K Number
K211667
Device Name
Disposable Medical Synthetic Nitrile Examination Gloves (Non-Sterile)
Date Cleared
2021-09-23

(114 days)

Product Code
Regulation Number
862.3280
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Disposable Medical Synthetic Nitrile Examination Gloves are disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.
Device Description
The subject device in this 510(k) Notification is Disposable Medical Synthetic Nitrile Examination Gloves. Non-sterile. The subject device is a patient examination glove made from nittile and vinyl compound, blue color, powder free and non-sterile (Per 21 CFR 880.6250, Class I). The device meets the specifications in ASTM D6319-19 Standard Specification for Nitrile Examination Gloves for Medical Application.
More Information

Not Found

No
The device description and performance studies focus on the physical properties and biocompatibility of examination gloves, with no mention of AI or ML.

No.
The device, a disposable examination glove, is intended for barrier protection, not for treating or rehabilitating a medical condition or ailment.

No
The device, examination gloves, is intended to prevent contamination between patient and examiner, not to diagnose a condition.

No

The device is a physical glove made of nitrile and vinyl, not software.

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

Here's why:

  • Definition of IVD: In vitro diagnostics are tests performed on samples such as blood, urine, or tissue that have been taken from the human body to detect diseases or other conditions. They are used to diagnose, monitor, or screen for diseases.
  • Intended Use: The intended use of these gloves is "to prevent contamination between patient and examiner." This is a barrier function, not a diagnostic test performed on a sample.
  • Device Description: The description focuses on the physical characteristics and materials of the gloves, not on any diagnostic capabilities.
  • Performance Studies: The performance studies described are related to the physical properties and biocompatibility of the gloves, not to the accuracy or reliability of a diagnostic test.

The device is clearly described as a "disposable device intended for medical purpose that is worn on the examiner's hand." This aligns with the definition of a medical device used for protection and hygiene, not an in vitro diagnostic.

N/A

Intended Use / Indications for Use

Disposable Medical Synthetic Nitrile Examination Gloves are disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.

Product codes

LZA

Device Description

The subject device in this 510(k) Notification is Disposable Medical Synthetic Nitrile Examination Gloves. Non-sterile. The subject device is a patient examination glove made from nittile and vinyl compound, blue color, powder free and non-sterile (Per 21 CFR 880.6250, Class I). The device meets the specifications in ASTM D6319-19 Standard Specification for Nitrile Examination Gloves for Medical Application.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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 testing was performed based on ASTM D6319-19 for Physical Dimensions Test, Physical Requirements Test, and Detection of Holes. The devices passed all tests. Biocompatibility testing was performed based on ISO 10993-10 for skin irritation and sensitization, and ISO 10993-5 for in vitro cytotoxicity. The device was not found to be an irritant or sensitizer, and showed mild cytotoxicity with a cytotoxic level of 2.

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.

K102593

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

§ 862.3280 Clinical toxicology control material.

(a)
Identification. A clinical toxicology control material is a device intended to provide an estimation of the precision of a device test system and to detect and monitor systematic deviations from accuracy resulting from reagent or instrument defects. This generic type of device includes various single, and multi-analyte control materials.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 862.9.

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Image /page/0/Picture/0 description: The image contains two logos. On the left is the Department of Health & Human Services logo. On the right is the FDA logo, which includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

September 23, 2021

Changzhou Universal Medical Equipment Co. Ltd Johnson Liu Consultant CNMED Consultant 31 Archer St Upper MT Gravatt, QLD 4122 Australia

Re: K211667

Trade/Device Name: Disposable Medical Synthetic Nitrile Examination Gloves (Non-Sterile) Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I, reserved Product Code: LZA Dated: August 16, 2021 Received: August 24, 2021

Dear Johnson Liu:

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

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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 mediation-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,

For Clarence W. Murray, III, Ph.D. 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

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Indications for Use

510(k) Number (if known)

K211667

Device Name

Disposable Medical Synthetic Nitrile Examination Gloves (Non-Sterile)

Indications for Use (Describe)

Disposable Medical Synthetic Nitrile Examination Gloves are disposable device intended for medical purpose that is worn on the examiner's hand 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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Image /page/3/Picture/1 description: The image shows a logo with a circular teal border. Inside the border are five white stars evenly spaced around the top half of the circle. In the center of the circle are two Chinese characters stacked vertically. Below the characters is the text "Lian Shou" in a sans-serif font, also in teal. In the upper right corner of the image is the registered trademark symbol.

510(K) Summary K211667

DISPOSABLE MEDICAL SYNTHETIC NITRILE EXAMINATION GLOVES, NON-STERILE

Preparation Date: Aug 16th, 2021

1. SUBMITTER

Company Name: Changzhou Universal Medical Equipment Co.,Ltd Company Address: No.6,Xinxi Road, Xinbei District Changzhou, CN 213000 Contact Person: Johnson Liu Telephone Number: +614-0158-9995 Email: Johnson@cnmed.com.au

2. NAME OF THE DEVICE

Trade Name / Proprietary Name: Disposable Synthetic Nitrile Examination Gloves (Non Sterile) Device Name: Disposable Medical Synthetic Nitrile Examination Gloves (Non-Sterile) Device Classification Name: Patient Examination Gloves Device Class: Class I Device Classification Number: 21 CFR 880.6250 Product Code: LZA

