NovoFine

K210258 · Novo Nordisk, Inc. · FMI · Jun 23, 2021 · General Hospital

Device Facts

• Record ID: K210258
• Device Name: NovoFine
• Applicant: Novo Nordisk, Inc.
• Product Code: FMI · General Hospital
• Decision Date: Jun 23, 2021
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.5570
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

NovoFine® needles are intended for use with pen injector devices for the subcutaneous injection of drugs.

Device Story

NovoFine is a sterile, single-use hypodermic needle designed for subcutaneous drug delivery via pen injectors. The device consists of a stainless steel cannula bonded to a polypropylene hub, protected by inner and outer caps. Operation involves removing the protective tab, screwing the needle onto a compatible pen injector, removing the caps, performing the injection, and disposing of the needle after a single use. It is used in clinical or home settings by patients or healthcare providers. The device facilitates drug administration by providing a fluid path from the pen reservoir to the subcutaneous tissue. It is compatible with a wide range of commercially available pen injectors. The device benefits patients by enabling consistent, accurate, and sterile subcutaneous drug delivery.

Clinical Evidence

Bench testing only. No clinical data provided. Performance testing included functional compatibility with leading pen injectors per ISO 11608-2:2012, biocompatibility per ISO 10993-1, and package integrity testing per ISTA 3A and ISO 11607-2. Shelf life validated per ASTM F1980-16.

Technological Characteristics

Hypodermic single lumen needle. Materials: Stainless steel (AISI/SUS 304) cannula, Polypropylene (PP) hub, Polyethylene (PE) caps, epoxy adhesive. Sterilization: Ethylene Oxide. Standards: ISO 11608-2 (performance), ISO 9626 (tubing), ISO 10993-1 (biocompatibility), ISO 11607-2 (packaging). Dimensions: 30G-32G gauges; 4mm-8mm lengths.

Indications for Use

Indicated for patients requiring subcutaneous injection of drugs using pen injector devices. No specific age or gender restrictions. Contraindications not specified.

Regulatory Classification

Identification

A hypodermic single lumen needle is a device intended to inject fluids into, or withdraw fluids from, parts of the body below the surface of the skin. The device consists of a metal tube that is sharpened at one end and at the other end joined to a female connector (hub) designed to mate with a male connector (nozzle) of a piston syringe or an intravascular administration set.

Predicate Devices

• NovoFine® 32G Tip (0.23/0.25) x 6 mm ETW (extra thin wall) (K173479)

Submission Summary (Full Text)

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June 23, 2021 Novo Nordisk Inc. Hiral Shah Associate Manager, Regulatory Affairs P.O Box 846 Plainsboro, New Jersey 08536

## Re: K210258

Trade/Device Name: NovoFine Regulation Number: 21 CFR 880.5570 Regulation Name: Hypodermic single lumen needle Regulatory Class: Class II Product Code: FMI Dated: May 21, 2021 Received: May 24, 2021

## Dear Hiral Shah:

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 Rumi Young Acting 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) K210258

Device Name NovoFine®

Indications for Use (Describe)

NovoFine® needles are intended for use with pen injector devices for the subcutaneous injection of drugs.

Type of Use (Select one or both, as applicable)

| Prescription Use (Part 21 CFR 801 Subpart D)

X Over-The-Counter Use (21 CFR 801 Subpart C)

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# K210258 510(k) Summary

## As required by 21 CFR 807.92(a)

Date Prepared: June 23, 2021

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of 21 CFR 807.92. The NovoFine® needle portfolio meets all applicable product and quality standards for hypodermic single lumen needle products.

#### Submitter's Name and Address: 1

Novo Nordisk Inc. 800 Scudders Mill Road Plainsboro, New Jersey 08536

Contact Person: Hiral Palkhiwala Shah Manager, Regulatory Affairs Tel: [phone] Email: [e-mail]

#### Name of Device: 2

| Trade Name: | NovoFine® |
|--------------------------------|----------------------------------------------------------|
| Common or usual name: | Pen Needle |
| Classification: | Class II device; |
| Regulation Name: | Hypodermic single lumen needle |
| Regulation Number: | 21 CFR 880.5570 |
| Product Code: | FMI (hypodermic single lumen needle) |
| Predicate Device<br>thin wall) | K173479, NovoFine® 32G Tip (0.23/0.25) x 6 mm ETW (extra |

#### 3 Substantial Equivalence:

Predicate Device: NovoFine® 32G Tip (0.23/0.25) x 6 mm ETW (extra thin wall) (K173479, cleared January 17, 2018)

The main purpose of this submission is to expand the indications for use, which is not restricted to the drugs listed in the predicate device's indications for use.

Additionally, following minor changes have been implemented between the subject device and the predicate NovoFine®:32G Tip (0.23/0.25) x 6 mm ETW (extra thin wall) (K173479, cleared January 17, 2018)

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- a. Addition of the additional NovoFine® needle variants (30 G 8mm, 31 G 6mm and 32 G 4mm)
- b. Tightened specification for minimum inner diameter of the cannula for 32G

The above changes do not affect intended use, materials, principle of operation, shelf life, and biocompatibility. The technological differences do not raise different questions of safety and effectiveness. Additionally, the data demonstrate equivalence and support the indications for use. Therefore, NovoFine® subject of this 510(k) is substantial equivalent to NovoFine® 32G Tip (0.23/0.25) x 6 mm ETW (extra thin wall cleared on January 17, 2018) (K173479) the predicate device.

#### Device Description: ব

NovoFine® is a sterile single use needle for subcutaneous injection of drugs with a pen injector device. Prior to giving an injection, the protective tab is removed from the outer needle cap of the single-use disposable needle. With the disposable needle remaining in the outer needle cap, it is then carefully screwed onto the injection delivery device until tight and then the needle outer and inner caps are removed. Use the needles as described in the instructions for use that comes with the pen-injector device and as instructed by the healthcare professional.

After the injection, the needle is removed from the skin. The needle is detached from the injection device and disposed of in accordance with national/local regulations. For each subsequent injection, a new disposable needle must be used.

The device has demonstrated compatibility with the following pen injectors: Autopen® 24. Autopen® Classic, BerliPen® 302, BerliPen® aero 2, Byetta® Pen, ClickStar®, FlexPen® Levemir, FlexPro® 5mg, FlexPro® 15mg, FlexTouch® NovoRapid, HumaPen® LuxuraTM, HumaPen® LuxuraTM HD, InnoLet®, KwikPen®, NordiFlex® 15 mg, NordiPen® 15mg, NovoPen Echo®, NovoPen® 4, NovoPen® 5, Ozempic® (0.25mg/0.5mg/1.0mg), Saxenda®, SoloStar® Lantus, TactiPen®, Victoza® Pen (GLP-1), and Xultophy®.

#### 5 Indication for use:

NovoFine® needles are intended for use with pen injector devices for the subcutaneous injection of drugs.

#### Technological Characteristics: 6

The NovoFine® is considered substantially equivalent to the predicate NovoFine® disposable needle in intended use, technology, principles of operation, materials and performance. Differences between the devices do not raise any sigmificant issues of safety and effectiveness. For a detailed side by side comparison to the predicate needle cleared by the Agency, please see Table 1.

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Comparison with Predicate Devices:

The subject device is considered substantially equivalent in device design, materials, fundamental scientific technology and device performance as the predicate devices (K173479). The purpose of this submission is to expand the indications for use, which is not restricted to the drugs listed in the predicate device's indications for use. The table below provides a side by side comparison of the subject device compared to its predicate.

