K Number
K112988
Device Name
POWDER FREE LATEX PATIENT EXAM GLOVE WITH PROTEIN LABELING CLAIM (50 MICROGRAMS PER DM SQUARED OR LESS OF WATER SOLUBLE
Date Cleared
2011-11-09

(34 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The 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.
Device Description
Powder Free Latex Patient Exam Glove, Smooth and Textured Natural Color (Off White) with Protein Labeling Claim (50 µg/dm² or less of water soluble protein)
More Information

Not Found

No
The device description and performance studies focus on the physical and material properties of a standard examination glove, with no mention of AI or ML technologies.

No.
The device, a patient examination glove, is intended to prevent contamination between patient and examiner, which is a barrier function, not a therapeutic one. It does not treat or cure any condition.

No.

The device is a patient examination glove, intended to prevent contamination between patient and examiner. Its function is protective, not diagnostic.

No

The device is a physical patient examination glove, not a software application. The description focuses on material properties and performance standards for a physical product.

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

Here's why:

  • Intended Use: The intended use is to prevent contamination between patient and examiner by being worn on the hand or finger. This is a physical barrier function, not a diagnostic test performed in vitro (outside the body) on biological samples.
  • Device Description: The description details a physical glove with properties related to its material, dimensions, and freedom from defects. It doesn't mention any components or functionalities related to analyzing biological samples.
  • Lack of IVD Indicators: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analysis of biological samples (blood, urine, tissue, etc.)
    • Detection or measurement of analytes (biomarkers, pathogens, etc.)
    • Diagnostic claims or interpretations
    • Reagents or test kits

The device is clearly described as a patient examination glove, which falls under the category of medical devices used for protection and barrier purposes, not for in vitro diagnosis.

N/A

Intended Use / Indications for Use

The 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.

Product codes

LYY

Device Description

Powder Free Latex Patient Exam Glove, Smooth and Textured Natural Color (Off White) with Protein Labeling Claim (50 µg/dm² or less of water soluble protein)

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)

The Powder Free Latex Patient Exam Gloves meet the requirements of established standards ASTM D3578-05, ASTM D6124-06, ASTM D5151-06, ASTM D5712-05e and ISO 10993-10.

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.

K932521

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

KII2988

Traditional 510(k) Premarket Notification Powder Free Latex Patient Exam Glove, Textured & Smooth

510(k) Summary Page 1 NOV - 9 2011

510(k) SUMMARY

DATE:June 30, 2011
OWNER:Northstar Healthcare Holdings
Hamilton House
10 Queen Street
Hamilton, Bermuda HM11
OFFICIAL
CORRESPONDENT:Michael Riordan
Northstar Healthcare Holdings Limited
3300 Cork Airport Business Park, Kinsale Road
Cork, Ireland
Telephone: 353 21 4548255
Fax: 353 21 4548294
DEVICE NAME:Trade Name: Powder Free Latex Patient Exam Glove, Smooth
and Textured Natural Color (Off White) with Protein
Labeling Claim (50 $\mu$ g/dm² or less of water soluble protein
Common Name: Patient Examination Gloves
Classification: Patient Examination Gloves
Class: Class I
Product Code: LYY

PREDICATE DEVICE(S):

| Predicate
510(k) | Device Name | Indication | Clearance
Date | Company |
|---------------------|-----------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------|----------------------------------------------------------------------|
| K932521 | Powder Free Latex
Examination Gloves | The patient examination glove is a
disposable device intended for medical
purposes that is worn on the examiner's hand
to prevent contamination between patient and
examiner. | 13 Dec 1994 | Top Glove
SDN.
BHD.
Selangor
Darul
Ehsan,
Malaysia |

| DEVICE
DESCRIPTION: | Powder Free Latex Patient Exam Glove, Smooth
and Textured Natural Color (Off White) with Protein
Labeling Claim (50 µg/dm² or less of water soluble protein) |

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

1

K112988

Traditional 510(k) Premarket Notification Powder Free Latex Patient Exam Glove, Textured & Smooth

510(k) Summary Page 2

STATEMENT OF INTENDED USE:

The latex examination glove is a disposable device intended for medical purposes to be worn on the examiner's hand or finger to prevent contamination between patient and examiner.

In addition, these gloves were tested for residual protein levels in accordance with ASTM D5712 Standard and contain 50µg/dm2 or less of water soluble protein.

TECHNOLOGICAL CHARACTERISTICS:

The Powder Free Latex Patient Exam, Textured and Smooth with Protein Labeling Claim is substantially equivalent to the predicate device with regard to physical characteristics, design, product features, and intended use. Both gloves are made with latex using similar manufacturing processes.

ASSESSMENT OF NONCLINICAL DATA:

CharacteristicStandardDevice Performance
DimensionASTM Standard D3578Meets
Physical PropertiesASTM Standard D3578Meets
Freedom from Pinholes21 CFR 800.20; ASTM D5151Meets
Powder ResidualASTM Standard D6124Meets
Results generated
values below 2mg of
residual powder
BiocompatibilityPrimary Skin Irritation in rabbits
(ISO 10993-10)
Dermal Sensitization in the guinea
pig (ISO 10993-10)Gloves are non-
irritating
Gloves do not display
any potential for
sensitization
Residual Protein LevelsASTM Standard D5712Meets

CONCLUSIONS:

The Powder Free Latex Patient Exam Gloves meet the requirements of established standards ASTM D3578-05, ASTM D6124-06, ASTM D5151-06, ASTM D5712-05e and ISO 10993-10.

Based on the comparison of intended use, design, materials and performance, the Powder Free Latex Patient Exam Gloves, Textured and Smooth, With Protein Labeling Claim are substantially equivalent to the predicate device.

Northstar Healthcare Holdings

2

Image /page/2/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is a staff with two snakes coiled around it, representing medicine and healing. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the caduceus symbol. The logo is black and white.

DEPARTMENT OF HEALTH & HUMAN SERVICES

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

Northstar Healthcare Holding Limited C/O Mr. Ned Devine Responsible Third Party Official Underwriters Laboratories, Incorporated 333 Pfingsten Road Northbrook, Illinois 60062

NOV - 9 2011

Re: K112988

Trade/Device Name: Powder Free Latex Patient Exam Glove, Smooth and Textured. Natural Color (Off White) with Protein Labeling Claim (50ug/dm2 or less of water soluble protein)

Regulation Number: 21 CFR 880.6250

Regulation Name: Patient Examination Glove

Regulatory Class: I

Product Code: LYY

Dated: October 26, 2011

Received: October 27, 2011

Dear Mr. Devine:

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.

3

Page 2 – Mr. Devine

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your 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 (OS) 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/ReportaProblem/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/Resourcesfor You/Industry/default.htm.

Sincerely vours.

Wh for

Anthony D. 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

Enclosure

4

Indications for Use

510(k) Number (if known): K112988

Device Name: Powder Free Latex Patient Exam Glove, Smooth and Textured Natural Color (Off White) with Protein Labeling Claim (50 µg/dm² or less of water soluble protein)

Indications for Use: The 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.

Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use X (21 CFR 807 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Elith F. Clamens Wills

Page 1 of

(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number: K112988