K Number
K230601
Device Name
Blue Nitrile Examination Gloves Powder Free
Date Cleared
2023-05-28

(86 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Blue Nitrile Examination Gloves Powder Free is disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.
Device Description
Blue Nitrile Examination Gloves Powder Free are Class I patient examination gloves bearing the product code Nitrile - LZA (21CFR880.6250).The gloves are made from acrylonitrile-butadiene copolymer dispersion. These gloves are blue in color, powder free and non sterile. The device is available in Extra Small, Small, Medium, Large and Extra Large sizes.
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 is described as examination gloves used to prevent contamination, not to treat or diagnose a disease or condition.

No
The device, Blue Nitrile Examination Gloves, is described as a disposable device worn on the examiner's hand to prevent contamination. Its purpose is protective and preventive, not to diagnose a medical condition.

No

The device description clearly states it is a physical product (gloves) made from acrylonitrile-butadiene copolymer dispersion, and the performance studies focus on physical properties and biocompatibility. There is no mention of software.

Based on the provided information, 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 hand to prevent contamination between patient and examiner." This describes a barrier device used for protection during physical examination, not a device used to examine specimens derived from the human body for diagnostic purposes.
  • Device Description: The description details the material, color, powder status, and sizes of examination gloves. This aligns with personal protective equipment, not an IVD.
  • Lack of IVD Characteristics: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information.

IVDs are devices intended for use in vitro for the examination of specimens derived from the human body solely or principally for the purpose of providing information concerning a physiological or pathological state, or congenital abnormality, or to determine the safety and compatibility of transfused blood, or to monitor therapeutic measures. This device does not fit that description.

N/A

Intended Use / Indications for Use

Blue Nitrile Examination Gloves Powder Free 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

Blue Nitrile Examination Gloves Powder Free are Class I patient examination gloves bearing the product code Nitrile - LZA (21CFR880.6250).The gloves are made from acrylonitrile-butadiene copolymer dispersion. These gloves are blue in color, powder free and non sterile. The device is available in Extra Small, Small, Medium, Large and Extra Large sizes.

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

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

Test MethodPurposeAcceptance CriteriaResult
ASTM D6319-2019 Standard Specification for Nitrile Examination Gloves for Medical ApplicationTo determine the length of the glovesMin 230 mm for all sizesX-Small:- 245 mm Small:- 245 mm Medium:- 246mm Large:- 248 mm X-Large:- 248 mm
ASTM D6319-2019 Standard Specification for Nitrile Examination Gloves for Medical ApplicationTo determine the width of the glovesX-small:- 70+/-10 mm Small:- 80+/-10 mm Medium:- 95+/-10mm Large:- 110+/-10 mm X-Large:- 120+/-10 mmX-small:- 76 mm Small:- 84 mm Medium:- 94 mm Large:- 105 mm X-Large:- 115 mm
ASTM D6319-2019 Standard Specification for Nitrile Examination Gloves for Medical ApplicationTo determine the thickness of the glovesPalm 0.05 mm min Finger 0.05 mm min for all sizesSize: X-Small, Small, Medium, Large, X-Large / Palm: 0.09mm for all sizes / Finger: 0.15mm for all sizes
ASTM D6319-2019 Standard Specification for Nitrile Examination Gloves for Medical ApplicationTo Determine the physical properties- Tensile strengthBefore Ageing Tensile Strength 14Mpa Min for all sizes After Ageing Tensile Strength 14Mpa Min for all sizesBefore ageing: 22.76Mpa (X-Small) - 24.59Mpa (X-Large) After ageing: 20.50Mpa (X-Small) - 22.05Mpa (X-Large)
ASTM D6319-2019 Standard Specification for Nitrile Examination Gloves for Medical ApplicationTo Determine the physical properties- Ultimate ElongationBefore Ageing Ultimate Elongation 500% Min for all sizes After Ageing Ultimate Elongation 400% Min for all sizesBefore ageing: 884% (X-Small) - 892% (X-Large) After ageing: 867% (X-Small) - 875% (X-Large)
ASTM D5151-2019 Standard Test Method for Detection of Holes in Medical GlovesTo determine the holes in the glovesAQL 1.5Gloves Passes AQL 1.5
ASTM D6124-06 (Reapproved 2017) Standard Test Method for Residual Powder on Medical GlovesTo determine the residual powder in the gloves2 Mg/Glove MaxX-small 0.16mg/glove Small 0.16mg/glove Medium 0.16 mg/glove Large 0.16 mg/glove X-Large 0.16 mg/glove
ISO 10993-10 Biological Evaluation of Medical Devices Test for Irritation and Skin Sensitization. Test done for irritation.To determine the potential of the material under test to produce dermal irritation in RabbitsUnder the condition of study not an irritantUnder the condition of study not an irritant
ISO 10993-10 Biological Evaluation of Medical Devices Test for Irritation and Skin Sensitization. Test done Skin sensitization.To determine the skin sensitization potential of the material both in terms of induction and elicitation in Guinea Pig.Under the conditions of the study not a sensitizerUnder the conditions of the study not a sensitizer
ISO 10993-5:2009 biological evaluation of medical devices - part 5, tests for in vitro cytotoxicity.To evaluate the in vitro cytotoxic potential of the test item (both inner and outer surface) Extracts in L-929 mouse fibroblasts cells using elution method.Under the conditions of study non cytotoxicUnder the conditions of the study cytotoxic.
ISO 10993-11:2017 biological evaluation of medical devices - part 11, tests for systemic toxicity.To determine the acute systemic toxicity potential of the test item extracts (both inside and outer surfaces) in Swiss Albino mice.Under the conditions of study the device extracts do not pose a systemic toxicity concernUnder the conditions of study the device extracts do not pose a systemic toxicity concern
Material Mediated Pyrogenicity ISO 10993- 11:2017(E) / USP 41To determine the pyrogenic potential of the test item extract following intravenous injection in New Zealand white Rabbits.Under the conditions of the study, the device did not demonstrate a material mediated pyrogenicity response.Under the conditions of the study, the device did not demonstrate a material mediated pyrogenicity response.
Clinical data is not needed for gloves.

