Vinyl Patient Examination Gloves

{0}------------------------------------------------ #### October 6, 2018 Jiangxi Zhonghong Pulin Medical Products Co., Ltd % Boyle Wang Correspondent Shanghai Truthful Information Technology Co., Ltd. Room 608, No. 738, Shangcheng Rd., Pudong Shanghai. 200120 Cn Re: K182117 Trade/Device Name: Vinyl Patient Examination Gloves Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I Product Code: LYZ Dated: July 20, 2018 Received: August 6, 2018 Dear Boyle Wang: 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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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. {1}------------------------------------------------ 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); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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/Safety/ReportaProblem/default.htm. For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100). Sincerely, For Tina Kiang, Ph.D. Acting Director Division of Anesthesiology. General Hospital, Respiratory, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {2}------------------------------------------------ # Please wait... If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document. You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download. For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader. Windows is either a registered trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other countries. {3}------------------------------------------------ # 510(k) Summary K182117 This summary of 510(k) information is in accordance with 21 CFR 807.92. ### 1.0 submitter's information Name: Jiangxi Zhonghong Pulin Medical Products Co.,Ltd. Address: Yinsha Wan Industrial Park, High-tech Industrial Zone of Hukou County, Jiujiang City, Jiangxi Province Phone Number: +86-315-4168700 Contact: Joe Zhang Date of Preparation: 10/3/2018 #### Designated Submission Correspondent Mr. Boyle Wang Shanghai Truthful Information Technology Co., Ltd. Tel:+86-18930777676, Fax:+86-21-50313932 Email: Info@truthful.com.cn # 2.0 Device information Trade name: Vinyl Patient Examination Gloves Vinyl Patient Examination Gloves (Powder Free) Common name: Regulation name: Non-Powdered Patient Examination Glove Model(s): XS, S, M, L, XL 3.0 Classification Production code: LYZ Regulation number: 21 CFR 880.6250 Classification: Class I Panel: General Hospital # 4.0 Predicate device information Manufacturer: Hebei Hongtai Plastic Products Company Limited {4}------------------------------------------------ Device: Vinyl Patient Examination Gloves (White, Blue, Yellow) 510(k) number: K163168 ### 5.0 Intended use The Vinyl Patient Examination Glove is a disposable device intended for medical purposes that is worn on the examiners hands to prevent contamination between patient and examiner. The intended use and the indication for use of Vinyl Patient Examination Glove, as described in its labeling are the same as the predicate device Vinyl Patient Examination Gloves (White, Blue, Yellow) (K163168). #### 6.0 Device description The proposed device is Powder Free Vinyl Patient Examination Gloves. The proposed device is clear, non-colored. The design of proposed device is addressing the standards as ASTM D6124, ASTMD5151, and ASTMD5250. The proposed device is non-sterile. #### 7.0 Technological Characteristics Comparison Table | Table1-General Comparison | | | | |---------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------| | Item | Proposed device | Predicated device | Remark | | Product Code | LYZ | LYZ | Same | | Regulation No. | 21CFR880.6250 | 21CFR880.6250 | Same | | Class | I | I | Same | | Indications for Use | The Vinyl Patient<br>Examination Glove is a<br>disposable device<br>intended for medical<br>purposes that is worn on<br>the examiner ' s hands to<br>prevent contamination<br>between patient and<br>examiner. | The Vinyl Examination<br>Glove (White, Blue, or<br>Yellow) is a disposable<br>device intended for<br>medical purposes that<br>is worn on the<br>examiner's hands to<br>prevent contamination<br>between patient and<br>examiner. | Same | | Powdered or Powered free | Powdered free | Powdered free | Same | | Design