K Number
K052709
Date Cleared
2005-11-08

(40 days)

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

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

Device Description

Powder free Latex Examination Gloves

AI/ML Overview

Here's a breakdown of the acceptance criteria and study information based on the provided text:

Device Name: Powder free Latex Examination Gloves

1. Table of Acceptance Criteria and Reported Device Performance

CharacteristicAcceptance Criteria (ASTM D 3578-05)Reported Device Performance
Dimensions
Length (min.)240 mm for all sizes (S, M, L, XL)240 mm (min.)
Palm Width (min)80 mm (S), 95 mm (M), 100 mm (L), 110 mm (XL)80 mm (S), 95 mm (M), 100 mm (L), 110 mm (XL)
Thickness (min) - Cuff0.1 mm for all sizes0.1 mm
Thickness (min) - Palm0.1 mm for all sizes0.1 mm
Thickness (min) - FingerTip0.1 mm for all sizes0.1 mm
Physical Properties
Tensile Strength (Before ageing)18 MPa (min)18 MPa (min)
Ultimate Elongation (Before ageing)650 % (min.)650 % (min.)
Tensile Strength (After ageing at 70°C 168 hrs.)14 Mpa (min)14 Mpa (min)
Ultimate Elongation (After ageing at 70°C 168 hrs.)500 % (min.)500 % (min.)
FDA pin hole requirementMeets requirementMeets FDA pin hole requirement
Labeling claimMeets requirementMeets labeling claim

2. Sample Size Used for the Test Set and Data Provenance

The document does not explicitly state the specific sample size used for the test set during the performance evaluation for the "Powder Free Latex Examination Gloves." It refers to the ASTM D 3578-05 standard, which would typically define the sampling plan for such tests.

The data provenance is not explicitly mentioned beyond the manufacturer being PT. Shamrock Manufacturing Corpora in Medan, North Sumatra, Indonesia. The testing itself would have been conducted to meet the ASTM standard.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

This information is not applicable as the device is a physical product (examination gloves), not an AI/software device that requires expert-established ground truth for diagnosis/interpretation. The "ground truth" here is defined by objective physical and chemical properties measured against a standard (ASTM D 3578-05).

4. Adjudication Method for the Test Set

This information is not applicable for the same reasons as #3. Adjudication methods are relevant for subjective interpretations, not objective measurements of physical properties.

5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study Was Done, and Effect Size How Much Human Readers Improve with AI vs Without AI Assistance

This information is not applicable. The device is a medical device (gloves), not an AI system.

6. If a Standalone (i.e. algorithm only without human-in-the-loop performance) Was Done

This information is not applicable. The device is a medical device (gloves), not an AI system. Even if it were an AI system, "standalone" in this context refers to AI performance without human intervention, which isn't relevant for a physical product.

7. The Type of Ground Truth Used

The ground truth used for evaluating the device is based on objective physical and chemical standards as defined by ASTM D 3578-05 (Standard Specification for Rubber Examination Gloves) and FDA pinhole requirements.

8. The Sample Size for the Training Set

This information is not applicable. The device is not an AI/machine learning system, so there is no concept of a "training set" in the traditional sense for algorithm development. The manufacturing process would involve internal quality control and production monitoring, but not a "training set" like an AI model.

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

This information is not applicable for the reasons stated in #8. The "ground truth" for manufacturing would be established by the specifications of the ASTM standard.

§ 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.