BARRIERPLUS PLATINUM POWDER-FREE SYNTHETIC POLYCHLOROPRENE SURGICAL GLOVES, MODELS 12544-125490

K061038 · Barriermed Glove Co. · KGO · Jun 23, 2006 · General, Plastic Surgery

Device Facts

Record IDK061038
Device NameBARRIERPLUS PLATINUM POWDER-FREE SYNTHETIC POLYCHLOROPRENE SURGICAL GLOVES, MODELS 12544-125490
ApplicantBarriermed Glove Co.
Product CodeKGO · General, Plastic Surgery
Decision DateJun 23, 2006
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 878.4460
Device ClassClass 1

Intended Use

BarrierPlus® Platinum Powder-free Synthetic Polychloroprene Surgical Gloves are intended to be worn by operating room personnel to protect a surgical wound from contamination.

Device Story

BarrierPlus® Platinum Powder-free Synthetic Polychloroprene Surgical Gloves are sterile, single-use surgical gloves. Worn by operating room personnel to provide a protective barrier between the wearer and the patient, preventing contamination of surgical wounds. Device functions as a physical barrier; no electronic or mechanical components. Used in clinical surgical settings.

Clinical Evidence

Bench testing only.

Technological Characteristics

Material: Synthetic polychloroprene. Form factor: Surgical glove. Powder-free. Sterile. Single-use.

Indications for Use

Indicated for use by operating room personnel to protect surgical wounds from contamination. No specific patient population, age, or gender restrictions noted.

Regulatory Classification

Identification

A non-powdered surgeon's glove is a device intended to be worn on the hands of operating room personnel to protect a surgical wound from contamination. A non-powdered surgeon's glove does not incorporate powder for purposes other than manufacturing. The final finished glove includes only residual powder from manufacturing.

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ Image /page/0/Picture/1 description: The image shows the logo for the Department of Health and Human Services (HHS). The logo features the department's name encircling a stylized symbol. The symbol consists of three abstract human profiles facing right, stacked on top of each other, with flowing lines beneath them. Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850 JUN 2 3 2006 Mr. Victor J. Ragucci Chairman & CEO BarrierMed, Glove Company® 155 Technology Park Lake Mary, Florida 32746 Re: K061038 Trade/Device Name: BarrierPlus® Platinum Powder-Free Synthetic Polychloroprene Surgical Gloves Regulation Number: 878.4460 Regulation Name: Surgeon's Glove Regulatory Class: I Product Code: KGO Dated: June 8, 2006 Received: June 13, 2006 Dear Mr. Ragucci: 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. 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. {1}------------------------------------------------ ## Page 2 -Mr. Ragucci 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); 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. This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device 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). please contact the Office of 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 Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html. Sincerely yours, Claire Liu, Ph.D. 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 {2}------------------------------------------------ 3.0 Indications for Use Statement: ## INDICATIONS FOR USE | Applicant: | BarrierMed Glove Co.® | |------------|-----------------------| |------------|-----------------------| | 510(k) Number (if known) | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | :<br><br>------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | |--------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | | | | Device Name: BarrierPlus® Platinum Powder-free Synthetic Polychloroprene Surgical Gloves Indications For Use: BarrierPlus® Platinum Powder-free Synthetic Polychloroprene Surgical Gloves are intended to be worn by operating room personnel to protect a surgical wound from contamination. Prescription Use (Part 21 CFR 801 Subpart D) AND/OR Over-The-Counter Use X (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) Shala A. Mynher KS 6/23/06 nacthesincev. Number: Kol 1038 * For a new submission, do NOT fill in the 510(k) number. CONFIDENTIAL BarrierMed Glove Co. Page 6 of 15
Innolitics
510(k) Summary
Decision Summary
Classification Order
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