Key Metrics

Not Found

Predicate Device(s)

K192333

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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 contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

May 28, 2023

Latrile Gloves Private Limited % Manoj Zacharias Consultant Liberty Management Group Ltd. 75 Executive Dr. STE114 Aurora, Illinois 60504

Re: K230601

Trade/Device Name: Blue Nitrile Examination Gloves Powder Free Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I, reserved Product Code: LZA Dated: February 23, 2023 Received: March 3, 2023

Dear Manoi 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.

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 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.

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) K230601

Device Name

Blue Nitrile Examination Gloves Powder Free

Indications for Use (Describe)

Blue Nitrile Examination Gloves Powder Free 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)Over-The-Counter Use (21 CFR 801 Subpart C)

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3

510(K) SUMMARY K230601 As required by: 21CFR§807.92

A. APPLICANTINFORMATION

510(K) Owner's NameLatrile Gloves Private Limited
AddressPlot No : B5 - Sipcot Induatrial Complex, 8th Main road,
Pallapatti Village, Nilakottai Taluk, Dindigul Dist - 624201
Phone-----
Fax-----
E-mailinfo@latrile.com
Contact PersonRagu. M
DesignationQMS - Head
Contact Number8754672072
Contact Emailquality@latrile.com
Date Submitted22nd February 2023

B. DEVICE IDENTIFICATION

Name of the deviceBlue Nitrile Examination Gloves Powder Free
Product proprietary or trade nameQ-loves
Common or usual nameExam Gloves
Classification nameNon-powdered patient examination glove
Device ClassificationClass-1
Product CodeLZA
Regulation Number21 CFR 880.6250
Review PanelGeneral Hospital

C. PREDICATE DEVICE

Predicate DeviceJR Engineering & Medical Technologies (M) SDN.BHD.
510( K) NumberK192333
Regulatory Class1
Product codeLZA

D. DESCRIPTION OF THEDEVICE:

Blue Nitrile Examination Gloves Powder Free are Class I patient examination gloves bearing the product code Nitrile - LZA (21CFR880.6250).The gloves are made from acrylonitrile-butadiene copolymer dispersion. These gloves are blue in color, powder free and non sterile. The device is available in Extra Small, Small, Medium, Large and Extra Large sizes.

