K Number
K071022
Device Name
POWDER-FREE VINYL EXAMINATION GLOVES
Date Cleared
2007-07-05

(85 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
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 against potentially infectious materials.
Device Description
Powder-Free Vinyl Examination Glove
More Information

Not Found

No
The device is a standard examination glove and the summary does not mention any AI/ML components or capabilities.

No.
The device (a patient examination glove) is intended to prevent contamination and is not described as providing therapy or treatment.

No

Explanation: The device is an examination glove, which is described as preventing contamination between patient and examiner. Its intended use does not involve diagnosing conditions or diseases.

No

The device is a physical examination glove, not software. The description and performance metrics relate to the physical properties of the glove.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states the glove is "worn on the examiner's hand to prevent contamination between patient and examiner against potentially infectious materials." This is a barrier function, not a diagnostic test performed in vitro (outside the body).
  • Device Description: It's described as a "Powder-Free Vinyl Examination Glove." This is a physical barrier device.
  • Lack of Diagnostic Elements: The description and performance metrics focus on physical properties, barrier integrity (freedom from pinholes, water leak test), and biocompatibility. There are no mentions of analyzing samples, detecting analytes, or providing diagnostic information.
  • No Mention of IVD-Specific Standards: The standards mentioned (ASTM D 5250, ASTM D 5151, ASTM D 6124, ISO 10993) are relevant to medical devices, but not specifically to IVDs.

IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnostic, monitoring, or screening purposes. This glove does not perform any such function.

N/A

Intended Use / Indications for Use

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 against potentially infectious materials.

Product codes

LYZ

Device Description

Not Found

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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)

The performance test data that support a determination of substantial equivalence are described above in Section 7.
(Multiple private labels) Powder-Free Vinyl Examination Glove is safe and effective and will perform according to glove performance standards referenced in Section 7 above, thereby meeting ASTM D5250 and D6124 standards, FDA requirements, pinhole AQL requirement, and labeling claims for the product. Consequently, this patient examination glove is substantially equivalent to currently marketed patient examination gloves.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K983494

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

Premarket Notification 510(k) K071022

Powder-Free Vinyl Examination Glove

21.0 Summary

  • [1] 510(k) Summary of Safety and Effectiveness Information
  • (2) Submitter: Glormed Colombia S.A. Mamonal Km. 9 Zona Franca La Candelaria, Manzana L Cartagena, Colombia Telephone: +57-5-668-6650 Fax: +57-5-668-6651
    • Contact: Sam Kao Telephone No. +1-(714) 953-5326 FAX No. +1-(714) 953-5550 E-mail: sam(@)kalmedsupply.com

June 14, 2007 Date:

  • Trade name: (31 (Multiple private labels) Common name: Powder-Free Examination Glove, Vinyl Classification name: Patient examination gloves, powder-free (per proposed 21 CFR §880.6251)
  • The predicate device is a Class I, powder-free vinyl exam glove 80LYZ that meets [4] all of the requirements of ASTM D 5250-00, "Standard Specification for Poly(vinvl chloride) Gloves for Medical Application."
  • [5] The powder-free vinyl exam glove meets the current specifications of ASTM D 5250-00, "Standard Specification for Poly(vinyl chloride) Gloves for Medical Application. "
  • A patient examination glove is a medical device intended for medical purposes that (61 is worn on the examiner's hand to prevent contamination between patient and examiner against potentially infectious materials.
  • [7] Applicant's device comparison with FDA required technological characteristics:
CharacteristicsStandard
DimensionsMeets ASTM D 5250-00
Physical PropertiesMeets ASTM D 5250-00
Freedom from pinholesMeets ASTM D 5250-00 and ASTM D 5151-99
Powder FreeMeets ASTM D 6124-00 and ASTM D 5250-00

1

Premarket Notification 510(k) K071022

Powder-Free Vinyl Examination Glove

Biocompatibilty: (based on ISO 10993)
Cytotoxicity - Agar DiffusionPassed
Primary Skin IrritationPassed
Guinea Pig SensitizationPassed

Measured Parameter of Applicant Device Compared to Standard:

ASTM D5250 / ASTM D 6124 RequirementApplicant Device Specification
Width (mm)
Small85 +/- 5
Medium95 +/- 5
Large105 +/- 5
X-Large115 +/- 5
Length (mm) – all sizes250 +/- 10
Thickness (mm) -- all sizes
Finger0.05 minimum
Palm0.1 minimum
Physical Testing
Tensile Strength
(in MPa)Before Aging 9 min
After Aging 9 min
Ultimate Elongation
(in %)300% min
Water Leak TestAQL 2.5, Level I

Both its intended use and physical characteristics is equivalent to legally marketed vinyl powder-free examination gloves. It is substantially equivalent to gloves approved as Glormed International's vinyl powder-free glove K983494.

  • The performance test data that support a determination of substantial equivalence [8] are described above in Section 7.
  • 191 Clinical data are not needed for examination gloves.
  • [10] (Multiple private labels) Powder-Free Vinyl Examination Glove is safe and effective and will perform according to glove performance standards referenced in Section 7 above, thereby meeting ASTM D5250 and D6124 standards, FDA requirements, pinhole AQL requirement, and labeling claims for the product. Consequently, this patient examination glove is substantially equivalent to currently marketed patient examination gloves.
  • [11] This summary will include any additional safety and effectiveness information reasonably deemed necessary by FDA.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle symbol, with three wing-like shapes stacked on top of each other. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular fashion around the eagle symbol.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL - 5 2007

Glormed Colombia S.A. C/O Mr. Sam Kao Project Manager KalMed Supply 2700 North Main Street Suite 506 Santa Ana, California 92705

Re: K071022

Trade/Device Name: Vinyl Patient Examination Glove, Powder-Free Regulation Number: 21 CFR 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LYZ Dated: June 14, 2007 Received: June 15, 2007

Dear Mr. Kao:

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.

3

Page 2 -- Mr. Kao

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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Suste Y. Michie and
Chris Lins, 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

4

Indications for Use

510(k) Number (if known): K071022

Device Name: Vinyl Patient Examination Glove, Powder-Free

Indications For Use:

Based upon 21 CFR §880.6251 "Patient examination glove, powder-free"

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 against potentially infectious materials.

Over-The-Counter Use Prescription Use AND/OR (Part 21 CFR 801 Subpart D) (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)

Shule M. Muephy, 42

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

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510(k) Number: K070227