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510(k) Data Aggregation

    K Number
    K233042
    Date Cleared
    2023-12-06

    (72 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    N/A
    Why did this record match?
    Applicant Name (Manufacturer) :

    Shandong Intco Medical Products Co, Ltd.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    Device Description
    AI/ML Overview
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    K Number
    K231408
    Date Cleared
    2023-08-11

    (88 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Shandong Intco Medical Products Co, Ltd.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    A patient examination glove is a disposable device intended for medical purposes that is worn upon the examiner's hands or fingers to prevent contamination between patient and examiner.

    Device Description

    The subject device is a patient examination glove made of synthetic nitrile latex compound. It is Non-Sterile, Powder free and is Blue in color. The device is ambidextrous and can be worn on either the left or right hand. The device meets all the specifications in ASTM D6319-19, Standard specification for Nitrile Examination Gloves. Additionally, the gloves have been tested for biocompatibility per ISO 10993-11.

    AI/ML Overview

    The provided text describes Shandong Intco Medical Products Co, Ltd.'s Basic Synguard Nitrile Exam Gloves. This is a medical device submission, and the acceptance criteria and study described relate to the physical and biocompatibility performance of these gloves.

    Here's the breakdown of the information requested:

    1. Table of Acceptance Criteria and Reported Device Performance

    CharacteristicAcceptance Criteria (Standard)Reported Device Performance
    DimensionsASTM D6319-19
    Length230 mm minPass (240 mm min)
    WidthXS: 70±10, S: 80±10, M: 95±10, L: 110±10, XL: 120±10, XXL: 130±10Pass (XS: avg 78.3mm, S: avg 86.5mm, M: avg 97.6mm, L: avg 108.7mm, XL: avg 115.4mm, XXL: avg 123.7mm)
    ThicknessPalm: Minimum 0.05 mm, Finger: Minimum 0.05 mmPass (Palm 0.06mm min, Finger 0.082mm min)
    Physical PropertiesASTM D6319-19
    Before Aging
    Tensile Strength14 MPa, minPass (22.6 MPa, min)
    Elongation500%, minPass (531%, min)
    After Aging
    Tensile Strength14 MPa, minPass (21.9 MPa, min)
    Elongation400%, minPass (437%, min)
    Freedom from holesASTM D5151-19 (No leakage at sampling level of G-1, AQL 2.5)Pass (No leakage, 312 of 315 gloves passed)
    Residual PowderASTM D6124-06 (Reapproved 2017) (
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    K Number
    K223298
    Date Cleared
    2023-02-22

    (118 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Shandong Intco Medical Products Co, Ltd.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Sterile Latex Examination Gloves Powder Free 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

    The Sterile Latex Examination Gloves Powder Free are natural color, single use only, disposable examination gloves intended for medical purposes to be worn by examination between the patient and the examiner. The device is ambidextrous and can be worn on either the left or right hand. The gloves are offered in sizes small, medium, large and extra-large, and sterilized by Gamma radiation. The gloves are designed and manufactured in accordance with the ASTM D3578-19 standard.

    AI/ML Overview

    The provided text describes the 510(k) summary for "Sterile Latex Examination Gloves Powder Free". This document focuses on demonstrating substantial equivalence to a predicate device based on non-clinical performance and biocompatibility testing, rather than an AI-driven medical device requiring extensive clinical validation of diagnostic accuracy. As such, many of the requested elements for AI/ML device studies (like sample sizes for test sets, expert ground truth adjudication, MRMC studies, training set details) are not applicable to the information provided.

    However, I can extract the acceptance criteria and performance results for the non-clinical tests conducted for these gloves:

    1. Table of Acceptance Criteria and Reported Device Performance

    Test Method / ItemPurposeAcceptance CriteriaReported Device PerformanceResult
    Dimensions (width)Evaluate the physical dimension of the gloveWidth:Pass
    S: 80 ± 10 mmS: 81mm min
    M: 95 ± 10 mmM: 95mm min
    L: 105 ± 10 mmL: 106mm min
    XL: 115 ± 10 mmXL: 115mm min
    Dimensions (length)Evaluate the physical dimension of the gloveLength: 230mm min238mm min lengthPass
    Dimensions (thickness)Evaluate the physical dimension of the glovePalm – 0.08mm min.
    Finger – 0.08mm min.Palm – 0.11mm min.
    Finger – 0.11mm minPass
    Physical properties (Before aging)Evaluate tensile strength and ultimate elongation before agingTensile Strength: 18 MPa, min.
    Elongation: 650%, min.
    Stress at 500% Elongation: 5.5MPa, max.Tensile Strength: 23.4MPa, min.
    Elongation: 650%, min.
    Stress at 500% Elongation: 5.3MPa, max.Pass
    Physical properties (After aging)Evaluate tensile strength and ultimate elongation after agingTensile Strength: 14 MPa, min.
    Elongation: 500%, min.Tensile Strength: 22MPa, min.
    Elongation: 704%, min.Pass
    Freedom from holesDetect holes in the glovesNo leakage at sampling level of G-1, AQL 1.5No leakage, 314 of 315 passedPass
    Residual PowderDetect powder residue in the glove
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    K Number
    K213509
    Date Cleared
    2022-04-08

    (157 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Shandong Intco Medical Products Co, Ltd.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    A 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.

