K Number
K120970
Device Name
NITRILE POWDER FREE PATIENT EXAMINATION GLOVES, COLORED (BLUE)
Date Cleared
2012-07-19

(111 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Nitrile Powder Free Patient Examination Gloves, Coloured (Blue) 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 Nitrile Patient Examination Gloves , Blue Color that meets all of the requirements of ASTM standard D 6139-10
More Information

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

No
The device is a glove, intended to prevent contamination between patient and examiner, which is a barrier function, not a therapeutic one. It's used for examination, not treatment or therapy.

No
Explanation: The device, Nitrile Powder Free Patient Examination Gloves, is described as a disposable device worn on the hand or finger to prevent contamination. Its intended use is not for diagnosis, but for barrier protection between the patient and examiner.

No

The device is a physical glove, not software. The description clearly states it is a "disposable device intended for medical purposes that is worn on the examiner's hand or finger".

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 gloves are for preventing 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 samples taken from the body.
  • Device Description: The description focuses on the material (nitrile), form (powder-free), and color, and compliance with a standard for examination gloves. There is no mention of reagents, assays, or any components used for analyzing biological samples.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in biological samples
    • Providing information for diagnosis, monitoring, or screening of diseases or conditions

The device is a medical device, specifically a patient examination glove, which falls under a different regulatory category than IVDs.

N/A

Intended Use / Indications for Use

Nitrile Powder Free Patient Examination Gloves, Coloured (Blue) 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

LZA

Device Description

Powder Free Nitrile Patient Examination Gloves , Blue Color that meets all of the requirements of ASTM standard D 6139-10

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

Nonclinical study: Nitrile powder-free patient examination glove meet requirements per ASTM D6319-10, per ASTM D6124-06, per 21 CFR 800.20 and ISO10993-10.
Clinical study: Clinical data is not needed for gloves or for most devices cleared by the 510(k) process.

Key Metrics

Not Found

Predicate Device(s)

K993247

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

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."

KIZD970." (applicant leave blank) "The assigned 510(k) number is:

JUL 1 9 2012

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Premarket Notification [510(k)] Summary

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

Submitter's name :Tangshan Zhonghong Pulin Plastic Co., Ltd.
Submitter's address :Industrial Zone, Pachigang, Luannan, Tangshan, Hebei,
063502, China
Phone number :(86)315-4169201
Fax number :(86)315-4168700
Name of contact person:Mr. ZHANG Liang
Date the summary was prepared:Jun.20th. 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 Nitrile Patient Examination Gloves, Blue Color
Proprietary/Trade name:Powder Free Nitrile Patient Examination Gloves, Blue Color
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:LZA

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

Class I* Nitrile Powder Free Patient Examination Gloves, Blue Color that meets all of the requirements of ASTM standard D 6139-10

Predicate device : Nitrile powder-free patient examination glove, JDA International Inc. K993247 .

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

Device Description: Powder Free Nitrile Patient Examination Gloves , Blue Color that meets all of the requirements of ASTM standard D 6139-10

-1/2- (rev.01)

1

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

Device Intended Use: Nitrile Powder Free Patient Examination Gloves 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 performance
DimensionASTM standard D 6139-10Meets
Physical PropertiesASTM standard D 6139-10Meets
Freedom from pinholes21 CFR 800.20Meets
Powder ResidualASTM standard D 5250-06
and D6124-06