Guidance for Industry and 
FDA Staff 
Glass Syringes for Delivering Drug and Biological Products: 
Technical Information to Supplement International Organization 
for Standardization (ISO) Standard 11040-4  
DRAFT GUIDANCE
This guidance document is being distributed for comment purposes only. 
Comments and suggestions regarding this draft document should be submitted within 90 days of 
publication in the Federal Register of the notice announcing the availability of the draft 
guidance.  Submit comments to the Division of Dockets Management (HFA-305), Food and 
Drug Administration, 5630 Fishers Lane, rm. 1061, Rockville, MD  20852.  All comments 
should be identified with the docket number listed in the notice of availability that publishes in 
the Federal Register. 
Additional copies are available from: 
Office of Combination Products 
Office of Special Medical Programs 
Office of the Commissioner 
Food and Drug Administration 
10903 New Hampshire Avenue, WO-32 Hub 5129 
Silver Spring, MD 20993 
(Tel) 301-796-8930 
(Fax) 301-796-8619 
http://www.fda.gov/CombinationProducts/default.htm 
For questions regarding this document, contact the Office of Combination Products at 
combination@fda.gov or Patricia Y. Love, MD at 301-796-8933 or patricia.love@fda.hhs.gov 
U.S. Department of Health and Human Services 
Food and Drug Administration 
Center for Devices and Radiological Health, 
Center for Drug Evaluation Research,  
Center for Biologics Evaluation and Research, and 
Office of Combination Products in the Office of the Commissioner 
April, 2013  Contains Nonbinding Recommendations 
Draft  Not for Implementation 
TABLE OF CONTENTS 
 
 
 
I.  INTRODUCTION............................................................................................................. 3 
II.  BACKGROUND ............................................................................................................... 4 
III.  DISCUSSION .................................................................................................................... 5 
IV.  WHAT IS FDA RECOMMENDING? ............................................................................ 6 
V.  ADDITIONAL INFORMATION .................................................................................. 10 
  2  Contains Nonbinding Recommendations 
Draft  Not for Implementation 
1
Guidance for Industry and FDA Staff  
 
Glass Syringes for Delivering Drug and Biological Products: 
Technical Recommendations to Supplement International 
Organization for Standardization (ISO)  
Standard 11040-4 (Draft) 
 
This draft guidance, when finalized, will represent the Food and Drug Administrations (FDAs) 
current thinking on this topic.  It does not create or confer any rights for or on any person and 
does not operate to bind FDA or the public.  You can use an alternative approach if the approach 
satisfies the requirements of the applicable statutes and regulations. If you want to discuss an 
alternative approach, contact the FDA staff responsible for implementing this guidance.  If you 
cannot identify the appropriate FDA staff, call the appropriate number listed on the title page of 
this guidance.  
 
 
I.  INTRODUCTION  
 
FDA has recognized International Organization for Standardization (ISO) Standard 
11040-4 for glass syringes that are intended to deliver drugs or biological products.2  
FDA has become aware of adverse events and product quality events related to 
connectivity problems when certain glass syringes are used with connecting devices, 
including connecting devices that conform to the FDA-recognized ISO 594-2 standard.  
Connecting devices include needles, needless luer connectors, adapters, and transfer 
units.  Accordingly, FDA has determined that, for glass syringes, demonstrating 
conformity with the ISO 11040-4 standard alone does not ensure that the glass syringe 
can be properly connected to connecting devices.  Therefore, this guidance identifies 
additional, technical information that should be submitted by sponsors who seek to rely 
on conformity to ISO 11040-4 for a glass syringe product. 
 
The recommendations provided in this guidance document are applicable to the sponsor 
of an IDE, HDE, 510(k), or PMA for the following glass syringe products, and to the 
sponsor of an IND, BLA, NDA, or ANDA3 for a drug or biological product that is 
delivered with such a glass syringe product: 
 
                                                 
1 This guidance was prepared by the Office of Combination Products in the Office of the Commissioner in 
conjunction with the Center for Devices and Radiological Health, the Center for Drug Evaluation and 
Research, and the Center for Biologics Evaluation and Research. 
2 The FDA database of currently recognized versions of these ISO documents is accessible at 
http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfStandards/search.cfm.  This website identifies the 
currently recognized version and any addition guidance information.   
3 These submission abbreviations refer to the following: IDE is an investigational device exemption; HDE 
is a humanitarian device exemption; 510(k) is a premarket notification; PMA is a premarket application; 
IND is an investigational new drug application; BLA is a biologics license application; NDA is a new drug 
application; and ANDA is an abbreviated new drug application.   
