K Number
K022024
Device Name
NITRILE POWDER-FREE MEDICAL EXAMINATION GLOVE (GREEN)
Date Cleared
2002-08-01

(42 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This is a disposable device, intended for medical purposes, that is worn on the examiner's hand to prevent contamination between the patient and examiner. Powder-free examination gloves are suitable in situations where powder is not desirable. The Nitrile Powder-Free Medical Examination Glove (green) is a disposable device intended for medical purposes; that is worn on the examiner's hand, to prevent contamination between the patient and examiner (21 CFR 880.6250).
Device Description
Nitrile rubber films form an excellent barrier to body fluids and bloodborne pathogens. The nitrile rubber is water tight under normal conditions of use. It's tensile properties cause it to conform to the hand, allowing fine movement necessary for treatment. The absence of natural rubber latex in the product yields no latex protein allergens. Nitrile rubber is known to create a superior barrier to bloodborne pathogens and body fluids.
More Information

Not Found

No
The device description and performance studies focus on the physical properties and barrier function of a medical glove, with no mention of AI or ML technology.

No
The device, a Nitrile Powder-Free Medical Examination Glove, is intended to prevent contamination between the patient and examiner, not to provide therapy or treatment.

No

This device, a medical examination glove, is intended to prevent contamination between the patient and examiner by providing a physical barrier. It does not provide any information or output related to the detection, diagnosis, or monitoring of a disease, condition, or injury.

No

The device is a physical examination glove made of nitrile rubber, not software. The description focuses on material properties and physical performance tests.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Definition of IVD: In Vitro Diagnostic devices are used to examine specimens taken from the human body, such as blood, urine, or tissue, to provide information about a person's health. They are used outside of the body (in vitro) to diagnose, monitor, or screen for diseases or conditions.
  • Intended Use: The intended use of this device is clearly stated as being worn on the examiner's hand to prevent contamination between the patient and examiner. This is a barrier device used on the body (or in contact with the body) for protection, not for analyzing specimens.
  • Device Description: The description focuses on the physical properties of the glove as a barrier to fluids and pathogens. It does not mention any components or functions related to analyzing biological samples.
  • Lack of IVD-related information: The document does not mention any aspects typically associated with IVDs, such as:
    • Analysis of biological specimens
    • Detection of analytes (substances being measured)
    • Diagnostic purposes based on specimen analysis
    • Calibration or quality control procedures for specimen analysis

This device falls under the category of a medical device, specifically a medical examination glove, which is a Class I device intended for barrier protection.

N/A

Intended Use / Indications for Use

This is a disposable device, intended for medical purposes, that is worn on the examiner's hand to prevent contamination between the patient and examiner. Powder-free examination gloves are suitable in situations where powder is not desirable.

The Nitrile Powder-Free Medical Examination Glove (green) is a disposable intended for medical purposes; that is worn on the examiner's hand, to prevent contamination between the patient and examiner (21 CFR 880.6250).

Product codes (comma separated list FDA assigned to the subject device)

LZA

Device Description

Nitrile rubber films form an excellent barrier to body fluids and bloodborne pathogens.
The nitrile rubber is water tight under normal conditions of use. It's tensile properties cause it to conform to the hand, allowing fine movement necessary for treatment. The absence of natural rubber latex in the product yields no latex protein allergens.
Nitrile rubber is known to create a superior barrier to bloodborne pathogens and body fluids.

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

Not Found

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)

NON-CLINICAL TESTS

  • Specification: Nitrile Powder-Free Medical Examination Glove (green)
    • Proposed: ASTM
    • Predicate: Nitrile Powder-Free Medical Examination Glove (brown) & Green Nitrile Powder-Free Medical Examination Glov
  • Specification: Performance Standards
    • Proposed: ASTM
    • Predicate: ASTM
  • Specification: Watertightness
    • Proposed: ASTM
    • Predicate: ASTM

CLINICAL TESTS

  • Specification: Safety Rabbit Irritation
    • Proposed: Passes
    • Predicate: Passes
  • Specification: Guinea Pig Sensitization
    • Proposed: Passes
    • Predicate: Passes
  • Specification: Modified Draze Test
    • Proposed: N/A
    • Predicate: N/A

CONCLUSIONS: The data summaries indicate that the proposed product meets or exceeds accepted scores for the predicate product in both physical and nonclinical tests and satisfies the requirements for a safe and effective "powder-free" medical glove.

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.

K012166, K012899

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 for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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

K022024

510(K) SUBMISSION FOR GREEN NITRILE POWDER-FREE MEDICAL EXAMINATION GLOVE
SUBMISSION DATE: 2002-06-16
SUMMARY OF SAFETY AND EFFECTIVENESS
A. INFORMATION
1. SUBMITTER'S
Name:BEST MANUFACTURING COMPANY
Address:579 Edison Street
Menlo, GA 30731 USA
Telephone Number:706 862 2302
Contact Person:David C. Young
Date Summary Prepared:2002-06-16
2. NAME OF DEVICE
Trade or Proprietary Name:Nitrile Powder-Free Medical
Examination Glove ( GREEN )
Common or Usual NameNon-Sterile Nitrile Powder-Free Patient
Examination Glove
Classification Name:Patient Examination Glove
3. PREDICATE DEVICE
IDENTIFICATION NAME,
NUMBERNitrile Powder-Free Medical Examination
Glove (brown), K012166; and
Green Nitrile Powder-Free Medical
Examination Glove, K012899
4. DESCRIPTION OF DEVICE
a. How the device functions:Nitrile rubber films form an excellent barrier to body fluids and
bloodborne pathogens.
b. Scientific concepts that form the basis for the device:The nitrile rubber is water tight under normal conditions of use. It's
tensile properties cause it to conform to the hand, allowing fine movement
necessary for treatment. The absence of natural rubber latex in the
product yields no latex protein allergens.
c. Physical and performance characteristics such as design, materials, and
physical properties:Nitrile rubber is known to create a superior barrier to bloodborne

Nitrile rubber is known to create a superior barrier to bloodborne pathogens and body fluids.

