U&U Enteral Syringe

K160855 · U&U Medical Technology Co, Ltd. · PNR · Nov 22, 2016 · Gastroenterology, Urology

Device Facts

• Record ID: K160855
• Device Name: U&U Enteral Syringe
• Applicant: U&U Medical Technology Co, Ltd.
• Product Code: PNR · Gastroenterology, Urology
• Decision Date: Nov 22, 2016
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 876.5980
• Device Class: Class 2
• Attributes: Therapeutic, Pediatric

Intended Use

The U&U ENFit Enteral Syringe is indicated for use as a dispenser, a measuring device and a fluid transfer device. It is used to deliver fluids into the body enterally. It is intended to be used in clinical or home care settings by users ranging from clinicians to laypersons (under the supervision of a clinician) in all age groups.

Device Story

Standard piston-style syringe; consists of barrel, plunger, and gasket; optional tip cap. Features integral female ENFit connector (ISO 80369-3) to prevent wrong-route administration. Used in clinical or home settings by clinicians or laypersons to dispense, measure, and transfer enteral fluids. Translucent barrel allows visualization of contents. Operates manually; provider draws fluid into syringe and delivers via enteral access device. Benefits patient by ensuring secure, dedicated enteral connection, reducing risk of misconnection.

Clinical Evidence

Bench testing only. No clinical data provided. Performance evaluated against ISO 7886-1 (sterile hypodermic syringes) and ISO 80369-3 (enteral connectors). Testing included physical performance (leakage, plunger force, dose accuracy), connector integrity (stress cracking, separation, disconnection), and biocompatibility per ISO 10993.

Technological Characteristics

Materials: Polypropylene (barrel/plunger), silicone or rubber (piston). Design: Piston-style syringe, 1-60 mL capacity. Connector: ISO 80369-3 female ENFit. Lubricant: Silicone oil. Sterilization: Ethylene oxide. Connectivity: None (manual).

Indications for Use

Indicated for enteral fluid delivery in all age groups; intended for use in clinical or home care settings by clinicians or laypersons under clinician supervision.

Regulatory Classification

Identification

A gastrointestinal tube and accessories is a device that consists of flexible or semi-rigid tubing used for instilling fluids into, withdrawing fluids from, splinting, or suppressing bleeding of the alimentary tract. This device may incorporate an integral inflatable balloon for retention or hemostasis. This generic type of device includes the hemostatic bag, irrigation and aspiration catheter (gastric, colonic, etc.), rectal catheter, sterile infant gavage set, gastrointestinal string and tubes to locate internal bleeding, double lumen tube for intestinal decompression or intubation, feeding tube, gastroenterostomy tube, Levine tube, nasogastric tube, single lumen tube with mercury weight balloon for intestinal intubation or decompression, and gastro-urological irrigation tray (for gastrological use).

Special Controls

*Classification.* (1) Class II (special controls). The barium enema retention catheter and tip with or without a bag that is a gastrointestinal tube and accessory or a gastronomy tube holder accessory is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I (general controls) for the dissolvable nasogastric feed tube guide for the nasogastric tube. The class I device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 876.9.

Predicate Devices

• NeoConnect Oral/Enteral Syringes With ENFit Connector (12 ML To 100 ML) And NeoConnect Low Dose Tip Oral/Enteral Syringes With ENFit Connector (0.5 ML To 6mL) (K161039)

Submission Summary (Full Text)

{0}------------------------------------------------

Image /page/0/Picture/1 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal features the department's name in a circular arrangement around a central emblem. The emblem consists of a stylized representation of three human profiles facing to the right, stacked one behind the other, with flowing lines beneath them.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

April 3, 2017

U&U Medical Technology Co., Ltd Black Wang GM Dongzhou Village, Hengshangiao Changzhou, Jiangsu 213119 China

Re: K160855 Trade/Device Name: U&U ENFit Enteral Syringe Regulation Number: 21 CFR 876.5980 Regulation Name: Gastrointestinal Tubes and Accessories Regulatory Class: II Product Code: PNR Dated (Date on orig SE ltr): October 18, 2016 Received (Date on orig SE ltr): October 20, 2016

