BD SoloShot Mini Syringe/ BD Auto Disable Syringe

K201234 · Becton, Dickinson and Company · FMF · Jul 15, 2020 · General Hospital

Device Facts

• Record ID: K201234
• Device Name: BD SoloShot Mini Syringe/ BD Auto Disable Syringe
• Applicant: Becton, Dickinson and Company
• Product Code: FMF · General Hospital
• Decision Date: Jul 15, 2020
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.5860
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The BD SoloShot™ Mini Syringe/ BD Auto Disable Syringe is intended for aspiration and injection of fluids.

Device Story

Sterile, two-piece piston syringe designed for single fixed-dose delivery (0.5 mL). Features permanently attached hypodermic needle and integrated auto-disable mechanism; clip on plunger rod locks rod in place post-injection to prevent reuse. Device consists of barrel, one-piece plunger rod, stainless steel clip, and needle with shield cover. Individually blister-packaged and ETO sterilized. Used by clinicians for fluid aspiration and injection. Prevents needle reuse, reducing risk of bloodborne pathogen transmission.

Clinical Evidence

Bench testing only. Performance testing included leakage, dose accuracy, dead space, activation/deactivation forces, cannula/shield pull force, scale mark permanency, and package integrity. Biocompatibility testing included cytotoxicity, hemolysis, acute systemic toxicity, intracutaneous reactivity, sensitization, pyrogenicity, chemical extractables, and primary dermal irritation. Sterilization validated per ISO 11135.

Technological Characteristics

Piston syringe; 2-piece design (miniature barrel/plunger). Materials: Plastic barrel/shield, stainless steel clip/cannula. Sterilization: Ethylene Oxide (SAL 10-6). Standards: ISO 10993-1, ISO 11135, ISO 7886-3, ISO 7886-1, ISO 7864, ISO 9626, ISO 6009.

Indications for Use

Indicated for aspiration and injection of fluids in patients requiring fixed-dose injections.

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

• BD SoloShot™ IX Syringe (K042934)

Submission Summary (Full Text)

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, with the letters "FDA" in a blue square. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

July 15, 2020

Becton, Dickinson, and Company Avital Merl Director, Regulatory Affairs 1 Becton Drive Franklin Lakes, New Jersey 07417

Re: K201234

Trade/Device Name: BD SoloShot Mini Syringe/ BD Auto Disable Syringe Regulation Number: 21 CFR 880.5860 Regulation Name: Piston Syringe Regulatory Class: Class II Product Code: FMF Dated: July 14, 2020 Received: July 15, 2020

# Dear Avital Merl:

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

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801); medical device reporting of medical device-related adverse events) (21 CFR 803) for 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 mediation-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 ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

For 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 Statement

| DEPARTMENT OF HEALTH AND HUMAN SERVICES<br>Food and Drug Administration<br>Indications for Use | Form Approved: OMB No. 0910-0120<br>Expiration Date: January 31, 2017<br>See PRA Statement on last page |
|------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|
|------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|

| 510(k) Number (if known) | |
|-------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------|
| Device Name | BD SoloShot™ Mini Syringe/ BD Auto Disable Syringe |
| Indications for Use (Describe) | The BD SoloShot™ Mini Syringe/ BD Auto Disable Syringe is intended for aspiration and injection of fluids. |
| Type of Use (Select one or both, as applicable) | |
| <label><input checked="" type="checkbox"/> Prescription Use (Part 21 CFR 801 Subpart D)</label> | <label><input type="checkbox"/> Over-The-Counter Use (21 CFR 801 Subpart C)</label> |

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

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FORM FDA 3881 (1/14)

Page 1 of 1 FDA

PSC Publishing Services [phone] EF

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## 510(k) SUMMARY

## BD SoloShot™ Mini Syringe/ BD Auto Disable Syringe

Becton Dickinson and Company 1 Becton Drive Franklin Lakes, NJ 07417

Phone: [phone] Fax: [phone]

Contact Person: Avital Merl Date Prepared: July 14,2020

Name of Device: BD SoloShot™ Mini Syringe/ BD Auto Disable Syringe Common or Usual Name: Piston Syringe Classification Name: Piston Syringe; 21 CFR §880.5860 Requlatory Class: Class II device Product Code: FMF

Predicate Device: BD SoloShot™ IX Syringe 510(k) Reference: K042934 Classification Name: Piston Syringe; 21 CFR §880.5860 Requlatory Class: Class II device Product Code: FMF

## Purpose of the Special 510(k) notice.

The BD SoloShot™ Mini Syringe/ BD Auto Disable Syringe is a modification to BD SoloShot™ IX Syringe.

#### Intended Use

The BD SoloShot™ Mini Syringe/ BD Auto Disable Syringe is intended for aspiration and injection of fluids.

## Device Description

The BD SoloShot™ Mini Syringe/ BD Auto Disable Syringe device is a sterile two-piece piston syringe designed to deliver a single fixed dose. It features a permanently attached hypodermic needle and auto-disable feature that prevents reuse of the syringe by locking the plunger rod in place after injection. The SoloShot™ Mini Syringe consists of a syringe barrel, a one-piece plunger rod (without rubber stopper), a clip affixed to the plunger rod and a integral needle is protected with a shield cover. The clip activates the auto-disabled feature, preventing re-use of the syringe is individually blister packaged and ETO sterilized to SAL of 10-6 .

