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510(k) Data Aggregation

    K Number
    K161979
    Date Cleared
    2017-03-22

    (247 days)

    Product Code
    Regulation Number
    876.5980
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The proposed device is indicated for use as a dispenser, a measuring device, and a fluid transfer device. It is used to deliver fluids into the gastrointestinal system of a patient who is physically unable to eat and swallow. The enteral syringes are intended to be used in clinical or home care setting by users ranging from laypersons (under the supervision of a clinician) to clinicians, in all age groups.

    Device Description

    The proposed device is a disposable enteral feeding syringe provided in a variety of sizes from 1ml~60ml. This device incorporates a female ENFit connection to an enteral access device with male ENFit connector.

    The propsoed syringe is sterilized by Ethylene Oxide Gas to achieve a SAL of 10 and supplied sterility maintenance package which could maintain the sterility of the device during the shelf life of five years.

    AI/ML Overview

    This document describes the non-clinical testing performed to demonstrate that the ENFit Enteral Syringe meets its acceptance criteria and is substantially equivalent to a predicate device.

    1. Table of Acceptance Criteria and Reported Device Performance

    The device performance is demonstrated by compliance with several international standards. The specific acceptance criteria are defined within these standards. Below is a table summarizing the tests described and the reported outcome of compliance.

    Individual Test (Standard Clause)Standard Defining RequirementRequirement / Acceptance Criteria (Derived from Standard)Reported Device Performance
    Connector Tests (from ISO 80369-3:2016)AAMI/CN3 (PS):2014Specified in Clause 6.2 (Fluid Leakage)Complies with ISO 80369-3:2016 requirements
    Fluid LeakageAAMI/CN3 (PS):2014Specified in Clause 6.3 (Stress Cracking)Complies with ISO 80369-3:2016 requirements
    Stress CrackingAAMI/CN3 (PS):2014Specified in Clause 6.4 (Resistance to separation from axial load)Complies with ISO 80369-3:2016 requirements
    Resistance to separation from axial loadAAMI/CN3 (PS):2014Specified in Clause 6.5 (Resistance to separation from unscrewing)Complies with ISO 80369-3:2016 requirements
    Resistance to separation from unscrewingAAMI/CN3 (PS):2014Specified in Clause 6.6 (Resistance to overriding)Complies with ISO 80369-3:2016 requirements
    Resistance to overridingAAMI/CN3 (PS):2014Specified in Clause 6.7 (Disconnection by unscrewing)Complies with ISO 80369-3:2016 requirements
    Disconnection by unscrewing
    Syringe Tests (from ISO 7886-1:1993)ISO 7886-1:1993Specified in Clause 5 (Cleanliness)Complies with ISO 7886-1:1993 requirements
    CleanlinessISO 7886-1:1993Specified in Clause 6 (Limits for acidity or alkalinity)Complies with ISO 7886-1:1993 requirements
    Limits for acidity or alkalinityISO 7886-1:1993Specified in Clause 7 (Limits for extractable metals)Complies with ISO 7886-1:1993 requirements
    Limits for extractable metalsISO 7886-1:1993Specified in Clause 8 (Lubricant)Complies with ISO 7886-1:1993 requirements
    LubricantISO 7886-1:1993Specified in Clause 9 (Tolerance on graduated capacity)Complies with ISO 7886-1:1993 requirements
    Tolerance on graduated capacityISO 7886-1:1993Specified in Clause 10 (Graduated scale)Complies with ISO 7886-1:1993 requirements
    Graduated scaleISO 7886-1:1993Specified in Clause 11 (Barrel)Complies with ISO 7886-1:1993 requirements
    BarrelISO 7886-1:1993Specified in Clause 12 (Piston/plunger assembly)Complies with ISO 7886-1:1993 requirements
    Piston/plunger assemblyISO 7886-1:1993Specified in Clause 14.1 (Dead space)Complies with ISO 7886-1:1993 requirements
    Dead spaceISO 7886-1:1993Specified in Clause 14.2 (Freedom from air and liquid leakage past piston)Complies with ISO 7886-1:1993 requirements
    Freedom from air and liquid leakage past piston
    Biocompatibility Tests (from ISO 10993 series)ISO 10993-5:2009No CytoxicityNo Cytoxicity
    Tests for Vitro CytotoxicityISO 10993-10:2010No Irritation to SkinNo Irritation to Skin
    Tests for irritation and skin sensitizationISO 10993-10:2010No significant evidence of sensitizationNo significant evidence of sensitization
    ISO 10993 seriesConforms to requirements of ISO 10993 series StandardsConforms to requirements of ISO 10993 series Standards
    Sterilization & Packaging TestsISO 10993-7:2008Acceptable Ethylene oxide sterilization residualsComplies with ISO 10993-7:2008
    Ethylene oxide sterilization residualsASTM F 88/F88M-09Seal strength of flexible barrier materials meets standardComplies with ASTM F 88/F88M-09
    Seal strength (packaging)ASTM F1140/F1140-13Internal pressurization failure resistance meets standardComplies with ASTM F1140/F1140-13
    Internal pressurization failure resistance (packaging)USP37-NF32 <85>Bacterial Endotoxins within limitsComplies with USP37-NF32 <85>
    Bacterial Endotoxins Limit-Achieves SAL of 10^-6 for sterilizationAchieves SAL of 10^-6
    Sterilization Assurance Level (SAL)-Maintained sterility during shelf life of five yearsSterility maintained after accelerated aging tests

