K Number
K050529
Date Cleared
2005-03-16

(14 days)

Product Code
Regulation Number
880.6250
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

A patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hands or finger to prevent contamination between patient and examiner.

Device Description

Class 1 Latex Patient Examination Glove 80LYY, powder free that meets all the requirements of ASTM Standard D3578-01a52 and FDA Water Leak Test.

AI/ML Overview

The provided submission (K050529) is for a medical device that does not involve artificial intelligence (AI). It is a 510(k) premarket notification for "Polymer Coated Powder Free Latex Examination Gloves With Protein Labeling Claim." As such, the concept of a "device" in this context refers to the examination gloves themselves, and the acceptance criteria and supporting study are related to the physical and performance characteristics of these gloves, not an AI algorithm.

Therefore, many of the requested elements (e.g., sample size for test set, data provenance, number of experts for ground truth, adjudication method, MRMC study, standalone performance, training set size, ground truth for training set) are not applicable to this type of medical device submission.

Here's a breakdown of the applicable information based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

TestAcceptance Criteria (ASTM D3578-01aE2 or FDA)Reported Device Performance (Polymer Coated Powder Free Latex Exam Gloves)
Watertight (1000 ml)AQL=2.5% Pass GIPass GI (AQL=2.5%)
Length (mm) - All SizesMin 230240 mm minimum for all sizes
Palm width (mm) - Size XS-<80 mm
Palm width (mm) - Size S80 +/- 1085 +/- 3 mm
Palm width (mm) - Size M95 +/- 1095 +/- 3 mm
Palm width (mm) - Size L111 +/- 10105 +/- 3 mm
Palm width (mm) - Size XL->110 mm
Thickness (mm) - Finger (Single Layer)Min 0.080.10 minimum
Thickness (mm) - Palm (Single Layer)Min 0.080.10 minimum
Physical Properties - Before Aging
Tensile Strength (Mpa) Before AgingMin 14.021.1
Ultimate Elongation (%) Before AgingMin 650817
Physical Properties - After Aging
Tensile Strength (Mpa) After AgingMin 14.016.7
Ultimate Elongation (%) After AgingMin 500758
Powder ContentBelow 2mg / glove (FDA Requirements)Below 2mg / glove
Protein ContentBelow 50 microgram / gram (FDA Requirements)Below 50 microgram / gram
Biocompatibility (Primary Dermal Irritation, Guinea Pig Sensitization)Pass (implied by statement)Pass

2. Sample size used for the test set and the data provenance:

  • The document refers to "Performance data of gloves based on ASTM D3578-01 a22 FDA 1000 ml watertight test." and "The average result obtained from Attachment C." However, the exact sample size used for the performance tests (e.g., watertightness, physical properties, thickness) is not explicitly stated in the provided text. ASTM D3578-01aE2 specifies an AQL (Acceptable Quality Level) of 2.5%, implying a statistical sampling plan (e.g., ISO 2859-1 or similar), but the specific number of units tested is not provided.
  • Data Provenance: The manufacturing entity is "SPI GLOVES SDN. BHD." located in Malaysia. The tests conducted would presumably be performed on gloves produced in Malaysia.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

  • Not applicable. The ground truth for glove performance is established through standardized laboratory testing against objective criteria (e.g., measurements for length and thickness, tensile testing for physical properties, chemical analysis for powder and protein content, and standardized water leak tests). There is no "expert" (like a radiologist) establishing a subjective truth.

4. Adjudication method for the test set:

  • Not applicable. Performance data is derived from objective measurements and standardized tests, not subjective interpretations requiring adjudication.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:

  • Not applicable. This is not an AI device.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

  • Not applicable. This is not an AI device.

7. The type of ground truth used:

  • Objective measurement and standardized test results against established engineering and chemical specifications (ASTM D3578-01aE2 for physical properties, FDA requirements for watertightness, powder content, and protein content).
  • Biocompatibility testing (Primary Dermal Irritation Test and Guinea Pig Sensitization (Buehler) test) against established biological safety standards.

8. The sample size for the training set:

  • Not applicable. This is not an AI device, so there is no training set in the AI sense. The manufacturing process of the gloves could be considered "trained" through quality control and process optimization over time, but not in the context of a "training set" for an algorithm.

9. How the ground truth for the training set was established:

  • Not applicable. This is not an AI device.

{0}------------------------------------------------

K050529

The The Career Friders

MA 16 2005

SPI GLOVES SDN. BHD. 5, Persiaran Greentown 8, Greentown Business Centre, 30450 Ipoh, Perak Darul Ridzuan, Malaysia. e-mail: info@sealpolymer.com.my

1.0SMDA 510 (K) SUMMARY
2.0SubmitterSPI GLOVES SDN. BHD.5, Persiaran Greentown 8,Greentown Business Centre,30450 Ipoh, Perak, Malaysia.
Tel(60 5) 322 3200
Fax(60 5) 322 2300
Name of Contact PersonMs. CHUN CHOOI FONG
Date of Summary PreparedFebruary 8, 2005
3.0Name of Device
Device NamePolymer Coated Powder Free Latex ExaminationGloves
Common NameExam Glove
Classification NameLatex Patient Examination Glove

4.0 Identification of the Legally Marketed Devices

Class 1 Latex Patient Examination Glove 80LYY, powder free that meets all the requirements of ASTM Standard D3578-01 a 22 and FDA requirements.

