K Number
K102613
Device Name
POWDER-FREE VINYL PATIENT EXAMINATION GLOVES
Date Cleared
2011-01-13

(125 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Powder free vinyl patient examination glove is non-sterile ,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 standard examination glove and the summary contains no mention of AI or ML.

No
The device, a patient examination glove, is intended to prevent contamination between patient and examiner, which is a preventive measure, not a therapeutic one. It does not treat or cure any condition.

No
Explanation: The device is described as a glove intended to prevent contamination, not to diagnose medical conditions.

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 like ASTM D 5250-06.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD definition: In vitro diagnostics are tests performed on samples such as blood, urine, or tissue that have been taken from the human body to detect diseases or other conditions.
  • Device description and intended use: The provided information clearly states that this device is a "powder free vinyl patient examination glove" intended to be "worn on the examiner's hand or finger to prevent contamination between patient and examiner." This is a physical barrier device used during examinations, not a test performed on a biological sample.

The description aligns with a Class I or Class II medical device used for patient examination and protection, not an IVD.

N/A

Intended Use / Indications for Use

Powder free vinyl patient examination glove is non-sterile ,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

Non-clinical testing data:

  • Study Type: Performance testing based on industry standards.
  • Sample Size: Not specified.
  • Key Results:
    • Dimension: Meets ASTM standard D 5250-06
    • Physical Properties: Meets ASTM standard D 5250-06
    • Freedom from pinholes: Meets 21 CFR 800.20
    • Powder Residual: Meets 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

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"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 102613 ." (applicant leave blank)

JAN 1 3 2011

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 :HEBEI FAVOR PLASTIC CO., LTD
Submitter's address :#79 SHENGLI ST. SHIJIAZHUANG, 050000, CHINA
Phone number :(86) 311-83985366
Fax number :(86) 311-83986358
Name of contact person:Mr. Wang Kai
Date the summary was prepared:September 8th, 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

1

Device Description . powder free vinyl patient examination gloves, Clear(non-colored), 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, 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 tree vinyl patient examination gloves, non, sterile are summarized with the following technological characteristics compared to ASTM or equivalent standard.

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