← Product Code [FMI](/submissions/HO/subpart-f%E2%80%94general-hospital-and-personal-use-therapeutic-devices/FMI) · K173803

# Omnican fine (K173803)

_B.Braun Medical, Inc. · FMI · Jun 11, 2018 · General Hospital · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/HO/subpart-f%E2%80%94general-hospital-and-personal-use-therapeutic-devices/FMI/K173803

## Device Facts

- **Applicant:** B.Braun Medical, Inc.
- **Product Code:** [FMI](/submissions/HO/subpart-f%E2%80%94general-hospital-and-personal-use-therapeutic-devices/FMI.md)
- **Decision Date:** Jun 11, 2018
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 880.5570
- **Device Class:** Class 2
- **Review Panel:** General Hospital
- **Attributes:** Therapeutic

## Indications for Use

Omnican fine is intended for use with needle-based injection devices for subcutaneous injection of fluid drug products. Omnican fine is intended for single usage with the needle-based injection system (NIS) according to the instructions of the NIS. The Omnican fine pen needle may be used for any patient population. The Omnican fine is a physician prescribed device.

## Device Story

Omnican fine is a sterile, single-use, double-ended pen needle for subcutaneous fluid drug delivery. It consists of a tri-beveled hollow steel cannula and a needle hub. The device is attached to a compatible needle-based injection system (NIS); the proximal end penetrates the drug cartridge septum, while the distal end delivers the medication to the patient. It is used in clinical or home settings by patients or caregivers as prescribed by a physician. The device facilitates the fluid path from the injection system to subcutaneous tissue. Benefits include reliable drug delivery via standard pen-injector interfaces. No software or electronic components are involved.

## Clinical Evidence

Bench testing only. No clinical data. Performance testing included dimensional verification, flow rate, tensile load (22 N), unscrewing torque, and compatibility with various NIS platforms. Biocompatibility testing per ISO 10993-1 confirmed safety for limited contact (<24 hrs) including cytotoxicity, sensitization, intracutaneous reactivity, systemic toxicity, and rabbit pyrogen testing. Accelerated aging validated a 5-year shelf life.

## Technological Characteristics

Materials: Austenitic stainless steel (AISI SUS 304) cannula, polypropylene hub, styrene-butadiene needle shield. Dimensions: 29G and 31G; lengths 4mm, 6mm, 8mm, 12mm. Principle: Manual subcutaneous injection via NIS. Sterilization: Ethylene Oxide (SAL 10^-6). Standards: ISO 7864, ISO 9626, ISO 10993-7, ISO 11135, ISO 11608-2.

## Regulatory 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

- Pencylcap ([K152050](/device/K152050.md))

## Submission Summary (Full Text)

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June 11, 2018

B. Braun Medical Inc. Kimberly Smith Sr. Regulatory Affairs Specialist 901 Marcon Blvd. Allentown, Pennsylvania 18109

Re: K173803

Trade/Device Name: Omnican fine Regulation Number: 21 CFR 880.5570 Regulation Name: Hypodermic Single Lumen Needle Regulatory Class: Class II Product Code: FMI Dated: May 11, 2018 Received: May 11, 2018

Dear Kimberly Smith:

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.

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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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); 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 http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). 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 (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Tina Kiang -S

Tina Kiang, Ph.D. Acting Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# Indications for Use

510(k) Number (if known)

K173803

Device Name Omnican fine

Indications for Use (Describe)

Omnican fine is intended for use with compatible needle-based injection for subcutaneous injection of fluid drug products.

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

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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| 510(k) Summary    | K173803                                                                                                                                    |
|-------------------|--------------------------------------------------------------------------------------------------------------------------------------------|
| SUBMITTER:        | B. Braun Medical Inc.<br>901 Marcon Boulevard<br>Allentown, PA 18109-9341<br>610-266-0500                                                  |
|                   | Contact: Kimberly Smith, Sr. Regulatory Affairs Specialist<br>Phone: (610) 596-2326<br>Fax: (610) 266-4962<br>E-mail: Kim.smith@bbraun.com |
| DATE:             | December 13, 2017                                                                                                                          |
| DEVICE NAME:      | Omnican fine                                                                                                                               |
| COMMON NAME:      | Pen needle; Hypodermic single lumen needle                                                                                                 |
| CLASSIFICATION:   | Class II per 21 CFR 880.5570, Needle, hypodermic, single lumen<br>Product Code: FMI<br>Panel: General Hospital                             |
| PREDICATE DEVICE: | Pencylcap<br>B. Braun Melsungen AG<br>K152050, Class II, FMI, 880.5570                                                                     |

# Description

The Omnican fine is a pen needle device that is a sterile, individually packaged, single use, hypodermic single lumen needle; intended for use with compatible needle-based injection systems for subcutaneous injection of fluid drug products. Omnican fine is a double-ended needle consisting of a tri-beveled tip, hollow steel cannula, and needle hub packaged in a hard plastic sealed container. Specific versions contain an inner needle shield. The Omnican fine provides a fluid path from a drug container to subcutaneous tissue. There are no restrictions in the patient/user population.

