K Number
K222620
Device Name
Sterilized Latex Surgical Gloves
Date Cleared
2023-03-23

(205 days)

Product Code
Regulation Number
878.4460
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Sterilized Latex Surgical Glove is a device made of natural rubber intended to be worn by operating room personnel to protect a surgical wound from contamination.
Device Description
The proposed sterilized latex surgical gloves are powder-free, sterile, single use, surgical gloves intended to be worn by operating room personnel to protect a surgical wound from contamination. The gloves are natural color (no colorant added). The gloves are offered in sizes of 6.5, 7, 7.5, 8, 8.5, 9. The gloves are designed and manufactured in accordance with the ASTM D3577-19 standard.
More Information

Not Found

No
The device description and performance studies focus solely on the physical and biological properties of a surgical glove, with no mention of AI or ML technologies.

No.
A therapeutic device is one that treats or alleviates a disease or condition. This device is a surgical glove intended to protect a surgical wound from contamination, not to treat a condition.

No

The device description clearly states its purpose as protecting a surgical wound from contamination by being worn by operating room personnel, not for diagnosing a condition or disease.

No

The device description clearly states it is a physical product (surgical gloves made of natural rubber) and the performance studies focus on physical and biological properties, not software functionality.

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

Here's why:

  • Intended Use: The intended use is to "be worn by operating room personnel to protect a surgical wound from contamination." This is a physical barrier function, not a diagnostic test performed on a sample taken from the human body.
  • Device Description: The description focuses on the physical properties and standards related to surgical gloves (material, sterility, size, standards like ASTM D3577). There is no mention of reagents, assays, or any components used to analyze biological samples.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing information for diagnosis, monitoring, or treatment decisions based on sample analysis.

This device is clearly a medical device intended for physical protection during surgery, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The Sterilized Latex Surgical Glove is a device made of natural rubber intended to be worn by operating room personnel to protect a surgical wound from contamination.

Product codes

KGO

Device Description

The proposed sterilized latex surgical gloves are powder-free, sterile, single use, surgical gloves intended to be worn by operating room personnel to protect a surgical wound from contamination. The gloves are natural color (no colorant added). The gloves are offered in sizes of 6.5, 7, 7.5, 8, 8.5, 9.

The gloves are designed and manufactured in accordance with the ASTM D3577-19 standard.

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

operating room personnel

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)

Biocompatibility Testing:

  • Study Type: Biocompatibility Testing according to ISO 10993-1:2018.
  • Tests Conducted:
    • ISO 10993-05:2009 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 device – Part 11: Tests for systemic toxicity
  • Results:
    • Cytotoxicity: Cytotoxic (Pass)
    • Irritation: Non-irritant (Pass)
    • Sensitization: Non-sensitizing (Pass)
    • Systemic Toxicity: No systemic toxicity concern (Pass)
    • Pyrogen: Non-pyrogenic (Pass)

Performance Testing:

  • Study Type: Physical performance testing and extractable protein testing.
  • Standards followed: ASTM D3577-19, ASTM D5151-19, ASTM D6124-06 (Reapproved 2017), ASTM D5712-2015, ASTM F1929-15, ASTM D3078-02 (2013), ASTM F88/F88M-15, ASTM D7160-16.
  • Key Results:
    • Dimensions (Length, Width, Thickness): Met specified ranges for all sizes.
    • Physical Properties (Tensile Strength, Ultimate Elongation, Stress at 500% elongation): Met requirements both before and after aging.
    • Watertight Test: AQL 1.5, passed (No glove appeared leakage for the size of 750 gloves tested).
    • Residual Powder: 1.2-1.5mg/glove (Passed requirement of

§ 878.4460 Non-powdered surgeon's glove.

(a)
Identification. A non-powdered surgeon's glove is a device intended to be worn on the hands of operating room personnel to protect a surgical wound from contamination. A non-powdered surgeon's 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).

0

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: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" followed by the words "U.S. Food & Drug Administration".

March 23, 2023

Suzhou Colour-way New Material Co., Ltd. % Ivv Wang Technical Manager Shanghai Sungo Management Consulting Company Limited 14 th Floor, 1500# Central Avenue Shanghai, Shanghai 200122 China

Re: K222620

Trade/Device Name: Sterilized Latex Surgical Gloves Regulation Number: 21 CFR 878.4460 Regulation Name: Non-Powdered Surgeon's Glove Regulatory Class: Class I, reserved Product Code: KGO Dated: February 24, 2023 Received: February 24, 2023

Dear Ivy 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.

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 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,

Bifeng Qian -S

Bifeng Qian, M.D., 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) K222620

Device Name Sterilized Latex Surgical Gloves

Indications for Use (Describe)

The Sterilized Latex Surgical Glove is a device made of natural rubber intended to be worn by operating room personnel to protect a surgical wound from contamination.

