K Number
K220121

Validate with FDA (Live)

Date Cleared
2022-04-11

(83 days)

Product Code
Regulation Number
880.6250
Age Range
All
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticPediatricDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

A powder-free 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

The Powder Free Nitrile Examination Gloves are non sterile, single use, and disposable. These gloves are available in Blue, Green, and Black colors. This device is to protect the examiner and prevent contamination between patient and the examiner when properly worn. The sizes of the gloves are Small, Medium, Large and X-Large. Non Sterile Nitrile Powder Free Examination Gloves meet all current specifications listed under ASTM Specifications D6319.

AI/ML Overview

The provided text describes the acceptance criteria and performance of "AAMedix Glove Sdn Bhd NON STERILE NITRILE POWDER FREE EXAMINATION GLOVES – BLUE, GREEN AND BLACK". This is a medical device, specifically examination gloves, and the information is presented in the context of an FDA 510(k) premarket notification.

Here's a breakdown of the requested information based on the provided document:

Acceptance Criteria and Device Performance

AAMedix Glove Sdn Bhd's Non Sterile Nitrile Powder Free Examination Gloves were tested against ASTM D6319 criteria. The device is compared to a predicate device (K143289) and its performance data are presented.

Acceptance Criteria (ASTM D6319 Requirement)Subject Device (K220121) Performance: BLUE/GREEN/BLACK GlovesPredicate Device (K143289) Performance (where specified)
DIMENSIONS
Overall Length
- Small: 220 mm minimumPass (237-253 mm)Not specified for Small
- Medium: 230 mm minimumPass (240-251 mm)240-250 mm
- Large: 230 mm minimumPass (240-255 mm)Not specified for Large
- X-large: 230 mm minimumPass (240-277 mm)Not specified for X-Large
Width
- Small: 80 +/-10 mmPass (85-88 mm)Not specified for Small
- Medium: 95 +/-10 mmPass (95-98 mm)95-99 mm
- Large: 110 +/-10 mmPass (105-109 mm)Not specified for Large
- X-large: 120 +/-10 mmPass (113-116 mm)Not specified for X-Large
Palm Thickness
- Minimum: 0.05 mmPass (0.05-0.14 mm)0.05-0.06 mm
Finger Thickness
- Minimum: 0.05 mmPass (0.09-0.18 mm)0.09-0.10 mm
PHYSICAL PROPERTIES
Tensile Strength (Before Aging)
- Minimum: 14 MPaPass (21.2-46.5 MPa)28.46-33.44 MPa
Tensile Strength (After Aging)
- Minimum: 14 MPaPass (20.7-45.8 MPa)29.76-34.18 MPa
Ultimate Elongation (Before Aging)
- Minimum: 500%Pass (460-600%)520-580%
Ultimate Elongation (After Aging)
- Minimum: 400%Pass (440-580%)440-520%
FREEDOM FROM HOLES (Pinhole Inspection)
- AQL=2.5; Accept on 7 or 10 (n=200)Pass (Found=0-6)Holes found: 0 (Accept 1, Reject 7)
POWDER FREE/Residual Powder
- Does not exceed 2 mg per glovePass (Average: 0.04-1.02 mg per glove)0.20 mg/glove

Study Details:

  1. Sample sizes used for the test set and the data provenance:

    • Test Set Size: For the Freedom from Holes (Pinhole Inspection), the sample size was n=200 per glove size and color (Blue, Green, Black). For other physical properties and dimensions, the specific sample sizes used in the testing are not explicitly stated in the provided summary, beyond the fact that ranges of results are given ("e.g., 25.2-31.9 MPa").
    • Data Provenance: The document is a 510(k) summary from AAMedix Glove Sdn Bhd, located in Malaysia. The testing would have been conducted by or for AAMedix Glove Sdn Bhd, likely in Malaysia or a testing facility compliant with international standards. The study is retrospective in the sense that the data are presented as results of completed tests to demonstrate equivalence to a predicate device.
  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
    The document does not mention the use of experts to establish a "ground truth" in the traditional sense of clinical or diagnostic studies. The "ground truth" here is the adherence to established industry performance standards and test methods (specifically ASTM D6319 and D5151 for physical properties and freedom from holes). These standards define objective measurements that do not typically require expert interpretation for their results.

  3. Adjudication method for the test set:
    Not applicable. The tests performed are objective physical and chemical tests based on ASTM standards. Adjudication methods like 2+1 or 3+1 are typically used in clinical imaging studies where there is subjective interpretation involved.

  4. 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 is not a study involving human readers or AI in a diagnostic or interpretive context. It's an evaluation of the physical and material properties of examination gloves.

