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510(k) Data Aggregation

    K Number
    K223334
    Date Cleared
    2022-12-16

    (45 days)

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

    Zhejiang kindly Medical Devices Co., Ltd.

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

    The Sterile Hypodermic Needles for Single Use are intended for use with syringes and injection devices for general purpose fluid injection/aspiration.

    Device Description

    The proposed device, Sterile Hypodermic Needles For Single Use, consists of a needle tube, needle hub and protective cap. The needle tube is made from stainless steel (SUS 304), the needle hub made of Polypropylene material (abb. PP) and the color complies with ISO 6009.The protective cap is made of PP and does not contact the patient. The conical fitting of Sterile Hypodermic Needles For Single Use is a luer that can be used with other medical devices which have 6% conical fitting. It is provided sterile with EO sterilization, and the sterilization assurance level (SAL) is 10-6. Additionally, each component is made from properly tested raw materials. And the Hypodermic Needles For Single Use are individually packaged in a sterile Sterile barrier.

    AI/ML Overview

    This document is a 510(k) summary for a medical device (Sterile Hypodermic Needles for Single Use). It details the substantial equivalence of the proposed device to a predicate device, focusing on non-clinical performance and biocompatibility.

    Here's an analysis of the acceptance criteria and the study proving the device meets them, based on the provided text:

    Acceptance Criteria and Reported Device Performance

    The acceptance criteria for this device are based on compliance with a set of international and national standards, which dictate the performance and safety requirements for sterile hypodermic needles. The "reported device performance" is essentially the statement that the device complies with these standards.

    Table of Acceptance Criteria and Reported Device Performance

    Criteria CategorySpecific Standard/RequirementReported Device Performance
    Performance (Physical)ISO 7864:2016 Sterile hypodermic needles for single use - Requirements and test methods"The test results demonstrated that the proposed device complies with... ISO 7864:2016"
    ISO 9626:2016 Stainless steel needle tubing for the manufacture of medical devices - Requirements and test methods (Note: The document lists "Hypodermic needles for single use Colour coding for identification A" under 9626, but the predicate comparison correctly lists 9626:2016 as "Stainless steel needle tubing...")"The test results demonstrated that the proposed device complies with... ISO 9626:2016"
    ISO 80369-7:2021 Small-bore connectors for liquids and gases in healthcare applications -- Part 7: Connectors for intravascular or hypodermic applications"The test results demonstrated that the proposed device complies with... ISO 80369-7:2021"
    ISO 80369-20:2015 Small-bore connectors for liquids and gases in healthcare applications -- Part 20: Common test methods"The test results demonstrated that the proposed device complies with... ISO 80369-20:2015"
    SterilizationSterilization Assurance Level (SAL)10^-6 (Same as predicate)
    Ethylene Oxide (EO) Sterilization methodEO (Same as predicate)
    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... ISO 10993-7:2008"
    BiocompatibilityISO 10993-1:2018 Biological evaluation of medical devices Part 1: Evaluation and testing within a risk management process (including Cytotoxicity, Skin sensitization, Hemolysis, Intracutaneous reactivity, Acute systemic toxicity, Pyrogenicity)"The biocompatibility evaluation for the subject device was conducted in accordance with... ISO 10993-1," and "The evaluation of the above testing items meets the requirements." Test results demonstrated compliance with ISO 10993-4, -5, -10, -11.
    Pyrogenicity (Non-pyrogenic)Non-pyrogenic (Same as predicate)
    Particular MatterUSP : Particulate Matter for injection"Conforms to USP : Particulate Matter for injection" and "Particulate testing per USP is required to ensure the safe clinical application."
    Packaging/Sterile BarrierASTM F88/F88M-15, Standard Test Method For Seal Strength Of Flexible Barrier Materials. (Sterility)"The test results demonstrated that the proposed device complies with... ASTM F88/F88M-15"
    ASTM F1929-15 Standard Test Method for Detecting Seal Leaks in Porous Medical Package by Dye Penetration"The test results demonstrated that the proposed device complies with... ASTM F1929-15"
    Labeling21 CFR Part 801 (General Labeling Requirements) -"Meets the requirements of 21 CFR Part 801." (Same as predicate)

    Study Proving Device Meets Acceptance Criteria

    The study conducted to prove the device meets the acceptance criteria is a non-clinical performance testing study. This type of study demonstrates equivalence by showing that the proposed device performs comparably to a legally marketed predicate device against established performance and safety standards.