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

K222620

(As requirement by 21 CFR 807.92)

Date prepared: March 23, 2023

A. Applicant:

Name: Suzhou Colour-way New Material Co., Ltd. Address: No. 20, Anmin Road, Huangdai Town, Xiangcheng District 215152, Suzhou City,Jiangsu province, PEOPLE'S REPUBLIC OF CHINA Contact: XU Yongping Title: General Manager Tel: +86- 13862093201/+86-0512-65371017 Email: qa(a)colourway.com

Submission Correspondent: Primary contact: Ms. Ivy Wang Shanghai SUNGO Management Consulting Co., Ltd. Room 1401, Dongfang Building, 1500# Century Ave., Shanghai 200122, China Tel: +86-21-58817802 Email: haiyu.wang@sungoglobal.com Secondary contact: Mr. Raymond Luo Room 1401, Dongfang Building, 1500# Century Ave., Shanghai 200122, China Tel: +86-21-68828050 Email: fda.sungo@@gmail.com

B. Device:

Trade Name: Sterilized Latex Surgical Gloves Model: 6.5.7.7.5.8.8.5.9

Regulatory Information Classification Name: Surgeon's Gloves Classification: Class I Product code: KGO Regulation Number: 21 CFR 878.4460 Review Panel: General Hospital

C. Predicate device:

K212596 Applicant: Amazing Rubber Products Pvt. Ltd. Device Name: Sterile Latex Surgical Gloves Power Free

4

Regulatory Information Classification Name: Surgeon's Gloves Classification: Class I Product code: KGO Regulation Number: 21 CFR 878.4460 Review Panel: General Hospital

D. Indications for use of the device:

The Sterilized Latex Surgical Glove is a device made of natural rubber intended to be worn by operating room personnel to protect a surgical wound from contamination.

E. Device Description

The proposed sterilized latex surgical gloves are powder-free, sterile, single use, surgical gloves intended to be worn by operating room personnel to protect a surgical wound from contamination. The gloves are natural color (no colorant added). The gloves are offered in sizes of 6.5, 7, 7.5, 8, 8.5, 9.

The gloves are designed and manufactured in accordance with the ASTM D3577-19 standard.

DeviceProposed DevicePredicate DeviceResult
510K #K222620K212596-
ManufacturerSuzhou Colour-way New Material
Co., Ltd.Amazing Rubber Products Pvt. Ltd.-
Product NameSterilized Latex Surgical GlovesSterile Latex Surgical Gloves Power
FreeSimilar
Product CodeKGOKGOSame
Regulation Number21 CFR 878.446021 CFR 878.4460Same
Indications for useThe Sterilized Latex Surgical Glove
is a device made of natural rubber
intended to be worn by operating
room personnel to protect a surgical
wound from contamination.A Sterile Latex Surgical Gloves
Powder Free is a device made of
natural rubber intended to be worn
by operating room personnel to
protect a surgical wound from
contamination.Same
Powder/Powder freePowder freePowder freeSame
MaterialNatural rubberNatural rubberSame
Classification as per
ASTM D3577-09,
Standard Specification for
Rubber Surgical GlovesType I-gloves coumpounded primary
from natural rubber latexType I-gloves coumpounded primary
from natural rubber latex
Size6.5
7.0
7.56.0
6.5
7.0Similar

F. Summary of Technological Characteristics

Table 1 General Comparison of Proposed and Predicate Devices

5

8.07.5
8.58.0
9.08.5
9.0
SterilizationRadiation
SAL-10-6ETO/as well as Radiation,
SAL-10-6Similar
UseSingle useSingle useSame
Label and LabelingMeet FDA's label requirementsMeet FDA's label requirementsSame
Type of useOTCOTCSame
Shelf-lifeThree yearsThree yearsSame

Table 2 Technical Comparison of Proposed and Predicate Devices

| Characteristic | Subject device | Predicate device
K212596 | Comparison |
|-------------------------------------------------------|----------------------------------------------------------------------------------------------------------|---------------------------------------------------|------------|
| Dimensions
Length: Min 265mm | 6.5: 272-278mm
7.0: 274-279mm
7.5: 276-283mm
8.0: 278-284mm
8.5: 279-287mm
9.0: 282-288mm | 486mm | Different |
| Width | | | Similar |
| 6.5 (83±6mm) | 6.5: 84-85mm | 6.5 (87mm) | |
| 7.0 (89±6mm) | 7.0: 90-92mm | 7.0 (91mm) | |
| 7.5 (95±6mm) | 7.5: 95-97mm | 7.5 (97mm) | |
| 8.0 (102±6mm) | 8.0: 103-105mm | 8.0 (103mm) | |
| 8.5 (108±6mm) | 8.5: 108-110mm | 8.5 (110mm) | |
| 9.0 (114±6mm) | 9.0: 114-116mm | 9.0 (116mm) | |
| Cuff, Palm, Finger Tip
Min 0.10mm | Cuff: 0.14-0.16mm
Palm:0.18-0.21mm
Finger: 0.22-0.25mm | Cuff: 0.16mm
Palm:0.21mm
Finger Tip: 0.33mm | Similar |
| Tensile Strength
24Mpa minimum
(Before aging) | 26.9-29.3MPa | 28.61Mpa | Similar |
| Ultimate Elongation
750% minimum
(Before aging) | 800-950% | 871% | Similar |
| Stress at 500%
5.5 Mpa Max
(Before aging) | 3.3-4.9MPa | 5.1Mpa | Similar |
| Tensile Strength
18Mpa minimum
(after aging) | 21-26.3MPa | 24.12Mpa | Similar |

