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510(k) Data Aggregation

    K Number
    K153553
    Date Cleared
    2016-05-17

    (158 days)

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

    K111091

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

    The SiO2 Coated Syringe 3 mL is intended to be used to inject fluids into, or withdraw fluids from, the body.

    Device Description

    SiO2 Coated Syringe 3 mL is a plastic disposable standard 3 mL piston syringe without needle is made of a cyclic olefin polymer (COP) and coated internally with silica glass layers. The layer is deposited by plasma enhanced chemical vapor deposition (PECVD) process.

    This is a standard 3 mL single use, disposable syringe without needle.

    AI/ML Overview

    This document describes the non-clinical testing for the SiO2 Coated Syringe 3 mL to demonstrate its substantial equivalence to a predicate device. Here's a breakdown of the requested information based on the provided text, focusing on the acceptance criteria and the study proving it:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document lists numerous tests and standards to which the device conforms. Instead of specific numerical acceptance criteria (which are typically defined within the standards themselves and not fully detailed here), the document generally states "Complies" or describes the test performed and implies compliance by its inclusion in the summary of successful non-clinical testing.

    Acceptance Criteria (Standard & Section/Test)Reported Device Performance
    ISO 7886-1: Sterile hypodermic syringes for single use
    Section 5, CleanlinessComplies (Test Performed)
    Section 6 & Annex A, Limits for Acidity or AlkalinityComplies (Test Performed)
    Section 7 & Annex A, Limits for Extractable MetalsComplies (Test Performed)
    Section 8, LubricantComplies (Test Performed)
    Section 9, Tolerance on Graduated CapacityComplies (Test Performed)
    Section 10.1, ScaleComplies (Test Performed)
    Section 10.2, Numbering of ScaleComplies (Test Performed)
    Section 10.3, Overall Length of Scale to Nominal Capacity LineComplies (Test Performed)
    Section 10.4, Position of ScaleComplies (Test Performed)
    Section 11.1, DimensionsSyringe Dimensions (Test Performed)
    Section 11.2, Finger GripsComplies (Test Performed)
    Section 12.1, DesignComplies (Test Performed)
    Section 12.2, Fit of Piston in BarrelComplies (Test Performed)
    Annex G, Force to OperatePlunger Withdraw: Fi=2.11 N, Fm=2.39 N; Plunger Deploy: Fi=2.35 N, Fm=0.58 N (Reported values)
    Section 12.3, Fiducial LineComplies (Test Performed)
    Section 13.2, Position of Nozzle on End of BarrelComplies (Test Performed)
    Section 13.3, Nozzle LumenComplies (Test Performed)
    Section 14.1 - Annex C, Dead SpaceComplies (Test Performed)
    Section 14.2 - Annex D, Liquid Leakage CompressionComplies (Test Performed)
    Section 14.2 - Annex B, Air Leakage past Syringe Piston during AspirationComplies (Test Performed)
    ISO 594 - 1 and -2: Conical fittings with a 6 % (Luer) taper
    Section 5.1, GaugingComplies (Test Performed)
    Section 5.2, Liquid LeakageComplies (Test Performed)
    Section 5.3, Air LeakageComplies (Test Performed)
    Section 5.4, Separation ForceComplies (Test Performed)
    Section 5.5, Unscrewing TorqueComplies (Test Performed)
    Section 5.6, Ease of AssemblyComplies (Test Performed)
    Section 5.7, Resistance to OverridingComplies (Test Performed)
    Section 5.8, Stress CrackingComplies (Test Performed)
    Biocompatibility Testing (ISO 10993-1, G95-1)
    Cytotoxicity: Elution Test, Serum Supplemented MEM ExtractMaterials found to be non-reactive (Test Performed)
    Skin Sensitization Test Protocol, Guinea Pig Maximization TestMaterials found to be non-reactive (Test Performed)
    Intracutaneous (Intradermal) Reactivity TestMaterials found to be non-reactive (Test Performed)
    Systemic Toxicity: Saline and Vegetable Oil ExtractsMaterials found to be non-reactive (Test Performed)
    Hemolysis Test (NIH Method) Saline ExtractMaterials found to be non-reactive (Test Performed)
    Extractable and Leachables (ISO 7886-1 coated/uncoated)Complies (Test Performed)
    USP Rabbit Pyrogen Test (Material Mediated)Complies (Test Performed)
    Bacterial Endotoxin-Mediated Pyrogen test (Limulus Amebocyte Lysate Test)Complies (Test Performed)
    Other Non-Clinical Testing
    ASTM D4169-14: Performance Testing of Shipping Containers and SystemsComplies (Test Performed)
    ASTM F1980-07 (2011): Accelerated Aging of Sterile Barrier SystemsComplies (Test Performed)
    Real-time aging (24 months)Complies (Test Performed)
    Oxygen Transmission Rate ("OTR")Complies (Test Performed)
    Container compatibility with certain drug productsComplies (Test Performed)
    Mechanical stressorComplies (Test Performed)
    Environmental stressor - freeze-thaw studyComplies (Test Performed)
    Ink adhesion and Wipe & Tape Test ReportComplies (Test Performed)
    Physical Characteristics TestComplies (Test Performed)
    Syringe DimensionsID: 8.62mm, OD: 11.34mm (Reported values)
    Plunger Force TestFi=2.11 N, Fm=2.39 N, Fi=2.35 N, Fm=0.58 N (Reported values)
    FTIR Test method for coating chemistryComplies (Test Performed)

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

    The document does not explicitly state the sample sizes for each of the non-clinical tests. It lists the tests performed, implying that appropriate sample sizes per the respective standards (ISO, ASTM, etc.) were used. The data provenance is non-clinical bench testing, conducted by or on behalf of SiO2 Medical Products. The document does not specify countries of origin for the data, but it is implied to be from the manufacturer's testing or accredited labs. All data presented appears to be prospective in the sense that it was generated for this specific submission to demonstrate conformance.

    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 to this submission. The tests are non-clinical engineering and biocompatibility tests against established international standards (ISO, ASTM, USP). Ground truth is established by the methods defined in these standards, not by expert consensus on clinical observations. The "experts" in this context would be laboratory technicians and engineers qualified to perform these specific tests according to the standard operating procedures.

    4. Adjudication Method for the Test Set

    This section is not applicable. Adjudication methods like 2+1 or 3+1 typically refer to clinical or diagnostic studies involving human interpretation. For non-clinical bench testing, results are typically determined by measurements against predefined acceptance criteria from the relevant 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. This submission is for a physical medical device (syringe) and does not involve AI, human readers, or diagnostic interpretation.

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

    This section is not applicable. This submission is for a physical medical device and does not involve an algorithm.

    7. The Type of Ground Truth Used

    The "ground truth" for the non-clinical tests listed is defined by the acceptance criteria specified within the referenced international standards (e.g., ISO 7886-1, ISO 594, ISO 10993-1, ASTM D4169-14, ASTM F1980-07). For biocompatibility, this includes outcomes of biological assays (e.g., cytotoxicity, sensitization, systemic toxicity, hemolysis, pyrogenicity). For physical tests, it refers to quantitative measurements (e.g., dimensions, forces, leakage rates) meeting specified ranges or thresholds.

    8. The Sample Size for the Training Set

    This section is not applicable. This submission is for a physical medical device and does not involve a training set for an algorithm.

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

    This section is not applicable. This submission is for a physical medical device and does not involve a training set for an algorithm.

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