K Number
K210366
Manufacturer
Date Cleared
2021-05-07

(88 days)

Product Code
Regulation Number
880.6250
Reference & Predicate Devices
Predicate For
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 hand or finger to prevent contamination between patient and examiner.

Device Description

Blue Nitrile Powder Free Patient Examination Glove, Non-Sterile meet all requirements of ASTM standard D6319 and FDA 21 CFR 880.6250. The powder free nitrile examination glove is manufactured from synthetic rubber latex. Inner surface of gloves undergoes surface treatment process to produce a smooth surface that assists the user in donning the gloves with ease without using any lubricant such as powder on the glove surface. The glove is ambidextrous, i.e., can be worn on right hand or left hand.

AI/ML Overview

This document is a 510(k) premarket notification for a disposable patient examination glove. This type of device does not typically involve AI components or complex clinical studies for its clearance. Therefore, a significant portion of the requested information, particularly regarding AI development, ground truth establishment, expert consensus, and MRMC studies, is not applicable to this document.

Here's the information that can be extracted from the provided text, aligning with the categories requested:

1. Table of Acceptance Criteria and Reported Device Performance:

CHARACTERISTICSSTANDARDSAcceptance Criteria (from Standards)Device PerformanceComparison Analysis
Physical Properties
Before AgingASTM D6319,Tensile Strength: Min 14.0 MPaTensile Strength: 32.35 MPaDifferent but within the ASTM standard
Tensile StrengthASTM D412Ultimate Elongation: Min 500%Ultimate Elongation: 568%Different but within the ASTM standard
After AgingASTM D6319,Tensile Strength: Min 14.0 MPaTensile Strength: 36.10 MPaDifferent but within the ASTM standard
Tensile StrengthASTM D412Ultimate Elongation: Min 400%Ultimate Elongation: 551%Different but within the ASTM standard
ThicknessASTM D6319,Finger: min 0.05mmFinger: 0.10 mmDifferent but within the ASTM standard
ASTM D3767Palm: min 0.05mmPalm: 0.07 mmDifferent but within the ASTM standard
Powder FreeASTM D6124Less than 2 mg per glove0.24 mg/gloveDifferent but within the ASTM standard
Biocompatibility
Primary Skin IrritationISO 10993-10:2010Not an irritant'Negligible' irritant responseSimilar (both found not an irritant)
Dermal SensitizationISO 10993-10:2010Not a sensitizerNo skin sensitization effectSimilar (both found not a sensitizer)
CytotoxicityISO 10993-5:2009Not cytotoxic (initial)Cytotoxic effect (further tested)Similar (both initially cytotoxic, clarified by AT)
Acute Systemic ToxicityISO 10993-11:2017No systemic toxicity concernNo systemic toxicitySimilar (both found no systemic toxicity concern)
WatertightASTM D5151:2019AQL 1.5, Acceptance No. 10 (for 315 pcs sample size)1 piece found with leaks (within AQL 1.5)Same (both passed AQL 1.5)
DimensionsASTM D3767Length: Min 240 mmLength: 248-250 mmPass
(for all sizes)Width: e.g., 70 +/- 10 mm (X-Small)Width: e.g., 78.0 mm (X-Small)Pass

Note: For characteristics like dimensions and biocompatibility, the provided text often states "Similar" or "Same" without explicitly detailing identical acceptance criteria across both tables presented, but it's implied that the new device meets the same underlying standards as the predicate.

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

  • Physical Properties: The sample size for physical properties testing (tensile strength, elongation) is not explicitly stated numerically, but the tests were performed "Before Aging" and "After Aging" according to ASTM D412.

  • Watertight Test:

    • Sample Size: 315 pieces (referencing a single sampling plan G1 for a batch size of 150,001 to 500,000, with AQL 1.5).
  • Residual Powder:

    • Sample Size: 5 pieces
  • Biocompatibility Tests: Sample sizes for these tests (e.g., number of animals for irritation/sensitization, cells for cytotoxicity) are not specified in this document but are part of the respective ISO standards.

  • Data Provenance: The testing was conducted by Onetexx Sdn Bhd, a manufacturer based in Kamunting, Perak, Darul Ridzuan, Malaysia. The data is prospective, generated specifically for this 510(k) submission.

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

Not applicable. This device is a medical glove, and its performance is evaluated against established physical, chemical, and biological standards (ASTM and ISO), not through expert interpretation of data.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

Not applicable. The evaluation relies on standardized test methods with objective measurements, not subjective interpretation 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 device is a medical glove, it does not involve AI or human "readers" in the context of diagnostic interpretation.

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

Not applicable. This device does not have an algorithm or AI component.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

The "ground truth" for this device is defined by the objective thresholds and methodologies specified in internationally recognized standards (ASTM D6319, ASTM D412, ASTM D3767, ASTM D6124, ASTM D5151, ISO 10993 series). These standards outline accepted levels of performance for physical properties, dimensions, watertightness, residual powder, and biocompatibility.

