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510(k) Data Aggregation

    K Number
    K222739
    Date Cleared
    2023-04-06

    (209 days)

    Product Code
    Regulation Number
    880.5570
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Disposable Insulin Pen Needle is intended for use with pen injector device for subcutaneous injection of insulin. It is sterile and for single use only. It can be used by the patient at home or healthcare professionals at medical/health care centers.

    Device Description

    The Disposable Insulin Pen Needle consists of a needle tube, a needle hub, a needle container, a needle shield and a seal. The needle tube is a double-ended needle that can be assembled into the needle hub using UV glue. The needle hub has the means of needle assembly attachment to allow it to be screwed onto the pen-injector device. This allows the Non-Patient (NP) end of the needle to penetrate through the rubber septum of the pen injector cartridge. The Patient and NP ends of the needle are lubricated using silicon oil for ease of injection and rubber septum penetration. The needle shield is assembled over the Patient end of the needle to protect the point from damage and accidental needle sticks. This needle assembly is inserted into a needle container and sealed with a peel-away label to provide a sterile barrier and tamper evidence. The peelaway label is pre-printed with information, which includes the lot number and needle gauge / length. It is supplied with several models. Different models are distinguished by needle gauge and length. The Disposable Insulin Pen Needle is a single-use disposable device and is provided sterile (EO sterilization). It is non-toxic and nonpyrogenic.

    AI/ML Overview

    Here's a breakdown of the requested information based on the provided FDA 510(k) summary for the Hantech Medical Device Co., Ltd. Disposable Insulin Pen Needle (K222739).

    It's important to note that this document is a 510(k) premarket notification, which demonstrates substantial equivalence to a predicate device, rather than a full study proving a device meets novel acceptance criteria. Therefore, many of the typical AI/ML study components (like expert consensus, adjudication, MRMC studies, training set details) are not applicable here. This submission focuses on demonstrating that the new device performs similarly to an already approved device through established engineering and biocompatibility testing.


    1. Table of Acceptance Criteria and Reported Device Performance

    For this type of device, "acceptance criteria" are generally derived from recognized international and national standards, and "reported device performance" indicates conformity to these standards.

    Acceptance Criteria CategorySpecific Criteria (from referenced standards)Reported Device Performance
    BiocompatibilityAbsence of cytotoxicity (ISO 10993-5:2009)No cytotoxicity
    Absence of skin sensitization (ISO 10993-10:2010)No evidence of sensitization
    Absence of hemolysis (ISO 10993-4:2017)No evidence of hemolysis
    Acceptable intradermal reactivity (ISO 10993-10:2010)Not explicitly detailed as "acceptable" but implied by conformity. "No evidence of skin irritation" is noted.
    Absence of acute systemic toxicity (ISO 10993-11:2017)No systemic toxicity
    Non-pyrogenic (ISO 10993-11:2017)Non-pyrogenic
    Absence of subacute systemic toxicity (ISO 10993-11:2017)No Subacute Systemic Toxicity
    Acceptable particulate levels (USP 788)Implied by conformity, no specific value given.
    SterilizationSterility Assurance Level (SAL) of $10^{-6}$ (ISO 11135:2014)Sterilized by ethylene oxide gas SAL = $10^{-6}$
    Compliance with ethylene oxide sterilization residuals (ISO 10993-7:2008)Implied by conformity to ISO 10993-7.
    Packaging integrity and sterile barrier system requirements (ISO 11607-1:2019, ISO 11607-2:2019)Implied by conformity to these standards.
    Shelf life stability (based on stability study and accelerated aging - ASTM F1980-16)5 years shelf life
    PerformanceRequirements for hypodermic needles (ISO 7864:2016)Complied with ISO 7864
    Requirements for stainless steel needle tubing (ISO 9626:2016)Complied with ISO 9626
    Requirements for needle-based injection systems (ISO 11608-2:2012)Complied with ISO 11608-2
    LabelingCompliance with 21 CFR Part 801Meet the requirements of 21 CFR Part 801

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

    The document does not specify a "test set" in the context of clinical data or AI model evaluation. Instead, testing refers to product compliance with international standards for medical devices. The sample sizes for these specific engineering and biocompatibility tests are not detailed in this summary, but would typically be defined by the relevant ISO standards (e.g., a certain number of units for sterility testing or mechanical strength tests).

    • Data Provenance: The tests were conducted by the manufacturer, Hantech Medical Device Co., Ltd., which is located in Ningbo, Zhejiang, China. The testing would be prospective in the sense that physical devices were manufactured and then tested to demonstrate compliance.