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1. Needleless glass syringes prefilled with a drug or a biological product;
2. Empty glass syringes co-packaged with a drug or a biological product and/or
connecting device, and
3. Empty glass syringes intended for use with marketed drugs or biological
products.
This document focuses mainly on connectivity issues between the glass syringe and 
connecting device(s).  It should be used in conjunction with the following FDA guidance 
documents: Draft Guidance for Industry and FDA Staff: Technical Considerations for 
Pen, Jet and Related Injectors Intended for use with Drugs and Biological Products 
(when finalized);4 Guidance for Industry: Container Closure Systems for Packaging 
Human Drugs and Biologics;5 and Guidance on the Content of 510(k) Submissions for 
Piston Syringes,6 as appropriate.  
FDA guidance documents, including this guidance, do not establish legally enforceable 
responsibilities.  Instead, these guidances describe the Agencys current thinking on a 
topic and should be viewed only as recommendations, unless specific regulatory or 
statutory requirements are cited.  The use of the word should in Agency guidances means 
that something is suggested or recommended, but not required.  
III. BACKGROUND
Glass syringes intended to deliver drugs or biologics to a patient are a critical aspect of 
patient care.  Typically, glass syringes are intended to connect to other devices such as 
needles for injection, intravenous (IV) line luer connections, needleless luer locks, 
adapters, and transfer units.   
In November 2010 and May 2011, FDA issued Stakeholder or Safety Alerts advising of 
adverse events and product quality events related to connectivity problems when certain 
prefilled needleless glass syringes are used with some needleless IV access systems.7,8  
These events could cause a delay in the administration of medication in emergency 
situations, and potentially result in serious harm to patients.  The reported events 
4 Guidance for Industry and FDA Staff: Technical Considerations for Pen, Jet and Related Injectors 
Intended for Use with Drugs and Biological Products (June 2013), available at: 
http://www.fda.gov/downloads/RegulatoryInformation/Guidances/UCM147095.pdf 
5 Guidance for Industry, Container Closure systems for Packaging Human Drugs and Biologics (May 
1999), available at; 
http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM07055
1.pdf.
6 Guidance on the Content of 510(k) submissions for Piston Syringes (April 1993), available at:
http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/ucm081324.htm 
7 Needleless Pre-filled Glass Syringes: Stakeholder Advisory - Compatibility Problems with Needleless 
Intravenous Access Systems;
https://www.fda.gov/drugs/drug-safety-and-availability/letter-stakeholders-update-certain-needleless-pre-
filled-glass-syringes
8 FDA Drug Safety Communication: Connection problems involving certain needleless pre-filled glass 
syringes containing adenosine and amiodarone; http://www.fda.gov/Drugs/DrugSafety/ucm254215.htm 
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occurred upon attempted connections between the needleless glass syringe and certain 
needles or needleless pin activated luer connectors.  These events included syringe tips 
breaking upon injection, needles detaching during injection, and syringes breaking or 
jamming the IV lines or other patient use lines.  
Because of these glass syringe connection events and associated adverse events, FDA has 
recognized that demonstrating conformity to the ISO 11040-4 standard alone does not 
ensure that the glass syringes can be properly connected to connecting devices.  
Therefore, sponsors who seek to rely on conformity to the ISO 11040-4 standard in 
submissions for glass syringe products should also submit information from supplemental 
tests to demonstrate that the glass syringe can be properly connected to connecting 
devices.  The purpose of this guidance document is to identify the supplemental tests that 
should be performed, and to recommend possible design modifications, to ensure that 
glass syringes are properly connected to connecting devices. 
IV. DISCUSSION
A. What are the key ISO standards related to glass syringes and
connecting devices and why is conformity to these standards not
sufficient?
There are two key ISO standards related to glass syringes and connecting devices, ISO 
11040-4 (Prefilled Syringes - Part 4: Glass barrels for injectables and ready-to-use 
prefillable syringes) and ISO 594-2 (Conical fittings with 6% (Luer) taper for syringes, 
needles and certain other medical equipment - Part 2:  Lock fittings).  Both standards are 
currently recognized by FDA.9  FDA expects all glass syringes intended to deliver drug 
or biological products that meet the ISO 11040-4 standard have, as applicable, design 
features to connect to connecting devices.   
