K Number
K210587
Manufacturer
Date Cleared
2021-06-28

(122 days)

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

Device Description

Violet Nitrile Powder Free Patient Examination Glove, Non-Sterile meets all requirements of ASTM standard D6319 and FDA 21 CFR 880.6250. The powder free nitrile examination glove is manufactured from Nitrile 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

The provided text describes the acceptance criteria and performance data for the "Violet Nitrile Powder Free Patient Examination Glove, Non-Sterile". This is a medical device, and the data presented relates to its physical properties and biocompatibility, not an AI/ML-based device. Therefore, questions related to AI/ML specific aspects like expert adjudication, MRMC studies, standalone algorithm performance, and training set details are not applicable.

Here's the analysis based on the provided text, focusing on the relevant criteria for this type of medical device:

Acceptance Criteria and Device Performance

1. Table of Acceptance Criteria and Reported Device Performance

CharacteristicStandardAcceptance CriteriaReported Device PerformanceStatus
Physical Properties
Tensile Strength (Before Aging)ASTM D412Min 14.0 MPa32.35 MPaPass
Ultimate Elongation (Before Aging)ASTM D412Min 500%568%Pass
Tensile Strength (After Aging)ASTM D412Min 14.0 MPa36.10 MPaPass
Ultimate Elongation (After Aging)ASTM D412Min 400%551%Pass
Length (Dimension)ASTM D3767Min 240 mm249 mmPass
Width (Dimension)ASTM D376795 ± 10 mm98 mmPass
Thickness - Finger (Dimension)ASTM D3767Min 0.05 mm0.10 mmPass
Thickness - Palm (Dimension)ASTM D3767Min 0.05 mm0.07 mmPass
WatertightASTM D5151AQL 1.5, Acceptance No. 10 for 315 samples0 pieces with leaks (for 315 samples)Pass
Residual PowderASTM D6124Less than 2 mg per glove0.24 mg per glovePass
BiocompatibilityISO 10993-10:2010 (E) & Consumer Product Safety Commission Title 16. Chapter II, Part 1500Non-irritant and non-sensitizerNegligible irritant response, no sensitization effect in guinea pigsPass
Acute Systemic ToxicityISO 10993-11:2017 (E)No systemic toxicity inducedNo systemic toxicity inducedPass

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

  • Physical Properties (Tensile Strength, Ultimate Elongation, Dimensions): The sample sizes are not explicitly stated for each specific test, but ASTM D412 and ASTM D3767 standards typically specify sample sizes for these types of tests.
  • Watertight: The sample size used was 315 pieces (based on inspection level G1 for a batch size of 150,001 to 500,000 under AQL 1.5).
  • Residual Powder: The sample size used was 5 pieces.
  • Biocompatibility: The specific sample sizes for in vivo tests (like primary skin irritation, dermal sensitization, acute systemic toxicity) are not explicitly mentioned in terms of number of animals, but the standards (ISO 10993-10, ISO 10993-11) outline the appropriate sample sizes and methodologies for these studies.
  • Data Provenance: The data is non-clinical test data conducted by Onetexx Sdn Bhd (Malaysia), indicated by the submitter's address. These are prospective tests performed on the device to demonstrate compliance with standards.

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

This question is not applicable. The device is a patient examination glove, and its performance is assessed through standardized physical and chemical tests (e.g., tensile strength, watertightness, biocompatibility), not through expert interpretation of medical images or other data requiring "ground truth" established by human experts.

4. Adjudication method for the test set

This question is not applicable. Adjudication methods like 2+1 or 3+1 are typically used for establishing ground truth in AI/ML performance studies, especially when human interpretation is involved. For physical and chemical testing of medical gloves, results are determined by adherence to established test procedures and measurement against quantitative criteria.

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

This question is not applicable as this is not an AI/ML device.

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

This question is not applicable as this is not an AI/ML device.