    2. Sample size used for the test set and the data provenance

    The document does not explicitly state the specific sample sizes (number of units tested) for each non-clinical test. However, it indicates that "Non clinical tests were conducted to verify that the proposed device met all design specifications" and that "Connector testing performed on the proposed device included the items listed below, in accordance with ISO 80369-3:2016... using the test methods provided in ISO 80369-20..." and similarly for syringe testing. These standards often specify minimum sample sizes for different tests.

    The data provenance is from non-clinical (bench) testing performed on the proposed device. The device manufacturer is Jiangsu Caina Medical Co., Ltd. located in Jiangyin, Jiangsu, China. The report is a summary of these tests. This is retrospective in the sense that the tests were completed prior to this submission.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    This section is not applicable as the information provided pertains to non-clinical (bench) testing of a medical device (enteral syringe). "Ground truth" and "experts" typically refer to human interpretation or pathology results in diagnostic or clinical studies. For physical device testing, the "ground truth" is defined by the technical specifications and requirements within the cited international standards (e.g., ISO, ASTM, USP).

    4. Adjudication method for the test set

    This section is not applicable as adjacency methods are used in clinical studies with human readers, not in non-clinical bench testing. The compliance is determined by whether the device's physical and performance characteristics meet the quantitative and qualitative requirements of the listed standards.

    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    This section is not applicable. An MRMC comparative effectiveness study is used for evaluating diagnostic or screening tools, often involving artificial intelligence. This document describes the non-clinical testing of a physical medical device (enteral syringe).

    6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done

    This section is not applicable. "Standalone performance" in this context refers to the performance of an algorithm without human intervention, typically in AI/software as a medical device. This document is about a physical medical device.

    7. The type of ground truth used

    For the non-clinical tests, the "ground truth" is compliance with established international and national standards and their specified test methods and acceptance criteria. This includes:

    • Performance Specifications: Defined by standards like ISO 80369-3, ISO 7886-1 for connector and syringe function (e.g., fluid leakage, tolerance on graduated capacity).
    • Biocompatibility Standards: Defined by ISO 10993 series for biological safety (e.g., cytotoxicity, irritation, sensitization).
    • Sterilization and Packaging Standards: Defined by ISO 10993-7, ASTM F 88/F88M-09, ASTM F1140/F1140-13, USP37-NF32 <85>.

