K213158 · Berpu Medical Technology Co., Ltd. · FMF · Jul 21, 2022 · General Hospital
Device Facts
Record ID
K213158
Device Name
Syringe with permanently attached needle
Applicant
Berpu Medical Technology Co., Ltd.
Product Code
FMF · General Hospital
Decision Date
Jul 21, 2022
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 880.5860
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
The Syringe with permanently attached needle is intended for use by health care professionals for general purpose aspiration of fluid from vials, ampoules and liquid injection below the surface of the skin.
Device Story
Manual, single-use piston syringe with permanently attached needle; used by healthcare professionals for fluid aspiration and subcutaneous/intramuscular injection. Device consists of polypropylene barrel/plunger, polyisoprene rubber piston, and stainless steel 304 needle. Available in 0.3ml, 0.5ml, and 1ml volumes with various needle gauges (20G-34G) and lengths (4mm-40mm). Provided sterile via ethylene oxide (EtO). Operates manually; no electronic or software components. Clinical benefit derived from standard fluid delivery and aspiration capabilities.
Clinical Evidence
No clinical data. Bench testing only. Compliance demonstrated with ISO 7886-1 (syringes), ISO 9626 (needle tubing), ISO 7864 (needles), and ISO 10993 series (biocompatibility). Sterility and packaging integrity verified via ASTM F88, F1929, and F1886.
Technological Characteristics
Materials: Polypropylene (barrel, plunger), Polyisoprene rubber (piston), Stainless Steel 304 (needle). Dimensions: 0.3-1ml volume; 20G-34G gauge; 4-40mm length. Standards: ISO 7886-1, ISO 9626, ISO 7864, ISO 10993, ASTM F88/F1929/F1886. Sterilization: Ethylene Oxide (SAL 10^-6). Manual operation; no energy source or software.
Indications for Use
Indicated for health care professionals for general purpose aspiration of fluid from vials, ampoules and liquid injection below the surface of the skin.
Regulatory Classification
Identification
A piston syringe is a device intended for medical purposes that consists of a calibrated hollow barrel and a movable plunger. At one end of the barrel there is a male connector (nozzle) for fitting the female connector (hub) of a hypodermic single lumen needle. The device is used to inject fluids into, or withdraw fluids from, the body.
Predicate Devices
Syringe with permanently attached needle (K192551)
Reference Devices
Syringe with permanently attached needle (K162180)
Submission Summary (Full Text)
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July 21, 2022
Berpu Medical Technology Co., Ltd. David Yu Management Representative No. 14 Xingji Road, Yongxing Street, Wenzhou. Zhejiang 325000 China
Re: K213158
Trade/Device Name: Syringe with permanently attached needle Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: Class II Product Code: FMF, MEG Dated: June 14, 2022 Received: June 21, 2022
Dear David Yu:
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for
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devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
CAPT Alan Stevens Assistant Director DHT3C: Division of Drug Delivery and General Hospital Devices. and Human Factors OHT3: Office of GastroRenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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#### Indications for Use
510(k) Number (if known) K213158
Device Name Syringe with permanently attached needle
Indications for Use (Describe)
Syringe with permanently attached needle
The Syringe with permanently attached needle is intended for use by health care professionals for general purpose aspiration of fluid from vials, ampoules and liquid injection below the surface of the skin.
**Type of Use (Select one or both, as applicable)**
| <label><input checked="checked" type="checkbox"/> Research Use (Part 21 CFR 361.2 Label D)</label> | <label><input type="checkbox"/> Over-The-Counter Use (21 CFR 361.2 Label C)</label> |
|----------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------|
|----------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------|
> Prescription Use (Part 21 CFR 801 Subpart D)
__ Over-The-Counter Use (21 CFR 801 Subpart C)
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# 510(k) summary
The assigned 510(k) Number: K213158
#### I Submitter
Berpu Medical Technology Co., Ltd. NO.14 Xingji Road, Yongxing Street, Longwan District, Wenzhou, Zhejiang, China 325000
Establishment Registration Number: 3004496829
Contact person: David Yu Position: Management representative Tel.: +86-18868131179 Fax: 0577-86630389 E-mail: 274269118@qq.com
Preparation date: July 17, 2022
#### II Proposed Device
| Trade Name of Device: | Syringe with permanently attached needle |
|-----------------------|------------------------------------------|
| Common name: | Piston Syringe |
| Regulation Number: | 21 CFR 880.5860 |
| Regulatory Class: | Class II |
| Product code: | FMF, MEG |
| Review Panel | General Hospital |
#### III Predicate Devices
| 510(k) Number: | K192551 |
|-----------------|------------------------------------------|
| Trade name: | Syringe with permanently attached needle |
| Common name: | Piston Syringe |
| Classification: | Class II |
| Product Code: | FMF, MEG |
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Manufacturer Jiangsu Caina Medical Co., Ltd.
