K Number
K153028
Device Name
Synmax Synthetic Patient Examination Vinyl Gloves, Powder Free, Blue
Date Cleared
2016-02-05

(112 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 fingers to prevent contamination between patient and examiner.
Device Description
Classified by FDA's General and Plastic Surgery Device panel as Class I, 21 CFR 880.6250, Powder-Free Vinyl Patient Examination Gloves, LYZ, and meets all requirements of ASTM D5250-06.
More Information

Not Found

No
The device is a standard patient examination glove and the summary does not mention any AI or ML capabilities.

No
The device, a patient examination glove, is intended to prevent contamination between patient and examiner and does not directly treat or manage a disease or condition.

No

Explanation: The device description clearly states its purpose is to prevent contamination between patient and examiner, not to diagnose a condition.

No

The device is a physical patient examination glove, not a software application. The description focuses on material properties, physical testing, and biological evaluation, which are characteristic of hardware medical devices.

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 or fingers. This is a physical barrier function, not a diagnostic test performed on samples taken from the body.
  • Device Description: It's classified as a Class I device under the General and Plastic Surgery Device panel, specifically for patient examination gloves. This classification is for devices used in general medical procedures, not for in vitro diagnostics.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing information for diagnosis, monitoring, or screening of diseases or conditions
    • Using reagents or other chemical components for analysis

The device is a physical barrier intended for infection control during patient examinations.

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 fingers to prevent contamination between patient and examiner.

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

LYZ

Device Description

Classified by FDA's General and Plastic Surgery Device panel as Class I, 21 CFR 880.6250, Powder-Free Vinyl Patient Examination Gloves, LYZ, and meets all requirements of ASTM D5250-06.

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

examiner / medical purposes

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)

The standards used for Zibo Huiying Medical Products, Co. Ltd.'s gloves product are based on ASTM D-5250. All testing meets requirements for physical and dimensions testing conducted on gloves. Inspection level S-2, AOL 2.5.

The FDA 1000 ml Water Fill Test based on ASTM-D5151-06 was also conducted samplings of AQL 2.5 inspection level G-1, meeting these requirements. Primary Skin Irritation and Skin Sensitization (allergic contact dermatitis) testing was conducted in accordance with ISO 10993-10 Biological Evaluation of Medical Devices - Part 10: Tests for Irritation and Sensitization with results showing no primary skin irritation or sensitization reactions under the conditions tested.

A Residual Powder Test that based on ASTM D-6124 for start to finish inspection is conducted to insure that our gloves meet our "powder-free" claims (contains no more then 2 mg powder per glove).

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

Average Tensile Strength (Mpa): 16.9 (Before Aging), 14.4 (After Aging)
Average Ultimate Elongations: 550% (Before Aging), 500% (After Aging)
Overall Length on Medium Size: Average over 234mm
Width of Palm on Medium Size: Average 96mm
Palm Thickness: Average 0.096 mm
Finger Thickness: Average 0.98 mm
Residual Powder:

§ 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.

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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

February 5, 2016

Zibo Huiying Medical Products, Co. Ltd. % Sophie Hao Official Correspondent Basic Medical Industries, Inc. 12390 East End Ave Chino, California 91710

Re: K153028

Trade/Device Name: Synthetic Patient Examination Vinyl Gloves, Powder Free, Blue Regulation Number: 21 CFR 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LYZ Dated: December 18, 2015 Received: December 18, 2015

Dear Sophie Hao:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply

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with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Tejashri Purohit-Sheth, M.D.

Tejashri Purohit-Sheth, M.D. Clinical Deputy Director DAGRID/ODE/CDRH FOR

Erin I. Keith, M.S. Division Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K153028

Device Name

Synmax Synthetic Patient Examination Vinyl Gloves, Powder Free, Blue

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 fingers 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)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

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510(K) SUMMARY

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

1. Submitter's Identification:

Zibo Huiying Medical Products, Co. Ltd. No. 3, Da Wu Road Linzi, Shandong China Tel: 86-18953386552

Contact Person

Sophie Hao Tel: 909-548-4828, Fax: 909-548-4808 Sophiehao@basicmedical.com

Date summary prepared: Jan 7, 2016

    1. Name of the Device: Synmax Synthetic Patient Examination Vinyl Gloves. Powder Free, Blue
    1. Common Name: Patient Examination Gloves

4. Predicate Device Information: Grand Work Plastic Products Co., Ltd. Vinyl Nitrile Co-Polymer Powder Free Exam Blue Gloves (K051662)

5. Device Description:

Classified by FDA's General and Plastic Surgery Device panel as Class I, 21 CFR 880.6250, Powder-Free Vinyl Patient Examination Gloves, LYZ, and meets all requirements of ASTM D5250-06.

