K Number
K211252
Device Name
Nitrile Glove
Date Cleared
2021-06-25

(60 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Nitrile Glove is a non-sterile disposable device intended for medical purposes that is worn on the examiner's hands or finger to prevent contamination between patient and examiner.
Device Description
The subject device is powder free nitrile examination gloves. The subject device is blue. The subject device is non-sterile.
More Information

Not Found

No
The device is a simple examination glove and the summary contains no mention of AI or ML, nor does the description suggest any functionality that would require such technology.

No
The device, a nitrile glove, is intended for preventing contamination, not for treating or curing a disease or condition.

No
The device is a non-sterile disposable glove intended to prevent contamination, not to diagnose a medical condition.

No

The device is a physical nitrile glove, not a software application. The description and performance studies focus on physical properties and biocompatibility, not software functionality.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is clearly stated as "worn on the examiner's hands or finger to prevent contamination between patient and examiner." This is a barrier function for infection control, not a diagnostic test performed on samples taken from the body.
  • Device Description: The device is described as a "powder free nitrile examination glove." This is a physical barrier device.
  • Lack of Diagnostic Function: There is no mention of the device being used to analyze samples (blood, urine, tissue, etc.) or to provide information about a patient's health status or condition.
  • Performance Studies: The performance studies focus on the physical properties and biocompatibility of the glove (watertightness, tensile strength, irritation, sensitization), which are relevant to its function as a barrier, not its diagnostic capability.

IVD devices are specifically designed to be used in vitro (outside the body) to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This nitrile glove does not fit that description.

N/A

Intended Use / Indications for Use

The Nitrile Glove is a non-sterile disposable device intended for medical purposes that is worn on the examiner's hands or finger to prevent contamination between patient and examiner.

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

LZA

Device Description

The subject device is powder free nitrile examination gloves. The subject device is blue. The subject device is non-sterile.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

hands or finger

Indicated Patient Age Range

Not Found

Intended User / Care Setting

examiner's, 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)

Non-clinical tests were conducted to verify that the proposed device met all design specifications. The test results demonstrated that the proposed device complies with the following standards:
ISO 10993-10:2010 Biological Evaluation of Medical Devices - Part 10: Tests For Irritation And Skin Sensitization.
ISO 10993-5:2009 Biological Evaluation of Medical Devices - Part 5: Tests For In Vitro Cytotoxicity
ASTM D6124-06 (Reapproved 2017), Standard Test Method for Residual Powder on Medical Gloves
ASTM D5151-19 Standard Test Method for Detection of Holes in Medical Gloves.
ASTM D6319-19, Standard Specification for Nitrile Examination Gloves for Medical Application.

Key results from tests:
ASTM D6319 - Physical Dimensions Test: Length: S:>220/Pass; M/L/XL: >230/Pass; Width: S: 81-85 /Pass M: 91-96/ Pass L: 102-106/ Pass XL:114-116/Pass. Thickness: Finger: 0.06-0.08/Pass Palm: 0.07-0.08/Pass
ASTM D5151 - Watertightness Test for Detection of Holes: 0/125 leaks /Pass
ASTM D6124 - Powder Content: 0.02mg/Pass
ASTM D412 - Physical properties:
Before Aging - Tensile Strength: 15-18/Pass (Target >=14MPa)
Before Aging - Ultimate Elongation: 530-560/Pass (Target >=500%)
After Aging - Tensile Strength: 15-18/Pass (Target >=14MPa)
After Aging - Ultimate Elongation: 530-555/Pass (Target >=400%)
ISO 10993-5 - Cytotoxicity: Under conditions of the study, did not show potential toxicity to L-929 cells./Pass
ISO 10993-10 - Irritation: Under the conditions of the study, not an irritant/Pass
ISO 10993-10 - Sensitization: Under conditions of the study, not a sensitizer./Pass

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.