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# Technological Characteristics

Both the subject and predicate device operate as a piston syringe and are used for general purpose aspiration and injection of fluids. The system components and operational principle of the subject and predicate device are the same. The following technological differences exist between the subject and predicate devices:

- Dimensions of the barrel, plunger rod, clip, shield component, and packaging .
- . Minor material modifications to the scale mark ink and the barrel and shield resins.

A comparison of the subject and predicate device is summarized in the Table below.

| | Subject Device:<br>BD SoloShot™ Mini Syringe/<br>BD Auto Disable Syringe | Predicate Device:<br>BD SoloShot™ IX Syringe | Comparison |
|--------------------------------------|--------------------------------------------------------------------------|--------------------------------------------------------------|------------------------------------------------------------------------------------|
| 510(k) Number | K201234 | K042934 | |
| Intended Use | Intended for aspiration and<br>injection of fluids. | Intended for aspiration and<br>injection of fluids. | Same |
| Technological Characteristics | | | |
| Syringe Type | 2 Piece (miniature size barrel<br>and plunger) | 2 Piece (barrel and plunger) | Different; Validated<br>with Bench<br>performance &<br>Sterilization<br>validation |
| Reuse Prevention<br>(Safety) Feature | Auto-disabled (Miniature size),<br>prevents syringe re-use | Auto-disabled, prevents<br>syringe re-use | Different; Validated<br>with Bench<br>performance &<br>Sterilization<br>validation |
| Dose Saving Feature | Low Dead Space/Volume | Low Dead Space/Volume | Same |
| Integrated Needle | Yes | Yes | Same |
| Dose<br>Setting/Volumes | Fixed doses: 0.5 mL | Fixed doses: 0.5 mL or 1.0<br>mL | Same |
| Needle Size (Gauge<br>x Length) | 23G X 1"<br>24G x 3/4"<br>25G x 1"<br>25G x 5/8" | 22G X 1"<br>23G X 1"<br>24G x 3/4"<br>25G x 1"<br>25G x 5/8" | Same |
| Component Materials | | | |
| Barrel Material | Plastic | Plastic | Same; Minor<br>modifications<br>validated with<br>Biocompatibility |
| Plunger Material | Plastic + Colorant (blue, violet, orange) | Plastic + Colorant (black, blue, violet, orange) | Same |
| Clip | Stainless steel | Stainless steel | Same |
| Integrated Cannula | Stainless Steel | Stainless Steel | Same |
| Shield | Plastic | Plastic | Same; Minor<br>modifications<br>validated with<br>Biocompatibility |
| Biocompatibility | | | |
| Biocompatibility | Passed ISO 10993 testing;<br>Non-pyrogenic, Non Toxic | Passed ISO 10993 testing;<br>Non-pyrogenic, Non Toxic | Same |
| Sterilization | Ethylene Oxide (SAL 10-6) | Ethylene Oxide (SAL 10-6) | Same |
| Shelf Life | 5 years | 5 years | Same |

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## Performance Data

BD performed the following bench, biocompatibility, and sterilization testing to support the modifications of the BD SoloShot™ Mini Syringe/ BD Auto Disable Syringe. The results of these analyses demonstrate that the BD SoloShot™ Mini Syringe/ BD Auto Disable Syringe performed in an equivalent manner to the predicate device.

- Bench Performance ●
- o Leakage, Dose Accuracy, Dead Space, Maximum Usable Capacity, Activation Forces, Cannula Pull Force, Shield Pull Force, Deactivation Volume/ Force to defeat the auto-destruct feature, Scale Mark Permanency, and Package Integrity
- Material Biocompatibility Performance ●
- o Cytotoxicity, Hemolysis, Acute Systemic Toxicity, Intracutaneous Reactivity, Sensitization, Pyrogenicity, Chemical Extractables Analysis, and Primary Dermal Irritation
- Sterilization Performance .
- o Requalification of sterilization validation
- Compliance to Standards ●
- o ISO 10993-1: 2009/2018, ISO 11135: 2004, ISO 7886-3: 2005, ISO 7886-1:1993, ISO 7864:1993, ISO 9626:1991, ISO 6009:1992

In all instances, the BD SoloShot™ Mini Syringe functioned as intended and results observed met the predefined acceptance criteria.

## Conclusion

The BD SoloShot™ Mini Syringe/ BD Auto Disable Syringe is as safe and effective as the BD SoloShot™ IX Syringe. The BD SoloShot™ Mini Syringe/ BD Auto Disable Syringe has the same intended uses and similar technological characteristics, and principles of operation as its predicate device. The technological differences between the BD SoloShot™ Mini Syringe/ BD Auto Disable Syringe and its predicate device raise no new issues of safety or effectiveness. Bench, Biocompatibility, and Sterilization performance data demonstrate that the BD SoloShot™ Mini Syringel BD Auto Disable Syringe is as safe and effective as the BD SoloShot™ IX Syringe. Thus, the BD SoloShot™ Mini Syringe/ BD Auto Disable Syringe is substantially equivalent.