E. INTENDED USE OF THE DEVICE:

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

4

F. SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE PREDICATEDEVICE

CharacteristicsStandardsDevice PerformanceRemarks
PredicateSubject
510(K) NumberK192333K230601----
Name of deviceJR MEDIC Blue Nitrile
Examination Gloves
Powder-freeBlue Nitrile
Examination Gloves
Powder Free----
DimensionsASTM D6319-
2019Length Min 230 m Width
Min 95+/-10
mm(for medium size)Length Min 230 mm Width
Min 95+/-10
mm(for medium size)Same
Physical PropertiesASTM D6319-2019Before 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
ThicknessASTM D6319-2019Palm min 0.05 mm
Finger min 0.05 mmPalm min 0.05 mm
Finger min 0.05 mmSame
Powder ResidueASTM D6319-2019≤2 mg/glove≤2 mg/gloveSimilar
BiocompatibilityPrimary Skin
Irritation-
ISO 10993-
10:2010(E)Under the condition of
study not an irritantUnder the condition
of study not an
irritantSame
Dermal
Sensitization- ISO
10993-10:2010(E)Under the conditions of
the study not a sensitizerUnder the conditions
of the study not a
sensitizerSame
In vitro cytotoxicity
ISO10993-5
:2009(E)Under the conditions of
the study, cytotoxicUnder the conditions
of the study cytotoxicSame
Acute Systemic
Toxicity Test ISO
10993-11:2017(E)Under the conditions
of study the device
extracts do not pose a
systemic toxicity concernUnder the conditions
of study the device
extracts do not pose a
systemic toxicity
concernSame
Material Mediated
Pyrogenicity ISO
10993-11:2017(E) /
USP 41Under the conditions of
the study non pyrogenicUnder the conditions
of the study non
pyrogenicSame
CharacteristicsStandardsDevice PerformanceRemarks
PredicateCurrent
Water Tight (1000 ml)ASTM D5151-2019Passes AQL-1.5Passes AQL-1.5Similar
Intended useJR MEDIC Blue Nitrile
Examination Gloves
Powder-free is
disposable devices
intended for medical
purpose that are won on
the examiner's hand to
prevent contamination
between patient and
examiner.Blue Nitrile
Examination Gloves
Powder free is
disposable devices
intended for medical
purpose that are worn
on the examiner's
hand to prevent
contamination
between patient and
examiner.Similar
MaterialASTM
D6319-2019NitrileNitrileSame
ColorBlueBlueSame
TextureFinger TextureFinger textureSame
SizeASTM
D6319-2019Extra Small, Small,
Medium, Large, Extra
LargeExtra Small, Small,
Medium, Large, Extra
LargeSame
Single UseMedical Glove
Guidance Manual
  • Labeling | Single Use | Single Use | Same |
    | Manufacturer(s) | | JR Engineering &
    Medical
    Technologies
    (M) SDN.BHD.
    Malaysia | Latrile Gloves Private
    Limited | ----- |

5

There are no significant differences between the two products and are identical in terms of intended use, materials, design, manufacturing methods. Both devices meet the ASTM standard D6319-2019.

NON-CLINICAL TESTING SUMMARY

PERFORMANCE DATA
Test MethodPurposeAcceptance CriteriaResult
ASTM D6319-2019 Standard
Specification for Nitrile
Examination Gloves for
Medical ApplicationTo determine the
length of the glovesMin 230 mm for all sizesX-Small:- 245 mm
Small:- 245 mm
Medium:- 246mm
Large:- 248 mm
X-Large:- 248 mm
ASTM D6319-2019 Standard
Specification for Nitrile
Examination Gloves for
Medical ApplicationTo determine the
width of the glovesX-small:- 70+/-10 mm
Small:- 80+/-10 mm
Medium:- 95+/-10mm
Large:- 110+/-10 mm
X-Large:- 120+/-10 mmX-small:- 76 mm
Small:- 84 mm
Medium:- 94 mm
Large:- 105 mm
X-Large:- 115 mm

