K Number
K210755
Device Name
Powder Free Nitrile Patient Examination Gloves, Non-Sterile (Blue)
Date Cleared
2021-05-07

(53 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 on the examiner's hand or finger to prevent contamination between patient and examiner.
Device Description
Powder Free Nitrile Patient Examination Glove, Non-Sterile (Blue) meet all the requirements of ASTM standard D6319-19 and FDA 21 CFR 880.6250. The powder free nitrile examination glove is manufactured from synthetic rubber latex. Inner surface of gloves undergoes surface treatment process to produce a smooth surface that assists the user in donning the gloves with ease without using any lubricant such as powder on the glove surface. The glove is ambidextrous, i.e., can be worn on right hand or left hand.
More Information

Not Found

No
The device description and performance studies focus on the physical properties and barrier function of a patient examination glove, with no mention of AI or ML technology.

No
The device, a patient examination glove, is intended to prevent contamination between patient and examiner, primarily for barrier protection, not for treating or diagnosing a disease or condition.

No
Explanation: A patient examination glove is used to prevent contamination between the patient and examiner, not to diagnose a condition. The performance studies focus on physical properties, not diagnostic accuracy.

No

The device description clearly states it is a physical glove made of synthetic rubber latex, which is a hardware component.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states the device is a "patient examination glove...worn on the examiner's hand or finger to prevent contamination between patient and examiner." This describes a barrier device used for physical protection and hygiene, not a device used to examine specimens from the human body to provide information for diagnosis, monitoring, or screening.
  • Device Description: The description focuses on the material (nitrile), manufacturing process, and physical properties of the glove. It does not mention any components or functions related to analyzing biological samples.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological specimens (blood, urine, tissue, etc.)
    • Detecting or measuring substances in specimens
    • Providing diagnostic information
    • Reagents or assays

The device is a Class I medical device (as indicated by the reference to FDA 21 CFR 880.6250, which covers patient examination gloves) used for infection control and barrier protection.

N/A

Intended Use / Indications for Use

A 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.

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

LZA

Device Description

Powder Free Nitrile Patient Examination Glove, Non-Sterile (Blue) meet all the requirements of ASTM standard D6319-19 and FDA 21 CFR 880.6250.

The powder free nitrile examination glove is manufactured from synthetic rubber Inner surface of gloves undergoes surface treatment process to produce a latex. smooth surface that assists the user in donning the gloves with ease without using any lubricant such as powder on the glove surface. The glove is ambidextrous, i.e., can be worn on right hand or left hand.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

hand or finger

Indicated Patient Age Range

Not Found

Intended User / Care Setting

examiner

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 subject device underwent non-clinical performance testing. Key results from these tests include:

  • Physical Properties (Tensile Strength and Ultimate Elongation) passed.
  • Dimensions (Length, Width, and Thickness) passed.
  • Water Tightness passed (6 pieces found with leaks out of a batch sampling, falling within acceptance criteria).
  • Residual Powder passed (1.5 mg/glove, which is less than the 2 mg/glove requirement).

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K133168

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 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

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" in a square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION".

May 7, 2021

Meditech Gloves SDN BHD Wan Hassan Assistant Manager - QA/RA PT 3345, Jalan Permata 1/3, Arab Malaysian Industrial Park Nilai, Negeri Sembilan 71800 Malaysia

Re: K210755

Trade/Device Name: Powder Free Nitrile Patient Examination Gloves, Non-Sterile (Blue) Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I, reserved Product Code: LZA Dated: March 5, 2021 Received: March 15, 2021

Dear Wan Hassan:

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.

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

1

801); 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,

Clarence W. Murray, III, Ph D. 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

510(k) Number (if known) K210755

Device Name

Powder Free Nitrile Patient Examination Gloves, Non-Sterile (Blue)

Indications for Use (Describe)

A 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.