7. The type of ground truth used

The "ground truth" for this device is established by objective measurements and standardized test procedures defined by ASTM and ISO standards (e.g., ASTM D412 for tensile properties, ASTM D5151 for watertightness, ISO 10993 for biocompatibility). There is no "expert consensus," "pathology," or "outcomes data" in the typical sense for this product's performance evaluation.

8. The sample size for the training set

This question is not applicable as this is not an AI/ML device, and therefore does not have a "training set."

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

This question is not applicable as this is not an AI/ML device, and therefore does not have a "training set."

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in a stacked format.

June 28, 2021

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

Re: K210587

Trade/Device Name: Violet 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: May 23, 2021 Received: June 1, 2021

Dear Michael Van der 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

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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/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-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,

Ryan Ortega Acting Assistant Director DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K210587

Device Name VIOLET 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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Image /page/3/Picture/0 description: The image shows the word "onetexx" in a sans-serif font, with the letters in dark blue. To the right of the word is a circular logo in teal and dark blue. The logo is a circle with a square cut out of the upper right quadrant.

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: 27th May 2021

2.0 Identification of the subject device:

Trade Name: Violet Nitrile Powder Free Patient Examination Glove, NonSterile
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:

K143289

Non-Sterile, Powder Free Nitrile Examination Gloves - Violet Color -LZA Company: YTY INDUSTRY (MANJUNG) SDN. BHD.

4.0 Description of The Device:

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

The powder free nitrile examination glove is manufactured from Nitrile 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.

Indication for use: 5.0

A patient examination glove is a disposable device made of Nitrile 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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Image /page/4/Picture/0 description: The image shows the logo for the company "onetexx". The word "onetexx" is written in a bold, sans-serif font and is colored in a dark blue. To the right of the word is a circular logo that is partially filled in with dark blue and light blue.

6.0 Summary of the Technological Characteristics of the Device:

The Violet 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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Image /page/5/Picture/0 description: The image shows the logo for "onetexx". The word "onetexx" is written in a dark blue sans-serif font. To the right of the word is a circular logo that is partially dark blue and partially light blue. The dark blue portion of the logo is in the shape of a square.

Table 1

CHARACTERISTICSSTANDARDSDEVICE PERFORMANCECOMPARISONANALYSIS
PREDICATEVIOLETCURRENTVIOLET
510(k) Number-K143289K210587
Manufacturer(s)-YTY Industry (Manjung) Sdn BhdOnetexx Sdn BhdSame
MaterialASTM D6319NitrileNitrileSame
Color-VioletVioletSame
Product Code-LZALZASame
Physical PropertiesASTM D6319
Before Aging
Tensile Strength:23.22-29.11Mpa32.35MpaDifferent but
Ultimate Elongation:520-580%568%within the ASTMstandard
After Aging
Tensile Strength:27.39-30.8236.10MpaDifferent but
Ultimate Elongation:440-500%551%within the ASTMstandard
Thickness:ASTM D6319
- Finger0.09-0.11mm0.10mmDifferent but
- Palm0.06-0.07mm0.07mmwithin the ASTMstandard
- Finger0.05-0.06mmDifferent butwithin the ASTMstandard
Length:ASTM D6319240 - 244mm246 - 255mmDifferent butwithin the ASTMstandard
Powder FreeASTM D61240.14mg/glove0.24 mg/gloveDifferent butwithin the ASTMstandard

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Image /page/6/Picture/0 description: The image shows the logo for "onetexx". The word "onetexx" is written in a dark blue sans-serif font. To the right of the word is a circular logo that is partially dark blue and partially light blue. The dark blue portion of the logo is in the shape of a square.