  5. If a standalone (i.e. algorithm only without human-in-the loop performance) was done:
    Not applicable. This is not an algorithm or software device.

  6. The type of ground truth used:
    The "ground truth" for this device is the objective performance specifications defined by established industry standards, specifically ASTM D6319 and ASTM D5151. These standards specify acceptable ranges for physical properties (dimensions, tensile strength, elongation) and freedom from holes, as well as powder content.

  7. The sample size for the training set:
    Not applicable. This device does not use a "training set" as it is not an AI/ML algorithm or a diagnostic device that requires learning from data.

  8. How the ground truth for the training set was established:
    Not applicable, as there is no training set for this type of device.

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April 11, 2022

AAMedix Glove Sdn Bhd Annette Schaps Regulatory Consultant Unit 19D, Level 19, No.16, Persiaran Setia Dagang Bander Setia Alam, 40170 Shah Alam Selanger Darul Ehsan, 40170 Malaysia

Re: K220121

Trade/Device Name: Non Sterile Nitrile Powder Free Examination Gloves - Blue,Green, and Black Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I, reserved Product Code: LZA Dated: January 13, 2022 Received: January 18, 2022

Dear Annette Schaps:

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,

Clarence W. Murray, III, PhD Assistant Director DHT4B: Division of Infection Control and Plastic 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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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2023 See PRA Statement below.

510(k) Number (if known)

K220121

Device Name NON STERILE NITRILE POWDER FREE EXAMINATION GLOVES - BLUE, GREEN AND BLACK

Indications for Use (Describe)

A powder-free 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)

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

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW .

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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AAMedix Glove Sdn Bhd NON STERILE NITRILE POWDER FREE EXAMINATION GLOVES – BLUE, GREEN AND BLACK

510(K) Summary

510K SUMMARY

Date of Summary Prepared: March 23, 2022

510K Number: K220121

    1. Applicant : AAMedix Glove Sdn Bhd
Address: Unit 19D, Level 19
No. 16 Persiaran Setia Dagang
Bandar Setia Alam
40170 Shah Alam, Selanger Darul Ehsan
MALAYSIA
Tel: 03-33592650
Fax: 03-33592657
E-mails: anson@aamedix-glove.com

Official Correspondence: Annette Schaps

    1. Device Name: Non Sterile Nitrile Powder Free Examination Gloves Blue, Green And Black color.
      Trade Name: Non Sterile Nitrile Powder Free Examination Gloves – Blue, Green and Black color.

Common Name: Nitrile Examination Gloves

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3. Regulatory Information

Classification NameNitrile Powder Free Examination Gloves
ClassificationClass I
Product CodeLZA
Regulation Number21 CFR 880.6250

4. Predicate Device

510K Number: K143289- YTY Industry (Manjung) Sdn. Bhd.
Device Name: Non Sterile, Powder Free Nitrile Examination Gloves -Orange, Green, Blue and Violet Color.

5. Intended Use

A powder-free 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.

6. Description

The Powder Free Nitrile Examination Gloves are non sterile, single use, and disposable. These gloves are available in Blue, Green, and Black colors. This device is to protect the examiner and prevent contamination between patient and the examiner when properly worn. The sizes of the gloves are Small, Medium, Large and X-Large. Non Sterile Nitrile Powder Free Examination Gloves meet all current specifications listed under ASTM Specifications D6319.

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Summary of Comparison and Technological Characteristic
Table 1 - General Comparison
SUBJECT DEVICE:K220121PREDICATE DEVICE:K143289Comparison
Company NameAAMedix Glove Sdn BhdYTY INDUSTRY(MANJUNG) SDN. BHD
Product NameNon Sterile, Powder FreeNitrile ExaminationGloves-BLUE, GREEN ANDBLACKNon Sterile, Powder FreeNitrile ExaminationGloves-Orange, Green,Blue and Violet Color
Available ColorsBlue, Green and BlackBlue, Green and OthersSimilar
Available SizesSmall, Medium, Large andX-LargeNot specified but dataprovided on MediumSimilar
Indications for UseA powder free patientexamination glove is adisposable deviceintended for medicalpurposes that is worn onthe examiner's hand orfinger to preventcontamination betweenpatient and examiner.A patient examinationgloves is a disposabledevice intended formedical purpose that isworn on the examiner'shand or finger to preventcontamination betweenpatient and examiner.Similar
MATERIALSCarboxylated ButadieneAcrylonitrile as basematerialCarboxylated ButadieneAcrylonitrile as basematerialSame
DIMENSIONSMeets ASTM D6319CriteriaMeets ASTM D6319CriteriaSame
PHYSICALPROPERTIESMeets ASTM D6319CriteriaMeets ASTM D6319CriteriaSame
FREEDOM FROMHOLES/WatertightMeets ASTMD6319/ASTM D5151CriteriaMeets ASTM D5151CriteriaSame
POWDERFREE/Residual PowderMeets ASTM D6319CriteriaMeets ASTM D6319CriteriaSame
BIOCOMPATABILITYPer ISO 10993-10: Non-irritant (ResponseCategory is Negligible)and Non-sensitizer (Nosensitization)Per ISO 10993-11: AcuteSystemic Toxicity; Notoxic effectsPer ISO 10993-10: Non-irritant andNon-sensitizerSame
Product CommonNameNon sterile Nitrile PowderFree Examination GlovesNon sterile Nitrile PowderFree Examination GlovesSame
Product Code/ClassLZALZASame
Class I(21 CFR 880.6250)Class I(21 CFR 880.6250)
Sterility/UseNon-Sterile/Single UseNon-Sterile/Single UseSame
OTC UseYesYesSame