    8. The sample size for the training set

    This section is not applicable. "Training set" refers to data used to train machine learning models. This document describes the non-clinical testing of a physical medical device.

    9. How the ground truth for the training set was established

    This section is not applicable.

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    K Number
    K151991
    Date Cleared
    2015-12-11

    (144 days)

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

    The Disposable blood collection sets are intended to be used with vacuum blood collection tube for venipuncture to collect blood specimens from patients.

    The Safelock disposable blood collection sets are intended to be used with vacuum blood collection tube for venipuncture to collect blood specimens from patients, and the safety sheath is designed to aid in the reduction of accidental needlesticks.

    Device Description

    The proposed devices are provided sterile, single use. The proposed devices are intended to be used with vacuum blood collection tube for venipuncture to collect blood specimens from patients. It has two models, Safelock disposable blood collection set and Disposable blood collection set.

    For disposable blood collection set, they consist nine pieces components: (1) needle protect cover (2) patient-end tube needle (3) double wing needle handle (4)flexing tube (5) connect A (6) non-patient needle hub (7) puncture needle (8) rubber sleeve (9) puncture needle protective cover.

    For Safelock disposable blood collection sets, they consist twelve components: (1) needle protect cover (2) patient-end tube needle (3) safety needle handle (4) double wing (5) safety sheath (6) Locking joint (7) flexing tube (8) connect A (9) non-patient needle hub(10) puncture needle (11) rubber sleeve (12) puncture needle protect cover.

    AI/ML Overview

    This is a 510(k) premarket notification for a medical device, which focuses on demonstrating substantial equivalence to a predicate device rather than presenting a detailed clinical study with acceptance criteria and performance metrics in the way a new drug or high-risk device might.

    Therefore, the information requested for a detailed study description such as sample sizes for test and training sets, data provenance, number of experts for ground truth, adjudication methods, MRMC studies, standalone algorithm performance, and how ground truth was established for the training set, is not present in this document.

    The document primarily details non-clinical tests conducted to ensure the device meets design specifications and is safe and effective for its intended use, comparable to predicate devices.

    Here's what information can be extracted or inferred:

    1. Table of Acceptance Criteria (Inferred from non-clinical tests) and Reported Device Performance:

    Acceptance Criteria (Standard / Test)Reported Device Performance
    Material Specifications:
    ISO 9626:1991 AMENDMENT 1 2001 (Stainless steel needle tubing)Complied with the standard.
    Sterile Barrier Packaging:
    Seal strength (ASTM F88/F88-09)Test performed.
    Internal pressure (ASTM F1140/F1140M-13)Test performed.
    Dye penetration (ASTM F 1929-12)Test performed.
    Sterilization & Shelf Life:
    EO/ECH residue (ISO 10993-7:2008)Test performed.
    Bacteria Endotoxin Limit (USP 37-NF 32 <85>)Test performed.
    Shelf Life Evaluation (Physical, Mechanical, Chemical, Package, Sterility on accelerated aging samples)Verified claimed shelf life.
    Biocompatibility Testing:
    Cytotoxicity (ISO 10993-5: 2009)Test performed.
    Intracutaneous Reactivity (ISO 10993-10: 2010)Test performed.
    Skin Sensitization (ISO 10993-10: 2010)Test performed.
    Acute Systemic Toxicity (ISO 10993-11:2006)Test performed.
    Biocompatibility (Overall)Conformed with ISO 10993.
    Sharps Injury Prevention (for Safelock model):
    Simulated Clinical Study (FDA Guidance for Industry and FDA Staff: Medical Device with Sharps Injury Prevention Feature, August 9, 2005)Met pre-established criteria.

    2. Sample size used for the test set and the data provenance:

    • Sample Size: Not specified in the document for any of the non-clinical tests.
    • Data Provenance: The tests were conducted internally or by contracted labs. The document does not specify country of origin for the data, but the manufacturer is based in China. The tests are non-clinical (laboratory/bench tests), not human subject trials, so "retrospective or prospective" is not directly applicable in the typical sense.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    • Not applicable as no human-read test set requiring expert ground truth is described. The acceptance criteria are based on recognized international and national standards for device performance, materials, and safety.

