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510(k) Data Aggregation

    K Number
    K230287
    Date Cleared
    2023-11-21

    (292 days)

    Product Code
    Regulation Number
    880.5860
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    MEG

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

    The Savisafe Safety Device is indicated for use as an accessory with pre-filled ISO Standard glass syringes to aid in the protection of healthcare professionals, patients who self-inject doctor prescribed medications and individuals that assist self-injecting patients, from accidental needlesticks. The intended patient population is unrestricted and may include children and adults, and parenteral methods of administration.

    Device Description

    The proposed device, Savisafe Safety Device is a non-sterile, single use anti-needlestick accessory for pre-filled ISO standard glass syringe that are 1ml with a needle length of 1/2". The proposed device consists of four components:(1) Syringe sleeve, (2) Syringe holder, (3) Plunger rod. (4) Spring. The proposed device has a five-year shelf life.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the Savisafe Safety Device, based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document doesn't explicitly state numerical acceptance criteria for many of the tests. Instead, it states that the device "complies with the requirements" or that "the proposed device is substantial equivalence with the predicate device." Where specific findings are reported, they are included.

    Acceptance Criteria CategorySpecific Test/CriteriaReported Device Performance
    BiocompatibilityCytotoxicity (ISO 10993-5:2009)Under the conditions of the study, the subject device extract was determined to be non-cytotoxic.
    Irritation (ISO 10993-10:2010)Under the conditions of the study, the subject device non-polar and polar extracts were determined to be non-irritating.
    Sensitization (ISO 10993-10:2010)Under the conditions of the study, the subject device non-polar and polar extracts were determined to be non-sensitizing.
    Safety Feature PerformanceSafety Feature Activation Force Test (ISO 23908:2011)The test results showed that the proposed device is substantially equivalent to the predicate device.
    Safety Feature Override Force Test (ISO 23908:2011)The test results showed that the proposed device is substantially equivalent to the predicate device.
    Activation ReactionConducted to meet the design specification. (Specific result not detailed, but implied successful.)
    Access to the sharp in safe modeConducted to meet the design specification. (Specific result not detailed, but implied successful.)
    Compatibility PerformanceTests with compatible pre-filled syringeDemonstrated the compatibility between the proposed device and the pre-filled syringe. (Specific result not detailed, but implied successful.)
    Durability/TransportSimulated Transportation (ASTM D4169:2022)Demonstrated the proposed device could function as intended after transportation. (Specific result not detailed, but implied successful.)
    Simulated Clinical StudyEffect of safety feature (FDA Guidance Aug 9, 2005)The test results demonstrated that the subject device complies with the requirements. (Specific result not detailed, but implied successful in preventing sharps injury under simulated conditions.)
    Overall ConclusionAs safe, as effective, and performs as well as or better than predicate device.The conclusion drawn from the non-clinical tests demonstrates that the proposed device, Savisafe Safety Device is as safe, as effective, and performs as well as or better than the legally marketed predicate device UltraSafe Passive PLUS Needle Guard (K123743). Additionally, the device is considered substantially equivalent to the predicate device based on the comparison of technological characteristics.

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

    The document does not explicitly state the specific sample sizes used for each individual non-clinical performance test. It mentions that tests were conducted "both on the proposed device and the predicate device" for the Safety Feature Performance tests.

    The provenance of the data is not specified (e.g., country of origin, retrospective or prospective). Given that this is a 510(k) submission from a Chinese company, the testing was likely conducted in accordance with international standards, but the specific location of the test labs is not provided. All studies mentioned are non-clinical (laboratory/simulated), so "retrospective or prospective" doesn't strictly apply in the clinical sense.

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

    This information is not applicable and not provided in the document. The studies conducted are non-clinical performance tests (biocompatibility, mechanical performance, simulated clinical use), not studies involving expert interpretation of medical images or clinical outcomes. Therefore, there's no "ground truth" established by medical experts in the traditional sense for these types of device performance tests.

    4. Adjudication Method for the Test Set:

    This information is not applicable and not provided. Adjudication methods like "2+1" or "3+1" are typically used in studies where multiple human readers or reviewers are making interpretations (e.g., of medical images) and their disagreements need to be resolved to establish a ground truth. The tests described are objective, non-clinical performance evaluations.

    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 as the device is a medical accessory (safety device for syringes), not an AI-powered diagnostic or assistive tool for human readers. There is no mention of AI in the document, nor are human readers involved in the performance evaluation described.

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

    This is not applicable since the device is a mechanical safety accessory, not an algorithm or AI system.

    7. The Type of Ground Truth Used:

    For the non-clinical performance tests, the "ground truth" is defined by adherence to established test standards and design specifications. For example:

    • Biocompatibility: Absence of cytotoxicity, irritation, and sensitization as determined by the specified ISO standards.
    • Safety Feature Performance: The ability to activate and prevent override as per ISO 23908:2011 and deemed "substantially equivalent" to the predicate device.
    • Simulated Clinical Study: Compliance with the requirements of FDA Guidance "Medical Devices with Sharps Injury Prevention Features."

    This isn't "expert consensus," "pathology," or "outcomes data" in the clinical sense, but rather objective measurement against predefined engineering and biocompatibility criteria.

    8. The Sample Size for the Training Set:

    This is not applicable. There is no "training set" as this device is a mechanical safety accessory and does not involve machine learning or AI that would require training data.

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

    This is not applicable since there is no training set.

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    K Number
    K231165
    Date Cleared
    2023-10-27

    (185 days)

    Product Code
    Regulation Number
    880.5860
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    MEG

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

    Shina Syringe, Shina Safety Syringe is a plastic sterile syringe and hypodermic single lumen needle intended to be used for medical purpose to inject fluid into or withdraw fluid from body.

    Device Description

    A sterile device consisting of a calibrated barrel (cylinder) with plunger intended to be used for injection/withdrawal of fluids/gas (e.g., medication) to/from a medical device or the body (i.e., capable of both); a needle is (not) included. lt is intended for various medical applications and is not dedicated to medication administration. At the distal end of the barrel is a male connector (typically Luer-lock/slip type) for the attachment to a hypodermic needle or an administration set. It is typically made of plastic and silicone materials and may have anti-stick plunger allowing smooth plunger movement, either manually or by a syringe pump. This is a single-use device.

    AI/ML Overview

    This document describes the acceptance criteria and study proving the device meets those criteria for the Shina Syringe and Shina Safety Syringe.

    The listed information primarily focuses on bench testing for mechanical, physical, and biocompatibility properties, rather than effectiveness studies involving human subjects or AI-assisted diagnoses. Therefore, several requested sections, particularly those related to clinical studies, human readers, ground truth establishment for training sets, and effect sizes of AI assistance, are not applicable based on the provided text.


    1. Table of Acceptance Criteria and Reported Device Performance

    The device performance is demonstrated by compliance with various ISO standards and USP . The document does not explicitly present specific numerical results for each test item but states that the tests demonstrated that the device performs in a substantially equivalent manner to the predicate device and meets the requirements.

