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510(k) Data Aggregation

    K Number
    K221980
    Date Cleared
    2023-02-06

    (216 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 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.

    Device Description

    A Disposable Powder Free Vinyl Examination Gloves (with color Beige or Clear) is a patient examination glove made from poly (vinvl chloride), non-sterile (as per 21 CFR 880.6250, Class I). The operation principle of this medical device is to provide single use barrier protection for the wearer and the device meets all the requirement specifications for barrier protection, tensile properties as defined in ASTM D5250-19, Standard Specification for Poly (vinyl chloride) Gloves for Medical Application.

    AI/ML Overview

    The document provides information about the non-clinical performance evaluation of "Disposable Powder Free Vinyl Examination Gloves, Beige/Clear" to demonstrate its substantial equivalence to a predicate device.

    Here's a breakdown of the requested information based on the provided text:

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

    TestTest MethodPurposeAcceptance CriteriaReported Device Performance
    DimensionASTM D3767Determine the geometrical dimension of glovesLength: 230 mm min.Pass
    Thickness: Palm - 0.08 mm min., Finger - 0.08 mm min.Pass
    Palm Width: Small 85 ± 5 mm, Medium 95 ± 5 mm, Large 105 ± 5 mm, X Large 115 ± 5 mmPass
    Freedom from holes (Water leak)21 CFR 800.20. & ASTM D5151-19Detect the holes on the gloves.G-I/AQL 2.5Pass
    Tensile strength (Before/After aging)ASTM D412-16 & ASTM D573-04Evaluate the tensile (tension) properties of the gloves. In addition, it also determines the influence of elevated temperature on the physical properties of gloves.Before Aging: 11 MPa, min.Pass
    After Aging: 11 MPa, min.Pass
    Elongation (Before/After aging)ASTM D412-16 & ASTM D573-04(purpose as above for tensile strength)Before Aging: 300% min.Pass
    After Aging: 300% min.Pass
    Powder ResidualASTM D6124-06Determine the average powder mass found on the gloves< 2mg per glovePass
    Biocompatibility-Skin IrritationISO 10993-10:2010Determine the potential of glove to promote skin sensitization & irritation reactions after repeated applicationsNegative ResponsePass
    Biocompatibility-Skin SensitizationISO 10993-10:2010(purpose as above for skin irritation)No contact sensitizationPass
    Biocompatibility-cytotoxicityISO 10993-5:2009Determine the cytotoxicity potential of gloveNo in vitro cytotoxicityPass

    2. Sample size 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. For instance, for "Freedom from holes," it mentions "G-I/AQL 2.5," which implies a sampling plan, but the exact number of units tested is not provided. The data provenance is not specified beyond being "nonclinical bench testing" conducted by the manufacturer. It does not mention countries of origin for the data or whether it was retrospective or prospective, as these are typically not applicable to bench testing of this nature.

    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 section is not applicable as the study involves non-clinical bench testing of physical and chemical properties of gloves, not medical image analysis or diagnostic performance requiring expert interpretation. The "ground truth" is established by adherence to recognized international standards (ASTM, ISO) for material properties.

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

    This is not applicable as the tests are objective, quantitative measurements against predefined criteria as per ASTM and ISO standards, not subjective assessments requiring adjudication by multiple readers.

    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

    This is not applicable as the device is a medical glove, a physical product, and does not involve AI assistance or human reader interpretation.

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

    This is not applicable as the device is a medical glove, not an algorithm or AI system.

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

    The ground truth for this device is based on established international standards and specifications for medical gloves, specifically:

    • ASTM D3767 (Dimensions)
    • 21 CFR 800.20 & ASTM D5151-19 (Freedom from holes)
    • ASTM D412-16 & ASTM D573-04 (Tensile strength and Elongation)
    • ASTM D6124-06 (Powder Residual)
    • ISO 10993-10:2010 (Skin Irritation and Sensitization)
    • ISO 10993-5:2009 (Cytotoxicity)

    These standards define the acceptable physical properties and biocompatibility.

    8. The sample size for the training set

    This is not applicable as this study is a non-clinical performance evaluation of a medical device (glove) against established standards, not a machine learning or AI algorithm that requires a training set.

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

    This is not applicable for the same reason as point 8.

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