K Number
K043149
Device Name
FIRSTLINE BRAND DOUBLE POLYMER COATED NITRILE EXAMINATION GLOVES (POWDER FREE-STEEL BLUE COLOR)
Manufacturer
Date Cleared
2005-05-25

(191 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
FirstLine Brand Double Polymer Coated Nitrile Examination Gloves (Powder Free – Steel Blue Color) is a disposable patient examination glove that 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.
Device Description
Double Polymer Coated, Nitrile Examination Gloves (Powder-Free, Non-Sterile, Steel-Blue Color)
More Information

Not Found

Not Found

No
The 510(k) summary describes standard examination gloves and contains no mention of AI or ML technology.

No
The device, an examination glove, is intended to prevent contamination between patient and examiner, not to treat or diagnose a disease or condition.

No
The device is described as an examination glove intended to prevent contamination between patient and examiner, not to diagnose a condition.

No

The device is a physical examination glove, 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 "disposable patient examination glove...worn on the examiner's hand or finger to prevent contamination between patient and examiner." This describes a barrier device used for protection, not a device used to perform tests on samples taken from the human body (which is the definition of an IVD).
  • Device Description: The description confirms it's a "Double Polymer Coated, Nitrile Examination Gloves." This aligns with the intended use as a protective glove.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing diagnostic information about a patient's health

The information provided strongly indicates this is a Class I medical device (examination glove) used for barrier protection, not an IVD.

N/A

Intended Use / Indications for Use

FirstLine Brand Double Polymer Coated Nitrile Examination Gloves (Powder Free – Steel Blue Color) is a disposable patient examination glove intended to be worn on the hand of healthcare and similar personnel to prevent contamination between patient and examiner.

Product codes

LZA

Device Description

Double Polymer Coated, Nitrile Examination Gloves (Powder-Free, Non-Sterile, Steel-Blue Color)

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

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

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle with three stripes representing the three branches of government. The eagle is facing left and has its wings spread. The text "DEPARTMENT OF HEALTH AND HUMAN SERVICES, USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY 2 5 2005

Ms. Colette Perches President FirstLine LLC, Incorporated P.O. Box 1628 760 Mcmurray Road Buellton, California 93427

Re: K043149

Ko45147
Trade/Device Name: Double Polymer Coated, Nitrile Examination Gloves (Powder-Free, Non-Sterile, Steel-Blue Color) Regulation Number: 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LZA Dated: May 12, 2005 Received: May 16, 2005

Dear Ms. Perches:

We have reviewed your Section 510(k) premarket notification of intent to market the device WC have reviewed your becated the device is substantially equivalent (for the iciclications for use stated in the enclosure) to legally marketed predicate devices marketed in murdions for ass blavior to May 28, 1976, the enactment date of the Medical Device mensiale conments, or to they 22, been reclassified in accordance with the provisions of Amendinents, or to do rose and Cosmetic Act (Act) that do not require approval of a premarket the Fouchal application (PMA). You may, therefore, market the device, subject to the general approvin approvisions of the Act. The general controls provisions of the Act include controls providents of the simmal 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 is classified (oos as a vijional controls. Existing major regulations affecting (FMA), it may be subject to tack adam and Federal Regulations, Title 21, Parts 800 to 898. In your device can oe foundsh further announcements concerning your device in the Federal Register.

1

Page 2 - Ms. Perches

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 Incall that I DA mas made statutes and regulations administered by other Federal agencies. of the Act of ally I oderal banner as requirements, including, but not limited to: registration 1 ou inust comply with an are hobeling (21 CFR Part 801); good manufacturing practice allu listing (21 CF rear 807), mailty systems (QS) regulation (21 CFR Part 820); and if requirences as bet form in are qt radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

21 CFR 1000-1030. I mis letter will and w Jourse Finding of substantial equivalence of your device to a bromarketed 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), If you desire specific at not to pliance at (240) 276-0115. 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 may obtain 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/industry/support/index.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

2

Indications for Use

510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________ K043149

Device Name: _ Double Polymer Coated, Nitrile Examination Gloves (Powder-Free, Non-Sterile, Steel-Blue Color)

Indications For Use:

FirstLine Brand Double Polymer Coated Nitrile Examination Gloves FirstLine Brand Double Forymer Sca disposable patient examination glove
(Powder Free – Steel Blue Color) is a disposable patient examplete provent (Powder Free – Steel Blue Scier) it a display is a similar personnel to prevent contamination between patient and examiner.

Sheila A. Mingshing, MD

Division Sign-Off) (Oivision Sign-Off)
Division of Anesthesiology, General Hospital,
Division of Anesthesiology, General Devices Olvision of Anesonesiones, Intection Control, Devices

510(k) Number: K04314

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

Over-The-Counter Use X (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)