8. The sample size for the training set:

Not applicable. This device does not involve a "training set" in the context of machine learning or AI.

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

Not applicable. This device does not involve a training set.

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food & Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

May 7, 2021

Onetexx SDN BHD % Michael Woude U.S. Agent Emergo Global Representation 2500 Bee Cave Road. Building 1 Suite 300 Austin, Texas 78746

Re: K210366

Trade/Device Name: Blue Nitrile Powder Free Patient Examination Glove, Non Sterile Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I, reserved Product Code: LZA Dated: February 3, 2021 Received: February 8, 2021

Dear Michael Woude:

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.

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

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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/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (OS) 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-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 Ryan Ortega, Ph. D Acting Assistant Director DHT4A: Division of General Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K210366

Device Name BLUE NITRILE POWDER FREE PATIENT EXAMINATION GLOVE, NON STERILE

Indications for Use (Describe)

A 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.

Type of Use (Select one or both, as applicable)
---------------------------------------------------

Prescription Use (Part 21 CFR 801 Subpart D)

X Over-The-Counter Use (21 CFR 801 Subpart C)

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510(k) No: K210366

1.0 Submitter:

Name:Freddy Low
Address:Onetexx Sdn BhdNo: 73-86, Jalan Logam 5, Perindustrian Kamunting 3,Kamunting Raya Industrial Estate, 34600 Kamunting, PerakDarul Ridzuan, Malaysia
Phone No.:+60 5 8070 666
Fax No.:+60 5 8070 666

Date of Summary Prepared: 3rd February 2021

2.0 Identification of the subject device:

: Blue Nitrile Powder Free Patient Examination Glove, Non-Sterile Trade Name Common Name : Patient Examination Gloves Classification Name : Patient Examination Gloves Device Classification : 1 Regulation Number : 21 CFR 880.6250 Product Code : LZA.

3.0 Predicate Device:

K192333

Blue Nitrile Examination Gloves Powder Free Company: JR Engineering & Medical Technologies (M) SDN. BHD.

4.0 Description of The Device:

Blue Nitrile Powder Free Patient Examination Glove, Non-Sterile meet all requirements of ASTM standard D6319 and FDA 21 CFR 880.6250.

The powder free nitrile examination qlove is manufactured from synthetic rubber latex. Inner surface of gloves undergoes surface treatment process to produce a smooth surface that assists the user in donning the gloves with ease without using any lubricant such as powder on the glove surface. The glove is ambidextrous, i.e., can be worn on right hand or left hand.

5.0 Indication for use:

A patient examination glove is a disposable device made of synthetic rubber latex intended for medical purposes that is worn on the examiner's hand or finger to prevent contamination between patient and examiner.

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510(k) No: K210366

Summary of the Technological Characteristics of the Device: 6.0

The Blue Nitrile Powder Free Patient Examination Glove, Non-Sterile are summarized with the following technological characteristics compared to ASTM D6319 or equivalent standards as shown in Table 1.

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510(k) No: K210366

Table 1

CHARACTERISTICSSTANDARDSDEVICE PERFORMANCECOMPARISONANALYSIS
PREDICATEBLUECURRENTBLUE
510(k) Number-K192333
Manufacturer(s)-JR Engineering & MedicalTechnologies (M) SDN. BHD.Onetexx Sdn BhdSame
MaterialASTM D6319NitrileNitrileSame
Color-BlueBlueSame
Texture-Finger textureFinger TextureSame
Physical PropertiesBefore AgingTensile Strength:Ultimate Elongation:ASTM D631925.6Mpa868%32.35Mpa568%Different butwithin the ASTMstandard
After AgingTensile Strength:Ultimate Elongation:ASTM D631922.0Mpa828%36.10Mpa551%Different butwithin the ASTMstandard
Thickness:- Finger- PalmASTM D63190.22mm0.20mm0.10mm0.07mmDifferent butwithin the ASTMstandard
Powder FreeASTM D61240.21 mg/glove0.24 mg/gloveDifferent butwithin the ASTMstandard
CHARACTERISTICSSTANDARDSDEVICE PERFORMANCECOMPARISON ANALYSIS
PREDICATEBLUECURRENTBLUE
BiocompatibilityPrimary Skin Irritation- ISO 10993-10:2010(E) & ConsumerProduct SafetyCommission Title 16.Chapter II, Part 1500Under the condition of study not an irritantThe test material did not cause an irritant response. The Primary Irritant Response Category is deemed 'Negligible'Similar
Dermal Sensitization-ISO 10993-10: 2010(E) & ConsumerProduct SafetyCommission, Title 16,Chapter II, Part1500.3 (c) (4)Under the conditions of the study not a sensitizerThe test material did not produce a skin sensitization effect in the guinea pigs.Similar
Cytotoxicity - MEMElution, ISO 10993-5:2009 (E)Under the conditions of the study, cytotoxic. Additional testing was performed to determine if this was a systemic toxicity concern.The test material demonstrated a cytotoxic effect under the condition of this study. Additional test i.e. Acute Systemic Toxicity was tested.Similar

