K Number
K213058
Device Name
O'Star Nitrile Examination Gloves Powder Free
Date Cleared
2022-02-08

(139 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
O'Star Nitrile Examination Gloves Powder Free is a disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.
Device Description
O'Star Nitrile Examination Gloves Powder Free is a Class I device bearing the product code LZA (21CFR 880.6250). They meet all the current specifications listed under the ASTM D6319-19, Standard Specification for Nitrile Examination Gloves for Medical Application. They are made from acrylonitrilebutadiene copolymer dispersion. These gloves are blue in color having Finger Texture, Ambidextrous and are powder free. The product is non-sterile.
More Information

Not Found

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

No.
The device is described as an examination glove intended to prevent contamination, which is a barrier function rather than a therapeutic one.

No
Explanation: The device, O'Star Nitrile Examination Gloves, is described as a disposable glove worn on the examiner's hand to prevent contamination. Its function is protective and barrier-related, not to diagnose medical conditions or provide diagnostic information.

No

The device is a physical product (nitrile examination gloves) and not software. The description focuses on material properties, physical tests, and biocompatibility, which are characteristic of a hardware medical device.

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

Here's why:

  • Intended Use: The intended use clearly states the gloves are "worn on the examiner's hand to prevent contamination between patient and examiner." This is a barrier function, not a diagnostic test performed in vitro (outside the body).
  • Device Description: The description details the material, specifications, and classification of the gloves. It does not mention any components or functions related to analyzing samples or providing diagnostic information.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting specific analytes (proteins, DNA, antibodies, etc.)
    • Providing information for diagnosis, monitoring, or prognosis of a disease or condition.

The device is a Class I medical device intended for barrier protection during medical examinations.

N/A

Intended Use / Indications for Use

O'Star Nitrile Examination Gloves Powder Free is a disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.

Product codes (comma separated list FDA assigned to the subject device)

LZA

Device Description

O'Star Nitrile Examination Gloves Powder Free is a Class I device bearing the product code LZA (21CFR 880.6250). They meet all the current specifications listed under the ASTM D6319-19, Standard Specification for Nitrile Examination Gloves for Medical Application. They are made from acrylonitrilebutadiene copolymer dispersion. These gloves are blue in color having Finger Texture, Ambidextrous and are powder free. The product is non-sterile.

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)

Performance Tests: O'Star Nitrile Examination Gloves Powder Free was subjected to performance tests according to the requirements of Guidance for Industry and FDA Staff - Medical Glove Guidance Manual. These tests included Dimension (Length, Width, and Thickness), Physical property (Tensile strength and Ultimate Elongation), Barrier property tests (Detection of Holes in Medical Gloves), and Powder Free Residue. All tests passed.

Biocompatibility: The materials used were tested for biocompatibility according to ISO 10993-1:2018. Tests performed included Invitro Cytotoxicity, Skin Sensitization, Skin Irritation, and Acute Systemic Toxicity. All tests passed.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Detection of Holes in Medical Gloves: AQL=2.5
Powder Free Residue: ≤2 Mg/Glove Max

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.

K210276

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

§ 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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Image /page/0/Picture/0 description: The image contains the logos of the Department of Health and Human Services and the Food and Drug Administration (FDA). The Department of Health and Human Services logo is on the left, and the FDA logo is on the right. The FDA logo includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

February 8, 2022

Star Investment And Trade Joint Stock Company % Manoj Zacharias US Agent Liberty Management Group Limited 75 Executive Drive, Suite 114 Aurora, Illinois 60504

Re: K213058

Trade/Device Name: O'Star Nitrile Examination Gloves Powder Free Regulation Number: 21 CFR 880.6250 Regulation Name: Non-powdered patient examination glove Regulatory Class: Class I, reserved Product Code: LZA Dated: September 8, 2021 Received: September 22, 2021

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.

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

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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 (OS) 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) K213058

Device Name

O'Star Nitrile Examination Gloves Powder Free

Indications for Use (Describe)

O'Star Nitrile Examination Gloves Powder Free is a 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)
-------------------------------------------------
☐ Residential Use (24 CFR 881 Subpart D)☑ Other Than Subsidized (24 CFR 881 Subpart C)
------------------------------------------------------------------------------------------

__ Prescription Use (Part 21 CFR 801 Subpart D)

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

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Image /page/3/Picture/0 description: The image shows the logo for O'Star. The logo features a stylized star shape in shades of green and blue, with the word "O'Star" in blue, with the apostrophe in the same color. The overall design is modern and clean.

STAR INVESTMENT AND TRADE JOINT STOCK COMPANY

Manufacturer address: Khac Niem Industrial Cluster, Khac Niem Ward, Bac Ninh City, Bac Ninh Province, Vietnam. Telephone No: +84 22 23 810 962 Email: ostargloves.business@gmail.com

510(k) SUMMARY (K213058)

[AS REQUIRED BY 21CFR807.92]

I. SUBMITTER

510(k) Owner's Name:STAR INVESTMENT AND TRADE JOINT STOCK COMPANY
Address:Khac Niem Industrial Cluster, Khac Niem Ward, Bac Ninh City,
Bac Ninh Province, 16000, Vietnam
Telephone:+84 22 23 810 962
Contact person:DO VAN BINH
Designation:Chairman & General Director
Contact Number:+84 984 990 992
Contact Email:thutrang.tpp2001@gmail.com
Date of Summary Prepared:05.01.2022

DEVICE II.