AAMedix Glove/40170 Shah Alam, Selangor Darul Ehsa, Malaysia

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Table 2 Specifications and Performance Test Results Comparison
SUBJECT DEVICE:K220121AAMedix GloveSdn BhdPREDICATE DEVICE:K143289YTY INDUSTRY(MANJUNG) SDN.BHDComparison
Glove Color/SizeBLUE/MediumBLUE/Medium
DIMENSIONASTM D6319Accept Criteria
Overall Length230 mmMinimum240-246 mm240-250 mmSame
Width95 +/-10 mm95-98 mm95-99 mmSame
Palm Thickness0.05 mmMinimum0.06-0.06 mm0.05-0.06 mmSame
Finger thickness0.05 mmMinimum0.09-0.10 mm0.09-0.10 mmSame
PHYSICAL PROPERTIES
Tensile Strength (before aging)14 MPa,Minimum25.9-32.0 MPa28.46-33.44 MPaSame
Tensile Strength (after aging)14 MPa,Minimum25.4-34.0 MPa29.76-34.18 MPaSame
Ultimate Elongation (before aging)500 %Minimum500-540 %520-580 %Same
Ultimate Elongation (after aging)400 %Minimum480-520 %440-520 %Same
FREEDOM FROMHOLES/WatertightPer ASTMD5151-06(2011)Holes Found: 0Holes found: 0(Accept 1, Reject 7)Same
Pinhole AQLInspectionLevel G-1;AQL=2.5Inspection Level G-1; AQL=2.5Inspection Level G-1; AQL=2.5Same
POWDERFREE/ResidualPowderResidue limitof 2.0mg/glove0.70 mg/glove0.20 mg/gloveSame
ASTM D6319RequirementBLUE GlovesGREEN GlovesBLACK Gloves
DIMENSIONS
Overall Length
-Small220 mm minimumPass (242-253 mm)Pass (237-243 mm)Pass (239-248 mm)
-Medium230 mm minimumPass (240-246 mm)Pass (240-247 mm)Pass (244-251 mm)
-Large230 mm minimumPass (245-255 mm)Pass (240-247 mm)Pass (243-251 mm)
-X large230 mm minimumPass (243-253 mm)Pass (240-250 mm)Pass (241-277 mm)
Width
-Small80 +/-10 mmPass (85-87 mm)Pass (86-88 mm)Pass (85-86 mm)
-Medium95 +/-10 mmPass (95-98 mm)Pass (95-96 mm)Pass (95-97 mm)
-Large110 +/-10 mmPass (106-109 mm)Pass (106-106 mm)Pass (105-106 mm)
-X large120 +/-10 mmPass (113-115 mm)Pass (114-116 mm)Pass (115-115 mm)
Palm Thickness
-Small0.05 mmminimumPass (0.06-0.07 mm)Pass (0.12-0.14 mm)Pass (0.07-0.08 mm)
-Medium0.05 mmminimumPass (0.06-0.06 mm)Pass (0.13-0.13 mm)Pass (0.07-0.07 mm)
-Large0.05 mmminimumPass (0.05-0.07 mm)Pass (0.11-0.13 mm)Pass (0.07-0.07 mm)
-X large0.05 mmminimumPass (0.06-0.06 mm)Pass (0.12-0.13 mm)Pass (0.06-0.07 mm)
Finger thickness
-Small0.05 mmminimumPass (0.09-0.11 mm)Pass (0.15-0.17 mm)Pass (0.11-0.13 mm)
-Medium0.05 mmminimumPass (0.09-0.10 mm)Pass (0.15-0.18 mm)Pass (0.11-0.13 mm)
-Large0.05 mmminimumPass (0.10-0.11 mm)Pass (0.15-0.16 mm)Pass (0.11-0.13 mm)
-X large0.05 mmminimumPass (0.10-0.11 mm)Pass (0.15-0.16 mm)Pass (0.11-0.14 mm)