    Syringe

    Test ItemAcceptance Criteria (Standard)Reported Device Performance
    Appearance and StructureISO 7886-1:2017 Sterile hypodermic syringes for single use — Part 1: Syringes for manual useDemonstrated substantial equivalence
    Graduated capacityISO 7886-1:2017 Sterile hypodermic syringes for single use — Part 1: Syringes for manual useDemonstrated substantial equivalence
    ScaleISO 7886-1:2017 Sterile hypodermic syringes for single use — Part 1: Syringes for manual useDemonstrated substantial equivalence
    BarrelISO 7886-1:2017 Sterile hypodermic syringes for single use — Part 1: Syringes for manual useDemonstrated substantial equivalence
    Plunger stopper / Plunger assemblyISO 7886-1:2017 Sterile hypodermic syringes for single use — Part 1: Syringes for manual useDemonstrated substantial equivalence
    NozzleISO 7886-1:2017 Sterile hypodermic syringes for single use — Part 1: Syringes for manual useDemonstrated substantial equivalence
    Dead SpaceISO 7886-1:2017 Sterile hypodermic syringes for single use — Part 1: Syringes for manual useMeets ISO 7886-1 standard
    Freedom from liquid leakage past plunger stopperISO 7886-1:2017 Sterile hypodermic syringes for single use — Part 1: Syringes for manual useDemonstrated substantial equivalence
    Freedom from air leakage past plunger stopperISO 7886-1:2017 Sterile hypodermic syringes for single use — Part 1: Syringes for manual useDemonstrated substantial equivalence
    Force to operate the pistonISO 7886-1:2017 Sterile hypodermic syringes for single use — Part 1: Syringes for manual useDemonstrated substantial equivalence
    Fit of plunger stopper / plunger in barrelISO 7886-1:2017 Sterile hypodermic syringes for single use — Part 1: Syringes for manual useDemonstrated substantial equivalence
    Amount of Silicon Oil0.25mg or less per square centimeter of inner areaDemonstrated substantial equivalence
    EO Gas residualsISO 10993-7:2008 Ethylene oxide sterilization residualsReported Compliance
    Sterility testEO, ECH residualsReported Compliance

    Needle

    Test ItemAcceptance Criteria (Standard)Reported Device Performance
    CleanlinessISO 7864:2016 Sterile hypodermic needles for single use - Requirements and test methodsDemonstrated substantial equivalence
    Size designationISO 7864:2016 Sterile hypodermic needles for single use - Requirements and test methodsDemonstrated substantial equivalence
    Colour codingISO 7864:2016 Sterile hypodermic needles for single use - Requirements and test methodsDemonstrated substantial equivalence
    Needle hubISO 7864:2016 Sterile hypodermic needles for single use - Requirements and test methodsDemonstrated substantial equivalence
    Needle tube (Tolerances on length)ISO 7864:2016 Sterile hypodermic needles for single use - Requirements and test methodsDemonstrated substantial equivalence
    Freedom from defectsISO 7864:2016 Sterile hypodermic needles for single use - Requirements and test methodsDemonstrated substantial equivalence
    LubricantISO 7864:2016 Sterile hypodermic needles for single use - Requirements and test methodsDemonstrated substantial equivalence
    Needle pointISO 7864:2016 Sterile hypodermic needles for single use - Requirements and test methodsDemonstrated substantial equivalence
    Bond between hub and needle tubeISO 7864:2016 Sterile hypodermic needles for single use - Requirements and test methodsDemonstrated substantial equivalence
    Patency of lumenISO 7864:2016 Sterile hypodermic needles for single use - Requirements and test methodsDemonstrated substantial equivalence
    Sharps injury protectionISO 23908:2011 Sharps injury protectionReported Compliance
    MaterialsISO 9626:2016 Stainless steel needle tubing for the manufacture of medical devices – Requirements and test methodsDemonstrated substantial equivalence
    Surface finish and visual appearanceISO 9626:2016 Stainless steel needle tubing for the manufacture of medical devices – Requirements and test methodsDemonstrated substantial equivalence
    CleanlinessISO 9626:2016 Stainless steel needle tubing for the manufacture of medical devices – Requirements and test methodsDemonstrated substantial equivalence
    Limits for acidity and alkalinityISO 9626:2016 Stainless steel needle tubing for the manufacture of medical devices – Requirements and test methodsDemonstrated substantial equivalence
    Size designationISO 9626:2016 Stainless steel needle tubing for the manufacture of medical devices – Requirements and test methodsDemonstrated substantial equivalence
    DimensionISO 9626:2016 Stainless steel needle tubing for the manufacture of medical devices – Requirements and test methodsDemonstrated substantial equivalence
    StiffnessISO 9626:2016 Stainless steel needle tubing for the manufacture of medical devices – Requirements and test methodsDemonstrated substantial equivalence
    Resistance to breakageISO 9626:2016 Stainless steel needle tubing for the manufacture of medical devices – Requirements and test methodsDemonstrated substantial equivalence
    Resistance to corrosionISO 9626:2016 Stainless steel needle tubing for the manufacture of medical devices – Requirements and test methodsDemonstrated substantial equivalence

    Syringe with needle (Model : WNLS0125)

    Test ItemAcceptance CriteriaReported Device Performance
    Extraction : pHDifference of pH $\leq$ 1.0Reported Compliance
    Extraction : Potassium permanganate reducing substancesDifference of the consumption $\leq$ 2.0 mLReported Compliance
    Extraction: Residue on evaporationAmount of residue $\leq$ 1.0 mgReported Compliance
    Extraction: Pb, Fe, Sn, ZnTotal content of heavy metals $\leq$ 5.0 mg/LReported Compliance
    Extraction: CdContent of Cd $\leq$ 0.1 mg/LReported Compliance

    Syringe with needle (Particulate test for various models including WNLG0123, WNLS0123, WNSG0125, WNLS0125, WNLG0323, WNLS0323, WNSG0325, WNLS0325, WNLG0523, WNLS0523, WNSG0525, WNLS0525, WNLG1023, WNLS1023, WNSG1025, WNLS1025)

    Test ItemAcceptance CriteriaReported Device Performance
    Particulate test reportUSP Method 1. Light obscuration methodReported Compliance

    Safety test

    Test ItemAcceptance Criteria (Standard)Reported Device Performance
    Simulated Clinical UseISO 23908:2011 Sharps injury protectionReported Compliance

    Biocompatibility (for 25G Model, 23G Model, and Syringe Model SSN2301)

    Test ItemAcceptance Criteria (Standard)Reported Device Performance
    CytotoxicityISO 10993-5:2009 Biological evaluation of medical devices - Part 5Reported Compliance
    Acute systemic toxicity testISO 10993-11:2017 Biological evaluation of medical devices - Part 11Reported Compliance
    Pyrogen testISO 10993-11:2017 Test for systemic toxicity, pyrogen test USPReported Compliance
    Sensitization testISO 10993-10:2010 Biological evaluation of medical devices - Part 10Reported Compliance
    Hemolytic testISO 10993-4:2017, ASTM F756-17Reported Compliance
    Intracutaneous reactivity testISO 10993-23:2021 Biological evaluation of medical devices - Part 23Reported Compliance

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

    The document does not explicitly state the sample size for each bench test conducted. The provenance of the data is that these are bench tests conducted by the manufacturer, Shina Med Corporation, in the Republic of Korea. The studies are by nature retrospective in the context of device development, where the device is manufactured and then tested to established standards.


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

    This section is not applicable. The ground truth for these types of mechanical, physical, and biocompatibility tests is established by published international standards (ISO, USP, ASTM), not by expert consensus in diagnostic interpretation.


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

    This section is not applicable. Adjudication methods are typically used in clinical studies involving interpretation of medical data by multiple experts. The reported studies are bench tests against defined international standards.


