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510(k) Data Aggregation

    K Number
    K180720
    Manufacturer
    Date Cleared
    2018-06-27

    (100 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 Medifine Pen Needle 3 Bevel and the Medifine Pen Needle Quinta 5 Bevel are indicated for use with a pen injector device for the subcutaneous injection of insulin.

    Device Description

    The Medifine Pen Needle consists of a needle with hub, and shield assembly. The needle shield is intended to provide physical protection to the needle with the hub. Blister paper covers the primary container maintains sterility of the needle covering the hub and the shield with the blister paper. The needle hub can be connected onto the pen injector device for the subcutaneous injection of insulin. The device offers two compatible types of needle (patient contact point) as below. The user can choose the needle as per their preference.

    AI/ML Overview

    The provided text describes a 510(k) premarket notification for the Medifine Pen Needle 3 Bevel and Medifine Pen Needle Quinta 5 Bevel. This submission aims to demonstrate substantial equivalence to previously cleared predicate devices, specifically the Medifine Pen Needle 3 Bevel & Medifine Pen Needle Quinta 5 Bevel (K171144) and the CareFine Pen Needle by Facet Technologies, LLC (K140568) for an Over-the-Counter (OTC) claim.

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria for the Medifine Pen Needles are based on compliance with various ISO and ASTM standards. The document states that the "test results show that the subject device is substantially equivalent to the predicate devices in the market," implying the device performance met these criteria. However, specific numerical performance results for each test item are not provided in this document. The table below lists the test items and the relevant standards used as acceptance criteria.

    NoTest ItemTest Method / Acceptance Criteria (Standard)Reported Device Performance
    1DimensionsISO 11608-2:2012 Clause 4.2.1 General; ISO 9626 1991_Amd2001, clause 8Met substantial equivalence (specific data not provided)
    2Dimensions for needlesISO 11608-2:2012 Clause 4.2.2 Dimensions for needlesMet substantial equivalence (specific data not provided)
    3Determination of flow rate through the needleISO 11608-2:2012 Clause 4.3 Determination of flow rate through the needleMet substantial equivalence (specific data not provided)
    4Bond between hub and needle tubeISO 11608-2:2012 Clause 4.4 Bond between hub and needle tube; ISO 7864 Clause 13.1Met substantial equivalence (specific data not provided)
    5Needle pointsISO 11608-2:2012 Clause 4.5 Needle pointMet substantial equivalence (specific data not provided)
    6Freedom from defectsISO 11608-2:2012 Clause 4.6 Freedom from defects; ISO 7864 Clause 11.3Met substantial equivalence (specific data not provided)
    7LubricationISO 11608-2:2012 Clause 4.7 LubricationMet substantial equivalence (specific data not provided)
    8Dislocation of measuring point at patient endISO 11608-2:2012 Clause 4.8 Dislocation of measuring point at patient endMet substantial equivalence (specific data not provided)
    9Determination of functional compatibility with needle-based injection systemsISO 11608-2:2012 Clause 4.9; Test Method - Clause 11.Met substantial equivalence (specific data not provided)
    10Ease of assembly and disassemblyISO 11608-2:2012 Clause 4.10; Test Method - Clause 11Met substantial equivalence (specific data not provided)
    11Compatibility of Needles and Injector systemsISO 11608-2:2012 Clause 11; Test Method - Clause 11Met substantial equivalence (specific data not provided)
    12Cannula TestISO 9626 Clause 4, 5, 6, 7, 8, 9, 10, 11Met substantial equivalence (specific data not provided)
    13Extraction TestISO 7864 Clause 6Met substantial equivalence (specific data not provided)
    14Corrosion TestISO 9626 Clause 11Met substantial equivalence (specific data not provided)
    15Sterility TestISO 11737-2Met substantial equivalence (specific data not provided)
    16Packaging/Aging TestASTM D4169-09, ISO 11608-2, ASTM F1929, ISO 11608-2Met substantial equivalence (specific data not provided)
    17BiocompatibilitySame raw material, manufacturing processes, and sterilization method as predicate device (K171144)Met substantial equivalence (specific data not provided)

    2. Sample Size for the Test Set and Data Provenance

    The document does not specify the exact sample sizes used for each test item. It only states that "The following tests were performed on the Medifine Pen Needle 3 Bevel and Medifine Pen Needle Quinta 5 Bevel." The data provenance is not explicitly mentioned (e.g., country of origin or retrospective/prospective). However, the testing is performed to satisfy international standards (ISO, ASTM), implying a standardized testing environment rather than a clinical data collection.