Prior to the occurrence of the adverse events described above, the general assumption 
was that glass syringes that conform to the ISO 11040-4 standard would ensure 
connectivity (interoperability) with any connecting devices that conform to the ISO 594-2 
standard.  However, the glass syringe standard, ISO 11040-4, has certain undefined key 
dimensions.  For example, the standard lacks dimensions for the glass syringe nozzle 
internal diameter, thickness of nozzle wall, and barrel neck curvature.  In contrast, the 
standard for the connecting devices, ISO 594-2, has specified dimensions in these areas.10  
Therefore, it is possible that a glass syringe that meets the ISO 11040-4 standard may not 
properly connect to a device that conforms to the ISO 594-2 standard.11  More 
9  See footnote 2. 
10 Plastic syringe ISO standard 7886 has internal dimensions that are compatible with the ISO 594-2 
standard.  
11 For example, assume a given pin-piercing needleless connector complies with ISO 594-2.  FDA has 
received reports that when such a pin-piercing needleless connector is mated with a glass syringe, the pin 
could jam and break the glass syringe when threaded together. 
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specifically, conformance to ISO 11040-4 alone cannot ensure connectivity to connecting 
devices without breakage or other product performance failure as described above.  
B. What other glass syringe dimensions are critical in addition to those
specified in ISO 11040-4?
Generally, the dimensions for glass syringes that are not specified in ISO 11040-4 but 
that are important for the connection to connecting devices include the following: 
1. Syringe inner and outer diameter,
2. Height of the nozzle for a glass barrel syringe intended to connect to a luer
lock fitting,
3. Thickness of nozzle wall,
4. Barrel neck curvature, and
5. Dimensions to accommodate luer locks with a center pin piercing element.
V. WHAT IS FDA RECOMMENDING?
FDA recommends that sponsors submit data to demonstrate that their glass syringe has 
connectivity (interoperability) to connecting devices to ensure proper delivery of the drug 
or biological product.  To achieve this, the glass syringe design and validation data 
should include information beyond the information needed to conform to ISO 11040-4.  
Recommended design or re-design options are listed in subsection A.  The general types 
of data and information the Agency recommends in the premarket or investigational 
submission for glass syringes are listed in subsection B.  
A. What are the recommended design or re-design options?
1. Use bonded or staked needle with appropriate sharps protection feature for
subcutaneous or intramuscular injections.
2. Design the glass syringe with internal dimensions that ensure connectivity
to connecting devices.  (Although several designs may be possible, one
example might be to enlarge the internal diameter of the glass syringe
nozzle to accommodate pin-piercing design of needleless connectors.)
3. Develop designs for dedicated dual connections between the glass syringe
and connecting devices.  For example, the designs may consist of a
connecting device with dual connections: one end for the glass-syringe
and one end for the connecting device with which it may be used.  These
dedicated connections may be appropriate for co-packaging with a
prefilled syringe.
B. What data and information does the Agency recommend be included in
premarket submissions?
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1. Data and information demonstrating dimensional conformance to relevant
FDA-recognized ISO standards to ensure compatibility with connecting
devices:
a. ISO 11040-4: applies to glass barrels of glass syringes
b. ISO 594-2: applies to luer lock
When a glass syringe is used with an injector or other device, additional 
ISO standards may apply.  These are listed in the Section V.C of this 
document. 
2. For dimensional elements that are not addressed in the relevant ISO
standards, but are otherwise critical for connectivity, the submission
should include data and information demonstrating how design features
address these elements.  (See Section IV.A, above.)  These data should
include design verification and validation testing to ensure that the product
can be used as intended.  For example,
a. If the glass syringe design is modified to add new internal diameter
dimensions specifications to ensure connectivity, then design
validation and functional performance data should be included in the
submission.
b. If changes are made to a part of a delivery system, then any
submission regarding those changes should contain or reference all
necessary data for the entire system.  For example, a newly designed
syringe tip adapter should have design validation and functional
performance data to show proper interoperability with connecting
devices.  If the glass barrel is modified to hold the adapter, similar data
should be submitted.