6

| Ultimate Elongation
560% minimum

(after aging)650-790%732%Similar
Freedom from holes
AQL 1.5AQL 1.5AQL 1.0Different
Powder residue for powder
free glove powder content
Performance Testing

Physical performance testing of the proposed device were conducted as per ASTM D3577-19 Standard Specification for Rubber Surgical Gloves. Extractable Protein Test was conducted to for the determination of protein levels in the gloves according to ASTM D5712-2015 Standard Test Method for Analysis of Aqueous Extractable Protein in Latex, Natural Rubber, and Elastomeric Products Using the Modified Lowry Method.

To summarize, the performance testing of the subject device were conducted to adequately demonstrate the effectiveness of the device in accordance with the relevant test methods cited below:

· ASTM D3577-19 Standard Specification for Rubber Surgical 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 D5712-2015 Standard Test Method for Analysis of Aqueous Extractable Protein in Latex, Natural Rubber, and Elastomeric Products Using the Modified Lowry Method

· ASTM F1929-15 Standard Test Method for Detecting Seal Leaks in Porous Medical Packaging by Dye Penetration

· ASTM D3078-02 (2013) Standard Test Method for Determination of Leakage in Flexible Packaging by Bubble Emission Method

• ASTMF88/F88M-15 Standard Test Method for Seal Strength of Flexible Barrier Materials

  • · ASTM D7160-16 Determination of Expiration Date for Medical Gloves
    Performance testing and biocompatibility testing are summarized in below table 3.
Test MethodologyPurposeAcceptance CriteriaResult
Dimension
ASTM D3577-09To determine the length
of the gloves265mm, minPass
6.5: 272-278mm
7.0: 274-279mm
7.5: 276-283mm
8.0: 278-284mm
8.5: 279-287mm
9.0: 282-288mm
To determine the width
of the glovesSize 6.5: 83 ± 6 mm
Size 7: 89 ± 6 mm
Size 7.5: 95 ± 6 mmPass
6.5: 84-85mm
7.0: 90-92mm
7.5: 95-97mm
Size 8: 102 ± 6 mm8.0: 103-105mm
Size 8.5: 108 ± 6 mm8.5: 108-110mm
Size 9: 114 ± 6 mm9.0: 114-116mm
To determine the
thickness of the glovesPass
Palm:0.10, minCuff: 0.14-0.16mm
Finger: 0.10 minPalm:0.18-0.21mm
Cuff: 0.10 minFinger: 0.22-0.25mm
To determine the
physical property of
tensile strength of the
glovesBefore AgingPass
Tensile strength 24Mpa
min for all sizesBefore Aging
26.9-29.3MPa or all sizes
After AgingAfter Aging
Tensile strength 18Mpa
min for all sizes21-26.3MPa for all sizes
Physical Properties
ASTM D3577-09To determine the
physical property of
ultimate elongation of the
glovesBefore Aging
750% min for all sizesBefore Aging
800%-950% for all sizes
After Aging
560% min for all sizesAfter Aging
650%-790%for all sizes
To determine the
physical properties of
stress at 500% elongation
of the glovesBefore Aging
5.5Mpa, max for all sizesBefore Aging
3.3-4.9MPa
Watertight Test
ASTM D5151-19To determine the
watertightness of the
glovesAQL 1.5Pass
No glove appears leakage for
the size of 750 gloves have
been tested.
Residual power
ASTM D6124-06
(17)To determine the residual
power in the gloves.2mg per glove or lessPass
1.2-1.5mg/glove for all tested
gloves
Aqueous soluble
protein content
ASTM D5712-15To determine the
aqueous soluble protein
content in the gloves200 $µ$ g/dm² max for all
sizes.Pass
93.6-125.1 ug/dm² for all tested
gloves.
Irritation
ISO 10993-10To evaluate the potential
skin irritation caused by
test article contact with
the skin surface of
rabbits.Negligibly irritatingPass
Under the condition of this
study, the device is negligibly
irritating.
Sensitization
ISO 10993-10The test was designed to
evaluate the potential of a
test article to cause skin
sensitization.Non-sensitizingPass
Under the conditions of the
study, the device is
non-sensitizing
Systemic toxicity
ISO 10993-11The test article was
evaluated to determine
whether leachablesNon-systemic toxicityPass
Under the conditions of the
study, there is no mortality or
extracted from the test
article would cause acute
systemic toxicity
following injection into
mice.evidence of systemic toxicity
from the extracts.
Pyrogen
ISO 10993-11The test article was
evaluated for the risks of
febrile reaction in the
rabbit to the
administration by
injection.Non-pyrogenicPass
Under the conditions of the
study, the test articles would not
considered be febrile reaction.
Bacterial Endotoxin
USP 43To determine the
bacterial endotoxin of
each sample meet the
requirement of endotoxin
limit.