Dear Black Wang:

This letter corrects our substantially equivalent letter of November 22, 2016

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. 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

{1}------------------------------------------------

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 (reporting of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

# Benjamin R. Fisher -S

Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

{2}------------------------------------------------

Food and Drug Administration

# Indications for Use

510(k) Number (if known) K160855

Device Name

U&U ENFit Enteral Syringe

#### Indications for Use (Describe)

The U&U ENFit Enteral Syringe is indicated for use as a dispenser, a measuring device and a fluid transfer device. It is used to deliver fluids into the body enterally. It is intended to be used in clinical or home care settings by users ranging from clinicians to laypersons (under the supervision of a clinician) in all age groups.

| Type of Use (Select one or both, as applicable) | |
|----------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------|
| <div> <span> ☒ Prescription Use (Part 21 CFR 801 Subpart D) </span> </div> | <div> <span> ☐ Over-The-Counter Use (21 CFR 801 Subpart C) </span> </div> |

**CONTINUE ON A SEPARATE PAGE IF NEEDED.**

This section applies only to requirements of the Paperwork Reduction Act of 1995.

***DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.***

The burden time for this collection of information is estimated to average 79 hours per response, including the
time to review instructions, search existing data sources, gather and maintain the data needed and complete
and review the collection of information. Send comments regarding this burden estimate or any other aspect
of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services

Food and Drug Administration

Office of Chief Information Officer

Paperwork Reduction Act (PRA) Staff

[[e-mail]](mailto:[e-mail])

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB number."

{3}------------------------------------------------

510(k) Submission

U&U Medical Technology Co., Ltd Dongzhou Village,Hengshanqiao,Changzhou,Jiangsu,China U&U (HONGKONG) Medical Technology Co., Limited RM C1-D 6/F WING HING IND BLDG 14 HING YIP ST KWUN TONG KLN HONG KONG [ENFit Enteral Syringe]

Rev 1.01 22/11/16

# Section 005 510(K) Summary

This summary of 510(k) information is being submitted in accordance with the requirements of SMDA and 21 CFR §807.92.

# K160855

Date Prepared: 11. 22 .2016

# 1. Submitter Name and Address:

| Owner Name: | U&U Medical Technology Co., Ltd |
|-----------------|-----------------------------------------------------------------------------------------------------------------------------------|
| Address: | Dongzhou Village,Hengshanqiao,Changzhou,Jiangsu,China<br>RM C1-D 6/F WING HING IND BLDG 14 HING YIP ST KWUN TONG KLN<br>HONG KONG |
| Contactor Name: | Xuebo Wang |
| TEL: | [phone] |
| E-mail: | [e-mail] |

# US Agent:

| Name: | CARELIFE (USA) INC. |
|------------------|----------------------------------------------|
| Address: | 1580 Boggs Rd, Suite 500/600 Duluth GA 30096 |
| TEL: | 404 6612228 |
| Contact person : | Ms. LI QIAN [e-mail] |

# 2. Submission Devices Information:

Trade/Proprietary Name: U&U ENFit Enteral Svringe Common Name: Gastrointestinal tube and accessories Classification name: ENFit Enteral Syringes With Enteral Specific Connectors Class: 2. Review Panel: Gastroenterology/Urology. Product codes: PNR Submission Type: 510(k) Regulation Number: 21 CFR § 876.5980

# 3. Predicate Devices Information:

| Trade Name: | NeoConnect Oral/Enteral Syringes With ENFit Connector (12 ML To<br>100 ML) And NeoConnect Low Dose Tip Oral/Enteral Syringes With<br>ENFit Connector (0.5 ML To 6mL) |
|----------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 510(K) Number: | K161039 |
| Company: | NeoMed, Inc. |

# 4. Devices Description:

The U&U ENFit Enteral Syringes are standard piston style syringes consisting of a syringe barrel, syringe plunger, syringe gasket, and supplied with or without a syringe tip cap. They are provided in varying sizes ranging from 1 mL to 60 mL nominal capacity. The integral syringe tip is a female connector which is compatible only with enteral access devices having male connectors to form a dedicated system that prevents wrong-route administration of fluids. They possess translucent barrels to provide visualization of fluid contents and volume.