#### IV Device description
The Syringe with permanently attached needle is intended for single use only. The proposed device is available in 0.3ml, 0.5ml, 1ml volumes with a 20G-34G gauge needle.
The product is for single use and provided sterile (EtO). The shelf-life of the product is five-years.
The proposed syringes are available in different combination of syringe volumes and/or needle sizes (refer to Table 1).
| Device | Needle length (mm) | Needle gauge | Needle wall type | Syringe size/volume |
|------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------------------|------------------|-----------------------|
| Syringe with permanently attached needle | 4, 5, 6, 8, 9, 10, 12, 13, 16, 20 | 34G<br>33G | RW<br>TW<br>ETW | 0.3ml<br>0.5ml<br>1ml |
| Specification | 4, 5, 6, 8, 9, 10, 12, 13, 16, 20, 22, 25, 28, 32 | 32G<br>31G | RW<br>TW<br>ETW | 0.3ml<br>0.5ml<br>1ml |
| | 4, 5, 6, 8, 9, 10, 12, 13, 16, 20, 22, 25, 28, 32, 35, 38, 40 | 30G<br>29G<br>28G<br>27G<br>26G<br>25G<br>24G<br>23G<br>22G<br>21G<br>20G | RW<br>TW<br>ETW | 0.3ml<br>0.5ml<br>1ml |
Table 1 specification of proposed device
#### V Indication for use
Syringe with permanently attached needle
The Syringe with permanently attached needle is intended for use by health care professionals for general purpose aspiration of fluid from vials, ampoules and liquid injection below the surface of the skin.
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## VI Comparison of technological characteristics with the predicate devices
The comparison and discussion between the subject device and the predicate devices are listed in below table 2:
| Item | Proposed device | Predicate device<br>(K192551) | Discussion |
|-------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------|
| Product name | Syringe with<br>permanently attached<br>needle | Syringe with<br>permanently attached<br>needle | same |
| Product Code | FMF | FMF | same |
| Regulation<br>No. | 21 CFR 880.5860 | 21 CFR 880.5860 | same |
| Class | II | II | same |
| Indication for<br>use | The Syringe with<br>permanently attached<br>needle is intended for<br>use by health care<br>professionals for general<br>purpose aspiration of<br>fluid from vials,<br>ampoules and liquid<br>injection below the<br>surface of the skin. | The Syringe with<br>permanently attached<br>needle is intended for<br>use by health care<br>professionals for<br>general purpose<br>aspiration of fluid<br>from vials, ampoules<br>and liquid injection<br>below the surface of<br>the skin. | same |
| Prescription/o<br>ver-the-count<br>er use | Prescription Use | Prescription Use | Same |
| Configuration<br>and material | (1) needle cap (PP)<br>(2) needle (Stainless<br>Steel 304)<br>(3) piston (Polysoprene<br>Rubber)<br>(4) plunger (PP)<br>(5) barrel (PP) | (1) needle cap (PP or<br>PE)<br>(2) needle (Stainless<br>Steel 304)<br>(3) piston<br>(Polysoprene)<br>(4) plunger (PP)<br>(5) barrel (PP) | Similar1 |
| Syringe<br>Volume | 0.3ml, 0.5ml, 1ml | 0.3ml, 0.5ml, 1ml | Same |
| Needle<br>Gauge | 20G, 21G, 22G, 23G,<br>24G, 25G, 26G, 27G,<br>28G, 29G, 30G, 31G,<br>32G, 33G, 34G | 21G, 23G, 25G, 26G,<br>27G, 28G, 29G, 30G,<br>31G | Difference2 |
| Needle<br>Length (mm) | 4, 5, 6, 8, 9, 10, 12, 13,<br>16, 20, 22, 25, 28, 32,<br>35, 38, 40 | 8, 10, 13, 16, 20, 25 | |
| Needle wall<br>type | RW, TW, ETW | RW, TW | |
| Needle<br>performance | ISO 9626<br>ISO 7864 | ISO 9626<br>ISO 7864 | Same |
| Syringe<br>performance | ISO 7886-1 | ISO 7886-1 | Same |
| Biocompatibility | Conforms to the<br>requirements of ISO<br>10993 series standards. | Conforms to the<br>requirements of ISO<br>10993 series<br>standards. | Same |
| Method | EO Sterilized | EO Sterilized | Same |
| SAL | 10-6 | 10-6 | Same |
| Operation<br>Principle | For Manual Use Only,<br>For Single Use Only | For Manual Use Only,<br>For Single Use Only | Same |
| Label/Labeling | Complied with 21 CFR<br>part 801 | Complied with 21<br>CFR part 801 | Same |
Table 2 General Comparison of Syringe with permanently attached needle
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1 The configurations of Syringe with permanently attached needle are same as the configuration of predicate device, but there are some differences in raw materials. The differences on configuration and materials do not raise new questions about safety and effectiveness. Additionally, the proposed syringes' biocompatibility can be demonstrated by the reference device (K162180).