K171422

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). 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 blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

June 25, 2021

Jiangsu Dihong Industry and Trade Co., Ltd. % Boyle Wang Official Correspondent Shanghai Truthful Information Technology Co., Ltd. RM.608, No.738, Shangcheng Rd., Pudong Shanghai, Shanghai 200120 China

Re: K211252

Trade/Device Name: Nitrile Glove Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I, reserved Product Code: LZA Dated: April 2, 2021 Received: April 26, 2021

Dear Boyle Wang:

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

1

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); 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, PhD. Assistant Director DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K211252

Device Name Nitrile Glove

Indications for Use (Describe)

The Nitrile Glove is a non-sterile disposable device intended for medical purposes that is worn on the examiner's hands or finger to prevent contamination between patient and examiner.

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

Prescription Use (Part 21 CFR 801 Subpart D)

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

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3

510(k) Summary (K211252)

This summary of 510(k) is being submitted in accordance with 21 CFR 807.92.

1.0 Submitter's Information_

Name: Jiangsu Dihong Industry and Trade Co.,Ltd. Address: Dongxiaodian Industrial Park, Shuyang City, Jiangsu, China Phone Number: Sue Chen Contact: Date of Preparation:

Designated Submission Correspondent

Mr. Boyle Wang Shanghai Truthful Information Technology Co., Ltd. Room 608, No. 738 Shangcheng Rd., Pudong,Shanghai 200120 ,China Tel: +86-21-50313932 Email: Info@truthful.com.cn

2.0 Device Information

Trade name: Nitrile Glove Common name: Patient Examination Gloves Classification name: Non-powdered patient examination glove Model(s): S,M,L,XL

3.0 Classification

Production code: LZA Regulation number: 21CFR880.6250 Classification: Class I Panel: General Hospital

4.0 Predicate Device Information

Manufacturer: Ever Global (Vietnam) Enterprise Corp Device: Disposable Powder Free Nitrile Examination Glove, White/ Blue/ Black/ Pink Color 510(k) number: K171422

510(k) number. K171422

5.0 Indication for Use

4

The Nitrile Glove is a non-sterile disposable device intended for medical purposes that is worn on the examiner's hands or finger to prevent contamination between patient and examiner.

6.0 Device Description

The subject device is powder free nitrile examination gloves. The subject device is blue. The subject device is non-sterile.

7.0 Technological Characteristic ComparisonTable

| Item | Subject Device
(K211252) | Predicate Device
(K171422) | Remark |
|-----------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------|
| Product Code | LZA | LZA | Same |
| Regulation No. | 21CFR880.6250 | 21CFR880.6250 | Same |
| Class | I | I | Same |
| Intended Use | The Nitrile Glove is
a non-sterile
disposable device
intended for medical
purposes that is
worn on the
examiner's hands or
finger to prevent
contamination
between patient and
examiner. | The Nitrile Powder
Free patient
examination glove is
a non-sterile
disposable device
intended for medical
purposes that is
worn on the
examiner's hands or
finger to prevent
contamination
between patient
and examiner. | Same |
| Powdered or
Powered free | Powdered free | Powdered free | Same |
| Design Feature | Ambidextrous | Ambidextrous | Same |
| Labeling Information | Single-use
indication, powder
free, device color,
device name, glove
size and quantity,
Nitrile Glove
Powder Free Blue,
Non-
Sterile | Single-use
indication, powder
free, device color,
device name, glove
size and quantity,
Disposable Powder
Free Nitrile
Examination Glove,
Non-Sterile | Same |

Table1-General Comparison

Table2 Device Dimensions Comparison

5

DesignationSizeTolerance
XSSMLXL
Predicate
Device(K171422)Length, mm230230230230230min
Width, mm758595105115$\pm 5$
Thickness, mm:
Finger0.05min
Palm0.05min
DesignationSize
Subject Device
(K211252)SMLXLTolerance
Length, mm220230230230min
Width, mm8095110120$\pm 10$
Thickness, mm:
Finger0.05min
Palm0.05min
RemarkSimilar

