K Number
K110250
Device Name
MPXX POWDER FREE NATURAL RUBBER EXAMINATION GLOVES
Date Cleared
2011-10-14

(259 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
MPXX™ Powder Free Natural Rubber Latex Examination Gloves are intended for single use 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
MPXX™™ Powder Free Natural Rubber Latex Examination Gloves are 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-3578-05, 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

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

No
The device, examination gloves, is intended to prevent contamination and is not used to treat or cure a disease or condition.

No

The device is an examination glove, worn on the hand to prevent contamination, which is a protective and barrier function, not a diagnostic one.

No

The device is a physical examination glove made of natural rubber latex, not software.

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

Here's why:

  • Intended Use: The intended use clearly states the gloves are "worn on the hand of healthcare and similar personnel to prevent contamination between healthcare personnel and the patient." This is a barrier function, not a diagnostic function.
  • Device Description: The description focuses on the material (natural rubber latex), physical characteristics (powder free, color), and compliance with standards for examination gloves. There is no mention of analyzing samples from the body or providing diagnostic information.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in the body
    • Providing information for diagnosis, monitoring, or treatment decisions
    • Using reagents or assays

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

N/A

Intended Use / Indications for Use

MPXX™ Powder Free Natural Rubber Latex Examination Gloves are intended for single use for medical purposes that is worn on the hand of healthcare and similar personnel to prevent contamination between healthcare personnel and the patient.

Product codes

LYY, 80LYY

Device Description

MPXX™™ Powder Free Natural Rubber Latex Examination Gloves are 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-3578-05, 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

on the hand

Indicated Patient Age Range

Not Found

Intended User / Care Setting

healthcare 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 laboratory and animal based test data indicate that the powder free product meets all performance and biocompatibility requirements.

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.

K981767

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.

0

K110250

OCT 1 4 2011

MPXX™ POWDER FREE NATURAL RUBBER LATEX EXAMINATION GLOVES

Submitter's NameTOTAL GLOVE COMPANY SDN. BHD.
Submitter's AddressLot 2584, Jalan Perusahaan 3,
Kamunting Industrial Estate
34600 Taiping, Perak,
Malaysia
Submitter's Phone Number605-8295 512
Submitter's Fax Number605-8915 500
Name of Contact PersonOoi Loon Seng
Date of Preparation06 October 2011
Name of Device
Trade Name: MPXX™ POWDER FREE NATURAL RUBBER
LATEX EXAMINATION GLOVES
Common Name: Latex Examination Gloves
Classification Name: Patient Examination Gloves
Legally Marketed Device to which Equivalency is
Being ClaimedMPXX™ Powder Free Natural Rubber Latex
Examination Gloves as described in this 510 K
Notification is substantially equivalent to
K981767, Qtexx Powder-Free Latex Examination
Gloves with 50 Micrograms or Less of Total
Water Extractable Protein Per Gram which is 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 3578-05,
Standard Specification for Rubber Examination
Gloves.
Description of the DeviceMPXX™™ Powder Free Natural Rubber Latex
Examination Gloves are 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-3578-05, 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 DeviceMPXX™™ Powder Free Natural Rubber Latex
Examination Gloves are intended for single use
for medical purposes that is worn on the hand of
healthcare and similar personnel to prevent
contamination between healthcare personnel and
the patient.
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 3578-05,
Standard Specification for Rubber Examination
Gloves and 21 CFR 800.20. Gloves meet all the
current ASTM D 3578-05 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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:

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/

2

.

| Characteristics
and Parameters | Subject Device
MPXX™ Powder Free
Natural Rubber Latex
Examination Gloves | Predicate Device
Qtexx Powder-Free
Latex Examination
Gloves with 50
Micrograms or Less of
Total Water
Extractable Protein Per
Gram (K981767) | Substantial
Equivalence
(SE) |
|-----------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------|
| Product Code | 80LYY | 80LYY | |
| Intended Use | MPXX™ Powder Free
Natural Rubber Latex
Examination Gloves 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. | Qtexx Powder-Free
Latex Examination
Gloves with 50
Micrograms or Less of
Total Water Extractable
Protein Per Gram is a
single use device
intended 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
patient. | Yes,
Substantial
Equivalence |
| Glove Thickness
and Length | Meets ASTM D 3578-05:
-Palm Thickness of ≥
0.08mm
-Finger Thickness ≥
0.08mm
-Length ≥ 240mm | Meets ASTM D 3578-95:
-Palm Thickness of ≥
0.08mm
-Finger Thickness ≥
0.08mm
-Length ≥ 230mm | Yes,
Substantial
Equivalence |
| Tensile Strength | Meets ASTM D 3578-05:

