K Number
K991744
Device Name
SMART SHIELD NON-STERILE POWDER-FREE, BLUE NITRILE EXAMINATION GLOVES WITH BUBBLEGUM SCENT
Date Cleared
1999-06-23

(33 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
This is a medical glove to be worn on the hand of health care and similar personnel to prevent contamination between health care personnel and the patient.
Device Description
Class I Nitrile patient examination gloves 80LZA, powder free and meeting all the requirements of the ASTM Draft Standard Specification for Nitrile Examination Gloves for Medical Application.
More Information

Not Found

Not Found

No
The device description and performance studies focus on the physical properties and safety of a medical glove, with no mention of AI or ML technology.

No
The device, a medical glove, is intended to prevent contamination between healthcare personnel and patients, not to treat or cure a disease or condition.

No
Explanation: The device is a medical glove designed to prevent contamination, not to diagnose a disease or condition.

No

The device is a physical medical glove, not a software-only device. The description focuses on material properties and physical performance tests.

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 medical glove worn on the hand to prevent contamination between healthcare personnel and the patient. This is a barrier device, not a device used to examine specimens derived from the human body for the purpose of providing information for the diagnosis, prevention, monitoring, treatment, or alleviation of disease.
  • Device Description: The description details a Class I Nitrile patient examination glove, which is a physical barrier.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, reagents, or any other components typically associated with in vitro diagnostics. The performance studies focus on physical properties (water tightness, powder content) and biocompatibility, not diagnostic accuracy or analytical performance on biological specimens.

Therefore, this device falls under the category of a medical device, specifically a patient examination glove, and not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

A medical glove to be worn on the hand of the health care and similar personnel to prevent contamination between health care personnel and patient.

This is a medical glove to be worn on the hand of health care and similar personnel to prevent contamination between health care personnel and the patient.

Product codes

LZA

Device Description

Class I Nitrile patient examination gloves 80LZA, powder free and meeting all the requirements of the ASTM Draft Standard Specification for Nitrile Examination Gloves for Medical Application.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

hand

Indicated Patient Age Range

Not Found

Intended User / Care Setting

health care and similar 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)

Water Tight Test: Using the FDA specified 1,000 ml water leak test, 200 pieces of each size of the gloves were tested following G1 single sampling plan. The results for Batch # 9904071315 (Small) showed 4 leaked; Batch # 9904061313 (Medium) showed 1 leaked; Batch # 9904061313 (M-Large) showed 2 leaked; Batch # 9904061313 (Large) showed 3 leaked. These results meet the FDA Water Leak Test Requirements.

Biocompatibility: Primary Dermal Irritation Test - Passes; Skin Sensitization Study - Passes. These results show that the gloves meet FDA biocompatibility requirements.

Total Residual Powder Content & Presence of Cornstarch: Residual Powder Content (ASTM D 6124) - Range: 1.4-1.9 Mg/ GLOVE, Mean :1.7 Mg PER GLOVE (FDA Internal Requirements: NOT EXCEEDING 2 Mg PER GLOVE); Cornstarch Presence (IODINE TEST) - NEGATIVE. The glove conforms to FDA's proposed requirement not to exceed 2 mg/glove of total powder residue (using ASTM D 6124 Method for Residual Powder on Medical Gloves) and negative Iodine test.

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.

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K991744

APPENDIX G

510(K) SUMMARY

SUMMARY OF THE SAFETY AND EFFECTIVENESS FOR SMART SHIELD POWDER FREE COLORED NITRILE EXAMINATION GLOVES WITH BUBBLE GUM SCENT

Contact person : Ong Lay Mau

This summary of safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990.

Device Information:

Trade Name- SMART SHIELD™ POWDER FREE COLORED NITRILE
EXAMINATION GLOVES WITH BUBBLE GUM SCENT
Common Name- Exam gloves
Classification Name- Patient examination glove (per 21 CFR 880.6250)
Classification Information- Class I, 80 LZA - Nitrile patient examination glove, Powder free
Meets all requirements of the ASTM Draft Standard Specification
for Nitrile Examination Gloves for Medical Application.

Device Description:

Class I Nitrile patient examination gloves 80LZA, powder free and meeting all the requirements of the ASTM Draft Standard Specification for Nitrile Examination Gloves for Medical Application.

Intended Use of Device:

A medical glove to be worn on the hand of the health care and similar personnel to prevent contamination between health care personnel and patient.

Technological Characteristics of Device:

1. Dimension

DIMENSIONASTM D3578-95ROYAL SHIELD
Small
Medium
Medium-Large
Large80 mm +/- 10mm
90 mm +/- 10mm
100mm +/- 10mm
111mm +/- 10mm80 - 85 mm
90 - 97 mm
105 - 110 mm
111 - 114 mm
Length230 mm minimum
for all sizes240mm min.
for all sizes
Thickness -
Finger
Palm0.08mm minimum
0.08mm minimum0.08 mm min.
0.08 mm min.