3. Functional Performance of Syringe:  The ISO standards include
recommendations for the performance of glass syringes as stand-alone
products, but do not include recommendations for the performance of
these syringes when connected to connecting devices.  Data to show
syringe performance and proper connectivity in this context include, but
are not limited to, the following:
a. Seal Integrity Testing to assess liquid leakage, air ingress, and dye
ingress once the syringe is filled with the drug or biological product as
intended and when connected to a connecting device.  The sensitivity
of the selected test method should be specified and validated.  System
integrity should be demonstrated throughout the product shelf-life.
b. Glide Force
c. Break Force
d. Separation Force
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e. Unscrewing Torque
f. Ease of Assembly
g. Resistance to Overriding
h. Stress Cracking
i. Validation of Graduation Markings
j. Dead Space
k. Coring Needle Test
l. Performance testing of an anti-needlestick mechanism with a glass
syringe to demonstrate safety and effectiveness as recommended in
FDAs guidance document, Guidance for Industry and FDA Staff:
Medical Devices with Sharps Injury Prevention Features.12
m. Connectivity to other devices necessary for use (e.g., needles, adapters,
transfer systems, extension tubing, luer connectors, and sharps
prevention features).
n. Injection force necessary to depress the plunger and eject the drug
contents
o. Tip cap removal force
p. Piston seal blowback (ability of syringe with tip cap to hold a certain
pressure on the piston)
4. Biocompatibility: Data and information demonstrating conformance to
ISO 10993 with a combination of physicochemical, analytical, and
biological testing as appropriate.
5. Sterilization: Data and information demonstrating consistency, as
appropriate, with FDAs guidance document, Submission Documentation
for Sterilization Process Validation in Applications for Human and
Veterinary Drug Products,13 and with FDA-recognized ISO 11135
(Ethylene oxide Sterilization) and ISO 11137 (Radiation).14  For prefilled
glass syringes, additional methods may be used to demonstrate sterility
assurance of the combination product, as appropriate.  In cases when
terminal sterilization of the combination product may not be feasible,
sterility assurance should include a demonstration of syringe component
sterilization and the aseptic filling with the drug/biologic and/or diluent.
12 Guidance for Industry and FDA Staff - Medical Devices with Sharps Injury Prevention Features (August 
2005), available at: 
http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/ucm071663.htm 13
 
Guidance for Industry for the Submission Documentation for Sterilization Process Validation in 
Applications for Human and Veterinary Drug Products (November 1994), available at: 
http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/
ucm072171. pdf 
14 See footnote 2.  For further recommendations on device sterility, you may consult FDAs guidance 
document, Guidance for Industry and FDA Staff: Submission and Review of Sterility Information in 
Premarket Notification (510(k)) Submissions for Devices Labeled as Sterile (January 2016), available at:   
https://www.fda.gov/regulatory-information/search-fda-guidance-documents/submission-and-review-
sterility-information-premarket-notification-510k-submissions-devices-labeled 
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6. Human Factors - Data and information from human factors testing.
Human factors testing and risk analysis of use errors help ensure proper
design of the user interface.  Sponsors must meet design control
requirements in 21 CFR Part 820, including establishing and maintaining
procedures to ensure that the design requirements relating to the device
address the intended use of the device, including the needs of the user and
patient.15  Analysis of use error is particularly important when products
are re-designed to mitigate connectivity and compatibility issues such as
those described in this document.  A hazard analysis should be submitted
that, among other things, identifies any use-related risks of the product,
including medication errors.  For additional information, see FDAs
guidance on human factors.16
7. Performance testing for prefilled glass syringes or co-packages:  Prefilled
glass syringes and co-packages of drug/biological products with empty
glass syringes are combination products (as described below is Section
V.A).  The sponsor should submit data and information from performance
testing on the final assembled product filled with the drug or biologic
product.  Performance testing should take into consideration the viscosity
of the drug or biological product, resistance created by the fluid contact
path, and the back pressure/shear force generated during the injection as to
whether it could alter the characteristics, functionality, safety, and/or
effectiveness of the drug/biologic.  In addition, testing should evaluate
whether the back pressure generated during the injection could detach the
needle from the syringe.
8. Other testing for prefilled glass syringes and co-packages: There may be
elements that impact the safety and effectiveness of prefilled glass syringes
and glass syringes that are co-packaged with a drug or a biological product
that are unique to the specific drug/biological product.  Whether a sponsor
should submit data and information to address these product-specific
elements will be assessed on a case by case basis.  As an example, dual-
chamber prefilled glass syringes are combination products containing
lyophilized drug/biologic and diluent in separate chambers of the device.
For this type of syringe, the following specifics should be addressed:
a. The prefilled syringe assembly which includes lyophilization of
drug/biologic and subsequent aseptic filling with the diluent;
b. Assurance of system integrity to exclude drug/biologic-diluent contact
during storage and shipment;
15 21 CFR 820.30(c). 
