K Number
K231446
Date Cleared
2023-09-22

(127 days)

Product Code
Regulation Number
878.4460
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Single-Use Latex Sterile Surgical Gloves are device made of natural rubber intended to be worn by operating room personnel to protect a surgical wound from contamination.

Device Description

The proposed device, Single-Use Latex Sterile Surgical Gloves is a sterilized and disposable medical glove intended to be worn by operating room personnel to protect a surgical wound from contamination. The proposed device is made of natural rubber latex, per standard ASTM D3577- 09(15), the rubber surgical gloves classification is: Type 1-qloves compounded primarily from nature rubber latex." The qloves are powderfree and available in white in sizes 6, 6.5, 7, 7.5, 8, 8.5 and 9. The proposed device is provided Radiation sterilized to achieve the sterility Assurance Level (SAL) of 10-6. The latex surgical glove shelf life is 3 years.

AI/ML Overview

This document is a 510(k) Pre-market Notification for a medical device, specifically Single-Use Latex Sterile Surgical Gloves (SG100). It focuses on demonstrating substantial equivalence to a predicate device, not necessarily a comprehensive study proving novel effectiveness.

Here's a breakdown of the requested information based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

The document presents two tables relevant to acceptance criteria and device performance:

Table 1: Comparison of Technological Characteristics (Proposed vs. Predicate) - This table indirectly shows performance against standards and similarities with the predicate.

CharacteristicAcceptance criteria of the standard (Implied or Explicit)Proposed device K231446Predicate device K212848Remarks
Product nameN/A (Comparison, not an acceptance criterion)Single-Use Latex Sterile Surgical GlovesSterile Latex Surgical Gloves Powder FreeSimilar
Indications For UseN/A (Comparison, not an acceptance criterion)To protect surgical wound from contaminationTo protect surgical wound from contaminationSimilar
Product CodeKGOKGOKGOSame
Regulation Number21 CFR 878.446021 CFR 878.446021 CFR 878.4460Same
Powdered or Powder freePowdered freePowdered freePowdered freeSame
Classification as per ASTM D3577-2019Type I - gloves compounded primarily from natural rubber latexType I - gloves compounded primarily from natural rubber latexType I - gloves compounded primarily from natural rubber latexSame
Type of useOver the counter useOver the counter useOver the counter useSame
Shelf Life3 Years3 Years3 YearsSame
SterilizationRadiation, SAL- 10-6Radiation, SAL- 10-6Radiation, SAL- 10-6Same
Single useYesYesYesSame
Label and LabelingMeet FDA's RequirementMeet FDA's RequirementMeet FDA's RequirementSame
Protein ContentN/A (Comparison, predicate has a lower value, but both meet <200µg/dm²)141µg/dm²50µg/dm²Similar (Both likely meet the <200µg/dm² requirement though predicate is lower)

Table 2: Characteristics Comparison including Acceptance Criteria and Performance (This table on pages 6-8 directly addresses performance against standards)