Type of Use (Select one or both, as applicable)
-------------------------------------------------
Residential (Dwelling) CER-WA Category 1
Care-Type Community Health CER-WA Category 2

| | Prescription Use (Part 21 CFR 801 Subpart D)

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

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3

1.0 Submitter:

Name:Dr Effendi Tenang
Address:Meditech Gloves Sdn Bhd
PT3345, Jalan Permata 1/3, Arab Malaysian Industrial Park,
71800 Nilai, Negeri Sembilan, MALAYSIA
Phone No.:+60 6 799 7742
Fax No.:+60 6 799 7749

Date of Summary Prepared: May 4, 2021

2.0 Name of the device:

Powder Free Nitrile Patient Examination Gloves, Non-Sterile (Blue) Common Name: Examination Gloves Classification Name: Patient Examination Gloves (21 CFR 880.6250 product code LZA)

3.0 Identification of The Legally Marketed Devices that equivalency is claimed:

Dermagrip Powder Free Blue Nitrile Examination Gloves 510(k): K133168 Regulatory Class I Product Code: LZA

4.0 Description of The Device:

Powder Free Nitrile Patient Examination Glove, Non-Sterile (Blue) meet all the requirements of ASTM standard D6319-19 and FDA 21 CFR 880.6250.

The powder free nitrile examination glove is manufactured from synthetic rubber Inner surface of gloves undergoes surface treatment process to produce a latex. smooth surface that assists the user in donning the gloves with ease without using any lubricant such as powder on the glove surface. The glove is ambidextrous, i.e., can be worn on right hand or left hand.

5.0 Intended Use of the Device:

A 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.

4

6.0 Comparison of the Technological Characteristics of the Device:

The Powder Free Nitrile Examination Gloves, Non-Sterile (Blue) are summarized with the following technological characteristics compared to ASTM D6319 or equivalent standards.

CHARACTERISTICSSTANDARDSDEVICE PERFORMANCECOMPARISON ANALYSIS
PREDICATE
BLUECURRRENT
BLUE
510(k) Number-K133168K210755N/A
Manufacturer(s)-WRP Asia Pacific Sdn BhdMeditech Gloves Sdn BhdSame
MaterialASTM D6319-10NitrileNitrileSame
Color-BlueBlueSame
Texture-Finger texturedFinger texturedSame
Physical PropertiesASTM D6319-10
Before Aging
Tensile Strength :
Ultimate Elongation :14MPa min
500% min14MPa min
500% minSame
After Aging
Tensile Strength :
Ultimate Elongation :14MPa min
400% min14MPa min
400% minSame
Thickness - Finger
  • Palm
  • Cuff | ASTM D6319-19 | 0.07-0.10mm
    0.07-0.09mm
    0.06-0.08mm | 0.07- 0.10mm
    0.06- 0.09mm
    0.06- 0.08mm | Similar |
    | Powder Free | ASTM D6124-06 | ≤ 2 mg/glove | ≤ 2 mg/glove | Same |
    | CHARACTERISTICS | STANDARDS | DEVICE PERFORMANCE | | COMPARISON
    ANALYSIS |
    | | | PREDICATE
    BLUE | CURRRENT
    BLUE | |
    | Biocompatibility | Primary Skin Irritation -
    ISO 10993-10:2010 | Passes (Not a primary skin
    irritant)
    There was no erythema or
    oedema noted on test site after
    (24±2), (48±2) and (72±2)
    hours. The primary Irritation
    Index (PII) was "0" | Passes (Not a primary skin
    irritant)
    There was no erythema or
    oedema noted on test site after
    (1±0.1), (24±2), (48±2) and
    (72±2) hours. The primary
    Irritation Index (PII) was "0".
    Also, no mortality after 72
    hours. The gloves considered
    negligible. | Similar |
    | Biocompatibility | Dermal Sensitization- ISO
    10993-10:2010 | Passes (Not a contact
    sensitizer)
    There was no positive allergic
    reaction observed during the
    challenge phase (at 24 hours
    and 48 hours) in animals
    treated with the test material
    and negative control. | Passes (Not a contact
    sensitizer)
    There was no positive allergic
    reaction observed during the
    challenge phase (at 0, 24
    hours and 48 hours) in
    animals treated with the test
    material and negative control. | Similar |
    | Biocompatibility | Cytotoxicity - MEM Elution,
    ISO 10993-5:2009 | Exhibit severe cytotoxicity
    reactivity at 100%, 66%, 44%
    and 30% extract concentration.
    Slight cytotoxicity reactivity at
    20% and no cytotoxicity
    reactivity at 15% extract
    concentrations. | Exhibit severe cytotoxicity
    reactivity at 100%, 50%, and
    25% extract concentration.
    No cytotoxicity reactivity at
    12.5%,6.25% and 3.125%
    extract concentrations. | Similar |
    | CHARACTERISTICS | STANDARDS | DEVICE PERFORMANCE | | COMPARISON ANALYSIS |
    | | | PREDICATE | CURRENT | |
    | | | BLUE | BLUE | |
    | Biocompatibility | Acute Systemic Toxicity,
    ISO 10993-11:2017 (E) | Not Available | Passes (no adverse biological
    reaction)
    No mortality was observed
    (72±2) hours | Not Available |
    | Watertight (1000ml) | ASTM D5151-19 | Inspection
    Level 1, AQL 1.5 | Inspection
    Level 1, AQL 1.5 | Same |
    | Intended use | | A 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 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. | Same |
    | Size | Medical Glove Guidance
    Manual - Labeling | Extra Small
    Small
    Medium
    Large
    Extra Large | Extra Small
    Small
    Medium
    Large
    Extra Large | Same |
    | Single Use | Medical Glove Guidance
    Manual – Labeling | Single use | Single use | Same |

