K Number
K102171
Device Name
POWDER FREE VINYL PATIENT EXAMINATION GLOVES
Date Cleared
2010-11-16

(106 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The 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. It is sold as non sterile.
Device Description
Powder free vinyl patient examination gloves, clear (non-colored), non sterile that meets all of the requirements of ASTM standard D 5250-06, except for sterility requirements.
More Information

Not Found

No
The device is a disposable examination glove, and the description and performance studies focus on physical properties and biocompatibility, with no mention of AI or ML.

No
Explanation: A therapeutic device is used to treat or manage a disease or condition. This device, a patient examination glove, is solely for preventing contamination, not for treatment.

No
Explanation: The device is a patient examination glove, which is used to prevent contamination and is not designed to diagnose any condition or disease.

No

The device described is a physical medical device (patient examination gloves) and does not involve any software component.

No, 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 examiner's hand or finger to prevent contamination between patient and examiner." This describes a barrier device used during physical examination, not a device used to examine specimens in vitro (outside of the body).
  • Device Description: The description confirms it's a "patient examination glove," which is a physical barrier.
  • Lack of IVD Characteristics: The description and intended use do not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing information for diagnosis, monitoring, or screening of diseases

The device is a Class I medical device intended for infection control during patient examination.

N/A

Intended Use / Indications for Use

The 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. It is sold as non sterile.

Product codes

LYZ

Device Description

Powder free vinyl patient examination gloves, clear (non-colored), non sterile that meets all of the requirements of ASTM standard D 5250-06, except for sterility requirements.

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

Tests were conducted following the recommended procedures outlined in the respective consensus standards, and results for Powder Free Vinyl Patient Examination Gloves (or other clients private labeling), manufactured by Wuxi Bingfa Gainlife Gloves Co., Ltd met all relevant requirements in the test standards, and are comparable to the predicate device.

  • Dimension: Meets ASTM D5250-06
  • Physical Property: Meets ASTM D5250-06
  • Free of Pinhole: Meets ASTM D5151-06
  • Residue Powder: Meets ASTM D6124-06
  • Cytotoxicity (ISO10993-5): Passes
  • Primary Skin Irritation (ISO 10993-10): Passes
  • Dermal sensitization (ISO 10993-10): Passes

Key Metrics

Not Found

Predicate Device(s)

K100699

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

K102171

Section 5: 510(k) Summary:

This summary of 510k safety and effectiveness information is being submitted In accordance with the requirements of 21CFR 807.92

Submitter & Foreign Manufacture Identification

Wuxi Bingfa Gainlite Gloves Co., Ltd Dacheng Industrial Park, Anzhen Town, Xishan District Wuxi, Jiangsu Province, China Tel: 86- 510-88789372 Submitter's FDA Registration Number: N/A

US Agent and Contact Person

Chengyu Shen Manton Business and Technology Services 5 Carey Street Pennington, NJ 08534 Tel: 608-217-9358 Email: cyshen@aol.com

Date of Summary: July 22, 2010

Powder Free Vinyl Patient Examination Gloves Device Name: Powder Free Vinyl Patient Examination Gloves (or other Proprietary Name: clients private labeling) Common Name: Patient examination glove Classification Name: Patient examination glove Device Classification: I 21 CFR 880.6250 Regulation Number: Panel: General Hospital LYZ Product Code:

Predicate Device Information:

  • (1) K100699, "Powder Free Vinyl Patient Examination Gloves, Clear(noncolored)", manufactured by "Shijiazhuang Star Plastic Co., Ltd"

Device description:

Powder free vinyl patient examination gloves, clear (non-colored), non sterile that meets all of the requirements of ASTM standard D 5250-06, except for sterility requirements.

Section 5: 510k Summary Section 5 p 1

NOV. 1 6 2010

1

Intended Use:

The 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. It is sold as non sterile.