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

    This section is not applicable. No MRMC comparative effectiveness study was performed or discussed, as the device is a syringe and needle, not an AI-assisted diagnostic tool.


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

    This section is not applicable. The device is a physical medical device (syringe and needle) and does not involve an algorithm or AI.


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

    The ground truth used for these tests are established international and national standards for medical devices, specifically:

    • ISO 7886-1: Sterile hypodermic syringes for single use
    • ISO 7864: Sterile hypodermic needles for single use
    • ISO 9626: Stainless steel needle tubing
    • USP : Particulate Matter in Injections
    • ISO 23908: Sharps injury protection
    • ISO 10993 series for Biological evaluation of medical devices (Parts 4, 5, 7, 10, 11, 23)
    • ASTM F756-17: Standard Practice for Assessment of Hemolytic Properties of Materials

    8. The sample size for the training set

    This section is not applicable. As this is a physical medical device submission focusing on bench testing, there is no AI model or "training set" in the context of machine learning.


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

    This section is not applicable for the same reasons as section 8.

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    K Number
    K231907
    Date Cleared
    2023-10-18

    (111 days)

    Product Code
    Regulation Number
    880.5860
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    MEG

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

    The Medline Safety Insulin Syringe is intended for the delivery of U-100 insulin. The needle stick prevention feature of the device, once activated, guards against accidental needle-sticks.

    The Medline TB (Tuberculin) Syringe is intended for the delivery of tuberculin. The needle stick prevention feature of the device, once activated, guards against accidental needle-sticks.

    Device Description

    The Medline Safety Insulin Syringe is a sterile, single-use device, intended for prescription-use only, and is labeled for delivery of U-100 Insulin. The proposed device consists of the following components: (1) a syringe barrel with a permanently attached single lumen needle; (2) a plunger; (3) a needle cap; and (4) a manually operated safety feature (i.e. shield) at the needle end of the syringe. The proposed device functions by mechanical action to deliver insulin. The syringe consists of a plunger that fits within the syringe barrel. The plunger can be linearly pulled and pushed along the inside of the barrel, allowing the syringe to take in and dispense insulin through the needle. The segmented safety shield is designed to be extended over the needle and locked. Activation is performed by a manual operation by extending the shield to cover the needle. Once activated, the safety shield is securely and permanently locked with a twisting motion. The Medline Safety Insulin Syringe barrel contains major and minor graduated ink markings and will be available in a 1 ml (100 units), and 0.5 ml (50 units) syringe volumes with three different needle gauge sizes.

    The Medline TB Syringe is a sterile, single-use device, intended for prescription-use only, and is labeled for Tuberculin use. The proposed device consists of the following components: (1) a syringe barrel with a permanently attached single lumen needle; (2) a plunger; (3) a needle cap; and (4) a manually operated safety feature (i.e. shield) at the needle end of the syringe. The proposed device functions by mechanical action to deliver tuberculin. The syringe consists of a plunger that fits within the syringe barrel. The plunger can be linearly pulled and pushed along the inside of the barrel, allowing the syringe to take in and dispense tuberculin through the needle. The segmented safety shield is designed to be extended over the needle and locked. Activation is performed by a manual operation by extending the shield to cover the needle. Once activated, the safety shield is securely and permanently locked with a twisting motion. The syringe barrel contains graduated markings, with major graduation markings every 0.05mL and minor graduation markings every 0.01mL. The Medline TB Syringe will be available in a 1 mL syringe volume with three different needle sizes.

    AI/ML Overview

    This document, a 510(k) premarket notification, describes the "Medline Safety Insulin and TB Syringes" and aims to demonstrate their substantial equivalence to a predicate device, the "Kendall Monoject® Magellan Insulin and Tuberculin Safety Syringe." It is not a document describing an AI/ML powered device, therefore the information requested in the prompt relating to AI models and ground truth generation (training set, test set, expert adjudication, MRMC studies, standalone performance, etc.) is not applicable to this submission.

    The acceptance criteria and study proving the device meets them relate to the physical and biological performance of the syringes, particularly their safety features and material compatibility.

    Here's a breakdown of the acceptance criteria and performance testing:

    1. Table of Acceptance Criteria and Reported Device Performance

    The submission does not present a formal table of quantitative acceptance criteria alongside specific numerical performance results. Instead, it lists the types of non-clinical tests conducted and states that "The results of these tests have demonstrated the overall safety of the proposed device and its effectiveness in accordance with relevant test methods, and ultimately support a substantial equivalence determination." This implies that the device met the standards and requirements of the cited ISO, ASTM, and USP standards.

    The categories of testing and implied performance goals are:

    Test CategoryImplied Acceptance Criteria / Performance Goal
    Sterilization & Shelf Life- Sterility: Achieve a Sterility Assurance Level (SAL) of 1 x 10⁻⁶ in accordance with ISO 11135:2014.
    • Residuals: EO and Ethylene Chlorohydrin (ECH) residuals within acceptable limits per ISO 10993-7:2008(R)2012.
    • Shelf Life: Maintain functionality and sterility for 5 years as demonstrated by accelerated aging studies per ASTM F1980-16.
    • Transportation Testing: Device integrity maintained after simulated transport (ISTA-3A:2008 – drop, vibration with top load, vibration without top load, second drop test).
    • Package Integrity: No dye penetration after distribution stimulation per ASTM F1929:2015. |
      | Chemical Safety Testing | - Particulate Matter: Meet requirements of USP for particulate matter in injections.
    • Phthalates: Acceptable levels of phthalates.
    • Bacterial Endotoxin: Meet requirements of USP and Limulus Amebocyte Lysate (LAL) testing for bacterial endotoxins. |
      | Functional Performance Testing | - Visual Appearance: Pass visual inspection per ASTM F1886:2016 for seal integrity.
    • Package Integrity: Pass seal leak detection per ASTM F1929-15.
    • Seal Strength: Meet strength requirements per ASTM F88-21.
    • Syringe Performance (Insulin): Meet requirements of ISO 8537:2016 for sterile single-use syringes for insulin.
    • Sharps Injury Protection: Meet requirements and test methods of ISO 23908:2011 for sharps protection features.
    • Needle Requirements: Meet requirements of ISO 7864:2016 for sterile hypodermic needles for single use.
    • Needle Tubing: Meet requirements of ISO 9626:2016 for stainless steel needle tubing.
    • Manual Syringe Use: Meet requirements of ISO 7886-1:2017 for sterile hypodermic syringes for manual use. |
      | Usability Testing | - Demonstrate effective sharps injury prevention features in simulated clinical use, in accordance with FDA guidance "Medical Devices with Sharps Injury Prevention Features." |
      | Biocompatibility Testing | - Cytotoxicity: No in vitro cytotoxicity (ISO 10993-5:2009).
    • Sensitization: No sensitization (ISO 10993-10:2010).
    • Irritation: No irritation (ISO 10993-10:2010).
    • Acute Systemic Toxicity: No acute systemic toxicity (ISO 10993-11:2017).
    • Hemolysis: Acceptable hemolytic properties (ASTM F756-17, ISO 10993-4:2017).
    • Material-Mediated Pyrogenicity: No pyrogenic response (USP , ISO 10993-11:2017).
    • Subacute/Subchronic Toxicity: No subacute/subchronic toxicity (ISO 10993-11:2017).
    • Complement Activation: Acceptable complement activation (ISO 10993-4:2017).
    • Partial Thromboplastin Time: Acceptable effect on PTT (ISO 10993-4:2017).
    • Platelet and Leukocyte Counts: Acceptable effect on platelet and leukocyte counts (ISO 10993-4:2017). |

    2. Sample Size for Test Set and Data Provenance

    The document does not specify exact sample sizes for each test. Instead, it refers to industry standards (ISO, ASTM, USP) which typically prescribe minimum sample sizes for specific tests. The provenance of the data is not explicitly stated in terms of country or retrospective/prospective, but these are standard non-clinical laboratory tests performed on manufactured devices.

