K Number
K993215
Device Name
DERMAGRIP POWDERED LATEX SURGICAL GLOVE, STERILE
Date Cleared
1999-12-02

(69 days)

Product Code
Regulation Number
878.4460
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The surgeon's glove is a device made of natural rubber intended to be worn by surgeons and/or operating room personnel to protect a surgical wound from contamination.
Device Description
Class II natural rubber latex surgeon's glove, 79 KGO, powdered with absorbable dusting powder. It meets all of the requirements of ASTM standard D3577-99.
More Information

Not Found

K 993215

No
The 510(k) summary describes a standard surgeon's glove and its physical properties and testing, with no mention of AI or ML.

No.
A surgical glove is intended to protect from contamination, not to treat or directly restore health.

No
This device is a surgeon's glove, which is a protective barrier used during surgery to prevent contamination. Its function is not to diagnose medical conditions or diseases.

No

The device description clearly states it is a physical surgeon's glove made of natural rubber latex, 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 to protect a surgical wound from contamination by being worn by surgeons and operating room personnel. This is a physical barrier function, not a diagnostic test performed on samples taken from the human body.
  • Device Description: The device is a surgeon's glove, which is a physical barrier.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing information for diagnosis, monitoring, or screening

The information provided focuses on the physical properties and quality control of the glove as a barrier device.

N/A

Intended Use / Indications for Use

The surgeon's glove is a device made of natural rubber intended to be worn by surgeons and/or operating room personnel to protect a surgical wound from contamination.

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

KGO

Device Description

Class II natural rubber latex surgeon's glove, 79 KGO, powdered with absorbable dusting powder. It meets all of the requirements of ASTM standard D3577-99.

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

surgeons and/or 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 tensile physical properties are determined as described in ASTM D412 using Type C dumb bell test pieces. Test pieces are evaluated to conform to physical requirement on before and after accelerated aging. The accelerated aging is conducted by subjecting the test piece to a temperature of 100 ℃ ± 2 ℃ for 22 ± 0.3 hours.

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

Before AgingAfter Aging
Tensile StrengthMin 24 MpaMin 18 MPa
Ultimate ElongationMin 750 %Min 560 %
Stress at 500% ElongationMax 5.5 MpaNot Applicable
Batch Size: 300 000 pairs (based on one consignment quantity)
Sample Size: 13 pcs
AQL: 4.0
Accept: 1 pc
Reject: 2 pcs

Average Powder Weights on Size 7 ½ Surgical Gloves

SIZE 7½ ACTUALPOWDER WEIGHT*
(%)mg/glove
Internal : 0.5 -1.5%1.41204.7
External (Max) : 1.0%0.96140.0
  • Average over eight (8) pieces.

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.

Not Found

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.

K 993215

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

§ 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

DFC - 2 1999

Image /page/0/Picture/4 description: The image shows the logo for WRP. The logo consists of the letters "WRP" in a bold, sans-serif font, with the letters in white and set against a black, rounded rectangle. To the right of the logo is the text "WRP Spec" in a similar font, but without the black background. The text is also in black.

0

WRP Specialty Products Sdn Bhd

になると、とて

Lot 11, Jalan 2, Kawasan Perusahaan Bandar Baru Salak Tinggi, 43900 Sepang. Selangor Darul Ehsan, MALAYSIA

TEL +60-3-846 2055 FAX +60-3-846 1437 URL www.wrpwarld.com

ATTACHMENT 3

K 9932215

CONTACT PERSON : S.K.OOI

510(k) SUMMARY

  • DERMAGRIP POWDERED LATEX SURGICAL 1. Trade Name : GLOVE, STERILE
  • Surgeon's Gloves Common Name 2. :
  • Classification Name Surgeon's Glove 3. :

4. Substantial Equivalence :

Class II natural rubber latex surgeon's glove, 79 KGO, powdered with absorbable dusting powder. It meets all of the requirements of ASTM standard D3577-99.

5. Description of Device :

Class II natural rubber latex surgeon's glove, 79 KGO, powdered with absorbable dusting powder. It meets all of the requirements of ASTM standard D3577-99.

6. Intended Use of Device :

The surgeon's glove is a device made of natural rubber intended to be worn by surgeons and/or operating room personnel to protect a surgical wound from contamination.

Gloves For All Reasons™

mber of the WRP Group of Companies

1

SUMMARIZED PROCEDURE OF THE QUALITY ASSURANCE METHODS 2. FOR SURGICAL GLOVES

  • (2) REFERENCE 2.1
    K 993215

  • a) ASTM D 3577-99 Standard Specification for Rubber SURGICAL Gloves.

