K Number
K202401
Date Cleared
2021-02-17

(180 days)

Product Code
Regulation Number
878.4460
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Powder Free NR Latex Surgical Glove is a device made of natural rubber intended to be worn by operating room personnel to protect a surgical wound from contamination.

Device Description

The subject device in this 510(k) Notification is Latex Surgeon's Glove Powder Free with Protein content labelling claims 50ug/dm2 or less per glove of extractable Protein. The subject device is a Surgeon's glove made from compounded primarily Natural Latex, Yellow, powder free and sterile (Per 21 CFR 878.4460, class I. The device meets all the specifications in ASTM 3577-09, Standard specification for Rubber Surgical Glove. Additionally, the gloves have been tested for biocompatibility. Latex Surgeon's Gloves Powder Free with Protein content labelling claims 50ug/dm² or less per glove of extractable Protein is classification as Type 1: Glove compounded primarily form Natural Rubber Latex The Proposed device is sterilized using Gamma irradiation method to achieve the sterility Assurance Level (SAL) of 10E and place in a sterility maintenance package to ensure a shelf life of 3 years Powder Free NR Latex Surgical Glove (Sterile), is a disposable device intended for medical purposes that is worn by operating room personal to protect a surgical wound from contamination (product Code KGO).

AI/ML Overview

The provided text describes the regulatory review and approval of a medical device, specifically "Powder Free NR Latex Surgical Glove (Sterile) with Protein content labelling claims 50ug/dm2 or less per glove of extractable Protein." It details the device's characteristics, comparison to a predicate device, and the non-clinical testing performed to demonstrate substantial equivalence.

However, the request asks for information related to Acceptance Criteria and a Study that proves the device meets the acceptance criteria in the context of an AI/Machine Learning (ML) device. The provided document is a 510(k) premarket notification for a physical medical glove, not an AI/ML device.

Therefore, the document does not contain the information required to answer questions about acceptance criteria and studies for an AI/ML device. The concepts of "test set," "data provenance," "experts to establish ground truth," "adjudication method," "MRMC study," "standalone performance," "training set," and "ground truth for training set" are specific to the evaluation of AI/ML models, not physical medical devices like gloves.

The document discusses:

  • Acceptance Criteria for the glove: These are defined by relevant ASTM standards (e.g., D3577-09 for dimensions, physical properties, freedom from pinholes; D6124-06 for powder residue; D5151-06 for pinhole level) and biocompatibility tests (ISO 10993-10).
  • Study Proving Acceptance: Non-clinical testing was performed according to these standards, and the results ("PASS") demonstrate that the device meets these criteria.
  • Performance Data: Tables on pages 4, 5, 7, and 8 show the specifications and test results for dimensions, physical properties (tensile strength, elongation before and after aging), freedom from pinholes, powder residue, protein content, biocompatibility (skin irritation, sensitization, systemic toxicity), sterility, and shelf life.

In summary, while the document provides acceptance criteria and performance data for a medical glove, it is not applicable to the specific questions regarding AI/ML device evaluation.

{0}------------------------------------------------

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

February 17, 2021

ECO Medi Glove Sdn. Bhd Suresh Kumar OA Manager Lot 26910, Lorong Perusahaan 3/3, Kawasan Perusahaan, Kamunting Raya Taiping, Perak 34600 Malaysia

Re: K202401

Trade/Device Name: Powder Free NR Latex Surgical Glove (Sterile) with Protein content labelling claims 50ug/dm2 or less per glove of extractable Protein Regulation Number: 21 CFR 878.4460 Regulation Name: Non-Powdered Surgeon's Glove Regulatory Class: Class I, reserved Product Code: KGO Dated: August 1, 2020 Received: August 21, 2020

Dear Suresh Kumar:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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.

{1}------------------------------------------------

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 with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801 and Part 809); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4. Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Ryan Ortega, PhD. Acting Assistant Director DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

{2}------------------------------------------------

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2020 See PRA Statement below.

510(k) Number (if known)

K 202401

Device Name

Powder Free NR Latex Surgical Glove (Sterile)with protein content labeling claims 50ug/dm2 or less per glove of extractable protein.

Indications for Use (Describe)

Powder Free NR Latex Surgical Glove is a device made of natural rubber intended to be worn by operating room personnel to protect a surgical wound from contamination.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

FORM FDA 3881 (7/17)

{3}------------------------------------------------

510(K) Summary Powder Free NR Latex Surgical Glove (Sterile) with Protein content labelling claim 50ug/dm² or less per glove of extractable Protein

1.0 Submitter:

4.0 Predicate De vice Information:

Latex Surgeon's Gloves Powder Free with Protein content labelling claims 50ug/dm² or less per glove of extractable Protein, 79KGO, which meets all the requirement of ASTM D 3577-09 and FDA 21 CFR 878.4460. It is equivalent to K190632, Latex surgeon's Glove Powder Free with Protein content labeling claim of 50ug/dm² or less per glove of extractable protein