| | NovoFine®<br>Subject device | NovoFine® 32G Tip (0.23/0.25) x 6 mm<br>ETW (extra thin wall) Predicate device |
|-------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Parameter | | |
| Marketing status | K210258 | K173479 |
| Indication for use | Intended for use with pen injector<br>devices for the subcutaneous<br>injection of drugs | Intended for use with pen injector devices<br>for the subcutaneous injection of insulin,<br>liraglutide, semaglutide and somatropin |
| Product type | Hypodermic single lumen needle | Hypodermic single lumen needle |
| Shelf life | 5 years from production date | 5 years from production date |
| Biocompatibility | Comply with ISO 10993-1 and<br>the following tests were<br>performed<br>- in vitro cytotoxicity<br>intracutaneous reactivity,<br>skin sensitisation,<br>acute systemic toxicity and<br>haemocompatibility<br>(haemolysis) | Comply with ISO 10993-1 and<br>the following tests were<br>performed<br>- in vitro cytotoxicity<br>intracutaneous reactivity,<br>skin sensitisation,<br>acute systemic toxicity and<br>haemocompatibility<br>(haemolysis) |
| Performance testing | ISO 11608-2: 2012<br>ISO 9626: 2016 | ISO 11608-2: 2012<br>ISO 9626: 2016 |
| Reuse | Single use | Single use |
| Labelling | 100 needles (trade)<br>7 needles (sample) | 100 needles (trade)<br>7 needles (sample) |
| Specifications | | |
| Outer diameter,<br>cylindrical part2 | 0.25-0.27 mm for 31G and 32G<br>0.298-0.32 mm for 30G | 0.25-0.27 mm 1 |
| Inner diameter2 | Minimum 0.146 mm for 31G and<br>32G<br>Minimum 0.165 mm for 30G | 0.145-0.16 mm |
| Length from hub2 | 4 mm for 32G<br>6 mm for 31G and 32G<br>8 mm for 30G | 4 mm |
| Gauge2 | 30G<br>31G<br>32G | 32G |
| Tip configuration | 1st and 2nd grinding and glass<br>blasting | 1st and 2nd grinding and glass blasting |
| Hub/<needle ≥ bond<br>strength | Fmin = 22 N | Fmin = 22 N |
| Materials | | |
| Hub | Polypropylene (PP) with PE white<br>master batch<br>Color: White | Polypropylene (PP) with PE white master<br>batch<br>Color: White |
| | NovoFine®<br>Subject device | NovoFine® 32G Tip (0.23/0.25) x 6 mm<br>ETW (extra thin wall) Predicate device |
| Cannula 3 | Stainless steel<br>AISI / SUS 304<br>DIN-kurzname: X 5 CrNi 18 10 3 | Stainless steel<br>AISI / SUS 304<br>DIN-kurzname: X 5 CrNi 18 9 |
| Glue | Single component epoxy adhesive<br>Color: Light yellow | Single component epoxy adhesive<br>Color: Light yellow |
| Inner needle cap | Polyethylene (PE)<br>Color: White | Polyethylene (PE)<br>Color: White |
| Outer needle cap | Polypropylene (PP)<br>Color: Transparent white | Polypropylene (PP)<br>Color: Transparent white |
| Sealing paper4 | Gas permeable paper<br>Sterikraft 558 with coating: 5810A | Bactite 60K 43 g/m2 coated<br>with PS-118 laquer 6 g/m2 for<br>ethylene oxide sterilization<br>Color: Light blue (RAL 5012) |
| Lubricating oil for<br>patient needle end | Medical grade silicone | Medical grade silicone |
| Lubricating oil for<br>back needle end | Medical grade silicone | Medical grade silicone |

Table 1 Side by side comparison of the subject device and predicate device

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1 By administrative error, the outer diameter and pull force of inner cap from hub were described incorrectly in the predicate 510(k) (K173479) and corrected here.

2 These differences were assessed by performance testing, and there were no different questions of safety and effectiveness.

3 In ISO 15510:2014, the name of the stainless-steel material is stated both as X5CrNi-18-10.

4 The material of the sealing paper is identical between proposed device and predicate device. Only the name of the sealing paper has been changed by the supplier of the sealing paper.

#### 6.1 Non-Clinical Tests Performed

The different indications for use of the subject pen needle device, do not raise different questions of safety and effectiveness compared to the indications for use of the predicate device. The non-clinical performance testing supports the determination of substantial equivalence. NovoFine® has been tested for functional compatibility according to ISO 11608-2:2012 with all leading pen injectors available on the market. This testing has shown connectivity to NovoFine® and maintenance of the dose accuracy through the needle of all leading pen-injectors on the market covering different types of drugs.

List of all ISO standards used in non-clinical performance testing (sterility, biocompatibility, and performance):

- ISO 10993-1: 2018 Biological evaluation of medical devices-Part 1: Evaluation and ● testing within a risk management process.
- DS EN/ISO 11607-2:2019 Packaging for terminally sterilized medical devices-Part 2: ● Validation requirements for forming, sealing and assembly processes
- ISO 11608-2: 2012 Needle-based injection systems for medical use Requirements . and test methods -- Part 2: Needles
- ISO 9626: 2016 Stainless steel needle tubing for the manufacture of medical devices ●
- Particulates per ISO 11040-4:2015 Prefilled syringes Part 4: Glass barrels for ● injectables and sterilized sub assembled syringes ready for filling

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Package integrity testing, after environmental conditioning and simulated transportation in accordance with ISTA 3A, was conducted on the final, packaged, and sterile devices. All packaging deemed acceptable for protection of product and sterility maintenance.

The sterilization process and shelf-life for NovoFine® remains the same as the predicate device, K173479. The sterilization method is Ethylene Oxide.

Shelf life of 5 years is validated using the FDA recognized standard ASTM F1980-16 Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices

#### 7 Conclusion

The differences between the predicate and the subject device do not raise any new or different questions of safety or effectiveness. The Novofine® is substantially equivalent to the NovoFine® 32G Tip (0.23/0.25) x 6 mm ETW (extra thin wall) with respect to the indications for use, target populations, treatment method, and technological characteristics.