MV INTRADERMIC NEEDLES; MAGIC NEEDLE; MAGIC NEEDLE

K110606 · M.V.S.R.L. · FMI · Sep 29, 2011 · General Hospital

Device Facts

• Record ID: K110606
• Device Name: MV INTRADERMIC NEEDLES; MAGIC NEEDLE; MAGIC NEEDLE
• Applicant: M.V.S.R.L.
• Product Code: FMI · General Hospital
• Decision Date: Sep 29, 2011
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.5570
• Device Class: Class 2
• Attributes: Therapeutic

Indications for Use

The MV intradermic needles are intended to inject fluids intradermally.

Device Story

Device consists of metal cannula with closed blunt tip and lateral opening; joined to female Luer connector hub for attachment to piston syringe. Marketed alone or with pilot needle (sharpened hypodermic needle) to prepare injection site. Used by clinicians to deliver fluids intradermally. Device is single-use and sterile. Blunt tip design facilitates intradermal delivery; lateral opening allows fluid exit while preventing tissue coring. Benefits include precise intradermal fluid administration.

Clinical Evidence

No clinical data. Bench testing performed per ISO 7864 (cleanness, extractable metals, tube dimensions, hub/tube bond strength, lumen evidence) and biocompatibility testing (cytotoxicity, sensitization, intracutaneous reactivity, systemic toxicity, haemocompatibility) per ISO 14971:2007 risk analysis. All results met requirements.

Technological Characteristics

Cannula: AISI 304 stainless steel. Hub: Polypropylene. Connection: Luer taper. Tip: Closed blunt with lateral opening. Sizes: 21G-30G; lengths 13mm-70mm. Sterilization: Sterile, single-use. Connectivity: None. Energy source: Manual (piston syringe).

Indications for Use

Indicated for intradermal injection of fluids. No specific patient population, age, or gender restrictions provided.

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

• ARTSANA HYPODERMIC NEEDLES (K051783)

Submission Summary (Full Text)

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#### 510(K) NOTIFICATION

K110606

M.V. Intradermic Needle

SEP 2 9 2011

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# 510 (k) Summary of safety and effectiveness

### SUBMITTER INFORMATION

| A. | Company Name: | M.V. s.r.l. |
|----|-------------------------|-------------------------------------------------------------------------------------------------------|
| B. | Company Address: | Via F.lli Cervi, 7<br>Gonzaga (MN), Italy 46023 |
| | Manufacturing facility: | Via Don G. Dossetti, 5/7<br>Gonzaga (MN), Italy 46023 |
| | US Agent: | Laura Andreatta<br>N. Devon Rd., Columbus, OH 43212,<br>Phone [phone]<br>Fax: [phone] |
| C. | Company Phone: | [phone] |
| | Company Fax: | [phone] |
| | Company e-mail | [e-mail] |
| D. | Contact Person: | Enrico Bisson<br>Studio ingegneria Enrico Bisson |
| E. | Contact Phone: | [phone] |
| | Contact Fax | [phone] |
| | Contact E-mail | [e-mail] |
| F. | Date Summary Prepared: | February 28, 2011 |

## DEVICE IDENTIFICATION

- A. Device name: M.V. Intradermic Needles
- B. Trade/Proprietary Name: M.V. Intradermic Needles
- ். Hypodermic Single Lumen Needle (21 CFR §880.5570) Classification name:
- FMI D. Product Code:

#### LEGALLY MARKETED DEVICES (PREDICATE DEVICES)

- ARTSANA HYPODERMIC NEEDLES, K051783 -

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#### DEVICE DESCRIPTION

The device is comprised of a metal tube. On one end the tip is closed and blunt, while the cannula has an opening laterally at a lower point under the tip. On the other end the device is joined to a female connector (hub) designed to mate with a male connector (nozzle) of a piston syringe.

The MV intradermic needle is marketed alone or combined with a pilot needle. The pilot needle is an hypodermic single lumen needle intended to prepare the site for injection. The tip of the pilot needle is sharpened at one end, while the other end is joined to a hub. The pilot needle can be any traditional legally marketed hypodermic needle.