PAGE I OF 3

1

510(K) SUBMISSION FOR GREEN NITRILE POWDER-FREE MEDICAL EXAMINATION GLOVE SUBMISSION DATE: 2002-06-16

5. STATEMENT OF INTENDED USE, INCLUDING DESCRIPTION OF THE DISEASE OR CONDITIONS THAT THE DEVICE WILL ADDRESS This is a disposable device, intended for medical purposes, that is worn on the examiner's hand to prevent contamination between the patient and examiner. Powder-free examination gloves are suitable in situations where powder is not desirable.

    1. EXPLANATION OF SIMILARITIES OR DIFFERENCES TO PREDICATE DEVICE
    • · The proposed device is identical to the predicate device, except for the following:

The proposed device has been rendered green in color, similar to predicate K012899, while using the same formulation of predicate K012166, but changing the color of this predicate from brown to green ..

. B. IF SE DECISION BASED ON PERFORMANCE DATA: 1. DISCUSSION OF NON-CLINICAL TESTS

SpecificationProposedPredicate
Nitrile Powder-Free
Medical Examination
Glove (green)ASTMNitrile Powder-Free
Medical Examination
Glove (brown) & Green
Nitrile Powder-Free
Medical Examination Glov
Performance
StandardsASTMASTM
WatertightnessASTMASTM
2. DISCUSSION OF CLINICAL TESTS
SpecificationProposedPredicate
Safety
Rabbit IrritationPassesPasses
Guinea Pig SensitizationPassesPasses
Modified Draze TestN/AN/A

2

K022024

510(K) SUBMISSION FOR GREEN NITRILE POWDER-FREE MEDICAL EXAMINATION GLOVE SUBMISSION DATE: 2002-06-16

DISCUSSION OF SAFETY OR EFFECTIVENESS DATA OBTAINED ( with specific reference to adverse effects and complications)

See Section M: Biocompatibility Testing.

3. CONCLUSIONS DRAWN FROM NONCLINICAL AND CLINICAL TESTS THAT DEMONSTRATE SAFETY AND EFFECTIVENESS, AND Performance =/> PREDICATE PRODUCT

The Nitrile Powder-Free Medical Examination Glove (green) has been carefully compared to a legally marketed device in the 510(k). The data summaries indicate that the proposed product meets or exceeds accepted scores for the predicate product in both physical and nonclinical tests and satisfies the requirements for a safe and effective "powder-free" medical glove.

Pursuant to 21 C.F.R. 807.87 (i), I David C. Young, Director, Regulatory Affairs and Quality Assurance, certify that to the best of my knowledge and belief and based upon the data and information submitted to me in the course of my responsibilities as the Director, Regulatory Affairs and Quality Assurance, for the Best Manufacturing Company, and in reliance thereupon, the data and information submitted in this premarket notification are truthful and accurate and that no facts material to a review of the substantial equivalence of this device have been knowingly omitted from this submission.

David (Y

2002-06-16 DATE

Ty Affairs & Quality Assurance Regular

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image is a black and white seal for the Department of Health & Human Services - USA. The seal is circular with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle with its wings spread.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 0 1 2002

David C. Young, MIQA Director, Regulatory Affairs & Quality Assurance Best Manufacturing Company 579 Edison Street Menlo, Georgia 30731-0008

Re: K022024

Trade/Device Name: Nitrile Powder-Free Medical Examination Glove (Green) Regulation Number: 21 CFR 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LZA Dated: June 16, 2002 Received: June 20, 2002

Dear Mr. Young:

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 of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration

4

Page 2 – Mr. Young

and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation 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 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device 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 and additionally 21 CFR Part 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 the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.qov/cdrh/dsma/dsmamain.html

Sincerely,

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

Enclosure

5

510(K) SUBMISSION FOR OREEN NITRILE POWDER-FREE MEDICAJ, FXAMINATION GLOVE SUBMISSION DATE: 2002-06-16 : 1 - 1

INDICATIONS FOR USE

.

Best Manufacturing Compar Applicant: 510(k) Number (if known) Device Name: Nitrile Powder-Free Medical Examination Glove (green)

The Nitrile Powder-Free Medical Examination Glove (green) is a disposable I he recented for medical purposes; that is worn on the examiner's hand, to prevent contamination between the patient and examiner (21 CFR 880.6250).

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

Concurrence of CDRH Office of Device Evaluation (ODE) OR Over-The-Counter_ Prescription Use Per 21 CFR 801.109 * For a new submission, do NOT fill in the 510(k) number blank.

(Division Sign-Off) Division of Dental, Infection Control, and General Hospital Devices

510(k) Number .

PAGE 3 OF 11

SECTION I REVISIO