K Number
K222813
Device Name
Nitrile Examination Gloves
Date Cleared
2023-03-16

(178 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Nitrile Examination Gloves is a disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.
Device Description
Nitrile Examination Gloves is a Class I device bearing the product code LZA (21CFR 880.6250). They meet all the current specifications listed under the ASTM Specification D6319 -19, Standard Specification for Nitrile Examination Gloves for Medical Application. They are made from acrylonitrile-butadiene copolymer dispersion. These gloves are blue in color have Finger Texture, Ambidextrous, single-use, and are powderfree. The product is non-sterile.
More Information

Not Found

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

No
Explanation: The device is an examination glove intended to prevent contamination between patient and examiner, not to provide therapy.

No
Explanation: The device, Nitrile Examination Gloves, is described as a disposable device worn on the hand to prevent contamination. Its intended use and performance studies focus on physical and barrier properties, not on diagnosing any condition or disease.

No

The device description clearly states it is a physical product (gloves) made from acrylonitrile-butadiene copolymer dispersion, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is clearly stated as "worn on the examiner's hand to prevent contamination between patient and examiner." This is a barrier function, not a diagnostic test performed on a sample taken from the body.
  • Device Description: The description focuses on the physical properties and materials of the gloves, not on any diagnostic capabilities.
  • Lack of Diagnostic Elements: There is no mention of analyzing samples, detecting substances, or providing diagnostic information.
  • Regulatory Classification: The device is classified as Class I with product code LZA (21CFR 880.6250), which is for "Gloves, Examination, Patient." This classification is for general medical devices, not specifically for IVDs.
  • Performance Studies: The performance studies focus on physical properties, barrier function, and biocompatibility, which are relevant to a barrier device, not an IVD.

IVD devices are designed to perform tests on samples (like blood, urine, tissue) taken from the human body to provide information for diagnosis, monitoring, or screening. This device does not perform such tests.

N/A

Intended Use / Indications for Use

Nitrile Examination Gloves is a disposable device 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)

LZA

Device Description

Nitrile Examination Gloves is a Class I device bearing the product code LZA (21CFR 880.6250). They meet all the current specifications listed under the ASTM Specification D6319 -19, Standard Specification for Nitrile Examination Gloves for Medical Application. They are made from acrylonitrile-butadiene copolymer dispersion. These gloves are blue in color have Finger Texture, Ambidextrous, single-use, and are powderfree. The product is non-sterile.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Nitrile Examination Gloves is a disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.

Indicated Patient Age Range

Not Found

Intended User / Care Setting

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Non-Clinical Data: Performance Tests of Dimension, Physical Property, Barrier Property (Detection of Holes), and Powder-Free Residue were conducted following ASTM D6319-19 and ASTM D5151-19. Biocompatibility Tests performed were In vitro Cytotoxicity, Skin Sensitization, Skin Irritation, and Acute Systemic Toxicity following ISO 10993-5:2009, ISO 10993-10:2021, ISO 10993-23:2021, and ISO 10993-11:2017. The In Vitro Cytotoxicity test resulted in "Fail" but noted as non-cytotoxic to L-929 cells. Other biocompatibility tests passed. Sterilization study was not conducted as the device is non-sterile. No clinical study was conducted as clinical data is not needed.

The key results showed that the proposed device performed similarly to the predicate device in terms of all physical properties, barrier properties, and most biocompatibility aspects, meeting the specified acceptance criteria.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

  • Dimension: Length Min 230 mm (220mm min for S), Width Min 95±10 mm (80-120mm ±10 for different sizes). Actual data provided.
  • Thickness: Palm min 0.05 mm, Finger min 0.05 mm. Actual data provided.
  • Tensile Strength: Before Aging min 14 MPa, After Aging min 14 MPa. Actual data provided.
  • Ultimate Elongation: Before Aging Min 500%, After Aging Min 400%. Actual data provided.
  • Detection of Holes: Passes AQL 2.5.
  • Powder-Free Residue: ≤2 mg/glove. Actual data provided (0.01-0.02 Mg/glove).

Biocompatibility:

  • In Vitro Cytotoxicity: Acceptance Criteria: Non-cytotoxic, Result: Fail (Note: Under the conditions of the study non-cytotoxic to L-929 cells.)
  • Skin Sensitization: Acceptance Criteria: Non-sensitizer, Result: Pass
  • Skin Irritation: Acceptance Criteria: Non-irritant, Result: Pass
  • Acute Systemic Toxicity: Acceptance Criteria: Nontoxic, Result: Pass

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.

K213016

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.

