K Number
K140322
Device Name
WHITE VINYL EXAM GLOVES POWDER FREE
Date Cleared
2014-06-12

(122 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
A patient examination glove is a disposable device intended for medical purposes that is worn upon the examiner's hands or lingers to prevent contamination between patient and examiner.
Device Description
White Vinyl Exam Gloves Powder Free is a disposable device intended for medical purposes that is worn upon the examiner's hands or fingers to prevent contamination between patient and examiner. Classified by FDA's General and Plastic Surgery Device panel as Class I. 21 CFR 880.6250, Powder-Free Vinyl Patient Examination Glove. 80LYZ. and meets all requirement of ASTM Standard D5250-06.
More Information

Not Found

No
The device is a disposable patient examination glove, a Class I medical device with no mention of AI/ML in its description or performance studies.

No.
The device, White Vinyl Exam Gloves Powder Free, is intended to prevent contamination between patient and examiner, not to treat or cure a disease or condition. It is classified as a Class I general and plastic surgery device and serves as a barrier.

No

Explanation: The device is a patient examination glove, which is used for preventing contamination between patient and examiner. It does not perform any diagnostic function.

No

The device is a physical examination glove, which is a hardware device, not software. The description explicitly states it is a disposable device worn on the hands or fingers.

Based on the provided information, 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 hands. This is a physical barrier function, not a diagnostic test performed on samples taken from the body.
  • Device Description: The description clearly states it's a "disposable device intended for medical purposes that is worn upon the examiner's hands or fingers". It's classified as a Class I device under "General and Plastic Surgery Device panel".
  • Lack of IVD Characteristics: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting specific substances, or providing diagnostic information about a patient's condition.
  • Performance Studies: The performance studies focus on physical properties (dimensions, water fill test), biocompatibility (skin irritation, sensitization), and powder content, which are relevant for a barrier device, not an IVD.

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

N/A

Intended Use / Indications for Use

A patient examination glove is a disposable device intended for medical purposes that is worn upon the examiner's hands or linger to prevent contamination between patient and examiner.

Product codes (comma separated list FDA assigned to the subject device)

LYZ

Device Description

White Vinyl Exam Gloves Powder Free is a disposable device intended for medical purposes that is worn upon the examiner's hands or fingers to prevent contamination between patient and examiner. Classified by FDA's General and Plastic Surgery Device panel as Class I. 21 CFR 880.6250, Powder-Free Vinyl Patient Examination Glove.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

hands or fingers

Indicated Patient Age Range

Not Found

Intended User / Care Setting

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 tests performed for Determination of Substantial Equivalence:
The standards used for Shandong Dawei Medical Products Co., I.td. glove production are based on ASTM-D-5250-06. All testing meets requirements for Physical and Dimensions Testing conducted on gloves, Inspection Level S-2, AQI. 2.5.
The FDA 1000 ml. Water Fill Test was also conducted with samplings of AQL 2.5. Inspection Level I, meeting these requirements. Primary Skin irritation and Skin Sensitization (allergic contact dermatitis) testing was conducted with results showing no primary skin irritant or sensitization reactions.
There are no special labeling claims and we do not claim our gloves as hypoallergenic is conducted to insure that our gloves meet our "powder-free" claims (contain no more than 2 mg powder per glove).

Clinical Tests Performed:
Not Applicable - There is no hypoallergenic claim.

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

Tensile Strength(Mpa): Before Aging: Proposed Device - 16.84, Predicate Device - 16.80. After Aging: Proposed Device - 14.96, Predicate Device - 15.
Ultimate Elongations: Before Aging: Proposed Device - 520%, Predicate Device - 510%. After Aging: Proposed Device - 481%, Predicate Device - 480%.
Overall Length on Medium Size: Proposed Device - over 232.23mm, Predicate Device - over 232mm.
Width of Palm on Medium Size: Proposed Device - 95mm, Predicate Device - 96mm.
Palm Thickness: Proposed Device - 0.095 mm, Predicate Device - 0.096 mm.
Figure Thickness: Proposed Device - 0.090 mm, Predicate Device - 0.091 mm.
Residual Powder: Proposed Device -

§ 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

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510 (K) SUMMARY

JUN 1 2 2014

This summary of 510(K) safety and effectiveness information is being submitted in accordance with requirements of SMDA 1990 and 21CFR 807.92.

    1. Submitter's Identification:
      Shandong Dawei Medical Products Co., Ltd. No.50. Yongzhou Road Nanshan Industrial Park, Qingzhou, Shandong, 262500 China

Date summary prepared: June 4, 2014

    1. Name of the Device:
      White Vinyl Exam Gloves Powder Free
    1. Common name/classification name of the Device:
      White Vinyl Exam Gloves Powder Free
    1. Trade Name
      White Vinyl Exam Gloves Powder Free

5. Contact Person:

Sophie Hao, Tel: 909-548-4828 Email: sophie.hxf1989@gmail.com

6. Predicate Device Information:

Shijiazhuang Hongxiang Plastic Products Ltd. Synthetic Vinyl Patient Examination Gloves - Powder Free (K992821)

7. Device Description:

Device Class: Class I Regulation number: 21 CFR 880.6250 Product code: LYZ White Vinyl Exam Gloves Powder Free is a disposable device intended for medical purposes that is worn upon the examiner's hands or fingers to prevent contamination between patient and examiner. Classified by FDA's General and Plastic Surgery Device panel as Class I. 21 CFR 880.6250, Powder-Free

1

Vinyl Patient Examination Glove. 80LYZ. and meets all requirement of ASTM Standard D5250-06.

