K Number
K111868
Device Name
STERILE POLYISOPRENE POWDER-FREE BLUE SURGICAL GLOVES WITH NEU-THERA EMOLLIENT COATING
Date Cleared
2011-09-21

(82 days)

Product Code
Regulation Number
878.4460
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This powder-free surgeon's glove is a disposable device made of synthetic rubber intended to be worn by operating room personnel to protect a surgical wound from contamination.
Device Description
The proposed device is a disposable device intended for over the counter use and is provided sterile. It is not made with natural rubber latex. Instead, it is formulated from polyisoprene, which is synthetic rubber latex. This sterile polyisoprene powder-free surgical glove is manufactured using exact same material used in the currently cleared device, Esteem Blue glove (K042574) that has been legally marketed by Cardinal Health for many years. The glove is coated with emollient coating containing Glycerol, Gluconolactone, D-Sorbitol and Provitamin-B. The glove is manufactured using molds that feature anti-slip finish, independent thumb, and tapered mechanically locking cuffs to help reduce cuff roll down. It is offered powder-free and sterile.
More Information

No
The 510(k) summary describes a surgical glove and does not mention any AI or ML components or functionalities.

No
The document describes a surgeon's glove, which is a protective barrier device, not a device intended to treat or cure a disease or condition directly.

No

The device is a surgical glove, intended to protect a surgical wound from contamination, not to diagnose a condition.

No

The device is a physical surgical glove made of synthetic rubber, not software.

Based on the provided text, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to protect a surgical wound from contamination by being worn by operating room personnel. This is a barrier function, not a diagnostic test performed on a sample from the human body.
  • Device Description: The description focuses on the material (synthetic rubber), manufacturing process, and features of a glove. It does not describe any components or processes related to analyzing biological samples.
  • Lack of IVD Indicators: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information.

Therefore, this device is a surgical glove, which is a medical device, but not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

This powder-free surgeon's glove is a disposable device made of synthetic rubber intended to be worn by operating room personnel to protect a surgical wound from contamination.

Product codes

KGO

Device Description

The proposed device is a disposable device intended for over the counter use and is provided sterile. It is not made with natural rubber latex. Instead, it is formulated from polyisoprene, which is synthetic rubber latex. This sterile polyisoprene powder-free surgical glove is manufactured using exact same material used in the currently cleared device, Esteem Blue glove (K042574) that has been legally marketed by Cardinal Health for many years. The glove is coated with emollient coating containing Glycerol, Gluconolactone, D-Sorbitol and Provitamin-B. The glove is manufactured using molds that feature anti-slip finish, independent thumb, and tapered mechanically locking cuffs to help reduce cuff roll down. It is offered powder-free and sterile.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

operating room 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)

SUMMARY OF NON-CLINICAL TESTS CONDUCTED FOR DETERMINATION OF SUBSTANTIAL EQUIVALENCE

Performance Test Summary-New Device

  • Biocompatibility:
    • Primary Skin Irritation (ISO 10993-10): Gloves are non-irritating.
    • Guinea Pig Maximization (ISO 10993-10): Gloves do not display any potential for sensitization.
  • Physical Characteristics:
    • Dimensions (ASTM D3577): Meet requirements
    • Physical Properties (ASTM D3577): Meet requirements for rubber surgical gloves
    • Freedom from Holes (21 CFR 800.20 & ASTM D3577): Tested in accordance with ASTM D5151 with acceptable results
    • Powder Residual (ASTM D3577 tested using ASTM standard D6124): Gloves meet powder level requirements for "Powder-Free" designation per ASTM D3577. Results generated values

§ 878.4460 Non-powdered surgeon's glove.

(a)
Identification. A non-powdered surgeon's glove is a device intended to be worn on the hands of operating room personnel to protect a surgical wound from contamination. A non-powdered surgeon's 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).

0

K111868

SEP 2 1 2011

Image /page/0/Picture/2 description: The image shows the logo for Cardinal Health. The logo consists of a stylized bird-like graphic above the company name. The text "CardinalHealth" is written in a bold, sans-serif font, with the first word in red and the second word in black.

