K Number
K033789
Device Name
LATEX POWDER-FREE EXAMINATION GLOVES WITH COATING
Manufacturer
Date Cleared
2004-05-07

(155 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 examiner's hand or finger to prevent contamination between patient and examiner. In addition, these gloves are worn to protect the wearer against exposure to chemotherapy drugs.
Device Description
Latex Powder-Free Examination Glove with tan color, proprietary coating (containing Provitamin B, Gluconolactone and Glycerol), protein labeling claim and chemotherapy labeling claim are formulated using Latex and offered powder-free.
More Information

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Not Found

No
The summary describes a physical examination glove and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML.

No
This device, an examination glove, is primarily for preventing contamination and protecting the wearer, not for treating a disease or condition.

No

Explanation: The device is a patient examination glove, intended to prevent contamination and protect the wearer. It does not provide any diagnostic information or aid in disease detection.

No

The device is a physical examination glove made of latex, not a software application.

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 or finger to prevent contamination and protect against chemotherapy drugs. This is a physical barrier device used externally.
  • IVD Definition: In vitro diagnostics (IVDs) are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. This glove does not perform any such tests on bodily samples.
  • Device Description: The description focuses on the material (Latex), coating, and physical properties of the glove. It does not mention any components or functions related to analyzing biological samples.
  • Lack of IVD-related information: The document does not contain any information typically associated with IVDs, such as:
    • Analysis of biological samples
    • Detection of analytes
    • Use of reagents
    • Performance metrics like sensitivity, specificity, etc., in the context of diagnostic testing.

The testing described (Primary Skin Irritation, Guinea Pig Maximization, Tensile Strength, Barrier Defects, Chemotherapy testing) are all related to the physical properties, safety, and barrier function of the glove, not its ability to diagnose conditions from biological samples.

N/A

Intended Use / Indications for Use

These examination gloves are disposable devices intended for medical purposes that are worn on the examiner's hands or fingers to prevent contamination between patient and examiner. In addition, these gloves are worn to protect the wearer against exposure to chemotherapy drugs. These latex gloves contain 50 micrograms or less of total water extractable protein per gram.

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

LZC

Device Description

Latex Powder-Free Examination Glove with tan color, proprietary coating (containing Provitamin B, Gluconolactone and Glycerol), protein labeling claim and chemotherapy labeling claim are formulated using Latex and offered powder-free.

Mentions image processing

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Mentions AI, DNN, or ML

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Input Imaging Modality

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Anatomical Site

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Indicated Patient Age Range

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Intended User / Care Setting

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

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

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

Summary of Testing:

TestResult
Primary Skin IrritationGloves show no irritation.
Guinea Pig MaximizationGloves do not display any potential for irritation.
Tensile StrengthGloves meet or exceed requirements per ASTM D3578-01ae2.
Barrier DefectsGloves meet or exceed requirements per 21 CFR§800.20
and ASTM D3578-01ae2.
Chemotherapy testingTested for chemotherapy drugs using ASTM F739-99a

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.

Latex Powder-Free Examination Gloves

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

MAY - 7 2004

Image /page/0/Picture/1 description: The image shows the logo for Cardinal Health. The logo consists of a stylized bird-like design above the company name. The bird design is made up of several curved lines that converge to a point, and the company name is written in a bold, sans-serif font.

XIII. SUMMARY OF SAFETY AND EFFE

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

Latex Powder-Free Examination Glove with tan color, proprietary coating (containing Provitamin B, Gluconolactone and Glycerol), protein labeling claim and chemotherapy labeling claim

Applicant/Sponsor: Cardinal Health 1500 Waukegan Road McGaw Park, IL 60085

Regulatory Affairs Contact: Erica Sethi Cardinal Health 1500 Waukegan Road, Bldg, WM McGaw Park, IL 60085

Telephone: (847) 785-3337

Date Summary Prepared: 5/4/04

Product Trade Name: Undetermined

Common Name: Examination Glove

Classification: Patient Examination Glove

Predicate Devices: Latex Powder-Free Examination Gloves

Description: Latex Powder-Free Examination Glove with tan color, proprietary coating (containing Provitamin B, Gluconolactone and Glycerol), protein labeling claim and chemotherapy labeling claim are formulated using Latex and offered powder-free.

Intended Use: These examination gloves are disposable devices intended for medical purposes that are worn on the examiner's hands or fingers to prevent contamination between patient and examiner. In addition, these gloves are worn to protect the wearer against exposure to chemotherapy drugs. These latex gloves contain 50 micrograms or less of total water extractable protein per gram.

1

Substantial Equivalence: Latex Powder-Free Examination Glove with tan color, proprietary coating (containing Provitamin B, Gluconolactone and Glycerol), protein labeling claim and chemotherapy labeling claim are substantially equivalent to Cardinal Health's Latex Powder-Free Examination Gloves in that they provide the following characteristics:

  • same intended use
  • both made of Latex
  • both offered beaded and powder-free

Summary of Testing:

:

TestResult
Primary Skin IrritationGloves show no irritation.
Guinea Pig MaximizationGloves do not display any potential for irritation.
Tensile StrengthGloves meet or exceed requirements per ASTM D3578-01ae2.
Barrier DefectsGloves meet or exceed requirements per 21 CFR§800.20
and ASTM D3578-01ae2.
Chemotherapy testingTested for chemotherapy drugs using ASTM F739-99a

2

Image /page/2/Picture/1 description: The image is a black and white circular logo. The logo features the emblem of the U.S. Department of Health and Human Services. The emblem consists of a stylized eagle with three lines representing its wings, positioned within a circle. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the upper portion of the circle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY = 7 2004

Cardinal Health Ms. Erica Sethi Manager, Regulatory Affairs Medial Product and Services 1500 Waukegan Road Building WM McGaw Park, Illinois 60085-6787

Re: K033789

Trade/Device Name: Latex Powder-Free Examination Glove with Tan Color, Proprietary Coating (Containing Provitamin B, Gluconolactone and Glycerol), Protein Labeling Claim and Chemotherapy Labeling Claim Regulation Number: 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LZC Dated: April 8, 2004 Received: April 9, 2004

Dear Ms. Sethi:

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.

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Page 2 - Ms. Sethi

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 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), please contact the Office of Compliance at (301) 594-4618. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act 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.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Chiu Lin, Ph.D.

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

Enclosure

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Image /page/4/Picture/0 description: The image shows the Cardinal Health logo. The logo consists of a stylized bird-like graphic above the text "CardinalHealth". The text is in a bold, sans-serif font.

Waukedan Road

Rem Mucey

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

510(k) Number_ K 033789

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Applicant:

Cardinal Health

510(k) Number: