K Number
K222531
Date Cleared
2023-01-22

(153 days)

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

Powder Free Polyethylene Examination Gloves, is a non-sterile disposable device intended for medical purposes that is worn on the examiner's hand or finger to prevent contamination between patient and examiner.

Device Description

The subject device in this 510(k) Notification is Synthetic Polymer- polyethylene - Powder Free Examination Glove. The subject device is a patient examination glove made from Low Density Polyethylene material, Black Color, Powder free and non-sterile (Per 21 CFR 880.6250 - class I). The device meets the specifications in ASTM D6319-19 Standard Specification for Nitrile Examination Gloves for Medical Application. The available sizes of the subject devices are Small, Medium, Large. X-Large & XX Large.

AI/ML Overview

The provided text describes the acceptance criteria and the study that proves the device, Synthetic Polymer Glove - Polyethylene (Black), meets these criteria. The device is a non-sterile, disposable examination glove.

Here's the breakdown of the requested information:

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

CharacteristicsAcceptance CriteriaReported Device Performance (Average Results)Final Status
Sterility-Non-sterile (Small, Medium, Large, X Large, XX Large)-
Freedom from hole (ASTM D5151-19)AQL 2.5 Inspection Level G-1Pass (for all sizes)Pass
Overall Length (mm)Min 230mmSmall: 261.53, Medium: 260.1, Large: 260.08, X-Large: 259.8, XX-Large: 268.5Pass
Width (±10 mm)Small: 80, Medium: 95, Large: 110, X-large: 120, XX-Large: 130Small: 86.30, Medium: 99.4, Large: 115.23, X-Large: 123.54, XX-Large: 134.5Pass
Thickness at Palm (mm)Min 0.05 mm0.06 mm (for all sizes)Pass
Thickness at Fingertip (mm)Min 0.05 mm0.06 mm (for all sizes)Pass
Physical Properties - Before Ageing
- Tensile strength (MPa)14 MPa, min.Small: 18.6, Medium: 17.45, Large: 18.53, X Large: 17.4, XX Large: 18.69Pass
- Ultimate Elongation (%)500% minSmall: 653.43, Medium: 673.5, Large: 689.15, X Large: 636.56, XX Large: 645.83Pass
Physical Properties - After Accelerated Ageing
- Tensile strength (MPa)14 MPa, min.Small: 17.8, Medium: 18.13, Large: 18.61, X Large: 18.3, XX Large: 18.34Pass
- Ultimate Elongation (%)400% minSmall: 645.18, Medium: 680.2, Large: 686.15, X Large: 614.58, XX Large: 636.87Pass
Powder-free Residue (ASTM D6124-06)

§ 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.