{4}------------------------------------------------

22/11/16 Rev 1.01

# 5. Intended Use:

The U&U ENFit Enteral Syringe is indicated for use as a dispenser, a measuring device and a fluid transfer device. It is used to deliver fluids into the body enterally. It is intended to be used in clinical or home care settings by users ranging from clinicians to laypersons (under the supervision of a clinician) in all age groups.

# 6. Technological Characteristics:

Through comparisons between the submitted devices with the predicate devices as follows tables.

#### Comparison Table

| Element of Comparison | Submission Device | Predicate Device<br>K161039 |
|------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use | The U&U ENFit Enteral Syringe<br>is indicated for use as a<br>dispenser, a measuring device<br>and a fluid transfer device. It is<br>used to deliver fluids into the body<br>enterally. It is intended to be<br>used in clinical or home care<br>settings by users ranging from<br>clinicians to laypersons (under the<br>supervision of a clinician) in all<br>age groups. | The device is indicated for use as<br>a dispenser, a measuring device<br>and a fluid transfer device. It is<br>used to deliver fluids<br>into the body enterally. It is<br>intended to be used in clinical or<br>home care settings by users<br>ranging from clinicians to<br>laypersons (under the supervision<br>of a clinician) in all age groups. |
| Principle of Operation | Normal | Normal |
| Syringe Capacity | 1cc/ml to 60cc/ml | 0.5cc/ml to 100cc/ml |
| Nozzle Type | ISO 80369-3 | ISO 80369-3 |
| Lubricant for Barrel | Silicone Oil | Silicone Oil |
| Barrel Transparency | Transparent and Clear | Transparent and Clear |
| Gradations Legibility | Legible | Legible |
| Materials | | |
| Barrel | PP | PP |
| Plunger | PP | PP |
| Piston | Silicone or Rubber | Silicone |
| Performances | Conforms to ISO7886 ISO80369-3 | Conforms to ISO7886 ISO80369-3 |
| Biocompatibility | Conforms to ISO10993 (Part 1:<br>Evaluation and testing, Part 5:<br>Tests for in vitro cytotoxicity, Part 7:<br>Ethylene oxide sterilization<br>residuals, Part 10: Tests for<br>irritation anddelayed-type<br>hypersensitivity, Part 11: Tests for<br>systemic toxicity) | Conforms to ISO10993 |
| Labeling | Meet the requirements of 21 CFR<br>Part 801 | Meet the requirements of 21 CFR<br>Part 801 |

# 7. Non-Clinical Tests performed on the subject device.

{5}------------------------------------------------

Rev 1.01 22/11/16

The proposed devices were tested per the following standards, to evaluate its performance.

- · ISO7886-1 Sterile hypodermic syringes for single use Part 1: Syringes for manual use
- ISO 80369-3 Small-bore connectors for liquids and gases in healthcare applications -- Part
- 3: Connectors for enteral applications

#### The test items include following

- · Physical Performance Diameter
- · Physical Performance Maximum Dead Space
- Physical Performance Freedom Liquid and air leakage past piston
- · Physical Performance Force required to Operate plunger
- Physical Performance Tolerance on graduated capacity (Dose accuracy)
- · Syringe Tip (ISO 80369-3 female connector)

Fluid Leakage by pressure decay Fluid Leakage by falling drop positive pressure decay Stress Cracking Resistance to separation from axial load Resistance to separation from unscrewing Resistance to overriding Disconnection by unscrewing Low Dose Tip Misconnection Analysis Report Low Dose Dimension Analysis Report

#### Biocompatibility

Conforms to ISO10993 Part 1: Evaluation and testing, Part 5: Tests for in vitro cytotoxicity, Part 7: Ethylene oxide sterilization residuals, Part 10: Tests for irritation and delayed- type hypersensitivity, Part 11: Tests for systemic toxicity

# 8. Conclusion:

The materials, performance, and operational features of both the subject device and the predicate device are substantially equivalent.

END