AAMedix Glove/40170 Shah Alam, Selangor Darul Ehsa, Malaysia

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Summary of Nonclinical Testing:

Table 3 Summary of Device Specifications and Performance Results

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ASTM D6319RequirementBLUE GlovesGREEN GlovesBLACK Gloves
PHYSICAL PROPERTIES
Tensile Strength (Before Aging)
-Small14 MPa minimumPass (25.2-31.9 MPa)Pass (24.1-34.1 MPa)Pass (33.5-41.2 MPa)
-Medium14 MPa minimumPass (25.9-32.0 MPa)Pass (25.9-32.0 MPa)Pass (34.3-46.5 MPa)
-Large14 MPa minimumPass (23.9-34.3 MPa)Pass (21.2-28.8 MPa)Pass (31.6-42.2 MPa)
-X large14 MPa minimumPass (28.2-39.2 MPa)Pass (19.6-29.9 MPa)Pass (25.2-43.5 MPa)
Tensile Strength (After Aging)
-Small14 MPa minimumPass (25.6-34.9 MPa)Pass (24.4-38.1 MPa)Pass (25.7-43.5 MPa)
-Medium14 MPa minimumPass (25.4-34.0 MPa)Pass (24.8-32.3 MPa)Pass (34.7-45.8 MPa)
-Large14 MPa minimumPass (24.0-37.4 MPa)Pass (20.7-33.9 MPa)Pass (35.1-43.0 MPa)
-X large14 MPa minimumPass (33.2-40.2 MPa)Pass (21.6-32.1 MPa)Pass (24.7-44.8 MPa)
Ultimate Elongation (Before Aging)
-Small500% minimumPass (500-540%)Pass (500-580%)Pass (540-600%)
-Medium500% minimumPass (500-540%)Pass (500-560%)Pass (520-600%)
-Large500% minimumPass (500-560%)Pass (500-580%)Pass (520-600%)
-X large500% minimumPass (500-560%)Pass (540-580%)Pass (460-540%)
Ultimate Elongation (After Aging)
-Small400% minimumPass (480-520%)Pass (460-540%)Pass (540-580%)
-Medium400% minimumPass (480-520%)Pass (460-540%)Pass (520-600%)
-Large400% minimumPass (480-520%)Pass (480-560%)Pass (520-560%)
-X large400% minimumPass (480-520%)Pass (500-560%)Pass (440-520%)
ASTM D6319 RequirementBLUE GlovesGREEN GlovesBLACK Gloves
FREEDOM FROM HOLES (Pinhole Inspection)
-SmallAQL=2.5; Accept on 10 (n=200)Pass (Found=1)Pass (Found=0)Pass (Found=2)
-MediumAQL=2.5; Accept on 7 (n=200)Pass (Found=0)Pass (Found=0)Pass (Found=0)
-LargeAQL=2.5; Accept on 10 (n=200)Pass (Found=1)Pass (Found=1)Pass (Found=0)
-X LargeAQL=2.5; Accept on 10 (n=200)Pass (Found=0)Pass (Found=6)Pass (Found=1)
ASTM D6319RequirementBLUE GlovesGREEN GlovesBLACK Gloves
POWDER FREE/Powder Content
-Smalldoes not exceed 2mg per glovePass (Average: 0.36mg per glove)Pass (Average: 0.18mg per glove)Pass (Average: 0.04mg per glove)
-MediumDoes not exceed2 mg per glovePass (Average: 0.70mg per glove)Pass (Average: 0.10mg per glove)Pass (Average: 0.06mg per glove)
-LargeDoes not exceed2 mg per glovePass (Average: 0.30mg per glove)Pass (Average: 0.16mg per glove)Pass (Average: 0.04mg per glove)
-X LargeDoes not exceed2 mg per glovePass (Average: 1.02mg per glove)Pass (Average: 0.24mg per glove)Pass (Average: 0.10mg per glove)

AAMedix Glove/40170 Shah Alam, Selangor Darul Ehsa, Malaysia

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7. Conclusion

The conclusions drawn from the nonclinical tests demonstrate that the device, AAMedix Glove Sdn Bhd NON STERILE NITRILE POWDER FREE EXAMINATION GLOVES – BLUE, GREEN AND BLACK , is as safe, as effective, and performs as well as or better than the legally marketed device, YTY INDUSTRY (MANJUNG) SDN. BHD Non Sterile, Powder Free Nitrile Examination Gloves- Orange, Green, Blue and Violet Color (cleared per 510(K) 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.