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

    This document describes a submission for a medical device (pen needles) based on engineering performance testing and substantial equivalence to existing devices, not on diagnostic accuracy requiring expert interpretation of medical images or data. Therefore, the concept of "ground truth" and "experts" in the context of clinical interpretation, as typically applied to AI/ML medical devices, is not applicable to this type of submission. The ground truth for the performance tests would be defined by the specifications and measurement techniques within the cited ISO and ASTM standards.

    4. Adjudication Method for the Test Set

    As explained above, this submission is for a medical device that relies on engineering and material performance criteria. Therefore, an adjudication method for a test set, in the sense of resolving discrepancies between expert interpretations, is not applicable. The results of the performance tests would be objective measurements against predefined criteria in the standards.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was Done

    No. This document does not describe an MRMC comparative effectiveness study. This type of study is typically conducted for AI/ML diagnostic or prognostic devices to assess the impact of AI assistance on human reader performance. The Medifine Pen Needle is a physical medical device.

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

    No. This document describes the performance testing of a physical medical device, not an algorithm, so a standalone algorithm performance study is not applicable.

    7. The Type of Ground Truth Used

    The "ground truth" for the acceptance criteria and performance testing of the Medifine Pen Needle is based on established engineering and safety standards (ISO, ASTM). These standards define acceptable dimensions, flow rates, bond strengths, material properties, sterility, and other physical and safety features. It is not based on expert consensus for clinical diagnosis, pathology, or outcomes data.

    8. The Sample Size for the Training Set

    This document describes a 510(k) submission for a physical medical device. It does not involve any artificial intelligence or machine learning algorithms that would require a "training set." Therefore, the concept of a training set sample size is not applicable.

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

    As there is no training set for an AI/ML algorithm involved in this device, the question of how its ground truth was established is not applicable.

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    K Number
    K171144
    Manufacturer
    Date Cleared
    2017-09-12

    (146 days)

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

    The Medifine Pen Needle 3 Bevel and the Medifine Pen Needle Quinta 5 Bevel are indicated for use with a pen injector device for the subcutaneous injection of insulin.

    Device Description

    The Medifine Pen Needle consists of a needle with hub, and shield assembly. The need to provide physical protection to the needle with the hub. Blister paper covers the primary container. The primary container maintains sterility of the needle covering the hub and the shield with the blister paper. The needle hub can be connected onto the pen injector device for the subcutaneous injection of insulin. The device offers two compatible types of needle (patient contact point) as below. The user can choose the needle as per their preference.

    AI/ML Overview

    The provided document is a 510(k) Premarket Notification for the Medifine Pen Needle 3 Bevel and Medifine Pen Needle Quinta 5 Bevel. This type of submission focuses on demonstrating substantial equivalence to a predicate device, rather than explicit acceptance criteria and effectiveness studies as would be seen for higher-risk devices or novel technologies.

    Therefore, the information you've requested regarding acceptance criteria and performance studies, particularly in the context of AI/algorithm performance and expert adjudication, is largely not applicable to this document as it describes a medical device (hypodermic pen needles), not an AI/software as a medical device (SaMD).

    However, I can extract the closest information available from the document that aligns with your request, interpreting "acceptance criteria" as the performance standards met by the device through testing.

