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510(k) Data Aggregation

    K Number
    K211865
    Date Cleared
    2021-12-20

    (187 days)

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

    Powder Free Vinyl Patient Examination Gloves, Clear (non-colored)

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

    Powder Free Vinyl Patient Examination Gloves, Clear (non-colored) 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

    The subject device is disposable medical PVC gloves that made from PVC compound, Clear (non-colored), powder free and nonsterile. The device meets the specifications in ASTM D5250-06(Reapproved 2015) Standard specification for poly (vinyl chloride) gloves for medical application.

    AI/ML Overview

    This document is a 510(k) Premarket Notification summary for "Powder Free Vinyl Patient Examination Gloves, Clear (non-colored)". It describes the device, its intended use, and the studies conducted to demonstrate substantial equivalence to a predicate device.

    Here's an analysis of the acceptance criteria and the study that proves the device meets them:

    1. Table of Acceptance Criteria and Reported Device Performance:

    Test MethodologyPurposeAcceptance CriteriaReported Device Performance
    ASTM D5250-06 (Reapproved 2015)Dimension (mm) IL S-2 AQL4.0
    Length$\geq$ 230233-241
    Width (Small)80-9081-89
    Width (Medium)90-10092-99
    Width (Large)100-110102-109
    Width (X-Large)110-120112-119
    Thickness (Fingertip)$\geq$ 0.050.09-0.11
    Thickness (Palm)$\geq$ 0.080.10-0.11
    ASTM D5250-06 (Reapproved 2015)Physical Properties IL S-2 AQL4.0
    Tensile strength$\geq$ 14MPa (Before & After aging)17-25 MPa (implicitly for before & after, as it covers the range)
    Elongation (Before aging)$\geq$ 500%560-610%
    Elongation (After aging)$\geq$ 400%460-570%
    21 CFR 800.20, ASTM D5250-06 (Reapproved 2015), ASTM D5151-19Freedom from pinholesWaterleakage test: Inspection Level I, AQL2.5, and Accept/Reject criteria of 10/11. (5 noncompliance is allowed.)Pass
    ASTM D5250-06 (Reapproved 2015), ASTM D6124-06 (Reapproved 2017)Powder Residual$
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    K Number
    K211177
    Date Cleared
    2021-07-17

    (88 days)

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

    Powder Free Vinyl Patient Examination Gloves

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

    Powder Free Vinyl Patient Examination Gloves is a disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner.

    Device Description

    Powder Free Vinyl Patient Examination Gloves Are Patient Examination Gloves, Disposable, single use only and non-sterile. The gloves are made of vinyl materials and are powder free. The physical and performance characteristics of the devices meet all requirements of ASTM D5250-19 Standard Specification for Poly (Vinyl Chloride) Gloves for Medical Application.

    AI/ML Overview

    The provided document describes the acceptance criteria and performance data for Powder Free Vinyl Patient Examination Gloves (K211177). This is a medical device, and the data provided relates to its physical performance and biocompatibility, not an AI/ML-based diagnostic or imaging device. Therefore, many of the requested fields (such as sample size for test/training sets, data provenance, number of experts, adjudication method, MRMC studies, standalone algorithm performance, and ground truth types related to AI/ML) are not applicable (N/A) for this type of medical device submission.

    Here's the breakdown of the available information:

