K Number
K982842
Device Name
HUMAPEN AND HUMAPEN ERGO
Manufacturer
Date Cleared
1998-09-25

(44 days)

Product Code
Regulation Number
880.5860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The HumaPen and the HumaPen Ergo are two versions of a reusable pen-injector designed for use by diabetics for the self-injection of a desired dose of insulin. The peninjector uses 3.0 mL cartridges of insulin (Humalog® or Humulin®) and a single use, detachable and disposable pen needle (supplied separately). The pen-injector allows the user to dial the desired dose one unit at a time up to 60 units.
Device Description
HumaPen and HumaPen Ergo are two versions of a reusable pen-injector designed for use by diabetics for the self-injection of a desired dose of insulin. The pen-injector uses 3.0 mL cartridges of insulin (Humalog® (human insulin[rDNA origin]) or Humulin® (insulin lispro injection [rDNA origin]) and a single use, detachable and disposable pen needle (supplied separately). The peninjector allows the user to dial the desired dose one unit at a time up to 60 units.
More Information

Not Found

No
The description focuses on a mechanical pen-injector for insulin delivery with no mention of computational or learning capabilities.

No
The device is a pen-injector for self-administration of insulin, it does not directly treat the condition but facilitates the delivery of a therapeutic substance (insulin).

No

The device is described as a "reusable pen-injector designed for use by diabetics for the self-injection of a desired dose of insulin." It dispenses insulin, which is a treatment, not a diagnostic action or measurement.

No

The device description clearly states it is a "reusable pen-injector" which is a physical hardware device used for insulin injection. It also mentions using insulin cartridges and pen needles, which are physical components. There is no mention of software as the primary or sole component.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Function: The HumaPen and HumaPen Ergo are described as reusable pen-injectors designed for the self-injection of insulin. They are delivery devices for a drug (insulin), not devices that perform tests on biological samples.

The description clearly indicates the device's purpose is to administer medication, not to diagnose or monitor a condition through analysis of a biological sample.

N/A

Intended Use / Indications for Use

The HumaPen and the HumaPen Ergo are two versions of a reusable pen-injector designed for use by diabetics for the self-injection of a desired dose of insulin. The peninjector uses 3.0 mL cartridges of insulin (Humalog® or Humulin®) and a single use, detachable and disposable pen needle (supplied separately). The pen-injector allows the user to dial the desired dose one unit at a time up to 60 units.

Product codes

FMF

Device Description

HumaPen and HumaPen Ergo are two versions of a reusable pen-injector designed for use by diabetics for the self-injection of a desired dose of insulin. The pen-injector uses 3.0 mL cartridges of insulin (Humalog® (human insulin[rDNA origin]) or Humulin® (insulin lispro injection [rDNA origin]) and a single use, detachable and disposable pen needle (supplied separately). The peninjector allows the user to dial the desired dose one unit at a time up to 60 units.

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

Not Found

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)

Not Found

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

Not Found

Predicate Device(s)

K982842

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.5860 Piston syringe.

(a)
Identification. A piston syringe is a device intended for medical purposes that consists of a calibrated hollow barrel and a movable plunger. At one end of the barrel there is a male connector (nozzle) for fitting the female connector (hub) of a hypodermic single lumen needle. The device is used to inject fluids into, or withdraw fluids from, the body.(b)
Classification. Class II (performance standards).

0

6.0 510(k) Summary of Safety and Effectiveness

| 1. | Submitter's Name: | Eli Lilly and Company
Lilly Corporate Center
Indianapolis, Indiana 46285
(317) 276-4122
(317) 276-2098
FAX no. (317) 276-1887 | |
|----|-------------------|----------------------------------------------------------------------------------------------------------------------------------------------|--------------------------|
| | Contact Person: | LeeAnn Chambers, RAC
Associate Regulatory Consultant
Telephone: (317) 277-1813
FAX: (317) 276-1887 | |
| | Date Prepared: | August 7, 1998 | |
| 2. | Device Name: | Proprietary Name: | HumaPen and HumaPen Ergo |
| | | Common Name: | Insulin Pen |

Classification Name: Piston Syringe

    1. Predicate Device:
      HumaPen and HumaPen Ergo are substantially equivalent to other products in commercial distribution intended for similar use. Most notably it is substantially equivalent to the currently marketed B-D Pen.

190

Device Description: 4.

HumaPen and HumaPen Ergo are two versions of a reusable pen-injector designed for use by diabetics for the self-injection of a desired dose of insulin. The pen-injector uses 3.0 mL cartridges of insulin (Humalog® (human insulin[rDNA origin]) or Humulin® (insulin lispro injection [rDNA origin]) and a single use, detachable and disposable pen needle (supplied separately). The peninjector allows the user to dial the desired dose one unit at a time up to 60 units.

  • న. Intended Use: Insulin delivery device.

1

Image /page/1/Picture/0 description: The image shows a sequence of handwritten characters. The sequence starts with the letter 'K', followed by the numbers '982842'. The numbers are written in a slightly irregular style, but they are still easily readable. The image appears to be a close-up of the handwritten sequence.

: :

:

6. Technological Characteristics:

Pen FeatureNew DevicePredicate Device
Similarities:
Syringe typeInsulin Pen-injectorInsulin Pen-injector
Intended use(s)Insulin delivery deviceInsulin delivery device
Specific drug useInsulinInsulin
Delivery accuracymeets ISO/DIS 11608-1.2
requirementsmeets ISO/DIS 11608-1.2
requirements
Unit incrementsone Unit incrementsone Unit increments
Audible clicks with each
increment?yesyes
Can dial remaining
insulin?nono
Pen FeatureNew DevicePredicate Device
Differences:
Volume3.0 mL (300 Units)1.5 mL (150 Units)
Maximum dose size60 Units30 Units
Dosing adjustmenttwo-way dose correction (can dial
forward or backward to desired dose)if incorrect dose is set, the patient
needs to turn the dose knob as far as it
will turn to the reset groove then push
in the injection button and redial to the
desired dose.

・・・・・・・・・・・

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three lines forming its body and wings. The eagle is encircled by the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA". The logo is printed in black and white.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP 25 1998

LeeAnn Chambers, RAC Associate Regulatory Consultant Eli Lilly and Company Lilly Corporate Center Indianapolis, Indiana 46285

Re : K982842 HumaPen and HumaPen Ergo Trade Name: Requlatory Class: II Product Code: FMF Dated: August 7, 1998 August 12, 1998 Received:

Dear Ms. Chambers:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions of the Act. 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) regulation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of

3

Page 2 - Ms. Chambers

the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4692. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Susan Russo

Timothy A. Ulatowski Director

Division of Dental, Infection Control, and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

510(k) Number (if known): Device Name: Indications for Use:

The HumaPen and the HumaPen Ergo are two versions of a reusable pen-injector designed for use by diabetics for the self-injection of a desired dose of insulin. The peninjector uses 3.0 mL cartridges of insulin (Humalog® or Humulin®) and a single use, detachable and disposable pen needle (supplied separately). The pen-injector allows the user to dial the desired dose one unit at a time up to 60 units.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Patricia Cavazos

Division Sign-Off ivision of Dental, Int nd General Hospita

Prescription Use (Per 21 CFR 801.109) OR

Over-The-Counter Use 2

(Optional Format 1-2-96)

HumaPen and HumaPen Ergo Premarket Notification Eli Lilly and Company