K Number
K072488
Device Name
LANFAN POWDER-FREE VINYL EXAM GLOVES
Date Cleared
2007-10-19

(45 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
A Powder-free Vinyl Patient Examination Glove is disposable device made of PVC material that coated with PU coating to facilitate donning and is intended to be worn on the hand or finger(s) for medical purposes to provide a barrier against potentially infectious materials individual contaminants.
Device Description
The Powder-free vinyl exam glove is a disposable Class 1 medical device made from PVC material and is intended to be worn on the hands of health care personnel for medical purpose to provide a barrier against potentially infectious materials and other contaminants.
More Information

No
The device is a disposable examination glove, and the description and testing focus on material properties and barrier function, with no mention of AI/ML.

No
The device is a medical glove intended to provide a barrier against contaminants, not to treat a disease or condition.

No

The device is a glove intended to provide a barrier against infectious materials, not to diagnose a medical condition.

No

The device is a physical glove made of PVC material, clearly described as a disposable Class 1 medical device intended to be worn on the hand. It does not involve any software components.

Based on the provided text, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use/Indications for Use: The intended use is to provide a barrier against potentially infectious materials when worn on the hand or finger(s). This is a physical barrier function, not a diagnostic test performed on a sample taken from the body.
  • Device Description: The description reinforces the purpose as a barrier for healthcare personnel.
  • Lack of IVD characteristics: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting specific substances, or providing diagnostic information about a patient's condition.
  • Anatomical Site: The anatomical site is the hand/finger, which is where the barrier is applied, not where a diagnostic sample would typically be taken or analyzed.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This glove does not fit that description.

N/A

Intended Use / Indications for Use

Powder-free Vinyl Examination Glove is intended for single use for medical purposes and are worn on the hand of heath care and similar personnel to prevent contamination between the health care personnel and the patients.

A Powder-free Vinyl Patient Examination Glove is disposable device made of PVC material that coated with PU coating to facilitate donning and is intended to be worn on the hand or finger(s) for medical purposes to provide a barrier against potentially infectious materials individual contaminants.

Product codes

LYZ

Device Description

The Powder-free vinyl exam glove is a disposable Class 1 medical device made from PVC material and is intended to be worn on the hands of health care personnel for medical purpose to provide a barrier against potentially infectious materials and other contaminants.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

hands, hand or finger(s)

Indicated Patient Age Range

Not Found

Intended User / Care Setting

health care personnel, heath care 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

Testing is performed as per ASTM D5250-06 and 21 CFR 800.20, gloves meet all the current Specifications listed under the ASTM D5250-06 Standard Specification for Vinyl Examination Gloves.
Primary Skin Irritation testing in the rabbit and delayed contact Sensitization testing in the guinea pig indicate no irritation or sensitization.

Summary of Performance Studies

Non clinical Laboratory and animal data indicate that the powder free vinyl glove meet all performance and biocompatibility requirements.

Key Metrics

Not Found

Predicate Device(s)

K070149, K052985

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

SHANGHAI LANFAN CO., LTD

202 Huaxia Bank Tower 256 Pudong Road South, Shanghai 200120 China Tel: +86-21-68865927 Fax: +86-21-68866351

ATTACHMENT IV: 510 (k) EXECUTIVE SUMMARY.