To utilize the needle, the primary package is opened by removal of the seal and the exposed part of the needle is securely fastened onto the injection device. Once fastened, the needle penetrates the septum of the cartridge inside the injector. The primary container is then removed from the lower (distal) part, the patient end, of the needle. For versions that contain an inner needle shield, the shield is to be removed shortly before injection. The device is now ready for use for subcutaneous injection of fluid drug products.

# Intended Use

Omnican fine is intended for use with needle-based injection devices for subcutaneous injection of fluid drug products. Omnican fine is intended for single usage with the needle-based injection

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system (NIS) according to the instructions of the NIS. The Omnican fine pen needle may be used for any patient population. The Omnican fine is a physician prescribed device.

# Indications for Use

Omnican fine is intended for use with compatible needle-based injection systems for subcutaneous injection of fluid drug products.

#### Substantial Equivalence

#### Predicate Device - B. Braun Melsungen AG, Pencylcap (K152050)

The Omnican fine is substantially equivalent to the predicate device. Both devices are sterile, individually packaged, for single use only. Both devices have the same intended use and indications for use. Both devices have the same principle of operation and the same fundamental scientific technology. Both devices are produced at the same manufacturing facility. The sterilization process is the same and has been validated according to the same procedures. Primary packaging that assures sterility and shelf life are the same for the critical sealing area. Besides the product name, the following differences apply to the Omnican fine compared to the predicate:

- · The shape of the needle container. This difference has no impact on the finished device.
- · The needle tube is glued to the needle hub for Omnican fine, whereas the Pencylcap needle tube is welded to the hub. This difference was assessed by B. Braun and found to have no impact on the safety and effectiveness of the Omnican fine. Both versions comply with the effective standards.
- · The material of the needle hub for Omnican fine is Polypropylene, for Pencylcap it is Copolyester. This difference was assessed by B. Braun and found to have no impact on the safety and effectiveness of the Omnican fine.
- · The optional needle shield component in the Omnican fine was not a component for the Pencylcap. As the needle shield has no direct body contact to the user and no special safety function, this change does not affect the safety and effectiveness of the Omnican fine.
- · Three additional sizes of the needle tube are included in the Omnican fine range.

# Comparison of Technological Characteristics with the Predicate Device

The Omnican fine possesses similar technological characteristics as the predicate B. Braun Medical Pencylcap device cleared under 510(k) K152050. The following table provides a side by side summary of comparison.