Analysis: The physical dimensions are different with that of the predicate, but they all meet the requirements of ASTM D6319-19

| Item | | Subject device
(K211252) | Predicate device
(K171422) | Remark | |
|------------------------|-----------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|------------|------|
| Colorant | | Blue | White/ Blue/
Black/ Pink | Same | |
| Physical
Properties | Before
Aging | Tensile Strength | 14MPa, min | 14MPa, min | Same |
| | | Ultimate Elongation | 500% min | 500% min | Same |
| | After
Aging | Tensile Strength | 14MPa, min | 14MPa, min | Same |
| | | Ultimate Elongation | 400%min | 400%min | Same |
| Comply with ASTM D6319 | | | Comply with
ASTM D6319 | Same | |
| Freedom from Holes | | Be free from holes when
tested in
accordance with
ASTMD5151
AQL=2.5 | Be free from holes when
tested in
accordance with
ASTMD5151
AQL=2.5 | Same | |

Table3 Performance Comparison

6

Powder Content0.02 mg per glove, Meet the requirements of ASTM D6124Meet the requirements of ASTM D6124Same
-------------------------------------------------------------------------------------------------------------------

Table4 Safety Comparison

| Item | | Subject
device
(K21152) | Predicate
device
(K171422) | Remark |
|------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------|----------------------------------|---------|
| Material | | Nitrile | Nitrile | Same |
| Biocompatibility | Irritation (ISO
10993-10:2010
Biological
Evaluation of
Medical Devices -
Part 10: Tests For
Irritation And Skin
Sensitization) | Under the
conditions of
the study, not
an irritant | Comply with
ISO10993- 10 | Same |
| | Sensitization (ISO
10993-10:2010
Biological
Evaluation of
Medical Devices -
Part 10: Tests for
Irritation And Skin
Sensitization) | Under
conditions of
the study, not
a sensitizer. | | |
| | Cytotoxicity
(ISO
10993-5:2009
Biological
Evaluation of
Medical Devices -
Part 5: Tests for In
Vitro Cytotoxicity) | Under
conditions of
the
study,
device extract
is not cytotoxic | / | Similar |

8.0 Discussion of Non-clinical and Performance Testing

Non-clinical tests were conducted to verify that the proposed device met all design specifications. The test results demonstrated that the proposed device complies with the following standards:

ISO 10993-10:2010 Biological Evaluation of Medical Devices - Part 10: Tests For Irritation And Skin Sensitization.

7

ISO 10993-5:2009 Biological Evaluation of Medical Devices - Part 5: Tests For In Vitro Cytotoxicity

ASTM D6124-06 (Reapproved 2017), Standard Test Method for Residual Powder on Medical Gloves

ASTM D5151-19 Standard Test Method for Detection of Holes in Medical Gloves.

ASTM D6319-19, Standard Specification for Nitrile Examination Gloves for Medical Application.

| Test

MethodPurposeAcceptance CriteriaResults
ASTM
D6319Physical
Dimensions
TestLength(mm):
S:≥220;
M/L/XL:≥230;
Width(mm):
S: 80±10;
M: 95±10;
L: 110±10;
XL: 120±10;Length:
S:>220/Pass;
M/L/XL: >
230/Pass;
Width:
S: 81-85 /Pass
M: 91-96/ Pass
L: 102-106/ Pass
XL:114-116/
Pass
Thickness (mm) :
Finger: ≥0.05
Palm: ≥0.05Finger: 0.06-
0.08/Pass
Palm: 0.07-
0.08/Pass
ASTM
D5151Watertightn
ess Test for
Detection of
HolesMeet the requirements of ASTM
D5151 AQL 2.50/125 leaks /
Pass
ASTM
D6124Powder
ContentMeet the requirements of ASTM
D6124