8. Intended Use:

A patient examination glove is a disposable device intended for medical purposes that is worn upon the examiner's hands or linger to prevent contamination between patient and examiner.

(). Comparison to Predicate Devices:

Shandong Dawei Medical Products Co., Ltd. White Vinvi Exam Gloves Powder Free are substantially equivalent in safety and effectiveness to the Shijiazhuang Hongxiang Plastic Products Co., Ltd. (K992821)

1 (). Discussion of Non-Clinical tests performed for Determination of Substantial Equivalence are as follows:

The standards used for Shandong Dawei Medical Products Co., I.td. glove production are based on ASTM-D-5250-06. All testing meets requirements for Physical and Dimensions Testing conducted on gloves, Inspection Level S-2, AQI. 2.5.

The FDA 1000 ml. Water Fill Test was also conducted with samplings of AQL 2.5. Inspection Level I, meeting these requirements. Primary Skin irritation and Skin Sensitization (allergic contact dermatitis) testing was conducted with results showing no primary skin irritant or sensitization reactions.

There are no special labeling claims and we do not claim our gloves as hypoallergenic is conducted to insure that our gloves meet our "powder-free" claims (contain no more than 2 mg powder per glove).

    1. Discussion of Clinical Tests Performed:
      Not Applicable - There is no hypoallergenic claim.

l 2. Conclusions:

The conclusion draws from the nonclinical and clinical test that demonstrate that the as safe, as effective, and performs as well as, or better than the legally market predicate device Shijiazhuang Hongxiang Plastic Products Co., Ltd. Powder-free Vinyl Patient Examination Gloves (K992821). Our White Vinvl Exam Gloves Powder Free conform fully to ASTM-D-5250-06 standard as well as applicable 21 CFR references, and, meets pinhole FDA requirements, biocompatibility requirements and labeling claims.

2

Table 7-2. Side-by-Side Comparison of Intended Use, Design, Material,
Physical, Biocompatibility, and Performance Testing

100 - 100 -

Proposed DevicePredicate Device (K992821)
Shandong Dawei Medical Products Co.,Shiiiazhuang Hongxiang
DescriptionLtd. White Vinyl Exam Gloves PowderPowder-free Vinyl Patient
FreeExamination Gloves
A garment covering the hand and wristA garment covering the hand
Labeling: Instructionarea. Clovers have separate openings forand wrist area. Clovers have
for useeach finger and the thumb.separate openings for each
finger and the thumb.
Substantially equivalent
Labels include: Product name: color;Labels include: Product name;
Labeling: Labels on"single use Only" size, piece count, lot"single use Only" size, piece
the cartondistributor
number.
name.
andcount, distributor name, and
manufacturer address.manufacturer address.
Substantially equivalem
disposable device intended
র্ব
forA disposable device intended
medical purposes that is worn upon thefor medical purposes that is
examiner's hands or lingers to preventupon the examiner's
worn
Indication For Usecontamination between patient
andhands or fingers to prevent
examiner.contamination between patient
and examiner.
Substantially equivalent
Poly Vinyl ChloridePoly Vinvl Chloride
Device MaterialsPolyurethanePolyurethane
Diisononyl Phthalate (DINP)Diisononyl Phthalate (DINP)
Average Tensile Strength (Mpa): 16.84Tensile
Strength
Average
Before Aging: TensileAverage Ultimate Elongations: 520%(Mpa): 16.80
Strength(Mpa) andAverage Ultimate Elongations:
Ultimate Elongations510%
Substantially equivalent
Average Tensile Strength (Mpa): 14.96Average
Tensile
Strength
After Aging: TensileAverage Ultimate Elongations: 481%(Mpa): 15
Strength(Mpa) andAverage Ultimate Elongations:
Ultimate Elongations480%
Substantially equivalent
Overall Length onAverage over 232.23mmAverage over 232mm
Medium SizeSubstantially equivalent
Width of Palm onAverage 95mmAverage 96 mm
Medium SizeSubstantially equivalent
Average 0.095 mmAverage 0.096 mm
Palm ThicknessSubstantially equivalent
Figure ThicknessAverage 0.090 mmAverage 0.091 mm
Residual PowderAccording to ASTM D6124-06
Standard Test Method for Residual
Powder on Medical gloves for the
determination of residual powder
content. Testing result indicates the
weight of all types of residual or powder
on finished powder-free gloves as Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

6

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) ド140322

Device Name

White Vinyl Exam Gloves Powder Free

Indications for Use (Describe)

A patient examination glove is a disposable device intended for medical purposes that is worn upon the examiner's hands or lingers to prevent contamination between patient and examiner.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

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