6

| Test Method | Purpose | Acceptance
Criteria | Result | | |
|--------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------|------------------------------------------------------------------------------|-----------------------------------------------------------------------------|
| ASTM D6319-2019 Standard
Specification for Nitrile
Examination Gloves for
Medical Application | To determine the
thickness of the
gloves | Palm 0.05 mm min
Finger 0.05 mm min
for all sizes | Size
X-Small
Small
Medium
Large
X-Large | Palm
0.09mm
0.09mm
0.09mm
0.09mm
0.09mm | Finger
0.15mm
0.15mm
0.15mm
0.15mm
0.15mm |
| ASTM D6319-2019 Standard
Specification for Nitrile
Examination Gloves for
Medical Application | To Determine the
physical properties-
Tensile strength | Before Ageing
Tensile Strength
14Mpa Min for all
sizes
After Ageing
Tensile Strength
14Mpa Min for all
sizes | Size
X-Small
Small
Medium
Large
X-Large | Before
ageing
22.76Mpa
22.77Mpa
24.46Mpa
24.51Mpa
24.59Mpa | After
ageing
20.50Mpa
20.50Mpa
21.81Mpa
21.95Mpa
22.05Mpa |
| ASTM D6319-2019 Standard
Specification for Nitrile
Examination Gloves for
Medical Application | To Determine the
physical properties-
Ultimate Elongation | Before Ageing
Ultimate Elongation
500% Min for all
sizes
After Ageing
Ultimate
Elongation 400%
Min for all sizes | Size
X-Small
Small
Medium
Large
X-Large | Before
ageing
884%
885%
888%
891%
892% | After
ageing
867%
868%
870%
872%
875% |

Test MethodPurposeAcceptance CriteriaResult
ASTM D5151-2019 Standard
Test Method for Detection of
Holes in Medical GlovesTo determine the
holes in the glovesAQL 1.5Gloves Passes AQL 1.5
ASTM D6124-06 (Reapproved
  1. Standard Test Method
    for Residual Powder on
    Medical Gloves | To determine the
    residual powder in
    the gloves | 2 Mg/Glove Max | Size
    X-small 0.16mg/glove
    Small 0.16mg/glove
    Medium 0.16 mg/glove
    Large 0.16 mg/glove
    X-Large 0.16 mg/glove |

7

BIO-COMPATIBILITY DATA

| Test Method | Purpose | Acceptance
Criteria | Result |
|---------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------|
| ISO 10993-10 Biological
Evaluation of Medical Devices
Test for Irritation and Skin
Sensitization. Test done for
irritation. | To determine the potential of
the material under test to
produce dermal irritation in
Rabbits | Under the condition
of study not an
irritant | Under the condition of
study not an irritant |
| ISO 10993-10 Biological
Evaluation of Medical Devices
Test for Irritation and Skin
Sensitization. Test done Skin
sensitization. | To determine the skin
sensitization potential of the
material both in terms of
induction and elicitation in
Guinea Pig. | Under the
conditions of the
study not a
sensitizer | Under the conditions of
the study not a
sensitizer |
| ISO 10993-5:2009 biological
evaluation of medical devices -
part 5, tests for in vitro
cytotoxicity. | To evaluate the in vitro
cytotoxic potential of the test
item (both inner and outer
surface) Extracts in L-929
mouse fibroblasts cells using
elution method. | Under the
conditions of study
non cytotoxic | Under the conditions of
the study cytotoxic. |
| ISO 10993-11:2017 biological
evaluation of medical devices -
part 11, tests for systemic
toxicity. | To determine the acute
systemic toxicity potential of
the test item extracts (both
inside and outer surfaces) in
Swiss Albino mice. | Under the
conditions of study
the device extracts
do not pose a
systemic toxicity
concern | Under the conditions
of study the device
extracts do not pose a
systemic toxicity
concern |
| Material Mediated
Pyrogenicity ISO 10993-
11:2017(E) / USP 41 | To determine the pyrogenic
potential of the test item
extract following intravenous
injection in New Zealand
white Rabbits. | Under the
conditions of the
study, the device
did not
demonstrate a
material mediated
pyrogenicity
response. | Under the conditions of
the study, the device did
not demonstrate a
material mediated
pyrogenicity response. |

G. Clinical Testing Summary

Not applicable - Clinical data is not needed for gloves.

H. CONCLUSION

The conclusions drawn from the nonclinical tests demonstrate that the device is as safe, as effective, and performs as well as or better than the legally marketed device.