    Here's the breakdown:

    1. Table of Acceptance Criteria and Reported Device Performance

    Since this is a substantial equivalence submission for a physical medical device (pen needles), the "acceptance criteria" are the performance specifications defined by international standards (ISO standards) for hypodermic needles. The document states that the device met these criteria through testing. It does not provide specific numerical thresholds for acceptance or numerical results for each test item. Instead, it indicates that the device conforms to the standards.

    Test ItemTest Method (Reference Standard)Reported Device Performance
    DimensionsISO 11608-2:2012 Clause 4.2.1 General
    ISO 9626 1991_Amd2001, clause8Meets standard requirements (implied by "tests show... substantially equivalent")
    Dimensions for needlesISO 11608-2:2012 Clause 4.2.2 Dimensions
    for needlesMeets standard requirements (implied)
    Determination of flow rate through the needleISO 11608-2:2012 Clause 4.3
    Determination of flow rate through the
    needleMeets standard requirements (implied)
    Bond between hub and needle tubeISO 11608-2:2012 Clause 4.4 Bond
    between hub and needle tube
    ISO 7864 Clause 13.1Meets standard requirements (implied), specifically "Min. 22 [N]"
    Needle pointsISO 11608-2:2012 Clause 4.5 Needle pointMeets standard requirements (implied)
    Freedom from defectsISO 11608-2:2012 Clause 4.6 Freedom
    from defects
    ISO 7864 Clause 11.3Meets standard requirements (implied)
    LubricationISO 11608-2:2012 Clause 4.7 LubricationMeets standard requirements (implied)
    Dislocation of measuring point at patient endISO 11608-2:2012 Clause 4.8 Dislocation
    of measuring point at patient endMeets standard requirements (implied)
    Determination of functional compatibility with needle-based injection systemsISO 11608-2:2012 Clause 4.9
    Test Method - Clause 11.Meets standard requirements (implied)
    Ease of assembly and disassemblyISO 11608-2:2012 Clause 4.10
    Test Method - Clause 11Meets standard requirements (implied)
    Compatibility of Needles and Injector systemsISO 11608-2:2012 Clause 11Meets standard requirements (implied)
    Cannula TestISO 9626 Clause 4,5,6,7,8,9,10,11Meets standard requirements (implied)
    Extraction TestISO 7864 Clause 6Meets standard requirements (implied)
    Corrosion TestISO 9626 Clause 11Meets standard requirements (implied)
    Primary Container Removal ForceN/A (Internal specification)220~1100 [gf]

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

    • Sample Size: Not explicitly stated in the document. The tests performed are typically batch-release or design verification tests, which would involve a statistically significant sample size based on the specific ISO standards, but the exact number is not detailed here.
    • Data Provenance: Not specified. Standard medical device testing is typically conducted by the manufacturer or accredited testing laboratories. The country of origin of the data is not mentioned. It is assumed to be part of the manufacturer's quality system which adheres to international standards. The study is prospective in the sense that the new device was tested against established standards and specifications.

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

    • This question is not applicable as the device is a physical pen needle, not an AI/software device requiring expert interpretation of diagnostic images or data. Performance is assessed against physical and mechanical standards using laboratory testing, not human expert "ground truth."

    4. Adjudication Method for the Test Set

    • This question is not applicable for the same reason as point 3. Testing involves objective measurements and adherence to engineering and material specifications, not subjective expert adjudication.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

    • This question is not applicable. MRMC studies are used for diagnostic imaging devices or SaMD where human readers interpret cases. This document concerns a physical device (pen needle).

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

    • This question is not applicable. This device is not an algorithm or software. It is a physical medical device.

    7. The Type of Ground Truth Used

    • The "ground truth" for this device's performance is established by international standards (ISO standards) for hypodermic needles and pen needles (e.g., ISO 11608-2, ISO 9626, ISO 7864) and manufacturer's internal specifications derived from these standards. These standards define the acceptable physical properties, mechanisms, and safety characteristics.

    8. The Sample Size for the Training Set

    • This question is not applicable. "Training set" refers to data used to train an AI model. This device is not an AI/software device.

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

    • This question is not applicable for the same reason as point 8.
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