5

6

7

There are no significant differences between the two products and they are the same or similar in terms of intended use, materials, design, manufacturing methods.

7.0 Summary of Non-Clinical Performance Data

The performance test data of the non-clinical tests for this powder free nitrile examination gloves is summarized as per below.

8

| Test

MethodStandardPurpose of TestingAcceptance CriteriaResultsStatus
Physical
PropertiesASTM D412-16
(Standard Test Method
for Vulcanized Rubber
and Thermoplastic
Elastomers-Tension)To evaluate the tensile
(tension) properties of
glove.Tensile
StrengthMin 14
MPa15.314.8Pass
Ultimate
ElongationMin 500%500460Pass
Min 400%

| Test

MethodStandardPurpose of TestingAcceptance CriteriaResultsStatus
DimensionASTM D3767-
03(2020) Standard
Practice for Rubber –
Measurement of
DimensionsTo measure the
length, width, and
thickness of gloveLengthMin 240mmMin 240Pass
Width:
XS70 ± 10 mmAve = 72 mmPass
S80 ± 10 mmAve = 84 mmPass
M95± 10 mmAve = 95 mmPass
L110 ± 10 mmAve = 102 mmPass
XL>110Ave = 113 mmPass
ThicknessFinger – 0.05mm
Palm – 0.05mmThickness Finger – 0.10mm
Palm – 0.06mmPass

| Test

MethodStandardPurpose of TestingAcceptance CriteriaResultsStatus
------------------------------------------------------------------------------------

9

| Water Tight | ASTM D 5151-19
Standard Test Method
for Detection of Holes
in Medical Gloves | To detect holes that
leak water and thereby
compromise the
usefulness of the glove | Sample Size : 315
Inspection Level : GI
AQL : 1.5
Acceptance No : 10 | This batch sampling is 150,001 to
500,000. Hence according to single
sampling plan GI, the sample to be
drawn is under Code M equivalent
to 315 pieces with accept 10 and
reject 11.
During the test , 6 pieces were
found with leaks. Hence it falls
within the acceptance criteria. | Pass |

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| Test

MethodStandardPurpose of TestingAcceptance CriteriaResultsStatus
Residual
PowderASTM D6124-06
(2017) Standard Test
Method for Residual
Powder on Medical
GlovesTo determine the
amount of residual
powder and non-
powder solids found on
glovesLess than 2 mg per gloveSample size : 5 pcs
Requirement :