K Number
K211374
Date Cleared
2021-10-13

(162 days)

Product Code
Regulation Number
880.6250
Panel
HO
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

A powder-free 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

Blue Nitrile Examination Gloves Powder Free are Class I patient examination gloves bearing the product code Nitrile - LZA (21CFR880.6250). The gloves are made from acrylonitrile-butadiene copolymer dispersion. These gloves are blue in color and are powder free.

AI/ML Overview

This document is a 510(k) Premarket Notification for "Proclean - Nitrile Powder Free Examination Gloves", indicating it is a Class I medical device. The information provided heavily focuses on non-clinical performance and comparison to a predicate device, rather than a clinical study involving human patients or complex algorithms.

Here's a breakdown based on your request, with the understanding that this is for a physical medical device (gloves) and not an AI/software device:

1. Table of Acceptance Criteria and Reported Device Performance

Test MethodStandardPurpose of TestingAcceptance CriteriaReported Device PerformanceStatus
Dimension (Length)ASTM D6319-19To determine the length of the glovesMin 230 mm for all sizesExtra Small: 230 mm, Small: 230 mm, Medium: 240 mm, Large: 236 mm, Extra Large: 236 mmPass
Dimension (Width)ASTM D6319-19To determine the width of the glovesExtra Small: 70 ± 10 mm, Small: 80 ± 10 mm, Medium: 95 ± 10 mm, Large: 110 ± 10 mm, Extra Large: 120 ± 10 mmExtra Small: 68mm, Small: 79 mm, Medium: 96 mm, Large: 110 mm, Extra Large: 120 mmPass
Dimension (Thickness)ASTM D6319-19To determine the thickness of the glovesPalm 0.05 mm min, Finger 0.05 mm min for all sizesExtra Small: Palm 0.11 mm, Finger: 0.11 mm; Small: Palm 0.09 mm, Finger: 0.10 mm; Medium: Palm: 0.08 mm, Finger: 0.08 mm; Large: Palm 0.10 mm, Finger: 0.11 mm; Extra Large: Palm 0.10 mm, Finger: 0.11 mmPass
Watertight testASTM D5151-19To determine the holes in the glovesSample size: 200 pcs, Inspection level: GI, AQL 1.5, Acceptance Number 7, Rejection Number 8The batch size for this sampling is 35,001-150,000. Sample code L equivalent to 200 pcs with accept 7 and reject 8. Results: Extra Small: 0 (Zero), Small: 0 (Zero), Medium: 0 (Zero), Large: 0 (Zero), Extra Large: 0 (Zero)Pass
Residual powderASTM D6124-06 (Reapproved 2017)To determine the residual powder2 mg per glove or lessSample size: 5 pcs. Results: Extra Small: 1.35 mg/glove, Small: 1.35 mg/glove, Medium: 0.50 mg/glove, Large: 1.34 mg/glove, Extra Large: 1.36 mg/glovePass
Physical Properties (Tensile Strength - Before Aging)ASTM D6319-19To determine physical properties14 Mpa Minimal for all sizesExtra Small: 18.08 MPa, Small: 18.37 MPa, Medium: 35.52 MPa, Large: 18.30 MPa, Extra Large: 18.20 MPaPass
Physical Properties (Tensile Strength - After Aging)ASTM D6319-19To determine physical properties14 Mpa Minimal for all sizesExtra Small: 14.01 MPa, Small: 14.08 MPa, Medium: 34.50 MPa, Large: 14.00 MPa, Extra Large: 14.00 MPaPass
Physical Properties (Ultimate Elongation - Before Aging)ASTM D6319-19To determine physical properties500% Min for all sizesExtra Small: 611 %, Small: 612%, Medium: 601 %, Large: 620%, Extra Large: 587%Pass
Physical Properties (Ultimate Elongation - After Aging)ASTM D6319-19To determine physical properties400% Min for all sizesExtra Small: 412 %, Small: 408%, Medium: 529%, Large: 403%, Extra Large: 416%Pass
Biocompatibility (Primary Skin Irritation)ISO 10993-10To assess skin irritationUnder the conditions of the study, not an irritantUnder the conditions of the study, not an irritantSame
Biocompatibility (Dermal Sensitization)ISO 10993-10To assess skin sensitizationUnder the conditions of the study, not a sensitizerUnder the conditions of the study, not a sensitizerSame
Biocompatibility (In vitro cytotoxicity)ISO 10993-5To assess cytotoxicityUnder the conditions of the study, non-cytotoxicUnder the conditions of the study, non-cytotoxicSame
Biocompatibility (Acute Systemic Toxicity)ISO 10993-11To assess acute systemic toxicityUnder the conditions of study, the device extracts do not pose a systemic toxicity concernUnder the conditions of the study, did not induce any systemic toxicity.Same

2. Sample Size Used for the Test Set and Data Provenance

The document provides sample sizes for specific tests:

  • Watertight test: 200 pieces (sample code L) for a batch size of 35,001-150,000.
  • Residual powder: 5 pieces.
  • Other physical properties (Dimension, Tensile Strength, Ultimate Elongation): The document doesn't explicitly state a "sample size" for these in the same way as the watertight or residual powder tests, but results are provided across all five glove sizes (Extra Small, Small, Medium, Large, Extra Large). It is implied that typical statistical sampling methods according to ASTM D6319-19 were followed.

Data Provenance: The document does not explicitly state the country of origin of the data for these tests. The manufacturer is Dr.Boo Company Limited, located in Chonburi, Thailand. These are non-clinical, in-vitro/bench testing results, not human data. The testing is retrospective in the sense that it was performed and then summarized for this submission.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

Not applicable. This device is a physical product (gloves), not an AI/software device that requires expert review for ground truth establishment. The "ground truth" for these tests is defined by the objective measurements according to the specified ASTM and ISO standards.

4. Adjudication Method for the Test Set

Not applicable. This is not a clinical study involving human judgment that would require adjudication. Test results are objective measurements against established standards.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and Effect Size

Not applicable. This is not an AI/software device and no MRMC study was performed or is relevant for this type of product.

6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done

Not applicable. This is not an AI/software device. The tests performed are standalone in the sense that they measure the physical properties of the gloves directly against objective standards.

7. The Type of Ground Truth Used (Expert Consensus, Pathology, Outcomes Data, etc.)

The ground truth for this device is based on objective measurements and performance against recognized international standards (ASTM D6319-19, ASTM D5151-19, ASTM D6124-06, ISO 10993-10, ISO 10993-5, ISO 10993-11). These standards define acceptable ranges or limits for various physical and biological properties of the gloves.

8. The Sample Size for the Training Set

Not applicable. There is no training set for this type of physical medical device. The "data" refers to manufacturing quality control and performance testing, not machine learning model training.

9. How the Ground Truth for the Training Set Was Established

Not applicable, as there is no training set for this device.

§ 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.