    1. Sample sizes used for the test set and the data provenance:

    • Test Set Sample Size: The document does not specify the exact sample sizes (number of units) used for each individual test (e.g., how many needles were tested for seal strength, how many samples for biocompatibility). It generally states that "Non-clinical tests were conducted to verify that the proposed device met all design specifications." However, for each listed standard (ISO, ASTM, USP), there are usually defined sample size requirements for the tests prescribed within that standard.
    • Data Provenance: The document implies that the testing was performed by or for Zhejiang Kindly Medical Device Co., Ltd., based in Zhejiang Province, China. The testing appears to be retrospective, as it was completed before the 510(k) submission. No specific country of origin is mentioned for the data itself beyond the company's location.

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

    • Not Applicable: For this type of medical device (sterile hypodermic needles) and the nature of the non-clinical performance testing, "ground truth" is not established by human experts in the way it would be for AI/imaging diagnostics. Instead, the ground truth is defined by the objective, quantified pass/fail criteria outlined in the referenced international standards (e.g., flow rate requirements, needle stiffness, biocompatibility limits). The "experts" involved are presumed to be the qualified laboratory personnel conducting the tests and interpreting the results against the standard's specifications. Their qualifications are not explicitly stated.

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

    • None (Not Applicable): Adjudication methods like "2+1" or "3+1" are typically used in clinical studies, especially for evaluating diagnostic performance (e.g., radiology reads where multiple experts might disagree). This non-clinical study relies on objective, measurable parameters against established standard criteria, so human adjudication in this sense is not relevant.

    4. 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 (Not Applicable): An MRMC study is relevant for evaluating the performance of AI-assisted diagnostic tools where human readers interpret medical images or data. This submission is for a physical medical device (hypodermic needles), not an AI diagnostic tool. Therefore, no MRMC study was performed.

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

    • No (Not Applicable): This question also pertains to AI algorithm performance. A hypodermic needle does not involve an algorithm, nor does it have "human-in-the-loop performance" in the sense of a software-assisted task.

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

    • Standard-defined Objective Criteria: The ground truth for this device is based on the objective, measurable pass/fail criteria specified within the referenced international standards (ISO, ASTM, USP). For example, a needle must meet specific force requirements for penetration, sterility levels, or biocompatibility limits as defined by these standards. This is fundamentally different from a diagnostic ground truth (e.g., confirmed pathology diagnosis for an image).

    7. The sample size for the training set:

    • Not Applicable: This device is a physical product, not a machine learning model. Therefore, there is no "training set." The performance is validated through direct physical and chemical testing.

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

    • Not Applicable: As there is no training set, this question is not relevant.
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    K Number
    K213183
    Date Cleared
    2022-10-14

    (380 days)

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

    Zhejiang Kindly Medical Devices Co. Ltd

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

    Safety Insulin Pen Needle is intended to be used with Insulin Pen for hypodermic injection of insulin and medicinal fluids.

    Device Description

    The proposed device, Safety Insulin Pen Needle is intended to be used with Insulin Pen for hypodermic injection of insulin and medicinal fluids. It consists of needle tube, needle hub, spring, needle hub sheath, safety protective sheath, positioning ring, outer protective cap and sealing paper. The needle hub is clear, and the positioning ring and sealing paper contains colorants for the different gauge sizes. The Safety insulin needle for single use 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 does not describe a device that uses AI or machine learning, nor does it detail acceptance criteria related to such a device's performance based on a test set. Instead, it is a 510(k) premarket notification for a medical device (Safety Insulin Pen Needles), primarily focusing on demonstrating substantial equivalence to a predicate device through non-clinical performance and biocompatibility testing against established ISO and ASTM standards.

