K Number
K101645
Device Name
NON-CHLORINATED, POLYMER COATED POWDER FREE NATURAL RUBBER LATEX EXAMINATION GLOVES AND PROTEIN LABELING CLAIM OF
Date Cleared
2010-08-26

(76 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Non-Chlorinated, Polymer Coated, Powder Free Natural Rubber Latex Examination Glove and Protein Labeling Claim of 50 Micrograms or Les Protein is a single use device intended for medical purposes that is worn on the hand of healthcare and similar personnel to prevent contamination between healthcare personnel and the patient.
Device Description
Non-Chlorinated, Polymer Coated, Powder Free Natural Rubber Latex Examination Glove and Protein Labeling Claim of 50 Micrograms or Less Protein is substantially equivalent to the Class 1 patient examination glove bearing the product code 80LYY ( 21 CFR 880.6250 ). It meets all the current specifications listed under the ASTM Specification D-3578-051, Standard Specification for Rubber Examination Gloves. They are made from natural rubber latex. They are natural white in color and are powder free.
More Information

Not Found

Not Found

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

No.
The device is an examination glove, intended to prevent contamination between healthcare personnel and the patient, which is a barrier function rather than a therapeutic one.

No

The device is an examination glove, intended to prevent contamination. It does not mention any function for diagnosing conditions or diseases.

No

The device is a physical examination glove made of natural rubber latex, 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 "worn on the hand of healthcare and similar personnel to prevent contamination between healthcare personnel and the patient." This describes a barrier device for personal protection and infection control, not a device used to examine specimens from the human body to provide information for diagnosis, monitoring, or treatment.
  • Device Description: The description aligns with a standard examination glove, referencing the relevant ASTM standard and CFR section for examination gloves.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, reagents, or any other components typically associated with in vitro diagnostics.

Therefore, this device falls under the category of a medical device, specifically an examination glove, but not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

"Non-Chlorinated, Polymer Coated, Powder Free Natural Rubber Latex Examination Gloves and Protein Labeling Claim of 50 Micrograms or Less Protein are intended for single use for medical purposes that is worn on the hand of health care and similar personnel to prevent contamination between the health care personnel and the patients."

Product codes (comma separated list FDA assigned to the subject device)

LYY

Device Description

"Non-Chlorinated, Polymer Coated, Powder Free Natural Rubber Latex Examination Glove and Protein Labeling Claim of 50 Micrograms or Less Protein is substantially equivalent to the Class 1 patient examination glove bearing the product code 80LYY ( 21 CFR 880.6250 ). It meets all the current specifications listed under the ASTM Specification D-3578-051, Standard Specification for Rubber Examination Gloves. They are made from natural rubber latex. They are natural white in color and are powder free."

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

hand

Indicated Patient Age Range

Not Found

Intended User / Care Setting

health care and similar personnel

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)

Non-Clinical Tests:
"Testing were performed per ASTM D 3578-051, Standard Specification for Rubber Examination Gloves and 21 CFR 800.20. Gloves meet all the current ASTM D 3578-051 requirements. Primary skin irritation testing in the rabbit and delayed contact sensitization testing in the guinea pig indicate no irritation or sensitization. Final product has been tested negative for the presence of starch using the USP iodine test."

Clinical Tests:
"No new clinical tests were conducted under this 510(k)."

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Not Found

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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.

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K101645/52

Non-Chlorinated Polymer Coated Powder Free Natural Rubber Latex Examination Gloves And Protein Labeling Claim of 50 Micrograms or Less Protein

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Attachment 13

510(k) SUMMARY

AUG 26 2010

NON-CHLORINATED, POLYMER COATED, POWDER FREE NATURAL RUBBER LATEX EXAMINATION GLOVES AND PROTEIN LABELING CLAIM OF 50 MICROGRAMS OR LESS PROTEIN

