K Number
K011884
Device Name
POWDERED SYNTHETIC VINYL PATIENT EXAMINATION GLOVES
Date Cleared
2001-07-17

(29 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
A patient examination glove is a disposable device intended for medical purposes that is worn on the hand of healthcare and similar personnel to prevent contamination 10 ween healthcare personnel and the patient's body, fluids, waste or environment. A patient examination glove is 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
Classified by FDA's General and Plastic Surgery Device panel as Class I, 21 CFR 880.6250, Powdered Vinyl Patient Examination Glove, 80LYZ, Powdered with Absorbable Dusting Powder, USP, Class III and meets all requirements of ASTM Standard D5250-00.
More Information

K#983645

Not Found

No
The device is a patient examination glove, and the description and testing focus on physical properties and barrier function, with no mention of AI/ML.

No.
The device (patient examination glove) is intended to prevent contamination between healthcare personnel and the patient, not to treat or diagnose a disease or condition.

No

This device, a patient examination glove, is intended to prevent contamination between healthcare personnel and patients. Its purpose is protective, not diagnostic.

No

The device description clearly identifies the device as a physical patient examination glove, which is a hardware device, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states the device is a "patient examination glove" worn on the hand to prevent contamination between healthcare personnel and the patient or environment. This is a barrier device for physical protection.
  • Device Description: The device is classified as a "Powdered Vinyl Patient Examination Glove" under 21 CFR 880.6250. This classification is for general and plastic surgery devices, not IVDs.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing samples (blood, urine, tissue, etc.)
    • Providing diagnostic information
    • Detecting specific substances or markers
    • Being used in a laboratory setting for testing

The device's function is purely as a physical barrier during patient examination.

N/A

Intended Use / Indications for Use

A patient examination glove is a disposable device intended for medical purposes that is worn on the hand of healthcare and similar personnel to prevent contamination between healthcare personnel and the patient's body, fluids, waste or environment.

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

Product codes

LYZ

Device Description

Classified by FDA's General and Plastic Surgery Device panel as Class I, 21 CFR 880.6250, Powdered Vinyl Patient Examination Glove, 80LYZ, Powdered with Absorbable Dusting Powder, USP, Class III and meets all requirements of ASTM Standard D5250-00.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

healthcare and similar personnel

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The standards used for Shijiazhuang Eversharp Plastics Products Co., Ltd. glove production are based on ASTM-D-5250-00. All testing meets requirements for Physical and Dimensions Testing conducted on gloves, Inspection Level S-2, AQL 4.0.

The FDA 1000 ml. Water Fill Test was also conducted with samplings of AQL 2.5, Inspection Level I, meeting these requirements. Primary Skin irritation and Skin Sensitization (allergic contact dermatitis) testing was conducted with results showing no primary skin irritant or sensitization reactions.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K#983645

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

0

JUL 1 7 2001

510(K) SUMMARY

This summary of 510(k) safety and effectiveness information is being submitted in This Sunmillary of STO(1) Bases of SMDA 1990 and 21 CFR §807.92.

The assigned 510(k) number is: _ KOll 1884

1. Submitter's Identification:

Mr. Yinhai Wang Shijiazhuang Eversharp Plastics Products Co., Ltd. No. 312 East Long Quan Road Luquan, Hebei Province P.R. China

Date Summary Prepared: May 11, 2001

2. Name of the Device:

Shijiazhuang Eversharp Plastics Products Co., Ltd. Powdered Synthetic Vinyl Patient Examination Gloves

3. Predicate Device Information:

Shijiazhuang Great Eagle Plastic Products Co., Ltd. Synthetic Powdered Vinyl Patient Examination Gloves K#983645

4. Device Description:

Classified by FDA's General and Plastic Surgery Device panel as Class I, 21 CFR 880.6250, Powdered Vinyl Patient Examination Glove, 80LYZ, Powdered with Absorbable Dusting Powder, USP, Class III and meets all requirements of ASTM Standard D5250-00.

5. Intended Use:

A patient examination glove is a disposable device intended for medical purposes that is worn on the hand of healthcare and similar personnel to prevent contamination 10 ween healthcare personnel and the patient's body, fluids, waste or environment.

