K Number
K212290
Device Name
Examination gloves -Type C (Nitrile gloves)
Date Cleared
2021-10-28

(99 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Examination gloves-Type C (Nitrile gloves) 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
The proposed device is one kind of patient examination glove made from nitrile rubber compounds. The typical characters of these examination gloves are blue color, single-layer, powder-free, non-sterilized, single-use, variable size (see table 2.). These examination gloves can be worn on the examiner's hands or fingers during a medical examination. In addition, it is for over-the-counter use and also for adult use only.
More Information

Not Found

No
The device is a simple examination glove and the summary contains no mention of AI or ML.

No.
The device ( Examination gloves-Type C (Nitrile gloves)) is described as a disposable device intended for medical purposes worn on the examiner's hand or finger to prevent contamination, which is a barrier, not a therapeutic function.

No

The device is an examination glove intended to prevent contamination, not to diagnose a medical condition.

No

The device is a physical examination glove made of nitrile rubber, not a software application.

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 a "disposable device intended for medical purposes that is worn on the examiner's hand or finger to prevent contamination between patient and examiner." This describes a barrier device for protection, not a device used to examine specimens derived from the human body for the purpose of providing information for diagnosis, monitoring, or treatment.
  • Device Description: The description focuses on the physical characteristics and material of the glove, not on any components or functions related to analyzing biological samples.
  • Lack of IVD-related information: There is no mention of analyzing samples, reagents, calibrators, controls, or any other elements typically associated with in vitro diagnostics.

Therefore, the Examination gloves-Type C (Nitrile gloves) as described is a medical device, but it falls under the category of a protective barrier device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Examination gloves-Type C (Nitrile gloves) 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

LZA

Device Description

The proposed device is one kind of patient examination glove made from nitrile rubber compounds. The typical characters of these examination gloves are blue color, single-layer, powder-free, non-sterilized, single-use, variable size (see table 2.). These examination gloves can be worn on the examiner's hands or fingers during a medical examination. In addition, it is for over-the-counter use and also for adult use only. The product specifications are shown in Table 1.

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

adult use only

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)

The non-clinical tests of this proposed device are tested in conformance with the following standards:

  • (a) ASTM D5151-19, Standard Test Method for Detection of Holes in Medical Gloves
  • (b) ASTM D6319-19, Standard Specification for Nitrile Examination Gloves for Medical Application
  • (c) ASTM D6124-06 (Reapproved 2017), Standard Test Method for Residual Powder on Medical Gloves
  • (d) ASTM D412-16, Standards test method for Vulcanized Rubber and Thermoplastics Elastomer - Tension
  • (e) ISO 10993-10:2010, Biological evaluation on medical device Part 10: Test for irritation and Skin Sensitization
  • (f) ISO 10993-11:2017, Biological evaluation of medical devices Part 11: Tests for systemic toxicity
  • (g) ISO 28590:2017, Sampling Procedure for Inspection by Attributes
  • (h) ASTM D7160-16, Standard Practice for Determination of Expiration Dating for Medical Gloves
  • (i) ISO10993-1:2018, Biological evaluation of medical devices Part 1: Evaluation and testing within a risk management process.

Key results:

  • Freedom from holes: 0 pinhole found (Acceptance criteria: No water leakage (0 pinhole))
  • Physical Dimension: Meet requirements. Refer to Table 4 below. (Acceptance criteria: Multi acceptance criteria refer to ASTM D6319 Clause 7.4- TABLE 2.)
  • Tensile strength: Meet requirements. Refer to Table 5 below. (Acceptance criteria: Multi acceptance criteria refer to ASTM D6319 Clause 7.5- TABLE 3.)
  • Residual powder: 0.10mg/glove (before aging), 0.12mg/glove (after aging) (Acceptance criteria:

§ 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.

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October 28, 2021

Jiangxi Kemei Medical Apparatus & Instruments Group Co., Ltd % Evan Hu Marketing Manager Shanghai Mind-link Consulting Co., Ltd. 639 Jiaozhou Road Shanghai, Shanghai 200040 China

Re: K212290

Trade/Device Name: Examination gloves -Type C (Nitrile gloves) Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I, reserved Product Code: LZA Dated: July 26, 2021 Received: July 30, 2021

Dear Evan Hu:

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.

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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 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. 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

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known)

K212290

Device Name

Examination gloves-Type C (Nitrile gloves)

Indications for Use (Describe)

The Examination gloves-Type C (Nitrile gloves) 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)

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

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

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Section 5.

510(k) Summary – K212290

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1. Submitter

Manufacturer: Jiangxi Kemei Medical Apparatus & Instruments Group Co., Ltd. Address: No. 316 National road, Xinju, Changshan Town, Jinxian County, Nanchang City, 331724 Jiangxi Province, China. Contact person: Jenny Huang, 86-17702094798, 3454867077@qq.com Submission correspondent: Evan Hu, 86-18616124827, Evan.hu@mind-link.net, 639 Jiaozhou Road, Shanghai, 200040, China

2. Device

Trading name: Examination gloves – Type C (Nitrile gloves) Common name: Nitrile patient examination glove Classification name: Polymer patient examination glove Classification: Class I Product code: LZA

3. Predicate device

Primary device: Powder Free Nitrile Examination Glove (Aqua Green) (K200326)

4. Device description

The proposed device is one kind of patient examination glove made from nitrile rubber compounds. The typical characters of these examination gloves are blue color, single-layer, powder-free, non-sterilized, single-use, variable size (see table 2.). These examination gloves can be worn on the examiner's hands or fingers during a medical examination. In addition, it is for over-the-counter use and also for adult use only. The product specifications are shown in Table 1.

SizeSMLXL
Length, mm≥220≥230≥230≥230
Width, mm80±1090±10100±10≥110
Thickness of Palm*, mm0.0800.0800.0800.080
Thickness of Finger*, mm0.1500.1500.1500.150

Table 1. Gloves specifications

*The minimum thickness of palm and finger

5. Indication for use

The Examination Gloves-Type C (Nitrile gloves) 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.

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6. Technological Characteristic Comparison between proposed and predicate devices

CharactersProposed device (K212290)Predicate device (K200326)Comparison
Product codeLZALZASame
Intended
use/
Indications
for UseThe Examination Gloves-Type C
(Nitrile gloves) 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 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.
The device is for over- the- counter
use.Same
Prescription
or over-the-
counter useOver-the-counter useOver-the-counter useSame
MaterialNitrile compoundNitrile compoundSame
ColorBlueAqua greenDifferent
SterilityNon-sterilizedNon-sterilizedSame
Single-useSingle-useSingle-useSame
DimensionsSize S, M, L, XL, meet ASTM
D6319-19Size S, M, L, XL, meet ASTM D6319-
10Same
Physical
propertiesBefore and after aging properties,
meet ASTM D6319-19Before and after aging properties,
meet ASTM D6319-10Same
Freedom
from
pinholesMeets ASTM D5151-19, AQL 2.5Meets ASTM D5151-06, AQL 2.5Same
Residual
powderMeets ASTM D6124-06,