  • Tensile Strength ≥
    18MPa (≥ 18MPa per
    Standard )
  • Elongation ≥ 650% | Meets ASTM D 3578-95:
  • Tensile Strength ≥
    14MPa (≥ 14MPa per
    Standard )
  • Elongation ≥ 700% | Yes,
    Substantial
    Equivalence |
    | Freedom from
    Holes | Meets Requirements per
    21CFR800.20:
    Gloves Free of Holes at
    quality level of AQL 1.5
    (AQL 2.5 required per
    standard) | Meets Requirements per
    21CFR800.20:
    Gloves Free of Holes at
    quality level of AQL 1.5
    (AQL 2.5 required per
    standard) | Yes, Identical |
    | Materials | Natural Rubber Latex | Natural Rubber Latex | Yes,
    Substantial
    Equivalence |
    | Color | Natural Color | Natural Color | Yes, Identical |
    | Biocompatibility | Passes:
  • Primary Skin Irritation
  • Dermal Sensitization | Passes:
  • Primary Skin Irritation
  • Dermal Sensitization | Yes, Identical |
    | Powder Free | Meets Applicable
    Definition for Powder
    Free; ≤ 2 mg per glove | Meets Applicable
    Definition for Powder
    Free: ≤ 2 mg per
    glove | Yes, Identical |
    | Protein Content | Meets Applicable
    Definition for Protein
    Content; ≤ max 50
    (ug/dm²) | Meets Applicable
    Definition for Protein
    Content; ≤ max 50
    (ug/dm²) | Yes, Identical |
    | Sterility | Not applicable: Non-
    sterile | Not applicable: Non-
    sterile | Yes, Identical |

Substantial Equivalence Comparison Table

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3

MPXX™ Powder Free Natural Rubber Latex Examination Gloves

:

:

.

.

:

100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 - 100 -

. .

.

.

. .

.

.

.

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Image /page/4/Picture/1 description: The image shows a circular seal or emblem. The seal features a stylized graphic of three curved lines, resembling a bird in flight or a flowing design. Encircling the graphic is text, which appears to be part of the seal's official designation, possibly related to a government agency or organization.

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

OCT 1 4 2011

Total Gloves. SDN BHD C/O Ms. Ooi Loon Seng Regulatory Affairs Manager Lot 2584, Jalan Perusahaan 3. Kamunting Industrial Estate Taipang City, Perak Province MALAYSIA 34600

Re: K110250

Trade/Device Name: MPXX" Powder-Free Natural Rubber Examination Gloves Regulation Number: 21 CFR 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LY Y Dated: September 12, 2011 Received: September 16, 2011

Dear Ms. Seng:

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 - Ms. Seng

Enclosure

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that vour 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/ReportalProblem/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/ResourcesforYou/Industry/default.htm.

Sincerely yours.

Antimony D. Matson

Anthony B. 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

6

MPXX IM Powder Free Natural Rubber Latex Examination Gloves

Attachment 2

INDICATIONS FOR USE K110250

Applicant TOTAL GLOVE COMPANY SDN. BHD. Lot 2584, Jalan Perusahaan 3, Kamunting Industrial Estate, 34600 Kamunting , Perak, Malaysia.

510(k) Number K110250 -(if known)

Device Name

MPXX™ Powder Free Natural Rubber Latex Examination Gloves

Indications For Use

MPXX™ Powder Free Natural Rubber Latex Examination Gloves are intended for single use for medical purposes that is worn on the hand of healthcare and similar personnel to prevent contamination between healthcare personnel and the patient.

Eghert R.C.C. Laimins W.M.S

(Division Sign-Off) Concurrence of CDRH Office of Device Evaluation (ODE ) Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number: K110250

Prescription Use Per 21 CFR 801.109

OR Over-The-Counter