K Number
K112012
Device Name
NON-STERILE, POWDER-FREE BLUE, NITRILE EXAMINATION GLOVES
Date Cleared
2012-03-21

(252 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Non-Sterile, Powder-Free, Nitrile Examination Gloves Blue is a disposable device intended for Medical Purposes that is worn on the examiners hand to prevent contamination between patient and examiner.
Device Description
Non-Sterile, Powder-Free, Nitrile Examination Gloves Blue. A 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 the patient and the examiner. Summary of Technological Characteristics: Cuff: Beaded Material: Nitrile Powder Residue: Maximum 2mg/glove Quality Assurance: In compliance with ASTM D6319-10, ISO 2859-1, manufactured under ISO9001:2008 and ISO 13485:2003 Physical Properties: Overall Length: 240 mm minimum Width: 95 mm minimum (for medium glove) Thickness: .05 mm minimum BEFORE AGING: Tensile Strength: 14.0 Mpa minimum, Ultimate Elongation: 500% minimum AFTER AGING: Tensile Strength: 14.0 Mpa minimum, Ultimate Elongation: 400% minimum Special Properties: None Packaging: 150 pcs per dispenser box, 10 boxes per case, 1,500 gloves per case Sizes: XS — XL
More Information

No
The device description and performance studies focus on the physical properties and material characteristics of examination gloves, with no mention of AI or ML.

No
The device, a nitrile examination glove, is intended for preventing contamination between patient and examiner, not for treating or diagnosing any medical condition.

No

The device is a glove worn to prevent contamination, not to diagnose a condition or disease.

No

The device is a physical product (gloves) and the description focuses on material properties, physical dimensions, and performance tests related to those physical characteristics. There is no mention of software.

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

Here's why:

  • Intended Use: The intended use clearly states the device is "worn on the examiners hand to prevent contamination between patient and examiner." This is a barrier function, not a diagnostic function performed on a sample taken from the body.
  • Device Description: The description reinforces the use as a barrier on the hand or finger.
  • Lack of Diagnostic Elements: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting specific substances, or providing information for diagnosis.
  • Performance Studies: The performance studies focus on physical properties, water tightness, and biocompatibility – characteristics relevant to a barrier device, not a diagnostic one.

IVD devices are used to examine specimens derived from the human body to provide information for the diagnosis, prevention, monitoring, treatment, or alleviation of disease. This device does not fit that description.

N/A

Intended Use / Indications for Use

A 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 the patient and the examiner.
Indications for Use - Non-Sterile, Powder-Free, Nitrile Examination Gloves Blue is a disposable device intended for Medical Purposes that is worn on the examiners hand to prevent contamination between patient and examiner.

Product codes

LZA

Device Description

Non-Sterile, Powder-Free, Nitrile Examination Gloves Blue
Cuff: Beaded Material: Nitrile
Powder Residue: Maximum 2mg/glove

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

Not Found

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-Sterile, Powder-Free, Nitrile Examination Gloves Blue meets the physical property requirements of ASTM D 6319-10, the FDA 1000 ml water test both before and after aging, and the Protein Labeling Claim Level at

§ 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

K112012

SUMMARY PREMARKET 510(k) NOTIFICATION Non-Sterile, Powder-Free, Nitrile Examination Gloves Blue

MAR_2 1 2012

Submission Applicant: UG Healthcare (USA) Inc. 1565 Sunflower Avenue Costa Mesa. Ca. 92626

Official Correspondent: Kenneth J. Stanton,President UG Healthcare (USA) Inc. 1565 Sunflower Avnue Costa Mesa, Ca 92626 . Tel: (714)444-2248 Fax: (714)444-2271

Trade Name: Non-Sterile, Description of the Device Non-Sterile, Powder-Free, Nitrile Examination Gloves Blue

  • A. Common Name: Examination Gloves Classification Name: Patient Examination Glove (per 21 CFR 880.6251) Class 2: Powder-Free Nitrile examination glove 80LZA that meets all of the requirements of ASTM D6319-10. *Predicative Devices: Nitrile Powder-Free Examination Gloves
    Intended Use of the Device: A 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 the patient and the examiner.

1

SUMMARY PREMARKET 510(k) NOTIFICATION Non-Sterile, Powder-Free, Nitrile Examination Glove Blue

Summary of Technological Characteristics:

Cuff: Beaded Material: Nitrile

Powder Residue: Maximum 2mg/glove

Quality Assurance: In compliance with ASTM D6319-10, ISO 2859-1, manufactured under ISO9001:2008 and ISO 13485:2003

Inspection Parameters:

CriteriaInspection LevelAQL
DimensionsS-24.0
Physical PropertiesS-24.0
Water Tight Test 1000mlG-11.5
Visual Major DefectsG-11.5
Visual Minor DefectsG-12.5

Physical Properties:

Dimensions:
Overall Length:
Width:
Thickness:

240 mm minimum 95 mm minimum (for medium glove) .05 mm minimum

BEFORE AGING

AFTER AGING

Tensile Strength: 14.0. Mpa minimum Ultimate Elongation:500% minimum

14.0 Mpa minimum 400% minimum

Special Properties: None

Packaging: 150 pcs per dispenser box, 10 boxes per case, 1,500 gloves per case

Sizes: XS — XL

Conclusion: Non-Sterile, Powder-Free, Nitrile Examination Gloves Blue meets the physical property requirements of ASTM D 6319-10, the FDA 1000 ml water test both before and after aging, and the Protein Labeling Claim Level at