CharacteristicsAcceptance criteria of the standardSubject device K231446 data (Reported Performance)Predicate device K212848 data (Reported Performance)Remarks
Dimensions
Length: Min 265 mmMin 265 mm281 mm380 mmSimilarMeets ASTM D3577-2019, Standard Specification for Rubber Surgical Gloves
Size (e.g., 6.0, 6.5, etc., ±6mm tolerance)Specified diameters with ±6mm tolerance (e.g., 6.0: 76+/-6mm)Meets specified diameters (e.g., 6.0: 76mm, 6.5: 84mm, 7.0: 90mm, 7.5: 96mm, 8.0: 102mm, 8.5: 109mm, 9.0: 115mm)Meets specified diameters (e.g., 6.0: 74mm, 6.5: 86mm, 7.0: 92mm, 7.5: 98mm, 8.0: 105mm, 8.5: 110mm, 9.0: 116mm)Meets ASTM D3577-2019, Standard Specification for Rubber Surgical Gloves
Cuff, Palm, Finger Tip Thickness: Min 0.10 mmMin 0.10 mmCuff- 0.16mmPalm-0.18mmFinger Tip-0.22mmCuff- 0.12mmPalm-0.16mmFinger Tip-0.21mm
Physical Properties
Tensile Strength Before Aging24 Mpa minimum37 Mpa28.55 MpaSimilarMeets ASTM D3577-2019, Standard Specification for Rubber Surgical Gloves
Ultimate Elongation Before Aging750% minimum814%870%SimilarMeets ASTM D3577-2019, Standard Specification for Rubber Surgical Gloves
Stress at 500% Before Aging5.5 MPa Max3.5 Mpa5.1 MpaSimilarMeets ASTM D3577-2019, Standard Specification for Rubber Surgical Gloves
Tensile Strength After Aging18 Mpa minimum32.49 Mpa23.48 MpaSimilarMeets ASTM D3577-2019, Standard Specification for Rubber Surgical Gloves
Ultimate Elongation After Aging560% minimum760%731%SimilarMeets ASTM D3577-2019, Standard Specification for Rubber Surgical Gloves
Integrity
Freedom from HolesAQL 1.5AQL 1.5AQL 1.0SimilarMeets ASTM D3577-2019 and ASTM D5151-2019, Standard Test Method for Detection of Holes in Medical Gloves
Powder residue for powder-free glovePowder content < 2 mg/Glove0.21 mg/Glove0.40 mg/GloveSimilarMeets ASTM D3577-2019 and ASTM D6124-06 (Reapproved 2017), Standard Test Method for Residual Powder on Medical Gloves
Biocompatibility
Skin Irritation & Skin Sensitization (ISO 10993-10)Non-irritant and Non-SensitizerNon- irritant and Non-SensitizerNon- irritant and Non-SensitizerSame
In vitro cytotoxicity (ISO 10993-5)(Implied non-cytotoxic, but reported as "Cytotoxic". This is a discrepancy or a nuance in reporting as per usual biocompatibility pass/fail criteria)CytotoxicCytotoxicSame (This usually means it fails, which is unusual for a cleared device. Needs clarification in a deeper dive)
Material Mediated pyrogenicity (ISO 10993-11 & USP 41)Non pyrogenicNon pyrogenicNo data available--- (Subject device met; predicate data not available)
Acute Systemic Toxicity (ISO 10993-11)Device extracts do not pose an acute systemic toxicity concernUnder the conditions of study the device extracts do not pose an acute systemic toxicity concernUnder the conditions of study the device extracts do not pose an acute systemic toxicity concernSame
Bacterial Endotoxin (USP 42 <85>)<20EU/pair of gloves<20EU/pair of gloves<20EU/pair of glovesSame

2. Sample size used for the test set and the data provenance

The document specifies non-clinical tests were conducted according to various ASTM and ISO standards (pages 9-10). These standards define sample sizes for specific tests (e.g., AQL for holes, specific number of samples for physical properties, etc.). However, the exact sample sizes used for each test are not explicitly stated in this document, only that the tests "Meets the requirement" of the standards.

The data provenance is from non-clinical testing performed on the "Subject device K231446", which is a prospective test for this submission. The country of origin of the data is not explicitly stated, but the manufacturer is Fitone Latex Products Co., Ltd. Guangdong, China.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

This device is a physical product (surgical gloves) and the performance criteria are based on objective measurements defined by international standards (ASTM, ISO, USP). Therefore, no human "experts" are used to establish ground truth in the way one would for diagnostic imaging or clinical assessment. The "ground truth" is the established technical specification in the referenced standards.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

Not applicable. This is for objective physical/chemical testing per standards, not for subjective assessments requiring adjudication.

5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

Not applicable. This device is a surgical glove, not an AI-powered diagnostic or assistive tool for human readers.

6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

Not applicable. This is a physical product, not an algorithm.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

The ground truth for the performance of the surgical gloves is based on international consensus standards and specifications (ASTM D3577-19 for physical properties, ASTM D5151-19 for holes, ASTM D6124-06 for residual powder, ASTM D5712-15 for protein content, ISO 10993 series for biocompatibility, ISO 11137 series for sterilization, and USP standards for bacterial endotoxin and pyrogenicity). These standards define the acceptable range or threshold for each characteristic.

8. The sample size for the training set

Not applicable. This is a physical product, not an AI model requiring a training set.

9. How the ground truth for the training set was established

Not applicable.

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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".

September 22, 2023

Fitone Latex Products Co., Ltd. Guangdong % Kvra Kang Director Landlink Healthcare Technology (Shanghai) Co., Ltd Room 1308, Baohua International Plaza, West Guangzhong Road 555. Jingan District Shanghai, 200072 China

Re: K231446

Trade/Device Name: Single-Use Latex Sterile Surgical Gloves (SG100) Regulation Number: 21 CFR 878.4460 Regulation Name: Non-Powdered Surgeon's Glove Regulatory Class: Class I, reserved Product Code: KGO Dated: September 11, 2023 Received: September 11, 2023

Dear Kyra Kang:

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.

