K Number
K984559
Device Name
ELITE POWDER-FREE POLYURETHANE SYNTHETIC SURGICAL GLOVES (CHEMOTHERAPY USE)
Manufacturer
Date Cleared
1999-02-26

(65 days)

Product Code
Regulation Number
878.4460
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
A device made of synthetic rubber intended to be worn by operating room personnel to protect a surgical wound from contamination and for use handling chemotherapy drugs.
Device Description
Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use), meet all of the requirements of ASTM D 3577, Type 2. Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use) meet all the current specifications for ASTM D 3577 Rubber Surgical Gloves. Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use) are sterile disposable devices intended to be worn by operating room personnel to protect a surgical wound from contamination and for use handling chemotherapy drugs.
More Information

Not Found

No
The device description and intended use clearly define the device as surgical gloves, with no mention of AI or ML capabilities. The document explicitly states "Mentions AI, DNN, or ML: Not Found".

No.
The device is a surgical glove intended for protection and contamination prevention, not for treating or diagnosing a disease or condition.

No
The device, Elite™ Powder Free Polyurethane Synthetic Surgical Gloves, is intended to protect a surgical wound from contamination and for handling chemotherapy drugs, not for diagnosing medical conditions.

No

The device description clearly states it is made of synthetic rubber and is a physical glove, 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 to protect a surgical wound from contamination and for handling chemotherapy drugs. This is a protective barrier function, not a diagnostic test performed on samples taken from the human body.
  • Device Description: The description focuses on the physical properties and standards met by surgical gloves. It does not mention any components or functions related to analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing blood, urine, tissue, or any other biological sample. There is no indication of a diagnostic purpose or the use of reagents or instruments for in vitro analysis.

Therefore, this device falls under the category of a medical device, specifically a surgical glove, but not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use) are sterile disposable devices intended to be worn by operating room personnel to protect a surgical wound from contamination and for use handling chemotherapy drugs.

A device made of synthetic rubber intended to be worn by operating room personnel to protect a surgical wound from contamination and for use handling chemotherapy drugs.

Product codes

KGO

Device Description

Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use), meet all of the requirements of ASTM D 3577, Type 2.

Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use) meet all the current specifications for ASTM D 3577 Rubber Surgical Gloves.

Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use) are sterile disposable devices intended to be worn by operating room personnel to protect a surgical wound from contamination and for use handling chemotherapy drugs.

Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use) are summarized with the following technological characteristics compared to ASTM or equivalent standards.

CharacteristicsStandard
DimensionsMeets ASTM D 3577
Physical PropertiesMeets ASTM D 3577, Type 2
Freedom from holesMeets ASTM D 3577, Meets ASTM D 5151
Powder-FreeMeets described test in Attachment VI of K973461 Not more than 2 mg residue by mass.
BiocompatabilityPrimary Skin Irritation in Rabbits Passes
Guinea Pig Sensitization Passes

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

Operating room personnel

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)

The performance test data of the non clinical tests are the same as mentioned immediately above. Clinical data is not needed for medical gloves or for most devices cleared by the 510(k) process.

It is concluded that Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use) are as safe, as effective, and perform as well as the glove performance standards referenced in Section 7 above and therefore meet:

ASTM listed standards. FDA hole requirements, and labeling claims for the product.

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

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

K973461

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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).

0

2/26/99

Ansell Perry

K984559

Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use) Ansell Perry 1875 Harsh Avenue SE Massillon, Ohio 44646 330-833-2811 Telephone: 330-833-6213 Fax:

Checklist Section 21.0

  • 510 (k) Summary [1]
  • [2] Ansell Perry Inc. 1875 Harsh Avenue SE Massillon, Ohio 44646

330-833-2811 Telephone: 330-833-6213 Fax:

James R. Chatterton Contact: 330-833-2811 Telephone: Fax: 330-833-6213

December 23, 1998

  • Trade Name: Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use) [3] Surgical Gloves, Green Polyurethane Common Name: Classification Name: Surgeon's Glove
  • Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use), meet all of [4] the requirements of ASTM D 3577, Type 2.
  • Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use) meet all the [ર] current specifications for ASTM D 3577 Rubber Surgical Gloves.
  • Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use) are sterile િશ disposable devices intended to be worn by operating room personnel to protect a surgical wound from contamination and for use handling chemotherapy drugs.
  • [7] Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use) are summarized with the following technological characteristics compared to ASTM or equivalent standards.
CharacteristicsStandard
DimensionsMeets ASTM D 3577
Physical PropertiesMeets ASTM D 3577, Type 2

Ansell Healthcare Products Inc. • 1875 Harsh Ave. S.E. • Massillon, Ohio 44646 • U.S.A. http://www.amsell.com Telephone: 330-833-2811 • Toll Free: 800-321-9752 (USA only) • Fax: 330-833-5991

1

K984559

Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use) Ansell Perry 1875 Harsh Avenue SE Massillon, Ohio 44646 330-833-2811 Telephone: 330-833-6213 Fax:

Freedom from holes

.)

Meets ASTM D 3577 Meets ASTM D 5151

Powder-Free Meets described test in Attachment VI of K973461 Biocompatability Primary Skin Irritation in Rabbits Guinea Pig Sensitization

Meets ASTM D 6124 Not more than 2 mg residue by mass.

Passes Passes

  • The performance test data of the non clinical tests are the same as mentioned immediately above. [8]
  • (9) Clinical data is not needed for medical gloves or for most devices cleared by the 510(k) process.
  • [10] It is concluded that Elite™ Powder Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use) are as safe, as effective, and perform as well as the glove performance standards referenced in Section 7 above and therefore meet:

ASTM listed standards. FDA hole requirements, and labeling claims for the product.

  • [11] This summary will include any other information reasonably deemed necessary by The FDA.

2

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 26 1999

Mr. James R. Chatterton Vice President Regulatory Affairs/Technical Ansell Perry, Incorporated 1875 Harsh Avenue S.E. Massillon, Ohio 44646-7199

K984559 Re : Elite Powder-Free Polyurethane Synthetic Trade Name: Surgical Gloves (Chemotherapy Use) Requlatory Class: I Product Code: KGO Dated: December 23, 1998 December 23, 1998 Received:

Dear Mr. Chatterton:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we 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). You may, therefore, market the device, subject to the general The general controls controls provisions of the Act. provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical General regulation (21 CFR Part 820) and that, Devices: through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP requlation may result in regulatory In addition, FDA may publish further announcements action. concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531

3

Page 2 - Mr. Chatterton

through 542 of the Act for devices under the Electronic enrough Size of Control provisions, or other Federal laws or requlations.

This letter will allow you to begin marketing your device as described in your 510 (k) premarket notification. The FDA deborizon substantial equivalence of your device to a legally Finding of babboandable results in a classification for your marketed production of mits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4692. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address

"http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

Director Division of Dental, Infection Control, and General Hospital Devices Office of Device Evaluation Center for Devices and Radioloqical Health

Enclosure

4

3.0 Indications for Use Statement:

510(K) Number (if known): __

INDICATIONS FOR USE

Ansell Perry Applicant: 1698 4559

Elite™ Powder-Free Polyurethane Synthetic Surgical Gloves (Chemotherapy Use) Device Name: _ Indications For Use:

A device made of synthetic rubber intended to be worn by operating room personnel to protect a surgical wound from contamination and for use handling chemotherapy drugs.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH Office of Device Evaluation (ODE)

Clim S. Lin
(Division Sign Off)

(Division Sign-Off) Division of Dental, Infection Control, and General Hospital Devices 510(k) Number

Prescription Use Per 21 CFR 801.109 OR

Over-The-Counter