Not Found

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 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 and title on the right. The symbol on the left is a stylized representation of a human figure, while the text on the right reads "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue letters.

March 16, 2023

Ecoglove Medical Manufacturing Company Limited % Manoj Zacharias US Agent Liberty Management Group Limited 75 Executive Drive Suite 114 Aurora, Illinois 60504

Re: K222813

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: February 13, 2023 Received: February 22, 2023

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.

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,

Allan Gu

For 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) K22813

Device Name

Nitrile Examination Gloves

Indications for Use (Describe)

Nitrile Examination Gloves is a 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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3

510(k) SUMMARY (K222813)

[AS REQUIRED BY 21CFR807.92]

SUBMITTER DETAILS I.

510(k) Owner's Name:ECOGLOVE MEDICAL MANUFACTURING COMPANY LIMITED
Address:A part of land plot No. 679, map No. 41, N4 Street, Bau Bang Hamlet, Lai Uyen Town, Bau Bang District, Binh Duong Province, Vietnam
Telephone:02743599000
Contact person:NGUYEN ANH TU
Designation:President
Contact Email:info@ecoglove.com
Correspondent Contact Details
(US Agent Information):Mr. Manoj Zacharias,
Liberty Management Group Limited,
75 Executive Drive Suite 114, Aurora, Illinois, 60504, US
Phone: +1 (630) 270 2921
Fax: (815) 986-2632
Email: manoj@libertymanagement.us
Date of Summary Prepared:03-15-2023

II. DEVICE DETAILS

Device Name:Nitrile Examination Gloves
Device Classification Name:Non-powdered patient examination glove
Regulation Number:21 CFR 880.6250
Class:I
Product Code:LZA

III. PREDICATE DEVICE DETAILS

Predicate Device Name: ATM® Glove Powder free Nitrile Examination gloves
510(k) Number: K213016
Regulation Number: 21 CFR 880.6250
Class: I
Product Code: LZA

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IV. DEVICE DESCRIPTION

Nitrile Examination Gloves is a Class I device bearing the product code LZA (21CFR 880.6250). They meet all the current specifications listed under the ASTM Specification D6319 -19, Standard Specification for Nitrile Examination Gloves for Medical Application. They are made from acrylonitrile-butadiene copolymer dispersion. These gloves are blue in color have Finger Texture, Ambidextrous, single-use, and are powderfree. The product is non-sterile.

V. INDICATIONS FOR USE

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

VI. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE

| SI.

NoFeatures comparedProposed DevicePredicate DeviceResult
General Information
1.510(k) NumberK222813K213016-
2.ManufacturerECOGLOVE Medical Manufacturing
Company LimitedPHU DUC HUY Production Trading
Services Corporation-
3.ClassificationII-
4.Regulation number21 CFR 880.625021 CFR 880.6250Same
5.Product CodeLZALZASame
6.Indication For UseNitrile Examination Gloves is a
disposable device intended for
medical purpose that is worn on
the examiner's hand to prevent
contamination between patient
and examiner.ATM® Glove Powder free Nitrile
Examination gloves are intended
for medical purposes that is worn
on the examiner's hands to
prevent contamination between
patient and examiner.Same
7.MaterialNitrileNitrileSame
8.ColorBlueBlueSame
9.TextureFinger TextureFinger textureSame
10.AmbidextrousYesYesSame
11.SizeS, M, L, XLS, M, L, XLSame
12.OTC UseYesYesSame
13.ReusabilitySingle useSingle useSame
14.SterilityNon- sterileNon- sterileSame
15.DimensionsLength Min 230 mm
Width Min 95±10 mm (for
medium size)Length Min 230 mm
Width Min 95±10 mm (for
medium size)Same

Table 1: General Comparison

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| Sl.

NoFeatures comparedProposed DevicePredicate DeviceResult
16.ThicknessPalm min 0.05 mm
Finger min 0.05 mmPalm min 0.05 mm
Finger min 0.05 mmSame
17.Physical PropertiesBefore Aging
Tensile Strength min 14 MPa
Ultimate Elongation Min 500%
After Aging
Tensile Strength min 14 MPa
Ultimate Elongation Min 400%Before Aging
Tensile Strength min 14 MPa
Ultimate Elongation Min 500%
After Aging
Tensile Strength min 14 MPa
Ultimate Elongation Min 400%Same
18.Detection of HolesPasses AQL 2.5Passes AQL 2.5Same
19.Powder Free Residue≤2 mg/glove≤2 mg/gloveSame
20.Biocompatibility StudyIn vitro CytotoxicityUnder the conditions of the study, cytotoxic.Under the conditions of the study non- cytotoxic to L-929 cells.Different
Refer Note1
Skin SensitizationUnder the condition of the study not a sensitizerUnder the condition of the study not a sensitizerSame
Skin IrritationUnder the condition of the study not an irritantUnder the condition of the study not an irritantSame
Acute systemic toxicityUnder the conditions of study, the device extracts do not pose a systemic toxicity concernUnder the conditions of the study, the device extracts do not pose a systemic toxicity concernSame
Note1: Additional testing was performed to determine if this was a systemic toxicity concern.
-------------------------------------------------------------------------------------------------------

There are no significant differences between the two products and are similar in terms of intended use, materials, design, and manufacturing methods. Both devices met the performance standards.