    1. Table of Acceptance Criteria and Reported Device Performance

    CharacteristicsStandard / Acceptance CriteriaDevice PerformanceResult
    Physical Properties (ASTM D 5250-19)
    Overall Length (mm)230 mm for all sizes minimumS: 235-241mm; M: 233-240mm; L: 234-241mm; XL: 236-242mmMeets
    Width (mm)S: 85±5; M: 95±5; L: 105±5; XL: 115±5S: 86-88 mm; M: 96-98 mm; L: 106-108 mm; XL: 116-118 mmMeets
    Palm Thickness (mm)0.08mm minimum0.08mmMeets
    Finger Thickness (mm)0.08mm minimum0.08-0.10mmMeets
    Tensile Strength (Mpa) Before aging11Mpa minimum13.0-16.1MpaMeets
    Tensile Strength (Mpa) After aging11Mpa minimum13.0-15.8MpaMeets
    Ultimate Elongation (%) Before aging300% minimum310-410%Meets
    Ultimate Elongation (%) After aging300% minimum310-400%Meets
    Pinhole (Freedom from)ASTM D 5250-19, ASTM D5151-19, 21CFR800.20 G-I, AQL2.5125 gloves sampled and 1 piece leaks (Meets AQL2.5 for G-I inspection level)Meets
    Residual PowderNot more than 2mg per glove0.35-0.73mgMeets
    Biocompatibility
    Primary Skin Irritation TestISO 10993-10: Not an irritantUnder conditions of the study, not an irritantMeets
    Dermal Sensitization AssayISO 10993-10: Not an irritantUnder conditions of the study, not an irritantMeets
    Cytotoxicity TestISO 10993-5: No cytotoxic potentialUnder the conditions of this study, no cytotoxic potentialMeets

    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    • Sample Size for Pinhole Test: 125 gloves were sampled.
    • Other Physical and Biocompatibility Tests: Sample sizes are not explicitly stated for all tests but are implied by the standards referenced (e.g., "N=5" for residual powder).
    • Data Provenance: The manufacturer is Shijiazhuang Hongjun Plastic Manufacture Co., Ltd. located in Shijiazhuang City, Hebei Province, China. The testing was conducted to meet international and US standards (ASTM, ISO, CFR). Specific country of origin for data collection for these non-clinical tests is not detailed beyond the manufacturer's location, but the tests generally follow standardized laboratory protocols rather than clinical data collection. This would be considered prospective testing against established specifications, not retrospective clinical data.

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

    • N/A. This is not relevant for the type of device and testing performed. The "ground truth" for these tests is defined by the objective physical and chemical properties measured against recognized industry standards (ASTM, ISO). No expert clinical assessment of "ground truth" is involved.

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

    • N/A. Adjudication methods are typically for subjective assessments or discrepancy resolution in clinical studies or expert evaluations, which is not applicable here. The tests are objective measurements based on specified standard methods.

    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

    • N/A. This is a physical non-diagnostic product (gloves). MRMC studies are for evaluating diagnostic tools involving human interpretation, often in conjunction with AI.

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

    • N/A. This device does not have an algorithm or AI component.

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

    • The "ground truth" is defined by established engineering and material science standards and specifications (e.g., ASTM D5250-19, ISO 10993-10, ISO 10993-5, ASTM D6124-06, ASTM D5151-19). These standards provide objective, measurable criteria for acceptable performance and biocompatibility.

    8. The sample size for the training set

    • N/A. This is a physical non-diagnostic product. There is no "training set" in the context of AI/ML.

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

    • N/A. This is a physical non-diagnostic product. No AI/ML training set or associated ground truth establishment method is applicable.
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    K Number
    K210774
    Date Cleared
    2021-05-14

    (60 days)

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

    Powder Free Vinyl Patient Examination Gloves, Clear (non-colored)

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

    Powder Free Vinyl Patient Examination Gloves, Clear (non-colored) 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

    Poly Vinyl Chloride (PVC) films form a barrier to prevent contamination between patient and examiner. The PVC rubber is water tight under normal conditions of use. It's tensile properties cause it to conform to the hand, allowing movements necessary for a medical procedure. The Poly (vinyl chloride) glove acts as a barrier to prevent contamination between patient and examiner. The glove is manufactured in accordance with the requirements of ASTM D5250 and ASTM D5151.

    AI/ML Overview

    This document pertains to the 510(k) premarket notification for Powder Free Vinyl Patient Examination Gloves, Clear (non-colored). The information provided heavily focuses on proving substantial equivalence to a predicate device through non-clinical performance data, primarily compliance with established ASTM and ISO standards for medical gloves.

