K Number
K100059
Date Cleared
2010-07-01

(174 days)

Product Code
Regulation Number
880.6250
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Powder Free Vinyl Patient Examination Gloves, Colored (White) 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, Colored (White) that meets all of the requirements of ASTM standard D 5250-06.

AI/ML Overview

Here's an analysis of the provided text regarding the acceptance criteria and study for the "Powder Free Vinyl Patient Examination Gloves, Colored (White)".

This product is a medical device (patient examination gloves), which falls under a different regulatory and testing paradigm than AI/software-as-a-medical-device (SaMD). Therefore, many of the requested categories related to AI/SaMD studies (e.g., sample size for test/training sets, adjudication methods, MRMC studies, and ground truth for AI) are not applicable.

However, I will provide the information based on the provided text, indicating "Not Applicable" where appropriate for an AI/SaMD context.


Acceptance Criteria and Study for "Powder Free Vinyl Patient Examination Gloves, Colored (White)"

Information CategoryDetail Provided in Document
1. Table of Acceptance Criteria and Reported Performance
CharacteristicsAcceptance Criteria (Standard)
DimensionASTM standard D 5250-06
Physical PropertiesASTM standard D 5250-06
Freedom from Pinholes21 CFR 800.20
Powder ResidualASTM standard D 5250-06 and D6124-06
Biocompatibility (Primary Skin Irritation)Primary Skin Irritation in rabbits (Passes)
Biocompatibility (Dermal Sensitization)Dermal sensitization in the guinea pig (Passes)

2. Sample size used for the test set and the data provenance

  • Sample Size: Not explicitly stated as this is a physical product test. The standards (ASTM, CFR) define sampling plans for lot release and quality control, but specific sample sizes for this submission are not provided.
  • Data Provenance: The device meets ASTM standards and CFR regulations, implying internal testing by the manufacturer (TANGSHAN ZHONGPU PLASTIC PRODUCTS CO.,LTD. in China) and verified through accredited testing processes. The studies are non-clinical (laboratory/physical testing, biocompatibility studies).

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

  • Not Applicable. This is a physical product (gloves) for which "ground truth" in the AI/SaMD sense is not relevant. Performance is determined by objective measurements against established engineering and biocompatibility standards.

4. Adjudication method for the test set

  • Not Applicable. Adjudication is not relevant for objective physical and chemical properties testing. Results are typically pass/fail or quantitative measurements against specified limits.

5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, if so, what was the effect size of how much human readers improve with AI vs without AI assistance

  • Not Applicable. This is not an AI/SaMD device.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

  • Not Applicable. This is not an AI/SaMD device.

7. The type of ground truth used

  • Established Standards and Objective Measurements: The "ground truth" for this device's performance is defined by the requirements of recognized standards such as:
    • ASTM standard D 5250-06 (for dimensions, physical properties, powder residual)
    • 21 CFR 800.20 (for freedom from pinholes)
    • ASTM D 6124-06 (for powder residual)
    • ISO 10993-10 (for biocompatibility testing methodology, specifically primary skin irritation and dermal sensitization)

8. The sample size for the training set

  • Not Applicable. This is not an AI/SaMD device, so there is no "training set."

9. How the ground truth for the training set was established

  • Not Applicable. This is not an AI/SaMD device.

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510 (K) 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: NOCOS . " (applicant leave blank)

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 :TANGSHAN ZHONGPU PLASTIC PRODUCTSCO.,LTD.
Submitter's address :LIN QING ROAD, LUANNAN COUNTY,TANGSHAN CITY, HEBEI PROVINCE, 063503,CHINA
Phone number :(86) 315-4169201
Fax number :(86) 315-4169311
Name of contact person:Mr. Zhang Liang
Date the summary was prepared:Dec. 30nd, 2009

[(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, Colored(White)
Proprietary/Trade name:Powder Free Vinyl Patient Examination GlovesOther 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, Colored (White) that meets all of the requirements of ASTM standard D 5250-06.

Predicate device : Powder-Free Vinyl Patient Examination Gloves,. SHIJIAZHUANG MANFUL LIGHT INDUSTRIAL PRODUCTS CO., LTD.,K051156 .

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

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Device Description : powder free vinyl patient examination gloves, Colored (White) that meets all of the requirements of ASTM standard D 5250-06.

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

Device Intended Use: powder free vinyl patient examination glove, Colored (White) 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 5250-06Meets
Physical PropertiesASTM standard D 5250-06Meets
Freedom from pinholes21 CFR 800.20Meets
Powder ResidualASTM standard D 5250-06and D6124-06<2mg/glove
BiocompatabilityPrimary Skin Irritation in rabbitsPasses
Not a Primary Skin Irritation
Dermal sensitization in the guinea pigPasses
Not a Dermal sensitization

[(b)(1)] A brief discussion of the nonclinical submitted, reference, or relied on in the premarket notification submission for a determination of substantial equivalence .

Powder free vinyl patient examination gloves , Colored (White) meet requirements per ASTM D5250-06, per ASTM D6124-06, per 21 CFR 800.20 and ISO10993-10.

[(b)(2)] A brief discussion of the clinical submitted, reference, or relied on in the premarket notification submission for a determination of substantial equivalence .

Clinical data is not needed for gloves or for most devices cleared by the 510(k) process.

[{b)(3)| The conclusions drawn from the nonclinical and clinical tests that demonstrate that the device is as safe,as effective, and performed as well or better than the legally marketed device identified in (a)(3).

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 AQL., meet labeling claims .

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Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is an abstract image of an eagle.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Tangshan Zhongpu Plastic Products Company, Limited C/O Mr. Chu Xiaoan Room 1606, Building 1, Jianxiang, Yuan Number 209 Bei Si Huan Zho Beijing CHINA 100083

Re: K100059

Trade/Device Name: Powder Free Vinyl Patient Examination Gloves, Colored (White)

JUL -1 2010

Regulation Number: 21 CFR 880.6250

Regulation Name: Patient Examination Glove

Regulatory Class: I

Product Code: LZA

Dated: June 1, 2010

Received: June 8, 2010

Dear Mr. Xiaoan:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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.

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Page 2- Mr. Xiaoan

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801). please go to

http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Susan Karen

ta

Anthony D. Watson, B.S., M.S., M.B.A. Director Division of Anesthesiology, General Hospital, Infection Control and dental Devices Office of Device Evaluation

Center for Devices and

Radiological Health

Enclosure

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INDICATIONS FOR USE

Applicant: TANGSHAN ZHONGPU PLASTIC PRODUCTS CO.,LTD.

510(k) Number (if known): * * * * * * * *

Device Name: ___Powder Free Vinyl Patient Examination Gloves, Colored (White)

Indications For Use:

Powder Free Vinyl Patient Examination Gloves, Colored (White) ___ 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.

Prescription Use . (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (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)

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

KIDODS 510(k) Number: _______________________________________________________________________________________________________________________________________________________________

§ 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.