K Number
K241252
Device Name
Disposable Vinyl Examination Gloves
Date Cleared
2024-05-20

(17 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Disposable Vinyl Examination Gloves 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.
Device Description
The subject device is a patient examination glove made of Poly (vinyl chloride) compound. It is Non-Sterile, Powder free and is clear in colour. The device is ambidextrous and can be worn on either the left or right hand. (Per 21 CFR 880.6250, class I). The device provides four specifications: S, M, L and XL. The device meets all the specifications in ASTM D5250-19, Standard specification for Vinyl Examination Gloves. Additionally, the gloves have been tested for biocompatibility per ISO 10993-10, ISO 10993-23, ISO 10993-5
More Information

Not Found

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

No
The device is described as an examination glove intended to prevent contamination, not to provide therapy.

No
The device is a glove for preventing contamination, not for diagnosing medical conditions.

No

The device description clearly states it is a physical glove made of Poly (vinyl chloride) compound, which is a hardware component.

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 being worn on the hand or finger to prevent contamination between patient and examiner. This is a barrier function, not a diagnostic test performed on a sample from the body.
  • Device Description: The description focuses on the material, physical properties, and standards related to examination gloves. 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 a sample (blood, urine, tissue, etc.)
    • Detecting or measuring a substance in a sample
    • Providing information for diagnosis, monitoring, or screening of a disease or condition
  • Classification: The device is classified under 21 CFR 880.6250, which is the regulation for Patient Examination Gloves. This regulation is for medical devices, but not specifically for IVDs.

In summary, the device is a medical device used for barrier protection, not for performing diagnostic tests on biological samples.

N/A

Intended Use / Indications for Use

Disposable Vinyl Examination Gloves 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.

Product codes (comma separated list FDA assigned to the subject device)

LYZ

Device Description

The subject device is a patient examination glove made of Poly (vinyl chloride) compound. It is Non-Sterile, Powder free and is clear in colour. The device is ambidextrous and can be worn on either the left or right hand. (Per 21 CFR 880.6250, class I). The device provides four specifications: S, M, L and XL. The device meets all the specifications in ASTM D5250-19, Standard specification for Vinyl Examination Gloves. Additionally, the gloves have been tested for biocompatibility per ISO 10993-10, ISO 10993-23, ISO 10993-5

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

hand or finger

Indicated Patient Age Range

Not Found

Intended User / Care Setting

examiner / 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 Testing:
Biocompatibility Testing:

  • ISO 10993-10: Skin Sensitization test
  • ISO 10993-23:Skin Irritation test
  • ISO 10993-5: In vitro cytotoxicity test

Performance Testing:

  • ASTM D5250-19 Standard Specification for Poly (vinyl chloride) Gloves for Medical Application
  • ASTM D6124-06 (Reapproved 2017) Standard Test Method for Residual Powder on Medical Gloves
  • ASTM D5151-19 Standard Test Method for Detection of Holes in Medical Gloves

Key Results:

  • Dimensions (length, width, thickness): Pass (Length: 240 mm min, Width: S: 89-90mm, M: 99 mm, L:105-106 mm, XL:119-120 mm, Thickness: Palm – 0.080mm Min, Finger–0.080mm Min)
  • Physical properties (Tensile Strength, Elongation) Before Aging: Pass (Tensile Strength: 16.0MPa, min, Elongation: 304%, min.)
  • Physical properties (Tensile Strength, Elongation) After Aging: Pass (Tensile Strength:16.7MPa, min, Elongation: 301%, min.)
  • Freedom from Holes: Pass (No leakage, 80 of 80 passed)
  • Residual Powder: Pass (average 0.1 mg per glove)

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

Not Found

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.

K223008

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.

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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 a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

May 20, 2024

Anqing Pukang Medical Technology Co., LTD. % Prithul Bom Most Responsible Person Regulatory Technology Services, LLC 1000 Westgate Drive, Suite 510k Saint Paul, Minnesota 55114

Re: K241252

Trade/Device Name: Disposable Vinyl Examination Gloves Regulation Number: 21 CFR 880.6250 Regulation Name: Non-powdered patient examination glove Regulatory Class: Class I, reserved Product Code: LYZ Dated: May 3, 2024 Received: May 3, 2024

Dear Prithul Bom:

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 (the 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 available 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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Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (OS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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).

