K Number
K073193
Device Name
POWDER-FREE VINYL PATIENT EXAMINATION GLOVES
Date Cleared
2007-12-20

(37 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Powder free vinyl 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.
Device Description
powder free vinyl patient examination gloves, Clear(non-colored) that meets all of the requirements of ASTM standard D 5250-0008.
More Information

Not Found

No
The device is a simple examination glove and the summary contains no mention of AI, ML, or related concepts.

No.
The device, a patient examination glove, is intended for preventing contamination, not for treating a disease or condition.

No
The device is a patient examination glove, which is a barrier to prevent contamination, not a tool for diagnosis.

No

The device is a physical glove, not software. The description clearly states it is a "powder free vinyl patient examination glove" and mentions meeting ASTM standards for gloves.

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

Here's why:

  • Intended Use: The intended use is to prevent contamination between patient and examiner by being worn on the hand or finger. This is a physical barrier function, not a diagnostic test performed on a sample taken from the body.
  • Device Description: The description focuses on the material (vinyl), form (powder-free), and compliance with standards related to physical properties and safety for examination gloves.
  • Lack of Diagnostic Elements: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting biomarkers, or providing information about a patient's health status or disease.
  • Regulatory Classification: Patient examination gloves are typically classified as Class I medical devices by regulatory bodies like the FDA, based on their low risk and intended use as a barrier. IVDs fall under different classifications and regulatory pathways.

In summary, this device is a barrier device used for protection during medical examinations, not a diagnostic tool.

N/A

Intended Use / Indications for Use

"Powder free vinyl 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."

Product codes

LYZ

Device Description

"powder free vinyl patient examination gloves, Clear(non-colored) that meets all of the requirements of ASTM standard D 5250-0008."

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

"Powder free vinyl patient examination gloves , Clear(non-colored) meet requirements per ASTM D5250-006, per ASTM D6124-01, per 21 CFR 800.20 and ISO10993-10."
"Clinical data is not needed for gloves or for most devices cleared by the 510(k) process."
"It can be concluded that the Powder Free Vinyl Patient Examination Gloves meet the ASTM standard or equivalent standard and FDA requirements for waterleak test on pinhole AOL., meet labeling claims ."

Key Metrics

Not Found

Predicate Device(s)

K032908

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

Summary

"This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92."

"The assigned 510(k) number is: KO73193 (applicant leave blank)

DEC 2 0 2007

Premarket Notification [510(k)] Summary

[(a)(1)]. The summary contains on the first page, preferably on your letterhead paper, the submitter's name, address, phone and fax numbers, name of contact person, and date the summary was prepared :

| Submitter's name : | SHIJIAZHUANG PROSPEROUS PLASTIC
CO.,LTD | |
|--------------------------------|------------------------------------------------------------------|--|
| Submitter's address : | TAITOU HUAIAN ROAD, SHIJIAZHUANG
CITY, HEBEI,050000,P.R.CHINA | |
| Phone number : | (86) 311-83021139 | |
| Fax number : | (86) 311-83021139 | |
| Name of contact person: | Ms. Xue Feng | |
| Date the summary was prepared: | Oct. 15,2007 | |

[(a)(2)]. The name of the device, including the trade or proprietary name if applicable, the common or usual name, and the classification name, if known

| Device Name: | Powder Free Vinyl Patient Examination Gloves, Clear(non-
colored) |
|-------------------------|--------------------------------------------------------------------------------|
| Proprietary/Trade name: | Powder Free Vinyl Patient Examination Gloves
Other clients private labeling |
| Common Name: | Patient examination glove |
| Classification Name: | Patient examination glove |
| Device Classification: | I |
| Regulation Number: | 21 CFR 880.6250 |
| Panel: | General Hospital (80) |
| Product Code: | LYZ |

[(a)(3)}. An identification of the legally marketed device to which your firm is claiming substantial equivalence .

Class I* powder free vinyl patient examination gloves , Clear(non-colored) that meets all of the requirements of ASTM standard D 5250-0004.

Predicate device : FUGUAN (Brand) Powder-Free Vinyl Patient Examination Gloves, Shijiazhuang Fuguan Plastic Products Co., Ltd.. K032908 .

[(a)(4)] A description of the device

Device Description : powder free vinyl patient examination gloves, Clear(non-colored) that meets all of the requirements of ASTM standard D 5250-0008.

1

[(a)(5)] The summary describes the intended use of the device

Device Intended Use: powder free vinyl patient examination glove, Clear(non-colored) 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)(6)] A summary of the technological characteristics of new device compared to the predicate device.

The powder free vinyl patient examination gloves, non sterile are summarized with the following technological characteristics compared to ASTM or equivalent standard.

CharacteristicsStandardDevice performance
DimensionASTM standard D 5250-00e4.Meets
Physical PropertiesASTM standard D 5250-00e4.Meets
Freedom from pinholes21 CFR 800.20Meets
Powder ResidualASTM standard D 5250-00e4Meets
and D6124-01