K Number
K203483
Date Cleared
2021-02-01

(66 days)

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

The Medispo Rubber/Polyisoprene surgical gloves are sterile and single use device intended to be worn on the hands of operating room personnel to protect a surgical wound from contamination.

Device Description

The proposed devices, surgical gloves, are sterile and disposable devices. There are two types of surgical gloves according to the raw materials in this submission:

  • Type 1-Natural rubber surgical gloves .
  • Type 2-Synthetic polyisoprene surgical gloves .
    The proposed devices are powder-free gloves with creamy white in color. There are seven sizes (6", 6.5", 7", 7.5", 8", 8.5", 9") available for the gloves whichever are smooth- or texture-surfaced, with or without a rolled rim at the cuff edge.
    The gloves are sterilized by ionizing irradiation. The shelf-life is three (3) years.
AI/ML Overview

This document is a 510(k) premarket notification for Medispo Rubber Surgical Gloves and Medispo Polyisoprene Surgical Gloves. It compares the proposed devices to legally marketed predicate devices to demonstrate substantial equivalence.

Here's a breakdown of the acceptance criteria and study information provided:

1. Table of Acceptance Criteria and Reported Device Performance

ItemAcceptance Criteria (Methodology / Standard)Reported Device Performance
Medispo Rubber Surgical Gloves (Main Material: Natural Rubber)
Product CodeKGOKGO
Regulation No.21 CFR 878.446021 CFR 878.4460
ClassificationClass IClass I
Gloves classificationType I, Surgeon's glovesType I, Surgeon's gloves
Powder freeYesYes
Indication for useTo protect a surgical wound from contaminationTo protect a surgical wound from contamination
Palm width76mm±5mm (6.0), 83mm±5mm (6.5), 89mm±5mm (7.0), 95mm±5mm (7.5), 102mm±6mm (8.0), 108mm±6mm (8.5), 114mm±6mm (9) (ASTM D3767-03(2020))Pass
Length265mm min (6.0, 6.5), 270mm min (7.0, 7.5, 8.0), 280mm min (8.5, 9) (ASTM D3767-03(2020))Pass
ThicknessCuff: min 0.10mm, Palm: min 0.13mm, Finger tip: min 0.13mm (ASTM D3767-03(2020))Pass
Freedom from holesAQL 1.5 (ASTM D5151-19)Pass
Physical Properties (before aging)Tensile Strength: ≥24 MPa, Ultimate Elongation: ≥750% (ASTM D412-16)Pass
Physical Properties (after aging)Tensile Strength: ≥18 MPa, Ultimate Elongation: ≥560% (ASTM D412-16)Pass
Powder residual≤2.0 mg/glove (ASTM D6124-06(2017))Pass
Special label claimNo protein labeling statementNo protein labeling statement
SterilitySterileSterile
Sterilization methodRadiationRadiation
For single useYesYes
Type of useOver the counter useOver the counter use
BiocompatibilityConform to ISO 10993 series standardsConform to ISO 10993 series standards
Medispo Polyisoprene Surgical Gloves (Main Material: Synthetic Polyisoprene)
Product CodeKGOKGO
Regulation No.21 CFR 878.446021 CFR 878.4460
ClassificationClass IClass I
Gloves classificationType II, Surgeon's glovesType II, Surgeon's gloves
Powder freeYesYes
Indication for useTo protect a surgical wound from contaminationTo protect a surgical wound from contamination
Palm width76mm±5mm (6.0), 83mm±5mm (6.5), 89mm±5mm (7.0), 95mm±5mm (7.5), 102mm±6mm (8.0), 108mm±6mm (8.5), 114mm±6mm (9) (ASTM D3767-03(2020))Pass
Length265mm min (6.0, 6.5), 270mm min (7.0, 7.5, 8.0), 280mm min (8.5, 9) (ASTM D3767-03(2020))Pass
ThicknessCuff: min 0.10mm, Palm: min 0.13mm, Finger tip: min 0.13mm (ASTM D3767-03(2020))Pass
Freedom from holesAQL 1.5 (ASTM D5151-19)Pass
Physical Properties (before aging)Tensile Strength: ≥24 MPa, Ultimate Elongation: ≥750% (ASTM D412-16)Pass
Physical Properties (after aging)Tensile Strength: ≥18 MPa, Ultimate Elongation: ≥560% (ASTM D412-16)Pass
Powder residual≤2.0 mg/glove (ASTM D6124-06(2017))Pass
SterilitySterileSterile
Sterilization methodRadiationRadiation
For single useYesYes
Type of useOver the counter useOver the counter use
BiocompatibilityConform to ISO 10993 series standardsConform to ISO 10993 series standards

Study that Proves the Device Meets Acceptance Criteria:

The document states: "The performance test of the subject devices were performed on the final finished device. The test results show the subject devices meet the requirements of ASTM D3577-19."

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

The document does not explicitly state the sample size used for each specific test or the data provenance (country of origin, retrospective/prospective). It only mentions that "performance tests...were performed on the final finished device" according to relevant ASTM and ISO standards.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

This information is not applicable as the device is a surgical glove, and the evaluation is based on mechanical, physical, and chemical properties, as well as biocompatibility, against established standards. There is no "ground truth" requiring expert consensus in the context of medical image analysis or similar diagnostic applications.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

This information is not applicable for the type of device and testing performed. Adjudication methods are typically relevant for subjective evaluations or interpretations, which are not present here.

5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

This information is not applicable as the device is a surgical glove and does not involve human readers or AI assistance in its function.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

This information is not applicable as the device is not an algorithm or AI system.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

The "ground truth" for the performance evaluation of the surgical gloves is based on established industry and regulatory standards such as ASTM D3577-19, ASTM D3767-03(2020), ASTM D5151-19, ASTM D6124-06(2017), ASTM D412-16, relevant USP standards, and ISO 10993 series standards for biocompatibility. These standards define the acceptable physical, mechanical, and biological properties of the gloves.

8. The sample size for the training set

This information is not applicable as the device is a physical product (surgical gloves) and does not involve machine learning models that require training sets.

9. How the ground truth for the training set was established

This information is not applicable as the device is a physical product and does not involve machine learning models that require training sets or their associated ground truth.

§ 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).