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

    This is not applicable to this type of device submission. The "ground truth" for these tests are the established parameters and performance requirements defined by the international and national standards (ISO, ASTM, USP). The "experts" would be the qualified personnel performing the testing in compliance with these validated methods.

    4. Adjudication Method for the Test Set

    Not applicable. Testing results are generally objective measurements against established pass/fail criteria from the standards.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    Not applicable. This device is a mechanical syringe, not an AI-assisted diagnostic tool.

    6. Standalone (Algorithm Only) Performance

    Not applicable. This device is a mechanical syringe.

    7. The Type of Ground Truth Used

    The "ground truth" for this device is based on:

    • International and National Standards: ISO (International Organization for Standardization), ASTM (American Society for Testing and Materials), and USP (United States Pharmacopeia) define the performance and safety requirements.
    • Predicate Device Equivalence: The primary objective is to demonstrate that the new device performs as safely and effectively as the legally marketed predicate device (Kendall Monoject® Magellan Insulin and Tuberculin Safety Syringe).
    • Biocompatibility Standards: Guidelines from ANSI/AAMI/ISO 10993-1 ensure the materials are safe for biological contact.

    8. The Sample Size for the Training Set

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

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

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

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    Why did this record match?
    Product Code :

    MEG

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

    Monoject Magellan Insulin Safety Syringes are intended for delivery of U-100 insulin. The needle stick prevention feature of the device, once activated, guards against accidental needle-sticks.

    Device Description

    The Monoject™ Magellan™ Insulin Safety Syringe consists of a piston syringe with a permanently attached needle, and safety shield designed to extend, fully cover, and permanently lock over the needle when activated by a fingertip or thumb to reduce the occurrence of accidental needle sticks. The device is provided sterile and is intended for single use only. An orange needle cap indicates for use with insulin. The barrel of the syringe is graduated for measuring a prescribed dose. The syringe is intended for use immediately after filling and is not intended to contain or store insulin for extended periods of time.

    AI/ML Overview

    The provided text is a 510(k) summary for a medical device (Monoject Magellan Insulin Safety Syringe). It details the device's characteristics, intended use, and comparison to a predicate device to establish substantial equivalence.

    However, this document does not contain any information about an AI/ML-driven device or its acceptance criteria and study results. The device described is a physical medical device (syringe), not a software or AI/ML product.

    Therefore, I cannot fulfill the request to describe acceptance criteria and associated study results for an AI/ML device based on the provided text. The questions posed (e.g., sample size for test set, number of experts, MRMC study, standalone performance, training set data) are relevant to the evaluation of AI/ML models, but the provided document is not about such a device.

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    K Number
    K220114
    Device Name
    PowerPAK Syringe
    Date Cleared
    2023-01-25

    (376 days)

    Product Code
    Regulation Number
    880.5860
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    MEG

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

    The PowerPAK™ Syringe is indicated for general medical use in healthcare facilities by medical professionals for pediatric and adult population patients for aspiration of fluids. Phlebotomy is not an intended use of this device.

    The PowerPAK™ Syringe is a 3mL syringe with a permanently attached needle system. Routes of Administration include subcutaneous, intradermal and intramuscular. Intraperitoneal are not intended uses of this device.

    The needle system contains an internal mechanism that retracts the syringe after activation. Upon retraction, the needle is fully contained inside the syringe preventing reuse of the needle and accidenticks during normal handling and disposal.

    Device Description

    The PowerPAK™ syringe is single-use, non-reusable, sterile safety syringe containing a 22GA needle with a usable needle length of 1.80 inches and a syringe capacity of 3mL. The PowerPAK™ Syringe is indicated for general medical use by healthcare providers in the aspiration and injection of fluids via subcutaneous, intradermal, and intramuscular routes of administration. Phlebotomy and intravenous use are not an intended use of this device.

    The PowerPAK™ syringe is a 3mL safety syringe with a permanently attached needle system containing an internal mechanism that retracts the needle inside the plunger rod of the syringe to prevent reuse of the syringe and accidental needle sticks during normal handling and disposal. Activation of the syringe occurs when the forward plunger movement punctures the propellant gas cell inside the needle assembly and initiates needle retraction. Propellant is the same medical grade propellant currently used in legally marketed dose inhalers.

    The subject device is a single use, non-reusable, sterile safety syringe comprised of three main components including a Plunger, Syringe body, and Needle System.

    AI/ML Overview

    I am sorry, but the provided text describes an FDA 510(k) clearance letter for a medical device called the "PowerPAK Syringe." This document focuses on demonstrating substantial equivalence to a predicate device, primarily through non-clinical performance testing against various ISO standards and FDA guidance documents.

    The document does not contain information about:

    1. Acceptance criteria and reported device performance in a table format for qualitative measures. The listed tests are primarily pass/fail against standards for physical properties, materials, and sterilization, not typical subjective performance metrics (like accuracy, precision, sensitivity, specificity, or image quality) that would require an acceptance criteria table.
    2. Sample size used for a "test set" in the context of an AI/ML study. The tests mentioned are for device performance, biocompatibility, and sterilization, where sample sizes are typically specified by the relevant ISO standards.
    3. Data provenance (country of origin, retrospective/prospective) related to AI/ML model training or testing.
    4. Number of experts used or their qualifications for establishing ground truth.
    5. Adjudication method for a test set.
    6. Multi-Reader Multi-Case (MRMC) comparative effectiveness study or human-in-the-loop performance improvement.
    7. Standalone (algorithm-only) performance.
    8. Type of ground truth used (expert consensus, pathology, outcomes data, etc.) for an AI/ML model.
    9. Sample size for a training set (AI/ML).
    10. How ground truth for a training set was established (AI/ML).

    The document primarily focuses on the device's physical and functional characteristics, safety features (needle retraction), biocompatibility, and sterilization, and its comparison to a similar predicate device. It confirms that the device meets existing performance standards for syringes and sharps injury prevention.

    Therefore, I cannot provide the requested information as it is not present in the given text.

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    K Number
    K221981
    Date Cleared
    2022-12-29

    (177 days)

    Product Code
    Regulation Number
    880.5860
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    MEG

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

    SafeR® is an automatically Retractable Safety Syringe, it is intended to provide a safe, accurate and reliable method for the aspiration of fluids and for the injection of fluids immediately after filling. It is intended to be used for the administration of medications (intramuscular (IM), intradermal (ID) and subcutaneous (SC)). SafeR® system is provided in 2 separate parts: SafeR Syringe and the needle group SafeR Sting, Before use, the end user needs to assemble syringe and needle group. The syringe, once assembled with his needle, incorporates a passive safety mechanism which retracts and contains the contaminated needle after use, aiding in prevention of possible infection due to needlestick injuries and syringe re-use. Needle retraction is activated by the syringe user with one hand. SafeR Sting blunt fill needle is designed only for drug preparation and it is not in contact with human body. SafeR Syringe with SafeR Sting maintain standard injection techniques.

