K Number
K120797
Device Name
POWDER-FREE VINYL PATIENT EXAMINATION GLOVES, CLEAR (NON-COLORED)
Date Cleared
2012-07-27

(134 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Powder free vinyl 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 Vinyl Patient Examination Gloves, Clear (non-colored)
More Information

Not Found

No
The device is a simple examination glove and the summary contains no mention of AI, ML, or any related technologies.

No
The device, a patient examination glove, is intended for preventing contamination, not for treating any medical condition or disease.

No
The device is a glove, used to prevent contamination, not to diagnose a condition.

No

The device is a physical glove, not software. The description clearly states it is a "Powder free vinyl patient examination glove" and mentions physical testing standards like ASTM.

No, 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 on a sample taken from the body.
  • Device Description: It's a glove, a physical barrier.
  • Lack of Diagnostic Elements: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting substances, or providing information about a patient's health status.
  • Regulatory Classification: Patient examination gloves are typically classified as Class I medical devices and are regulated under different sections of the FDA regulations than IVDs.

IVDs are devices intended for use in vitro for the examination of specimens derived from the human body to provide information for the diagnosis, prevention, or treatment of a disease or condition. This glove does not fit that description.

N/A

Intended Use / Indications for Use

Powder free vinyl 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 (comma separated list FDA assigned to the subject device)

LYZ

Device Description

Not Found

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 / 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-clinical testing data was submitted, referenced or relied on to demonstrate that the Subject Device is safe and effective, and whose performance meets the requirements of its pre-defined acceptance criteria and intended uses.
Powder Free Vinyl Patient Examination Gloves, Clear (non-colored)meet requirements per ASTM D5250-06, per ASTM D6124-06, per 21 CFR 800.20 and ISO10993-10. , it is safe and effective, and it's performance meets the requirements of its pre-defined acceptance criteria and intended uses.
Clinical data is not needed for gloves or for most devices cleared by the 510(k) process.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

CharacteristicsStandardDevice performanceResult of comparison
Predicate deviceSubject device
DimensionASTM standard D 5250-06MeetsMeets
Physical PropertiesASTM standard D 5250-06MeetsMeets
Freedom from pinholes21 CFR 800.20MeetsMeets
Powder ResidualASTM standard D 5250-06 and D6124-06Meets

§ 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

"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(c)."

"The assigned 510(k) number is: [120397 7_ ." (applicant leave blank)

Premarket Notification [510(k)] Summary

I(a)(1)). The summary contains on the first page, preferably on your letterhead paper, the submitter's name, address, phone and fax purchers, name of contact person, and date the summary was prepared :

| Submitter's name : | Shandong Shouguang KingLiYuan Medical Apparatus &
Instrument Co.,Ltd |
|--------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------|
| Submitter's address : | North of Xinhua Road & West of Dajiu Road, Houzhen
Project Concentration Zone, Shouguang City, Weifang
City, Shandong Province, China |
| Phone number : | (86)536-5399866 |
| Fax number : | (86)536-5399990 |
| Name of contact person: | Mr. Hao Feng |
| Date the summary was prepared: | Mar. 13th, 2012 |

[(a)(2)]. The name of the device, including the trade or proprietary name if applicable, the common or usual name, and the classification name, if known

Device Name:Powder Free Vinyl Patient Examination Gloves, Clear (non-colored)
Proprietary/Trade name:Powder Free Vinyl Patient Examination Gloves
Common Name:Patient examination glove
Classification Name:Patient examination glove
Device Classification:I
Regulation Number:21 CFR 880.6250
Panel:General Hospital (80)
Product Code:LYZ

[(a)(3)]. An identification of the legally marketed device to which your firm is claiming substantial equivalence .

Class I* Powder Free Vinyl Patient Examination Gloves, Clear (non-colored) that meets all of the requirements of ASTM standard D 5250-06.

Predicate device : FUGUAN (Brand) Powder-Free Vinyl Patient Examination Gloves, Shijiazhuang Fuguan Plastic Products Co., Ltd.. K032908 .

[(a)(4)] A description of the device

1

[(a)(5)] The summary describes the intended use of the device

Device Intended Use: Powder Free Vinyl Patient Examination Gloves, Clear (non-colored)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)(6)] A summary of the technological characteristics of new device compared to the predicate device.

The powder free vinyl patient examination gloves, non sterile are summarized with the following technological characteristics compared to ASTM or equivalent standard.

CharacteristicsStandardDevice performanceResult of comparison
Predicate deviceSubject device
DimensionASTM standard
D 5250-06MeetsMeetssubstantial equivalence
Physical PropertiesASTM standard
D 5250-06MeetsMeetssubstantial equivalence
Freedom from
pinholes21 CFR 800.20MeetsMeetssubstantial equivalence
Powder ResidualASTM standard
D 5250-06
and D6124-06Meets