SENSTOUCH HIGH RISK BLUE LATEX EXAMINATION GLOVES, POWDERED, NON STERILE
K063581 · Pt Mahakarya Inti Buana · LYY · Mar 15, 2007 · General Hospital
Device Facts
Record ID
K063581
Device Name
SENSTOUCH HIGH RISK BLUE LATEX EXAMINATION GLOVES, POWDERED, NON STERILE
Applicant
Pt Mahakarya Inti Buana
Product Code
LYY · General Hospital
Decision Date
Mar 15, 2007
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 880.6250
Device Class
Class 1
Intended Use
Senstouch High Risk Blue Latex Examination Gloves Powdeced, Non-Starile is a disposable device and mad of natural cubber latex for medical purpose that worn on the examiner's hand or finger to prevent contamination between patient and examiner.
Device Story
Device is a disposable, non-sterile, natural rubber latex examination glove. Worn by healthcare examiners on hands or fingers. Primary function is to serve as a protective barrier to prevent cross-contamination between patient and examiner. Used in clinical or medical environments. No electronic, software, or algorithmic components.
Clinical Evidence
No clinical data provided; bench testing only.
Technological Characteristics
Material: Natural rubber latex. Form factor: Disposable examination glove. State: Powdered, non-sterile. No electronic components, software, or energy sources.
Indications for Use
Indicated for use as a disposable, non-sterile, natural rubber latex glove worn on the examiner's hand or finger to prevent cross-contamination between patient and examiner in medical settings.
Regulatory Classification
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.
Related Devices
K970977 — LATEX EXAMINATION GLOVES, POWDER FREE · Arista Medi Prima · Jun 27, 1997
K961634 — NIL - POWDER-FREE LATEX EXAMINATION GLOVES · Hl Rubber Products Sdn Bhd · Jun 16, 1997
K993458 — POWDERED LATEX EXAMINATION GLOVES (PROTEIN LABEL CLAIM) · Sri Johani Sdn. Bhd. · Nov 10, 1999
K032007 — GLOVETEX POWDER FREE LATEX EXAMINATION GLOVES, BLUE, NON-STERILE CONTAINS 50 MCGIN OR LESS OF TOTAL WATER EXTRACTABLE PR · Pt. Wrp Buana Multicorpora · Jul 28, 2003
Submission Summary (Full Text)
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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized eagle with three stripes forming its body and wings. The eagle is facing right. The text "DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
## MAR 1 5 2007
Mr. V. Nadarajan Manager, Quality Affairs Regulatory Assurance PT. Mahakarya Inti Buana JL. Sei Belumai Desa Dalu 10A Dusun I Tanjung Morawa, Sumut. INDONESIA 20362
Re: K063581
Trade/Device Name: Senstouch High Risk Blue Latex Examination Gloves, Powdered, Non-Sterile Regulation Number: 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LYY Dated: February 27, 2007 Received: March 2, 2007
Dear Mr. Nadarajan:
11
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.
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Page 2 –Mr. Nadarajan
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,
Sylette y. Michael MD
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
510(k) Number (if known): Alu 21 01
SENSTOUCH HIGH RISK BLUE LATEX EXAMINATION GLOVES Device Name: POMDERED , NON-STERILE -
Indications For Use: Senstouch High Risk Blue Latex Examination Gloves Powdeced, Non-Starile is a disposable device and mad of natural cubber latex for medical purpose that worn on the examiner's hand or finger to prevent contamination between patient and examiner.
Prescription Use _ AND/OR . Over-The-Counter Use (Part 21 CFR 801 Subpart D) (21 CFR 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IR NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE
Stet L. Murphy, Jr.
of Anasihsajaingy, General Hospital, lien Gentral, Denjal Devices
Number A 163 587
Panel 1
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