K Number
K970794
Device Name
LATEX PATIENT EXAMINATION (POWDERFREE GLOVE)
Date Cleared
1997-05-06

(63 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
A patient examination glove 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
Latex Patient Examination glove Powderfree
More Information

Not Found

Not Found

No
The device is a patient examination glove, and the summary describes its material and intended use for preventing contamination. There is no mention of AI, ML, image processing, or any other technology that would suggest the use of AI/ML.

No.
The intended use states it is to "prevent contamination between patient and examiner," which is a preventive measure, not a therapeutic one. It does not treat or cure any medical condition.

No
Explanation: The device is a patient examination glove, described as preventing contamination between the patient and examiner. Its intended use does not involve diagnosing medical conditions, but rather providing a barrier. The performance study focuses on skin irritation and sensitization, not diagnostic accuracy.

No

The device is a physical glove, not software. The description clearly states "Latex Patient Examination glove Powderfree".

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 a "disposable device intended for medical purposes that is worn on the examiners hand or finger to prevent contamination between patient and examiner." This describes a barrier device used during physical examination, not a device used to examine specimens in vitro (outside the body) to diagnose a condition.
  • Device Description: The device is described as a "Latex Patient Examination glove Powderfree." This is a physical barrier, not a reagent, instrument, or system used for in vitro testing.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological specimens (blood, urine, tissue, etc.)
    • Detecting or measuring substances in specimens
    • Providing information for diagnosis, monitoring, or screening

The information provided focuses on the physical properties and safety of the glove as a barrier, which is consistent with a Class I or Class II medical device used for protection, not an IVD.

N/A

Intended Use / Indications for Use

A patient examination glove is a disposable device intended for medical purposes that is worn on the examiners hand or finger to prevent contamination between patient and examiner,

Product codes

80LYY

Device Description

Latex Patient Examination glove Powderfree
50 micrograms or less of total water extractable protein per gram of glove

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

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)

Human Repeat Insult Patch Test: Concordia Research Laboratories, Inc.
Study Number: Not Found
"Because of the complete lack of reactions during both the Induction and Challenge Phases, it is apparent that this test glove, when tested under the exaggerated conditions of the Occluded Repeated Insult Patch Test, may be safely distributed for its intended use.It is the opinion of the investigator and dermatologist that the Irritation and sensitization potential of the above captioned test article is extremely low, if existent at all."

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

Not Found

Predicate Device(s)

Not Found

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

Sempermed Corporation., LtdPage 1 of 2
MAY -6 1997510(k) SUMMARY -08.01.1997 FOR K-970794
1.0 APPLICANT:
Dr. POONSUK CHERDKIATGUMCHAI
SIAM SEMPERMED CORPORATION Ltd
110 MOO 8 KANJANAVANIT ROAD
PATHONG HATYAI SONGKHLA
THAILAND 90230
TEL: 66 074 291 648 OR 291 649
FAX: 66 074 291 650
2.0 CONTACT PERSON
Dr. POONSUK CHERDKIATGUMCHAIMR DON MORRIS
SIAM SEMPERMED CORPORATION.LtdSATARI CORP. Ltd
110 MOO 8 KANJANAVANIT ROAD14 LEEWARD ISLAND
PATHONG HATYAI SONGKHLACLEARWATER
THAILAND 90230USA FL 34630
TEL: 66 074 291 648 OR 291 649TEL: 813 446 3535 OR 800 366 9545
FAX: 66 074 291 650FAX: 813 443 348
3.0 Device Class: I
Product code: 80LYY
4.0 Specification: Latex patient examination glove (powderfree)-Class 1 80LYY
meets all of the requirements of ASTM standard D3578-95
5.0 Device Description: Latex Patient Examination glove Powderfree
50 micrograms or less of total water extractable protein per gram of glove
6.0 Intended use: A patient examination glove is a disposable device intended for medical purposes that is wornon the examiners hand or finger to prevent contamination between patient and examiner,
7.0 Surface treatment: Polymer coated, Halogenation/Siliconization and extensive washing in water
Outer surface: Free from glove powder
8.0 Human Repeat Insult Patch Test: Concordia Research Laboratories, Inc.Study Number:
"Because of the complete lack of reactions during both the Induction and Challenge Phases, it is apparent that
this test glove, when tested under the exaggerated conditions of the Occluded Repeated Insult Patch Test,
may be safely distributed for its intended use.
It is the opinion of the investigator and dermatologist that the Irritation and sensitization potential of the above
captioned test article is extremely low, if existent at all."

1

Sempermed D Corporation., Ltd

510(k)- SUMMARY

08.01:1997 · · POR K-970794

· 9.0 QUALITY CHARACTERISTICS

DESCRIPTIONASTM standardSPECIFICATION
DIMENSIONS-2 AQL 1.0S-2 AQL 4.0
Overall length230 min.240+/-10 mm
Width
(double wall)S 80 +/- 10 mm
M 95 +/- 10 mm
L 111 +/- 10 mmSS ≤80 mm
S 83 +/- 5 mm
M 94 +/- 5 mm
L 105 +/- 4 mm
Thickness, mm
Finger
palm0.08 mm MIN.
0.08 mm MIN.0.08 mm MIN.
0.08 mm MIN.
PHYSICAL PROPERTIES
Before and agingS-Z AQL 4.0S-2 AQL 4.0
Tensile strength
Elongation at breakAccording to
ASTM D3578-9514 Mpa MIN
700% MIN.
after aging
tensile strength
Elongation at break14 Mpa MIN.
500% MIN.
WATER EXTRACTABLE
PROTEINN/AS-2 AQL 4.0
50 ug/g MAX.
POWDER LEVELN/A2 mg MAX.
FREEDOM FROM HOLES-4 AQL 4.0II AQL 1.5
  1. Coaclesian: Siam Sempermed Latex Patient Examination Glove polymer Powdsfree moct the ASTM standard or equivalent standard moot pinhole FDA requirements

ment labeling claims (see 5.0 and 6.0 above)

Dr. POONSUK CHERDKIATGUMCHAI

Senior Assistant Chief Production Officer (quality)

fais document its contects are confidential. Do not discuss with or give access to people not designated