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510(k) Data Aggregation

    K Number
    K100895
    Date Cleared
    2011-05-27

    (422 days)

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

    Palm Pro X - Powder Free Latex Examination Gloves (6PF2G30) 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

    Patient Examination Gloves (21 CFR 880.6250)
    Product Class: I
    Product Code: 80 LYY (Powder Free Latex Examination Gloves, Non Sterile with Protein Content Labeling Claim (50 Micrograms or less) meets all the requirements of ASTM standard D 3578-05.). The gloves are made of natural latex rubber and are worn on the examiner's hand to prevent contamination between patient and examiner.

    AI/ML Overview

    The provided text describes the acceptance criteria and performance of the Palm Pro X - Powder Free Latex Examination Gloves. However, it does not describe a study in the context of an AI/ML device, but rather the general performance testing for a medical glove. Therefore, most of the requested fields regarding AI/ML study specifics (like sample size for test set, data provenance, number of experts, adjudication method, MRMC studies, standalone performance, training set details) are not applicable to this document.

    Here's the information that can be extracted:

    1. Table of Acceptance Criteria and Reported Device Performance

    This table combines the "Dimension Characteristics" and "Performance Characteristics" from the provided document, comparing the Palm Pro X gloves to ASTM standards and predicate devices.

    CharacteristicAcceptance Criteria (ASTM D3578-05)Palm Pro X Performance
    Dimension Characteristics
    Thickness (Finger)0.08 min0.37 ± 0.03 mm
    Thickness (Palm)0.08 min0.30 min
    Palm Width (XS)70 ± 10 mm77 mm
    Palm Width (S)80 ± 10 mm85 mm
    Palm Width (M)95 ± 10 mm95 mm
    Palm Width (L)111 ± 10 mm110 mm
    Palm Width (XL)N/A118 mm
    Length220/230 min300 min
    Performance Characteristics
    Tensile Strength (unaged)18 min MPa21 min MPa
    Tensile Strength (aged)14 min MPa16 min MPa
    Elongation at break (unaged)650 min %750 min %
    Elongation at break (aged)500 min %600 min %
    Extractable Protein Content200 µg/dm²50 µg/g or less

    Note: "min" refers to "minimum" in the original document.

    Study Information (Applicable to General Device Testing)

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

    • The document does not specify the sample sizes used for testing each characteristic.
    • Data provenance is not explicitly stated in terms of country of origin or retrospective/prospective. The testing appears to be conducted on manufactured gloves to ensure compliance with standards.

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

    • Not Applicable: This is a physical product (gloves) and not an AI/ML device. Ground truth for these characteristics is established through standardized physical and chemical testing methods, not expert human assessment.

    4. Adjudication method for the test set:

    • Not Applicable: As stated above, this is for a physical product, not an AI/ML output requiring adjudication. Performance is measured against objective standards.

    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 a physical product (gloves), not an AI/ML device, and therefore MRMC studies are irrelevant.

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

    • Not Applicable: This is a physical product; there is no algorithm or standalone performance in the context of AI.

    7. The type of ground truth used:

    • The "ground truth" for the performance characteristics of the gloves is established by ASTM D3578-05 standard specifications for physical dimensions, tensile strength, elongation at break, and extractable protein content. These are objective, measurable standards.

    8. The sample size for the training set:

    • Not Applicable: There is no "training set" in the context of this physical product. The manufacturing process is designed to meet desired specifications.

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

    • Not Applicable: As there is no training set for an AI/ML model, this question is not relevant. The "ground truth" for glove manufacturing is adherence to established industry standards like ASTM D3578-05.
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