K Number
K102976
Device Name
POWDERED VINYL PATIENT EXAMINIATION GLOVES, CLEAR (NON-COLORED)
Date Cleared
2010-12-13

(68 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Powdered Vinyl Patient Examination Gloves, Clear (non-colored) is a 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
Powdered Vinyl Patient Examination Gloves, Clear (non-colored) that meets all of the requirements of ASTM standard D 5250-06e1.
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 is a glove intended to prevent contamination, not to provide therapy or treatment.

No

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

No

The device is a physical glove made of powdered vinyl, not software. The description clearly outlines physical properties and testing related to a tangible product.

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

Here's why:

  • Intended Use: The intended use is "worn on the examiner's hand or finger to prevent contamination between patient and examiner." This describes a barrier device used for protection during physical examination, not a device used to examine specimens in vitro (outside of the body) to diagnose a condition.
  • Device Description: The description focuses on the physical properties and standards met by the glove, consistent with a medical device used for protection.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, reagents, or any other components typically associated with in vitro diagnostics.

This device falls under the category of a medical device, specifically a patient examination glove, but it is not an IVD.

N/A

Intended Use / Indications for Use

Powdered Vinyl Patient Examination Gloves, Clear (non-colored) is a 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 (comma separated list FDA assigned to the subject device)

LYZ

Device Description

Powdered Vinyl Patient Examination Gloves, Clear (non-colored) that meets all of the requirements of ASTM standard D 5250-06e1.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

The Powdered Vinyl Patient Examination Gloves, Clear (non-colored), non sterile are summarized with the following technological characteristics compared to ASTM or equivalent standard.

CharacteristicsStandardDevice performance
DimensionASTM standard D 5250-06 el.Meets
Physical PropertiesASTM standard D 5250-06 el.Meets
Freedom from pinholes21 CFR 800.20Meets
Powder AmountASTM standard D 5250-06 el and D6124-06Meets

§ 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

Section C 510(k) Summary (21 CFR 807.92)

510(k) Summary

DEC 1 3 2010

"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: K1029 1(a " (applicant leave blank)

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 :

Submitter's address :

Heze Juxinyuan Food Co., Ltd.

Jinzhuang Zone, Suji, Caoxian , Heze City, Shandong Submitter's address : Province, 274415,China 0086-530-5022111 Phone number : Fax number 0086-530-5311988 : Name of contact person: Mr. Wenzhong Zhang Date the summary was prepared: Sep.19, 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: Powdered Vinyl Patient Examination Gloves, Clear (non-colored) Proprietary/Trade name: Powdered Vinyl Patient Examination Gloves. Clear (non-colored) Other clients private labeling Common Name: Exam gloves 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* Powdered Vinyl Patient Examination Gloves, Clear (non-colored) that meets all of the requirements of ASTM standard D 5250-06e1.

Section C

1

Powdered Vinyl Patient Examination Gloves. Predicate device: Clear(Non-colored) , ZHANG JIA GANG FENGYUAN PLASTIC PRODUCTS CO LTD. K091662.

[(a)(4)] A description of the device

Device Description: Powdered Vinyl Patient Examination Gloves, Clear (non-colored) that meets all of the requirements of ASTM standard D 5250-06e1.

[(a)(5)] The summary describes the intended use of the device

Device Intended Use: Powdered Vinyl Patient Examination Gloves, 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 Powdered Vinyl Patient Examination Gloves, Clear (non-colored), non sterile are summarized with the following technological characteristics compared to ASTM or equivalent standard.

CharacteristicsStandardDevice performance
DimensionASTM standard D 5250-06 el.Meets
Physical PropertiesASTM standard D 5250-06 el.Meets
Freedom from pinholes21 CFR 800.20Meets
Powder AmountASTM standard D 5250-06 el
and D6124-06Meets