K Number
K120934
Device Name
PROTEXIS LATEX BASIC STERILE LATEX POWDER-FREE SURGICAL GLOVE WITH PROTEIN CONTENT LABEL CLAIM OF 50 UG/DM OR LESS
Date Cleared
2012-05-23

(56 days)

Product Code
Regulation Number
878.4460
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
A powder-free sterile 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 and sterile. It is made with natural rubber latex and is tan in color. The glove is manufactured using molds that feature independent thumb and tapered mechanically locking cuffs to help reduce cuff roll down.
More Information

Not Found

No
The summary describes a surgical glove and makes no mention of AI or ML technology.

No
The device is a surgeon's glove, which is used to protect a surgical wound from contamination and the user from infection, rather than to treat a specific disease or condition.

No
The device is described as a "powder-free sterile surgeon's glove" intended to protect a surgical wound from contamination, not to diagnose any condition.

No

The device description clearly states it is a physical glove made of natural rubber latex, which is a hardware component.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices intended for use in the collection, preparation, and examination of specimens taken from the human body (such as blood, urine, or tissue) to provide information for the diagnosis, treatment, or prevention of disease.
  • Device Description: The description clearly states the device is a "powder-free sterile surgeon's glove" intended to be worn by operating room personnel to protect a surgical wound from contamination. This is a physical barrier device used during a medical procedure, not a device used to analyze specimens outside the body.
  • Intended Use: The intended use is for protection during surgery, not for diagnostic testing of biological samples.

The information provided about the device's material, manufacturing, and performance testing (meeting ASTM standards) further confirms its nature as a medical device used for protection and barrier purposes, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

A powder-free sterile 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

KGO

Device Description

The proposed device is a disposable device intended for over the counter use and is provided powder-free and sterile. It is made with natural rubber latex and is tan in color. The glove is manufactured using molds that feature 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

Non-clinical data demonstrates that ProtexisTM Latex Basic, Sterile Latex Powder-Free Surgical Gloves with Protein Content Label Claim (50 micrograms or less) meet the technological characteristics of ASTM D3577 standard, and are as safe, as effective, and performed as well as the legally marketed devices identified in this summary.

Key Metrics

Not Found

Predicate Device(s)

K964474

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

K120934

MAY 2 3 2012

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 appears to be three curved lines converging at a point, possibly representing birds in flight or a similar abstract design.

Page _1_of

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS

PROTEXISTM LATEX BASIC, STERILE LATEX POWDER-FREE SURGICAL GLOVES WITH PROTEIN CONTENT LABEL CLAIM OF 50µg/dm2 OR LESS (TAN) (A summary of safety and effectiveness information in accordance with the requirements of 21 CFR 807.92)

Cardinal Health Applicant: 1430 Waukegan Road McGaw Park, IL 60085 Establishment Registration 1423537 Number: Regulatory Affairs Contact: Tatyana Bogdan, RAC Telephone: 847-887-2325 847-887-2717 Fax: tatyana.bogdan-curvin@cardinalhealth.com E-mail:

Summary Prepared: May 9, 2012

Protexis Tid Latex Basic, Sterile Latex Powder-Free Surgical Glove with Trade Name: Protein Content Label Claim of 50ug/dm2 or less (Tan) Surgeon's Gloves Common Name:

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 Ultrafree Sterile Powder-Free Latex/ Surgical Gloves (510(k) K964474, product code KGO)

Reason for 510(k) Submission:

New device

Device Description: The proposed device is a disposable device intended for over the counter use and is provided powder-free and sterile. It is made with natural rubber latex and is tan in color. The glove is manufactured using molds that feature independent thumb and tapered mechanically locking cuffs to help reduce cuff roll down.

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

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K120934

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CharacteristicNew DevicePredicate device
Material
CompositionProtexisTM Latex Basic, Sterile
Latex Powder-Free Surgical Gloves
with Protein Content Label Claim
of 50 $\mu$ g/dm2 or less (Tan)Ultrafree Sterile Latex Powder-Free
Surgical Glove (K964474)
DesignSingle Use
Sterile
Powder-free
Hand Specific
Independent Thumb
Beaded Cuff
LubricatedSingle Use
Sterile
Powder-free
Hand Specific
Independent Thumb
Beaded Cuff
Lubricated
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 $\le$ 2.0
mg/glove for Powder-Free
designation per ASTM D3577Meets requirements of $\le$ 2.0 mg/glove
for Powder-Free designation per
ASTM D3577
Protein ContentsContains less than 50 $\mu$ g/dm2 of
total water extractable protein per
glove as tested per ASTM D5712N/A
Powder ResidualASTM D3577 tested
using ASTM standard
D6124Gloves meet powder level requirements for
“Powder-Free” designation per ASTM
D3577. Results generated values