K Number
K021058
Device Name
SYNTEX POWDER-FREE MULTI-PLY LATEX EXAMINATION GLOVES WITH LOW PROTEIN CLAIM
Date Cleared
2002-05-14

(42 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
A glove is worn on the hand of healthcare worker and similar personnel to prevent contamination between healthcare personnel and the patient's body, fluids, waste or environment.
Device Description
Powder-Free Multi-Ply Latex Examination Gloves With Protein Labeling Claim ( 50 Micrograms or Less )
More Information

Not Found

Not Found

No
The summary describes a standard examination glove and explicitly states that AI, DNN, or ML are not mentioned.

No
This device, an examination glove, is intended to prevent contamination between healthcare personnel and patients, not to treat a disease, injury, or condition.

No

Explanation: The device, "Powder-Free Multi-Ply Latex Examination Gloves," is intended to prevent contamination and is explicitly described as an examination glove. Its primary function is a barrier, not to diagnose a condition or disease.

No

The device description clearly states it is a physical glove, which is a hardware component. There is no mention of any software functionality.

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

Here's why:

  • Intended Use: The intended use is to prevent contamination between healthcare personnel and the patient's body, fluids, waste, or environment. This is a barrier function, not a diagnostic function performed in vitro (outside the living body).
  • Device Description: The description is for examination gloves, which are physical barriers.
  • Lack of Diagnostic Elements: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting biomarkers, or providing information for diagnosis, monitoring, or screening.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic purposes. This glove does not perform such a function.

N/A

Intended Use / Indications for Use

A glove is worn on the hand of healthcare worker and Similar personnel to prevent contamination between healthcare similar personnel to contamination between healthcare similar personnel to collianination books. personnel and the patient's body, fluids, waste or environment.

Product codes

LYY

Device Description

Powder-Free Multi-Ply Latex Examination Gloves With Protein Labeling Claim ( 50 Micrograms or Less )

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Hand

Indicated Patient Age Range

Not Found

Intended User / Care Setting

healthcare worker 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)

Not Found

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Not Found

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

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

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/0/Picture/1 description: The image shows the seal of the Department of Health & Human Services - USA. The seal is circular and contains the department's name around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or bird-like figure with three stylized lines forming its body and wings.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY 1 4 2002

Mr.Tan Swu Choon

Syntex Healthcare Products Company Limited No. 1 Fanjiazhung Industrial Zone Xinji City, Hebei Province, P. R. CHINA 052360

Re: K021058

Trade/Device Name: Powder-Free Multi-Ply Latex Examination Gloves With Protein Labeling Claim ( 50 Micrograms or Less ) Regulation Number: 880.6250 Regulation Name: Patient Examination Gloves Regulatory Class: I Product Code: LYY Dated: March 14, 2002 Received: April 2, 2002

Dear Mr. Choon:

We have reviewed your Section 510(k) premarket notification of intent to market the device we have reviously our because of 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 Interstate commerce proc to ria, ac, ac, ac, ac, ac, accordance with the provisions of Amendinene, or to do rough 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 approval approvision (1772). The general controls provisions of the Act include controls provided 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 If your device to subject to such additional controls. Existing major regulations affecting (1 NE ), it neg ob of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

1

Page 2 - Mr. Choon

Please be advised that FDA's issuance of a substantial equivalence determination does not Please be advised that FDA s issualites of a successor as vith other requirements
mean that FDA has made a determination that your devices with other Federal agencies mean that FDA has made a delectimation that your and inistered by other Federal agencies.
of the Act or any Federal statutes and regulations and not limited to: registration of the Act or any Federal statues and registered sincluding, but not limited to: registration
You must comply with all the Act 's requirements , actuation practice You must comply with an the Act 3 requirements integral manufacturing practice and listing (21 CPR Part 807), laoching (21 CF (CF (CFR Pat 820); and if
requirements as set forth in the quality systems (QS) regulation (21 -542 of the Ar requirements as set form in the quality systems (Sections (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 allow you to begill maketing your do routstantial equivalence of your device to
510(k) premarket notification. The FDA finding of substantial equivalence an 510(k) premarket noutication. The I Driving of cation 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 desire specific advice for your do rio in vitro diagnostic devices), please contact the and additionally 21 CFK Patt 807.10 for in Virginally, for questions on the promotion and
Office of Compliance at (301) 594-4618 . Office of Compliance at (301) 594-4010 : Trumbliance at (301) 594-4639.
advertising of your device, please contact the Office of Compliance as promories Also, please note the regulation entitled, "Misbranding by reference to premarket Also, please note the regulation onlined as a secral information on your responsibilities under
notification" (21CFR Part 807.97). Other general informational and notification" (ZICFK Part 807.97). Other general Manufacturers, International and the Act may be obtained from the Drivision of 0126 638-2041 or (301) 443-6597 or at its
Consumer Assistance at its toll-free number (800) 638-2041 de mana in . http:/ Consumer Assistance at its ton iro annova (cdrh/dsma/dsmamain.html

Sincerely yours,

Susan Runner

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

Enclosure

2

KO2105B 510(K) Number (if known): _

Device Name

Powder-Free Multi-Ply Latex Powder-Free Multi-Ply Lates tion Glove rain or less)

Indication For Use :

A glove is worn on the hand of healthcare worker and Similar personnel to prevent contamination between healthcare
similar personnel to prevent contamination between healthcare similar personnel to prevent collianination books.
personnel and the patient's body, fluids, waste or environment.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ANOTHER PAGE IF NEEDED)
THE CONTINUE CONTINUE CODRH, Office of Device Evaluation (ODE) NOT WRITE BELOW THIS LINE-CONTINOBY.
Concurrence of CDRH, Office of Device Evaluation (ODE)

Abby Chin
(Printing Sign Off)

Division Sign-Off) Division of Dental, Infection Control, and General Hospital Devices *02 1058 510(k) Number ________________________________________________________________________________________________________________________________________________________________

OR Over The Counter Use_

(Optional Format 1-2-95)

Prescription Use: (Per 21 CFR 801.109)