K Number
K213073
Device Name
Goody Gloves, Wincare, TBG Gloves
Date Cleared
2021-12-29

(97 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Latex Examination Powder Free Gloves are disposable devices intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.
Device Description
Latex Examination Powder Free Gloves are manufactured to meet all the current specifications listed under the ASTM Specification D3578-19, Standard Specification for Rubber Examination Gloves. They are made from Natural Rubber Latex. These gloves are Natural in color (No color added) and are powder free, non-sterile, ambidextrous and single use only. Latex Examination Powder Free Gloves with sizes X-Small, Medium, Large and X-Large are included in the submission.
More Information

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

No.
Explanation: The device, Latex Examination Powder Free Gloves, is intended to prevent contamination and is described as a disposable device for medical purposes, not for treating a disease or condition.

No
Explanation: The "Intended Use" section clearly states that these gloves are worn to "prevent contamination between patient and examiner," not to diagnose any condition. The "Summary of Performance Studies" describes physical and biocompatibility testing, not diagnostic performance.

No

The device is a physical product (gloves) and not software. The description focuses on material properties and physical testing.

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

Here's why:

  • Intended Use: The intended use is clearly stated as "disposable devices intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner." This describes a barrier device used 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 properties and manufacturing standards of the gloves. There is no mention of reagents, calibrators, controls, or any components typically associated with in vitro diagnostic tests.
  • Lack of IVD Characteristics: The document does not mention any of the key characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Providing diagnostic information
    • Using chemical or biological reactions
    • Measuring analytes

The device is a medical device, specifically a Class I medical device (examination glove), but it does not fit the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Latex Examination Powder Free Gloves are disposable devices 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)

LYY

Device Description

Latex Examination Powder Free Gloves are manufactured to meet all the current specifications listed under the ASTM Specification D3578-19, Standard Specification for Rubber Examination Gloves. They are made from Natural Rubber Latex. These gloves are Natural in color (No color added) and are powder free, non-sterile, ambidextrous and single use only.

Latex Examination Powder Free Gloves with sizes X-Small, Medium, Large and X-Large are included in the submission.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

hand

Indicated Patient Age Range

Not Found

Intended User / Care Setting

examiner

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)

Bench Test Data and Biocompatibility Data were submitted.

Bench Test Data:

  • ASTM D3578-19 Standard Specification for Rubber Examination Gloves:
    • To determine the length of the gloves: All sizes (X-Small, Small, Medium, Large, X-Large) met the min 230 mm criterion.
    • To determine the width of the gloves: All sizes met their respective width criteria.
    • To determine the thickness of the gloves: All sizes met the min 0.08 mm for palm and finger.
    • To determine the physical properties - Tensile strength: All sizes met the Before Ageing (>18MPa) and After Ageing (>14MPa) criteria.
    • To determine the physical properties - Ultimate Elongation: All sizes met the Before Ageing (>650%) and After Ageing (>500%) criteria.
  • ASTM D5151-19 Standard Test Method for Detection of Holes in Medical Gloves: Purpose: To determine the holes in the gloves. Result: Gloves Passes AQL 2.5 (Acceptance Criteria: AQL-2.5).
  • ASTM D6124-06 (Reapproved 2017) Standard Test Method for Residual Powder on Medical Gloves: Purpose: To determine the residual powder in the gloves. Result: All sizes (X-Small, Small, Medium, Large, X-Large) were ≤ 2 mg/glove (Acceptance Criteria: ≤ 2 mg/glove).
  • ASTM D5712-15 (Reapproved 2020) Standard Test Method for Analysis of Aqueous Extractable Protein in Latex, Natural Rubber, and Elastomeric Products Using the Modified Lowry Method: Purpose: To determine the extractable protein in the gloves. Result: Medium size was 191.9 µg/dm² (Acceptance Criteria: 200 µg/dm² Max).

Biocompatibility Data:

  • ISO 10993-10:2010(E) Tests for Irritation and Skin Sensitization (Irritation test): Result: Under the condition of study, not an irritant.
  • ISO 10993 10:2010(E) Tests for Irritation and Skin Sensitization (Sensitization test): Result: Under the conditions of the study, not a sensitizer.
  • ISO10993-5:2009(E) Tests for In Vitro Cytotoxicity: Result: Under the conditions of the study the device is "cytotoxic".
  • ISO 10993-11:2017(E) Tests for Systemic Toxicity: Result: Under the conditions of study, the device extracts did not reveal any systemic toxicity.