Comparison to Predicate Devices

The powder free vinyl patient examination gloves, non sterile are compared with the following Predicate Devices in terms of intended use, design, material, specifications, and performance.

  • (1) K100699, "Powder Free Vinyl Patient Examination Gloves, Clear(noncolored)", manufactured by "Shijiazhuang Star Plastic Co., Ltd"
    The following table shows similarities and differences of use, design, and material between our device and the predicate devices.

Table 5.1: Comparison of Intended Use, Design, and Material

DescriptionOur DevicePredicate Device (K100699)
Indication for
UseDisposable device intended for medical
purposes that is worn on the examiner's hand
or finger to prevent contamination between
patient and examiner.Same
Basic DesignSame
MaterialsPoly Vinyl ChlorideSame
SizeS, M, L, XLInformation unavailable
Single UseYesYes
SterileNon sterileNon sterile

2

The following table shows similarities and differences of the performance between our device and the predicate devices. Tests were conducted following the recommended procedures outlined in the respective consensus standards, and results for Powder Free Vinyl Patient Examination Gloves (or other clients private labeling), manufactured by Wuxi Bingfa Gainlife Gloves Co., Ltd met all relevant requirements in the test standards, and are comparable to the predicate device.

DescriptionOur DevicePredicate Device (K100699)
DimensionMeets ASTM D5250-06Meets ASTM D5250-06
Physical PropertyMeets ASTM D5250-06Meets ASTM D5250-06
Free of PinholeMeets ASTM D5151-06Meets 21 CFR 800.20
Residue PowderMeets ASTM D6124-06Meets ASTM D6124-06
Cytotoxicity
(ISO10993-5)PassesN/A
Primary Skin
Irritation
(ISO 10993-10)PassesPasses
Dermal sensitization
(ISO 10993-10)PassesPasses

Table 5.2: Comparison of Physical, Biocompatibility and Performance Testing

More details of non-clinical tests are summarized in Section 18.

A brief discussion of the non-clinical testing data that was submitted, referenced or relied on to demonstrate that the Subject Device is safe and effective, and whose performance meets the requirements of its user-defined acceptance criteria and intended uses: ·

Powder free vinyl patient examination gloves meet requirements per ASTM D5250-06, ASTM D6124-06, ASTM D 5151-06, ISO 10993-5, and ISO 10993-10. It is safe and effective, and it's performance meets the requirements of its pre-defined acceptance criteria and intended uses.

3

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.

Substantial Equivalent Conclusions

Based on the comparison of intended use, design, materials, and performance, our vinyl disposable examination gloves powder free are substantial equivalent to its predicate devices.

Section 5: 510k Summary Section 5 p 4

4

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/4/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" written around the perimeter. Inside the circle is an abstract image of a bird-like figure.

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

Wuxi Bingfa Gainlite Gloves Company, Limited C/O Mr. Chebgyu Shen Official Correspondent Manton Business and Technology Services 5 Carey Street Pennington, New Jersey 08534

NOV 1 6 2010

Re: K102171

Trade/Device Name: Powder Free Vinyl Patient Examination Gloves (or other Clients Private Labeling) Regulation Number: 21 CFR 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LYZ Dated: October 7, 2010 Received: October 12, 2010 .

Dear Mr. Shen:

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.

5

Page 2- Mr. Shen

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.

Aemad Dood
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

6

Image /page/6/Picture/0 description: The image shows a sequence of handwritten alphanumeric characters. The sequence starts with the letter 'K', followed by the numbers '102171'. The characters are written in a simple, clear style, and the image appears to be a close-up of the sequence.

Indications for Use Section 4:

NOV 1 6 2010

510(k) Number (if known): N/A

Device Name: Powder Free Vinyl Patient Examination Gloves (or other clients private labeling)

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Indications for Use:

The 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. It is sold as non sterile.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

x Over-The-Counter 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)

E. Elizabeth S. Lawrie-Will

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

510(k) Number: _ K 102 17 | __________________________________________________________________________________________________________________________________________________