5.0 Indication For Use

Powder Free NR Latex Surgical Glove is a device made of Natural Rubber Intended to be worn by operating room personal to protect a surgical wound from contamination

{4}------------------------------------------------

6.0 Device Description

The subject device in this 510(k) Notification is Latex Surgeon's Glove Powder Free with Protein content labelling claims 50ug/dm2 or less per glove of extractable Protein. The subject device is a Surgeon's glove made from compounded primarily Natural Latex, Yellow, powder free and sterile (Per 21 CFR 878.4460, class I. The device meets all the specifications in ASTM 3577-09, Standard specification for Rubber Surgical Glove. Additionally, the gloves have been tested for biocompatibility.

Latex Surgeon's Gloves Powder Free with Protein content labelling claims 50ug/dm² or less per glove of extractable Protein is classification as Type 1: Glove compounded primarily form Natural Rubber Latex

The Proposed device is sterilized using Gamma irradiation method to achieve the sterility Assurance Level (SAL) of 10E and place in a sterility maintenance package to ensure a shelf life of 3 years

Powder Free NR Latex Surgical Glove (Sterile), is a disposable device intended for medical purposes that is worn by operating room personal to protect a surgical wound from contamination (product Code KGO).

7.0 Specification for Rubber Surgical gloves:

Dimension/Size5.56.06.57.07.58.08.59.0
Overall Length (mm) (Minimum)265265265265265265265265
Width (± 6mm)7076838995102108114
Thickness at Palm (mm) (Minimum)0.100.100.100.100.100.100.100.10
Thickness at Finger Tip (mm) (Minimum)0.100.100.100.100.100.100.100.10
Thickness at cuff (mm) (Minimum)0.100.100.100.100.100.100.100.10

7.1 Dimension and Thickness of Gloves

7.2 Gloves Physical Properties and Holes

MeasurementBefore AgeingAfter Aging at 70°C for168 hrs. @ 100°C for 22hrs.
Tensile Strength (MPa)24 MPa minimum18 MPa minimum
Ultimate Elongation (%)750% minimum560% minimum
Pin-hole LevelAQL 1.5Inspection Level G-1AQL 1.5Inspection Level G-1

{5}------------------------------------------------

8.0 Technological Characteristics Comparison

CharacteristicsPowder Free NR Latex Surgical Glove(Sterile) with Protein content labellingclaims 50ug/dm² or less per glove ofextractable ProteinK202401 (Subject Device)Eco Medi Glove Sdn. Bhd.KGOLatex surgeon's Glove Powder Free withProtein content labeling claim of 50ug/dm² orless per glove of extractable proteinK190632 (Predicate Device)Lenora Glove Pvt. LtdKGOComparison
Intended usePowder Free NR latex Surgical Glove is adevice made of Natural Rubber intended to beworn by operating room personal to protect asurgical wound from contaminationSurgeons glove is a device made of natural rubberintended to be worn by operating room personalto protect a surgical wound from contaminationSame
DescriptionSterile Powder free, surgicalgloves are made of naturalrubber latex. The gloves areprovided in Sizes 5.5 6.0, 6.5, 7.0, 7.5,8.0, 8.5 and 9.0Sterile Powder free, surgicalgloves are made of naturalrubber latex. The gloves areprovided in Sizes 5.5,6.0, 6.5, 7.0, 7.5, 8.0,8.5 and 9.0Same
PresentationSterile gloves are provided in pouchesSterile gloves are provided in pouchesSame
AnatomicYesYesSame
Material useNatural Rubber LatexNatural Rubber LatexSame
ColourYellowNatural (No color is added)Different
SterilitySterileSterileSame
Single usedSingle usedSingle usedSame
Non-Sterile or SterileSterileSterileSame
DimensionsMeets ASTM D3577 - 09Meets ASTM D3577 - 09Similar
Physical propertiesMeets ASTM D3577 -09 andASTM D412, D573.Meets ASTM D3577 -09 andASTM D412, D573.Similar
Freedom from pinholesMeets ASTM D 5151 -06and ASTM D3577- 09Meets ASTM D 5151 -06and ASTM D3577- 09Same
CharacteristicsPowder Free NR Latex Surgical Glove(Sterile) with Protein content labellingclaims 50ug/dm² or less per glove ofextractable Protein,K202401Latex surgeon's Glove Powder Free withProtein content labeling claim of 50ug/dm² orless per glove of extractable protein, K190632(Predicate Device)Comparison
Residual PowderMeets ASTMD6124-06, (Reapproved2017)Powder content < 2 mg/GloveMeets ASTMD6124-06, (Reapproved2017)Powder content < 2 mg/GloveSame
Protein ContentMeets ASTM D 5712, ASTM D 6499-12 &ASTM D3577Meets ASTM D 5712, ASTM D 6499-12 &ASTM D3577Same
Mode ofSterilizationIrradiationEO Sterilization/IrradiationDifferent
Biological Evaluation onMedical Device-Primary Skin IrritationTestUnder the conditions of this study, the testarticle was a non-irritant.Under the conditions of this study, the test articlewas a non-irritant.Same
Biological Evaluation onMedical Device-Dermal Sensitization AssayUnder the conditions of this study, the testarticle was a non-sensitizer.Under the conditions of this study, the test articlewas a non-sensitizer.Similar
Acute Systemic TestNon ToxicNon ToxicSame
Labelling* Powder free* Latex Surgical Glove* Sterile* Single use* Anatomic* Manufactured for* Lot No* Intended use* Quantity* Country of origin* Powder free* Latex Surgical Glove* Sterile* Single use Anatomic* Manufactured for* Lot No* Intended use* Quantity* Country of originsimilar