    4. Adjudication method for the test set:

    • Not applicable. No adjudication is described for the non-clinical tests.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

    • No MRMC study was conducted or mentioned, as this is not an AI-assisted device.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

    • Not applicable, as this is not an algorithm-based device.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

    • The "ground truth" for the non-clinical tests is adherence to the specified technical standards (e.g., ISO, ASTM, USP) and the FDA's guidance document for sharps injury prevention.

    8. The sample size for the training set:

    • Not applicable. No training set for an algorithm is mentioned.

    9. How the ground truth for the training set was established:

    • Not applicable. No training set for an algorithm is mentioned.

    Summary of what the document focuses on:

    This 510(k) submission primarily relies on non-clinical bench testing and adherence to established standards to demonstrate the safety and effectiveness of the "Safelock Disposable Blood Collection Set" and "Disposable Blood Collection Set". The key finding is that these devices are "Substantially Equivalent (SE)" to existing predicate devices (EXEL Vaculet Blood Collection Set K020533 and SURSHIELD™ Safety Winged Blood Collection Set K031279), meaning they share similar intended use, technology, and performance characteristics, and do not raise new questions of safety or effectiveness. No clinical studies were included in this submission.

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    K Number
    K151949
    Date Cleared
    2015-10-02

    (79 days)

    Product Code
    Regulation Number
    880.5860
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The disposable insulin syringe is intended for medical purposes for the manual aspiration of insulin, and for the injection of insulin into parts of the body below the surface skin.

    Device Description

    The Disposable Insulin Syringes are provided sterile, single use.

    For the Disposable Insulin Syringes, they consist of six components: (1) orange needle cap (2) needle (3) piston (4) plunger (5) barrel (6) orange protective end cap. The materials for all components are listed in Table 1 Component material list.

    The Disposable Insulin Syringes are available in different combination of syringe volumes and needle sizes. The range of syringe volume, needle gauge and needle length are listed in Table 2 syringe and needle specification.

    AI/ML Overview

    This document describes the premarket notification for a Disposable Insulin Syringe (K151949). It does not contain information about an AI/ML powered device. Instead, it details the substantial equivalence to a predicate device, focusing on non-clinical performance and biocompatibility.

    Therefore, many of the requested categories for AI/ML device studies are not applicable. I will extract the relevant information for the device's acceptance criteria and the studies conducted to meet them.

