K Number
K090464
Device Name
BLACK NITRILE EXAMINATION GLOVES, POWDER FREE, NON STERILE
Date Cleared
2009-04-23

(59 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
A powder-free 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 Black Nitrile Examination Gloves, Non Sterile is a disposable device intended for medical purposes that is worn on the examiner's to prevent contamination between patient and examiner.
More Information

Not Found

Not Found

No
The device description and performance studies focus on the physical properties and barrier function of examination gloves, with no mention of AI or ML.

No
The device, an examination glove, is intended for preventing contamination, not for treating or curing a medical condition.

No
The device is described as a glove worn on the examiner's hand or finger to prevent contamination, which is a physical barrier function, not a diagnostic one.

No

The device description clearly states it is a physical product (gloves) and the performance studies focus on physical properties and testing, not software validation.

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 infection control, not a device used to examine specimens derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of disease or impairment.
  • Device Description: The description reinforces the intended use as a barrier device.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in biological samples
    • Providing diagnostic information
    • Using reagents or assays

The performance studies and key metrics listed are related to the physical properties and safety of the glove as a barrier, not its ability to perform an in vitro diagnostic test.

N/A

Intended Use / Indications for Use

A powder-free 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 (comma separated list FDA assigned to the subject device)

LZA

Device Description

Black Nitrile Examination Gloves, Powder Free, Non Sterile

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

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)

Performance test data of the non-clinical tests include:

  • Physical Dimension: Length = 240.9 mm, Width = 97.7 mm, Thickness (Finger = 0.148 mm, Palm = 0.109 mm, Cuff = 0.092 mm). Specification: Length >= 230 mm, Width = 95 + 10, Thickness >= 0.05.
  • Physical Properties: Unaged (TS = 18.8 MPa, UE = 679.4 %), Aged (TS = 21.3 MPa, UE = 767.4 %). Specification for Unaged: TS = 14 MPa, UE = 500 %; for Aged: TS = 14 MPa, UE = 400 %.
  • Freedom from Pinholes: Acc / Rej = 3 / 4.
  • Moisture Content: 0.46%. Specification: 0.8%.
  • Powder Residue: 0.96 mg/glove. Specification:

§ 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

K0904664

Image /page/0/Picture/1 description: The image shows a stylized, black and white graphic of the letters 'MB' in a gothic or old English font. The letters are large and bold, with intricate details and serifs characteristic of this type of font. The overall impression is one of formality and tradition.

.. - .

PT. MAHAKARYA INTI BUANA

Jalan Sei Belumai Desa Dalu 10 A Dusun 1 No. 18 Tanjung Morawa – 20362
SUMUT – INDONESIA

Tel +62-61-30007150, 51, 52, 53
Fax +62-61-30007156

Date : February 10, 2009

510 (K) SUMMARY

APR 2 3 2009

1.0Submitter:
NamePT MAHAKARYA INTI BUANA
AddressJl. Sei Belumai, Desa Dalu 10 A Dusun I No. 18
Tanjung Morawa – 20362
SUMUT – INDONESIA
Phone No.+62-61-30007150, 51
Fax No.+62-61-30007156
FDA Registration No :3004049816
2.0Contact Person:
Name(Mr) Azman Ismail
Phone+62-61-30007150,51
Fax No.+62-61-30007156
E-mailqa@mib-ia.com
3.0Name of the device:
Trade Name1) Senstouch and
2) Multiple or Customers' Trade Name
Device NameBlack Nitrile Examination Gloves, Powder Free,
Non Sterile
Common NamePatient Examination Gloves
Classification NameNitrile Examination Gloves
4.0Identification of The Legally Marketed Device:
PolymerNitrile Latex
Device ClassClass I
Substantial Equivalent
Device DescriptionPatient Examination Gloves, 21 CFR 880.6250
Product CodeNitrile - 80LZA
StandardASTM D 6319-00a (2005)
5.0Performance Testing Standard:
Water Leak TestG-I, AQL 1.5
Physical DimensionS-2, AQL 4.0
Physical PropertiesS-2, AQL 2.5, Single Sampling
Residual PowderN = 5
Moisture ContentN=8
Visual InspectionCritical DefectsAQL 0.65
Major DefectsAQL 2.5
Minor DefectsAQL 4.0

Page 1 of 3

1

Image /page/1/Picture/0 description: The image shows a stylized, gothic-style monogram consisting of the letters 'M' and 'B'. The letters are rendered in a bold, black color with intricate details and sharp edges, giving them a medieval or old-world appearance. The 'M' and 'B' are intertwined, creating a unified design that could be used as a logo or emblem. The overall impression is one of classic elegance and historical significance.

PT. MAHAKARYA INTI BUANA

Jalan Sei Belumai Desa Dalu 10 A Dusun 1 No. 18 Tanjung Morawa -- 20362 SUMUT - INDONESIA

Tel +62-61- 30007150, 51, 52, 53 Fax +62-61-30007156

6.0 Intended Use of The Device

Powder-free Black Nitrile Examination Gloves, Non Sterile is a disposable device intended for medical purposes that is worn on the examiner's to prevent contamination between patient and examiner.

7.0 Summary of The Technological Characteristics of The Device (Performance and Conformance Test Data):

Technological characteristics of Black Nitrile Examination Gloves, Powder Free, Non Sterile are summarized as below:-

REFERENCEDEVICESTANDARD
REQUIREMENTSTANDARDSPERFORMANCESPECIFICATION
Physical DimensionD 6319-00aE3Length = 240.9 mm
Width = 97.7 mm
Thickness:
  • Finger = 0.148 mm
  • Palm = 0.109 mm
  • Cuff = 0.092 mm | Length $\geq$ 230 mm
    Width = 95 + 10
    Thickness $\geq$ 0.05 |
    | Physical Properties | D 6319-00aE3 | Unaged:
    TS = 18.8 MPa
    UE = 679.4 %
    Aged:
    TS = 21.3 MPa
    UE = 767.4 % | Unaged:
    TS = 14 MPa
    UE = 500 %
    Aged:
    TS = 14 MPa
    UE = 400 % |
    | Freedom from Pinholes | D 6319-00aE3
    FDA 21 CFR
    800.20 | | Acc / Rej = 3 / 4 |
    | Moisture Content | In-house | 0.46% | 0.8% |
    | Powder Residue | D 6319-00aE3
    D6124 - 01 | 0.96 mg/glove |