{6}------------------------------------------------

{7}------------------------------------------------

The above table shows similarities and differences of the performance between the subject device and the predicate device. There are no major differences in technological characteristics of the subject device compare with the predicate device. There are only minor differences between the subject device and the predicate device. One difference is that the subject device is sterilized by Irradiation whereas the predicate device is sterilized by EO sterilization. These minor differences do not impact the intended use, safety and performance of the device. The gloves are made from Natural latex compound, Latex Surgeon's Gloves (Sterile).The gloves met all the specifications in ASTM D3577-09 Standard specification for Rubber Surgical Glove as well Biological Evaluation on medical device.

9.0 SUMMARY OF NON-CLINICAL TESTING

Gloves are made from Latex compound, which is Sterile and Powder free. The gloves have the same technological characteristics compared to ASTM or equivalent standards as given below,

CharacteristicsStandardsPerformance ofSterile LatexSurgicalGloves, Powder freeCharacteristicsTestTest standardSamplingplan/Inspectionlevel/AQLSterile LatexSurgicalGloves,Powder freeResult
Freedom from HolesASTM D3577-09 / ASTM D5151-06MeetsFreedom fromPin holesFDA 1000 mlwater leaktestASTM D5151 -06(Re-approved2011)ISO 2859-1 /G1/AQL 1.5Meet AQL1.5PASS
DimensionsASTM D3577-09MeetsLengthASTM D3577 -09ISO 2859-1 /S2/AQL 4.0Min 265PASS
Physical PropertiesASTM D3577-09 / ASTM D412-06MeetsDimensionsWidthASTM D3577-09ISO 2859-1 /S2/AQL 4.070±6 mm to114±6mm (sizes 5.5to 9.0)PASS
Powder-freeresidueASTM D6124-06MeetsThicknessASTM D3577-09ISO 2859-1 /S2/AQL 4.0>0.10mm(cuff, palm,finger)PASS
Powder ContentASTM D 5712, ASTM D 6499-12MeetsPhysicalpropertiesBefore agingASTM D3577-09and ASTM D412-06ISO 2859-1 /S2/AQL 4.0Tensilestrength :> 24 MpaUltimateElongation: >750%PASS
Bio-compatibilityPrimary skin irritation - ISO 10993-10Non-irritantAfterAcceleratedagingASTM D3577-09and ASTM D412-06ISO 2859-1 /S2/AQL 4.0Tensilestrength :> 18 MpaUltimateElongation :> 560%PASS
Skin Sensitization - ISO 10993-10Non-sensitizerPowder-freeresiduePowder-freeresidueASTM D3577-09andASTM D6124-06N=5Less than 2mg perglovePASS
Acute Systemic TestNon ToxicPowder ContentPowderResidueASTM D 5712,ASTM D 6499-12N=5Less than 2mg perglovePASS
Expiration dating/Shelf lifeASTM D7160-05Three yearsBiocompatibilityPrimary skinirritationISO 10993 -10Under the conditions of thestudy the device is not anirritantPASS
SterilizationISO 11737-Sterilization of medicaldevice-Microbiological method - part 1MeetsSkinSensitizationISO 10993 -10Under the conditions of thestudy the device is not asensitizerPASS
SterilityISO 11737 -2Sterilization of Medical Devices-Microbiologicalmethods Part 2: Test of sterilityperformed in thedefinition, validation and maintenanceof sterilization processSterileSterilitySterilityISO-11737-2SterilePASS

{8}------------------------------------------------

Performance data of gloves based on ASTM D3577-09 and FDA 1000ml water leak test

{9}------------------------------------------------

10.0 Conclusion

Based on intended uses, technological characteristics and non - clinical performance data, the Latex Surgeon's Gloves Powder Free with Protein content labelling claims 50ug/dm2 or less per glove of extractable Protein is as safe, as effective, and performs as well as the legally marketed predicate device, Latex surgeon's Glove Powder Free with Protein content labeling claim of 50ug/dm2 or less per glove of extractable protein, K190632

§ 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).