K Number
K034052
Device Name
BLACK COLOUR POWDER-FREE NITRILE RUBBER EXAMINATION GLOVES
Date Cleared
2004-03-15

(76 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Black Colour Powder Free Nitrile Rubber Examination Glove is a single use device intended for medical purposes that is worn on the hand of healthcare and similar personnel to prevent contamination between the healthcare personnel and the patient.
Device Description
Black Colour Powder Free Nitrile Rubber Examination Glove as described in this 510k Notification is substantially equivalent to the current Class I patient examination glove bearing the product code 80LZA (21CFR 880.6250). It meets all the current specifications listed under the ASTM Specification D 6319-00a, Standard Specification for Nitrile Examination Gloves. They are made from nitrile rubber compound. They are black in colour and are powder free.
More Information

Not Found

Not Found

No
The device is a standard examination glove and the summary contains no mention of AI or ML.

No
The device is described as an examination glove intended to prevent contamination between healthcare personnel and patients, not for treating a disease or condition.

No

This device is a protective glove intended to prevent contamination between healthcare personnel and patients, not to diagnose medical conditions.

No

The device is a physical examination glove made of nitrile rubber, 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 "worn on the hand of healthcare and similar personnel to prevent contamination between the healthcare personnel and the patient." This describes a barrier device used for protection, not a device used to examine specimens taken from the human body.
  • Device Description: The description focuses on the material (nitrile rubber), color, and powder-free nature of the glove, and its equivalence to a Class I patient examination glove. This aligns with a personal protective equipment (PPE) device, not an IVD.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological specimens (blood, urine, tissue, etc.)
    • Providing diagnostic information about a patient's health
    • Using reagents or assays
    • Measuring analytes

The device is a medical glove, which falls under the category of medical devices used for protection and hygiene, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

Black Colour Powder Free Nitrile Rubber Examination Glove is a single use device intended for medical purposes that is worn on the hand of healthcare and similar personnel to prevent contamination between the healthcare personnel and the patient.

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

LZA

Device Description

Black Colour Powder Free Nitrile Rubber Examination Glove as described in this 510k Notification is substantially equivalent to the current Class I patient examination glove bearing the product code 80LZA (21CFR 880.6250). It meets all the current specifications listed under the ASTM Specification D 6319-00a, Standard Specification for Nitrile Examination Gloves. They are made from nitrile rubber compound. They are black in colour and are powder free.

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 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)

Non-clinical laboratory and animal based test data indicate that the pre-powdered product meets all performance and biocompatibility requirements.

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.

Black Colour Powder Free Nitrile Rubber Examination Glove as described in this 510k Notification is substantially equivalent to the current Class I patient examination glove bearing the product code 80LZA (21CFR 880.6250). meets all the current specifications listed under the ASTM Specification D 6319-00a, Standard Specification for Nitrile 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.