| Feature                                                                                        | Predicate Device<br>Pencylcap K152050                                                                                                                                                                                                              | Proposed Device<br>Omnican fine                                                                                                                                                                                                                                                                                                        |
|------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use                                                                                   | Pencylcap is intended for use with needle-                                                                                                                                                                                                         | Omnican fine is intended for use with                                                                                                                                                                                                                                                                                                  |
|                                                                                                | based injection devices for subcutaneous                                                                                                                                                                                                           | needle-based injection devices for                                                                                                                                                                                                                                                                                                     |
|                                                                                                | injection of fluid drug products. Pencylcap                                                                                                                                                                                                        | subcutaneous injection of fluid drug                                                                                                                                                                                                                                                                                                   |
|                                                                                                | is intended for single usage with the needle-                                                                                                                                                                                                      | products. Omnican fine is intended for                                                                                                                                                                                                                                                                                                 |
|                                                                                                | based injection system (NIS) according to                                                                                                                                                                                                          | single usage with the needle-based injection                                                                                                                                                                                                                                                                                           |
|                                                                                                | the instructions of the NIS. The Pencylcap                                                                                                                                                                                                         | system (NIS) according to the instructions                                                                                                                                                                                                                                                                                             |
|                                                                                                | may be used for any patient population. The                                                                                                                                                                                                        | of the NIS. The Omnican fine may be used                                                                                                                                                                                                                                                                                               |
|                                                                                                | Pencylcap pen needle is a physician                                                                                                                                                                                                                | for any patient population. The Omnican                                                                                                                                                                                                                                                                                                |
|                                                                                                | prescribed device.                                                                                                                                                                                                                                 | fine is a physician prescribed device.                                                                                                                                                                                                                                                                                                 |
|                                                                                                |                                                                                                                                                                                                                                                    |                                                                                                                                                                                                                                                                                                                                        |
| Feature                                                                                        | Predicate Device<br>Pencylcap K152050                                                                                                                                                                                                              | Proposed Device<br>Omnican fine                                                                                                                                                                                                                                                                                                        |
| Indications for Use                                                                            | The Pencylcap is intended for use with<br>needle-based injection devices for<br>subcutaneous injection of fluid drug<br>products.                                                                                                                  | Omnican fine is intended for use with<br>needle-based injection devices for<br>subcutaneous injection of fluid drug<br>products.                                                                                                                                                                                                       |
| Operating Principle                                                                            | Manually operated according to the<br>instructions for use provided with the<br>finished device.                                                                                                                                                   | Manually operated according to the<br>instructions for use provided with the<br>finished device.                                                                                                                                                                                                                                       |
| Mechanism of Action                                                                            | Allow subcutaneous injection of fluid drugs<br>when attached to a needle-based injection<br>system (NIS).                                                                                                                                          | Allow subcutaneous injection of fluid drugs<br>when attached to a needle-based injection<br>system (NIS).                                                                                                                                                                                                                              |
| Declared compatible<br>needle-based injection<br>systems (NIS):                                | Gonal-f® RFF Redi-ject™                                                                                                                                                                                                                            | BMS   AstraZeneca:<br>Byetta® (BMS = Bristol-Myers Squibb)<br>Lilly:<br>HumaPen® Luxura, HumaPen® Luxura<br>HD, HumaPen® Memoir, HumaPen®<br>Savvio, KwikPenTM<br>Novo Nordisk:<br>FlexPen®, FlexTouch®, NovoPen Echo®,<br>Victoza®<br>Owen Mumford:<br>Autopen® 24, Autopen® Classic 1,<br>Autopen® Classic 2<br>Sanofi:<br>SoloStar® |
| Design / Technological<br>Characteristics                                                      | Needle is welded to hub.                                                                                                                                                                                                                           | Needle is glued to hub.                                                                                                                                                                                                                                                                                                                |
| Lengths:                                                                                       | Needle tube length on patient end:<br>12mm                                                                                                                                                                                                         | Needle tube length on patient end:<br>12 mm; 8 mm; 6 mm; 4 mm                                                                                                                                                                                                                                                                          |
| OD/ID:                                                                                         | Needle tube diameter:<br>OD: 0.33 mm<br>ID: 0.19 ± 0.01 mm                                                                                                                                                                                         | Needle tube diameter:<br>OD: 0.33 mm; 0.25 mm<br>ID: 0.19 ± 0.01 mm; 0.125 + 0.035 mm                                                                                                                                                                                                                                                  |
| Gauge Sizes:                                                                                   | Gauge sizes: 29 Gauge<br>Features:<br>Tri-beveled needle tip configuration.<br>Single use only.                                                                                                                                                    | Gauge sizes: 29 Gauge; 31 Gauge<br>Features:<br>Tri-beveled needle tip configuration.<br>Single use only.                                                                                                                                                                                                                              |
| Feature                                                                                        | Predicate Device<br>Pencylcap K152050                                                                                                                                                                                                              | Proposed Device<br>Omnican fine                                                                                                                                                                                                                                                                                                        |
| Summary of nonclinical<br>performance tests for<br>determination of<br>substantial equivalence | Measurement of needle tube length:<br>Injector end: 6.15 +0.5/-0.3 mm<br>Patient End: 12 +1.1/-0.8 mm                                                                                                                                              | Measurement of needle tube length:<br>Injector end: 6.15 +0.5/-0.3 mm<br>Patient End: 12 +1.1/-0.8 mm<br>8 +1.1/-0.8 mm<br>6 +1.1/-0.8 mm<br>4 + 1.25/-0.0 mm                                                                                                                                                                          |
|                                                                                                | Dislocation of measuring point at the end of<br>the needle:<br>≤ 1.1 mm based on a needle length of 12 mm                                                                                                                                          | Dislocation of measuring point at the end of<br>the needle:<br>≤ 1.1 mm based on a needle length of 12 mm<br>≤ 0.9 mm based on a needle length of 8mm<br>≤ 0.7 mm based on a needle length of 6mm<br>≤ 0.6 mm based on a needle length of 4mm                                                                                          |
|                                                                                                | Bond between the needle hub and needle<br>tube:<br>The needle hub/needle tube bond must be<br>capable of withstanding a 22 N force<br>applied axially for 5 seconds.                                                                               | Bond between the needle hub and needle<br>tube:<br>The needle hub/needle tube bond must be<br>capable of withstanding a 22 N force<br>applied axially for 5 seconds.                                                                                                                                                                   |
|                                                                                                | Unscrewing torque of the needle: < 0.1 Nm                                                                                                                                                                                                          | Unscrewing torque of the needle: < 0.1 Nm                                                                                                                                                                                                                                                                                              |
| Biocompatibility and<br>Materials                                                              | Externally Communicating Device<br>Tissue/Bone/Dentin<br>Limited Contact Duration <24 hrs<br>Meets the requirements per ISO 10993-1<br>• Cytotoxicity<br>• Sensitization<br>• Intracutaneous reactivity<br>• Systemic toxicity<br>• Rabbit Pyrogen | Externally Communicating Device<br>Tissue/Bone/Dentin<br>Limited Contact Duration  < 24 hrs<br>Meets the requirements per ISO 10993-1<br>• Cytotoxicity<br>• Sensitization<br>• Intracutaneous reactivity<br>• Systemic toxicity<br>• Rabbit Pyrogen                                                                                   |
|                                                                                                | Needle hub material: Copolyester<br>Needle tube material: Austenitic stainless<br>steel (AISI SUS 304)<br>Needle shield material: Styrene-<br>butadiene/SB + 4% Masterbatch green                                                                  | Needle hub material: Polypropylene<br>Needle tube material: Austenitic stainless<br>steel (AISI SUS 304)<br>Needle shield material: Styrene-<br>butadiene/SB + 4% Masterbatch green                                                                                                                                                    |
| Packaging                                                                                      | Single-packed and sealed with a high<br>performance, coated, peelable surgical kraft<br>paper. 100 pieces are packed in a printed<br>duplex box, transport packing is made of<br>double wall corrugated paper.                                     | Single-packed and sealed with a high<br>performance, coated, peelable surgical kraft<br>paper. 100 pieces are packed in a printed<br>duplex box, transport packing is made of<br>double wall corrugated paper.                                                                                                                         |
| Sterilization                                                                                  | Ethylene Oxide, SAL 10-6                                                                                                                                                                                                                           | Ethylene Oxide, SAL 10-6                                                                                                                                                                                                                                                                                                               |
| Shelf Life                                                                                     | 5 years                                                                                                                                                                                                                                            | 5 years                                                                                                                                                                                                                                                                                                                                |