The conclusion drawn from the nonclinical tests demonstrates that the subject devices are as safe, as effective, and performs as well as or better than the legally marketed predicate device K202377.

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.

K202377

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.

K192329

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.

0

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

December 29, 2021

Thai Rubber Gloves Co., Ltd % Manoj Zacharias Consultant Liberty Management Group Ltd. 75 Executive Dr. STE 114. Aurora, Illinois 60504, USA

Re: K213073

Trade/Device Name: Latex Examination Powder Free Gloves Regulation Number: 21 CFR 880.6250 Regulation Name: Latex Exmamination Powder Free Gloves Regulatory Class: Class I. reserved Product Code: LYY Dated: November 30, 2021 Received: November 30, 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.

1

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.

For Clarence 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

2

Indications for Use

510(k) Number (if known) K213073

Device Name Latex Examination Powder Free Gloves

Indications for Use (Describe)

Latex Examination Powder Free Gloves are disposable devices 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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

510(K) SUMMARY K213073

AS REQUIRED BY: 21CFR§807.92

A. APPLICANT INFORMATION

510(K) Owner's NameTHAI RUBBER GLOVES CO., LTD.
Address680 MOO 2 BANBUENG – KLAENG
RD., NONGYAI CHONBURI 20190
THAILAND.
Phone+66-2-1306356, +66-38-168613
Fax+66-2-1306357
E-mailchalongkwan@thaitex.com
info@thairubbergloves.com
Contact PersonMiss Chalongkwan Wongsasuthikul
DesignationManaging Director
Contact Number+66-2-1306356
Contact Emailchalongkwan@thaitex.com
Date Submitted29 December 2021

B. DEVICE IDENTIFICATION

Name of the deviceLatex Examination Powder Free Gloves
Product proprietary or trade nameGoody Gloves / Wincare / TBG Gloves
Common or usual nameLatex examination powder free gloves
Classification nameLatex Patient Examination Glove
Device ClassificationClass-1
Product CodeLYY
Regulation Number21 CFR 880.6250
Review PanelGeneral Hospital

C. PREDICATE DEVICE

Predicate DeviceHi-Care Thai Gloves Co. Ltd.
510(k) NumberK202377
Regulatory ClassClass 1
Product codeLYY

| Reference Device | JR Engineering & Medical Technologies (M)
SDN.BHD. |
|------------------|-------------------------------------------------------|
| 510(k) Number | K192329 |
| Regulatory Class | Class 1 |
| Product code | LYY |

4

D. DESCRIPTION OF THE DEVICE:

Latex Examination Powder Free Gloves are manufactured to meet all the current specifications listed under the ASTM Specification D3578-19, Standard Specification for Rubber Examination Gloves. They are made from Natural Rubber Latex. These gloves are Natural in color (No color added) and are powder free, non-sterile, ambidextrous and single use only.

Latex Examination Powder Free Gloves with sizes X-Small, Medium, Large and X-Large are included in the submission.

E. INDICATIONS FOR USE OF THE DEVICE:

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

F. SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE PREDICATE DEVICE

CHARACTERSTICSSTANDARDSDEVICE PERFORMANCEComparison
PREDICATEREFERENCESUBJECT
510(k) Number---K202377K192329K213073---
Name of device---Palm Care Latex
Examination
Powder Free
GlovesBlue Latex
Examination
Powder Free
GlovesLatex Examination
Powder Free Gloves---
Dimensions- LengthASTM D3578-19Length > 230 mmLength > 230 mmLength > 230 mm
Size Average X-Small 245 Small 244 Medium 247 Large 240 X-Large 247Similar
CHARACTERSTICSSTANDARDSDEVICE PERFORMANCEComparison
PREDICATEREFERENCESUBJECT
510(k) NumberK202377K192329K213073
Physical Properties-
Tensile StrengthASTM D3578-19Before
Ageing
Tensile
Strength