Brand Name: O'Star Nitrile Examination Gloves Powder Free
Device Common Name: Nitrile Examination Gloves Powder Free
Device Classification name: Non-powdered patient examination glove
Regulation Number: 21 CFR 880.6250
Class: I
Product Code: LZA

III. PREDICATE DEVICE

Predicate Device NameDisposable Nitrile Gloves
510(k) NumberK210276
Regulation Number21 CFR 880.6250
ClassI
Product CodeLZA

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Image /page/4/Picture/0 description: The image shows the logo for O'Star. The logo features a stylized star shape in green and blue, with the word "O'Star" in blue, with the "O" being larger than the rest of the letters. The star shape is positioned above and to the left of the text.

IV. DEVICE DESCRIPTION

O'Star Nitrile Examination Gloves Powder Free is a Class I device bearing the product code LZA (21CFR 880.6250). They meet all the current specifications listed under the ASTM D6319-19, Standard Specification for Nitrile Examination Gloves for Medical Application. They are made from acrylonitrilebutadiene copolymer dispersion. These gloves are blue in color having Finger Texture, Ambidextrous and are powder free. The product is non-sterile.

V. INTENDED USE

O'Star Nitrile Examination Gloves Powder Free is a disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.

VI. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE

| SI.

NoFeatures comparedProposed DevicePredicate DeviceResult
General Information
1.510(k) NumberK213058K210276-
2.ManufacturerSTAR INVESTMENT AND
TRADE JOINT STOCK COMPANYFUJIAN ERCON MEDICAL
MANAGEMENT CO., LTD.-
3.ClassificationIISame
4.Regulation number21 CFR 880.625021 CFR 880.6250Same
5.Product CodeLZALZASame
6.Indication For UseO'Star Nitrile Examination Gloves
Powder Free is a disposable device
intended for medical purpose that
is worn on the examiner's hand to
prevent contamination
between
patient and examiner.Disposable Nitrile Examination
Gloves Powder Free is disposable
devices intended
for medical
purpose that are worn on the
examiner's hand to prevent
contamination between patient
and examiner.Same
7.MaterialNitrileNitrileSame
8.ColorBlueBlueSame
9.TextureFinger TextureFinger TextureSame
10.AmbidextrousYesYesSame
11.SizeS, M, L, XLS, M, L, XLSame

Table 1: General Comparison

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Image /page/5/Picture/0 description: The image shows the logo for O'Star. The logo features a green and blue star above the text "O'Star" in blue. The text is stylized with a wave-like design underneath.

| SI.

NoFeatures comparedProposed DevicePredicate DeviceResult
12.OTC UseYesYesSame
13.ReusabilitySingle useSingle useSame
14.SterilityNon- sterileNon- sterileSame
15.DimensionsLength=min 230±10 mm
Width= min 95±10 mm
(For medium size)Length=min 230±10 mm
Width= min 95±10 mm
(For medium size)Same
16.ThicknessPalm min 0.05 mm
Finger min 0.05 mmPalm min 0.05 mm
Finger min 0.05 mmSame
17.Physical PropertiesBefore Aging
Tensile Strength min 14 Mpa
Ultimate Elongation min 500%
After Aging
Tensile Strength min 14 Mpa
Ultimate Elongation min 400%Before Aging
Tensile Strength min 14 Mpa
Ultimate Elongation min 500%
After Aging
Tensile Strength min 14 Mpa
Ultimate Elongation min 400%Same
18.Detection of HolesAQL=2.5AQL=2.5Same
19.Powder Free Residue≤2 mg/glove≤2 mg/gloveSame
20.
Biocompatibility StudyInvitro CytotoxicityUnder the conditions of the study,
cytotoxic to L-929 cells. Additional
Testing was performed to
determine if this was a systemic
toxicity concernUnder the conditions of the
study, not cytotoxic.Different
Skin SensitizationUnder the conditions of the study,
not a sensitizerUnder the conditions of the
study, not a sensitizerSame
Skin IrritationUnder the condition of study not
an irritantUnder the condition of study not
an irritantSame
Acute Systemic
ToxicityUnder the conditions of the study,
the device extracts do not pose a
systemic toxicity concernData not available-

There are no significant differences between the two products and are identical in terms of intended use, materials, design, manufacturing methods. Both devices meet the ASTM standard D6319-19.

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Image /page/6/Picture/0 description: The image shows the logo for O'Star. The logo features a green and blue star-like shape on the left, followed by the text "O'Star" in blue. The logo has a clean and modern design.

VII. PERFORMANCE DATA

Non- Clinical Data A.

