K Number
K212597
Date Cleared
2022-05-28

(285 days)

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

Amazing+ Latex Examination Powder Free 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

Amazing Latex Examination Powder Free Gloves are manufactured to meet all the current specifications listed under the ASTM Specification D3578-2019, Standard Specification for Rubber Examination Gloves. They are made from Natural Rubber Latex. These gloves are natural in color (No color is added) and are powder free.

AI/ML Overview

The provided text is a 510(k) Summary for a medical device: "Amazing+ Latex Examination Powder Free Gloves." This document describes the device and demonstrates its substantial equivalence to a legally marketed predicate device.

However, the request asks for information related to a study that proves a device meets acceptance criteria, specifically in the context of an AI-powered medical device (e.g., sample size for test set, data provenance, expert adjudication, MRMC study, standalone performance, ground truth establishment for training and test sets).

The provided 510(k) Summary does not describe an AI medical device. It describes physical specifications and performance of latex examination gloves. Therefore, many of the requested fields are not applicable to this type of device.

Despite this, I will extract and present the relevant information that is available in the document, and clearly state when information is not applicable to this physical device.


Device: Amazing+ Latex Examination Powder Free Gloves
K Number: K212597
Predicate Device: JR MEDIC Blue Latex Examination Powder Free Gloves (K192329)


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

CharacteristicStandard/Test MethodAcceptance CriteriaReported Device PerformanceComparison to Predicate
Dimensions - LengthASTM D3578-2019Min 230 mm for all sizesX-Small 305 mm, Small 306 mm, Medium 307 mm, Large 308 mm, X-Large 310 mmSimilar
Dimensions - WidthASTM D3578-2019X-Small 70+/-10 mm, Small 80+/-10mm, Medium 95+/-10 mm, Large 111+/-10 mm, X-Large 115+/-10 mmX-Small 76 mm, Small 85 mm, Medium 96 mm, Large 106 mm, X-Large 116 mmSimilar
Dimensions - ThicknessASTM D3578-2019Palm > 0.08 mm min, Finger > 0.08 mm min for all sizesPalm: 0.16mm (all sizes), Finger: 0.22mm (all sizes)Similar
Physical Properties - Tensile StrengthASTM D3578-2019Before Ageing: > 18 Mpa Min for all sizes. After Ageing: > 14 Mpa Min for all sizes.Before Ageing: X-Small 22.07 Mpa, Small 22.15 Mpa, Medium 22.22 Mpa, Large 22.30 Mpa, X-Large 22.32 Mpa. After Ageing: X-Small 18.49 Mpa, Small 18.56 Mpa, Medium 18.67 Mpa, Large 18.74 Mpa, X-Large 18.76 Mpa.Similar
Physical Properties - Ultimate ElongationASTM D3578-2019Before Ageing: > 650% Min for all sizes. After Ageing: > 500% Min for all sizes.Before Ageing: X-Small 858%, Small 869%, Medium 874%, Large 880%, X-Large 882%. After Ageing: X-Small 841%, Small 848%, Medium 854%, Large 860%, X-Large 862%.Similar
Physical Properties - Stress at 500% ElongationASTM D3578-2019Before Ageing: 5.5 Mpa Max for all sizes.Before Ageing: X-Small 5.1 Mpa, Small 5.1 Mpa, Medium 5.2 Mpa, Large 5.2 Mpa, X-Large 5.2 Mpa.N/A
Water Tightness (Holes)ASTM D5151-2019AQL 2.5Gloves Pass AQL 1.5Same
Powder Free ResidueASTM D6214<2 mg/glove MaxX-Small 0.21 mg/glove, Small 0.21 mg/glove, Medium 0.22 mg/glove, Large 0.22 mg/glove, X-Large 0.22 mg/gloveSimilar
Biocompatibility - Primary Skin IrritationISO 10993-10:2010(E)Under the condition of study, not an irritantUnder the condition of study, not an irritantSame
Biocompatibility - Dermal SensitizationISO 10993-10:2010(E)Under the conditions of the study, not a sensitizerUnder the conditions of the study, not a sensitizerSame
Biocompatibility - In vitro CytotoxicityISO 10993-5:2009(E)Under the conditions of the study, cytotoxicUnder the conditions of the study, cytotoxic (Note: This might seem counter-intuitive, but for certain test types, "cytotoxic" as a test result may simply indicate a reaction within the test conditions, not necessarily a failure from a biocompatibility standpoint for its intended use, especially if it's consistent with a cleared predicate. The key is that it's "Same" as the predicate's finding.)Same
Biocompatibility - Material mediated PyrogenicityISO 10993-11:2017(E) / USP 41<151>Under the conditions of the study non pyrogenicUnder the conditions of the study, non-pyrogenicSame
Biocompatibility - Acute Systemic Toxicity TestISO 10993-11:2017(E)Under the conditions of study the device extracts do not pose a systemic toxicity concernUnder the conditions of study the device extracts do not pose a systemic toxicity concernSame
Extractable ProteinASTM D 5712-95 (Re approved 2010) Standard Test Method for the Analysis of Protein in Natural Rubber200 µg/ dm² Max for all sizes43.65 µg/dm² (all sizes)N/A (Not compared to predicate in table, but meets criteria)