    Device Description

    Powder Free Latex Examination Gloves meets all the current specifications listed under the ASTM Specification D3578-05, Standard Specification for Rubber Examination Gloves. The principal operation and mechanism of this device is to prevent contamination between patient and examiner and this principle is achieved through testing of barrier, physical properties and other testing stated in the performance data. This device is for over-the counter single use.

    AI/ML Overview

    The provided text describes the acceptance criteria and the study that proves the device meets the acceptance criteria for the Shandong Intco Medical Products Co., Ltd Latex Examination Gloves, Powder Free.

    Here's a breakdown of the requested information:

    1. A table of acceptance criteria and the reported device performance

    The document provides two tables that fulfill this request:

    • A "Technology Characteristic Comparison between the device and predicate device" table on page 4-5.
    • A "Non-clinical Testing Summary" table on page 6.

    Let's combine and summarize the relevant information from both into a single table for clarity. Note that some "acceptance criteria" are simply the standard reference, and the "reported device performance" indicates "Complied with the standard". For detailed numerical values, refer to the "Technology Characteristic Comparison" table.

    Characteristic / ParameterAcceptance CriteriaReported Device Performance
    Product CodeLYYLYY
    Intended UsePrevent contamination between patient and examiner.Same as predicate.
    ClassificationClass IClass I
    Raw Rubber MaterialNatural Rubber LatexNatural Rubber Latex
    ColorNo color pigment added. Natural WhiteNo color pigment added. Natural White
    Overall Length Minimum230mm (Predicate: Meet ASTM D3578-05)Average: 247 mm
    Width (S, M, L)S: 75-95mm; M: 85-105mm; L: 100-120mmS: 85mm; M: 96 mm; L: 104 mm
    Palm Thickness (Minimum)0.08mmAverage: 0.122 mm
    Finger Thickness (Minimum)0.08mmAverage: 0.156 mm
    Tensile Strength (before age)Minimum 18 MPaAverage: 26.17MPa
    Tensile Strength (After Age)Minimum 14 MPaAverage: 24.82MPa
    Stress at 500% ElongationMaximum 5.5 MPa4.99 MPa
    Ultimate Elongation (before age)Minimum 500%Average: 759.85%
    Ultimate Elongation (after age)Minimum 400%Average: 678.62%
    Freedom of HolesMeet AQL 2.5 at G1Meet AQL 2.5 with G1 (Also Complied with ASTM D5151-06)
    Residual powder testLess than 2mg/gloveS: 0.43 mg/glove; M: 0.31 mg/glove; L: 0.47 mg/glove (Complied with ASTM D6124-06)
    Protein TestingLess than 50 µg/dm2S, M, L sizes: Less than 50 µg/dm2
    Primary Skin IrritationNot an irritant (ISO 10993-10:2010)Not an irritant
    Dermal SensitizationNot a sensitizer (ISO 10993-10:2010)Not a sensitizer
    Acute Systemic ToxicityNo evidence of systemic toxicity (from extract)No evidence of systemic toxicity
    Overall ComplianceVarious ASTM and ISO standardsComplied with relevant standards (ASTM D6124-06, ASTM D5151-06, ASTM D3578-19, ISO 10993-10:2010)

    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document does not explicitly state the sample sizes used for each specific test (e.g., how many gloves were tested for Freedom of Holes, or how many individuals for skin irritation). It only reports the average values or compliance statements.

    The data provenance is not explicitly stated as retrospective or prospective for the non-clinical tests. The company, Shandong Intco Medical Products Co, Ltd, is located in China, suggesting the testing likely occurred there or was commissioned by them.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    This information is not applicable to the type of device and testing described. The device is a "Latex Examination Glove," and its performance is evaluated through physical, chemical, and biological non-clinical tests based on established international standards (ASTM, ISO). Expert interpretation of medical images or diagnoses is not involved in establishing the "ground truth" for glove performance. The "ground truth" here refers to the measured physical and chemical properties and biological reactions as defined by the standards.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    Not applicable. As noted above, the testing involves non-clinical measurements against predefined standard specifications, not a subjective interpretation requiring adjudication by multiple experts.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    Not applicable. This device is a medical glove, not an AI-assisted diagnostic tool or system that involves human readers.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    Not applicable. The device is a physical product (medical glove), not an algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    The ground truth used for evaluating the Latex Examination Gloves is based on established international and national standards and specifications for medical gloves. This includes:

    • ASTM D3578-19 (Standard Specification for Rubber Examination Gloves) for physical properties.
    • ASTM D6124-06 (Reapproved 2017) (Standard Test Method for Residual Powder on Medical Gloves) for residual powder.
    • ASTM D5151-06 (Reapproved 2015) (Standard Test Method for Detection of Holes in Medical Gloves) for freedom of holes.
    • ISO 10993-10:2010 (Biological Evaluation of Medical Devices - Part 10: Tests For Irritation And Skin Sensitization) for biocompatibility.

    The "ground truth" is therefore the objective measurement of the glove's characteristics against these well-defined and accepted standard limits.

    8. The sample size for the training set

    Not applicable. The device is a physical medical product, not an AI/ML algorithm that requires a training set. The performance data is from non-clinical testing of the manufactured product.

    9. How the ground truth for the training set was established

    Not applicable, as there is no training set for this type of device.

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