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510(k) Data Aggregation

    K Number
    K170735
    Date Cleared
    2017-06-27

    (109 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Predicate For
    N/A
    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

    Subject device: Powder Free Clear Vinyl Patient Examination Glove Color: Clear Overall Length: 230mm min Width: 94mm min Palm Thickness: 0.09 mm min Fingertip Thickness: 0.086 mm min

    AI/ML Overview

    The provided document describes the acceptance criteria and performance of the Powder-Free Clear Vinyl Patient Examination Gloves by Zibo Yue Fan Medical Products Co., Ltd. against a predicate device.

    Here's a breakdown of the requested information:

    1. Table of Acceptance Criteria and Reported Device Performance

    For this device, the "acceptance criteria" are defined by compliance with ASTM standards and key physical properties. The "reported device performance" reflects the measured values for the subject device and the predicate device.

    Device Characteristics / Acceptance CriteriaProposed Device (Reported Performance)Predicate Device (Reported Performance)Comparison Conclusion
    Product NamePowder Free Clear Vinyl Patient Examination GlovePowder free PVC Vinyl Exam Gloves
    Product CodeLYZLYZSame
    Intended Use (Disposable device for medical purposes, worn on examiner's hand/finger to prevent contamination)Disposable device intended for medical purposes that is worn on the examiner's hand or finger to prevent contamination between patient and examiner.Disposable device intended for medical purposes that is worn on the examiner's hand or finger to prevent contamination between patient and examiner.Same
    Regulation Number (21 CFR 880.6250)21 CFR 880.625021 CFR 880.6250Same
    SizesSmall, Medium, Large, Extra-LargeSmall, Medium, Large, Extra-LargeSame
    Length on Large Size (ASTM-D-5250-06 requirement: 230mm min)Average over 232.23mm (Meets)Average over 230mm (Meets)Similar
    Width of Palm on Large Size (ASTM-D-5250-06 general requirement for width for size Large: 94mm min, see page 4 for subject device spec)Average 95mm (Meets)Average 95mm (Meets)Similar
    Palm Thickness (ASTM-D-5250-06 general requirement: 0.09 mm min, see page 4 for subject device spec)Average 0.095 mm (Meets)Average 0.095 mm (Meets)Similar
    Fingertip Thickness (ASTM-D-5250-06 general requirement: 0.086 mm min, see page 4 for subject device spec)Average 0.09 mm (Meets)Average 0.09 mm (Meets)Similar
    Residual Powder (ASTM D6124-06 Standard Test Method, < 2 mg per glove, no defect glove)Testing result indicates the weight of all types of residual or powder on finished powder-free gloves as < 2 mg per glove and there is no defect glove found according to ASTM D6124-06. (Meets)Testing result indicates the weight of all types of residual or powder on finished powder-free gloves as < 2 mg per glove and there is no defect glove found according to ASTM D6124-06. (Meets)Similar
    Pinhole Results (ASTM D5151-06, AQL 2.5 met - i.e., less than two pieces gloves out of 125 pieces gloves)Testing result indicates pinhole were found less than two pieces gloves out of 125 pieces gloves. AQL 2.5 is met. (Meets)Testing result indicates pinhole were found less than two pieces gloves out of 125 pieces gloves. AQL 2.5 is met. (Meets)Similar
    Biocompatibility Result: Primary Skin Irritation (Not an irritant)Under the conditions of the study, the subject device is not an irritant. (Meets)Under the conditions of the study, the subject device is not an irritant. (Meets)Similar
    Before Aging: Tensile Strength (Mpa) (ASTM-D-5250-06 requirement: 15Mpa min)Average Tensile Strength (Mpa): 16.96 (Meets)Average Tensile Strength (Mpa): 16.96 (Meets)Similar
    Before Aging: Ultimate Elongations (%) (ASTM-D-5250-06 requirement: 495% min)Average Ultimate Elongations: 519% (Meets)Average Ultimate Elongations: 519% (Meets)Similar
    After Aging: Tensile Strength (Mpa) (ASTM-D-5250-06 requirement: 13Mpa min)Average Tensile Strength (Mpa): 14.92 (Meets)Average Tensile Strength (Mpa): 14.92 (Meets)Similar
    After Aging: Ultimate Elongations (%) (ASTM-D-5250-06 requirement: 415% min)Average Ultimate Elongations: 480% (Meets)Average Ultimate Elongations: 480% (Meets)Similar
    Dermal Sensitization (Not a sensitizer)Under the conditions of the study, the subject device is not an sensitizer. (Meets)Under the conditions of the study, the subject device is not an sensitizer. (Meets)Similar

    2. Sample size used for the test set and the data provenance

    • Test Set Sample Size:
      • For Pinhole Results: 125 pieces of gloves.
      • For other physical and performance characteristics, the document states "Inspection Level S-2, AOL 2.5," which refers to sampling plans defined in standards like ASTM D-5250-06 or ISO 2859-1. The exact number of samples tested for each characteristic is not explicitly stated as a single number but is determined by the AQL (Acceptance Quality Limit) and inspection level.
    • Data Provenance: Not explicitly stated, but based on the manufacturer's location (Zibo, Shandong, China) and the testing standards used (ASTM), the testing would likely have been conducted in China or by a laboratory accredited to perform these tests for a Chinese manufacturer. The data appears to be prospective as it is generated for the purpose of a 510(k) submission.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    This information is not applicable to this type of device. The "ground truth" for patient examination gloves is established through objective, standardized physical and chemical tests (e.g., tensile strength, elongation, pinhole detection, residual powder) according to recognized ASTM standards, rather than through expert consensus on qualitative assessments.

    4. Adjudication method for the test set

    Not applicable. As noted above, the "truth" is determined by objective measurement against established physical and chemical standards, not by human interpretation or adjudication.

    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 patient examination glove and does not involve AI or human "readers" in its function or evaluation.

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

    Not applicable. This device is a physical medical product, not an algorithm or software.

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

    The ground truth used for this device is based on objective, quantitative measurements obtained through standardized physical and chemical testing methods, as defined by ASTM (American Society for Testing and Materials) standards. This includes:

    • ASTM D-5250-06 for physical and dimensional testing (e.g., length, width, thickness, tensile strength, elongation).
    • ASTM D-6124-06 for residual powder content.
    • ASTM D-5151-06 for pinhole detection.
    • Biocompatibility tests (primary skin irritation and dermal sensitization) performed under controlled conditions.

    8. The sample size for the training set

    Not applicable. This device is a physical product and does not involve a "training set" in the context of machine learning or AI models.

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

    Not applicable. As there is no training set for this type of device, no ground truth was established for it.

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