    Therefore, I cannot extract the information required to populate the table and answer the questions about AI/ML device performance, ground truth, expert consensus, sample sizes for training/test sets, or MRMC studies. The document explicitly states: "No data from human clinical studies have been included to support the substantial equivalence of the proposed device, Safety Insulin Pen Needle, as clinical studies are not required for this medical device."

    However, I can provide the acceptance criteria and performance data as presented in the document, which are related to non-clinical tests for a physical medical device, not an AI/ML diagnostic or predictive tool.

    Here's a summary of the non-clinical performance data and criteria as per the document:

    A. Table of Acceptance Criteria and Reported Device Performance (Non-Clinical)

    Acceptance Criteria (Reference Standard)Reported Device Performance
    ISO 7864:2016 (Sterile hypodermic needles for single use.)Complies with the standard requirements.
    ISO 9626:2016 (Stainless steel needle tubing for the manufacture of medical devices.)Complies with the standard requirements.
    ISO 11608-2:2012 (Needle-based injection systems for medical use - Part 2: Needles)Complies with the standard requirements.
    ISO 10993-5:2009(R) (Biological evaluation of medical devices -- Part 5: Tests for In Vitro cytotoxicity.)Complies with the standard requirements.
    ISO 10993-10:2010 (Biological evaluation of medical devices Part 10: Tests for irritation and skin sensitization)Complies with the standard requirements.
    ISO 10993-7:2008 (Biological Evaluation of Medical Devices-Part 7: Ethylene Oxide Sterilization Residuals.)Complies with the standard requirements.
    ASTM F88/F88M-15 (Standard Test Method for Seal Strength of Flexible Barrier Materials.)Complies with the standard requirements.
    ASTM F1140/F1140M-13 (Standard Test Methods for Internal Pressurization Failure Resistance of Unrestrained Packages)Complies with the standard requirements.
    **USP ** (Bacterial Endotoxins Test)Complies with the standard requirements.
    ISO 10993-11:2017 (Biological evaluation of medical devices Part 11: Tests for systemic toxicity)Complies with the standard requirements.
    **USP ** (Particulate Matter Test)Complies with the standard requirements.
    Sterility Assurance Level (SAL)Achieves a SAL of 10-6.
    Needle Performance Testing (across all proposed gauge and length sizes)Test results comply with ISO 7864 and ISO 9626 standards requirements.
    Biocompatibility Testing (cytotoxicity, sensitization, irritation, systemic toxicity, pyrogen, subchronic toxicity, Particulate Matter)Test results demonstrate biocompatibility and compliance with relevant ISO 10993 series standards and USP monographs as listed above.

    B. Information Not Applicable to this Submission (AI/ML Specifics)

    The following information is not present in the provided document, as it pertains to AI/ML device studies, which this submission does not involve:

    1. Sample size used for the test set and data provenance: Not applicable. The tests are physical/chemical evaluations of the device, not performance on a data set.
    2. Number of experts used to establish the ground truth for the test set and their qualifications: Not applicable, as there is no "ground truth" established by experts in the context of an AI/ML model for this device. The ground truth refers to the physical and chemical properties conforming to established engineering and biological standards.
    3. Adjudication method for the test set: Not applicable.
    4. If a multi reader multi case (MRMC) comparative effectiveness study was done, and its effect size: Not applicable. This is for AI-assisted human reading performance.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This is a physical medical device.
    6. The type of ground truth used: For this device, the "ground truth" is defined by compliance with the referenced ISO, ASTM, and USP standards for manufacturing quality, performance characteristics (e.g., fluid flow, needle strength), sterility, and biocompatibility.
    7. The sample size for the training set: Not applicable, as this is not an AI/ML device.
    8. How the ground truth for the training set was established: Not applicable.
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    K Number
    K181069
    Date Cleared
    2018-08-28

    (127 days)

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

    Zhejiang Kindly Medical Devices Co. Ltd

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

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

    Device Description

    The proposed device, Disposable Insulin Pen Needle, is a single use device, which is designed for used with a pen injector for the subcutaneous injection of insulin. It consist of needle tube, inner sheath, cup, hub and sealed paper. The hub can be connected screwed onto the insulin pen. The proposed device is available in following specifications: Gauge 33G, 32G, 31G, 30G, 29G, 28G and Length (mm) 4mm, 6mm, 8mm, 12mm.