  • b) ASTM D 412-87 Standard Test Methods for Rubber Properties in Tension.

  • Sampling Procedures and Tables for Inspection by c) ISO 2859 Attributes.

  • d) ANSI/ASQC Z1.4-1993 Sampling Procedures and Tables for Inspection by Attributes.

2.2 SAMPLING

The gloves are sampled at random from a batch, where every part has an equal chance of being selected. The samples are selected and inspected in accordance with ISO 2859/ ANSI/ASQC Z1.4.

TEST METHODS 2.3

2.3.1 Physical Requirement Test

  • a) The tensile physical properties are determined as described in ASTM D412 using Type C dumb bell test pieces. Test pieces are evaluated to conform to physical requirement on before and after accelerated aging.
  • b) The accelerated aging is conducted by subjecting the test piece to a temperature of 100 ℃ ± 2 ℃ for 22 ± 0.3 hours.

c) Quality Requirement

Before AgingAfter Aging
Tensile StrengthMin 24 MpaMin 18 MPa
Ultimate
ElongationMin 750 %Min 560 %
Stress at 500%
ElongationMax 5.5 MpaNot Applicable
  • d) The inspection level : ANSI/ASQC Z1.4, (S-2)
Batch Size: 300 000 pairs (based on one consignment quantity)
Sample Size: 13 pcs
AQL: 4.0
Accept: 1 pc
Reject: 2 pcs

2

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Finished Powdered Gloves :

િ

Average Powder Weights on Size 7 ½ Surgical Gloves

| WRP Specialty Products Sdn.

Bhd.SIZE 7½ ACTUALPOWDER WEIGHT*
(%)mg/glove
Internal : 0.5 -1.5%1.41204.7
External (Max) : 1.0%0.96140.0

Average over eight (8) pieces.

ATTACHMENTS

NumberAttached?Subject
1.(/) Yes () NoTruthful & Accurate Statement
2.(/) Yes () NoIndications for Use Statement
3.(/) Yes () No510(k) Summary
4.(/) Yes () NoSummary of Quality Assurance Testing
Procedure of Dermagrip Powdered Latex
Surgical Glove, Sterile
5.(/) Yes () NoLabel, Labeling and Advertising
6.(/) Yes () NoBiocompability Test Reports
7.(/) Yes () NoDevice Test Report of Compliance of
Dermagrip Powdered Latex Surgical Glove,
Sterile according to ASTM D3577-99 and FDA
watertight test requirements.
8.(/) Yes () NoValidation on Gamma Radiation Sterilization
Cycle.
9.(/) Yes () NoPackaging Use to Maintain the Sterility of the
Gloves.
10.(/) Yes () NoAbsorbable Dusting Powder Specification.
11.(/) Yes () NoSummary of Glove Physical Properties (refer to
Attachment 7, Device Test Report of
Compliance).
12.() Yes (/) NoNon-USP Powder Information

3

Image /page/3/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized image of a human profile with three overlapping faces, suggesting a sense of community or interconnectedness. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA" is arranged in a circular pattern around the image, emphasizing the organization's name and national affiliation. The overall design is simple and professional, conveying a sense of authority and public service.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC - 2 1999

Mr. Soo Kang Ooi Manager, Regulatory Affairs/Quality Assurance WRP Specialty Products Sdn. Bhd. Lot 11, Jalan 2, Kawasan Perusahaan Bandar Baru Salak Tinggi 43900 Sepang Selangor Darul Ehsan, Malaysia

Re : K993215 Powdered Latex Surgical Glove, Sterile Trade Name: Regulatory Class: I Product Code: KGO September 15, 1999 Dated: Received: September 24, 1999

Dear Mr. Ooi:

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 The general controls provisions of the Act of the Act. include requirements for annual registration, listing of devices, qood manufacturing practice, labeling, and prohibitions aqainst 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 Regulations, Title 21, Parts 800 to 895. ਉ 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 requlation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in

4

Page 2 - Mr. Ooi

the Federal Register. Please note: this response to your premarket notification 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 regulations.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA findinq 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.gov/cdrh/dsmamain.html".

Sincerely yours,

Patricia Cucurella /loc

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

Enclosure

5

ATTACHMENT 2

Applicant : WRP Specialty Products Sdn. Bhd.

510(k) Number (if known) :

DERMAGRIP POWDERED LATEX SURGICAL GLOVE, Device Name : STERILE

Indications For Use :

  • The surgeon's glove is a device made of natural rubber intended to be worn by 1. surgeons and/or operating room personnel to protect a surgical wound from contamination.
    Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

Over-The-Counter Use OR

Olin S. Lin

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