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS for STERILE POLYISOPRENE POWDER-FREE BLUE SURGICAL GLOVES WITH NEU-THERA® COATING

(A summary of safety and effectiveness information in accordance with the requirements of 21 CFR 807.92)

Cardinal Health Applicant: 1430 Waukegan Road McGaw Park, IL 60085

Establishment Registration

Number:1423537
Regulatory Affairs
Contact:Tatyana Bogdan, RAC
Telephone:847-887-2325
Fax:847-887-2717
E-mail:tatyana.bogdan-curvin@cardinalhealth.com

Summary Prepared: June 14, 2011

Trade Name:Sterile Polyisoprene Powder-Free Blue Surgical Gloves with Neu-Thera Coating
Common Name:Surgeon's Gloves
Classification Name:Surgeon's Gloves
Classification Panel:General and Plastic Surgery
Regulation:21 CFR 878.4460
Product Code(s):KGO
Legally marketed device(s) to which equivalence is claimed:Esteem® Blue Sterile Polyisoprene Powder-Free Surgical Gloves with Neu-Thera Coating (containing Chitosan, Provitamin B5, Gluconolactone and Glycerol) cleared under 510(k) K042574 (product code KGO)
Reason for 510(k) Submission:Modification of a legally marketed device

Device Description: The proposed device is a disposable device intended for over the counter use and is provided sterile. It is not made with natural rubber latex. Instead, it is formulated from polyisoprene, which is synthetic rubber latex. This sterile polyisoprene powder-free surgical glove is manufactured using exact same material used in the currently cleared device, Esteem Blue glove (K042574) that has been legally marketed by Cardinal Health for many years. The glove is coated with emollient coating containing Glycerol, Gluconolactone, D-Sorbitol and

1

Provitamin-B. The glove is manufactured using molds that feature anti-slip finish, independent thumb, and tapered mechanically locking cuffs to help reduce cuff roll down. It is offered powder-free and sterile.

Intended Use:

This powder-free surgeon's glove is a disposable device made of synthetic rubber intended to be worn by operating room personnel to protect a surgical wound from contamination.

Summary of the technological characteristics of the device compared to the predicate device
CharacteristicModified DeviceOriginal (Predicate)
Material
CompositionSynthetic Rubber Latex -
PolyisopreneSynthetic Rubber Latex -
Polyisoprene
Sterile Polyisoprene Powder-Free
Blue Surgical Gloves with Neu-
Thera CoatingEsteem Blue Sterile Polyisoprene
Powder-Free Surgical Glove with
Neu-Thera Coating (K042574)
DesignSingle Use
Sterile
Powder-free
Hand Specific
Independent Thumb
Beaded Cuff
LubricatedSingle Use
Sterile
Powder-free
Hand Specific
Independent Thumb
Beaded Cuff
Lubricated
Coating
ContentsProvitamin B, Gluconolactone, D-
Sorbitol and GlycerolChitosan, Provitamin B,
Gluconolactone, D-Sorbitol and
Glycerol
Intended Use/
Indications for
UsePowder-Free Surgeon's GlovePowder-Free Surgeon's Glove
Dimensions &
Physical
PropertiesMeets ASTM D3577Meets ASTM D3577
Freedom from
HolesAQL meets 21CFR 800.20 & ASTM
D3577 requirementsAQL meets 21CFR 800.20 & ASTM
D3577 requirements
Powder ResidualMeets requirements of ≤2.0
mg/glove for Powder-Free
designation per ASTM D3577Meets requirements of ≤2.0 mg/glove
for Powder-Free designation per
ASTM D3577

2

PERFORMANCE DATA

SUMMARY OF NON-CLINICAL TESTS CONDUCTED FOR DETERMINATION OF SUBSTANTIAL EQUIVALENCE*

Performance Test Summary-New Device

| Characteristic | Standard/Test/FDA
Guidance | Results Summary | |
|----------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------|
| Biocompatibility:
Primary Skin Irritation
Guinea Pig
Maximization | ISO 10993-10
ISO 10993-10 | Gloves are non-irritating.
Gloves do not display any potential for
sensitization. | |
| Physical
Characteristics: | | | |
| Dimensions
Physical Properties
Freedom from Holes
Powder Residual | ASTM D3577
ASTM D3577
21 CFR 800.20 &
ASTM D3577
ASTM D3577 tested
using ASTM standard
D6124 | Meet requirements
Meet requirements for rubber surgical gloves
Tested in accordance with ASTM D5151
with acceptable results
Gloves meet powder level requirements for
"Powder-Free" designation per ASTM
D3577. Results generated values