K Number
K013753
Date Cleared
2001-12-10

(27 days)

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

DISPOSABLE PATIENT EXAMINATION GLOVES IS A DEVICE INTENDED FOR MEDICAL PURPOSES WORN ON THE EXAMINER'S HAND OR FINGER, FOR MEDICAL PURPOSES WORN ON THE EXAMINER'S HAND OR FINGER, FOR MEDICAL PURPOSES WORN ON THE BRINESE

Device Description

Disposable Powder Free Vinyl Synthetic Examination Gloves, White

AI/ML Overview

This FDA document, K013753, is for "Disposable Powder Free Vinyl Synthetic Examination Gloves, White". It is a 510(k) premarket notification indicating substantial equivalence to a predicate device. This type of submission, for a Class I device like examination gloves, does not typically include detailed clinical studies with specific acceptance criteria, sample sizes, or ground truth methodologies as would be found for more complex diagnostic or AI-driven medical devices.

Therefore, I cannot provide the requested information in the format of the table or answer the specific questions (2-9) because the source document does not contain this type of data.

Here's why:

  • Device Type: Examination gloves are Class I devices. Their substantial equivalence is usually demonstrated through meeting recognized consensus standards for material properties, sterility (if applicable), and physical performance (e.g., tensile strength, barrier integrity).
  • 510(k) Process for Class I Devices: For many Class I devices, the 510(k) submission primarily focuses on demonstrating that the new device is as safe and effective as a legally marketed predicate device, often through bench testing and adherence to standards, rather than complex clinical trials involving patient outcomes or expert interpretations. The "performance data" for such devices would typically be laboratory test results against established ASTM or ISO standards.

If this were an AI-driven diagnostic device, the requested information would be highly relevant and often found in the 510(k) summary or associated documents. However, for a Class I examination glove, the information you're asking for isn't part of the regulatory review process in the same way.

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Public Health Service

DEPARTMENT OF HEALTH & HUMAN SERVICES • USA

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Canopus Medical Supply Company Limited C/O Ms. Elizabeth Deng PM Gloves, Incorporated 13808 Magnolia Avenue Chino, California 91710

DEC 1 0 2001

Re: K013753

Trade/Device Name: Disposable Powder Free Vinyl Synthetic Examination Gloves, White Regulation Number: 880.6250 Regulation Name: Patient Examination Gloves Regulatory Class: I Product Code: LYZ Dated: October 1, 2001 Received: November 13, 2001

Dear Ms. Deng:

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. 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 (PMA), 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 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

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Page 2 - Ms. Deng

of the Act or any Federal statutes and regulations administered by other Federal agencies. of the Her or any I outh all the Act's requirements, including, but not limited to: registration r ou must comply with and 807); labeling (21 CFR Part 801); good manufacturing practice and ilsting (21 CF R Part 807), and ity systems (QS) regulation (21 CFR Part 820); and if requirenches as bet form in adiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section This letter will and w you've cognized in the FDA finding of substantial equivalence of your device to 3 rotcy premained no advice results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 If you dosire opeonto and 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4618. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under nothernon (11 Cr read from the Division of Small Manufacturers, International and the receints) every at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

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

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The information, data and labeling claims in the entire the 510(k) submission must support and agree with the Indications for Use statement.

INDICATIONS FOR USE CANOPUS MEDICAL SUPPLY CO., LTD. Applicant: _ Kol3753 510(k) Number (if known): * 510(k) Number (if known): * __________________________________________________________________________________________________________________________________________________ WHITE COLOR Indications For Use:

DISPOSABLE DEVICE INTENDED A PATIENT EXAMINATION GLOVES IS A FOR MEDICAL PURPOSES WORN ON THE EXAMINER'S HAND OR FINGER,
FOR MEDICAL PURPOSES WORN ON THE EXAMINER'S HAND OR FINGER, FOR MEDICAL PURPOSES WORN ON THE BRINESE

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED) Concurrence of CDRH Office of Device Evaluation (ODE)

Over-The-Counter OR Prescription Use Per 21 CFR 801.109 (Optional Format 1-2-96)

For a new submission, do NOT fill in the 510(k) number blank. #

Clair S. Lim

(Division Sign-Off) Division of Dental, Infection Control, and General Hospital D 510(k) Number

§ 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.