1

6. Comparison to Predicate Devices:

Shijiazhuang Eversharp Plastics Products Co., Ltd. Powdered Synthetic Vinyl Patient Examination Gloves, is substantially equivalent in safety and effectiveness to the Shijiazhuang Great Eagle Plastic Products Co., Ltd. Synthetic Powdered Vinyl Patient Examination Gloves.

7. Discussion of Non-Clinical tests Performed for Determination of Substantial Equivalence are as follows:

The standards used for Shijiazhuang Eversharp Plastics Products Co., Ltd. glove production are based on ASTM-D-5250-00. All testing meets requirements for Physical and Dimensions Testing conducted on gloves, Inspection Level S-2, AQL 4.0.

The FDA 1000 ml. Water Fill Test was also conducted with samplings of AQL 2.5, Inspection Level I, meeting these requirements. Primary Skin irritation and Skin Sensitization (allergic contact dermatitis) testing was conducted with results showing no primary skin irritant or sensitization reactions.

There are no special labeling claims and we do not claim our gloves as hypoallergenic on our labels.

8. Discussion of Clinical Tests Performed:

Not Applicable - There is no hypoallergenic Claim.

9. Conclusions:

Shijiazhuang Eversharp Plastics Co., Ltd. Powdered Synthetic Vinyl Patient Examination gloves conform fully to ASTM-D-5250-00 standard as well as applicable 21 CFR references, and, meets pinhole FDA requirements, biocompatibility requirements and labeling claims as shown by data in Section 7. There are no safety/efficacy issues or new claims from the "substantial equivalence" products cited.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular border with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the top half of the circle. Inside the circle is a stylized symbol that resembles a caduceus, which is a traditional symbol of medicine, but in this case, it is a more abstract design.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 1 7 2001

Shijiazhuang Eversharp Plastic Products Co., Ltd. C/O Mr. James Chu Official Correspondent Gloveco, Incorporated 12390 East End Avenue 91710 Chino, California

Re : K011884 Powdered Synthetic Vinyl Patient Trade/Device Name: Examination Gloves Requlation Number: 880.6250 Requlatory Class: I Product Code: LYZ May 18, 2001 Dated: Received: June 18, 2001

Dear Mr. Chu:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we 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). 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 (Premarket Approval), 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 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory

3

Page 2 - Mr. Chu

In addition, FDA may publish further announcements action. action. In addression in the Federal Register. Please note: concerning your device in the sunce if cation submission does chis response to your premasure to might have under sections 531 not arrect any obligation of indevices under the Electronic Chrough 542 or the Act 101 xovisions, or other Federal laws or regulations.

This letter will allow you to begin marketing your device as Inis recei will arrow your market notification. The FDA described in your 510\x) promise of your device to a legally Finding of Subbeaneral Squresults in a classification for your marketed predicate actes your device to proceed to the market.

If you desire specific advice for your device on our labeling II you desire bpccirit advacultionally 809.10 for in for in for in sitro regulation (21 crk rare over and addition of Compliand advertisi additionally, for questions on the promotion and advertisit 594-4692. 594-482. Addicionariy, for quebelone of Compliance at (301) 594-Also, please note the regulation entitled, "Misbranding by 4639. reference to premarket notification" (21CFR 807.97). Other qeneral reference to premarket hoeffication under the Act may be obtained fri Illormation of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address (800) - 350 - 2012a - gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Kj. Clitatord

Timothy A. Ulatowski Director Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Attachment A

Page 1 of 1

RO11884 510(k) NUMBER (IF KNOWN) : _ Shijiazhuang Eversharp Plastics Products Co., Ltd. DEVICE NAME: INDICATIONS FOR USE: Powdered Synthetic Vinyl Patient Examination Gloves

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

Clair S. Ulm

(Division Sign-Off) Division of Dental, Infection Control, and General Hospital Devices E1 O(k) Number _

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED.)

Concurrent of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109) OR

Over-The-Counter-Use
(Optional Format 1-2-96)