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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 DHT4B2: Personal Protective Equipment, Reprocessing & Disinfection Devices Team OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2023 See PRA Statement below.

Submission Number (if known)

K231446

Device Name

Single-Use Latex Sterile Surgical Gloves (SG100)

Indications for Use (Describe)

The Single-Use Latex Sterile Surgical Gloves are 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."

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510(k) Summary

K231446

l. Submitter

Fitone Latex Products Co., Ltd. Guangdong No.5 Huitong road, Lingbei Industrial Zone, Suixi, 524338 Zhanjiang, Guangdong, China

Contact person: Christine Ou Position: Manager Tel.: 0759-7905808 E-mail: market-intl@fitonelatex.com

Preparation date: Sept. 19, 2023

Submission Correspondent

Ms. Kyra Kang Landlink Healthcare Technology (Shanghai) Co., Ltd. E-mail: kyra.kang@landlink-health.com

US Agent

Qihui Zhang ZYPPEL LLC 1337 Massachusetts Avenue #158 Arlington MA, MA US 02476

II. Proposed Device

DeviceTrade Name: Single-Use Latex Sterile Surgical Gloves
Model:SG100
Common name:Surgeon's Gloves
Regulation Number:21 CFR 878.4460
Regulatory Class:Class I
Product code:KGO
Review Panel:General Hospital

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III. Predicate Device

510(k) Number: K212848
Trade name:Sterile Latex Surgical Gloves Powder Free
Common name:Surgeon's Gloves Classification: Class I
Product Code:KGO
ManufacturerPentavest Holdings Sdn Bhd

IV. Device Description

  • The proposed device, Single-Use Latex Sterile Surgical Gloves is a sterilized and disposable medical glove intended to be worn by operating room personnel to protect a surgical wound from contamination.
  • The proposed device is made of natural rubber latex, per standard ASTM D3577- 09(15), the rubber surgical gloves classification is:

" Type 1-qloves compounded primarily from nature rubber latex." The qloves are powderfree and available in white in sizes 6, 6.5, 7, 7.5, 8, 8.5 and 9.

The proposed device is provided Radiation sterilized to achieve the sterility Assurance Level (SAL) of 10-6. The latex surgical glove shelf life is 3 years.

V. Indication for use

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

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CharacteristicProposed deviceK231446Predicate deviceK212848Discussion
Product nameSingle-Use LatexSterile SurgicalGlovesSterile Latex SurgicalGloves Powder FreeSimilar
Indications ForUseThe Single-Use LatexSterile Surgical Gloveis a device made ofnatural rubberintended to be wornby operating roompersonnel to protect asurgical wound fromcontamination.A Sterile Latex SurgicalGloves Powder Free is adevice made of naturalrubber intended to be wornby operating room personnelto protect a surgical woundfrom contamination.Similar
Product CodeKGOKGOSame
RegulationNumber21 CFR 878.446021 CFR 878.4460Same
Powdered orPowder freePowdered freePowdered freeSame
Classification asper ASTMD3577- 2019Type I - glovescompounded primarilyfrom natural rubberlatexType I - glovescompounded primarily fromnatural rubber latexSame
Type of useOver the counter useOver the counter useSame
Shelf Life3 Years3 YearsSame
SterilizationRadiation, SAL- 10-6Radiation, SAL- 10-6Same
Single useYesYesSame
Label andLabelingMeet FDA'sRequirementMeet FDA's RequirementSame
Protein Content141µg/dm²50µg/dm²Similar

VI. Comparison of Technological Characteristics with the Predicate Device

Table

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CharacteristicsAcceptance criteria of thestandardRemarks
Subject deviceK231446Predicate deviceK212848
Dimensions Length:-Min 265 mm281 mm380 mmSimilarMeets ASTM D3577-2019,Standard Specification forRubber Surgical Gloves
Size
6.0 (76+/-6mm)76mm74mmSimilar
6.5 (83+/-6mm)84mm86mmMeets ASTM D3577-2019,Standard Specification forRubberSurgical Gloves
7.0 (89+/-6mm)90mm92mm
7.5 (95+/-6mm)96mm98mm
8.0 (102+/6mm)102mm105mm
8.5 (108+/6mm)109mm110mm
9.0 (114+/6mm)115mm116mm
Cuff, Palm, Finger TipMin0.10 mmCuff- 0.16mmPalm-0.18mmFinger Tip-0.22mmCuff- 0.12mmPalm-0.16mmFinger Tip-0.21mm
Tensile Strength24Mpa minimumBefore Aging37Mpa28.55MpaSimilarMeets ASTM D3577-2019,Standard Specification for
Ultimate Elongation750% minimumBefore Aging814%870%Rubber Surgical Gloves
Stress at 500%5.5 MPa MaxBefore Aging3.5Mpa5.1Mpa
Tensile Strength 18MpaminimumAfter Aging32.49Mpa23.48MpaSimilarMeets ASTM D3577-2019,Standard Specification forRubberSurgical Gloves
Ultimate Elongation560% minimum AfterAging760%731%