18 MPa | Before
Ageing
Tensile
Strength
18 MPa | Before Ageing
Tensile Strength
18 MPa | Similar | | | | | | | | | | | | |
| | | | | Size Ac tual
value X-Small 26.2 Small 25.0 Medium 24.0 Large 22.6 X-Large 24.2 | | | | | | | | | | | | | |
| Dimensions- Width | ASTM D3578-19 | Width Min
95+/- 10 mm
(for medium
size) | Width Min
95+/- 10 mm
(for medium
size) | Width 95+/-10 mm
(for medium size)
Size Average X-Small 77 Small 80 Medium 92 Large 101 X-Large 110 | | | | | | | | | | | | | Similar |
| | | After Ageing
Tensile
Strength
14 MPa | After Ageing
Tensile
Strength
14 MPa | After Ageing
Tensile Strength
14 MPa | Similar | | | | | | | | | | | | |
| | | | | Size Actual
value X-Small 24.1 Small 24.1 Medium 23.4 Large 24.3 X-Large 22.5 | | | | | | | | | | | | | |
| Physical Properties-
Ultimate Elongation | ASTM D3578-19 | Before
Ageing
Ultimate
Elongation
650% | Before
A geing
Ultimate
Elongation
650% | Before Ageing
Ultimate Elongation
650% | Similar | | | | | | | | | | | | |
| | | | | Size Actual
value X-Small 830 Small 790 Medium 810 Large 800 X-Large 800 | | | | | | | | | | | | | |
| | | After
Ageing
Ultimate
Elongation
500% | After A
geing
Ultimate
Elongation
500% | After Ageing
Ultimate Elongation
500% | Similar | | | | | | | | | | | | |
| | | | | Size Actual
value X-Small 800 Small 760 Medium 830 Large 810 X-Large 780 | | | | | | | | | | | | | |

5

6

CHARACTERSTICSSTANDARDSDEVICE PERFORMANCEComparison
PREDICATE
K202377REFERENCE
K192329SUBJECT
K213073
510(k) Number
ThicknessASTM D3578-19Palm > 0.08 mm
Finger > 0.08 mmPalm > 0.08 mm
Finger > 0.08 mmPalm > 0.08 mm
Finger > 0.08 mm

Size Palm (Actual value) Finger (Actual value) X-Small 0.115 0.125 Small 0.115 0.128 Medium 0.115 0.132 Large 0.121 0.135 X-Large 0.109 0.122 | | | | | | | | | | | | | | | | | | | Similar |
| Powder Free Residue | ASTM D3578-19 | ≤2 mg/glove | ≤2 mg/glove | ≤2 mg/glove
Size Actual value X-Small 0.60 Small 0.80 Medium 1.46 Large 0.62 X-Large 1.13 | | | | | | | | | | | | | Similar | | | | | | |
| Biocompatibility | Primary Skin
Irritation-ISO
10993-10:2010(E) | Under the condition of
study, not an
irritant | Under the condition of
study, not an
irritant | Under the condition of
study, not an irritant | Same | | | | | | | | | | | | | | | | | | |
| | Dermal
Sensitization-ISO
10993-10:2010(E) | Under the
conditions of
the study, not a
sensitizer | Under the
conditions of
the study, not a
sensitizer | Under the conditions of
the study, not a sensitizer | Same | | | | | | | | | | | | | | | | | | |
| | In vitro cytotoxicity
ISO10993-5
:2009(E) | Under the
conditions
of the study,
non-cytotoxic | Under the
conditions of
the study,
cytotoxic
which is to be
expected as
latex is the
positive
control for this
test. | Under the conditions of
the study, cytotoxic | Similar to
reference
device | | | | | | | | | | | | | | | | | | |
| | Acute Systemic
Toxicity Test ISO
10993-11:2017(E) | Under the
conditions of
study the
device
extracts do
not pose a
systemic
toxicity
concern | --- | Under the conditions
of study the device
extracts did not reveal
any systemic toxicity | Similar | | | | | | | | | | | | | | | | | | |

