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510(k) Data Aggregation

    K Number
    K213075
    Date Cleared
    2022-01-20

    (119 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Goody Gloves, Wincare, TBG Gloves

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

    Blue Nitrile Examination Gloves Powder Free are disposable devices intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.

    Device Description

    Blue Nitrile Examination Gloves Powder Free are equivalent to the Class I patient examination gloves bearing the product code LZA (21CFR880.6250). They meet all the current specifications listed under the ASTM D6319-19, Standard Specification for Nitrile Examination Gloves for Medical Application. They are made from Nitrile (NBR)100%. These gloves are blue in color and are powder free. The product is non-sterile, ambidextrous and single use only.

    Blue Nitrile Examination Gloves Powder Free with sizes X-Small, Medium, Large and X-Large are included in the submission.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the Blue Nitrile Examination Gloves Powder Free, based on the provided FDA 510(k) summary:

    1. Table of Acceptance Criteria and Reported Device Performance

    Characteristic / Test MethodAcceptance Criteria (Standard)Reported Device Performance
    Dimensions - Length (ASTM D6319-19)Min 230 mm for all sizesX-Small: 250 mm, Small: 241 mm, Medium: 240 mm, Large: 243 mm, X-Large: 240 mm (All > 230 mm)
    Dimensions - Width (ASTM D6319-19)X-Small: 70+/-10 mm, Small: 80+/-10 mm, Medium: 95+/-10 mm, Large: 110+/-10 mm, X-Large: 120+/-10 mmX-Small: 80 mm, Small: 82 mm, Medium: 93 mm, Large: 103 mm, X-Large: 110 mm (All within specified ranges)
    Physical Properties - Tensile Strength (Before Ageing) (ASTM D6319-19)14 MPa Min for all sizesX-Small: 24.5 MPa, Small: 22.7 MPa, Medium: 25.3 MPa, Large: 26.4 MPa, X-Large: 25.5 MPa (All > 14 MPa)
    Physical Properties - Tensile Strength (After Ageing) (ASTM D6319-19)14 MPa Min for all sizesX-Small: 23.8 MPa, Small: 24.3 MPa, Medium: 31.9 MPa, Large: 30.3 MPa, X-Large: 27.4 MPa (All > 14 MPa)
    Physical Properties - Ultimate Elongation (Before Ageing) (ASTM D6319-19)500% Min for all sizesX-Small: 620%, Small: 580%, Medium: 530%, Large: 540%, X-Large: 540% (All > 500%)
    Physical Properties - Ultimate Elongation (After Ageing) (ASTM D6319-19)400% Min for all sizesX-Small: 590%, Small: 560%, Medium: 530%, Large: 540%, X-Large: 530% (All > 400%)
    Thickness (Palm) (ASTM D6319-19)0.05 mm min for all sizesX-Small: 0.101 mm, Small: 0.089 mm, Medium: 0.100 mm, Large: 0.098 mm, X-Large: 0.094 mm (All > 0.05 mm)
    Thickness (Finger) (ASTM D6319-19)0.05 mm min for all sizesX-Small: 0.121 mm, Small: 0.103 mm, Medium: 0.116 mm, Large: 0.121 mm, X-Large: 0.114 mm (All > 0.05 mm)
    Powder Residue (ASTM D6124-06)≤ 2 mg/gloveX-Small: 1.07 mg/glove, Small: 1.49 mg/glove, Medium: 0.62 mg/glove, Large: 0.56 mg/glove, X-Large: 1.60 mg/glove (All ≤ 2 mg/glove)
    Water Tight (ASTM D5151-19)AQL 2.5Passes AQL 2.5
    Biocompatibility - Primary Skin Irritation (ISO 10993-10:2010)Under the condition of study not an irritantUnder the condition of study, not an irritant
    Biocompatibility - Dermal Sensitization (ISO 10993-10:2010)Under the conditions of the study, not a sensitizerUnder the conditions of the study, not a sensitizer
    Biocompatibility - In vitro Cytotoxicity (ISO 10993-5:2009)Under the conditions of the study, non-cytotoxicUnder the conditions of the study, the device is cytotoxic. (Note: This is a discrepancy. The table in section F states "Similar" and describes it as "non-cytotoxic at 50%, 25%, 12.5% and 6.25% extracts." However, the table in section G, which details the bench test data, explicitly states "the device is cytotoxic." This is a significant finding that would typically require further explanation or clarification in a submission. Assuming the 'bench test data' result is the final documented finding for this specific test.)
    Biocompatibility - Acute Systemic Toxicity Test (ISO 10993-11:2017)Under the conditions of study, the device extracts do not pose a systemic toxicity concernUnder the conditions of study, the device extracts did not reveal any systemic toxicity

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

    The document does not explicitly state the specific sample sizes for each test in the provided tables. However, it indicates that the tests were conducted according to established ASTM and ISO standards, which typically specify sample size requirements.

