K Number
K220343
Device Name
Nitrile Examination Gloves
Date Cleared
2022-04-02

(54 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The NITRILE EXAMINATION GLOVES is a non-sterile disposable device intended for medical purposes that is worn on the examiner's hands or finger to prevent contamination between patient and examiner.
Device Description
The subject device is powder free nitrile examination gloves. The subject device is white, cobalt blue, black, blue. It can be available in six specifications: S, M, L, XL. The subject device is non-sterile.
More Information

Not Found

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

No
The device, Nitrile Examination Gloves, is intended to prevent contamination between patient and examiner, and does not provide therapeutic benefits.

No

The device, Nitrile Examination Gloves, is intended to prevent contamination between patient and examiner. It does not perform any diagnostic function such as identifying diseases or conditions.

No

The device is described as physical nitrile examination gloves, which are a hardware product, not software.

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

Here's why:

  • Intended Use: The intended use clearly states the device is "worn on the examiner's hands or finger to prevent contamination between patient and examiner." This is a barrier function, not a diagnostic test performed on a sample from the body.
  • Device Description: The description details physical characteristics of gloves, not reagents, instruments, or software used for analyzing biological samples.
  • Lack of Diagnostic Function: There is no mention of the device being used to analyze blood, urine, tissue, or any other biological sample to diagnose a condition, monitor treatment, or screen for diseases.
  • Performance Studies: The performance studies focus on physical properties, watertightness, powder content, and biocompatibility, which are relevant to a barrier device, not a diagnostic test.
  • Key Metrics: The key metrics listed are physical and safety characteristics of the glove, not diagnostic performance metrics like sensitivity, specificity, or AUC.

IVD devices are used to perform tests on samples taken from the human body to provide information for diagnosis, monitoring, or screening. This device is a physical barrier for protection.

N/A

Intended Use / Indications for Use

The NITRILE EXAMINATION GLOVES is a non-sterile disposable device intended for medical purposes that is worn on the examiner's hands or finger to prevent contamination between patient and examiner.

Product codes

LZA

Device Description

The subject device is powder free nitrile examination gloves. The subject device is white, cobalt blue, black, blue. It can be available in six specifications: S, M, L, XL. The subject device is non-sterile.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

hands or finger

Indicated Patient Age Range

Not Found

Intended User / Care Setting

examiner / 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

Non-clinical tests were conducted to verify that the proposed device met all design specifications. The test results demonstrated that the proposed device complies with the following standards: ISO 10993-5:2009, ISO 10993-10:2010, ISO 10993-11:2017, ASTM D6124-06 (Reapproved 2017), ASTM D5151-19, ASTM D6319-19.

Key Metrics

Watertightness Test for Detection of Holes: Meet the requirements of ASTM D5151 AQL 2.5 (Result: Pass)
Powder Content: Meet the requirements of ASTM D6124

§ 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 logo of the U.S. Food and Drug Administration (FDA). On the left, there is a seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA" arranged in a circular pattern. To the right of the seal, there is the FDA logo in blue, with the words "U.S. FOOD & DRUG" on top and "ADMINISTRATION" below. The logo is simple and professional, reflecting the FDA's role in regulating food and drugs.

April 2, 2022

NB Medical Co., LTD % Boyle Wang Official Correspondent Shanghai Truthful Information Technology Co., Ltd. RM.1801,No.161 Lujiazui East Rd.,Pudong Shanghai, Shanghai 200120 China

Re: K220343

Trade/Device Name: Nitrile Examination Gloves Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I, reserved Product Code: LZA Dated: January 27, 2022 Received: February 7, 2022

Dear Boyle Wang:

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) K220343

Device Name NITRILE EXAMINATION GLOVES

Indications for Use (Describe)

The NITRILE EXAMINATION GLOVES is a non-sterile disposable device intended for medical purposes that is worn on the examiner's hands or finger to prevent contamination between patient and examiner.

Type of Use (Select one or both, as applicable)
---------------------------------------------------

Prescription Use (Part 21 CFR 801 Subpart D)

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

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510(k) Summary

This summary of 510(k) is being submitted in accordance with 21 CFR 807.92.

1.0 Submitter's Information

NB Medical Co., LTD Name: Address: Tay An Industrial Cluster, Tien Hai Town Tien Hai district, Thai Binh Province, Vietnam Phone Number: 86-13615395959 Contact: Kecheng Zhou Date of Preparation: Jan.30, 2022

Designated Submission Correspondent

Mr. Boyle Wang Shanghai Truthful Information Technology Co., Ltd. Room 1801, No. 161 East Lujiazui Rd., Pudong,Shanghai 200120 ,China Tel: +86-21-50313932 Email: Info@truthful.com.cn

2.0 Device Information

Trade name: NITRILE EXAMINATION GLOVES Common name: Patient Examination Gloves Classification Name: Non-powdered patient examination glove Model(s): S, M, L, XL (White/Cobalt Blue/Black/Blue)

3.0 Classification

Production code: LZA Regulation number: 21CFR880.6250 Classification: Class I General Hospital Panel:

4.0 Predicate Device Information

Manufacturer: Ever Global (Vietnam) Enterprise Corp Device: Disposable Powder Free Nitrile Examination Glove, White/Blue/ Black/ Pink Color 510(k) number: K171422

5.0 Indication for Use

4

The NITRILE EXAMINATION GLOVES is a non-sterile disposable device intended for medical purposes that is worn on the examiner's hands or finger to prevent contamination between patient and examiner.