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DEVICE PERFORMANCE
CHARACTERISTICSSTANDARDSPREDICATECURRENTCOMPARISONANALYSIS
BLUEBLUE
BiocompatibilityAcute SystemicToxicity, ISO 10993-11:2017 (E)Under the conditions of study,the device extracts do not posea systemic toxicity concernThe test item did not induceany systemic toxicity.Similar
Watertight (1000ml)ASTM D5151:2019Gloves passes AQL 1.5Gloves passed AQL 1.5Same
Intended useJR MEDIC Blue NitrileExamination Gloves PowderFree is disposable devicesintended for medical purposethat are worn on the examiner'shand to prevent contaminationbetween patient and examiner.A patient examination glove is adisposable device made ofsynthetic rubber latex intendedfor medical purposes that isworn on the examiner's hand orfinger to prevent contaminationbetween patient and examiner.Same
SizeMedical GloveGuidance Manual –LabelingExtra SmallSmallMediumLargeExtra LargeExtra SmallSmallMediumLargeExtra LargeSame
Single useMedical GloveGuidance Manual –LabelingSingle UseSingle UseSame

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510(k) No: K210366

There are no significant differences between the two products and are identical in terms of intended use, materials design and biocompatibility test, however the performance data for proposed product is different on the physical properties (higher on Tensile Strength but lower on the elongation compared to predicate device) and glove thickness (lower than the predicate device) but well within the ASTM D 6139 standard.

7.0 Summary of Non-Clinical Testing

The performance test data of the non-clinical test for this powder free nitrile examination glove is summarized as per below.

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TestMethodStandardPurpose of TestingAcceptance CriteriaResultsStatus
BeforeagingAfteragingBeforeagingAfteraging
PhysicalPropertiesASTM D412(Standard TestMethod forVulcanized Rubberand ThermoplasticElastomers-Tension)To evaluate thetensile (tension)properties of glove.TensilestrengthMin 14.0MPaMin 14.0MPa32.35Mpa36.10MpaPass
UltimateelongationMin500%Min400%568%551%Pass

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TestMethodStandardPurpose ofTestingGloveSizeAcceptance CriteriaResultsStatus
DimensionASTM D3767StandardPractice forRubber—Measurementof DimensionsTo measure thelength, width andthickness ofgloveX-SmallLengthMin 240 mmWidth$70 \pm 10$ mmThicknessFinger – min 0.05mmPalm - min 0.05mmLength250 mmWidth78.0 mmThickness0.10 mm0.07 mmPass
SmallLengthMin 240 mmWidth$80 \pm 10$ mmThicknessFinger – min 0.05mmPalm - min 0.05mmLength249 mmWidth87.0 mmThickness0.10 mm0.07 mmPass
MediumLengthMin 240 mmWidth$95 \pm 10$ mmThicknessFinger – min 0.05mmPalm - min 0.05mmLength249 mmWidth98.0 mmThickness0.10 mm0.07 mmPass
LargeLengthMin 240 mmWidth$110 \pm 10$ mmLength248 mmWidth107 mmPass

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ThicknessFinger – min 0.05mmPalm - min 0.05mmThickness0.10 mm0.07 mmPass
X-LargeLengthMin 240 mmLength250 mmPass
Width$120 \pm 10$ mmWidth117 mmPass
ThicknessFinger – min 0.05mmPalm - min 0.05mmThickness0.10 mm0.07 mmPass

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TestMethodStandardPurpose ofTestingAcceptance CriteriaResultsStatus
WatertightASTM D5151(Standard TestMethod forDetection of Holesin Medical Gloves)To detect holesthat leak waterand therebycompromise theusefulness of theglove.Sample size: 500 pcsInspection level: G1AQL: 1.5, Acceptance No. 10The batch size for thissampling is 150,001 to500,000. Hence,according to the singlesampling plan GI, thesample to be drawn isunder code Mequivalent to 315pieces with accept 10and reject 11 to beaccepted under AQL1.5. During the test, 1piece was found withleaks. Hence it fallswithin the acceptancecriteria.Pass
TestMethodStandardPurpose ofTestingAcceptance CriteriaResultsStatus
ResidualPowderASTM D6124(Standard TestMethod for ResidualPowder on MedicalGloves)To determine theamount ofresidual powderand non-powdersolids found ongloves.Less than 2 mg per gloveSample size : 5 pcsRequirement : <2mg/gloveResult :0.24mg/glovePass

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510(k) No: K210366

8.0 Summary of Clinical Testing:

No clinical study is included in this submission.

9.0 Conclusion

The conclusion drawn from the non-clinical tests demonstrate that the subject Blue Nitrile Powder Free Patient Examination Glove, Non-Sterile is as safe, as effective, and performs as well as or better than the legally marketed predicate devices K192333.

§ 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.