16 Guidance for Industry and Food and Drug Administration Staff - Applying Human Factors and 
Usability Engineering to Optimize Medical Device Design (February 2016), available at:  
https://www.fda.gov/regulatory-information/search-fda-guidance-documents/applying-human-factors-and-
usability-engineering-medical-devices.  See also FDAs Human Factors and Medical Devices webpage, 
available at: https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/
human-factors-and-medical-devices.  
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c. Drug/biologic reconstitution process before the syringe is connected to
an administration device; and
d. Comprehensive drug/biologic-device compatibility assessment.
9. The submission to FDA describing each test performed should include a
summary that explains the objective, acceptance criteria, sample size
(statistically significant number with justification), method, results,
discussion, and discussion of deviations.
FDA notes that the above items focus specifically on the glass syringe 
connectivity aspects of development.  For additional recommendations for 
product development, you should refer (as appropriate) to the following FDA 
guidance documents:  Draft Guidance for Industry and FDA Staff: Technical 
Considerations for Pen, Jet and Related Injectors Intended for use with Drugs 
and Biological Products;17 Guidance for Industry: Container Closure Systems for 
Packaging Human Drugs and Biologics;18 and Guidance on the Content of 510(k) 
Submissions for Piston Syringes.19    
IV. ADDITIONAL INFORMATION
A. What is the regulatory pathway for submitting a marketing
application for a prefilled glass syringe or a co-package of glass
syringe with a drug or a biological product?
Glass syringes prefilled with drug or biological products are combination products under 
21 CFR Part 3.  Specifically, they meet the combination product definition under 21 CFR 
3.2(e)(1).  A co-package of a drug or biological product and an empty glass syringe (co-
packaged glass syringe) also meets the definition of a combination product under 21 
CFR 3.2(e)(2).   
Combination products are assigned to a lead center based on the primary mode of action 
as defined in 21 CFR 3.2(m).  For a prefilled or co-packaged glass syringe with a drug or 
biological primary mode of action (PMOA), CDER (Center for Drug Evaluation and 
Research) or CBER (Center for Biologics and Research) is the lead center.  Applications 
requesting approval to conduct clinical trials or to market these products are generally 
submitted under an IND, BLA, NDA, or ANDA.  The device information may be 
included in these submissions or it may be provided in a device master file.20  There are 
17 See footnote 4. 
18 See footnote 5. 
19 See footnote 6.  
20 See FDAs Introduction to Master Files for Devices (MAFs), available at:  
https://www.fda.gov/medical-devices/premarket-approval-pma/master-files 
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also general use empty (unfilled) syringes for injection of unidentified drug/biological 
products.  These are marketed under a device premarket notification, 510(k).21 
Regardless of submission type, when a master file is used, the master file submitter 
should provide a letter to the application holder to authorize master file cross-reference.  
FDA does not approve the master file; FDA regulatory action is on the investigational or 
marketing application.  FDA will, however, notify the master file holder of any 
deficiencies related to the master file only.  As with other medical products, the overall 
application holder is responsible for resolution of any product specific deficiencies.  To 
that end, for applicants with prefilled or co-packaged glass syringes, FDA recommends 
that the applicant work closely with their manufacturers and suppliers to address the 
issues described in this document.  
B. Does FDA recommend early interactions with the Agency?
We recommend that you have early discussions with FDA if you are developing a glass 
syringe or injector that uses the type of glass syringe described in this document.  If you 
are uncertain about the type of technical and scientific information that may be 
appropriate or necessary for your submission, FDA encourages you to request a joint 
meeting with the involved FDA centers (CBER/CDER and CDRH) and appropriate 
product representatives (the applicant, the device manufacturer if not the applicant, etc.).  
In these meetings we recommend that you outline your proposed steps to ensure the 
connectivity of the glass syringe when connected to connecting devices.  For a glass 
syringe prefilled or otherwise intended for use with a specific drug or biological product, 
drug/biologic-specific information is available from the CDER or CBER review division.  
Additional general device information is available from the CDRH, General Hospital 
Devices Branch at 301-796-2585.  For combination product policy, procedures, and 
regulatory questions you may contact the Office of Combination Products by email to 
combination@fda.gov.  General guidance information and links to the different center 
documents are accessible at https://www.fda.gov/combination-products.   
