K Number
K130890
Date Cleared
2014-02-06

(311 days)

Product Code
Regulation Number
880.6250
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Powder Free Vinyl Patient Examination Gloved) 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, Clear (Non-colored) that meets all of the requirements of ASTM standard D 5250-06(Reaffirmation 2011). PVC films form a barrier to body fluids and bloodborne Pathogens. The PVC rubber is water tight under normal conditions of use. It's tensile properties cause it to conform to the hand, allowing movements necessary for a medical procedure. PVC gloves are known to create a barrier to bloodborne pathogens and body fluids. ASTM conforming tensile properties create a glove that is strong and flexible. The glove is manufactured in accordance with the requirements of ASTM D5250 and ASTM D5151 requirements.

AI/ML Overview

The provided text describes Powder Free Vinyl Patient Examination Gloves, Clear (Non-colored). This device is classified as a Class I medical device under regulation number 21 CFR 880.6250.

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria for the device are based on demonstrating substantial equivalence to a predicate device (Powder free Vinyl Patient Examination Gloves, Clear(Non-colored), Shijiazhuang Fuguan Plastic Products Co., Ltd. K032908) by meeting established ASTM standards.

Feature & DescriptionAcceptance Criteria (Predicate Device / ASTM Standard)Reported Device Performance (Subject Device)Result of Comparison
General
Product CodeLYZLYZSame
Intended UseDisposable device for medical purposes, worn on hand/finger to prevent contamination.Disposable device for medical purposes, worn on hand/finger to prevent contamination.Substantially equivalent
Device Specifications
Meets ASTM StandardASTM D5250-06 (Reapproved 2011)Meets ASTM D5250-06 (Reapproved 2011)Substantially equivalent
Dimensions - LengthMeets ASTM D5250-06 (Reapproved 2011)230mm min for all sizesSubstantially equivalent
Dimensions - WidthMeets ASTM D5250-06 (Reapproved 2011)Small 80-85 mm, Medium 95-97 mm, Large 102-108mm, X large 114-118 mmSubstantially equivalent
Dimensions - ThicknessMeets ASTM D5250-06 (Reapproved 2011)Finger 0.05mm min., Palm 0.08mm min.Substantially equivalent
Physical Properties
Before aging/after agingElongation ≥300%, Tensile Strength ≥14MPa (ASTM D5250-06)Elongation ≥300%, Tensile Strength ≥14MPaSubstantially equivalent
Freedom from PinholesMeets 21 CFR 800.20, ASTM D5250-06, ASTM D5151-06Meets ASTM D5151-06 (Inspection Level I, AQL 2.5)Substantially equivalent
Residual PowderMeets ASTM D6124-06 (Reapproved 2011)Results generated values below 2mg of residual powderSubstantially equivalent
Material/Biocompatibility
Compare all materials usedPVCPVCSubstantially equivalent
Dusting or Donning PowderPUPU (Surface Coating Agent)Substantially equivalent
BiocompatibilitySkin Irritation Dermal and Sensitization Studies (ISO 10993-10:2002/Amd.1:2006)Non-irritant or non-sensitizer (Skin Irritation Dermal and Sensitization Studies Meets ISO 10993-10:2002/Amd.1:2006)Substantially equivalent
Other
Single Patient UseSingle Patient UseSingle Patient UseSubstantially equivalent
Labeling for the devicesPowder Free, Clear (Non-colored), Patient Examination Glove, Non-sterile, Single Use Only, Mfg. For, LotPowder Free, Clear (Non-colored), Patient Examination Glove, Non-sterile, Single Use Only, Mfg. For, LotSubstantially equivalent

2. Sample Size for Test Set and Data Provenance

The document does not explicitly state a specific "test set" sample size or data provenance in the context of typical clinical or AI/algorithm studies. The device is a patient examination glove, and its performance is evaluated against established physical and chemical standards (ASTM, ISO, CFR). The tests performed are likely destructive or involve laboratory analysis of glove samples. The provenance of these samples (e.g., country of origin) is not specified as being relevant beyond the manufacturer's location in China.

3. Number of Experts and Qualifications for Ground Truth

This information is not applicable. The device's performance is assessed against recognized industry standards (ASTM, ISO) and regulatory requirements (21 CFR), not through expert interpretation of medical images or patient data. The "ground truth" is defined by these objective technical specifications and test methods.

4. Adjudication Method

This information is not applicable. Adjudication methods like "2+1" or "3+1" are typically used in clinical studies involving interpretation of medical data by multiple experts. For this device, the compliance is determined by laboratory testing against predefined criteria.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

No MRMC comparative effectiveness study was done. This type of study is relevant for diagnostic devices where human readers interpret medical data, potentially with AI assistance. The described device is a physical barrier (gloves), not a diagnostic tool requiring interpretation.

6. Standalone (Algorithm Only) Performance

No standalone algorithm-only performance was done. The device does not involve an AI algorithm; it is a physical medical device.

7. Type of Ground Truth Used

The ground truth used for this device is based on objective technical standards and regulatory requirements. Specifically, this includes:

  • ASTM Standards: ASTM D5250-06 (Reaffirmation 2011), ASTM D5151-06 (Reaffirmation 2011), and ASTM D6124-06 (Reaffirmation 2011). These standards define specific physical properties, dimensions, and performance characteristics (e.g., tensile strength, elongation, freedom from pinholes, residual powder).
  • Regulatory Requirements: 21 CFR 800.20 (Freedom from Pinholes).
  • International Standards: ISO 10993-10:2002/Amd.1:2006 for biocompatibility (skin irritation and sensitization).

8. Sample Size for the Training Set

This information is not applicable. The device is not an AI/machine learning model, so there is no "training set" in the conventional sense. The manufacturing process of the gloves would involve quality control and statistical process control, which might use samples, but this is distinct from an AI training set.

9. How the Ground Truth for the Training Set Was Established

This information is not applicable as there is no "training set." The performance of the gloves is established by testing against the aforementioned objective technical standards and regulatory requirements.

§ 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.