5.0 Description of The Device

Class 1 Latex Patient Examination Glove 80LYY, powder free that meets all the requirements of ASTM Standard D3578-01a52 and FDA Water Leak Test.

6.0 The Intended Use of Glove

A patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hands or finger to prevent contamination between patient and examiner.

{1}------------------------------------------------

KC 50509

SPI GLOVES SDN. BHD.

5, Persiaran Greentown 8, Greentown Business Centre, 30450 Ipoh, Perak Darul Ridzuan, Malaysia. e-mail: info@sealpolymer.com.my

Summary of Performance Data: רי

Performance data of gloves based on ASTM D3578-01 a22 FDA 1000 ml watertight test.

POLYMER COATED POWDER FREE LATEX EXAM GLOVES
TESTASTM D3578-01aE2AQL=2.5%Pass GIAQL=2.5%
1. Watertight (1000 ml)GI
2. Length (mm)Size XSMin 230240 mm minimum forall sizes
SMin 230
MMin 230
LMin 230
XLMin 230
3. Palm width (mm)Size XS-<80 mm
S80 +/- 1085 +/- 3 mm
M95 +/- 1095 +/- 3 mm
L111 +/- 10105 +/- 3 mm
XL->110 mm
4. Thickness (mm)(Single Layer)FingerMin 0.080.10 minimum
PalmMin 0.080.10 minimum
5. Physical PropertiesBefore AgingTensile Strength (Mpa)Min 14.0*21.1
Ultimate Elongation (%)Min 650*817
After AgingTensile Strength (Mpa)Min 14.0*16.7
Ultimate Elongation (%)Min 500*758
6. Powder Content-Below 2mg / glove
7. Protein Content-Below 50 microgram / gram
  • The average result obtained from Attachment C.

{2}------------------------------------------------

Ki 50529

SPI GLOVES SDN. BHD.

5, Persiaran Greentown 8, Greentown Business Centre, 30450 Ipoh, Perak Darul Ridzuan, Malaysia. e-mail: info@sealpolymer.com.my

  • The performance data of the glove as showed above meet the ASTM D3578-01a" 8. Standard and FDA's requirement. Powder content is below 2mg per glove, which meet the FDA Requirements.
  • The Biocompatibility Test consists of Primary Dermal Irritation Test and Guinca 9. Pig Sensitization (Buehler) test. The gloves pass the Biocompatibility Tests.
    1. Conclusion

We concluded that the Polymer Coated Powder Free Latex Examination Gloves meet the below specifications:

  • ASTM D3578-01a42 Standard -
  • FDA pinhole requirements -
  • ** FDA minimum powder residual content

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Image /page/3/Picture/2 description: The image shows the logo for the Department of Health and Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH AND HUMAN SERVICES. USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right. The profiles are stacked on top of each other, with the top profile being the largest and the bottom profile being the smallest.

MAR 16 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ms. Chun Chooi Fong Quality Management System Manager SPI Gloves SND. BHD. 5. Persiaran Greentown 8, Greentown Business Centre, 30450 Ipoh, Perak, Darul Ridzuan MALAYSIA

Re: K050529

Trade/Device Name: Polymer Coated Powder Free Latex Examination Gloves With Protein Labeling Claim (Contains 50 Micrograms or Less of Total Water Extractable Protein Per Gram) Regulation Number: 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LYY Dated: February 28, 2005 Received: March 2, 2005

Dear Ms. Chooi Fong:

We have reviewed your Scction 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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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 - Ms. Chooi Fong

Please be advised that FDA's issuance of a substantial equivalence determination does not Please be advisod that 1 DTC issultion on that your device complies with other requirements Incall that I DA has made a dotes and regulations administered by other Federal agencies. of the Act of ally I ederal battle and surface and submitted to: registration 1 our must comply with an are neveling (21 CFR Part 801); good manufacturing practice aller listing (21 CFR Part 807), labeling systems (QS) regulation (21 CFR Part 820); and if requirements as set form in the qualify ijon control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k) This letter will anow yourse bogal finding of substantial equivalence of your device to a premiarket notified.com- The PDF results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), If you desire specific at Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the may obtain of Small Manufacturers, International and Consumer Assistance at its toll-frec number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Chiu Lin, Ph.D.

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 STATEMENT

: SPI Gloves Sdn. Bhd. Applicant

510(K) Number:K050529
-------------------------

: Polymer Coated Powder Free Latex Examination Gloves With Device Name Polymer Coated Fowder Proc Eater Enans 50 micrograms or less of Total Water Extractable Protein per Gram)

Indication For Use:

A patient examination glove is a disposable device intended for medical purposes that is worn A patient examiliation glove is a disposable device mission between patient and examiner.
on the examiner's hands or finger to prevent contamination between patient and exami

Prescription Use: ............................. (Part 21 CFR 801 Subpart D)

AND/OR

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

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

.............................................................................................................................................................................. Concurrence of CDRH, Office of Device Evaluation (ODE)

Sheila H. Misselewitz 3/16/05

Control, Dental Devices
K080529

§ 880.6250 Non-powdered patient examination glove.

(a)
Identification. A non-powdered patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hand or finger to prevent contamination between patient and examiner. A non-powdered patient examination glove does not incorporate powder for purposes other than manufacturing. The final finished glove includes only residual powder from manufacturing.(b)
Classification. Class I (general controls). The device, when it is a finger cot, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 880.9.