Submitter's NameLATEXX MANUFACTURING SDN. BHD.
Submitter's AddressPT 5054, Kamunting Industrial Estate
34600 Taiping, Perak,
Malaysia
Submitter's Phone Number605-891 1111 / 605-829 5590
Submitter's Fax Number605-829 5590
Name of Contact PersonTerence Lim Sin Kooi
Date of Preparation27 May 2010
Name of Device
Trade Name: NON-CHLORINATED, POLYMER COATED,
POWDER FREE NATURAL RUBBER LATEX
EXAMINATION GLOVES AND PROTEIN
LABELING CLAIM OF 50 MICROGRAMS OR
LESS PROTEIN
Common Name: Latex Examination Gloves
Classification Name: Patient Examination Gloves
Legally Marketed Device to which Equivalency is
Being ClaimedNon-Chlorinated, Polymer Coated, Powder Free
Natural Rubber Latex Examination Gloves and
Protein Labeling Claim of 50 Micrograms or Less
Protein as described in this 510 K Notification is
substantially equivalent to the current Class 1
Patient Examination Glove bearing the product
code 80LYY ( 21 CFR 880.6250 ). It meets all the
current specifications listed under the ASTM
Specification D 3578-051, Standard Specification
for Rubber Examination Gloves.
Description of the DeviceNon-Chlorinated, Polymer Coated, Powder Free
Natural Rubber Latex Examination Glove and
Protein Labeling Claim of 50 Micrograms or Less
Protein is substantially equivalent to the Class 1
patient examination glove bearing the product
code 80LYY ( 21 CFR 880.6250 ). It meets all the
current specifications listed under the ASTM
Specification D-3578-051, Standard Specification
for Rubber Examination Gloves. They are made
from natural rubber latex. They are natural white
in color and are powder free.
Intended Use of the DeviceNon-Chlorinated, Polymer Coated, Powder Free
Natural Rubber Latex Examination Gloves and
Protein Labeling Claim of 50 Micrograms or Less
Protein are intended for single use for medical
purposes that is worn on the hand of health care
and similar personnel to prevent contamination
between the health care personnel and the
patients.
Summary of Technological Characteristic
Compared to the Predicate DeviceThere is no different technological characteristic.
Gloves are made from natural rubber latex
compound and the initial products are low
powdered natural rubber latex gloves. These
gloves are using the existing technology, i.e.
multiple washing and rinsing processes.
Brief Description of Non-Clinical TestsTesting were performed per ASTM D 3578-051,
Standard Specification for Rubber Examination
Gloves and 21 CFR 800.20. Gloves meet all the
current ASTM D 3578-051 requirements.
Primary skin irritation testing in the rabbit and
delayed contact sensitization testing in the
guinea pig indicate no irritation or sensitization.
Final product has been tested negative for the
presence of starch using the USP iodine test.
Brief description of Clinical TestsNo new clinical tests were conducted under this
510(k).
Conclusions Drawn from the Non-Clinical and
Clinical TestsNon-Clinical laboratory and animal based test
data indicate that the powder free product meets
all performance and biocompatibility
requirements.
Other Information Deemed Necessary by FDANot Applicable.

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Non-Chlorinated Polymer Coated Powder Free Natural Rubber Latex Examination Gloves And Protein Labeling Claim of 50 Micrograms or Less Protein

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Non-Chlorinated Polymer Coated Powder Free Natural Rubber Latex Examination Gloves And Protein Labeling Claim of 50 Micrograms or Less Protein

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image is a black and white logo for the Department of Health & Human Services - USA. The logo features a stylized image of an eagle with three lines representing its body and wings. The eagle is facing to the right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

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

Mr. Terence Lim Sin Kooi Quality Assurance and Regulatory Affairs Latexx Manufacturing Sdn. Bhd. PT 5054 Kamunting Industrial Estate Taiping, Perak MALAYSIA 34600

AUG 2 6 2010

Re: K101645

Trade/Device Name: Non-Chorinated, Polymer Coated, Powder Free Natural Rubber Latex Examination Glove and Protein Labeling Claim of 50 Microgram or Less Protein Regulation Number: CFR 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LYY Dated: August 17, 2010 Received: August 19, 2010

Dear Mr. Kim Sin Kooi:

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. Lim Sin Kooi

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 Runner

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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K101645/52

Non-Chlorinated Polymer Coated Powder Free Natural Rubber Latex Examination Gloves And Protein Labeling Claim of 50 Micrograms or Less Protein Attachment 2

INDICATIONS FOR USE

Applicant

LATEXX MANUFACTURING SDN. BHD. PT 5054, Kamunting Industrial Estate, 34600 Kamunting , Perak, Malaysia.

510(k) Number (if known)

Device Name

NON-CHORINATED, POLYMER COATED, POWDER FREE NATURAL RUBBER LATEX EXAMINATION GLOVE AND PROTEIN LABELING CLAIM OF 50 MICROGRAM OR LESS PROTEIN

Indications For Use

Non-Chlorinated, Polymer Coated, Powder Free Natural Rubber Latex Examination Glove and Protein Labeling Claim of 50 Micrograms or Les Protein is a single use device intended for medical purposes that is worn on the hand of healthcare and similar personnel to prevent contamination between healthcare personnel and the patient.

Concurrence of CDRH Office of Device Evaluation (ODE)

| Prescription Use

Per 21 CFR 801.109
OR Over-The-Counter X
Susan Purge (Division Sign-Off) Division of Anesthesiology. General Hospital Infection Control, Dental Devices
510(k) Number:5/26/10