    AI/ML Overview

    Here's an analysis of the provided text regarding the acceptance criteria and study for the Disposable Insulin Pen Needle:

    This document is a 510(k) summary for a medical device seeking market clearance, specifically a Disposable Insulin Pen Needle. For such a device, the "acceptance criteria" and "study that proves the device meets the acceptance criteria" are generally based on compliance with recognized consensus standards and non-clinical performance testing rather than clinical trials or AI/software performance metrics.

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document outlines a comprehensive set of non-clinical tests and biocompatibility tests. The acceptance criteria are implicit in verifying that the proposed device "met all design specifications" and that "the test result comply with the related standard requirements."

    Acceptance Criteria (Implicit from Standards)Reported Device Performance
    Cleanliness (ISO 7864:2016 Clause 4.3)The test result comply with the related standard requirements.
    Limits for acidity or alkalinity (ISO 7864:2016 Clause 4.4)The test result comply with the related standard requirements.
    Limits for extractable metals (ISO 7864:2016 Clause 4.5)The test result comply with the related standard requirements.
    Size designation (ISO 7864:2016 Clause 4.6)The test result comply with the related standard requirements.
    Colour coding (ISO 7864:2016 Clause 4.7)The test result comply with the related standard requirements.
    Needle hub (ISO 7864:2016 Clause 4.8)The test result comply with the related standard requirements.
    Needle Cap (ISO 7864:2016 Clause 4.9)The test result comply with the related standard requirements.
    Needle tube (ISO 7864:2016 Clause 4.10)The test result comply with the related standard requirements.
    Needle point (ISO 7864:2016 Clause 4.11)The test result comply with the related standard requirements.
    Bond between hub and needle tube (ISO 7864:2016 Clause 4.12)The test result comply with the related standard requirements.
    Patency of lumen (ISO 7864:2016 Clause 4.13)The test result comply with the related standard requirements.
    Surface finish (ISO 9626:2016 Clause 5.2)The test result comply with the related standard requirements.
    Cleanliness (ISO 9626:2016 Clause 5.3)The test result comply with the related standard requirements.
    Limits for acidity and alkalinity (ISO 9626:2016 Clause 5.4)The test result comply with the related standard requirements.
    Size designation (ISO 9626:2016 Clause 5.5)The test result comply with the related standard requirements.
    Dimensions (ISO 9626:2016 Clause 5.6)The test result comply with the related standard requirements.
    Stiffness (ISO 9626:2016 Clause 5.8)The test result comply with the related standard requirements.
    Resistance to breakage (ISO 9626:2016 Clause 5.9)The test result comply with the related standard requirements.
    Resistance to corrosion (ISO 9626:2016 Clause 5.10)The test result comply with the related standard requirements.
    Material (ISO 11608-2:2012 Clause 4.1)The test result comply with the related standard requirements.
    Dimensions (ISO 11608-2:2012 Clause 4.2)The test result comply with the related standard requirements.
    Determination of flow rate through the needle (ISO 11608-2:2012 Clause 4.3)The test result comply with the related standard requirements.
    Bond between hub and needle tube (ISO 11608-2:2012 Clause 4.4)The test result comply with the related standard requirements.
    Needle points (ISO 11608-2:2012 Clause 4.5)The test result comply with the related standard requirements.
    Freedom from defects (ISO 11608-2:2012 Clause 4.6)The test result comply with the related standard requirements.
    Lubrication (ISO 11608-2:2012 Clause 4.7)The test result comply with the related standard requirements.
    Dislocation of measuring point at patient end (ISO 11608-2:2012 Clause 4.8)The test result comply with the related standard requirements.
    Ease of assembly and disassembly (ISO 11608-2:2012 Clause 4.9)The test result comply with the related standard requirements.
    Determination of functional compatibility with needle-based injection systems (ISO 11608-2:2012 Clause 4.10)The test result comply with the related standard requirements.
    Seal strength (ASTM F88/F88-15)The test result comply with the related standard requirements.
    Dye penetration (ASTM F1929-15)The test result comply with the related standard requirements.
    EO residue (ISO 10993-7:2008)The test result comply with the related standard requirements.
    ECH residue (ISO 10993-7:2008)The test result comply with the related standard requirements.
    Bacteria Endotoxin Limit (USP , 20 EU per device)The test result comply with the related standard requirements.
    Shelf Life EvaluationPhysical, Mechanical, Chemical, Package Tests were performed on aging samples to verify the claimed shelf life of the device. The test result comply with the related standard requirements.
    Sterilization validation (ANSI/AAMI/ISO 11135-1:2007, SAL: 10-6)The test result comply with the related standard requirements.
    Cytotoxicity (ISO 10993 standards)No Cytotoxicity
    Intracutaneous Reactivity (ISO 10993 standards)No Irritation to Skin
    Skin Sensitization (ISO 10993 standards)No skin sensitization
    Acute Systemic Toxicity (ISO 10993 standards)No Systemic Toxicity
    Pyrogen (ISO 10993 standards)No pyrogen
    Hemolysis Test (ISO 10993 standards)No hemolysis