C. What are the related guidance and FDA recognized standards?
Many of the concepts described in this document are detailed further in other agency 
documents.  The following FDA guidance and informational documents may be useful 
when developing a glass syringe. 
 Guidance for Industry and FDA Staff - Technical Considerations for Pen, Jet 
and Related Injectors Intended for Use with Drugs and Biological Products,
(June 2013), available at:
http://www.fda.gov/downloads/RegulatoryInformation/Guidances/UCM147095.pdf 
21 Empty glass syringes marketed in isolation for general use are under regulated under 21 CFR 880.5860.  
See also Guidance on the Content of Premarket Notification [510(K)] Submissions for Piston Syringes 
(April 1993), available at 
http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/GuidanceDocuments/ucm081324.htm. 
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 Guidance for Industry and FDA Staff - Medical Devices with Sharps Injury 
Prevention Features (August 2005), available at:
https://www.fda.gov/regulatory-information/search-fda-guidance-documents/
medical-devices-sharps-injury-prevention-features-guidance-industry-and-fda-
staff
 Guidance for Industry and Food and Drug Administration Staff - Applying 
Human Factors and Usability Engineering to Optimize Medical Device Design 
(February 2016), available at:
https://www.fda.gov/regulatory-information/search-fda-guidance-documents/
applying-human-factors-and-usability-engineering-medical-devices
 Guidance for Industry - Container Closure Systems for Packaging Human Drugs 
and Biologics (May 1999), available at;
https://www.fda.gov/regulatory-information/search-fda-guidance-documents/
container-closure-systems-packaging-human-drugs-and-biologics,  and the 
associated Guidance for Industry -Container Closure Systems for Packaging 
Human Drugs and Biologics, Questions and Answers (May 2002), available at;
https://www.fda.gov/regulatory-information/search-fda-guidance-documents/
container-closure-systems-packaging-human-drugs-and-biologics-questions-and-
answers
 Related ISO standards are listed at the FDA webpage on recognition and use of 
consensus standards;
https://www.fda.gov/regulatory-information/standards.  This website includes 
information describing how to access to the following standards.
a. ISO 594-1:  Conical Fittings with 6% (Lure) Taper for Syringes, Needles 
and Certain Other Medical Equipment - Part 1: General Specifications
b. ISO 594-2: Conical Fittings with 6% (Lure) Taper for Syringes, Needles 
and Certain Other Medical Equipment - Part 1: Lock Fittings
c. ISO 720: 1985: Glass - Hydrolytic Resistance of Glass Grains a 121o C -
Method of Test and Classification
d. ISO 7864:  Sterile Hypodermic Needles for Single Use
e. ISO 7886-1: Sterile Hypodermic Syringes for Single Use - Part 1: Syringes 
for Manual Use
f. ISO 7886-2:  First Edition 1996-05-15: Sterile Hypodermic syringes for 
Syringes for Single Use - Part 2: Syringes for use with power driven 
syringe pumps
g. ISO 7886-3: First Edition 1996-05-15: Sterile Hypodermic syringes for 
Syringes for Single Use - Part 3:  Auto-disposable syringes for fixed-dose 
immunization
h. ISO 10993-1:  Biological Evaluation of Medical Devices - Part 1: 
Evaluation and Testing
i. ISO 11040-4:  Prefilled Syringes Part 4:  Glass Barrel for Injectables 
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j. ISO 11135-1: 2007: Sterilization of Health Care Products - Ethylene
Oxide - Part 1: Requirements for development, validation and routine
control of a sterilization process for medical devices
k. ISO 11137-1: 2006(R) 2010: Sterilization of Health Care Products -
Radiation - Part 1: Requirements for development, validation and routine
control of a sterilization process for medical devices
l. ISO 11137-2: 2006 Sterilization of Health Care Products - Radiation - Part
2: Establishing the sterilization dose
m. ISO 11137-3: 2006(R) 2010 Sterilization of Health Care Products -
Radiation - Part 3: Guidance of dosimetric aspects
n. ISO 11608-1: Pen-Injectors for Medical Use - Part 1:  Pen-injectors -
Requirements and test methods
o. ISO 11608-2: Pen-Injectors for Medical Use - Part 2: Needles -
Requirements and test methods
p. ISO 11608-3: Pen-Injectors for Medical Use - Part 3: Finished Cartridge -
Requirements and test methods
q. ISO 11608-4: Pen-Injectors for Medical Use - Part 4: Requirements and
test methods for electronic and electromechanical pen-injector.
13