Information Not Applicable to this Device (as it's a physical product, not an AI/software device):

Given that the device is "Amazing+ Latex Examination Powder Free Gloves," the following sections of your request are not applicable as they pertain to AI/software functionality and clinical studies that are not performed for basic Class I examination gloves:

  • 2. Sample size used for the test set and the data provenance: This device is a physical product. Testing involves laboratory measurements on physical samples (e.g., gloves from a production lot) to assess properties like dimensions, strength, and integrity, not dataset sizes. The provenance is from "Amazing Rubber Products Pvt. Ltd." in Cochin, Kerala, India. The tests are non-clinical, likely performed according to ISO/ASTM standards.
  • 3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. Ground truth for physical properties is established by standardized measurement methods (e.g., ASTM standards), not expert opinion or consensus.
  • 4. Adjudication method (e.g., 2+1, 3+1, none) for the test set: Not applicable. Physical measurements do not require adjudication.
  • 5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable. This is not an AI device.
  • 6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This is not an algorithm.
  • 7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not applicable. Ground truth for device performance is based on the specified ASTM and ISO standards for physical and chemical properties and biocompatibility testing.
  • 8. The sample size for the training set: Not applicable. There is no "training set" for physical examination gloves; manufacturing process controls ensure consistent product.
  • 9. How the ground truth for the training set was established: Not applicable. See above.

Summary of Non-Clinical Performance Data (Reiterated from document):

The performance test data of the non-clinical tests meet the following standards:

  • ASTM D 3578-2019 Standard Specification for Rubber Examination Gloves
  • ASTM D 5151-2019 Standard Test Method for Detection of Holes in Medical Gloves
  • ASTM D 6124-06 (Reapproved 2017) Standard Test Method for Residual Powder on Medical Gloves
  • ASTM D 5712-95 (Reapproved 2010) Standard Test Method for the Analysis of Protein in Natural Rubber

Clinical Testing Summary:

  • "This section is not applicable because clinical data not needed for gloves." (As stated in the document).

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: a symbol on the left and the FDA name and title on the right. The symbol on the left is a stylized representation of a human figure, while the text on the right reads "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue letters.

May 28, 2022

Amazing Rubber Products Pvt Ltd % Manoj Zacharias Consultant Liberty Management Group Ltd. 75 Executive Dr. STE114 Aurora, Illinois 60504

Re: K212597

Trade/Device Name: Amazing+ Latex Examination Powder Free Gloves Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I. reserved Product Code: LYY Dated: May 2, 2022 Received: May 2, 2022

Dear Manoj Zacharias:

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 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.

Bifeng Qian, M.D., Ph.D. Acting 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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Indications for Use

510(k) Number (if known) K212597

Device Name

Amazing+ Latex Examination Powder Free Gloves

Indications for Use (Describe)

Amazing+ Latex Examination Powder Free 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)区 Over-The-Counter Use (21 CFR 801 Subpart C)

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510K SUMMARY

K212597

As required by 21CFR§807.92(c)

A. APPLICANT INFORMATION

ApplicantAmazing Rubber Products Pvt. Ltd.
AddressPlot No 14c, Cochin Special Economic Zone , Kakkanad,Cochin-682 037, Kerala- India
Phone9447053062
Fax--------
E-mailinfo@amazingglove.com
Contact PersonMr. Jayasankar S
DesignationExecutive Director
Contact Number9447053062
Contact Emailinfo@amazingglove.com
Date Submitted12 August 2021

B. DEVICE IDENTIFICATION

Name of the deviceAmazing+ Latex Examination Powder Free Gloves
Product proprietary or trade nameAmazing+
Common or usual nameLatex Examination Powder Free Gloves
Classification namePatient Examination Gloves
Device ClassificationClass I
Product CodeLYY
Regulation Number21 CFR 880.6250
Review PanelGeneral Hospital

C. PREDICATE DEVICE

Legally Marketed devices thatEquivalency is claimedJR MEDIC Blue Latex Examination Powder Free Gloves
510(K) NumberK192329
Regulatory ClassClass I
Product codeLYY

D. DESCRIPTION OF THE DEVICE:

Amazing Latex Examination Powder Free Gloves are manufactured to meet all the current specifications listed under the ASTM Specification D3578-2019, Standard Specification for Rubber Examination Gloves. They are made from Natural Rubber Latex. These gloves are natural in color (No color is added) and are powder free.