    3. 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 510(k) submission, "ground truth" is not established by human experts interpreting clinical data. Instead, it's established by objective measurements against predefined engineering standards and biocompatibility requirements. The "experts" involved would be qualified laboratory technicians, engineers, and biocompatibility specialists carrying out the specified tests following established protocols.

    4. Adjudication Method for the Test Set

    Not applicable. There is no qualitative assessment by human readers that would require an adjudication method. Test results are quantitative measurements or assessments against scientific criteria.

    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 physical medical product (insulin pen needle), not an AI/ML diagnostic or assistive technology. Therefore, no MRMC study or AI assistance evaluation was performed.

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

    Not applicable. As noted above, this is a physical medical device, not an algorithm or software.

    7. The Type of Ground Truth Used (expert consensus, pathology, outcomes data, etc.)

    The "ground truth" for this substantially equivalent device is the demonstrated compliance with recognized international and national standards for mechanical performance, sterility, and biocompatibility, as well as comparison to the characteristics of a legally marketed predicate device. This is based on objective laboratory and quality control testing, not clinical outcomes data, pathology, or expert consensus on interpretations.

    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, so no training set or its associated ground truth establishment is relevant.

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    K Number
    K221178
    Date Cleared
    2022-11-17

    (206 days)

    Product Code
    Regulation Number
    880.5570
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Disposable Insulin Pen Needle(Model CT) : Disposable Insulin Pen Needle is intended for use with pen injector device for subcutaneous injection of insulin.

    Disposable Insulin Pen Needle(Model ST) : Disposable Insulin Pen Needle is intended for use with pen injector device for subcutaneous injection of insulin. Additionally, it has sharps injury protection feature that it can reduce the occurrence of accidental needlesticks from the patient end of the needle due to the effect of safe-lock guard.

    Device Description

    Disposable Insulin Pen Needle, could be divided into Model CT (normal type) and model ST(safety type) according to whether there is sharps protection features. Model CT consists of needle hub, needle container, needle tube, needle shield and seal (dialyzing paper). Model ST consists of needle hub, needle container, protective cap, needle tube, spring, slider, protective jacket and seal (dialyzing paper). The device is sterilized by EO gas and for single use. The shelf life is 5 years.

    Needle tube is fixed in the center of the needle hub with UV glue, the needle tip is protected with needle shield or protective jacket before use, medical dialyzing paper is covered and sealed needle container to maintain sterile of the cartridge end of needle can be inserted into the rubber of insulin pen, meanwhile the needle hub is connected to insulin pen with screw thread to provide sterile fluid path for injection of insulin during use. When Disposable Insulin Pen Needle is connected to insulin pen operates on the principles of common piston syringes. The patient end and the cartridge end of the needle tube are lubricated with silicone oil for ease of injection and rubber penetration.

    Model ST has sharps injury protection feature that it can reduce the occurrence of accidental needlesticks from the patient end of the needle due to the effect of safe-lock guard.

    AI/ML Overview

    The provided text is a 510(k) Premarket Notification for a Disposable Insulin Pen Needle. It focuses on demonstrating substantial equivalence to predicate devices through design comparisons and a summary of performance testing. The document does not describe a study that involves acceptance criteria for device performance based on AI or diagnostic accuracy. Instead, it details the physical and functional performance of the device based on established medical device standards.

    Therefore, I cannot provide information about:

    • A table of acceptance criteria and reported device performance related to diagnostic accuracy or AI.
    • Sample size used for the test set and data provenance for an AI model.
    • Number of experts used to establish ground truth or their qualifications.
    • Adjudication method for a test set.
    • MRMC comparative effectiveness study or human reader improvement with AI.
    • Standalone algorithm performance.
    • Type of ground truth used (expert consensus, pathology, outcomes data).
    • Sample size for the training set.
    • How ground truth for the training set was established.

    However, I can extract information regarding the device's general performance testing and criteria based on the provided document:

    The device's performance is evaluated against recognized international standards for medical devices and sterility.

