device. The biocompatibility evaluation test of the subject devices have been performed on the final finished device which includes all materials of construction. The test results show that the acceptance criteria have been met.

Discussion 22 The volume of the proposed device is slightly different from the predicate device. This difference does not raise new or different questions of safety and effectiveness when compared to the predicate device. The performance tests have been carried out according to ISO 7886, and the test results show that the requirements of the standard have been met.

VII. Bench Performance Testing

The completion of the performance testing listed in the table below demonstrates that the proposed device meets the defined design specifications and is suitable for its intended use.

Test Items: Appearance Lubricant Graduated scale Luer connector Nozzle lumen Force to operate the piston Freedom from air and liquid leakage past plunger stopper Tolerance on graduated capacity Fit of plunger stopper/plunger in barrel Dead space Particulate Evaluation Simulated use testing 5 / 7 Reducing (oxidizable) matter

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Limits for extractable metals Limits for acidity or alkalinity Residue of evaporation UV adsorption EO residual Sterility Bacterial endotoxin

VIII. Biocompatibility Testing

To demonstrate the biological safety of the body-contacting materials of the Angiography Injector, the following biocompatibility testing in accordance with "Use of International Standard ISO 10993-1, "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process"; Guidance for Industry and Food and Drug Administration Staff" were completed.

Test Items:

In Vitro Cytotoxicity Test In Vitro Hemolytic Intracutaneous Reactivity Skin Sensitization Acute Systemic Toxicity Pyrogen

IX. Sterilization

The subject device is sterilized by traditional Ethylene Oxide sterilization methods. The Ethylene Oxide sterilization process is validated as per ISO 11135-1 Sterilization of health care products -Ethylene Oxide - Part 1 (Requirements for development, validation and routine control of a sterilization process for medical devices), Method C (Overkill Method: This method is based on demonstrating that the sterilization of a microbial challenge (biological indicator) exceeds the challenge posed by the bioburden of the product. Confirmatory EO residual testing was

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conducted on the subject device to confirm that the design differences did not impact residual EO levels of the device. The testing confirmed that EO residuals were within the limits specified in ISO 10993-7.

X. Packaging and Shelf Life

The subject device is supplied sterile. The sterile barrier packaging is designed to maintain sterility until it open.

The proposed shelf life of subject device is 3 years. The shelf life study for Angiography Injector was planned as per ASTM 1980 recommended conditions. The study was conducted with elevated temperature conditions and with real time conditions. As per ASTM 1980 recommended accelerated aging conditions were used to establish the shelf life of the Angiography Injector. The real time shelf time study is still on going. The results of the accelerated aging study has not shown any significant changes in product characteristics.

XI. Clinical Testing

No clinical study is included in this submission.

XII. Conclusion

The proposed device has the same indications and has similar design features and technological characteristic as the predicate device. Non-clinical testing data demonstrates that the proposed device is substantially equivalent to the predicate device.

§ 870.1650 Angiographic injector and syringe.

(a)
Identification. An angiographic injector and syringe is a device that consists of a syringe and a high-pressure injector which are used to inject contrast material into the heart, great vessels, and coronary arteries to study the heart and vessels by x-ray photography.(b)
Classification. Class II (special controls). The device, when it is a non-patient contacting balloon inflation syringe intended only to inflate/deflate balloon catheters and monitor pressure within the balloon, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 870.9.