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E. INDICATIONS FOR USE/INTENDED USE OF THE DEVICE:

Amazing Latex Examination Powder Free Gloves are disposable devices intended for medical purpose that are worn on the examiner's hand to prevent contamination between patient and examiner.

Device Performance Characteristics Comparison Standards Predicate Current K192329 K212597 510(K) Number ---Name of device JR MEDIC Amazing ------Blue Latex Latex Examination Examination Powder Free Gloves Powder Free Gloves Dimensions-ASTM Length > 230 mm Length > 230 mm Length D3578-2019 Similar Size Average X-Small 305 Small 306 Medium 307 Large 308 X-Large 310 Dimensions- Width ASTM Width Min 95+/-Width Min 95+/-10 Similar D3578-2019 10 mm (for mm (for medium size) medium size) Size Average X-Small 76 Small 82 Medium 96 Large 106 X-Large 116 Physical Before Ageing ASTM Before Ageing Similar Properties-D3578-2019 Tensile Strength Tensile Strength > 18 Mpa Tensile > 18 Mpa Size Actual Strength value X-Small 22.07 Small 22.15 Medium 22.22 Large 22.30 X-Large 22.32 After Ageing After Ageing Similar Tensile Tensile Strength > 14 Mpa Strength Size Actual > 14 Mpa value X-Small 18.49 Small 18.56 Medium 18.67 18.74 Large X-Large 18.76

F. TECHNOLOGICAL CHARACTERISTICS

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CharacteristicsStandardsDevice PerformanceComparison
PredicateCurrent
510(K) NumberK192329K212597
Physical Properties-Ultimate ElongationASTMD3578-2019Before AgeingUltimate Elongation > 650%Before AgeingUltimate Elongation > 650%Size Actual value X-Small 858 Small 869 Medium 874 Large 880 X-Large 882Similar
After AgeingUltimate Elongation >500%After AgeingUltimate Elongation > 500%Size Actual value X-Small 841 Small 848 Medium 854 Large 860 X-Large 862
ThicknessASTMD3578-2019Palm > 0.08 mmFinger > 0.08 mmPalm > 0.08 mmFinger > 0.08 mmSize Palm(Actual value) Finger(Actual value) X-Small 0.16 0.22 Small 0.16 0.22 Medium 0.16 0.22 Large 0.16 0.22 X-Large 0.16 0.22Similar
Powder Free ResidueASTM D6214<2 mg/glove<2 mg/glove Size Residualpowder content(mg/glove) X-Small 0.21 Small 0.21 Medium 0.22 Large 0.22 X-Large 0.22Similar
BiocompatibilityPrimary SkinIrritation-ISO10993-10:2010(E)Under the conditionof study, not anirritantUnder the condition of studynot an irritantSame
DermalSensitization-ISO10993-10:2010(E)Under the conditionsof the study, not asensitizerUnder the conditions of thestudy, not a sensitizerSame
In vitrocytotoxicityISO10993-5:2009(E)Under the conditionsof the study,cytotoxicUnder the conditions of thestudy, cytotoxicSame
Material mediatedPyrogenicityISO 10993-11:2017(E) / USP41<151>Under theconditions of thestudy non pyrogenicUnder the conditions of thestudy, non-pyrogenicSame

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CharacteristicsStandardsDevice PerformanceComparison
PredicateCurrent
510(K) NumberK192329K212597
BiocompatibilityAcute SystemicToxicity Test ISO10993-11:2017(E)Under the conditionsof study the deviceextracts do not pose asystemic toxicityconcernUnder the conditionsof study the device extractsdo not pose a systemictoxicity concernsame
Water Tight(1000 ml)ASTM D5151-2019Passes AQL-1.5Passes AQL-1.5Same
Intended useJR MEDIC Blue LatexExamination PowderFree Gloves aredisposable devicesintended for medicalpurpose that are wonon the examiner'shand to preventcontaminationbetween patient andexaminer.Amazing LatexExamination Powder FreeGloves are disposabledevices intended for medicalpurpose that are worn on theexaminer's hand to preventcontamination betweenpatient and examiner.Same
Material-Natural LatexNatural LatexIdentical
Color-BlueNatural (No color is added)different
Texture-Finger TextureFinger textureIdentical
SizeASTM D3578-2019Small, Medium, Large& X LargeX Small, Small,Medium, Large, X-LargeSimilar
Single UseMedical GloveGuidance Manual- LabelingSingle UseSingle UseSame
Sterile/non sterile-Non sterileNon sterileSame
Powder/Powderfree-Powder freePowder freeSame
Label and LabelingFDA LabelrequirementsMeets FDA's labeland labelingrequirementsMeets FDA's labeland labelingrequirementsSame
Manufacturer(s)-JR Engineering &Medical Technologies(M) SDN.BHD.MalaysiaAmazing Rubber ProductsPvt. Ltd.---

