K Number
K984576
Device Name
K-PACK II (HYPODERMIC NEEDLE) 23G X 1, MODEL KN-2325RB, K-PACK II NEEDLE (HYPODERMIC NEEDLE) 25G X 1, MODEL KN-2525RB, K
Manufacturer
Date Cleared
1999-06-14

(173 days)

Product Code
Regulation Number
880.5570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The K-Pack II Needle being a Hypodermic Single Lumen Needle is a sterile medical device for single use, intended to inject fluids into, or withdraw fluids from, parts of the body below the surface of the skin.
Device Description
The K-Pack II Needle is a sterile hypodermic single lumen needle, for single use consisting of a stainless steel tube that is sharpened at one end and at the other end joined to a female luer connector (hub) made of polypropylene designed to be connected with a male connector (nozzle) of a piston syringe or an intravascular administration set.
More Information

Not Found

No
The device description and intended use are for a standard hypodermic needle, and there is no mention of AI or ML in the provided text.

No
The device, a hypodermic needle, is intended for injecting or withdrawing fluids, which is a diagnostic or procedural function, not a therapeutic treatment itself.

No
The device, a hypodermic needle, is described as intended to "inject fluids into, or withdraw fluids from, parts of the body." This is an interventional or procedural function, not a diagnostic one. There is no mention of the device being used to identify or characterize a disease, condition, or health status.

No

The device description clearly states it is a physical needle made of stainless steel and polypropylene, which are hardware components.

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

Here's why:

  • Intended Use: The intended use is to "inject fluids into, or withdraw fluids from, parts of the body below the surface of the skin." This describes a direct interaction with the patient's body for therapeutic or diagnostic purposes in vivo (within the living organism).
  • Device Description: The description details a hypodermic needle designed for connecting to syringes or administration sets, which are used for administering substances or withdrawing samples from the body.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens in vitro (outside the living organism) to provide information about a physiological or pathological state, or to monitor therapeutic measures.

IVD devices are specifically designed for testing samples like blood, urine, tissue, etc., in a laboratory or clinical setting to diagnose or monitor conditions. This device is for direct patient interaction.

N/A

Intended Use / Indications for Use

The K-Pack II Needle being a Hypodermic Single Lumen Needle is a sterile medical device for single use, intended to inject fluids into, or withdraw fluids from, parts of the body below the surface of the skin.

Product codes

FMI

Device Description

The K-Pack II Needle is a sterile hypodermic single lumen needle, for single use consisting of a stainless steel tube that is sharpened at one end and at the other end joined to a female luer connector (hub) made of polypropylene designed to be connected with a male connector (nozzle) of a piston syringe or an intravascular administration set.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

parts of the body below the surface of the skin.

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)

COMPARISON TESTING OF The K-Pack II Needles comply with the requirements specified in EN ISO 7864 (1995) Sterile Hypodermic K-PACK NEEDLES WITH Needles for single use (= ISO 7864: 1993) with exception EN ISO 7864 of Section 9.1 Conical fitting: if the hub has a locking fitting, it shall be in accordance with ISO 594-2. The K-Pack II Needles are not completely matching the specification of ISO 594-2, however when tested in accordance to ISO 594-2, no liquid or air leakage is observed.

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

Not Found

Predicate Device(s)

K771203

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.5570 Hypodermic single lumen needle.

(a)
Identification. A hypodermic single lumen needle is a device intended to inject fluids into, or withdraw fluids from, parts of the body below the surface of the skin. The device consists of a metal tube that is sharpened at one end and at the other end joined to a female connector (hub) designed to mate with a male connector (nozzle) of a piston syringe or an intravascular administration set.(b)
Classification. Class II (performance standards).

0

K984576

510(k) Summary as required by 807.95 (c) II. SUMMARY AND CERTIFICATION Summary of Safety & Effectiveness Information

  • II.1. Proprietary Device Name
    K-Pack II Needle

II.2. Classification Name

Hypodermic Single Lumen Needle

II.3. Reason for submission

New Device

  • II.4. Intended Use
    The K-Pack II Needle being a Hypodermic Single Lumen Needle is a sterile medical device for single use, intended to inject fluids into, or withdraw fluids from, parts of the body below the surface of the skin.

II.5. Description

The K-Pack II Needle is a sterile hypodermic single lumen needle, for single use consisting of a stainless steel tube that is sharpened at one end and at the other end joined to a female luer connector (hub) made of polypropylene designed to be connected with a male connector (nozzle) of a piston syringe or an intravascular administration set.

II.6. Substantial Equivalence

The K-Pack II Needles submitted in this 510k file are substantially equivalent in intended use, design, technology/principles of operation, materials and performance to the cleared Terumo Disposable Hypodermic Needle which is the subject of K771203. Differences between the devices cited in this section do not raise any new issues of safety or effectiveness.

| INTENDED USE: | Both needles being Hypodermic Single Lumen Needles are
sterile medical devices for single use, intended to inject fluids
into, or withdraw fluids from, parts of the body below the
surface of the skin. |
|-----------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| DESIGN AND MATERIALS: | Both needles are made of a stainless steel needle tube that is |

DESIGN AND MATERIALS: Both needles are made of a stainless steel needle tube that is sharpened at one end (both types of needles having exactly the same geometry) and at the other end joined to a female connector (6% luer) made of polypropylene. The difference between both needles is the packaging style and the sterilization method.