Feature | ambidextrous | ambidextrous | Same | | Surface Feature | Smooth | Smooth | Same | | Labeling Information | Single-use indication | Single-use indication | Same | #### Table1-General Comparison {5}------------------------------------------------ | powder free, device color,<br>device name, glove size<br>and quantity, Vinyl<br>Examination Gloves,<br>Non-Sterile | powder free, device<br>color, device name,<br>glove size and quantity,<br>Vinyl Examination<br>Gloves, Non-Sterile | |--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------| |--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------| #### Table2 Device Dimensions Comparison | Predicate | Designation | Size | | | | Tolerance | | |-----------------|----------------|------|-----|-----|-----|-----------|-----| | Device(K163168) | | XS | S | M | L | XL | | | | Length, mm | 230 | 230 | 235 | 245 | 245 | min | | | Width, mm | 80 | 85 | 95 | 105 | 115 | ±5 | | | Thickness, mm: | | | | | | | | | Finger | 0.05 | | | | min | | | | Palm | 0.08 | | | | min | | | Proposed Device | Designation | Size | | | | Tolerance | | | | | XS | S | M | XS | S | | | | Length, mm | 230 | 230 | 235 | 245 | 245 | min | | | Width, mm | 80 | 85 | 95 | 105 | 115 | ±5 | | | Thickness, mm: | | | | | | | | | Finger | 0.05 | | | | min | | | | Palm | 0.08 | | | | min | | | Remark | | SAME | | | | | | ### Table3 Performance Comparison | Item | | | Proposed device | Predicated device | Remark | |------------------------|-----------------|------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|-----------| | Colorant | | | Clear, Non-Colored | White, Blue, Yellow | Analysis1 | | Physical<br>Properties | Before<br>Aging | Tensile<br>Strength | 15MPa, min | 15MPa, min | SAME | | | | Ultimate<br>Elongation | 380%min | 380%min | SAME | | | After<br>Aging | Tensile<br>Strength | 15MPa, min | 15MPa, min | SAME | | | | Ultimate<br>Elongation | 380%min | 380%min | SAME | | | | Comply with ASTM D5250 | Comply with ASTM D5250 | Comply with ASTM D5250 | SAME | | Freedom from Holes | | | Be free from holes when tested in accordance with ASTMD5151 AQL=1.5 | Be free from holes when tested in accordance with ASTMD5151 AQL=1.5 | SAME | | Powder Content | | | 0.48 | Meet the requirements of ASTM D6124 | SIMILAR | Analysis1: The proposed device has a different color in comparison to the predicate device. The difference in color of the subject device did not raise a safety concern because biocompatibility test results were passing for the subject device. {6}------------------------------------------------ | Item | Proposed device | Predicated device | Remark | | |--------------------|-----------------|----------------------------------------------------|-------------------------|---------| | Material | Vinyl | Vinyl | SAME | | | Biocompatibility | Irritation | Under the conditions of the study, not an irritant | Comply with ISO10993-10 | SAME | | | Sensitization | Under conditions of the study, not a sensitizer. | | | | | Cytotoxicity | Under conditions of the study, not cytotoxic | / | SIMILAR | | Label and Labeling | | Meet FDA's Requirement | Meet FDA's Requirement | SAME | #### Table4 Safety Comparison #### 8.0 Discussion of non-clinical and clinical test performed Non-clinical tests were conducted on the proposed subject device to demonstrate that the device met all design specifications. The test results demonstrated that the proposed device complies with the following standards: ISO 10993-10:2010 Biological Evaluation Of Medical Devices - Part 10: Tests For Irritation And Skin Sensitization. ISO 10993-5:2009 Biological Evaluation Of Medical Devices - Part 5: Tests For In Vitro Cytotoxicity ASTM D6124-06 (Reaffirmation 2011), Standard Test Method for Residual Powder on Medical Gloves ASTMD5151-06(Reapproved2015), Standard Test Method for Detection of Holes in Medical Gloves. ASTM D5250-06 (Reapproved 2015), Standard Specification for Poly (vinyl chloride) Gloves for Medical Application. Clinical testing is not needed for this device. #### 9.0 Conclusion The conclusions drawn from the nonclinical tests demonstrate that the proposed device is as safe, as effective, and performs as well as or better than the predicated device.