K Number
K211479
Date Cleared
2021-09-16

(127 days)

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

Blue Nitrile Examination Gloves Powder Free is disposable device intended for medical purpose that is worn on the examiner's hand 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) summary for a medical device (Blue Nitrile Examination Glove Powder Free), demonstrating its substantial equivalence to a predicate device. This type of submission generally relies on non-clinical performance data rather than clinical studies for novel AI/ML devices. Therefore, a direct application of the typical "acceptance criteria" and "study that proves the device meets the acceptance criteria" for AI/ML performance (e.g., accuracy, sensitivity, specificity, MRMC studies) is not present here.

However, we can frame the information provided within the context of the requested questions by translating the device's technical specifications and performance data into a pseudo-"acceptance criteria" and "proof of meeting criteria."

Here's a breakdown based on the provided document:

1. A table of acceptance criteria and the reported device performance

For a physical device like a medical glove, "acceptance criteria" relate to its physical and biocompatibility properties, and "performance" refers to the test results demonstrating compliance with these standards.

CharacteristicStandard/Test MethodAcceptance CriteriaReported Device Performance
DimensionsASTM D6319-10 (Reapproved 2015)Length Min 230 mm; Width depends on size (e.g., Medium: 95+/-10mm)Meets/Exceeds (e.g., Length Min 230mm, Medium Width 92mm)
Physical PropertiesASTM D6319-10 (Reapproved 2015)Before Aging: Tensile Strength min 14 Mpa, Ultimate Elongation Min 500%
After Aging: Tensile Strength min 14 Mpa, Ultimate Elongation Min 400%Meets/Exceeds (e.g., Before Aging: 18.62Mpa, 694%; After Aging: 17.68Mpa, 668% for Medium)
ThicknessASTM D6319-10 (Reapproved 2015)Palm min 0.05 mm, Finger min 0.05 mmMeets/Exceeds (e.g., Palm 0.09mm, Finger 0.15mm for all sizes)
Powder ResidueASTM D6319-10 / ASTM D6124-06≤2 mg/gloveMeets (e.g., 0.22 mg/glove for Medium)
Water Tightness (Holes)ASTM D5151-06 (Reapproved 2015)Passes AQL-1.5Passes AQL 1.5
Biocompatibility:
Primary Skin IrritationISO 10993-10:2010(E)Not an irritantNot an irritant
Dermal SensitizationISO 10993-10:2010(E)Not a sensitizerNot a sensitizer
In vitro cytotoxicityISO 10993-5:2009(E)Non-cytotoxicCytotoxic (This is a discrepancy or a nuance to be explored within biocompatibility, as the acceptance criteria states "non cytotoxic" but result states "cytotoxic." Often, a cytotoxic result in vitro requires further in vivo investigation, but for gloves, the overall safety profile is considered.)
Acute Systemic ToxicityISO 10993-11:2017(E)Extracts do not pose a systemic toxicity concernExtracts do not pose a systemic toxicity concern
Material Mediated PyrogenicityISO 10993-11:2017(E) / USP 41Non-pyrogenicNon-pyrogenic
Bacterial EndotoxinUSP 42NMT 20 EU/pair of gloves

§ 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.