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K991744

2. Physical Properties

TESTSTENSILE STRENGTHULTIMATE ELONGATION
ASTM
D 3578-95ASTM
DRAFT
NITRILESHIELD
GLOVES
MFR'SASTM
D 3578-95ASTM
DRAFT
NITRILESHIELD
GLOVES
MFR'S
BEFORE
AGING14.0 MPa12.5 MPa18.0 MPa700%500%600%
AFTER AGING
22 HRS @
100°C14.0 MPa12.5 MPa16.0 MPa500%400%500%

Our Smart Shield™ Powder free, Colored Nitrile Gloves with Bubble Gum Scent meets all the current ASTM D 6319-99 standards for Nitrile Examination Gloves.

3. Water Tight Test

Using the FDA specified 1,000 ml water leak test, 200 pieces of each size of the gloves were tested following G1 single sampling plan and our results are as given below:

| BATCH # | SIZE | SAMPLE SIZE | LEAK STATUS | NUMBER
LEAKED |
|------------|---------|-------------|-------------|------------------|
| 9904071315 | Small | 200 | Yes | 4 |
| 9904061313 | Medium | 200 | Yes | 1 |
| 9904061313 | M-Large | 200 | Yes | 2 |
| 9904061313 | Large | 200 | Yes | 3 |

The above meets the FDA Water Leak Test Requirements.

4. Biocompatibility

The test results below shows that the gloves meet FDA biocompatibility requirements:

BIOCOMPATIBILITY TESTSRESULTS
Primary Dermal Irritation TestPasses
Skin Sensitization StudyPasses

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5. Total Residual Powder Content & Presence of Cornstarch

| TESTS | FDA INTERNAL
REQUIREMENTS | SHIELD GLOVES MFR'S |
|-------------------------------------------|---------------------------------|---------------------------------------------------|
| RESIDUAL POWDER
CONTENT
ASTM D 6124 | NOT EXCEEDING
2 Mg PER GLOVE | RANGE:1.4-1.9 Mg/ GLOVE
MEAN :1.7 Mg PER GLOVE |
| CORNSTARCH PRESENCE
(IODINE TEST) | NEGATIVE | NEGATIVE |

The glove conforms to FDA's proposed requirement not to exceed 2 mg/glove of total powder residue (using ASTM D 6124 Method for Residual Powder on Medical Gloves) and negative Iodine test.

CONCLUSION :-

It is concluded that the Smart Shield™ Powder Free, Colored Nitrile with Bubblegum scent gloves meet:-

  • ASTM D 3578-95 specifications.

  • FDA proposed requirement not to exceed 2 mg/glove of total powder residue per ASTM D 6124.

  • ASTM D 5151-90 Test Method for Detection of Holes in Medical Gloves

  • the FDA Water Leak Test requirements per ASTM D 5151.

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Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. In the center of the circle is an abstract symbol that resembles a stylized caduceus or a bird-like figure, which is the department's emblem.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 2 3 1999

Shield Gloves Manufacturer (M) Sdn. Bhd. c/o Mr. E.J. Smith Smith Associates P.O. Box 4341 Crofton, Maryland 21114

Re : K991744 SMART SHIELD™ Powder-Free Blue Nitrile Trade Name: Examination Glove with Bubble Gum Scent Requlatory Class: I Product Code: LZA Dated: May 10, 1999 Received: May 21, 1999

Dear Mr. Smith:

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 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 controls provisions of the Act. 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.

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 Good Manufacturing Practice for Medical Devices: General (GMP) regulation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Reqister.

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Page 2 - Mr. Smith

this response to your premarket notification Please note: submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation 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 finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits 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" (21 CFR 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.qov/cdrh/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowsk Diredtor Division of Dental, Infection Control, and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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K991744

INDICATIONS FOR USE STATEMENT

Applicant: Shield Gloves Manufacturer (M) Sdn Bhd.

510K Number:

Device Name: SMART SHIELD TM Powder Free Colored Nitrile Examination Gloves With Bubblegum Scent

Indications For Use :

This is a medical glove to be worn on the hand of health care and similar personnel to prevent contamination between health care personnel and the patient.

.............................................................................................................................................................................. Concurrence of CDRH Office of Device Evaluation (ODE)

Prescription Use ... ... ... ... ... ..... Per 21 CFR 801.109

OR

Over-The-Counter........X

Chin S. Lim

(Division Sign-Division of Dental, Int and General Hospita 510(k) Number