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CharacteristicsAcceptance criteria of thestandardRemarks
Subject deviceK231446PredicatedeviceK212848
Freedom fromHolesAQL 1.5AQL 1.5AQL 1.0SimilarMeets ASTM D3577-2019 andASTM D5151-2019,Standard Test Method forDetection of Holes in MedicalGloves
Powder residue forpowder free glovePowder content <2 mg/Glove0.21 mg/Glove0.40 mg/GloveSimilarMeets ASTM D3577-2019 andASTMD6124-06,(Reapproved 2017),Standard Test Method forResidual Powder on MedicalGloves

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CharacteristicsBiocompatibilityAcceptance criteria of the standardRemarks
Subject deviceK231446Predicate deviceK212848
Skin Irritation &Skin SensitizationISO 10993-10,Biologicalevaluation of medicaldevices - Part 10:Tests for irritation andskinsensitizationNon- irritant andNon-SensitizerNon- irritant andNon-SensitizerSame
In vitro cytotoxicityISO 10993-5:2009(E),BiologicalEvaluation of MedicalDevices - Part 5-Testsforin vitro CytotoxicityCytotoxicCytotoxicSame
Material MediatedpyrogenicityISO 10993-11:2017(E),Biological Evaluationof Medical Devices -Part 11, Tests forSystemic Toxicity andUSP 41<151>Pyrogen TestNon pyrogenicNo data available-----
Acute SystemicToxicityISO 10993-11:2017(E),Biological Evaluationof Medical Devices -Part 11, Tests forSystemic ToxicityUnder theconditions ofstudy thedevice extractsdo not pose anacute systemictoxicityconcernUnder theconditions of studythedevice extracts donot pose an acutesystemic toxicityconcernSame
BacterialEndotoxinUSP 42 <85><20EU/pair ofgloves<20EU/pair ofglovesSame

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VII. Non-Clinical Testing

Non clinical tests were conducted in accordance with following standards to verify that the proposed device met all design specifications.

  • · 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 D5712-15 Standard Test Method for Analysis of Aqueous Extractable Protein in Natural Rubber in Latex, Natural Rubber, and Elastomeric Products Using the Modified Lowry Method
  • ASTM D7160-05 Standard Practice for Determination of Expiration Dating for medical Gloves
  • ISO 10993-1: 2009 Biological evaluation of medical devices Part1: Evaluation and testing within a risk management process
  • · 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 5: Tests For systemic toxicity
  • · ISO 11137-1-2006/ (R) 2010 validation of sterilization process
  • · ISO 11137-2:2013, sterilization of health care products radiation part 2: Establishing the sterilization dose

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TestMethodologyPurposeAcceptance CriteriaResults
ASTM D3577-19Physical DimensionThe actual measureddimension of thegloves shall meetthe statedtolerance specifiedin Table 2 of theASTM D3577-19Meets therequirement
ASTM D3577-19Determination ofPhysical PropertiesBefore and afterAccelerated aging,the gloves shallconform to thephysicalrequirements inTable 3 of ASTMD3578-19Meets therequirement
ASTM D5151-19Water Leak Test forDetection of HolesThe gloves shall befree from holewhen tested inaccordance withthe method givenin ASTM D5151Meets therequirement AQL1.5
ASTM D6124-06(2017)Residual PowderContent TestThe powder residuecontent shall benot more than2mg per gloves.Meets therequirement
ASTM D5712-15Protein Content<200µg/dm²Meets therequirement
ISO 10993-10:2010Skin SensitizationNon-sensitizingMeets therequirement
ISO 10993-10:2010Skin irritationNon-irritatingMeets therequirement
ISO 10993-11:2017Systemic toxicityNon-systemic toxicityMeets therequirement

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VIII.Clinical Testing

No clinical study is included in this submission.

IX. Conclusion

The conclusion drawn from the nonclinical tests demonstrates that the subject device in this 510(K) submission, the Single-Use Latex Sterile Surgical Gloves is as safe, as effective, and performs as well as or better than the legally marketed predicate device cleared under K212848.

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K231446 Page 10 of 9

§ 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).