7

CHARACTERSTICSSTANDARDSDEVICE PERFORMANCEComparison
PREDICATEREFERENCESUBJECT
510(k) NumberK202377K192329K213073
Water Tight (1000 ml)ASTM D5151-19
AQL-2.5PassesPassesPassesSimilar
Indication for Use---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.Blue 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.Latex Examination
Powder Free Gloves
are disposable devices
intended for medical
purpose that is worn
on the examiner's
hand to prevent
contamination
between patient and
examiner.Similar
Material---Natural LatexNatural LatexNatural LatexIdentical
Color---Natural (No
color is
added)BlueNatural color (No
color is added)Similar to
predicate
device
SizeASTM D3578-19X Small,
Small,
Medium,
LargeSmall, Medium,
Large, X
Large & XX
LargeX-Small, Small,
Medium, Large, X-
LargeSimilar
(compared to
predicate and
reference
devices)
Single UseMedical Glove
Guidance Manual-
LabelingSingle UseSingle UseSingle UseSame
Sterile/nonsterile---NonsterileNon sterileNonsterileSimilar
Powder/Powder free---Powder freePowder freePowder freeSame
Label and LabelingFDA Label
requirementsMeets FDA's
label and
labeling
requirementsMeets FDA's
label and
labeling
requirementsMeets FDA's label
and labeling
requirementsSame
Manufacturer(s)---Hi-Care Thai
Gloves Co.
Ltd.JR Engineering
& Medical
Technologies
(M)
SDN BHDTHAI RUBBER
GLOVES CO., LTD.---

There are no significant differences between the products and are identical in terms of intended use, materials, design and manufacturing methods. Devices meet the ASTM standard D3578-19.

8

G.COMPARISON BASED ON AN ASSESSMENT OF NON-CLINICAL PERFORMANCE DATA

BENCH TEST DATA

| TEST METHOD | PURPOSE | ACCEPTANCE
CRITERIA | RESULT |
|--------------------------------------------------------------------------|------------------------------------------|-------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|
| ASTM D3578-19
Standard Specification for Rubber
Examination Gloves | To determine the
length of the gloves | Min 230 mm for all sizes | X-Small : 245 mm
Small : 244 mm
Medium : 247 mm
Large : 240 mm
X-Large : 247 mm |
| ASTM D3578-19
Standard Specification for Rubber
Examination Gloves | To determine the
width of the gloves | X-Small : 70+/-10 mm
Small : 80+/-10 mm
Medium : 95+/-10 mm
Large : 111+/-10 mm
X Large : 120+/-10 mm | X-Small : 77 mm
Small : 80 mm
Medium : 92 mm
Large : 101 mm
X-Large : 110 mm |

| TEST
METHOD | PURPOSE | ACCEPTANCE
CRITERIA | RESULT | | |
|--------------------------------------------------------------------------------|-----------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------|---------|---------------|--------------|
| | | | | | |
| ASTM D3578-19
Standard
Specification for
Rubber
Examination Gloves | To determine the
thickness of the
gloves | Palm
0.08 mm min
for all sizes
Finger
0.08 mm min
for all sizes | Size | Palm | Finger |
| | | | X-Small | 0.115 mm | 0.125 mm |
| | | | Small | 0.115 mm | 0.128 mm |
| | | | Medium | 0.115 mm | 0.132 mm |
| | | | Large | 0.121 mm | 0.135 mm |
| | | | X Large | 0.109 mm | 0.122 mm |
| ASTM D3578-19
Standard
Specification for
Rubber
Examination Gloves | To determine the
physical properties-
Tensile strength | Before Ageing
Tensile Strength
18MPa Min for all
sizes
After Ageing
Tensile Strength
14MPa Min for all
sizes | Size | Before ageing | After ageing |
| | | | X-Small | 26.2 MPa | 24.1 MPa |
| | | | Small | 25.0 MPa | 24.1 MPa |
| | | | Medium | 24.0 MPa | 23.4 MPa |
| | | | Large | 22.6 MPa | 24.3 MPa |
| | | | X Large | 24.2 MPa | 22.5 MPa |
| ASTM D3578-19
Standard
Specification for
Rubber
Examination Gloves | To determine the
physical properties-
Ultimate Elongation | Before Ageing
Ultimate
Elongation 650%
Min for all sizes
After Ageing
Ultimate
Elongation 500%
Min for all sizes | Size | Before ageing | After ageing |
| | | | X-Small | 830% | 800% |
| | | | Small | 790% | 760% |
| | | | Medium | 810% | 830% |
| | | | Large | 800% | 810% |
| | | | X Large | 800% | 780% |

