K Number
K111878
Device Name
PROTEXIS LATEX BLUE WITH NEU-THERA POWDER-FREE SURGICAL GLOVES
Date Cleared
2011-09-29

(90 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 natural 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 powder-free sterile. It is made with natural rubber latex. The glove is coated with nitrile coating. The glove is manufactured using exact same material used in the currently cleared device, Protegrity Blue glove (K053272). 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.
More Information

Not Found

No
The summary describes a physical medical device (surgical gloves) and does not mention any software, algorithms, or data processing that would indicate the use of AI/ML.

No
The device is a surgeon's glove intended to protect a surgical wound from contamination, not to treat or mitigate a disease or condition.

No

Explanation: This device is a surgeon's glove, intended to protect a surgical wound from contamination, not to diagnose a condition.

No

The device is a surgical glove, which is a physical hardware device made of natural rubber. The summary describes its material composition, physical properties, and performance characteristics related to its physical form. There is no mention of software components.

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

The provided text describes a surgical glove intended to be worn by operating room personnel to protect a surgical wound from contamination. This is a physical barrier device used during surgery.

IVD devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health. The description of this surgical glove does not involve any such testing of biological specimens.

N/A

Intended Use / Indications for Use

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

Product codes (comma separated list FDA assigned to the subject device)

KGO

Device Description

The proposed device is a disposable device intended for over the counter use and is provided powder-free sterile. It is made with natural rubber latex. The glove is coated with nitrile coating. The glove is manufactured using exact same material used in the currently cleared device, Protegrity Blue glove (K053272). 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.

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)

Non-clinical tests were conducted for determination of substantial equivalence.
Biocompatibility tests (Primary Skin Irritation per ISO 10993-10 and Guinea Pig Maximization per ISO 10993-10) showed the gloves are non-irritating and do not display any potential for sensitization.
Physical Characteristics tests (Dimensions per ASTM D3577, Physical Properties per ASTM D3577, Freedom from Holes per 21 CFR 800.20 & ASTM D3577, Powder Residual per ASTM D3577 tested using ASTM standard D6124, Protein Content per ASTM D5712, FDA Medical Glove Guidance Manual) showed the gloves meet all requirements.
Clinical data is not required.

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.

K053272

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

§ 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

K111878

SEP 2 9 2011

Image /page/0/Picture/2 description: The image shows the logo for Cardinal Health. The logo consists of a stylized graphic above the company name. The graphic is made up of several curved lines that converge and overlap. The text "CardinalHealth" is written in a bold, sans-serif font.

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS For STERILE LATEX WITH NITRILE COATING 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)

Applicant:Cardinal Health
1430 Waukegan Road
McGaw Park, IL 60085
Establishment Registration
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 Protexis™ Latex Blue with Neu-Thera® Surgical Gloves Trade Name: Common Name: Surgeon's Gloves Classification Name: Surgeon's Gloves Classification Panel: General and Plastic Surgery 21 CFR 878.4460 Regulation: Product Code(s): KGO Legally marketed device(s) to which equivalence Protegrity® Blue Sterile Powder-Free Latex/Nitrile Surgical Gloves with Neu-Thera Coating and with Protein Content Label Claim of 50 is claimed: micrograms or less (510(k) K053272, product code KGO) Reason for 510(k) Modification of a legally marketed device Submission:

Device Description: The proposed device is a disposable device intended for over the counter use and is provided powder-free sterile. It is made with natural rubber latex. The glove is coated with nitrile coating. The glove is manufactured using exact same material used in the currently cleared device, Protegrity Blue glove (K053272). 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.

1

Intended Use:

This powder-free surgeon's glove is a disposable device made of natural 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)
CharacteristicSterile Latex with Nitrile Coating
Powder-Free Blue Surgical Gloves
with Neu-Thera CoatingProtegrity Blue Sterile Latex/Nitrile
Powder-Free Surgical Glove with
Neu-Thera Coating (K053272)
Material
CompositionNatural Rubber Latex coated with
NitrileNatural Rubber Latex coated with
Nitrile
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
Protein ContentsContains less than 50 $ \mu g/dm^2 $ of
total water extractable protein per
glove as tested per ASTM D5712Contains less than 50 $ \mu g/dm^2 $ of total
water extractable protein per glove as
tested per ASTM D5712
PERFORMANCE DATA
SUMMARY OF NON-CLINICAL TESTS CONDUCTED FOR DETERMINATION OF
SUBSTANTIAL EQUIVALENCE*
Performance Test Summary-New Device
CharacteristicStandard/Test/FDA
GuidanceResults Summary
Biocompatibility:
Primary Skin IrritationISO 10993-10Gloves are non-irritating.
Guinea PigISO 10993-10Gloves do not display any potential for

Cardinal Health, Inc. Premarket Notification Submission – Special 510(k)

2

K/11878

Maximizationsensitization.
Physical
Characteristics:
DimensionsASTM D3577Meet requirements
Physical PropertiesASTM D3577Meet requirements for rubber surgical gloves
Freedom from Holes21 CFR 800.20 &
ASTM D3577Tested in accordance with ASTM D5151
with acceptable results
Powder ResidualASTM D3577 tested
using ASTM standard D6124Gloves meet powder level requirements for
"Powder-Free" designation per ASTM
D3577. Results generated values