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MAR 1 5 2004

Attachment 16

Black Colour Powdered Nitrile Rubber Examination Gloves

K034052

510(k) SUMMARY

PRE-POWDERED GREEN COLOUR NITRILE RUBBER EXAMINATION GLOVES

Submitter's NameLATEXX MANUFACTURING SDN. BHD.
Submitter's AddressPT 5054, Kamunting Industrial Estate
P.O. Box 9, 34600 Taiping, Perak
Malaysia
Submitter's Phone Number605 891 5555
Submitter 's Fax Number605 891 1088
Name of Contact PersonLim Chian Chian
Date of PreparationDecember 15, 2003
Name of Device
Trade Name: Black Colour Powder Free Nitrile Rubber Examination
Glove
Common Name: Nitrile Rubber Examination Gloves
Classification Name: Patient Examination Gloves
Legally Marketed Device to Which Equivalency
is Being ClaimedBlack Colour Powder Free
Nitrile Rubber Examination
Glove as described in this 510k Notification is substantially
equivalent to the current Class I patient examination glove
bearing the product code 80LZA (21CFR 880.6250).
meets all the current specifications listed under the ASTM
Specification D 6319-00a, Standard Specification for Nitrile
Examination Gloves.
Description of the DeviceBlack Colour Powder Free Nitrile Rubber Examination
Glove as described in this 510k Notification is substantially
equivalent to the current Class I patient examination glove
bearing the product code 80LZA (21CFR 880.6250). It
meets all the current specifications listed under the ASTM
Specification D 6319-00a, Standard Specification for Nitrile
Examination Gloves. They are made from nitrile rubber
compound. They are black in colour and are powder free.
Intended Use of the DeviceBlack Colour Powder Free Nitrile Rubber Examination
Glove is intended for single use for medical purposes that
is worn on the hand of health care and similar personnel to
prevent contamination between the health care personnel
and the patients.
Summary of Technological Characteristics
Compared to the Predicate DeviceThere is no different technological characteristic. Gloves
are made from nitrile rubber latex compound and the initial
products are low powdered nitrile gloves.
These gloves
are then further processed into powder free gloves using
the existing technology, i.e chlorination and multiple rinsing
processes.
Brief Description of Non-clinical TestsTesting performed per ASTM D 6319 - 00a, Standard
Specification for Nitrile Examination Gloves for Medical
Application and 21 CFR 800.20. Gloves meet all the
current ASTM D 6319-00a Standard Specification for
Nitrile Examination Gloves.
Primary skin irritation testing in the rabbit and delayed
contact sensitization testing in the guinea pig indicate no
irritation or sensitization.
Final product is negative for the presence of starch using
the USP iodine test.
Brief Description of Clinical TestsNo new clinical tests were conducted under this 510(k).
Conclusions Drawn from the Non-clinical and
Clinical TestsNon-clinical laboratory and animal based test data indicate
that the pre-powdered product meets all performance and
biocompatibility requirements.
Other Information Deemed Necessary by FDANot applicable.

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Attachment 16

Image /page/1/Picture/2 description: The image contains a sequence of alphanumeric characters that appear to be handwritten. The characters are 'K034252'. The characters are written in a simple, somewhat stylized manner, with varying stroke thicknesses. The image has a white background.

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or bird in flight, composed of three curved lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 1 5 2004

Latexx Manufacturing SDN.BHD C/O Mr. Law Siau Woei (Terry Law) Medtexx Partners, Incorporated 216 Charles Street Hackensack, New Jersey 07601

Re: K034052

Trade/Device Name: Black Colour Powder-Free Nitrile Rubber Examination Glove Regulation Number: 21 CFR 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LZA Dated: December 15, 2003 Received: January 26, 2004

Dear Mr. Terry Law:

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 -Mr. Law

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 vours.

Ching-Lin, Ph.D.

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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Attachment 2

Black Colour Powder-free Nitrile Rubber Examination Glove

Image /page/4/Picture/2 description: The image shows the logo for LATEXX MANUFACTURING SDN BHD (165989-U). The logo is black and white and features the word "LATEXX" in large, bold letters. To the right of the word is a graphic of three hands. The text "MANUFACTURING SDN BHD (165989-U)" is printed in smaller letters below the logo.

INDICATIONS FOR USE

Applicant

LATEXX MANUFACTURING SDN.BHD. PT 5054, Kamunting Industrial Estate P.O. Box 9 34600 Taiping Perak MALAYSIA

510(k) Number (if known)

K034052

Device Name

BLACK COLOUR POWDER FREE NITRILE RUBBER EXAMINATION GLOVE.

Indications For Use

Black Colour Powder Free Nitrile Rubber Examination Glove is a single use device intended for medical purposes that is worn on the hand of healthcare and similar personnel to prevent contamination between the healthcare personnel and the patient.

Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Martha O'Lone
Interim Branch Chief
Martha O'Lone
Sign Off
INCB

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510(k) Number

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