    Device Description

    SafeR® (SafeR Syringe and SafeR Sting) is an automatically retractable safety syringe, it is intended to provide a safe, accurate and reliable method for the aspiration of fluids or for the injection of fluids immediately after filling. SafeR® system is composed by a body syringe (SafeR Syringe) and a needle group (SafeR Sting). SafeR Syringe and SafeR Sting are 2 (two) products, packaged and sold separately, but designed to be coupled for use. Before use, the end user needs to assemble the body syringe and needle group through a clockwise rotation. Body syringe and needle group are connected by means of a threaded connection and conical mating surfaces between Screw Connector and Barrel. Geometry of the threaded connection was designed to ensure appropriate coupling only between SafeR Sting screw connector and SafeR Syringe barrel. Once assembled with its needle (SafeR Sting), incorporates a passive safety mechanism which retracts and contains the contaminated needle into a hollow stem of the plunger after use, aiding in the prevention of possible infections due to needle stick injuries and syringe reuse. Needle retraction is activated by the syringe user with one hand. Its intended condition is sterile, single use, for hospital or home use.

    AI/ML Overview

    The furnished text is a 510(k) summary for the SafeR Syringe and SafeR Sting, a medical device. It primarily focuses on demonstrating substantial equivalence to a predicate device rather than providing a detailed study report with specific acceptance criteria and performance data for a new AI/Machine Learning diagnostic device. Therefore, a direct answer to your request for acceptance criteria and study data proving the device meets acceptance criteria for an AI/ML device cannot be fully extracted from this document.

    However, I can extract the acceptance criteria related to the performance of this specific medical device (a syringe and needle) and how it was proven to meet these.

    Here's an analysis based on the provided text, reinterpreting your request in the context of this device:

    Acceptance Criteria and Device Performance (based on Non-Clinical Performance Testing):

    The "acceptance criteria" for this device are defined by its conformity to various international ISO standards for syringes, needles, and safety features. The core of the performance testing is to demonstrate that the SafeR Syringe and SafeR Sting meet these established standards, thus proving its safety and effectiveness relative to the predicate device.

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document doesn't provide a typical "acceptance criteria" table with numerical thresholds and exact measured performance values for each. Instead, it refers to compliance with established industry standards. The "Reported Device Performance" is consistently stated as "Conformity to [ISO Standard]" or "Meets requirements."

    Test (Acceptance Criteria Defined by Standard)Reference Standard Requirement(s)Reported Device Performance
    Syringe Properties
    Syringe Visual InspectionISO 7886-1:2017, ISO 7864:2016, ISO 9626:2016Device meets requirements.
    Dimensional VerificationISO 7886-1:2017, ISO 7864:2016Device meets requirements.
    Syringe pH verificationISO 7886-1:2017"The pH value of distilled water exposed to the finish syringe product does not change more than 1 unit." (This is a specific criterion, implying compliance was met).
    Extractables MetalsISO 7886-1:2017"overall content of metals (lead, tin, zinc and iron) does not exceed 5mg/kg." (This is a specific criterion, implying compliance was met).
    Lubricant amountISO 7886-1:2017, ISO 7864:2016, ISO 9626:2016"Less than 0.25mg/cm2 as per ISO 7886-1 requirements." (This is a specific criterion, implying compliance was met).
    Volume Verification and Dead SpaceISO 7886-1:2017"Dead space lower than upper specification given in ISO 7886-1." (This is a specific criterion, implying compliance was met).
    Air LeakageISO 7886-1:2017"Safer Syringes are free from air and liquid leakage." (This is a specific criterion, implying compliance was met).
    Piston operating forceNot explicitly statedDevice meets requirements (implied by "functional performance testing" and SE conclusion).
    Liquid LeakageISO 7886-1:2017"Safer Syringes are free from air and liquid leakage." (This is a specific criterion, implying compliance was met).
    Sub-atmospheric pressure air leakageISO 80369-7:2021Device meets requirements.
    Resistance to separation from axial loadISO 80369-20:2015Device meets requirements.
    Resistance to separation from unscrewingNot explicitly statedDevice meets requirements (implied by "functional performance testing" and SE conclusion).
    Barrel performancesISO 7886-1:2017"Barrel flanges sizes are adequate to enable the syringe to be held securely according to ISO 7886-1." and "Safer Syringes are free from air and liquid leakage and there is no plunger stopper detachment as per ISO 7886-1 requirements." (Specific criteria, implying compliance).
    Other Syringe Characteristics (Transparency, Gradation, Tolerance, Scale)ISO 7886-1:2017All stated as conforming to ISO 7886-1 requirements.
    Needle Properties
    Needle pH verificationISO 7864:2016Device meets requirements.
    Corrosion resistanceISO 9626:2016Device meets requirements.
    Needle pointISO 7864:2016"needle point is sharp and free from defects." (Specific criterion, implying compliance).
    Needle outer surfaceISO 7864:2016"needle surface is smooth and free from defects." (Specific criterion, implying compliance).
    Needle bonding strengthISO 7864:2016"needle-hub bonding strengths are higher than the specification given in the standard." (Specific criterion, implying compliance).
    Needle Penetration and Drag ForceNot explicitly statedDevice meets requirements (implied by "functional performance testing" and SE conclusion).
    Safety Features
    Sharp Injury protection feature activationISO 23908:2011, ISO 7886-4:2018Device conforms to these standards.
    Access the device in the safe modeISO 23908:2011Device meets requirements.
    Packaging & Biocompatibility
    Visual Inspection for PackagingASTM F1886/F1886M-16Device meets requirements.
    Bubble leak testUNI EN ISO 11607-1:2021, ASTM F2096-11 (2019)"The test results showed that the device package can maintain its integrity."
    Peeling strength seal bondASTM F88-F88M -15Device meets requirements.
    Biological evaluationISO10993-1, ISO10993-5, ISO10993-10, ISO10993-11"The results of the biocompatibility testing confirm that SafeR Syringe and SafeR Sting are biocompatible in compliance for indirect blood path with limited contact duration were provided for both components."
    SterilizationISO 11135"SAL 10-6 EO sterilization according to ISO 11135" was performed and passed.
    Ethylene Oxide residualsISO 10993-7"EO residue and Endotoxin did not exceed the limits of relevant Standards."

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

    The document does not explicitly state the sample sizes used for each specific non-clinical test. It generally refers to "Performance tests (bench)" and "test results." The provenance of the data is not mentioned in terms of country of origin or whether it was retrospective or prospective, as these terms are more relevant for clinical studies than bench testing of a physical device. All tests appear to be conducted in a laboratory/bench setting.

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

    Not applicable. The "ground truth" for the performance of a physical medical device (syringe and needle) is established through objective, quantifiable measurements against engineering specifications and international standards (e.g., ISO, ASTM), rather than expert consensus on subjective interpretations (as would be the case for AI/ML diagnostic imaging).

    4. Adjudication Method for the Test Set:

    Not applicable. This concept is relevant for studies where human expert disagreement needs to be resolved (e.g., in medical image interpretation for AI ground truth). For bench testing of a physical product against standards, the measurements are objective.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done, and effect size:

    No. This type of study is specifically designed to evaluate the performance of diagnostic systems (often AI-assisted) where human readers interpret cases. The SafeR Syringe and SafeR Sting is a physical medical device, not a diagnostic imaging AI/ML product.

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

    Not applicable. This device is a physical product, not an algorithm. Its performance is inherent in its design and manufacturing, tested through objective bench testing.

    7. The Type of Ground Truth Used:

    The ground truth is based on objective measurements against established engineering specifications and international standards (ISO, ASTM). For example, for "Lubricant amount," the ground truth is "

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    K Number
    K222452
    Date Cleared
    2022-11-23

    (100 days)

    Product Code
    Regulation Number
    880.5860
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    MEG

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

    The Automatically Retractable Safety Syringes with detachable needle devices are indicated for use where a safe and reliable method for intramuscular and subcutaneous injection of medication in a patient is desired.

    Device Description

    The Disposable Automatically Retractable Safety Syringes (with Detachable Needle) devices are piston syringes, intended for medical purpose and consist of a calibrated hollow barrel and a movable plunger. The syringe works like a conventional hypodermic syringe except that the contaminated needle is retracted inside the syringe immediately after patient injection. The needle retracting mechanism is activated by a spring action mechanism after injection is completed. The exposed needle remains safely inside the syringe plunger for disposal. The Disposable Automatically Retractable Safety Syringes (with Detachable Needle) devices are sterile, single use, disposable and non-reusable.

    AI/ML Overview

    The provided document, a 510(k) Premarket Notification summary for Disposable Automatically Retractable Safety Syringes, does not describe the acceptance criteria and study that proves the device meets the acceptance criteria in the manner typically found for AI/ML-based medical devices. This document specifically pertains to a physical medical device (syringes) and not an AI/ML diagnostic or therapeutic system.

    Therefore, the requested information regarding acceptance criteria, performance metrics, sample sizes for test and training sets, expert qualifications, ground truth establishment, MRMC studies, and standalone performance for an AI/ML device is not applicable to this document.

    The document discusses the substantial equivalence of a new syringe design to a predicate device based on non-clinical testing of physical and chemical properties and a simulated clinical study for sharps injury prevention.

    Here's an interpretation of the closest relevant sections to your request formats, acknowledging the fundamental difference in device type:

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

    The document lists "Non-Clinical Tests performed on the subject device" and references various ISO standards for syringe and needle properties. These standards implicitly define the acceptance criteria, and the statement "The proposed devices were tested per the following standards, to evaluate its performance" implies that the device met these standards. However, the document does not report specific quantitative performance data or explicit acceptance thresholds met by the device for each test. It only lists the tests performed.

    Acceptance Criteria (Implied by Standards)Reported Device Performance
    ISO 7886-1:2017 Sterile hypodermic syringes for single use - Part 1: Syringes for manual use"The proposed devices were tested per the following standards, to evaluate its performance." (Implies compliance, but no specific data provided)
    - Limits for acidity or alkalinity-
    - Limits for extractable metals-
    - Lubricant-
    - Tolerance on graduated capacity-
    - Scale, Numbering of scales, Position of Scale-
    - Barrel dimensions, Barrel flanges, Plunger stopper/plunger assembly, Conical fitting, Position of nozzle on end of barrel, Nozzle lumen, Dead space-
    - Freedom from air and liquid leakage past plunger stopper-
    - Force to operate the piston, Fit of plunger stopper/plunger in barrel-
    ISO 7886-4:2006 Sterile hypodermic syringes for single use -- Part 4: Syringes with re-use prevention feature"The proposed devices were tested per the following standards, to evaluate its performance." (Implies compliance, but no specific data provided)
    - Self-destructive performance-
    ISO 7864:2016 Sterile hypodermic needles for single use"The proposed devices were tested per the following standards, to evaluate its performance." (Implies compliance, but no specific data provided)
    - Cleanliness, Limits for acidity and alkalinity, Limits for extractable metals, Size designation, Color coding, Needle tube, Freedom from defects, Lubricant, Needle point, bond between hub and needle tube, Patency of lumen, Fragmentation test for medical needles, Determination of flow rate through the needle-
    ISO 9626:2016 Stainless steel needle tubing for the manufacture of medical devices."The proposed devices were tested per the following standards, to evaluate its performance." (Implies compliance, but no specific data provided)
    - Surface finish and visual appearance testing, Cleanliness, Limits for acidity and alkalinity, Size designation, Dimensions, Stiffness, Resistance to breakage, Resistance to corrosion-
    ISO 23908:2011 Sharps Injury Prevention"The proposed devices were tested per the following standards, to evaluate its performance." (Implies compliance)
    "It can support a conclusion that 99% reliability of device activation is achievable." (Specific claim for this test, which is a key safety feature.)
    - Force applied on the plunger to activate the retractable mechanism-
    - Testing simulated clinical use-
    ISO 80369-7:2018 Small-bore connectors for liquids and gases in healthcare applications - Part 7: Connectors for intravascular or hypodermic applications"The proposed devices were tested per the following standards, to evaluate its performance." (Implies compliance, but no specific data provided)
    - Fluid leakage, Sub-atmospheric Pressure Air Leakage, Stress Cracking, Resistance to Separation from Unscrewing, Resistance to Separation from Axial Load, Resistance to Overriding-
    Biocompatibility Tests (ISO 10993 series)"The proposed devices were tested per the following standards, to evaluate its performance." (Implies compliance, but no specific data provided)
    - Cytotoxicity, Sensitization, Irritation, Systemic Toxicity, Haemocompatibility-
    - Accelerated aging testing, Package verification, Simulated transportation testing-
    - USP Particulate matter in injection, USP42-NF 37 Pyrogen Test, Ethylene Oxide(EO) residue test, Ethylene Oxide(EO) sterilization validation-

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

    • Sample Size for Test Set: Not explicitly stated, but the "Simulated Clinical Study Summary" mentions a study "conducted as recommended in FDA guidance document for Industry and FDA Staff: Medical Devices with Sharps Injury Prevention Features." While the exact number of devices tested is not provided, the claim of "99% reliability of device activation is achievable" implies a statistically significant sample was used to arrive at this figure.
    • Data Provenance: Not explicitly stated for specific test data, but the manufacturer is "Shantou Wealy Medical Instrument CO.,Ltd." located in Guangdong, China. The testing was conducted to international ISO standards.

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

    • Not Applicable. This is a physical device; "ground truth" as it applies to AI/ML diagnostic or annotation data is not relevant here. Performance is measured against physical standards and functional requirements.

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

    • Not Applicable. This is a physical device. Adjudication methods are relevant for subjective interpretations of data, typically in diagnostic imaging or clinical assessments, usually involving multiple human readers. Here, performance is based on objective lab measurements and functional tests.

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

    • Not Applicable. This is a physical device and involves no human "readers" or AI assistance. The "Simulated Clinical Study" refers to evaluating the sharps injury prevention feature, not an AI-assisted diagnostic task.

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

    • Not Applicable. This is a physical device. There is no algorithm to run in a standalone fashion.

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

    • Not Applicable. For this physical device, "ground truth" is established by the specifications of the relevant ISO standards (e.g., a certain force must be applied, there should be no leakage, specific dimensions are met, activation must occur). The "99% reliability of device activation" from the simulated clinical study would be considered a performance outcome, not a "ground truth" in the AI/ML sense.

    8. The sample size for the training set:

    • Not Applicable. This is a physical device; there is no AI/ML training set.