1072488

POWDER-FREE VINYL EXAMINATION GLOVE

UCT 1 9 2007

Submitter's NameShanghai Lanfan Co., Ltd
Submitter's address2002 Huaxia Bank Tower 256 Pudong Road
South, Shanghai 200120 China
Submitter's Telephone Number+86-21-68865927
Submitter's Fax Number+86-21-68866351
Name of Contact PersonKaifeng Bei
Date of PreparationAugust 1, 2007
Name of DevicePowder-free Vinyl Exam Gloves,
Trade NameLanfan Brand and other customers Private
labeling
Common NamePatient Examination Gloves, Vinyl
Classification NamePatient Examination Gloves, Vinyl
Powder-free (per proposed 21 CFR 880.6250)
Device ClassificationClass I
Regulation Number21 CFR 880.6250
PanelGeneral Hospital (80)
Product CodeLYZ
Device DescriptionThe Powder-free vinyl exam glove is a
disposable Class 1 medical device made
from PVC material and is intended to be
worn on the hands of health care personnel
for medical purpose to provide a barrier
against potentially infectious materials and
other contaminants.
Legally Marketed Device To Which
Equivalency is Being ClaimedPowder-free vinyl Exam gloves are
described in the 510 (k) notification are
substantially equivalent to the Class I patient
examination gloves, Vinyl, 80LYZ Powder
free by PU coating, that meets the current
ASTM D5250-06 "Standard Specification
Tel: +86-21-68865927 Fax: +86-21-68865927
for Polyvinyl Examination Gloves for
Medical Application"
Predicate DeviceA) K070149 POWDER-FREE VINYL
PATIENT EXAMINATION GLOVES,
MANUFACTURED BY: WUXI SHENZHOU
PLASTIC PRODUCTS CO., LTD.
B) K052985 POWDER FREE VINYL
EXAMINATION GLOVE
MANUFACTURED BY: TG MEDICAL
(CHINA) INCORPORATION
Summary of Technological
Characteristics Compared to the
Predicate Device
Performance testing reportThere are no different technological
characteristics. Gloves are made from PVC
material.
Intended Use of the DevicePowder-free Vinyl Examination Glove is
intended for single use for medical purposes
and are worn on the hand of heath care and
similar personnel to prevent contamination
between the health care personnel and the
patients.
Brief Discussion of Non clinical TestsTesting is performed as per ASTM
D5250-06 and 21 CFR 800.20, gloves meet
all the current Specifications listed under the
ASTM D5250-06 Standard Specification for
Vinyl Examination Gloves.
Primary Skin Irritation testing in the rabbit
and delayed contact Sensitization testing in
the guinea pig indicate no irritation or
sensitization.
Brief Discussion of Clinical TestsNo new clinical tests were conducted under
this 510 (k)
Conclusions Drawn for the Non clinical
and Clinical TestsNon clinical Laboratory and animal data
indicate that the powder free vinyl glove
meet all performance and biocompatibility
requirements.
Other Information Deemed Necessary by
FDANon Applicable

1

SHANGHAI LANFAN CO., LTD

202 Huaxia Bank Tower 256 Pudong Road South, Shanghai 200120 China Tel: + 86-21-68865927 Fax: + 86-21-68866351

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH AND HUMAN SERVICES, USA" arranged around the perimeter. Inside the circle is a stylized representation of an eagle or bird-like figure with three horizontal lines above it, suggesting wings or feathers.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Bei Kaifeng Operation Manager Shanghai Lanfan Company, Limited 2002 Huaxia Bank Tower 256 Pudong Road South Shanghai 200120 CHINA

OCT 1 9 2007

Re: K072488

Trade/Device Name: Powder-Free Vinyl Exam Gloves Regulation Number: 21 CFR 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: 1 Product Code: LYZ Dated: August 28, 2007 Received: September 6, 2007

Dear Bei Kaifeng:

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 premarketapproval 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 - Bei Kaifeng

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 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

4

SHANGHAI LANFAN

202 Huaxia Bank Tower 256 Pudong Road South, Shanghai 200120 China Tel: +86-21-68865927 Fax: +86-21-68866351

ATTACHMENT I:INDICATION FOR USE

Applicant:

Shanghai Lanfan Co., Ltd

2002 Huaxia Bank Tower 256 Pudong Road South

Shanghai, 200120 China

510 (K) NUMBER (IF KNOWN): _ KO12488

INDICATIONS FOR USE:

A Powder-free Vinyl Patient Examination Glove is disposable device made of PVC material that coated with PU coating to facilitate donning and is intended to be worn on the hand or finger(s) for medical purposes to provide a barrier against potentially infectious materials individual contaminants.

吴开峰

Bei Kaifeng (Operation Manager)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)
(Division Sign Off)
-----------------------
Over-The-Counter-UseX
-------------------------

Division of Anesthesiology, General Hospital
Infection Control, Dental Devices (Optional Format 1-2-96)

510(k) Number:K970488
-------------------------