    Here's a summary of the performance testing and criteria mentioned, which serves as the "acceptance criteria" in the context of this medical device submission:

    1. Table of Acceptance Criteria and Reported Device Performance

    Test CategoryAcceptance Criteria (Standard / Requirement)Reported Device Performance
    Sterilization- EO gas sterilization with Sterility Assurance Level (SAL) of 10⁻⁶, validated per ISO 11135:2014. - Maximum EO residual < 0.8mg. - Maximum ECH residual < 1.8mg, according to ISO 10993-7:2008.- Device is sterilized by EO gas; SAL is 10⁻⁶. - Process validated per ISO 11135:2014. - EO residual < 0.8mg. - ECH residual < 1.8mg.
    Product Performance (General)- Meet criteria specified in ISO 11608-2:2012 (Needle-based injection systems). - Meet criteria specified in ISO 9626:2016 (Stainless steel needle tubing). - Meet criteria specified in ISO 7864:2016 (Sterile hypodermic needles).- Meets criteria specified in ISO 11608-2, ISO 9626, and ISO 7864 and other applicable standards.
    Functional Compatibility- Compatible with commonly used insulin pens in the U.S. market.- Tests completed; insulin pens declared in label are compatible with the needle. (Specific compatible pens listed: NovoPen Echo, Humapen Luxura, Humapen Luxura HD, HumanPen Ergo II)
    Transport- Meet requirements of ASTM D4169-16 (Standard Practice for Performance Testing of Shipping Containers and Systems).- Simulated transportation test completed per ASTM D4169-16. Test result: passed (for Model CT and Model ST).
    Shelf Life- Maintain performance (ISO 11608-2), chemical properties, bacterial endotoxin, and leakage (ASTM F1929-2015) after accelerated aging.- Performance, chemical properties, bacterial endotoxin, and leakage tested before accelerated aging, after 4 years, and 5 years of accelerated aging. Determined shelf life: 5 years. (Accelerated aging test by ASTM F88/F88M-2015).
    Biocompatibility- Meet requirements of ISO 10993 series standards. - Specific tests: Cytotoxicity, skin sensitization, intracutaneous reactivity, acute systemic toxicity, hemocompatibility, subchronic toxicity, material-mediated pyrogenicity. - Particulate matter for injections per USP <788>.- Meets requirements of ISO 10993 series standards. - All listed specific tests performed. - Particulate matter for injections performed per USP <788>.
    Sharps Protection Features- For Model ST: Meet requirements of safe-lock guard activation and safety overriding/unlocking force after activation (triggering performance) as per ISO 23908:2011 (Sharps injury protection).- Model ST meets the requirements of safe-lock guard activation and safety overriding/unlocking force after activation per ISO 23908:2011.
    Clinical Simulated Use- For Model ST: Demonstrate sharps injury prevention feature through clinical simulated use testing, according to ISO 23908:2011 and FDA Guidance for Industry and FDA Staff-Medical Devices with Sharps Injury Prevention Features.- Clinical simulated use testing completed for Model ST. Test results show good sharps injury prevention feature.
    Hub/Needle Bond Strength- Conform with ISO 11608-2.- Conform with ISO 11608-2.
    Method of Attachment- Screw structure, conform with ISO 11608-2.- Screw structure, conform with ISO 11608-2.
    Needle Tip Configuration- Tri-bevel edge needle.- Tri-bevel edge needle.
    Endotoxin Limit- 20 EU per device.- 20 EU per device.

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

    The document does not specify a distinct "test set" in the context of diagnostic performance or AI. Instead, it refers to samples of the device being manufactured and subjected to various physical, chemical, and biological tests according to the standards listed above. The provenance of these test samples would be the manufacturer's production line (Ningbo Medsun Medical Co., Ltd., China). The tests are prospective in the sense that they are performed on the manufactured device models to demonstrate compliance.

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

    Not applicable, as this is not a diagnostic device involving expert interpretation or AI. The "ground truth" here is compliance with established international and national medical device standards, which are defined by committees of experts in the field.

    4. Adjudication Method for the Test Set

    Not applicable. The criteria are objective measurements and validations against 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, as this is not a diagnostic device or AI-driven system.

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

    Not applicable, as this is a physical medical device.

    7. The type of ground truth used

    The "ground truth" is defined by the technical specifications and performance requirements outlined in the cited international and national standards (e.g., ISO 11135, ISO 11608-2, ISO 9626, ISO 7864, ISO 10993 series, ASTM D4169-16, ASTM F1929-2015, USP <788>, ISO 23908:2011). These standards represent established scientific and engineering principles for medical device safety and efficacy.

    8. The Sample Size for the Training Set

    Not applicable, as this is not an AI/ML device.

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

    Not applicable, as this is not an AI/ML device.

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    K Number
    K181069
    Date Cleared
    2018-08-28

    (127 days)

    Product Code
    Regulation Number
    880.5570
    Reference & Predicate Devices
    Predicate For
    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 <85>, 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 <85>). 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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    K Number
    K170846
    Date Cleared
    2017-12-13

    (267 days)

    Product Code
    Regulation Number
    880.5570
    Reference & Predicate Devices
    Predicate For
    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 subject 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 consists of needle tube, inner sheath, outer sheath, hub and sealed paper. The hub can be connected screwed onto the insulin pen. The subject device is not intended for neonates, newborn infants or children. The subject device is used in conjunction with following pen injector during clinical use.