    Here's the breakdown of the information that can be extracted from the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Standard Reference)Reported Device Performance
    Physical/Mechanical Performance:
    ISO 9626:1991+AMENDMENT 1 2001: Stainless steel needle tubing for the manufacture of medical devices"The test results demonstrated that the proposed device complies with the following standards" (General statement of compliance)
    ISO 8537: 2007: Sterile single-use syringes, with or without needle, for insulin"The test results demonstrated that the proposed device complies with the following standards" (General statement of compliance)
    ASTM F 88/F88M-09: Standard test method for seal strength of flexible barrier materials"The test results demonstrated that the proposed device complies with the following standards" (General statement of compliance for seal integrity during shelf life assessment after accelerated aging)
    ASTM F1140/F1140M-13: Standard test methods for internal pressurization failure resistance of unrestrained packages"The test results demonstrated that the proposed device complies with the following standards" (General statement of compliance for seal integrity during shelf life assessment after accelerated aging)
    ASTM F1886/F1886M-09 (Reapproved 2013): Standard Test Method For Determining Integrity Of Seals For Flexible Packaging By Visual Inspection"The test results demonstrated that the proposed device complies with the following standards" (General statement of compliance for sterility packaging integrity assessment during shelf life).
    ASTM F1929-12: Standard Test Method For Detecting Seal Leaks In Porous Medical Packaging By Dye Penetration"The test results demonstrated that the proposed device complies with the following standards" (General statement of compliance for sterility packaging integrity assessment during shelf life).
    Biocompatibility:
    ISO 10993-7:2008: Biological evaluation of medical devices - Part 7: Ethylene oxide sterilization residuals"The test results demonstrated that the proposed device complies with the following standards" (General statement of compliance).
    ISO 10993 series Standards (General Biocompatibility relevant tests like Cytotoxicity, Sensitization, Irritation on Intracutaneous Reactivity, System Toxcity (Acute), Haemo-compatiblity)"The necessary tests for biocompatibility testing including Cytotoxicity, Sensitization, Irritation on Intracutaneous Reactivity, System Toxcity (Acute) and Haemo-compatiblity have been provided in K113091 Submission. And the biocompatibility test results can demonstrate the compatibility of all of the patient-contact materials of the proposed device meets the requirements of Biocompatibility." (Compliance based on predicate device K113091)
    Sterility/Microbiological:
    USP37-NF32 <85>: Bacterial Endotoxins Limit"The test results demonstrated that the proposed device complies with the following standards" (General statement of compliance).
    ISO 11737-2:2009: Sterilization of medical devices - Microbiological methods - Part 2: Test of sterility performed in the definition, validation and maintenance of a sterilization process"The test results demonstrated that the proposed device complies with the following standards" (General statement of compliance for sterility assessment during shelf life).
    ISO 11135-1:2007: Sterilization of health care products - Ethylene oxide - Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices"The test results demonstrated that the proposed device complies with the following standards" (General statement of compliance).
    Shelf Life:
    Assessment of seal integrity of sterile barrier packaging after accelerated aging"A maximum shelf life of 5 years has been assigned to the proposed device, when stored unopened at ambient temperature, in dry conditions away from direct sources of light, in accordance with the manufacturer's recommendations. The shelf life is based on an assessment of the seal integrity of the sterile barrier packaging after accelerated aging..."
    Performance testing of device after accelerated aging"...performance testing of device after accelerated aging..."
    Sterility test after accelerated aging"...and Sterility test after accelerated aging."

    2. Sample Size Used for the Test Set and Data Provenance

    • Sample Size: Not explicitly stated for each test. The document generally refers to "non clinical tests" being conducted.
    • Data Provenance: The device manufacturer is Jiangyin Caina Technology Company Incorporated, located in Jiangyin, Jiangsu, China. The testing was conducted as part of their submission without specifying the exact location of the testing laboratories, but it would presumably be in China or by accredited labs. The data is retrospective in the sense that it's submitted to demonstrate compliance for a device manufactured by the company.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    • Not Applicable: This is a submission for a non-AI/ML medical device. "Ground truth" in the context of expert consensus is not relevant here. Compliance is assessed against established international and ASTM standards for physical, chemical, and biological properties.

    4. Adjudication Method for the Test Set

    • Not Applicable: As this is not an AI/ML diagnostic or image interpretation device, adjudication methods by experts are not relevant. Compliance is measured against objective standards.

    5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study Was Done, If So, What Was the Effect Size of How Much Human Readers Improve with AI vs Without AI Assistance

    • Not Applicable: This device is a disposable insulin syringe, not an AI/ML powered diagnostic or clinical support tool.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    • Not Applicable: This device is not an algorithm.

    7. The Type of Ground Truth Used

    • Standards-based Compliance: The "ground truth" for this device's performance is adherence to recognized international and national standards (ISO, ASTM, USP) for medical devices. For biocompatibility, reliance was also placed on prior clearance (K113091) for materials with the same intended use.

    8. The Sample Size for the Training Set

    • Not Applicable: This device does not involve a "training set" in the context of AI/ML. Manufacturing processes are validated through established quality control and testing protocols.

    9. How the Ground Truth for the Training Set Was Established

    • Not Applicable: Not an AI/ML device.
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