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Sincerely,

Allan Guan -S

For Bifeng Qian, M.D., Ph.D. Assistant Director DHT4B: Division of Infection Control and Plastic and Reconstructive Surgery Devices 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

510(k) Number (if known) K241252

Device Name Disposable Vinyl Examination Gloves

Indications for Use (Describe)

Disposable Vinyl Examination Gloves 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.

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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510(K) Summary

This summary of 510(k) is being submitted in accordance with 21 CFR 807.92. Date prepared: May 20, 2024 A. Applicant:

Name: Anqing Pukang Medical Technology Co., LTD. Address: No 7 Haian Road, Anqing City, Anhui,China. Contact: Ms. Min Gao Title: QE Tel: +86-18266365220 Email: 474112523@qq.com

Submission Correspondent: Primary contact: Max Li Anqing Pukang Medical Technology Co., LTD. No 7 Haian Road, Anqing City, Anhui,China. Tel: +86-536-6136888 Email: maxli@basicmedical.com

B. Device:

Trade Name: Disposable Vinyl Examination Gloves Common Name: Non-Powdered Patient Examination Glove

Regulatory Information Classification Name: Vinyl Patient Examination Glove Classification: Class I Product code: LYZ Regulation Number: 21 CFR 880.6250 Review Panel: General Hospital and Personal Use

C. Predicate device:

K223008 Name of the device: Disposable Vinyl Examination Gloves Owner's Name: JIANGXI HANDSPRO PRODUCTS SOLUTIONS CO., LTD.

D. Indications for use of the device:

Disposable Vinyl Examination Gloves is a disposable device intended for medical purposes that is worn on the examiners' hand or finger to prevent contamination between patient and examiner.

Device Description: نن

The subject device is a patient examination glove made of Poly (vinyl chloride) compound. It is Non-Sterile, Powder free and is clear in colour. The device is ambidextrous and can be worn on either the left or right hand. (Per 21 CFR 880.6250, class I). The device provides four specifications: S, M, L and XL. The device meets all the

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specifications in ASTM D5250-19, Standard specification for Vinyl Examination Gloves. Additionally, the gloves have been tested for biocompatibility per ISO 10993-10, ISO 10993-23, ISO 10993-5

F. Summary of Technological Characteristics

Disposable Vinyl Examination Gloves are compared with the predicate device in terms of intended use, design, material, specifications, and performance.

The following table shows similarities and differences of use, design, and material between the proposed device and the predicate device.

DeviceProposed DevicePredicate DeviceResult
510K #K241252K223008-
Product NameDisposable Vinyl Examination GlovesDisposable Vinyl Examination Gloves-
Product CodeLYZLYZSame
Regulation Number21 CFR 880.625021 CFR 880.6250Same
Indications for useDisposable Vinyl Examination Gloves 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.Disposable Vinyl Examination Gloves 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.Same
Powder freeYesYesSame
Design featureAmbidextrous.Ambidextrous.Same
MaterialVinylVinylSame
ColorClearClearSame
SizeS, M, L, XLS, M, L, XLSame
SterileNon-SterileNon-SterileSame
UseSinge useSingle useSame