VII. PERFORMANCE DATA

A. Non-Clinical Data

Performance Tests ਜ

Nitrile Examination Gloves are subjected to the following performance tests according to the requirements of Guidance for Industry and FDA Staff - Medical Glove Guidance Manual

  • . Dimension.
  • Physical property .
  • . Barrier property tests
    • Detection of Holes in Medical Gloves

  • . Powder-Free Residue

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| SI

No.TestsProposed Device actual DataAcceptance Criteria
SizeLengthWidthSizeLengthWidth
1.Dimension
Length, Width and
Thickness
ASTM D6319-19
Standard
Specification for
Nitrile Examination
Gloves for Medical
ApplicationS243 mm84.92 mmS220mm min80 mm±10
M242.30 mm95.30 mmM95 mm ±10
L243.30 mm110.53 mmL230mm min110 mm ±10
XL243.07 mm120.62 mmXL120 mm ±10
ThicknessThickness
SizePalmFingerSizePalmFinger
S0.086 mm0.115 mmS
M0.086 mm0.110 mmM0.05 mm min0.05 mm min
L0.085 mm0.115 mmL
XL0.085 mm0.115 mmXL
Tensile strengthTensile strength
SizeBefore agingAfter agingSizeBefore agingAfter aging
2.Physical property
Tensile strength
and Ultimate
Elongation
ASTM D6319-19
Standard
Specification for
Nitrile Examination
Gloves for Medical
ApplicationS17.44 MPa16.52 MPaS
M17.60 MPa16.79 MPaM14 MPa Min for all
sizes14 MPa Min for all
sizes
L16.75 MPa15.48 MPaL
XL16.03 MPa15.07 MPaXL
Ultimate elongationUltimate elongation
SizeBefore agingAfter agingSizeBefore agingAfter aging
S519%511%S
M521%511%M500% Min for all
sizes400%Min for all
sizes
L565%510%L
XL550%514%XL
3.Detection of Holes
in Medical Gloves
ASTM D6319-19
/ASTM D5151-19
Standard Test
Method for
Detection of Holes
in Medical GlovesSizeAQL 2.5SizeAQL 2.5
SS
MM
LL
XLXL
4.Powder-Free
Residue
ASTM D6124-06
(Reapproved 2017)
Standard Test
Method for Residual
Powder on Medical
GlovesSizeResidual powder contentSizeResidual powder content
S0.02 Mg/gloveS
M0.01 Mg/gloveM≤ 2 mg/Glove Max
L0.01 Mg/gloveL
XL0.01 Mg/gloveXL

Table 2: Performance Testing Summary

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2 Biocompatibility Tests

The Biocompatibility Tests performed are:

  • . In vitro Cytotoxicity
  • . Skin Sensitization
  • Skin Irritation ●
  • Acute Systemic Toxicity ●

Table 3: Biocompatibility Test Summary

| SL
no | Title of Test | Purpose of
Test | Reference
Source | Acceptance
Criteria | Result |
|----------|-------------------------|---------------------------------------------|---------------------|------------------------|--------|
| 1 | In Vitro Cytotoxicity | To ensure the
device is
biocompatible | ISO 10993-5:2009 | Non-cytotoxic | Fail |
| 2 | Skin Sensitization | | ISO 10993-10:2021 | Non-sensitizer | Pass |
| 3 | Skin Irritation | | ISO 10993-23:2021 | Non-irritant | Pass |
| 4 | Acute Systemic Toxicity | | ISO 10993-11:2017 | Nontoxic | Pass |

3 Sterilization

A sterilization study was not conducted as Nitrile Examination Gloves is provided non-sterile.

C Clinical Test Data

The clinical study was not conducted as clinical data is not needed for Nitrile Examination Gloves.

VII. CONCLUSION

The conclusions drawn from the non-clinical tests demonstrate that the subject device, Nitrile Examination Gloves, is as safe, as effective, and performs as well as or better than the legally marketed predicate device in K213016.