K Number
K051347
Date Cleared
2005-06-07

(14 days)

Product Code
Regulation Number
880.6250
Reference & Predicate Devices
N/A
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Based upon 21CFR§880.6250 "Patient examination glove": A patient examination glove is a medical device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner.

Device Description

The powder-free nitrile exam gloves are disposable devices intended to be worn by healthcare and similar personnel to prevent contamination between such personnel and the patient. The powder-free nitrile exam gloves possess the following technological characteristics (as compared to ASTM or equivalent standards): Dimensions Meets ASTM D 6319, Physical Properties Meets ASTM D 6319, Freedom from pinholes Meets ASTM D 6319 Meets ASTM D 5151, Powder Free Meets ASTM D 6124 Meets ASTM D 6319.

AI/ML Overview

Here's a breakdown of the acceptance criteria and study information based on the provided text, focusing on the Kimberly-Clark* Sterling* Nitrile Powder-Free Examination Glove:

1. Table of Acceptance Criteria and Reported Device Performance

CharacteristicsAcceptance Criteria (Standards)Reported Device Performance
DimensionsMeets ASTM D 6319Meets ASTM D 6319
Physical PropertiesMeets ASTM D 6319Meets ASTM D 6319
Freedom from pinholesMeets ASTM D 6319 and ASTM D 5151Meets ASTM D 6319 and ASTM D 5151
Powder FreeMeets ASTM D 6124 and ASTM D 6319Meets ASTM D 6124 and ASTM D 6319
Biocompatibility:Meets ISO 10993 (Parts 10, 11)
- Skin Irritation Study(Part 10)Passed (Rabbit)
- Sensitization Study(Part 10)Passed (Murine LLNA)
- Systemic Toxicity Study(Part 11)Passed (Mouse, USP and ISO Extract)

2. Sample Size and Data Provenance for Test Set

The document does not explicitly state the sample sizes used for each specific test (e.g., for dimensions, physical properties, or biocompatibility). However, it implies that the tests were conducted according to established ASTM and ISO standards, which would typically specify sample sizes.

The data provenance is not specified. It's likely that the testing was performed by Kimberly-Clark or a contract lab on product manufactured by Kimberly-Clark.

3. Number of Experts and Qualifications for Ground Truth

Not applicable. The ground truth for this device (examination gloves) is based on objective, standardized physical and biocompatibility tests, not expert interpretation of medical images or conditions.

4. Adjudication Method for Test Set

Not applicable. This type of device relies on objective, measurable test results against pre-defined standards, not subjective adjudication.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

Not applicable. This is a medical device (examination glove) subject to physical and biocompatibility testing, not an AI or diagnostic imaging system that would involve human readers.

6. Standalone (Algorithm Only) Performance Study

Not applicable. This is a physical medical device, not an algorithm. The performance evaluation is based on the device's inherent characteristics against established standards.

7. Type of Ground Truth Used

The ground truth used for this device is based on objective standards and test results. Specifically:

  • ASTM Standards: Defined specifications for physical properties, dimensions, and freedom from pinholes.
  • ISO Standards: Defined methods and acceptable limits for biocompatibility testing (irritation, sensitization, systemic toxicity).
  • USP (United States Pharmacopeia): Also referenced for the systemic toxicity study extract.

8. Sample Size for the Training Set

Not applicable. Examination gloves do not typically involve a "training set" in the context of machine learning or AI. Performance is evaluated on product that is representative of production.

9. How the Ground Truth for the Training Set Was Established

Not applicable, as there is no "training set." The performance of the device is assessed against established, regulatory-accepted standards (ASTM, ISO, USP) for examination gloves.

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 1 5 2005

Mr. Richard V. Wolfe Manager, Regulatory Affairs Kimberly-Clark Corporation 1400 Holcomb Bridge Road Roswell, Georgia 30076-2199

Re: K051347

Trade/Device Name: Kimberly-Clark* Sterling* Nitrile Powder-Free Examination Glove Regulation Number: 21 CFR 880.6250 Regulation Name: Patient Examination Gloves Regulatory Class: I Product Code: LZA Dated: May 23, 2005 Received: May 24, 2005

Dear Mr. Wolfe:

This letter corrects our substantially equivalent letter of June 7, 2005, for the device name.

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. Wolfe

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 (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 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/industry/support/index.html.

Sincerely vours.

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/2/Picture/1 description: The image shows a circular emblem with a stylized cross-like symbol at its center. The symbol is composed of geometric shapes, resembling a combination of arrows and stylized letters. The emblem is black and white, with a thick black outline defining the circular shape and the inner symbol.