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# Testing

The following standards were utilized during the testing of the Omnican fine.

ISO 7864:2016(E) "Sterile hypodermic needles for single use - Requirements and test methods"

ISO 9626:2016(E) "Stainless steel needle tubing for the manufacture of medical devices -Requirements and test methods"

ISO 10993-7:2008/Cor.1:2009(E) "Biological evaluation of medical devices - Part 7: Ethylene oxide sterilization residuals''

ISO 11135:2014(E) "Sterilization of health-care products - Ethylene oxide - Requirements for the development, validation and routine control of a sterilization process for medical devices"

ISO 11608-2:2012(E) "Needle-based injection systems for medical use - Requirements and test methods - Part 2: Needles"

The Omnican fine was subjected to functional performance testing to demonstrate that the device performs as intended. The following tests were performed:

- · Dimensions
	- o Usable length of needle tube
	- o Length cartridge end of needle
- Flow Rate
	- o According to product specification
	- o Blockage/Patency of inner lumen
- · Connection of needle hub to the needle tube
	- o Connection of needle hub
	- o Tensile load
- · Tube Tips
	- 0 Needle tube tip patient end
	- o Needle tube tip cartridge end
- Freedom from damages and defects
- · Lubricants
	- o Siliconizing needle tube patient end
	- o Siliconizing needle tube cartridge end
- · Dislocation of measuring point at patient end of pen needle
- · Compatibility with needle based injection system (NIS)
	- o Torque on/off
	- o Dose accuracy
- · Ease of assembly/disassembly
- · Accelerated ageing was conducted to prove a shelf life of 5 years

# Conclusion

Omnican fine met all established acceptance criteria required for performance and design verification testing. Results of the functional performance and biocompatibility testing conducted along with the same indications for use, intended use and similar technological characteristics demonstrate that the Omnican fine is substantially equivalent to the predicate device.

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**Source:** [https://fda.innolitics.com/submissions/HO/subpart-f%E2%80%94general-hospital-and-personal-use-therapeutic-devices/FMI/K173803](https://fda.innolitics.com/submissions/HO/subpart-f%E2%80%94general-hospital-and-personal-use-therapeutic-devices/FMI/K173803)

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