    • Provenance: This is a non-clinical device (examination gloves). The data provenance refers to laboratory bench testing. The location of the testing is not explicitly stated, but the applicant's address is in Thailand. Given the nature of bench testing, the "country of origin of the data" is the laboratory where the tests were performed, which is not specified beyond being conducted according to international standards. The data is prospective in the sense that these tests were performed specifically for this submission to demonstrate compliance.

    3. Number of Experts and Qualifications for Ground Truth

    Not applicable. This device is a physical product (examination glove) and its performance is evaluated through standardized physical, chemical, and biocompatibility bench tests, not through expert interpretation of medical images or observations. Therefore, there is no "ground truth" established by medical experts in the traditional sense for an AI/medical imaging device.

    4. Adjudication Method

    Not applicable for this type of device and testing. Adjudication methods like 2+1 or 3+1 are used for human-in-the-loop evaluations, typically with medical image interpretation, to resolve discrepancies among experts.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    Not applicable. This is not an AI/medical imaging device that would involve human readers or AI assistance in interpretation. It's a non-clinical evaluation of a physical product's safety and performance characteristics.

    6. Standalone Performance Study

    Yes, a standalone performance study was done. The entire "BENCH TEST DATA" section (pages 7-8) and "BIOCOMPATIBILITY DATA" section (page 8) outline the algorithm/device-only performance against predefined acceptance criteria from international standards (ASTM and ISO). There is no "human-in-the-loop" component described for these tests.

    7. Type of Ground Truth Used

    The "ground truth" for this device's performance relies on established international standards and specifications:

    • 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 10993-10:2010(E) (Biological Evaluation of Medical Devices - Part 10, Tests for Irritation and Skin Sensitization)
    • ISO 10993-5:2009(E) (Biological Evaluation of Medical Devices - Part 5, Tests for In Vitro Cytotoxicity)
    • ISO 10993-11:2017(E) (Biological Evaluation of Medical Devices - Part 11, Tests for Systemic Toxicity)

    The device's physical and biological properties are measured and compared directly against the quantitative thresholds and qualitative outcomes specified in these standards.

    8. Sample Size for the Training Set

    Not applicable. This is not an AI device that requires a training set. The "device" here refers to the physical product (gloves).

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

    Not applicable, as no training set is involved.

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    K Number
    K213073
    Date Cleared
    2021-12-29

    (97 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Goody Gloves, Wincare, TBG Gloves

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

    Latex Examination Powder Free Gloves are disposable devices intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.

    Device Description

    Latex Examination Powder Free Gloves are manufactured to meet all the current specifications listed under the ASTM Specification D3578-19, Standard Specification for Rubber Examination Gloves. They are made from Natural Rubber Latex. These gloves are Natural in color (No color added) and are powder free, non-sterile, ambidextrous and single use only.

    Latex Examination Powder Free Gloves with sizes X-Small, Medium, Large and X-Large are included in the submission.

    AI/ML Overview

    The provided document, a 510(k) Premarket Notification from the FDA, describes the acceptance criteria and performance of a medical device: Latex Examination Powder Free Gloves.

    This document is NOT related to an AI/ML device, a comparative effectiveness study, or a study involving human readers or expert ground truth adjudication. Therefore, many of the requested details, such as sample sizes for test/training sets, data provenance, number and qualifications of experts, adjudication methods, MRMC studies, standalone algorithm performance, and ground truth establishment for AI models, are not applicable to this document.

    However, I can extract the acceptance criteria and reported device performance from the provided text for this specific device.


    Acceptance Criteria and Device Performance for Latex Examination Powder Free Gloves

    The study described here focuses on demonstrating the substantial equivalence of the "Latex Examination Powder Free Gloves" to legally marketed predicate devices by showing that they meet established performance standards (primarily ASTM and ISO standards for medical gloves) and are as safe and effective.

