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510(k) Data Aggregation

    K Number
    K213500
    Date Cleared
    2022-02-21

    (112 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    TMG nitrile powder free examination glove is a disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.

    Device Description

    TMG Nitrile Examination Gloves Powder Free are Class I patient examination gloves bearing the product code Nitrile - LZA (21CFR880.6250). The gloves are made from acrylonitrile-butadiene copolymer dispersion. These gloves are blue in color and are powder free.

    AI/ML Overview

    Here's a summary of the acceptance criteria and the study that proves the device meets them, based on the provided text:

    This document describes the premarket notification (510(k)) for the TMG Nitrile Powder Free Examination Glove, a Class I medical device. The submission aims to demonstrate substantial equivalence to a predicate device, K202384.

    The "study" refers to non-clinical performance data testing, as clinical data was deemed not needed for this type of device.


    1. Table of Acceptance Criteria and Reported Device Performance

    CharacteristicStandard / Test MethodAcceptance CriteriaDevice Performance (Reported Result)Status
    DimensionASTM D6319-19
    - LengthASTM D6319-19Min 230 mm for all sizesSmall: 243 mm, Medium: 240 mm, Large: 240 mm, Extra Large: 240 mmPass
    - WidthASTM D6319-19Small: 80 ± 10 mm, Medium: 95 ± 10 mm, Large: 110 ± 10 mm, Extra Large: 120 ± 10 mmSmall: 85 mm, Medium: 93 mm, Large: 105 mm, Extra Large: 115 mmPass
    - ThicknessASTM D6319-19Palm 0.05 mm min, Finger 0.05 mm min for all sizesSmall: Palm 0.09 mm, Finger: 0.13 mm
    Medium: Palm: 0.06 mm, Finger: 0.08 mm
    Large: Palm 0.09 mm, Finger: 0.12 mm
    Extra Large: Palm 0.09 mm, Finger: 0.12 mmPass
    Watertight testASTM D5151-19Sample size: 200 pcs, Inspection level: GI, AQL 1.5, Acceptance Number 7, Rejection Number 8Small: 0 (Zero), Medium: 0 (Zero), Large: 0 (Zero), Extra Large: 0 (Zero)Pass
    Residual PowderASTM D6124-06 (Reapproved 2017)2 mg per glove or lessSmall: 1.42 mg/glove, Medium: 0.50 mg/glove, Large: 1.34 mg/glove, Extra Large: 1.36 mg/glovePass
    Physical PropertiesASTM D6319-19
    - Tensile StrengthBefore Ageing: 14 MPa min for all sizesBefore Ageing:
    Small: 18.37 MPa, Medium: 30.62 MPa, Large: 18.30 MPa, Extra Large: 18.20 MPaPass
    After Ageing: 14 MPa min for all sizesAfter ageing:
    Small: 14.08 MPa, Medium: 31.89 MPa, Large: 14.00 MPa, Extra Large: 14.00 MPaPass
    - Ultimate ElongationBefore Ageing: 500% Min for all sizesBefore Ageing:
    Small: 612%, Medium: 500 %, Large: 620%, Extra Large: 587%Pass
    After Ageing: 400% Min for all sizesAfter ageing:
    Small: 408%, Medium: 499%, Large: 403%, Extra Large: 416%Pass
    BiocompatibilityISO 10993-10 (Primary Skin Irritation)Not an irritantUnder the conditions of the study, not an irritantSame (as predicate)
    ISO 10993-10 (Dermal Sensitization)Not a sensitizerUnder the conditions of the study, not a sensitizerSame (as predicate)
    ISO10993-5:2009(E) (In vitro cytotoxicity)Not cytotoxicCytotoxic for undiluted, 1:2 and 1:4 dilutions but noncytotoxic for 1:8, 1:16 and 1:32 dilutions.Different (from predicate, further qualified as "non acute systemic toxic")
    ISO10993-11:2017(E) (Acute Systemic Toxicity)No systemic toxicity concernUnder the conditions of the study, did not induce any systemic toxicity.Same (as predicate)

    2. Sample Size Used for the Test Set and Data Provenance

    • Dimension: Not explicitly stated for each dimension test, but implied to be sufficient for ASTM D6319-19 compliance. Each result listed (Small, Medium, Large, Extra Large) likely represents an average or single measurement for that size.

    • Watertight Test: Sample size of 200 pieces per batch from a batch size of 35,001-150,000 gloves.

    • Residual Powder: Sample size of 5 pieces (per size, assumed).

    • Physical Properties (Tensile Strength, Ultimate Elongation): Not explicitly stated, but implied to be sufficient for ASTM D6319-19 compliance. Each result listed likely represents an average of multiple samples.

    • Biocompatibility: Sample sizes for ISO 10993 tests are not specified for this report, but would be standard for such tests.

    • Data Provenance: The data is from the manufacturer's testing (THAI MEDICAL GLOVE CO., LTD.) of their current device (TMG Nitrile Powder Free Examination Glove). This is prospective testing conducted to demonstrate equivalence for their new device. The country of origin is Thailand.


    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    Not applicable. This device is a physical product (gloves) and the "ground truth" is established by adhering to recognized international and national consensus standards (e.g., ASTM, ISO) for physical and chemical properties, rather than expert interpretation of medical images or clinical outcomes. The tests are objective measurements.


    4. Adjudication Method for the Test Set

    Not applicable. The tests are objective measurements against predefined criteria in standards. There is no subjective assessment requiring adjudication.


    5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study was done

    No, an MRMC comparative effectiveness study was not done. This type of study is relevant for diagnostic devices where human readers interpret results (e.g., radiologists reviewing images with or without AI assistance). This is a physical product where performance is measured objectively.


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

    Yes, in a sense, a "standalone" performance evaluation was done. The performance of the glove itself was tested against the acceptance criteria, without human interaction influencing the fundamental measurement of its physical and chemical properties. This is an "algorithm only" equivalent in that the device's intrinsic properties are being evaluated.


    7. The Type of Ground Truth Used

    The ground truth used for performance evaluation is based on established industry and regulatory standards:

    • ASTM D6319-19 (Standard Specification for Nitrile Examination Gloves for Medical Application)
    • ASTM D5151-19 (Standard Test Method for Detection of Holes in Medical Gloves)
    • ASTM D6124-06 (Reapproved 2017) (Standard Test Method for Residual Powder on Medical Gloves)
    • ISO 10993-10 (Biological evaluation of medical devices – Part 10: Tests for irritation and skin sensitization)
    • ISO10993-5:2009(E) (Biological evaluation of medical devices – Part 5: Tests for in vitro cytotoxicity)
    • ISO10993-11:2017(E) (Biological evaluation of medical devices – Part 11: Tests for systemic toxicity)

    These standards define the methodologies and acceptable ranges for the glove's characteristics.


    8. The Sample Size for the Training Set

    Not applicable. This device does not use machine learning or AI, and therefore does not have a "training set" in the context of AI model development.


    9. How the Ground Truth for the Training Set Was Established

    Not applicable, as there is no training set.

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