Performance Tests

O'Star Nitrile Examination Gloves Powder Free is subjected to the following performance tests according to the requirements of Guidance for Industry and FDA Staff - Medical Glove Guidance Manual and found to be safe and efficient with respect to its intended use:

  • Dimension
  • Physical property
  • Barrier property tests- Detection of Holes in Medical Gloves
  • Powder Free Residue

Table 2: Performance Testing Summary

SI No.TestsProposed Device actual DataAcceptance CriteriaResult
1.DimensionSizeLengthWidthSizeLengthWidth
Length, Width and
ThicknessS247.2mm90mmS80mm±10Pass
ASTM D6319-19 /ASTMM243.8mm103.7mmM230mm min95mm±10
D412-16/ASTM D3767-L245.5mm104.2mmL110mm±10
03-(Reapproved2020)XL247.2mm110.2mmXL120mm±10
ThicknessThickness
Standard SpecificationSizePalmFingerSizePalmFinger
for Nitrile ExaminationS0.055mm0.052mmS
Gloves for Medical
ApplicationM0.052mm0.053mmM0.05 mm min0.05 mm min
L0.053mm0.053mmL
XL0.057mm0.053mmXL
2.Physical property
Tensile strength and
Ultimate ElongationTensile strengthTensile strength
SizeBefore
AgingAfter
AgingSizeBefore
AgingAfter
Aging
S14.23 Mpa14.07MpaSPass
M15.85 Mpa14.09 MpaM14Mpa Min for
all sizes14Mpa Min for
all sizes
ASTM D6319-19/ASTML14.92 Mpa14.13 MpaL
D573-04 (Reapproved
  1.                                 | XL                          | 15.32 Mpa       | 14.81 Mpa      | XL                  |                            |                            |        |
    

| | | Ultimate Elongation | | | Ultimate Elongation | | | |
| | Standard Specification
for Nitrile Examination | Size | Before
Aging | After
Aging | Size | Before
Aging | After
Aging | |
| | Gloves for Medical | S | 702% | 694% | S | | | |
| | Application | M | 935% | 836% | M | 500% Min for
all sizes | 400%Min for
all sizes | |
| | | L | 768% | 728% | L | | | |

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Image /page/7/Picture/0 description: The image shows the logo for O'Star. The logo features a stylized star shape in the upper left corner, with a gradient of green to blue. The text "O'Star" is written in a bold, blue font to the right of the star. The overall design is simple and modern.

SI No.TestsProposed Device actual DataAcceptance CriteriaResult
3.Detection of Holes in
Medical Gloves
ASTM D6319-19 /ASTM
D5151-19
Standard Test Method
for Detection of Holes
in Medical GlovesAQL=2.5AQL=2.5Pass
4.Powder Free Residue
ASTM D6124-
06(Reapproved2017)
Standard Test Method
for Residual Powder on
Medical GlovesSize
Residual powder contentSize
Residual powder content
S
0.03 mgSPass
M
0.07 mgM
≤2 Mg/Glove Max
L
0.01 mgL
XL
0.05 mgXL

B. Biocompatibility

The materials used in the O'Star Nitrile Examination Gloves Powder Free are biocompatible based on the biocompatibility tests mentioned in the Guidance for Industry and FDA Staff - Medical Glove Guidance Manual:

  • Invitro Cytotoxicity .
  • . Skin Sensitization
  • . Skin Irritation
  • . Acute Systemic Toxicity

These tests are performed according to ISO 10993-1:2018, Biological Evaluation of Medical Devices - Part 1, Evaluation and Testing within a Risk Management Process.

Table 3: Biocompatibility Test Summary

| SI.

NoTest PerformedProposed DeviceAcceptance CriteriaResult
1.Invitro CytotoxicityUnder the conditions of the
study, cytotoxic to L-929 cells.
Additional Testing was
performed to determine if this
was a systemic toxicity concernUnder the conditions of the
study, not cytotoxic.Pass
2.Skin SensitizationUnder the conditions of the
study not a sensitizerUnder the conditions of the
study not a sensitizerPass

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Image /page/8/Picture/0 description: The image shows the logo for O'Star. The logo features a stylized star shape in shades of green and blue, with the word "O'Star" in blue, bold font. The star is positioned to the left of the text, and the overall design is clean and modern.

| 3. | Skin Irritation | Under the condition of study not
an irritant | Under the condition of study
not an irritant | Pass |
|----|-------------------------|-------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|------|
| 4. | Acute Systemic Toxicity | Under the conditions of the
study, the device extracts do not
pose a systemic toxicity concern. | Under the conditions of the
study, the device extracts do
not pose a systemic toxicity
concern | Pass |

C. Clinical Test Data

Clinical study was not conducted as clinical data is not needed for O'Star Nitrile Examination Gloves Powder Free.

VIII. CONCLUSION

The conclusion drawn from the non-clinical tests demonstrate that the subject device, O'star Nitrile Examination Glove Powder Free are as safe, as effective and perform as well as or better than legally marketed predicate device in K210276.