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

    The document states, "Non clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device." It also mentions "aging samples" for shelf life evaluation and testing of "all proposed models" for needle gauge differences.

    • Sample Size: The exact sample sizes for each specific test are not provided in this summary. However, for medical device testing against standards, specified sample sizes are typically defined within the standards themselves or agreed upon with regulatory bodies.
    • Data Provenance: The tests were conducted by Zhejiang Kindley Medical Devices Co.,Ltd in China (PRC), as they are the submitter. The data is retrospective in the sense that the tests were performed on the device prototypes and models before submission for clearance.

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

    This type of information is not applicable to this document. The "ground truth" for a medical device like an insulin pen needle is established by its physical and functional properties meeting recognized international standards (e.g., ISO, ASTM). It does not involve expert clinical assessment of images or data in the way AI performance studies would.

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

    This is not applicable to this type of device and study. Adjudication methods like 2+1 or 3+1 are used in clinical trials or diagnostic studies where there's a need for expert consensus on patient outcomes or diagnoses, particularly when dealing with subjective interpretations or complex clinical endpoints. For a mechanical device tested against engineering standards, the results are typically objective measurements.

    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 is not applicable. An MRMC study is relevant for AI-powered diagnostic tools where human readers (e.g., radiologists) interpret cases with and without AI assistance. This document describes a physical medical device (insulin pen needle) and its non-clinical performance against engineering standards. There is no AI component or human reader interpretation involved in its evaluation.

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

    This is not applicable. This describes a physical medical device, not an algorithm.

    7. The type of ground truth used:

    The "ground truth" for this device's performance is derived from compliance with established international consensus standards (e.g., ISO 7864, ISO 9626, ISO 11608-2, ISO 10993, ANSI/AAMI/ISO 11135-1, ASTM F88/F88-15, ASTM F1929-15, USP ). These standards define the acceptable physical, mechanical, chemical, and biological properties for hypodermic needles and pen needles.

    8. The sample size for the training set:

    There is no training set in the context of this device's evaluation. "Training set" refers to data used to train machine learning models. This is about physical device testing.

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

    This is not applicable as there is no training set for this type of device evaluation.

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    Why did this record match?
    Applicant Name (Manufacturer) :

    Zhejiang Kindly Medical Devices Co.,Ltd

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

    The Blood Collecting Needle is intended to be used with vacuum blood collection tube for multiple collections of venous blood.

    The Safety Blood Collecting Needle is intended to be used with vacuum blood collection tube for multiple collections of venous blood. The safety shield is intended to aid in the protection against accidental needle stick injury.

    The Blood Collecting Needle with Holder is intended to be used with vacuum blood collection tube for multiple collections of venous blood.

    The Safety Blood Collecting Needle with Holder is intended to be used with vacuum blood collection tube for multiple collections of venous blood. The safety shield is intended to aid in the protection against accidental needle stick injury.