DEVICE PERFORMANCE
CHARACTERISTICSSTANDARDSPREDICATECURRENTCOMPARISONANALYSIS
VIOLETVIOLET
BiocompatibilityPrimary Skin Irritation- ISO 10993-10:2010(E) & ConsumerProduct SafetyCommission Title 16.Chapter II, Part 1500Under the condition of the studythe device is non-irritant andnon-sensitizerUnder the conditions of thisstudy the device did not causean irritant response. ThePrimary Irritant ResponseCategory is deemed 'Negligible'Similar
Dermal Sensitization-ISO 10993-10: 2010(E) & ConsumerProduct SafetyCommission, Title 16,Chapter II, Part1500.3 (c) (4)Under the condition of the studythe device is non-irritant andnon-sensitizerUnder the conditions of thisstudy the device did notproduce a skin sensitizationeffect in the guinea pigs.Similar
Acute SystemicToxicity, ISO 10993-11:2017 (E)Not TestedUnder conditions of this studythe device did not induce anysystemic toxicity.Different

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Image /page/7/Picture/0 description: The image shows the logo for "onetexx". The text is in a dark blue color and is in a sans-serif font. To the right of the text is a circular icon that is partially dark blue and partially light blue.

CHARACTERISTICSSTANDARDSDEVICE PERFORMANCECOMPARISONANALYSIS
PREDICATEVIOLETCURRENTVIOLET
Watertight (1000ml)ASTM D5151:2019AQL 2.5Result: 0Gloves passed AQL 1.5Different butwithin the ASTMstandard
Indication for Use-A patient examination glove is adisposable device intended formedical purposes that is worn onthe examiner's hand or finger toprevent contamination betweenpatient 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 -LabelingMediumExtra SmallSmallMediumLargeExtra LargeSimilar
Single useMedical GloveGuidance Manual -LabelingSingle UseSingle UseSame

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Image /page/8/Picture/0 description: The image shows the onetexx logo. The word "onetexx" is written in a dark blue sans-serif font. To the right of the word is a circular logo in a light blue color with a dark blue square in the upper right quadrant.

There are no significant differences between the two products and are identical in terms of intended use, materials design, physical properties, color, thickness and biocompatibility.

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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Image /page/9/Picture/0 description: The image shows the logo for "onetexx". The word "onetexx" is written in a dark blue sans-serif font. To the right of the word is a circular logo that is partially dark blue and partially light blue. The dark blue portion of the logo is in the upper right corner, and the light blue portion is in the lower left corner.

Acceptance CriteriaResults
TestMethodStandardPurpose of TestingBeforeagingAfteragingBeforeagingAfteragingStatus
PhysicalPropertiesASTM D412(Standard TestMethod forVulcanized RubberTo evaluate thetensile (tension)properties of glove.TensilestrengthMin 14.0MPaMin 14.0MPa32.35Mpa36.10MpaPass
and ThermoplasticElastomers-Tension)UltimateelongationMin500%Min400%568%551%Pass
TestMethodStandardPurpose ofTestingAcceptance CriteriaResultsStatus
DimensionASTM D3767Standard Practice forRubber–Measurement ofDimensionsTo measure thelength, width andthickness ofgloveLengthMin 240 mmLength249 mmPass
Width$95 \pm 10$ mmWidth98 mmPass
ThicknessFinger - min 0.05mmThickness0.10mmPass
Palm - min 0.05mm0.07mm

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Image /page/10/Picture/0 description: The image shows the logo for "onetexx". The text "onetexx" is written in a dark blue sans-serif font. To the right of the text is a circular graphic that is partially filled in with dark blue and light blue.

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, 0piece was found withleaks. Hence it fallswithin the acceptancecriteria.Pass

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Image /page/11/Picture/0 description: The image shows the onetexx logo. The word "onetexx" is written in a bold, sans-serif font. To the right of the word is a circular icon that is partially filled in with a darker color. The logo is simple and modern.

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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Image /page/12/Picture/0 description: The image shows the logo for "onetexx". The word "onetexx" is written in a bold, sans-serif font in a dark color, likely black or a very dark shade of gray. To the right of the word "onetexx" is a stylized graphic element in a lighter color, possibly teal or cyan. The graphic element appears to be a partial or stylized representation of a circle or a "C" shape, with a portion of it filled in with a darker shade, creating a sense of depth or dimension.

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 Violet 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 K143289.

§ 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.