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

    • Not Applicable. This is a physical device; there is no AI/ML training set or associated ground truth.
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    Why did this record match?
    Product Code :

    MEG

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

    The Sterile Disposable Syringe with Safety Needle is intended for use in the aspiration of fluids for medical purpose. After withdrawal of the needle from the body, the attached needle safety shield can be manually activated to cover the needle immediately after use to minimize risk of accidental needle sticks.

    The Sterile Disposable Syringe with Needle is intended for use in the aspiration of fluids for medical purpose.

    The Sterile Disposable Safety Needle is intended to be used with a luer slip or luer lock syringe for aspiration and injection of fluids for medical purpose. After withdrawal of the needle safety shield can be manually activated to cover the needle immediately after use to minimize risk of accidental needle sticks.

    The Sterile Disposable Needle is intended to be used with a luer lock syringe for aspiration and injection of fluids for medical purpose.

    Device Description

    The Sterile Disposable Safety Needle is intended for manual and single use only to aspirate and inject of fluids for medical purpose, which consists of needle tube, needle hub and safety mechanism. The proposed device is available in variety of needle gauges and lengths. The safety needle is compatible for use with a luer slip and luer lock syringe. After withdrawal of the needle from the body, the attached needle safety mechanism can be manually activated to cover the needle immediately after use to minimize risk of accidental needlesticks. Needle specification is same as the needle size of Sterile Disposable Syringe with Safety Needle.

    Compared with Sterile Disposable Safety Needle, Sterile Disposable Needle has the same components and specifications except without safety mechanism.

    The Sterile Disposable Syringe with Safety Needle is intended for manual and single use only to aspirate and inject of fluids for medical purpose. There are two kinds of sterile disposable syringe with safety needle: syringe with fixed needles and syringe without fixed needles. Sterile disposable syringe with safety needle of 0.5ml and 1ml are available syringe with fixed needles. Syringe without fixing needle are consists of syringe (piston, barrel, plunger) and hypodermic needle with a safety mechanism. The proposed device is available in a variety combination of syringe volume and needle size.

    Compared with Sterile Disposable Syringe with Safety Needle, Sterile Disposable Syringe with Needle has the same components and specifications except without safety mechanism. The Sterile Disposable Syringe with Needle do not have a type of the syringe with fixed needle.

    The proposed devices are sterilized by Ethylene Oxide Gas to achieve a SAL of 10-6 and supplied sterility maintenance package which could maintain the sterility of the device during the shelf life of 5 years.

    AI/ML Overview

    The provided document describes the 510(k) premarket notification for "Sterile Disposable Syringe with Safety Needle, Sterile Disposable Syringe with Needle, Sterile Disposable Safety Needle, Sterile Disposable Needle" (K221247) by Jiangsu Kangbao Medical Equipment Co., Ltd. The submission aims to demonstrate substantial equivalence to a predicate device (K170651) based on non-clinical testing.

    Here's a breakdown of the acceptance criteria and supporting studies based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance:

    The document lists various international and ASTM standards that the device was tested against. The acceptance criterion for each standard is implicit within the standard itself (e.g., "complies with the requirements of related standards," "no cytotoxicity," "no hemolysis"). The reported performance consistently states that the proposed device met these criteria.

    Acceptance Criteria (Standard / Test)Reported Device Performance
    Biocompatibility Testing
    ISO 10993-5:2009 (Cytotoxicity)No cytotoxicity
    ISO 10993-10:2010 (Sensitization)No sensitization
    ISO 10993-10:2010 (Irritation)No intracutaneous reactivity
    ISO 10993-11:2017 (Acute Systemic Toxicity)No systemic toxicity
    ASTM F756-17 (Hemolysis)No hemolysis
    ISO 10993-4:2017 (Complement activation)Not show potentials to activate complete system
    ISO 10993-4:2017 (Thromboresistance study)No thrombogenicity
    USP (Pyrogen Test)No pyrogen
    Physical, Mechanical, Chemical Testing
    ISO 7886-1:2017 (General requirements, Extraneous matter, Lubricant, Tolerance on graduated capacity, Graduated scale, Barrel, Piston/plunger assembly, Nozzle, Performance)Complies with the requirements of related standards
    ISO 7864:2016 (Cleanliness, Limits for acidity or alkalinity, Limits for extractable metals, Size designation, Colour coding, Needle hub, Needle Cap, Needle tube, Needle point, Bond between hub and needle tube, Patency of lumen)Complies with the requirements of related standards
    ISO 9626:2016 (Surface finish and appearance, Cleanliness, Limits for acidity and alkalinity, Size designation, Dimensions, Stiffness, Resistance to breakage, Resistance to corrosion)Complies with the requirements of related standards
    ISO 80369-7:2016 (Fluid leakage, Sub-atmospheric pressure air leakage, Stress cracking, Resistance to separation from axial load, Resistance to separation form unscrewing, Resistance to overriding)Complies with the requirements of related standards
    USP (Particulate testing)Complies with the requirements of related standards
    Sterile Barrier Packaging Testing
    ASTM F1886 / F1886M-16 (Visual inspection)Device package can maintain its integrity
    ASTM F88/F88M-15 (Seal strength)Device package can maintain its integrity
    ASTM F1929-15 (Dye penetration test)Device package can maintain its integrity
    Sterilization and Shelf Life Testing
    ISO 10993-7:2008 (EO residue)EO ECH residue did not exceed the limit
    ISO 10993-7:2008 (ECH residue)EO ECH residue did not exceed the limit
    USP (Bacteria Endotoxin Limit)Endotoxin limit did not exceed 20EU/device
    Shelf Life Evaluation (Physical, Mechanical, Chemical, Package Test)Device can maintain its performance during the claimed shelf life (5 years)
    Simulated Clinical Study
    FDA Guidance for Industry and FDA Staff: Medical Device with Sharps Injury Prevention Feature, ISO 23908:2011 (Safety mechanism evaluation)Proposed device met the pre-established criteria
    Safety Feature Test
    (Specific criteria not detailed, but states "acceptance criteria")The proposed device met the acceptance criteria

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

    The document does not specify the exact sample sizes for each non-clinical test performed on the test set. It mentions "non clinical tests were conducted to verify that the proposed device met all design specifications" and that "Physical, Mechanical, Chemical testing listed in following table were performed on the proposed device." Similarly, for biocompatibility and packaging tests, it states "The proposed device was evaluated for the following tests" and "Sterile barrier packaging testing were performed on the proposed device."

    The data provenance is not explicitly stated in terms of country of origin, but the submitting company is Jiangsu Kangbao Medical Equipment Co., Ltd. from China. The studies are non-clinical, meaning they are lab-based and not involving human subjects. They are inherently prospective in nature as they test the new device against established standards.

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

    This information is not applicable to this submission. The "ground truth" for non-clinical performance and biocompatibility is established by adherence to recognized international and national standards (e.g., ISO, ASTM, USP). These standards define the test methods and acceptance criteria, and the device's performance is measured against these objective criteria rather than expert consensus on a clinical outcome.

    4. Adjudication Method for the Test Set:

    This information is not applicable. Since the tests are against objective engineering and biological standards, there is no need for an adjudication method typically used in clinical studies involving human interpretation or subjective assessments.

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

    No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. The document explicitly states: "No clinical study is included in this submission." The submission focuses on non-clinical performance, biocompatibility, and substantial equivalence to a predicate device based on these non-clinical tests. Therefore, there is no effect size reported for human readers with or without AI assistance.