    The Blood Collecting Set is intended to be used with vacuum blood collection tube for multiple collections of venous blood.

    The Safety Blood Collecting Set is intended to be used with vacuum blood collection of venous blood. The safety shield is intended to aid in the protection against accidental needle stick injury.

    The Blood Collecting Set with Holder is intended to be used with vacuum blood collection tube for multiple collections of venous blood.

    The Safety Blood Collecting Set with Holder is intended to be used with vacuum blood collection tube for multiple collections of venous blood. The safety shield is intended to aid in the protection against accidental needle stick injury.

    Device Description

    The proposed devices are blood collection devices form a channel between patient's vein and the vacuum blood collection tube. The patient-end needle is punctured into vein, and non-patient end needle will penetrate into vacuum blood collection tube, blood will flow into blood collection tube under the action of differential pressure. The proposed devices are divided into several types and available in different specifications.

    AI/ML Overview

    The provided document is a 510(k) Pre-market Notification from the FDA for blood collection needles and sets. It describes non-clinical testing performed to establish substantial equivalence to predicate devices, but it does not contain information about studies involving human or expert evaluation of AI/algorithm performance, which is what your request is focused on. Therefore, I cannot provide details on the requested criteria related to AI/algorithm acceptance criteria, ground truth, expert involvement, or MRMC studies.

    However, I can extract the acceptance criteria and performance related to the non-clinical tests performed on the physical device.

    Here's the relevant information based on the non-clinical tests described in the document:

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

    Acceptance Criteria (Standard / Clause)Device Performance
    Physical, Mechanical, Chemical Testing (ISO 7864:2016)
    Cleanliness (Clause 4.3)Met design specifications
    Limits for acidity or alkalinity (Clause 4.4)Met design specifications
    Limits for extractable metals (Clause 4.5)Met design specifications
    Size designation (Clause 4.6)Met design specifications
    Colour coding (Clause 4.7)Met design specifications
    Needle hub (Clause 4.8)Met design specifications
    Needle Cap (Clause 4.9)Met design specifications
    Needle tube (Clause 4.10)Met design specifications
    Needle point (Clause 4.11)Met design specifications
    Bond between hub and needle tube (Clause 4.12)Met design specifications
    Patency of lumen (Clause 4.13)Met design specifications
    Physical, Mechanical, Chemical Testing (ISO 9626:2016)
    Surface finish (Clause 5.2)Met design specifications
    Cleanliness (Clause 5.3)Met design specifications
    Limits for acidity and alkalinity (Clause 5.4)Met design specifications
    Size designation (Clause 5.5)Met design specifications
    Dimensions (Clause 5.6)Met design specifications
    Stiffness (Clause 5.8)Met design specifications
    Resistance to breakage (Clause 5.9)Met design specifications
    Resistance to corrosion (Clause 5.10)Met design specifications
    Sterile Barrier Packaging Testing
    Seal strength (ASTM F88/F88-15)Met design specifications
    Dye penetration (ASTM F1929-15)Met design specifications
    Sterilization and Shelf Life Testing
    EO residue (ISO 10993-7:2008)Met design specifications
    ECH residue (ISO 10993-7:2008)Met design specifications
    Bacteria Endotoxin Limit (USP 38-NF 33 )Met design specifications
    Shelf Life Evaluation (Physical, Mechanical, Chemical, Package Tests on aging samples)Verified claimed shelf life
    Biocompatibility Testing
    In vitro cytotoxicity (ISO 10993-5)Met design specifications
    Skin sensitization (ISO 10993-10)Met design specifications
    Irritation sensitivity (ISO 10993-10)Met design specifications
    Acute Toxicity Test (ISO 10993-11)Met design specifications
    Pyrogen test (ISO 10993-11)Met design specifications
    Hemolysis Test (ASTM F756-17)Met design specifications
    Simulated Clinical Study (FDA Guidance, 2005)
    Safety mechanism evaluationMet pre-established criteria
    Safety Feature Test
    Comparison to predicate devicesDid not show a significant difference from predicate devices

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
    The document does not specify the sample sizes or data provenance (country of origin, retrospective/prospective) for the non-clinical tests. It only states that tests were "performed on the proposed device" and "on aging samples."

