K Number
K121897
Device Name
PROTEXIS LATEX BASIC STERILE POWDER-FREE SURGICAL GLOVES
Date Cleared
2012-07-27

(28 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. The glove is made with natural rubber latex and is cream 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 device description and performance studies focus on the physical and material properties of a surgical glove, with no mention of AI or ML.

No

Explanation: The device is a surgeon's glove, intended to protect from contamination, not to treat or diagnose a disease or condition.

No

The device is a surgeon's glove, intended to protect a surgical wound from contamination, not to diagnose a condition.

No

The device is a physical surgical glove made of natural rubber latex, not software.

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

Here's why:

  • Intended Use: The intended use is to be worn by operating room personnel to protect a surgical wound from contamination. This is a physical barrier function, not a diagnostic test performed in vitro (outside the body).
  • Device Description: The description focuses on the physical characteristics of the glove (material, color, features) and its intended use as a barrier.
  • Lack of Diagnostic Elements: There is no mention of the device being used to analyze samples (blood, urine, tissue, etc.) or to provide information about a patient's health status or condition.
  • Performance Studies: The performance studies focus on the physical properties of the glove (dimensions, strength, freedom from holes, powder residual, protein content) and biocompatibility, which are relevant to its function as a protective barrier, not a diagnostic tool.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for diagnosis, monitoring, or screening. This surgical glove does not fit that description.

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 (comma separated list FDA assigned to the subject device)

KGO

Device Description

The proposed device is a disposable device intended for over the counter use and is provided powder-free and sterile. The glove is made with natural rubber latex and is cream 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 (study type, sample size, AUC, MRMC, standalone performance, key results)

SUMMARY OF NON-CLINICAL TESTS CONDUCTED FOR DETERMINATION OF SUBSTANTIAL EQUIVALENCE*
Performance Test Summary-New Device
Characteristic: Biocompatibility: Primary Skin Irritation
Standard/Test/FDA Guidance: ISO 10993-10
Results Summary: Meet requirements

Characteristic: Biocompatibility: Guinea Pig Maximization
Standard/Test/FDA Guidance: ISO 10993-10
Results Summary: Meet requirements

Characteristic: Physical Characteristics: Dimensions
Standard/Test/FDA Guidance: ASTM D3577
Results Summary: Meet requirements

Characteristic: Physical Characteristics: Physical Properties
Standard/Test/FDA Guidance: ASTM D3577
Results Summary: Meet requirements for rubber surgical gloves

Characteristic: Physical Characteristics: Freedom from Holes
Standard/Test/FDA Guidance: 21 CFR 800.20 & ASTM D3577
Results Summary: Tested in accordance with ASTM D5151 with acceptable results

Characteristic: Physical Characteristics: Powder Residual
Standard/Test/FDA Guidance: ASTM D3577 tested using ASTM standard D6124
Results Summary: Gloves meet powder level requirements for "Powder-Free" designation per ASTM D3577. Results generated values

§ 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

K121897

JUL 2 7 2012

Cardinal Health

510(K) SUMMARY OF SAFETY AND EFFECTIVENESS

PROTEXIS™ LATEX BASIC, STERILE LATEX POWDER-FREE SURGICAL GLOVES WITH PROTEIN CONTENT LABEL CLAIM OF 50µg/dm2 OR LESS (CREAM)

(A summary of safety and effectiveness information in accordance with the requirements of 21 CFR 807.92)

Applicant:

Cardinal Health 1430 Waukegan Road McGaw Park, IL 60085

Establishment Registration
Number:1423537
Regulatory Affairs
Contact:Tatyana Bogdan, RAC
Telephone:847-887-2325
Fax:847-887-2717
E-mail:tatyana.bogdan-curvin@cardinalhealth.com

Summary Prepared: June 14, 2012

Protexis™ Latex Basic, Sterile Latex Powder-Free Surgical Glove with Trade Name: Protein Content Label Claim of 50ug/dm2 or less (Cream)

Common Name: Surgeon's Gloves

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 Protexis™ Latex Basic, Sterile Latex Powder-Free Surgical Gloves with Protein Content Label Claim of 50ug/dm2 or less (Tan) (510(k) K120934, product code KGO)

Reason for 510(k) Submission:

Device modification to remove colorant from glove formulation.

Device Description:

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

10

1

Intended Use:

.

This powder-free surgeon's glove is a disposable device made of natural This powater 1100 be worn by operating room personnel to protect a surgical wound from contamination.

Summary of the technological characteristics of the device compared to the predicate device
CharacteristicModified DeviceOriginal device (Predicate device cleared under K120934)
Material CompositionSterile Latex Powder-Free Surgical Gloves with Protein Content Label
Claim of 50 µg/dm² or less (Cream)Sterile Latex Powder-Free Surgical Gloves with Protein Content Label
Claim of 50 µg/dm² or less (Tan)
Material CompositionNatural Rubber LatexNatural Rubber Latex
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 ≤2.0 mg/glove for Powder-Free designation per ASTM D3577Meets requirements of ≤2.0 mg/glove for Powder-Free designation per ASTM D3577
Protein ContentsContains less than 50 µg/dm² of total water extractable protein per glove as tested per ASTM D5712Contains less than 50 µg/dm² of total water extractable protein per glove as tested per ASTM D5712
PERFORMANCE DATA
SUMMARY OF NON-CLINICAL TESTS CONDUCTED FOR DETERMINATION OF
SUBSTANTIAL EQUIVALENCE*
Performance Test Summary-New Device
CharacteristicStandard/Test/FDA GuidanceResults Summary
Biocompatibility:
Primary Skin IrritationISO 10993-10Meet requirements
Guinea Pig MaximizationISO 10993-10Meet requirements
Physical Characteristics:

2

DimensionsASTM D3577Meet requirements
Physical PropertiesASTM D3577Meet requirements for rubber surgical gloves
Freedom from Holes21 CFR 800.20 &Tested in accordance with ASTM D5151 with
ASTM D3577acceptable results
Powder ResidualASTM D3577 testedGloves meet powder level requirements for
using ASTM standard"Powder-Free" designation per ASTM
D6124D3577. Results generated values 18 9 / Page of

Cardinal Health, Inc. Premarket Notification Submission - Special 510(k)

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