9

| TEST METHOD | PURPOSE | ACCEPTANCE
CRITERIA | RESULT |
|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------|------------------------|---------------------------------------------------------------------------------------------------------------------------------|
| ASTM D5151-19 Standard
Test Method for Detection
of Holes in Medical Gloves | To determine the holes
in the gloves | AQL 2.5 | Gloves Passes AQL 2.5 |
| ASTM D6124-06
(Reapproved 2017) Standard
Test Method for Residual
Powder on Medical Gloves | To determine the
residual powder in the
gloves | $\leq$ 2 mg/glove | X-Small : 0.60 mg/glove
Small : 0.80 mg/glove
Medium : 1.46 mg/glove
Large : 0.62 mg/glove X-
Large : 1.13 mg/glove |
| ASTM D5712-15
(Reapproved 2020) Standard
Test Method for Analysis of
Aqueous Extractable Protein
in Latex, Natural Rubber, and
Elastomeric Products Using
the Modified Lowry Method | To determine the
extractable protein in
the gloves. | 200 $\mu$ g/ dm² Max | Medium : 191.9 $\mu$ g/ dm² |

BIOCOMPATIBILITY DATA

| TEST METHOD | PURPOSE | ACCEPTANCE
CRITERIA | RESULT |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------|
| ISO 10993-10:2010(E)
Biological Evaluation Of
Medical Devices - Part 10,
Tests for Irritation and Skin
Sensitization.
Test done for irritation. | To evaluate the test
item, for skin irritation
test in New Zealand
White rabbits. | Under the condition
of study, not an
irritant | Under the condition of
study, not an irritant |
| ISO 10993 10:2010(E)
Biological Evaluation of
Medical Devices - Part 10,
Tests for Irritation and Skin
Sensitization.
Test done for skin sensitization | To evaluate the test
item, for the skin
sensitization in Guinea
pigs by maximization
test. | Under the conditions
of the study, not a
sensitizer | Under the conditions of
the study, not a
sensitizer |
| ISO10993-5:2009(E)
Biological Evaluation of
Medical Devices - Part 5,
Tests for In Vitro
Cytotoxicity. | To evaluate the test
item, for its ability to
induce cytotoxicity
using L-929 mouse
fibroblast cells by
Elution Method. | Under the conditions
of the study, non-
cytotoxic | Under the conditions of
the study the device is
"cytotoxic" |
| ISO 10993-11:2017(E)
Biological Evaluation of
Medical Devices - Part 11,
Tests for Systemic Toxicity. | To evaluate the test
item, for acute systemic
toxicity in Swiss Albino
Mice. | Under the conditions
of study, the device
extracts do not pose a
systemic toxicity
concern | Under the conditions
of study, the device
extracts did not reveal
any systemic toxicity |

10

The performance test data of the non-clinical tests that support a determination of safety and equivalence is the same as mentioned above (ASTM Requirements).

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

ASTM D3578-19 Standard Specification for Rubber Examination Gloves

ASTM D5151-19 Standard Test Method for Detection of Holes in Medical Gloves

ASTM D6124-06 (Reapproved 2017) Standard Test Method for Residual Powder on Medical Gloves

ASTM D5712-15 (Reapproved 2020) Standard Test Method for Analysis of Aqueous Extractable Protein in Latex, Natural Rubber, and Elastomeric Products Using the Modified Lowry Method

ISO 10993-10:2010 (E) Biological Evaluation of Medical Devices - Part 10, Tests for Irritation and Skin Sensitization.

ISO 10993-5:2009 (E) Biological Evaluation of Medical Devices - Part 5, Tests for In Vitro Cytotoxicity.

ISO 10993-11:2017 (E) Biological Evaluation of Medical Devices - Part 11, Tests for Systemic Toxicity.

H. COMPARISON BASED ON ASSESSMENT OF CLINICAL PERFORMANCE

DATA

Not applicable - Clinical data is not needed for gloves or for most devices cleared by the 510(k) process.

I. CONCLUSION

The conclusion drawn from the nonclinical tests demonstrates that the subject devices in 510(K) submission, Latex Examination Powder Free Gloves, are as safe, as effective, and performs as well as or better than the legally marketed predicate device K202377.