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

    This question is not applicable as the device is a physical medical instrument (syringe and needle), not an algorithm or AI-powered system. No standalone "algorithm only" performance was evaluated.

    7. The type of ground truth used:

    The type of "ground truth" used for this submission is based on established international and national standards and their defined acceptance criteria. For example:

    • Biocompatibility: Absence of cytotoxicity, sensitization, irritation, systemic toxicity, hemolysis, pyrogenicity, complement activation, and thrombogenicity as defined by the respective ISO and USP standards.
    • Physical/Mechanical/Chemical Performance: Compliance with the specifications and performance requirements outlined in ISO 7886-1, ISO 7864, ISO 9626, ISO 80369-7, and USP .
    • Packaging Integrity: Maintenance of sterility barrier as per ASTM F1886/F1886M-16, ASTM F88/F88M-15, and ASTM F1929-15.
    • Sterilization: EO/ECH residue within limits (ISO 10993-7), endotoxin limit (USP ), and sterile assurance level (SAL) of 10-6.
    • Safety Feature: Meeting pre-established criteria as per FDA Guidance and ISO 23908:2011.

    8. The Sample Size for the Training Set:

    This information is not applicable. The device is a physical medical instrument, not a machine learning or AI model. Therefore, there is no "training set" to establish.

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

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

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    K Number
    K220057
    Date Cleared
    2022-10-07

    (274 days)

    Product Code
    Regulation Number
    880.5860
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Product Code :

    MEG

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

    The Auto-disable Syringe for Fixed-dose Immunization is intended for use in the aspiration and injection of fluids for medical purpose.

    Device Description

    Not Found

    AI/ML Overview

    Based on the provided FDA 510(k) letter, it is not possible to describe the acceptance criteria and the study that proves the device meets those criteria for the following reasons:

    • Device Type: The document is a 510(k) clearance letter for an Auto-disable Syringe for Fixed-dose Immunization, which is a physical medical device (piston syringe), not a software or AI-based device.
    • Study Type: For physical medical devices like syringes, the "acceptance criteria" and "study that proves the device meets the acceptance criteria" typically refer to performance testing (e.g., plunger force, leakage, dose accuracy under various conditions, sterility, material biocompatibility, auto-disable mechanism function) rather than studies involving expert readers, ground truth establishment, or AI algorithm performance metrics (sensitivity, specificity, AUC).
    • Lack of Performance Data: The provided text is an official FDA clearance letter, which confirms substantial equivalence to a predicate device and outlines regulatory obligations. It does not contain the detailed performance study results, acceptance criteria, sample sizes, or ground truth methodologies that would be submitted within the 510(k) application itself. These details are part of the technical documentation reviewed by the FDA but are not typically included in the public clearance letter.

    Therefore, the requested information, which pertains to AI/software performance evaluation (e.g., MRMC studies, standalone algorithm performance, expert ground truth, training/test set details), is not applicable to the device described in this specific FDA document. The document describes a physical medical device, not an AI or imaging diagnostic software.

    To answer your question, one would need to see the actual performance data and study reports submitted as part of the 510(k) application for a software device, not this physical syringe.

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    K Number
    K221073
    Date Cleared
    2022-10-04

    (175 days)

    Product Code
    Regulation Number
    880.5860
    Reference & Predicate Devices
    Why did this record match?
    Product Code :

    MEG

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

    The Sterile Hypodermic Syringes for Single Use with Safety Needles is intended for use in the aspiration and injection of fluids for medical purpose. After withdrawal of the needle from the body, the attached needle safety shield can be manually activated to cover the needle immediately after use to minimize risk of accidental needlesticks.

    Device Description

    The Sterile Hypodermic Syringes for Single Use with Safety Needles is intended for manual and single use only to aspirate and inject of fluids for medical purpose, which consists of piston, barrel, plunger and a hypodermic needle with a safety mechanism. The proposed device is available in a variety combination of syringe volume and needle size.

    AI/ML Overview

    The provided text describes the regulatory clearance (510(k)) for the "Sterile Hypodermic Syringes for Single Use with Safety Needles" by Sichuan Prius Biotechnology Co., Ltd. This document focuses on demonstrating substantial equivalence to a predicate device, rather than providing a detailed study report for AI-powered medical devices. Therefore, much of the requested information regarding AI-specific studies (e.g., sample sizes for test/training sets, number of experts for ground truth, MRMC study, standalone performance) is not applicable or present in this given text.

    However, I can extract the acceptance criteria and performance data for the non-clinical functional and safety aspects of the device, as well as general information about testing methodologies.

    1. Table of acceptance criteria and the reported device performance:

    Test / Performance CharacteristicAcceptance Criteria / StandardReported Device Performance
    Syringe PerformanceISO 7886-1:2017 Sterile Hypodermic Syringes for Single Use- Part 1: Syringes for manual useDemonstrated that the syringe meets the requirements of ISO 7886.
    Luer Connector PerformanceISO 80369-7: 2016 Small-bore connectors for liquids and gases in healthcare applications - Part 7: Connectors for intravascular or hypodermic applicationsDemonstrated that the luer connector meets the requirements of ISO 80369-7. Also tested with ISO 80369-20:2015 (Common test methods).
    Needle PerformanceISO 7864: 2016, Sterile Hypodermic Needles for Single Use.Demonstrated that the needle meets the requirements of ISO 7864.
    Needle Tubing PerformanceISO 9626:2016 Stainless Steel Needle Tubing for the Manufacture of Medical DevicesDemonstrated that the needle meets the requirements of ISO 9626.
    Safety MechanismFDA Guidance, Guidance for Industry and FDA Staff: Medical Device with Sharps Injury Prevention Feature, issued on August 9, 2005 and ISO 23908:2011Demonstrated that the proposed device met the pre-established criteria (for simulated clinical study) and the acceptance criteria (for safety feature test).
    BiocompatibilityISO10993-1 (classification: Externally Communicating Device, Blood Path Indirect, Limited Contact ( Particulate Matter in InjectionsMet the USP acceptance criteria.
    Sterility (SAL)ISO 11135:2014Achieved a sterility assurance level (SAL) of 10-6.
    EO and ECH ResidualsISO 10993-7:2008Below the limits specified in ISO 10993-7.
    Bacterial Endotoxin LevelsUSPBelow the level of 20 EU/device.
    Shelf-lifeASTM F1980-16 Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical DevicesBoth baseline and accelerated shelf life testing were conducted, demonstrating the device will perform as intended to support the proposed 5-year shelf-life.
    Sterile Barrier PackagingVisual Inspection ASTM F1886 / F1886M-16, Seal Strength ASTM F88/F88-15, Dye penetration ASTM F1929-15Performed on the proposed device (results implicitly met standards).
    Simulated TransportationASTM D4169-16Performed on final, packaged, and sterile device (results implicitly met standards).

    The following questions are not applicable as the document describes a traditional medical device (syringes with safety needles) and not an AI/ML-powered device:

    1. Sample size used for the test set and the data provenance: Not applicable. The testing described is for physical characteristics and biological safety, not a "test set" in the AI/ML context.
    2. 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 refers to expert review for AI/ML model training/validation.
    3. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable.
    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: Not applicable.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not applicable for an AI context. For physical device testing, "ground truth" is established by the specified ISO/ASTM standards and their associated test methods for measuring properties (e.g., strength, sterility, dimensions).
    7. The sample size for the training set: Not applicable.
    8. How the ground truth for the training set was established: Not applicable.
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