K Number
K213604
Device Name
ELAZ Nitrile Powder Free Examination Glove
Date Cleared
2022-04-03

(139 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
ELAZ Nitrile Powder Free Examination Glove is disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.
Device Description
ELAZ Nitrile Powder Free Examination Glove is non-sterile, single use only, disposable, powder free examination glove. The glove is made of Acrylonitrile-butadiene rubber. The glove is designed to meets the specification of ASTM D6319-19, Standard Specification for Nitrile Examination Gloves for Medical Application.
More Information

Not Found

No
The device is a disposable examination glove, and the description focuses on material properties, physical performance, and biocompatibility testing, with no mention of AI or ML.

No.
The device's intended use is to prevent contamination, which is a protective measure rather than a therapeutic one (treating or alleviating a disease/condition).

No

Explanation: The device is an examination glove, intended to prevent contamination between patient and examiner. Its description and performance studies focus on physical properties and biocompatibility, not on diagnosing medical conditions.

No

The device is a physical examination glove made of nitrile rubber, not a software application. The description focuses on material properties, physical dimensions, and biocompatibility testing, 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 is "to prevent contamination between patient and examiner." This is a barrier function, not a diagnostic function.
  • Device Description: The description focuses on the physical properties and material of the glove, designed for protection and examination, not for analyzing samples or providing diagnostic information.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples, detecting substances, or providing any kind of diagnostic result.
  • Performance Studies: The performance studies described are related to the physical integrity, safety, and biocompatibility of the glove, not its ability to diagnose a condition.

IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for the diagnosis, monitoring, or treatment of a disease or condition. This glove does not perform any of those functions.

N/A

Intended Use / Indications for Use

ELAZ Nitrile Powder Free Examination Glove is 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

ELAZ Nitrile Powder Free Examination Glove is non-sterile, single use only, disposable, powder free examination glove. The glove is made of Acrylonitrile-butadiene rubber. The glove is designed to meets the specification of 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

Hand

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Examiner (medical purposes)

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 tests were conducted according to FDA-recognized consensus standards:

  • ASTM D6319-19, Standard Specification for Nitrile Examination Gloves for Medical Application.
  • ASTM D5151-19, Standard Test Method for Detection of Holes in Medical Gloves.
  • ASTM D6124-17, Standard Test Method for Residual Powder on Medical Gloves.

Biocompatibility tests were conducted according to FDA-recognized consensus standards:

  • ISO 10993-5:2009, Biological Evaluation of Medical Devices - Part 5: Tests for In vitro cytotoxicity.
  • ISO 10993-10:2010, Biological Evaluation of Medical Devices Part 10: Tests for irritation and skin sensitization.
  • ISO 10993-11:2017 Biological evaluation of medical devices - Part 11: Tests for systemic toxicity.

Key results from the tests include:

  • Physical Dimensions Test (ASTM D6319-19): Met length and width specifications for sizes S, M, L, XL. Finger thickness for S, M, L, XL ranged from ≥ 0.13 to ≥ 0.16 mm (acceptance ≥ 0.05 mm). Palm thickness for S, M, L, XL ranged from ≥ 0.10 to > 0.11 mm (acceptance > 0.05 mm).
  • Freedom from holes (ASTM D5151-19): Gloves passed AQL 2.5.
  • Powder Content (ASTM D6124-17): Average powder residue was 0.43 mg/glove (acceptance

§ 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 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 on the right. The symbol on the left is a stylized image of a human figure, while the FDA name on the right is written in blue letters. The words "U.S. FOOD & DRUG ADMINISTRATION" are written in a clear, sans-serif font.

April 3, 2022

Protect Gloves Co., Ltd. % Paweena U-Thainual CEO MDR Solutions Co., Ltd. 1435 Kanchanapisek Rd., Bang Khae Nuea Bangkok, Bang Khae 10160 Thailand

Re: K213604

Trade/Device Name: ELAZ Nitrile Powder Free Examination Glove Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I, reserved Product Code: LZA Dated: March 21, 2022 Received: March 24, 2022

Dear Paweena U-Thainual:

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

1

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, PhD 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) K213604

Device Name

ELAZ Nitrile Powder Free Examination Glove

Indications for Use (Describe)

ELAZ Nitrile Powder Free Examination Glove is 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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K213604

510(k) Summary

1.General Information
Applicant/Submitter:Protect Gloves Company Limited
Address:60/138 Moo 3 Mabyangporn Pluakdang
Rayong, 21140 THAILAND
Tel: +66-2-384-3049
Email: nathaphon@me.com
Contact Person:Paweena U-Thainual, PhD
Address:MDR Solutions, Co., Ltd.
1435 Kanchanapisek Rd., Bang Khae Nuea
Bang Khae, Bangkok 10160 THAILAND
Email: paweena@mdrsolutions.co.th
Preparation Date:November 8, 2021

2. Device Name and Code

Device Trade Name:ELAZ Nitrile Powder Free Examination Glove
Common Name:Nitrile Patient Examination Glove
Classification Name:Non-Powdered Patient Examination Glove
Product Code:LZA
Regulation Number:21 CFR 882.6250
Classification:I
Review Panel:General Hospital

Predicate Device 3.

Provided below is the legally marketed predicate device.