Kimberly-Clark Corporation

HEALTH CARE SECTOR 1400 Holcomb Bridge Road Roswell, GA 30076-2199

Phone: (770) 587-8000 Fax: (770) 587-7762

SUMMARY OF SAFETY AND EFFECTIVENESS INFORMATION

  • [[] 510(k) Summary of Safety and Effectiveness Information
  • [2] Kimberly-Clark Corporation 1400 Holcomb Bridge Road Roswell, GA 30076-2199 Telephone: 770-587-8000 Fax: 770-587-7762 Contact: Richard V. Wolfe Telephone: 770-587-8208 Fax: 770-587-7761 [3] Trade Name: KIMBERLY-CLARK* STERLING* Nitrile Powder-Free Exam Glove Common Name: Patient Examination Gloves, Nitrile Classification Name: Patient Examination Gloves, Nitrile [4] The predicate device is a Class I, SAFESKIN* PURPLE NITRILE* Powder-Free Exam
  • Glove, 80LZA, that meets all of the requirements of ASTM D 6319, "Standard Specification for Nitrile Examination Gloves for Medical Application".
  • [૨] The powder-free nitrile exam glove meets the current specifications of ASTM D 6319, "Standard Specification for Nitrile Examination Gloves for Medical Application".
  • [6] The powder-free nitrile exam gloves are disposable devices intended to be worn by healthcare and similar personnel to prevent contamination between such personnel and the patient.
  • The powder-free nitrile exam gloves possess the following technological characteristics [7] (as compared to ASTM or equivalent standards):
CharacteristicsStandards
DimensionsMeets ASTM D 6319
Physical PropertiesMeets ASTM D 6319
Freedom from pinholesMeets ASTM D 6319
Meets ASTM D 5151
Powder FreeMeets ASTM D 6124
Meets ASTM D 6319

Attachment H (page 1 of 2)

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Image /page/3/Picture/0 description: The image shows a white symbol inside of a circle. The symbol is a cross with four stylized shapes that look like the letter 'K' surrounding it. The symbol is simple and geometric. The image is black and white.

Kimberly-Clark Corporation

HEALTH CARE SECTOR 1400 Holcomb Bridge Road Roswell, GA 30076-2199

Phone: (770) 587-8000 Fax: (770) 587-7762

SUMMARY OF SAFETY AND EFFECTIVENESS INFORMATION (Cont'd)

Biocompatibility - Biocompatibility testing was conducted to the following parts of ISO 10993, "Biological Evaluation of Medical Devices":

  • Part 10, "Tests for Irritation and Sensitization" .
  • . Part 11, "Tests for Systemic Toxicity(ISO):
Study TitleTest AnimalResults
ISO Skin Irritation StudyRabbitPassed
Murine Local Lymph Node Assay (LLNA)MousePassed
USP and ISO Systemic Toxicity Study ExtractMousePassed
  • The performance test data that support a determination of substantial equivalence are [8] described above.
  • [9] Clinical data are not needed for examination gloves.
  • It can be concluded that the powder-free nitrile exam glove is safe and effective and will [10] perform according to the glove performance standards referenced in Section 7 above, thereby meeting ASTM standards, FDA requirements, and the labeling claims for the product. Consequently, this exam glove is substantially equivalent to currently marketed exam gloves.

Attachment H (page 2 of 2)

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Image /page/4/Picture/0 description: The image shows the logo of Kimberly-Clark Corporation. The logo consists of a circular symbol with a cross inside, followed by the company name in bold, black letters. Below the company name, the words "HEALTH CARE SECTOR" are printed in smaller letters.

HEALTH CARE SECTOR 1400 Holcomb Bridge Road Roswell, GA 30076-2199

Phone: (770) 587-8000 Fax: (770) 587-7762

INDICATIONS FOR USE

Kimberly-Clark Corporation Applicant:

510(k) Number:

KIMBERLY-CLARK* STERLING* Nitrile Powder-Free Latex Exam Device Name: Glove

Indications for Use: Based upon 21CFR§880.6250 "Patient examination glove":

A patient examination glove is a medical device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner.

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

Concurrence of CDRH Office of Device Evaluation (ODE)

Shule H. Murphy 6/4/2

Division of Anesthesiology, General Ho 510(k) Number

Prescription Use
Per 21CFR 801.109

Over-The-Counter

Attachment C

OR

§ 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.