Table 1 General Comparison of Proposed and Predicate Devices

Table 2 Comparison of Physical, Biocompatibility and Performance Testing

CHARACTERSTICSSTANDARDSDEVICE PERFORMANCERemarks
SUBJECTPREDICATE
Name of deviceDisposable Vinyl
Examination GlovesDisposable Vinyl
Examination Gloves---
DimensionsASTMD5250- 19Length:
S/M/L/XL: ≥230;Length:
S/M/L/XL: ≥230;Same
Physical PropertiesASTMD5250- 19Width:Width:Same
S: 85±5
M: 95±5
L: 105±5
XL: 115±5S: 85±5
M: 95±5
L: 105±5
XL: 115±5
Thickness:
Palm: ≥0.08
Finger: ≥0.08Thickness:
Palm: ≥0.08
Finger: ≥0.08
Before Aging
Tensile Strength
min 11 Mpa
Ultimate Elongation
Min 300%Before Aging
Tensile Strength
min 11 Mpa
Ultimate Elongation
Min 300%
After Aging
Tensile Strength
min 11 Mpa
Ultimate Elongation
Min 300%After Aging
Tensile Strength
min 11 Mpa
Ultimate Elongation
Min 300%
Powder FreeASTMD5250- 19≤2 mg/glove≤2 mg/gloveSame
Freedom from HolesASTM D5250- 19
ASTM D5151- 19Complies with
ASTM D5250- 19
and ASTM D5151- 19 G-
1, AQL 2.5Complies with
ASTM D5250- 19
and ASTM D5151- 19 G-
1, AQL 2.5Same
BiocompatibilityPrimary Skin
Irritation-
ISO 10993-
23:2021;Under the conditions of this
study, the polar and
nonpolar extracts of the test
article did not induce skin
irritation.Under the conditions of
the study, not an irritantSimilar①
Dermal
Sensitization-
ISO 10993-
10:2010Under the conditions of
this test, the polar and
non-polar extracts of the
test article did not cause
skin sensitization
reaction.Under the conditions of
the study, not a sensitizerSame
In vitro
cytotoxicity
ISO10993-
5:2009Under the conditions of
this study, the extract of
the test article did not
show potential toxicity to
L-929 cells.Under conditions of the
study, did not show
potential toxicity to L-
929 cells. Complies withSame

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(1) The new version of standard for Skin Irritation we refer is ISO 10993-23:2021, the test method and process is the same as the old version ISO 10993-10

Analysis: The proposed device has the Skin Sensitization test, Primary Skin Irritation test and the In vitro cytotoxicity test, the same as the predicate device.

G. Summary of Non-Clinical Testing

A Biocompatibility

Biocompatibility Testing according to ISO 10993-1:2018, the nature of body contact for the subject device is Surface Device category, Skin Contact and duration of contact is A-Limited (≤24h). The following tests for the subject device were conducted to evaluated the biocompatibility of Disposable Vinyl Examination Gloves:

  • ISO 10993-10: Skin Sensitization test
  • ISO 10993-23:Skin Irritation test
  • · ISO 10993-5: In vitro cytotoxicity test

A Performance Testing

Physical performance testing of the proposed device was conducted as per ASTM D5250-19 Standard Specification for Poly (vinyl chloride) Examination Gloves.

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

  • ASTM D5250-19 Standard Specification for Poly (vinyl chloride) Gloves for Medical Application
  • ASTM D6124-06 (Reapproved 2017) Standard Test Method for Residual Powder on Medical Gloves
  • ASTM D5151-19 Standard Test Method for Detection of Holes in Medical Gloves
Test MethodPurposeAcceptance CriteriaResults
Dimensions
(length)
(width)
(thickness)The purpose of the
test is to evaluate the
physical dimension of
the gloveLength
230 mm minPass
240 mm min
Width(mm)Pass
S: $85\pm5$
M: $95\pm5$
L: $105\pm5$
XL: $115\pm5$S: 89-90mm
M: 99 mm
L:105-106 mm
XL:119-120 mm
Thickness(mm):
Palm: Min 0.08
Finger: Min 0.08Pass
Palm – 0.080mm Min
Finger–0.080mm Min
Physical
propertiesThe purpose of the
test is to evaluate the
tensile strength and
ultimate elongation
before and after
agingBefore Aging:
Tensile Strength: 11 MPa, min.
Elongation: 300%, min.Pass
Before Aging:
Tensile Strength: 16.0MPa, min.
Elongation: 304%, min.
After Aging:
Tensile Strength: 11 MPa, min.
Elongation:300%, min.After Aging:
Tensile Strength:16.7MPa, min.
Elongation: 301%, min.
Freedom from
holesThe purpose of the
test is to detect holes
in the glovesNo leakage at sampling level of
G-1, AQL 2.5Pass
No leakage, 80 of 80 passed

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| Residual
Powder | The purpose of the
test is to detect the
powder residue in
the glove |