    AI/ML Overview

    This document is a 510(k) Summary for a Disposable Insulin Pen Needle. It does not describe an AI/ML medical device, but rather a physical, single-use medical device. Therefore, the questions related to AI/ML device performance, such as MRMC studies, training/test sets, and ground truth establishment, are not applicable.

    The acceptance criteria and proof of "performance" for this device are demonstrated through non-clinical bench testing to show compliance with various international standards and substantial equivalence to a predicate device.

    Here's an interpretation based on the provided document, restructured to address the questions where applicable for a non-AI/ML device:

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

    For a physical device like a pen needle, "acceptance criteria" are generally compliance with relevant standards and demonstration of substantial equivalence to a predicate device. The "reported device performance" refers to the results demonstrating this compliance.

    Acceptance Criterion (Standard Compliance)Reported Device Performance (Compliance Claim)
    ISO 7864: 1993 Sterile hypodermic needles for single useComplies with standard
    ISO 9626:2016 Stainless steel needle tubing for the manufacture of medical devicesComplies with standard
    ISO 11608-2:2012 Needle-based injection systems for medical use - Requirements and test methods - Part 2: NeedlesComplies with standard
    ISO 10993-7:2008 Biological evaluation of medical devices - Part 7: Ethylene oxide sterilization residualsComplies with standard (for residuals)
    ASTM F88/F88M-09 Standard test method for seal strength of flexible barrier materialsComplies with standard
    ASTM F1140/F1140M-13 Standard test methods for internal pressurization failure resistance of unrestrained packagesComplies with standard
    USP 39-NF 34 <85> Bacterial Endotoxins TestComplies with standard
    ASTM F2096-11 Standard Test Method For Detecting Gross Leak in Medical Packaging by Internal Pressurization (Bubble Test)Complies with standard
    ASTM F1929-15 Standard Test Method for Detecting Seal Leaks in Porous Medical Packaging by Dye PenetrationComplies with standard
    Biocompatibility (ISO 10993 series): - ISO 10993-5:2009 (Cytotoxicity) - ISO 10993-10:2010 (Irritation and skin sensitization) - ISO 10993-11:2006 (Systemic toxicity) - ASTM F756-13 (Hemolytic properties)Patient-contact materials meet requirements of these standards
    Sterility Assurance Level (SAL)EO sterilized, SAL: 10^-6
    Single Use ComplianceDesigned and labeled for single use
    Labeling ComplianceConforms with 21 CFR 801
    Substantial Equivalence to Predicate Device (K152824)Achieved through non-clinical bench testing and comparison of technological characteristics

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

    The document states "Non-clinical tests were conducted..." but does not specify the sample sizes for these tests. Data provenance is implied to be from the manufacturer's internal testing in China (Jiangsu Caina Technology Co., Ltd. is based in China), as is typical for 510(k) submissions focusing on bench testing. The tests are "non-clinical," meaning they are not performed on human subjects and are simulated or lab-based.

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

    This question is not applicable as there is no "ground truth" in the context of an AI/ML system or a clinical test set in this document. The "ground truth" for a physical device is its adherence to a standard's specifications as verified by laboratory testing.

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

    This question is not applicable for the type of bench testing described. Adjudication methods are relevant for human expert review, typically in clinical studies or image interpretation.

    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 question is not applicable. This document details the submission for a physical medical device (pen needle), not an AI-assisted diagnostic or therapeutic device.

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

    This question is not applicable as it pertains to AI/ML algorithms.

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

    As explained in point 3, the concept of "ground truth" for this device relates to compliance with established international and ASTM standards as measured through instrumental and chemical analyses in a laboratory setting. There is no biological or expert consensus ground truth defined in the context of this device's performance evaluation for a 510(k).

    8. The sample size for the training set

    This question is not applicable. There is no "training set" as this is not an AI/ML device.

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

    This question is not applicable. There is no "training set" or "ground truth" for a training set.

    In summary: The provided document is a 510(k) summary for a Disposable Insulin Pen Needle. Its "acceptance criteria" and "proof of performance" are entirely based on non-clinical bench testing and adherence to recognized international and ASTM standards, along with demonstrating substantial equivalence to a previously cleared predicate device. The concepts of AI/ML performance evaluation, such as training/test sets, human readers, ground truth establishment by experts, and MRMC studies, are not relevant to this type of device submission.

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