K Number
K100611
Device Name
RS CARE LATEX MEDICAL EXAMINATION GLOVE (POWDER FREE)
Date Cleared
2010-07-16

(135 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
A powder-free patient examination gloves 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
Latex Examination gloves powder free as described in this 510(k) Notification is substantially equivalent to the current class I patient examination gloves with product Code LYY (21CFR 880.6250). It meets all the specifications in ASTM D 3578-05, Standard Specification for Latex Examination Gloves. They are made from natural latex compound and powder free.
More Information

Not Found

Not Found

No
The 510(k) summary describes standard latex examination gloves and makes no mention of AI or ML technology. The device description and performance studies focus on physical properties and biocompatibility, not computational capabilities.

No
The device, a patient examination glove, is intended to prevent contamination between the patient and examiner, not to treat or diagnose a disease or condition.

No

Explanation: The device, a powder-free patient examination glove, is intended to prevent contamination between patient and examiner, not to diagnose a medical condition.

No

The device is a physical product (latex examination gloves) and the description focuses on material properties and performance standards for a physical glove, not software.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for preventing 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: The description focuses on the physical properties and standards met by the gloves (ASTM D 3578-05, 21CFR 880.6250). These are standards for medical gloves, not diagnostic devices.
  • Lack of IVD Characteristics: The text does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing information for diagnosis, monitoring, or screening
    • Reagents or test kits

The device is a Class I medical device intended for barrier protection during patient examination.

N/A

Intended Use / Indications for Use

Latex Examination gloves powder free is a disposable device intended for medical purpose is worn on the examiner's hand or finger to prevent contamination between patient and examiner. The device is for over-the-counter use.
A powder-free patient examination gloves 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

LYY

Device Description

Latex Examination gloves powder free as described in this 510(k) Notification is substantially equivalent to the current class I patient examination gloves with product Code LYY (21CFR 880.6250). It meets all the specifications in ASTM D 3578-05, Standard Specification for Latex Examination Gloves. They are made from natural latex compound and powder free.

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

Not Found

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

Kro06.11


Appendix 2

510(k) Summary Latex Examination Gloves Powder Free

JUL 1 62010

1.0 Submitter:

Company Name: Riverstone Resources Sdn. Bhd.

Company Address: Lot 55, 56, No. 15 Jalan Jasmin 2 Kawasan Perindustrian Bukit Beruntung, 48300 Bukit Beruntung Selangor, Malaysia.

Contact Person: Ms. Chong Chu Mee

Telephone No: +603-60283033

Fax No: + 603-60283022

  • 2.0 Name of the Device
    Trade Name/ Proprietary Name: RS Care Latex Examination Gloves Powder Free

Device Name: Latex Patient Examination gloves

Device Classification Name: Patient Examination gloves (21 CFR 880.6250)

Device Class: Class I

Product Code : Latex - LYY

3.0 Identification of The Legally Marketed Device:

Class I patient Examination gloves, Powder Free, LYY which meets all the

requirement of ASTM D 3578-05 and FDA 21 CFR 880.6250.

1

4.0 Description of Device

Latex Examination gloves powder free as described in this 510(k) Notification is substantially equivalent to the current class I patient examination gloves with product Code LYY (21CFR 880.6250). It meets all the specifications in ASTM D 3578-05, Standard Specification for Latex Examination Gloves. They are made from natural latex compound and powder free.

5.0 Intended use of the Device

Latex Examination gloves powder free is a disposable device intended for medical purpose is worn on the examiner's hand or finger to prevent contamination between patient and examiner. The device is for over-the-counter use.

6.0 Summary of the Technological Characteristics of the Devices

The powder-free latex examination gloves possess the following technological characteristics compared to ASTM or Equivalent standards:

CharacteristicsStandardsDevice Performance
DimensionASTM D 3578-05Meets
Physical PropertiesASTM D 3578-05Meets
Freedom from pinholesASTM D 3578-05Meets
Powder-FreeASTM D 3578-05Meets
Protein ContentASTM D 3578-05Meets
BiocompatibilityPrimary Skin Irritation Test
Consumer Product Safety
Commission, Title 16, Chapter
II, Part 1500Passes
Dermal Sensitization Assay
ASTM-F 720-81(Reapproved
2007)EIPasses

2

7.0 Conclusion

It can be concluded that latex examination gloves powder free shall perform according to the glove performance standards references in section 6.0 above and meet ASTM D 3578-05 standard and FDA requirements and the labeling claims for the product.

Prepared by,


Chong Chu Mee Technical Manager Date: 22th Feb 2010.

3

Image /page/3/Picture/0 description: The image shows the logo for the Department of Health & Human Services (HHS). The logo features a stylized caduceus, a symbol often associated with medicine and healthcare, with three parallel lines forming the staff and a serpent winding around it. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular pattern around the symbol.

JUL 1 62010

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

Mr. Chong Chu Mee Technical Manager Riverstone Resources SDN. BHD. Lot 55 & 56, Number 15, Jalan Jasmin 2 Kawasan Perindustrian Bukit 48300 Bukit Beruntung Selangor, Malaysia

Re: K100611

Trade/Device Name: RS Care Latex Medical Examination Gloves Powder Free (Non-Sterile) Regulation Number: 21 CFR 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LYY Dated: June 12, 2010 Received: June 22, 2010

Dear Mr. Chu Mee:

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: CDDH, 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 First Register.

4

Page 2- Mr. Chu Mee

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/CentersQffices/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,

Nh for

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

5

INDICATIONS FOR USE

Applicant: Riverstone Resources Sdn. Bhd. 510(k) Number (if known): K100611

Device Name: RS Care Latex Medical Examination Gloves Powder Free (Non-Sterile)

Indications for Use:

A powder-free patient examination gloves 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 Over-The-Counter Use X Prescription Use _____________________________________________________________________________________________________________________________________________________________ (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)

Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number: __ K 1006 l/

Section 1A-1