2 The needle gauge and length for proposed devices is different from the predicate devices. However, this difference is just in dimension. Different size and length device will be selected by physician per patient's condition. This difference does not affect intended use, differences in needle length and gauge between the predicate and subject device were addressed through ISO 7864:2016 and ISO 9626:2016 performance testing. The needle wall type for predicate device is unknown. However, the performance test for proposed device has been conducted and the test result
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conform with requirements of ISO 7864:2016 and ISO 9626:2016 standards. The needle bevel for proposed devices are different from the predicate device 2. However, this difference is just in dimension. Different needle bevel will be selected by physician per patient's condition. This difference does not affect intended use. In addition, differences in needle bevel between the predicate and subject device were addressed through ISO 7864:2016 and ISO 9626:2016 performance testing. Therefore, the differences on needle length, gauge, wall type and bevel does not affect substantially equivalence on safety and effectiveness.
### VII Non-Clinical Testing
Non clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device. The test results demonstrated that the proposed device complies with the following standards:
- ISO 10993-5: 2009 Biological evaluation of medical Devices-Part 5: Tests for in . Vitro Cytotoxicity
- ISO 10993-10: 2010 Biological evaluation of medical devices- Part 10: Test for . irritation and skin sensitization.
- ISO 10993-11: 2017 Biological evaluation of medical devices- Part 11: Tests for . systemic toxicity
- ISO 7886-1:2017 Sterile hypodermic syringes for single use- Part 1: Syringes for . manual use.
- ISO 9626:2016, Stainless Steel Needle Tubing for the Manufacture of Medical ● Devices.
- ISO 7864:2016 Sterile hypodermic needles for single use Requirements and . test methods
- ISO 10993-7:2008 Biological Evaluation of Medical Devices Part 7: Ethylene . Oxide Sterilization Residuals.
- USP 41-NF36:2018<85> Bacterial Endotoxin Limit ●
- USP <788> Particulate Matter in injections ●
- ASTM F88/F88M-15, Standard Test Method for Seal Strength of Flexible Barrier . Materials. (Sterility)
- ASTM F1929-15 Standard Test Method for Detecting Seal Leaks in Porous . Medical Package by Dye Penetration
- ASTM F1886/F1886M-16, Standard Test Method for Determining Integrity of . Seals for Flexible Packaging by Visual Inspection
#### Biocompatibility Testing:
The devices meet biocompatibility endpoints for cytotoxicity, irritation, sensitization, systemic toxicity, hemolysis and material-mediated pyrogens. The data was supplied in the reference device submission, K162180, and the manufacturer certified that the
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devices, in their final finished form, are identical to the K162180 reference device (cleared 12/29/2016) in formulation, processing, sterilization, and geometry and no other chemicals have been added (e.g., plasticizers, fillers, additives, cleaning agents, mold release agents).
## VIII Clinical Testing
No clinical study is included in this submission.
### IX Conclusion
The proposed device has the same indication for use and has similar design features and technological characteristic as the predicate device. Performance testing data demonstrates that the proposed device is as safe and as effective as the predicate device. Accordingly, the proposed device is substantially equivalent to the predicate device.
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