Table 1 Primary Predicate device

ApplicantDevice Name510(k) Number
Tangshan Lanhai
Medical Supplies Co.,
Ltd.Disposable Nitrile
Examination Gloves (Powder
free, Purple-Blue, Blue)K210898

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4. Device Description

ELAZ Nitrile Powder Free Examination Glove is non-sterile, single use only, disposable, powder free examination glove. The glove is made of Acrylonitrile-butadiene rubber. The glove is designed to meets the specification of ASTM D6319-19, Standard Specification for Nitrile Examination Gloves for Medical Application.

Indications / Intended Use 5.

ELAZ Nitrile Powder Free Examination Glove is disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner.

Technological Characteristics Comparison: 6.

ELAZ Nitrile Powder Free Examination Glove is compared to the legally marketed predicate device.

Proposed Subject DevicePredicate DeviceComparison
ManufacturerProtect Gloves Co., Ltd.Tangshan Lanhai Medical Supplies Co., Ltd.N/A
Trade NameELAZ Nitrile Powder Free Examination GloveDisposable Nitrile Examination Gloves (Powder free, Purple-Blue, Blue)N/A
510(k) NumberK213604K210898N/A
ClassificationClass IClass IYES
Product CodeLZALZAYES
Regulation Number880.6250880.6250YES
Intended Use/ Indications For useELAZ Nitrile Powder Free Examination Glove is disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examinerThe DISPOSABLE NITRILE EXAMINATION GLOVES (Powder free, Blue) is a disposable device intended for medical purposes that is worn on the examiner's hands to prevent contamination between patient and examiner.YES
Powdered FreeYesYesYes

Page 2 of 5

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Device Dimensions Comparison
SizeS, M, L, XLXS, S, M, L, XLYES*
ColorBluePurple-Blue, BlueYES
SterilityNon-SterileNon-SterileYES
SMLXLXSSMLXLYES
Length (mm)≥ 220≥ 230≥ 230≥ 230≥ 220≥ 220≥ 230≥ 230≥ 230
Width (mm)SMLXLXSSMLXLYES
80±1095±10110±10120±1070±1080±1095±10110±10120±10
Finger
Thickness
(mm)≥ 0.05≥ 0.05YES
Palm
Thickness
(mm)≥ 0.05≥ 0.05YES
Performance and Physical Comparison
Before AgingAfter AgingBefore AgingAfter Aging
Tensile
Strength
(MPa)≥ 14≥ 14≥ 14≥ 14YES
Ultimate
Elongation
(%)Before AgingAfter AgingBefore AgingAfter AgingYES
≥ 500≥ 400≥ 500≥ 400
Single UseYesYesYES
Be free from holes when tested inBe free from holes when tested in
Freedom
from holeaccordance with ASTM D5151
AQL 2.5accordance with ASTM D5151
AQL 2.5YES
Powder
ContentPowder residue ≤ 2.0 mgPowder residue ≤ 2.0 mgYES
Comply with
ASTM D6319YesYesYES
Material
UsedNitrileNitrileYES
Shelf life3 yearsN/AN/A
Safety Comparison - Biocompatibility Test
IrritationUnder the conditions of the study,
not an irritantUnder the conditions of the study, not
an irritantYES
SensitizationUnder conditions of the study, not a
sensitizerUnder conditions of the study, not a
sensitizerYES
CytotoxicityUnder conditions of the study, it
was considered as "non-cytotoxic"
at 25%, 12.5%, and 6.25% and
demonstrate cytotoxicity at the 50%
and 100% of the test item extract.N/AN/A
Acute
Systemic
ToxicityUnder the conditions of the study,
there was no evidence of systemic
toxicity from the extractYES

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  • When compared to the same size, the dimensions, and physical design are identical.

Performance Data 7.

Non-clinical tests:

Bench tests were conducted according to the FDA-recognized consensus standard, to verify that the proposed device met all design specifications. The proposed device complies with the following standards:

  • ASTM D6319-19, Standard Specification for Nitrile Examination Gloves for Medical । Application.
  • ASTM D5151-19, Standard Test Method for Detection of Holes in Medical Gloves. -
  • -ASTM D6124-17, Standard Test Method for Residual Powder on Medical Gloves.

Biocompatibility tests were conducted according to the FDA-recognized consensus standard, to verify the safety of the device.

  • ISO 10993-5:2009, Biological Evaluation of Medical Devices - Part 5: Tests for In vitro cytotoxicity.
  • ISO 10993-10:2010, Biological Evaluation of Medical Devices Part 10: Tests for irritation and skin sensitization.
  • -ISO 10993-11:2017 Biological evaluation of medical devices - Part 11: Tests for systemic toxicity.

| Test

MethodologyPurposeAcceptance CriteriaResults
ASTM D6319-19Physical
Dimensions
Test (mm)Length (mm)Length (mm)
S ≥ 220S ≥ 220
M ≥ 230M ≥ 230
L ≥ 230L ≥ 230
XL ≥ 230XL ≥ 230
Width (mm)Width (mm)
S: 80±10S: 87-89
M: 95±10M: 99-101
L: 110±10L: 110-113
XL: 120±10XL: 112-115
Finger Thickness (mm)Finger Thickness (mm)
≥0.05S ≥ 0.16
M ≥ 0.15
L ≥ 0.15
XL ≥ 0.13
Palm Thickness (mm)Palm Thickness (mm)
>0.05S > 0.11

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| | | | M ≥ 0.11
L ≥ 0.11
XL ≥ 0.10 |
|------------------------|----------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| ASTM D5151-19 | Testing for Freedom
from holes | AQL 2.5 | Gloves pass AQL 2.5 |
| ASTM D6124-17 | Determine the
powder residue for
powder free gloves |