The MV intradermic needles are single-use devices sold as sterile.

#### INTENDED USE

The MV intradermic needles are intended to inject fluids intradermally.

#### DISCUSSION OF NON CLINICAL TESTS

Following performance tests were performed on the MV Intradermic Needles to test their compliance with Recognized Consensus Standard ISO 7864 Sterile hypodermic needles for single use:

Cleanness

Acidity or alkalinity limits Limits for extractable metals Needle tube - Length requirements Needle tube - Absence of defects Execution - Hub/tube bond strength Execution - Evidence of lumen

None of the data raised any issues of safety and effectiveness. Additionally, a risk analysis was conducted according to Recognized Consensus Standard ISO 14971:2007.

Following biological tests were performed on the sterile finished device to evalute biocompatibility:

Cytotoxicity, Sensitization, Intracutaneous reactivity, Systemic toxicity

Haemocompatibility.

None of the result of the tests arised any issues of biocompatibility.

#### SUBSTANTIAL EQUIVALENCE

The MV Intradermic Needles are same or similar in design, materials and intended use to the predicate devices. In further support of a substantial equivalence determination, Section 10 provides a comparison chart of the submitted device and the predicate devices. Main comparison element are as follows:

Confidential

Page 15 -3

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.

| | MV INTRADERMIC NEEDLES | K051783 |
|--------------------------------------|--------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------|
| Intended /<br>Indications<br>For Use | The MN intradermic needles are<br>intended to inject fluids<br>intradermally. | To inject fluids into, or withdraw<br>fluids from, parts of the body<br>below the surface of the skin. |
| Cannula<br>material | AISI 304 Stainless Steel | AISI 304 Stainless Steel |
| Hub material | Polypropylene | Polypropylene |
| Needle<br>diameter | 22G, 25G, 27G, 30G;<br>21G, 23G, 26G, 27G | 21G, 22G, 23G, 25G, 26G, 27G,<br>30G and more |
| Needle length<br>(mm) | 25, 27, 35, 37, 40, 50, 57, 70;<br>13, 25 | 13, 25, 40 and more |
| Tip<br>configuration | closed blunt tip, lateral opening<br>(intradermic needle),<br>triple sharpened, non-coring (pilot<br>needle) | triple sharpened, non-coring |
| Hub | color coded ISO 6009 | color coded ISO 6009 |
| Connection<br>to syringe | Luer taper | Luer taper |

Based on the available information, we conclude that the M.V. Intradermic Needles are substantially equivalent to the existing legally marketed devices under Federal Food, Drug and Cosmetic Act. Therefore, the applicant device is determined as safe and effective.

#### SAMPLE

Sample of the MV Intradermic Needles is included in this submission.

·

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M.V. S.R.L. C/O Mr. Enrico Bisson President Studio di Ingegneria Enrico Bisson .Via Marzia 9 Abano Terme, Padova Italy 35031

SEP 2 9 2011

Re: K110606 Trade/Device Name: MV Intradermic Needles Regulation Number: 21 CFR 880.5570 Regulation Name: Hypodermic Single Lumen Needle Regulatory Class: II Product Code: FMI Dated: September 9, 2011 Received: September 16, 2011

Dear Mr. Bisson:

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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# Page 2- Mr. Bisson

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that vour 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 (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 331-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801). please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm 1 15809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR 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/Safetv/Reportal/roblem/default.htmlfor 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 Small Manufacturers. International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely vours.

Wh for

Anthony D. Watson, B.S., M.S., M.B.A. Director Division of Anesthesiology. General Hospital 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):

K110606

Device Name:

MV intradermic needles

Indications for Use:

The MV intradermic needles are intended to inject fluids intradermally.

Prescription Use × (Part 21 CFR 801 Subpart D)

AND/OR

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

(Please DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Rhd C. Chyn 9/28/1,
(Division Sign-Off)

Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number: K110606