6.0 Device Description

The subject device is powder free nitrile examination gloves. The subject device is white, cobalt blue, black, blue. It can be available in six specifications: S, M, L, XL. The subject device is non-sterile.

7.0 Technological Characteristic Comparison Table

| Item | Subject Device | Predicated Device
(K171422) | Comparison |
|-----------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------|
| Product Code | LZA | LZA | Same |
| Regulation No. | 21CFR880.6250 | 21CFR880.6250 | Same |
| Class | I | I | Same |
| Intended Use | The NITRILE EXAMINATION
GLOVES is a non-sterile
disposable device
intended for medical
purposes that is worn on
the examiner's hands or
finger to prevent
contamination between
patient and examiner. | The Nitrile Powder Free
patient examination
glove is a non-sterile
disposable device
intended for medical
purposes that is worn on
the examiner's hands or
finger to prevent
contamination between
patient and examiner. | Same |
| Material | Nitrile | Nitrile | Same |
| Powdered or
Powered free | Powdered free | Powdered free | Same |
| Design Feature | Ambidextrous | Ambidextrous | Same |
| Colorant | White/
Cobalt Blue/Black/Blue | White/Blue/ Black/ Pink | Different
Analysis 1 |
| Labeling
Information | Single-use indication,
powder free, device
color, device name,
glove size and quantity,
Non-Sterile | Single-use indication,
powder free, device
color, device name,
glove size and quantity,
Non-Sterile | Same |
| Dimensions(mm) | Length:
S: ≥220;
M/L/XL: ≥230;
Width: | Length:
XS/S/M/L/XL: ≥230;
Width:
XS: 87+5; | Different
Analysis 2 |

Table 1-General Comparison

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S: 80±10;S: 85±5;
M: 95±10;M: 95±5;
L: 110±10;L: 105±5;
XL: 120±10.XL: 115±5
Thickness(mm)Finger: ≥0.05;
Palm: ≥0.05Finger: ≥0.05;
Palm: ≥0.05Same
Physical
PropertiesBefore
AgingTensile
Strength14MPa,
minTensile
Strength14MPa,
minSame
Ultimate
Elongation500% minUltimate
Elongation500% minSame
After
AgingTensile
Strength14MPa,
minTensile
Strength14MPa,
minSame
Ultimate
Elongation400%minUltimate
Elongation400%minSame
Freedom from
HolesBe free from holes when
tested in accordance
with ASTMD5151
AQL=2.5Be free from holes when
tested in accordance
with ASTMD5151
AQL=2.5Same
Powder ContentMeet the requirements of
ASTM D6124Meet the requirements of
ASTM D6124Same
BiocompatibilityISO 10993-5
Under conditions of the
study, device extract is
cytotoxicN.A./
ISO 10993-10;
Under the conditions of
the study, not an irritant
or a sensitizerISO 10993-10;
Under the conditions of
the study, not an irritant
or a sensitizerSame
ISO 10993-11;
Under the
condition of acute
systemic toxicity test,
the test article did not
show acute systemic
toxicity in vivo.N.A./

Analysis 1: The subject device (White/Cobalt Blue/Black/Blue) has different color to the predicate device (White/ Blue/ Black/ Pink), but all proposed devices are conducted the biocompatibility test.

Analysis 2: The physical dimensions are different with that of the predicate, but they all meet the requirements of ASTM D6319.

8.0 Summary of Non-clinical Testing

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Non-clinical tests were conducted to verify that the proposed device met all design specifications. The test results demonstrated that the proposed device complies with the following 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.

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

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

ASTM D6319-19, Standard Specification for Nitrile Examination Gloves for Medical Application.

| Test

MethodPurposeAcceptance CriteriaResults
ASTM
D6319Physical
Dimensions
TestLength(mm):
S: $\geq$ 220;
M/L/XL: $\geq$ 230;
Width(mm):
S: 80 $\pm$ 10;
M: 95 $\pm$ 10;
L: 110 $\pm$ 10;
XL: 120 $\pm$ 10.Length(mm):
S: $\geq$ 220;
M/L/XL: $\geq$ 230.
Width(mm):
White:
S: 85-88/Pass
M: 96-98/Pass
L: 106-108/ Pass
XL:114-117/ Pass
Cobalt Blue:
S: 83-86/Pass
M: 95-99/ Pass
L: 105-109/ Pass
XL:113-117/ Pass
Black:
S: 85-87/Pass
M: 95-98/ Pass
L: 104-107/Pass
ASTM
D5151Watertightness
Test for
Detection of
HolesMeet the requirements of ASTM D5151
AQL 2.5XL:114-117/ Pass
Blue:
S: 84-86/Pass
M: 96-102/ Pass
L: 104-107/ Pass
XL:114-116/ Pass
0/125/Pass
Thickness (mm):
Finger: ≥0.05
Palm: ≥0.05Thickness (mm):
Finger:
White:
0.07-0.11/Pass
Cobalt Blue:
0.10-0.14/Pass
Black:
0.14-0.16/Pass
Blue:
0.09-0.11/Pass
Palm:
White:
0.05-0.07/Pass
Cobalt Blue:
0.08-0.10/Pass
Black:
0.11-0.13/Pass
Blue:
0.07-0.08/Pass
ASTM
D6124Powder
ContentMeet the requirements of ASTM D6124