3. IDENTIFICATION OF THE LEGALLY MARKETED PREDICATE DEVICE

Primary Predicate Device: K102593 Applicant: Zibo Yingbo Medical Products Co., Ltd Device Name: Synthetic Nitrile Patient Examination Gloves - Powder free, Blue Colour Device Classification Name: Patient Examination Gloves Device Classification Number: 21 CFR 880.6250 Device Class: Class I Product Code: LZA Review Panel: General Hospital

4. DEVICE DESCRIPTION

The subject device in this 510(k) Notification is Disposable Medical Synthetic Nitrile Examination Gloves. Non-sterile. The subject device is a patient examination glove made from nittile and vinyl compound, blue color, powder free and non-sterile (Per 21 CFR 880.6250, Class I). The device meets the specifications in ASTM D6319-19 Standard Specification for Nitrile Examination Gloves for Medical Application.

5. INDICATIONS FOR USE OF THE DEVICE

Disposable Medical Synthetic Nitrile Examination Gloves, Non-sterile is a disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner.

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6. TECHNOLOGICAL CHARACTERISTIC COMPARISON FOR THE PROPOSED AND PREDICATE DEVICES

CHARACTERISTICSDEVICE PERFORMANCEPRIMARY PREDICATEResult
SUBJECT
510(k) NumberK211667K102593-
Device NameDisposable Medical Synthetic Nitrile Examination
Gloves Powder Free, Non sterileSynthetic Nitrile Patient Examination Gloves -
Powder free, Blue Color-
Product CodeLZALZASame
Indications for UseDisposable Nitrile Examination Gloves Non-sterile
(Non sterile) is disposable devices intended for
medical purpose that are worn on the examiner's hand
to prevent contamination between patient and
examiner. The device is for over the-counter use.A patient examination glove is a disposable
device intended for medical purposes that is
worn on the hand of healthcare and similar
personnel to prevent contamination between
healthcare personal and the patient's body,
fluids, waste or environmentSame
Materials of UseNitrile and Vinyl compoundSynthetic NitrileSimilar
ColorBlueBlueSame
Size
(ASTM D6319-19)Small, Medium, Large,Small, Medium, Large,
Extra LargeSame
SterilizationNon-sterileNon-sterileSame
UsageSingle usageSingle usageSame
DimensionsWidth:
80mm ±10mm (for small size)
95mm ±10mm (for medium size)
110 mm ±10mm (for large size)
Length:
220mm (Minimum) (for small size)
230 mm (Minimum)(for medium, large size)Comply with ASTM D6319-05Same
Physical PropertiesBefore Aging
Tensile Strength
Min 14 Mpa
Ultimate Elongation Min 500%
After Aging
Tensile Strength
Min 14 Mpa
Ultimate Elongation Min 400%
(ASTM D6319-19)Before Aging
Tensile Strength
Min 14 Mpa
Ultimate Elongation Min 500%
After Aging
Tensile Strength
Min 14 Mpa
Ultimate Elongation Min 400%
(ASTM D6319-05)Same
ThicknessPalm min 0.05 mm
Finger min 0.05 mm
(ASTM D6319-19)Palm min 0.05 mm
Finger min 0.05 mm
(ASTM D6319-05)Same
Powder FreeIN VITRO
CYTOTOXICITY – ISO
10993-5: 2009(E)Under the conditions of the cytotoxicity study, testing
results showed mild systemic toxicity and cytotoxic
level was 2.No Testing Result availableDifferent
Manufacturer(s)Changzhou Universal Medical Equipment Co.,LtdZibo Yingbo Medical Products Co., Ltd--

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To sum up, the subject device and predicate devices are equivalent in terms of intended use, design, safety and performance.

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7. NON-CLINICAL TESTING SUMMARY

PERFORMANCE DATA

Test MethodPurposeAcceptance CriteriaResult
ASMT D6319-19
Standard Specification
for Nitrile Examination
Gloves for Medical
Application - Physical
Dimensions TestTo determine the
width, length, and
thickness of the
glovesWidth:
80 mm (±10mm) (for small size)
95 mm (±10mm) (for medium size)
110 mm (±10mm) (for large size)
Length:
220 mm (Minimum)(for small size)
230 mm (Minimum)(for medium, large
size)
Thickness: (for all sizes)
Finger -0.05 mm (Minimum)
Palm -0.05mm (Minimum)Passed
ASMT D6319-19
Standard Specification
for Nitrile Examination
Gloves for Medical
Application - Physical
Requirements TestTo determine the
tensile strength and
ultimate elongation
before and after
acceleration agingBefore Acceleration Aging:
Tensile Strength (MPa): 14 (Minimum)
Ultimate Elongation (%): 500 (Minimum)
After Acceleration Aging:
Tensile Strength (MPa): 14 (Minimum)
Ultimate Elongation (%): 400(Minimum)Passed
ASTM D6319-19
(ASTM D5151-11)
Standard Test Method
for Detection of Holes in
Medical GlovesTo determine the
holes in the glovesAQL 2.5Passed
ASMT D6319-19
(ASTM D6124-11)
Standard Test Method
for Residual Powder on
Medical GlovesTo determine the
residual powder in
the gloves