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

    Characteristic / Test MethodAcceptance CriteriaReported Device Performance for Subject Device (K213073)
    Dimensions - Length (ASTM D3578-19)Min 230 mm for all sizesX-Small: 245 mm
    Small: 244 mm
    Medium: 247 mm
    Large: 240 mm
    X-Large: 247 mm
    Dimensions - Width (ASTM D3578-19)X-Small: 70+/-10 mm
    Small: 80+/-10 mm
    Medium: 95+/-10 mm
    Large: 111+/-10 mm
    X Large: 120+/-10 mmX-Small: 77 mm
    Small: 80 mm
    Medium: 92 mm
    Large: 101 mm
    X-Large: 110 mm
    Thickness (ASTM D3578-19)Palm: 0.08 mm min for all sizes
    Finger: 0.08 mm min for all sizesPalm:
    X-Small: 0.115 mm, Small: 0.115 mm, Medium: 0.115 mm, Large: 0.121 mm, X-Large: 0.109 mm
    Finger:
    X-Small: 0.125 mm, Small: 0.128 mm, Medium: 0.132 mm, Large: 0.135 mm, X-Large: 0.122 mm
    Physical Properties - Tensile Strength (Before Ageing) (ASTM D3578-19)18 MPa Min for all sizesX-Small: 26.2 MPa
    Small: 25.0 MPa
    Medium: 24.0 MPa
    Large: 22.6 MPa
    X-Large: 24.2 MPa
    Physical Properties - Tensile Strength (After Ageing) (ASTM D3578-19)14 MPa Min for all sizesX-Small: 24.1 MPa
    Small: 24.1 MPa
    Medium: 23.4 MPa
    Large: 24.3 MPa
    X-Large: 22.5 MPa
    Physical Properties - Ultimate Elongation (Before Ageing) (ASTM D3578-19)650% Min for all sizesX-Small: 830%
    Small: 790%
    Medium: 810%
    Large: 800%
    X-Large: 800%
    Physical Properties - Ultimate Elongation (After Ageing) (ASTM D3578-19)500% Min for all sizesX-Small: 800%
    Small: 760%
    Medium: 830%
    Large: 810%
    X-Large: 780%
    Water Tight (Detection of Holes) (ASTM D5151-19)AQL 2.5Passes AQL 2.5
    Powder Free Residue (ASTM D6124-06)$\le$ 2 mg/gloveX-Small: 0.60 mg/glove
    Small: 0.80 mg/glove
    Medium: 1.46 mg/glove
    Large: 0.62 mg/glove
    X-Large: 1.13 mg/glove
    Aqueous Extractable Protein (ASTM D5712-15)200 $\mu$g/ dm² MaxMedium: 191.9 $\mu$g/ dm²
    Biocompatibility - Primary Skin Irritation (ISO 10993-10:2010(E))Under the condition of study, not an irritantUnder the condition of study, not an irritant
    Biocompatibility - Dermal Sensitization (ISO 10993-10:2010(E))Under the conditions of the study, not a sensitizerUnder the conditions of the study, not a sensitizer
    Biocompatibility - In Vitro Cytotoxicity (ISO10993-5:2009(E))Under the conditions of the study, non-cytotoxicUnder the conditions of the study the device is "cytotoxic". (Note: The document states this is similar to the reference device and expected for latex as it's a "positive control" for this test, implying it's a known property of natural latex and deemed acceptable for the intended use of the glove).
    Biocompatibility - Acute Systemic Toxicity Test (ISO 10993-11:2017(E))Under the conditions of study, the device extracts do not pose a systemic toxicity concern.Under the conditions of study, the device extracts did not reveal any systemic toxicity.

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

    The document does not specify the exact sample sizes for each test (e.g., how many gloves were tested for length, width, etc.). It refers to meeting the standards (ASTM/ISO), which typically outline sampling plans.

    The data provenance is based on bench tests conducted on the subject device, "Latex Examination Powder Free Gloves". The tests are non-clinical. The submitting company is THAI RUBBER GLOVES CO., LTD., located in THAILAND. Therefore, the data originates from tests performed by or for this manufacturer. The nature of the tests (bench tests, not patient data) means the retrospective/prospective distinction is not directly applicable in the same way it would be for clinical data.

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

    Not applicable. This is not an AI/ML device or a diagnostic study requiring expert interpretation or ground truth establishment in a clinical context. The "ground truth" for glove performance is defined by adherence to established industry standards and specifications (ASTM, ISO).

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

    Not applicable. As this is not a diagnostic study with human-interpreted results, no adjudication method was used.

    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 is not an AI-assisted device.

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

    Not applicable. This is not an algorithm.

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

    The "ground truth" is defined by adherence to established international and national standards and specifications for latex examination gloves, such as ASTM D3578-19, ASTM D5151-19, ASTM D6124-06, ASTM D5712-15, ISO 10993-10, ISO 10993-5, and ISO 10993-11. These standards define the acceptable physical, mechanical, and biological properties of the gloves.

    8. The sample size for the training set

    Not applicable. This is not a machine learning device; therefore, there is no training set.

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

    Not applicable. No training set exists for this device.

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