← Product Code [LYY](/submissions/HO/subpart-g%E2%80%94general-hospital-and-personal-use-miscellaneous-devices/LYY) · K072300

# POWDER FREE NATURAL RUBBER LOW MODULUS LATEX PATIENT EXAMINATION GLOVES WITH A PROTEIN LABELING CLAIM (K072300)

_Perusahaan Pelindung Getah (M) Sdn Bhd · LYY · May 16, 2008 · General Hospital · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/HO/subpart-g%E2%80%94general-hospital-and-personal-use-miscellaneous-devices/LYY/K072300

## Device Facts

- **Applicant:** Perusahaan Pelindung Getah (M) Sdn Bhd
- **Product Code:** [LYY](/submissions/HO/subpart-g%E2%80%94general-hospital-and-personal-use-miscellaneous-devices/LYY.md)
- **Decision Date:** May 16, 2008
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 880.6250
- **Device Class:** Class 1
- **Review Panel:** General Hospital
- **Attributes:** 3rd-Party Reviewed

## Indications for Use

The device is intended as a protective device to be worn on the hands of healthcare or similar personnel to prevent cross-contamination between the wearer and the person being examined.

## Device Story

Powder-free patient examination gloves; manufactured from Allotex enzyme-treated natural rubber latex; low modulus design. Intended for use by healthcare or similar personnel in clinical settings to provide a protective barrier; prevents cross-contamination between wearer and patient. Features protein labeling claim of 100 micrograms or less of total water-extractable protein per gram. Device is a non-sterile, disposable physical barrier.

## Clinical Evidence

Bench testing only. No clinical data provided.

## Technological Characteristics

Material: Allotex enzyme-treated natural rubber latex. Form factor: Powder-free patient examination glove. Protein content: 100 micrograms or less of total water-extractable protein per gram. Regulatory class: I. Product code: LYY.

## Regulatory 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.

## Submission Summary (Full Text)

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

## MAY 1 6 2008

Perusahaan Pelindung Getah (M) SDN BHD Ms. Dawn Tibodeau Responsible Third Party Official TÜV SÜD America, Incorporated 1775 Old Hwy 8 NW, Suite 104 New Brighton, Minnesota 55112-1891

Re: K072300

Trade/Device Name: Powder Free Natural Rubber Low Modulus Latex Patient Examination Gloves with a Protein Labeling Claim (containing a 100 micrograms or less of total water Extractable protein per gram) and made from Allotex an Enzyme Treated Natural Rubber Latex. Regulation Number: 880.6250 Regulation Name; Patient Examination Glove Regulatory Class: I Product Code: LYY Dated: April 29, 2008 Received: May 5, 2008

Dear Ms. Tibodeau:

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 (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. 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 (PMA), 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 898. In addition, FDA may publish further announcements concerning your device in the Eederal Register.

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Page 2 - Ms. Tibodeau

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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 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). please contact the Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely vours.

Chih-Lin, Ph.D.

Chiu Lin, Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Indications for Use

510(k) Number (if known): __

Device Name: Powder Free Natural Rubber Low Modulus Latex Patient Examination Gloves with a Protein Labeling Claim (containing a 100 micrograms or less of total water extractable protein per gram) and made from Allotex an Enzyme Treated Natural Rubber Latex.

Indications for Use: The device is intended as a protective device to be worn on the hands of healthcare or similar personnel to prevent cross-contamination between the wearer and the person being examined.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Sharly R. Murphy 15
Division Sign-Off)

vision of Anesthesiology, General Hospital tection Control, Dental Devices

510(k) Number: K072302

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**Source:** [https://fda.innolitics.com/submissions/HO/subpart-g%E2%80%94general-hospital-and-personal-use-miscellaneous-devices/LYY/K072300](https://fda.innolitics.com/submissions/HO/subpart-g%E2%80%94general-hospital-and-personal-use-miscellaneous-devices/LYY/K072300)

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