1

K-Pack II needles are packed in a hard pack (cap - case) and sterilised by ethylene oxide while the Terumo Needles are packed in a blister pack (film - film) and sterilized by gamma-irradiation.

The differences in packaging style and sterilization method do not affect the substantial equivalence of the devices.

Proposed:

| PRODUCT
CODE | NEEDLE
GAUGE | NEEDLE
LENGTH | NEEDLE
BEVEL |
|-----------------|-----------------|------------------|-----------------|
| KN-2325RB | 23 | 1" | regular |
| KN-2525RB | 25 | 1" | regular |
| KN-2516RB04 | 25 | 5/8" | regular |

Predicate:

| PRODUCT
CODE | NEEDLE
GAUGE | NEEDLE
LENGTH | NEEDLE
BEVEL |
|-----------------|-----------------|------------------|-----------------|
| 3NN2325R | 23 | 1" | regular |
| 3NN
2525R | 25 | 1" | regular |
| 3NN*2516R | 25 | 5/8" | regular |

Materials:

COMPONENTPROPOSEDPREDICATE
CannulaStainless steelStainless steel
HubPolypropylenePolypropylene
GlueEpoxy glueEpoxy glue
LubricantSiliconeSilicone

PRINCIPLES OF OPERATION/ TECHNOLOGY STATEMENT

The K-Pack II Needle and the Terumo Disposable Hypodermic Needle are both operated manually. .

COMPARISON TESTING OF The K-Pack II Needles comply with the requirements specified in EN ISO 7864 (1995) Sterile Hypodermic K-PACK NEEDLES WITH Needles for single use (= ISO 7864: 1993) with exception EN ISO 7864 of Section 9.1 Conical fitting: if the hub has a locking fitting, it shall be in accordance with ISO 594-2. The K-Pack II Needles are not completely matching the specification of ISO 594-2, however when tested in accordance to ISO 594-2, no liquid or air leakage is observed.

2

Comment:

Section 13.2 Patency of lumen: no specifications are given for a 25G having an ultra thin wall needle. Consequently the 25G K-Pack Needle having an ultra thin wall needle could not be compared with a reference for this property.

II.8. Additional Safety Information

The sterility of the K-Pack II Needles is assured by using a validated sterilization method qualified in accordance with EN 550: "Sterilization of Medical Devices: Validation and routine control of ethylene oxide" to a sterility assurance level (SAL) of 10 ° as required by EN 556: "Sterilization of Medical Devices: Requirements for medical devices to be labelled STERILE."

In routine the sterilization of each lot is assured by checking the recordings of the physical parameters and by performing a sterility control on biological indicators placed at different places in the sterilization tank and sterilized simultaneously with the products.

The biocompatibility of the K-Pack II Needles is tested in accordance with the tests recommended in the FDA General Program Memorandum # G95-1 (5/1/95): Use of International Standard ISO 10993 "Biological Evaluation of Medical Devices Part 1: Evaluation and Testing:'' [External Communicating Devices, Blood Path Indirect, Limited Duration of Contact (L 24 hours)].

The blood contacting materials were found to be compatible.

A LAL test is performed on production samples of each lot number.

The manufacturing control test methods include controls on functional performance.

The expiration dating for the K-Pack II Needles has been established to be 60 months or five (5) years.

II.9. Conclusion

The K-Pack II Needles submitted in this 510k file are substantially equivalent in intended use, design, specifications, technology/principles of operations, materials and performance to the cleared Terumo Disposable Hypodermic Needle which is subject of K771203. Differences between the devices cited in this section do not raise any new issues of safety on effectiveness.

II.10. Preparation info

Date prepared:03/12/1998
Prepared by:M.J. Aerts - Manager Regulatory Affairs
Prepared for:TERUMO EUROPE N.V.
Researchpark Zone 2, Interleuvenlaan 40, 3001 Leuven
BELGIUM
Tel.: 0032 / 16 / 381 353

3

Image /page/3/Picture/1 description: The image shows the words "Public Health Service" in bold, black font. The words are stacked on top of each other, with "Public Health" on the top line and "Service" on the bottom line. The text is centered and the background is white.

Image /page/3/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized depiction of a human figure, with three flowing lines representing the body and head. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the figure.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 1 4 1999

Mrs. M.J. Aerts Manager Requlatory Affairs TERUMO EUROPE NV Researchpark Zone 2 Haasrode Interleuvenlaan 40 B-3001 Leuven - Belgie (Belgium)

K984576 Re: K-Pack II (Hypodermic Needle) 23G X 1, Model Trade Name: KN-2325RB II Regulatory Class: Product Code: FMI Dated: May 11, 1999 Received: May 14, 1999

Dear Mrs. Aerts:

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 The general controls provisions of the Act 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 requlation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register.

4

Page 2 - Mrs. Aerts

Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of 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 requlation (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 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,

Timothy A. Ulatowski

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

Enclosure

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Page ( of l

·510(k) Number (if known): _K98 4574

Device Name: K-PACK II NEEDLE (= Hypodermic Needle)

Indications For Usc:

The K-Pack II Needle being a Hypodermic Single Lumen Needle is a sterile medical device me wrack in wedded boling a lifest fluids into, or withdraw fluids from, parts of the body below the surface of the skin.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Patrice Cusente

(Division Sien Division of De and General Ha 5 1 0(k) Numbe

Frescription Use U (Per 21 CFR 801.109) OR

Over-The-Counter Use ___________

(Optional Formal 1-2-96)