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510(k) Data Aggregation

    K Number
    K210990
    Date Cleared
    2021-11-22

    (234 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-sterile powder free 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. The device is for over-the-counter use.

    Device Description

    The subject device in this 510(k) Notification is Powder Free Nitrile Examination Glove. The subject device is a patient examination glove made from nitrile compound, powder free and non-sterile (Per 21 CFR 880.6250, class I). The device meets the specifications in ASTM D6319-19, standard specification for Nitrile Examination Gloves.

    AI/ML Overview

    The provided document is an FDA 510(k) summary for a medical device (Non-sterile Powder Free Nitrile Examination Gloves). It does not describe an AI/ML-driven medical device, nor does it involve image analysis, expert-based ground truth, or MRMC studies. Therefore, many of the requested elements for describing a study proving an AI/ML device meets acceptance criteria are not applicable.

    However, I can extract the relevant "acceptance criteria" (performance specifications) and the "study that proves the device meets the acceptance criteria" (non-clinical performance tests) from the document as it pertains to this specific device.

    Here's the information based on the provided document:


    Device: Non-sterile Powder Free Nitrile Examination Gloves (K210990)
    Device Type: Patient Examination Glove (Class I, reserved)
    Intended Use: Disposable device intended for medical purposes that is worn on the examiner's hand or finger to prevent contamination between patient and examiner. For over-the-counter use.

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

    Test ItemTest StandardAcceptance CriteriaReported Device PerformanceConclusion
    DimensionsASTM D6319-19Overall Length (mm): Min 230mm
    Width (± 5mm): Size S = 85mm, Size M = 95mm, Size L = 105mm, Size XL = 115mm
    Thickness at Palm (mm): Min 0.05 mm
    Thickness at Finger Tip (mm): Min 0.05 mmNot explicitly stated with specific values, but declared as "Passed"Passed
    Physical propertiesASTM D6319-19Before Aging:
    Tensile Strength (MPa) = 14min
    Ultimate Elongation (%) = 500min
    After Aging at 70°C for 168 hrs @ 100°C for 22 hrs:
    Tensile Strength (MPa) = 14min
    Ultimate Elongation (%) = 400minNot explicitly stated with specific values, but declared as "Passed"Passed
    Freedom from pinholesASTM D6319-19AQL 2.5 (Inspection Level G-1)Not explicitly stated with specific values, but declared as "Passed"Passed
    Residual PowderASTM D6124-06 (Reapproved 2017)
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