G. SUMMARY OF NON-CLINICAL PERFORMANCE DATA

Test MethodPurposeAcceptance CriteriaResult
ASTM D3578-2019 StandardSpecification for Rubber ExaminationGlovesTo determine thelength of the glovesMin 230 mm for all sizesX-Small 305 mmSmall 306 mmMedium 307 mmLarge 308 mmX-Large 310 mm
ASTM D3578-2019 StandardSpecification for Rubber ExaminationGlovesTo determine the widthof the glovesX-Small 70+/-10 mmSmall 80+/-10mmMedium 95+/-10 mmLarge 111+/-10 mmX-Large 115+/-10 mmX-Small 76 mmSmall 85 mmMedium 96 mmLarge 106 mmX-Large 116 mm

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Test MethodPurposeAcceptanceCriteriaResult
ASTM D3578-2019 StandardSpecification for RubberExamination GlovesTo determine the thickness ofthe glovesPalm 0.08 mm minFinger 0.08 mm minfor all sizesSizeX-SmallSmallMediumLargeX-LargePalm0.16mm0.16mm0.16mm0.16mm0.16mmFinger0.22mm0.22mm0.22mm0.22mm0.22mm
ASTM D3578-2019Standard Specification forRubber Examination GlovesTo Determine the physicalproperties-Tensile strengthBefore AgeingTensile Strength18Mpa Min for allsizesAfter AgeingTensile Strength14Mpa Min for allsizesSizeX-SmallSmallMediumLargeX-LargeBeforeageing22.07 Mpa22.15 Mpa22.22 Mpa22.30 Mpa22.32 MpaAfterageing18.49 Mpa18.56 Mpa18.67 Mpa18.74 Mpa18.76 Mpa
ASTM D3578-2019Standard Specification forRubber Examination GlovesTo Determine the physicalproperties-Ultimate ElongationBefore AgeingUltimate Elongation650% Min for allsizesAfter AgeingUltimate Elongation500% Min for allsizesSizeX-SmallSmallMediumLargeX-LargeBeforeageing858%869%874%880%882%Afterageing841%848%854%860%862%
To Determine the physicalproperties-stress at 500%ElongationBefore Ageing5.5 Mpa Max for allsizesSizeX-SmallSmallMediumLargeX-LargeBeforeageing5.1 Mpa5.1 Mpa5.2 Mpa5.2 Mpa5.2 MpaNA
ASTM D5151-2019 StandardTest Method for Detection ofHoles in Medical GlovesTo determine the holes in theglovesAQL 2.5Gloves Passes AQL 1.5
ASTM D6124-06(Reapproved 2017) StandardTest Method for ResidualPowder on Medical GlovesTo determine the residualpowder in the gloves2 Mg/Glove MaxSizeX-SmallSmallMediumLargeX-LargeResidual PowderContent0.21 mg/glove0.21 mg/glove0.22 mg/glove0.22 mg/glove0.22 mg/glove
ASTM D 5712-95 (Reapproved 2010) Standard TestMethod for the Analysis ofProtein in Natural RubberTo determine the extractableprotein in the gloves.200 µg/ dm² Max forall sizesSizeX-SmallSmallMediumLargeX-LargeExtractableProtein content43.65 µg/dm²43.65 µg/dm²43.65 µg/dm²43.65 µg/dm²43.65 µg/dm²

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The performance test data of the non-clinical tests meet following standards:

  • A ASTMD 3578-2019 Standard Specification for Rubber Examination Gloves
  • ASTMD 5151-2019 Standard Test Method for Detection of Holes in Medical Gloves A
  • ASTMD 6124-06 (Reapproved 2017) Standard Test Method for Residual Powder on Medical Gloves

  • ASTMD 5712-95 (Re approved 2010) Standard Test Method for the Analysis of Protein in Natural Rubber

H. CLINICAL TESTING SUMMARY

This section is not applicable because clinical data not needed for gloves.

I. CONCLUSION

The conclusion drawn from the nonclinical tests demonstrates that the subject device in 510(K) submission Amazing Latex Examination Powder Free Gloves is as safe, as effective, and performs as well as or better than the legally marketed predicate device JR MEDIC Blue Latex Examination Powder Free Gloves (K192329).

§ 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.