K Number
K083600
Device Name
VINYL EXAMINATION GLOVE, POWDER-FREE, CLEAR (NON-COLORED)
Manufacturer
Date Cleared
2009-02-19

(76 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Powder-free vinyl 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.
Device Description
The Powder-free vinyl Examination glove, clear (Non-colored) is disposable device made PVC resin and plasticizers (DINP), Ca-Zn stabilizer, TXIB into film, coated with Polyurethane to facilitate donning and it intended to be worn on the hand of finger(s) for medical purpose to provide a barrier against potentially infectious materials and other contaminants.
More Information

Not Found

No
The device description and intended use clearly define a physical examination glove, with no mention of software, algorithms, or any technology that would incorporate AI or ML.

No.
The device (examination glove) is intended to prevent contamination between patient and examiner, acting as a barrier, not to treat or alleviate a disease or condition.

No
Explanation: The device is a vinyl examination glove intended to prevent contamination, not to diagnose a condition.

No

The device is a physical examination glove made of PVC resin and plasticizers, clearly indicating it is a hardware device and not software.

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

Here's why:

  • Intended Use: The intended use clearly states the device 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." This describes a barrier device used for protection during medical examinations.
  • Device Description: The description reinforces this by stating it's a glove intended to be worn on the hand or finger "to provide a barrier against potentially infectious materials and other contaminants."
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or treatment. IVDs are typically used in vitro (outside the body) to analyze these specimens.
  • Predicate Devices: The listed predicate devices are also "POWDER-FREE VINYL PATIENT EXAMINATION GLOVES," which are not IVDs.

Therefore, this device falls under the category of a medical device used for barrier protection, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Powder-free vinyl 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 the patient and examiner.

Product codes

LYZ

Device Description

The Powder-free vinyl Examination glove, clear (Non-colored) is disposable device made PVC resin and plasticizers (DINP), Ca-Zn stabilizer, TXIB into film, coated with Polyurethane to facilitate donning and it intended to be worn on the hand of finger(s) 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

hand or finger

Indicated Patient Age Range

Not Found

Intended User / Care Setting

examiner's, medical purposes

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)

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.

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

Not Found

Predicate Device(s)

K070149, K073193

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

K083600

Executive Summary of

FEB 1 9 2009

POWDER-FREE VINYL EXAMINATION GLOVES, CLEAR (NON-COLORED)

Submitter's NameQuantum Co., Ltd
Submitter's addressNo. 2-3-18 Hua Sheng Yuan Park, Linzi,
Shandong 255410 China
Submistter's Telphone Number+86-533-7480087
Submiter's Fax Number+86-533-7480085
Name of Contact PersonLijuan Wang
Date of PreparationNovember 20th, 2008
Device DescriptionThe Powder-free vinyl Examination
glove, clear (Non-colored) is disposable
device made PVC resin and plasticizers
(DINP), Ca-Zn stabilizer, TXIB into film,
coated with Polyurethane to facilitate
donning and it intended to be worn on
the hand of finger(s) 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 Examination glove,
clear (Non-colored) is described in the
510 (k) notification are substantially
equivalent to the Class I patient
examination gloves, Vinyl, 80LYZ coated
with Polyurethane dusting powder, that
meets the current ASTM D5250-06
"Standard Specification for Polyvinyl
Examination Gloves for Medical
Application"
Predicate DeviceA) K070149 POWDER-FREE VINYL
PATIENT EXAMINATION GLOVES
MANUFACTURED BY: WUXI
SHENZHOU PLASTIC PRODUCTS
CO., LTD.
Predicate DeviceB) K073193 POWDER-FREE VINYL
PATIENT EXAMINATION GLOVES
MANUFACTURED BY: SHIJIAZHUANG
PROSPEROUS PLASTIC CO., LTD.
Summary of Technological
Characteristics
Compared
to
the
Predicate Device
Performance testing reportTechnological characteristics. Gloves are
made from PVC and DINP compound
and the initial products are powder free
vinyl
examination
gloves,
clear
(non-colored).
Intended use of the DeviceA Powder-free vinyl 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.
Brief Discussion of Nonclinical 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 pre-powdered
vinyl
products meet all performance
and
biocompatibility requirements.
Other Information Deemed Necessary by
FDANon Applicable

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows a logo for the U.S. Department of Health & Human Services. The logo consists of a stylized caduceus symbol, which is a staff with two snakes coiled around it, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circular fashion around the symbol. The text is in all capital letters and is evenly spaced around the circle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 1 9 2009

Ms. Lijuan Wang Operation Manager Quantum Company, Limited Number 2-3-18 Hua Sheng Yuan Park Linzi Shandong 255410 CHINA

K083600 Re:

Trade/Device Name: Powder-Free Vinyl Examination Gloves, Clear (Non-Colored) Regulation Number: 21 CFR 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LYZ Dated: February 1, 2009 Received: February 4, 2009

Dear Ms. Wang:

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 - Ms. Wang

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 (OS) 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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Mishranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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.

Sinceraly yours,

Anthony D. Watson for
Ginette Y. Michaud, M.D.
Acting Director.
Division of Anesthesiology, General Hospital,
Infection Control and-Dental Devices
Office of Device Evaluation
Center for Devices and Radiological Health

Enclosure

4

QUANTUM CO.,LTD. No. 2-3-18 Hua Sheng Yuan Park, Linzi, Shandong 255410 China Tel: +86-533-7480087 Fax: +86-533-7480085

Attachment

Indications for Use

510(k) Number (if known): _K083600

Device Name: _Powder-Free, Vinyl Examination Gloves, Clear (Non-Colored)

Indications for Use:

Powder-free vinyl 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 t patient and examiner. 2 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1 - 1

Yours faithfully

signature

Ms. Lijuan Wang Operation Manager Date: Jan 29, 2009

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart )

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Shuli A. Murphy, MD
(Division Sign-Off)

Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number: K083606

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