    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)
    Not applicable. This document describes non-clinical testing of a physical medical device (blood collection needles/sets), not an AI/algorithm. No experts were mentioned for establishing ground truth for a test set in the context of AI evaluation.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
    Not applicable. This document is not about AI/algorithm evaluation.

    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 document is not about AI/algorithm performance or MRMC studies.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
    Not applicable. This document is not about an AI/algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)
    For the non-clinical tests, the "ground truth" refers to the established standards and specifications outlined in the referenced ISO, ASTM, and USP documents, as well as the company's own design specifications. For the simulated clinical study, "pre-established criteria" defined the success of the safety mechanism.

    8. The sample size for the training set
    Not applicable. This document is not about an AI/algorithm and therefore has no "training set."

    9. How the ground truth for the training set was established
    Not applicable. This document is not about an AI/algorithm and therefore has no "training set."

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    K Number
    K171518
    Date Cleared
    2018-01-05

    (226 days)

    Product Code
    Regulation Number
    868.5150
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Zhejiang kindly Medical Devices Co., Ltd

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

    The Epidural Anesthesia Needles are intended to be used for injection into the epidural space/or placing the enidural catheter into the epidural space.

    The Spinal Anesthesia Needles are intended to be used for injection of local anesthetic agent into the subarachnoid cavity for pain management.

    The Combined Anesthesia Needles are intended for injection of local anesthetics into the spinal and epidural spaces of a patient to provide regional anesthesia. The administration of the spinal anesthesia onset and the placement of an epidural catheter allows for bolus injections or continuous infusion of local anesthetics or other drugs into the epidural space.

    Device Description

    The proposed device, Epidural Anesthesia Needles are available in a series combination of needle size and length. The needle tubing is stabilized during puncture with use of an inner stylet. The stylet is withdrawn after the epidural anesthesia needle its anatomical site for neuraxial anesthesia. Then an epidural catheter is introduced into epidural cavities for convenience of injecting anesthetic continuously.

    The proposed device, Spinal Anesthesia Needles are available in a series combination of needle size and length. The spinal anesthesia needle has a tightly fitting removable stylet that completely occludes the lumen to avoid block. The stylet is withdrawn after the spinal anesthesia needle has penetrated into the subarachnoid space for injecting anesthetic. The needles are available in Sprotte and Quincke two type.

    The proposed device, Combination Anesthesia Needle are instruments for a spinal (subarachnoid) injection of anesthetics, followed by the placement of an epidural catheter to allow modification of the spinal analgesia if necessary, or continuous infusion of local anesthetics into the epidural space for subsequent pain relief if required. The needles are a matched set. The epidural needle and the spinal needle are locked by conical fitting that enable the spinal needle to be locked into position once the dura has been pierced so that it is secured to the epidural needle to prevent accidental displacement.

