K Number
K113194
Device Name
POWDER FREE VINYL PATIENT EXAMINATION GLOVES, WHITE COLOR
Date Cleared
2012-05-14

(196 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Powder Free Vinyl Patient Examination Gloves,White Color is a non-sterile 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 Vinyl Patient Examination Gloves,White Color are disposable devices which made of PVC material ,intended for medical purpose that worn on examiner's hand or finger to prevent contamination between patient and examiner and they meets all of the requirements of ASTM standard D 5250-06 e1.
More Information

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

No.
The device (gloves) is intended to prevent contamination, which is a diagnostic/preventative function, not a therapeutic one.

No
The device is a non-sterile disposable glove worn on the hand or finger to prevent contamination, not to diagnose a condition.

No

The device is a physical glove made of PVC material, not software.

No, 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 examiner's hand or finger to prevent contamination between patient and examiner." This describes a barrier device used for protection during physical examination, not a device used to examine specimens in vitro (outside of the body).
  • Device Description: The description reinforces the intended use, stating it's a "disposable device which made of PVC material ,intended for medical purpose that worn on examiner's hand or finger to prevent contamination between patient and examiner."
  • Lack of IVD Characteristics: The description and performance data focus on physical properties, freedom from pinholes, powder residual, and biocompatibility – characteristics relevant to a protective barrier device. There is no mention of analyzing biological samples, reagents, or any other elements typically associated with in vitro diagnostics.

IVD devices are used to examine specimens such as blood, urine, or tissue to diagnose diseases or other conditions. This device is a physical barrier for protection during patient contact.

N/A

Intended Use / Indications for Use

Powder Free Vinyl Patient Examination Gloves, White Color 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

LYZ

Device Description

Powder Free Vinyl Patient Examination Gloves,White Color are disposable devices which made of PVC material ,intended for medical purpose that worn on examiner's hand or finger to prevent contamination between patient and examiner and they meets all of the requirements of ASTM standard D 5250-06 e1.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

hand or finger

Indicated Patient Age Range

Not Found

Intended User / Care Setting

examiner

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 performance test data of the non clinical tests that support a determination of substantial equivalent is the same as mentioned immediately above.
The Powder Free Vinyl Patient Examination Gloves, White Color, non sterile are summarized with the following technological characteristics compared to ASTM or equivalent standard.
Dimension: ASTM standard D 5250-06 e1. Meets
Physical Properties: ASTM standard D 5250-06 e1. Meets
Freedom from pinholes: 21 CFR 800.20. Meets
Powder Residual: ASTM standard D 5250-06 e1 and D6124-06.

§ 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

Section C 510(k) Summary (21 CFR 807.92)

510(K) Summary

"This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92."

"The assigned 510(k) number is: 1( ( 1 ) 3 ) 94 "

Premarket Notification [510(k)] Summary

Submitter's name :Suqian Ruijiang Medical Supplies Co., Ltd.
Submitter's address :No.119 Hongzhehu Road, Suqian, Jiangsu, 223800, China
Phone number :86-527-84391929
Fax number :86-527-84391929
Name of contact person:Mr.Donmei Yu
Date the summary was prepared:2012-03-28
Device Name:Powder Free Vinyl Patient Examination Gloves, White Color
Proprietary/Trade name:Powder Free Vinyl Patient Examination Gloves, White Color Other clients private labeling
Common Name:Exam gloves
Classification Name:Patient examination glove
Device Classification:I
Regulation Number:21 CFR 880.6250
Panel:General Hospital (80)
Product Code:LYZ

Class I* Powder Free Vinyl Patient Examination Gloves, White Color that meets all of the requirements of ASTM D 5250-06 e1.

Predicate device: Powder-Free Vinyl Patient Examination Glove, White Color Tangshan Henda Plastic Products Co., Ltd. K102558.

Device Description: Powder Free Vinyl Patient Examination Gloves,White Color are disposable devices which made of PVC material ,intended for medical purpose that worn on examiner's hand or finger to prevent contamination between patient and examiner and they meets all of the requirements of ASTM standard D 5250-06 e1.

1

Device Intended Use(Indication for use): Powder Free Vinyl Patient Examination Gloves, White Color 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 summary of the technological characteristics of new device compared to the predicate device.

The Powder Free Vinyl Patient Examination Gloves, White Color, non sterile are summarized with the following technological characteristics compared to ASTM or equivalent standard.

CharacteristicsStandardDevice performance
DimensionASTM standard D 5250-06 e1.Meets
Physical PropertiesASTM standard D 5250-06 e1.Meets
Freedom from pinholes21 CFR 800.20Meets
Powder ResidualASTM standard D 5250-06 e1
and D6124-06