K Number
K100337
Device Name
POWDER-FREE VINYL PATIENT EXAMINATION GLOVES
Date Cleared
2010-03-29

(55 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 5250-06.
More Information

Not Found

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

No.
The device (patient examination glove) is intended to prevent contamination and is not designed to treat or alleviate a disease or condition.

No

Explanation: The device is a patient examination glove used to prevent contamination, not to diagnose a medical condition.

No

The device is a physical glove, not software. The description clearly states it is a "powder free vinyl patient examination glove" and references physical standards and tests.

Based on the provided information, 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 barrier function, not a diagnostic test performed on samples taken from the body.
  • Device Description: It's a glove, a physical barrier.
  • Lack of Diagnostic Activity: There is no mention of analyzing samples (blood, urine, tissue, etc.) or providing diagnostic information about a patient's condition.
  • Regulatory Standards: The standards mentioned (ASTM D 5250-06, ASTM D6124-06, 21 CFR 800.20, ISO10993-10) are related to the physical properties, safety, and performance of examination gloves, not diagnostic tests.
  • Performance Studies: The performance studies focus on physical properties, freedom from pinholes, powder residual, and biocompatibility – all relevant to a barrier device, not a diagnostic one.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for diagnosis, monitoring, or screening. This device does not fit that description.

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 5250-06.

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

Nonclinical tests were performed.
The powder free vinyl patient examination gloves, non sterile are summarized with the following technological characteristics compared to ASTM or equivalent standard.
-Dimension: ASTM standard D 5250-06, Meets
-Physical Properties: ASTM standard D 5250-06, Meets
-Freedom from pinholes: 21 CFR 800.20, Meets
-Powder Residual: ASTM standard D 5250-06 and D6124-06,

§ 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: K|QQ337_ ." (applicant leave blank)

MAR 2 9 2010

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 QIXIN GLOVE CO., LTD.
Submitter's address :PEITUOZI, LUANNAN COUNTY, TANGSHAN CITY, HEBEI
PROVINCE, 063500, CHINA
Phone number :(86) 315-4169201
Fax number :(86) 315-4169311
Name of contact person:Mr. Zhang Liang
Date the summary was prepared:Jan. 10nd, 2010

[(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 5250-06.

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 5250-06.

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 5250-06Meets
Physical PropertiesASTM standard D 5250-06Meets
Freedom from pinholes21 CFR 800.20Meets
Powder ResidualASTM standard D 5250-06Meets
and D6124-06