    AI/ML Overview

    Here's the information about the acceptance criteria and study as extracted from the provided text, structured as requested:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    Epidural Anesthesia Needles
    Needle Gauge14G22G (Proposed device), 14G25G (Predicate)
    Needle Length65mm, 70mm, 80mm, 90mm, 100mm, 110mm, 120mm, 150mm (Proposed device), 30~160mm (Predicate)
    SterileEO Sterilized, 10-6
    Single UseSingle Use
    Needle TipTuohy (Proposed device), Huber, Hustead and Crawford (Predicate)
    Label/LabelingConform with 21 CFR 801
    Biocompatibility: CytotoxicityNo Cytotoxicity
    Biocompatibility: Intracutaneous ReactivityNo Intracutaneous Reactivity
    Biocompatibility: Skin SensitizationNo Sensitization
    Biocompatibility: Acute Systemic ToxicityNo Systemic Toxicity
    Biocompatibility: HemolysisNo Hemolysis
    Biocompatibility: PyrogenNo Pyrogen
    Spinal Anesthesia Needles
    Needle Gauge18G27G (Proposed device), 18G29G (Predicate)
    Needle Length40mm, 50mm, 65mm, 70mm, 80mm, 90mm, 120mm (Proposed device), 30~150mm (Predicate)
    SterileEO Sterilized, 10-6
    Needle TipQuincke and Pencile (Proposed device), Sharp and blunt (Predicate)
    Single UseSingle Use
    Label/LabelingConform with 21 CFR 801
    Biocompatibility: CytotoxicityNo Cytotoxicity
    Biocompatibility: Intracutaneous ReactivityNo Intracutaneous Reactivity
    Biocompatibility: Skin SensitizationNo Sensitization
    Biocompatibility: Acute Systemic ToxicityNo Systemic Toxicity
    Biocompatibility: HemolysisNo Hemolysis
    Biocompatibility: PyrogenNo Pyrogen
    Combined Anesthesia Needles
    Epidural Needle Gauge and Length14G18G, 60120mm (Proposed); 17G, 18G, 90mm (Predicate)
    Spinal Needle Gauge and Length22G27G, 110150mm (Proposed); 26G, 27G, 132mm (Predicate)
    SterileEO Sterilized, 10-6
    Single UseSingle Use
    Label/LabelingConform with 21 CFR 801
    Biocompatibility: CytotoxicityNo Cytotoxicity
    Biocompatibility: Intracutaneous ReactivityNo Intracutaneous Reactivity
    Biocompatibility: Skin SensitizationNo Sensitization
    Biocompatibility: Acute Systemic ToxicityNo Systemic Toxicity
    Biocompatibility: HemolysisNo Hemolysis
    Biocompatibility: PyrogenNo Pyrogen
    General acceptance criteria for all device types (implied by compliance to standards)
    Stainless Steel Needle TubingComplies with ISO 9626:1991 AMD 1:2001
    Sterile Hypodermic Needles for Single UseComplies with ISO 7864:1993
    Conical fittings (Luer) Part 1: General requirementsComplies with ISO 594-1:1986
    Conical fittings (Luer) Part 2: Lock fittingsComplies with ISO 594-2:1998
    Ethylene oxide sterilization residualsComplies with ISO 10993-7:2008
    Seal strength of flexible barrier materialsComplies with ASTM F88/88M-09
    Internal pressurization failure resistance of unrestrained packagesComplies with ASTM F1140/1140M-13
    Bacterial Endotoxins TestComplies with USP38-NF33
    Biological evaluation of medical devices (in vitro cytotoxicity)Complies with ISO 10993-5:2009
    Biological evaluation of medical devices (irritation and delayed-type hypersensitivity)Complies with ISO 10993-10:2010
    Biological evaluation of medical devices (systemic toxicity)Complies with ISO 10993-11:2006
    Biological evaluation of medical devices (interactions with blood)Complies with ISO 10993-4: 2002/Amd 1: 2006

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

    The document states "Non clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device." However, specific sample sizes for these non-clinical tests are not provided in the given text. The data provenance is also not explicitly stated beyond referring to international and US standards. It can be inferred that these non-clinical tests were conducted in a laboratory setting. The study is retrospective in the sense that it relies on existing predicate devices for comparison and established standards, rather than new prospective human trials.

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

    This information is not provided in the document. The study relies on compliance with recognized standards and non-clinical testing rather than expert-derived ground truth based on patient data.

    4. Adjudication Method for the Test Set

    This information is not applicable as the study did not involve human interpretation of results requiring adjudication. It focused on objective performance against technical 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

    No MRMC comparative effectiveness study was done. This document pertains to the clearance of medical needles, which are physical devices, not an AI or imaging diagnostic tool that would typically involve human readers.

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

    This question is not applicable as the submission is for physical medical needles, not an algorithm or AI system.

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

    The "ground truth" for the non-clinical tests appears to be defined by:

    • Compliance with established international and US standards (e.g., ISO, ASTM, USP).
    • Comparison to predicate devices in terms of technical characteristics and performance (e.g., biocompatibility test results like "No Cytotoxicity").

    8. The sample size for the training set

    This information is not applicable as this is not an AI/machine learning device requiring a training set.

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

    This information is not applicable as this is not an AI/machine learning device.

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