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510(k) Data Aggregation

    K Number
    K133059
    Date Cleared
    2014-02-25

    (151 days)

    Product Code
    Regulation Number
    880.5570
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    WENZHOU BEIPU SCIENCE & TECHNOLOGY CO., LTD.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Insulin Pen Needle is intended for use with pen injector devices for the subcutaneous injection of insulin.

    Device Description

    The proposed device, Insulin Pen Needle, is a single-use device, which is designed for use with a pen injector for the subcutaneous injection of insulin. It consists of needle tube, hub, tube sheath and sealed paper. The hub can be connected screwed onto the insulin pen. The Insulin Pen Needle is offered in various gauge sized and length. The proposed device is available in EO sterilized to achieve a Sterility Assurance Level (SAL) of 10-6.

    AI/ML Overview

    The provided text describes the submission for an Insulin Pen Needle for 510(k) clearance, intending to prove substantial equivalence to a predicate device, not an AI/ML-based medical device. Therefore, many of the requested criteria related to AI/ML model evaluation (e.g., sample size for training set, number of experts for ground truth, MRMC studies) are not applicable to this submission.

    However, I can extract information regarding the device's performance criteria and how its compliance was demonstrated through non-clinical testing.

    Here's a breakdown of the requested information based on the provided text, focusing on the relevant sections for a non-AI/ML device:

    1. A table of acceptance criteria and the reported device performance:

    The acceptance criteria for the Insulin Pen Needle are primarily based on compliance with established international standards for medical devices, specifically needles and injection systems. The reported device performance is that it complies with these standards.

    Acceptance Criteria (Standard Compliance)Reported Device Performance
    ISO 7864 (Sterile hypodermic needles for single use)Complies
    ISO 9626 (Stainless steel needle tubing for the manufacture of medical devices)Complies
    ISO 11608-2 (Needle-based injection systems for medical use - Part 2: Needles)Complies
    ISO 10993-4 (Biological Evaluation - Interactions with Blood)Complies
    ISO 10993-5 (Biological Evaluation - Tests for In Vitro cytotoxicity)Complies
    ISO 10993-7 (Biological Evaluation - Ethylene oxide sterilization residuals)Complies
    ISO 10993-10 (Biological Evaluation - Tests for irritation and skin sensitization)Complies
    ISO 10993-11 (Biological Evaluation - Tests for systemic toxicity)Complies
    ASTM F88/F88M-09 (Seal Strength of Flexible Barrier Materials)Complies
    ISO 11737-2 (Sterilization of medical devices - Tests of sterility)Complies
    USP 35-NF30:2012, (Bacterial Endotoxins Test)Complies
    Sterility Assurance Level (SAL)10⁻⁶
    Shelf Life5 years
    Single UseYes
    Labeling and LabelsMeets FDA requirements

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

    The document states that "Non clinical tests were conducted to verify that the proposed device met all design specifications." However, it does not specify the sample sizes used for these non-clinical tests. The tests were performed to demonstrate compliance with international standards, which typically involve specific sample size requirements as part of the test methodology outlined in those standards. The data provenance is internal testing performed by the manufacturer (Wenzhou Beipu Science & Technology Co., Ltd) implicitly in China, as that is their location. These would be prospective tests performed specifically for this submission.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience):

    This is not applicable as this is a physical medical device, not an AI/ML model requiring expert annotation for ground truth. Compliance with performance standards is typically measured by laboratory testing according to defined protocols, not expert consensus on images or data.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

    Not applicable for a physical device's performance testing. Test results are typically objective measurements against a defined standard.

    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 is not an AI-assisted diagnostic device.

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

    Not applicable. This is not an algorithm. The "standalone" performance here refers to the device's inherent performance as measured by physical and biological tests against established standards.

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

    The "ground truth" for this device's performance is compliance with established, objective, and predefined engineering, materials, and biological standards (e.g., ISO, ASTM, USP). This is demonstrated through laboratory testing, not human expert interpretations or clinical outcomes data in the way an AI model would be validated.

    8. The sample size for the training set:

    Not applicable. This is not an AI/ML device that requires a training set.

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

    Not applicable. This is not an AI/ML device.

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