    1. Intended Use:
      A patient examination glove 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.(21 CFR 880.6250)

7. Comparison to Predicate Devices on Indication for Use:

Zibo Huiying Medical Products, Co. Ltd. Synmax Synthetic Patient Examination Vinyl Gloves, Powder Free, Blue is substantially equivalent in safety, and effectiveness to Grand Work Plastics Product Vinyl Nitrile Co-Polymer Powder Free Exam Blue Glove (K051662).

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8. Discussion of Non-Clinical Test Performed for Determination of Substantial Equivalence are as Follows:

The standards used for Zibo Huiying Medical Products, Co. Ltd.'s gloves product are based on ASTM D-5250. All testing meets requirements for physical and dimensions testing conducted on gloves. Inspection level S-2, AOL 2.5.

The FDA 1000 ml Water Fill Test based on ASTM-D5151-06 was also conducted samplings of AQL 2.5 inspection level G-1, meeting these requirements. Primary Skin Irritation and Skin Sensitization (allergic contact dermatitis) testing was conducted in accordance with ISO 10993-10 Biological Evaluation of Medical Devices - Part 10: Tests for Irritation and Sensitization with results showing no primary skin irritation or sensitization reactions under the conditions tested.

There are no special labeling claims and we do not claim our gloves as hypoallergenic on our labels.

A Residual Powder Test that based on ASTM D-6124 for start to finish inspection is conducted to insure that our gloves meet our "powder-free" claims (contains no more then 2 mg powder per glove).

9. Patient Contact

The glove is available for surface-contacting with less than 24 hours duration.

10. Sterilization

The subject device is non-sterile.

l 1. Discussion of Clinical Tests Performed:

Not Applicable - There is no hypoallergenic Claim.

12. Device Comparison Table

Please see below for detailed updated comparison between our device and predicate device.

13. Conclusions:

The Synmax Synthetic Patient Examination Vinyl Glove, Powder Free (Blue) is substantially equivalent to the Grand Works Plastics Vinyl Nitrile Co-Polymer Powder Free Exam Gloves (Blue). Based on the nonclinical tests performed, the subject device is as safe, as effective, and performs as well as the legally marketed predicate device, Grand Works Plastics Vinyl Nitrile Co-Polymer Powder Free Exam Gloves (Blue) cleared under K051662.

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

Proposed DevicePredicate Device (K051662)
DescriptionZibo Huiying Medical Products, Co.
Ltd. Synmax Synthetic Examination
Vinyl Gloves, Powder Free, BlueGrand Work Plastics Product
Vinyl Nitrile Co-Polymer
Powder Free Exam Blue
Gloves
Indication for useCover the hand and wrist area. It is a
disposable device which is worn upon
the examiner's hands or fingers to
prevent contamination between patient
and examiner.Cover the hand and wrist area.
It is a disposable device which
is worn upon the examiner's
hands or fingers to prevent
contamination between patient
and examiner.
Labeling: Labels on
the cartonLabels include: Product name; color;
"single use Only" size, piece count, lot
number, distributor name, and
manufacturer address.Labels include: Product name;
color; "single use Only" size,
piece count, lot number,
distributor name, and
manufacturer address.
Device MaterialsPoly Vinyl Chloride
Polyurethane
Diisononyl Phthalate (DINP)Poly Vinyl Chloride
Nitrile
Polyurethane
Diisononyl Phthalate (DINP)
Before Aging:
Tensile
Strength(Mpa) and
Ultimate
ElongationsAverage Tensile Strength (Mpa): 16.9
Average Ultimate Elongations: 550%Substantially Equivalent
Conforms to ASTM D5250 and
ASTM D6319 -00al.
Tensile Strength: 16 mpa min
Elongation: 500 % min
After Aging: Tensile
Strength(Mpa) and
Ultimate
ElongationsAverage Tensile Strength (Mpa): 14.4
Average Ultimate Elongations: 500%Substantially equivalent
Conforms to ASTM D5250 and
ASTM D6319 -00al.
Tensile Strength: 14 mpa min,
Elongation: 400 % min
Overall Length on
Medium SizeAverage over 234mmSubstantially equivalent
Conforms to ASTM D5250 and
ASTM D6319 -00al.
230 min
Width of Palm on
Medium SizeAverage 96mmSubstantially equivalent
Conforms to ASTM D5250 and
ASTM D6319 -00al.
95 ± 10 mm
Palm ThicknessAverage 0.096 mmSubstantially equivalent
Conforms to ASTM D5250 and
ASTM D6319 -00al.
0.05 mm min.
Finger ThicknessAverage 0.98 mmSubstantially equivalent
Conforms to ASTM D5250 and
ASTM D6319 -00al.
0.05 mm min
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