    Here's the breakdown of the acceptance criteria and the study that proves the device meets them, based on the provided text:

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

    CharacteristicsAcceptance CriteriaReported Device Performance
    DimensionsASTM D 5250-06 (Reapproved 2015)Met ASTM D 5250-06 (Reapproved 2015)
    Length≥230mmSubject Device: 231-241mm (Predicate: 231-242mm) - Stated as "Similar"
    Width (Small)80-90 mmSubject Device: 81-89mm (Predicate: 82-89mm) - Stated as "Similar"
    Width (Medium)90-100mmSubject Device: 93-99mm (Predicate: 93-99mm) - Stated as "Similar"
    Width (Large)100-110mmSubject Device: 102-110mm (Predicate: 103-109mm) - Stated as "Similar"
    Width (X-Large)110-120 mmSubject Device: 111-119mm (Predicate: 114-119mm) - Stated as "Similar"
    Thickness (Fingertip)≥0.05mmSubject Device: 0.09-0.10mm (Predicate: 0.05-0.10mm) - Stated as "Similar"
    Thickness (Palm)≥0.08mmSubject Device: 0.10-0.11mm (Predicate: 0.09-0.13mm) - Stated as "Similar"
    Physical PropertiesASTM D 5250-06 (Reapproved 2015)Met ASTM D 5250-06 (Reapproved 2015)
    Tensile Strength≥11MPa (Before & After aging)Subject Device: 15-22 MPa (Predicate: 16-20 MPa) - Stated as "Similar"
    Elongation Rate≥300% (Before & After aging)Subject Device: 350-420% (Predicate: 380-410%) - Stated as "Similar"
    Freedom from Pinholes21 CFR 800.20
    ASTM D5250-06 (Reapproved 2015)
    ASTM D5151-19
    Holes at Inspection Level I AQL2.5Subject Device: "Passed Standard Acceptance Criteria"
    Holes at Inspection Level I AQL2.5 (Same as predicate)
    Powder ResidualASTM D5250-06 (Reapproved 2015)
    ASTM D6124-06 (Reapproved 2017)
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    K Number
    K210799
    Date Cleared
    2021-05-14

    (59 days)

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

    Powder Free Vinyl Patient Examination Gloves

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

    The Powder Free Vinyl Patient Examination Glove is a disposable device intended for medical purposes that is worn on the examiner's hands to prevent contamination between patient and examiner.

    Device Description

    The subject device is powder free vinyl patient examination gloves. The subject device is colorless. The design of subject device is addressing the standards as ASTM D6124, ASTM D5151, and ASTM D5250. The subject device is nonsterile.

    AI/ML Overview

    This document describes the premarket notification for the "Powder Free Vinyl Patient Examination Glove" (K210799). It is a Class I device and the submission focuses on demonstrating substantial equivalence to a predicate device (K163168).

    Here's an analysis of the acceptance criteria and study data:

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

    The acceptance criteria are implicitly defined by compliance with specific ASTM and ISO standards, and by showing equivalence to the predicate device, particularly regarding physical properties and biocompatibility.

    Acceptance Criteria (Standard/Requirement)Reported Device Performance (Subject Device)
    Physical Dimensions:
    Length (ASTM D5250)230mm (XS, S, M, L, XL) min
    Width (ASTM D5250)75mm (XS), 85mm (S), 95mm (M), 105mm (L), 115mm (XL) ± 5mm
    Finger Thickness (ASTM D5250)0.08mm min
    Palm Thickness (ASTM D5250)0.08mm min
    Physical Properties:
    Tensile Strength Before Aging (ASTM D5250)11MPa, min
    Ultimate Elongation Before Aging (ASTM D5250)300% min
    Tensile Strength After Aging (ASTM D5250)11MPa, min
    Ultimate Elongation After Aging (ASTM D5250)300% min
    Freedom from Holes (ASTM D5151)Be free from holes when tested in accordance with ASTM D5151, AQL=2.5
    Powder Content (ASTM D6124)
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    K Number
    K210780
    Date Cleared
    2021-05-14

    (60 days)

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

    Powder Free Vinyl Patient Examination Gloves, Clear (non-colored)

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

    Powder Free Vinyl Patient Examination Gloves, Clear (non-colored) 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

    Poly Vinyl Chloride (PVC) films form a barrier to prevent contamination between patient and examiner. The PVC rubber is water tight under normal conditions of use. It's tensile properties cause it to conform to the hand, allowing movements necessary for a medical procedure. The Poly (vinyl chloride) glove acts as a barrier to prevent contamination between patient and examiner. The glove is manufactured in accordance with the requirements of ASTM D5250 and ASTM D5151.

    AI/ML Overview

    This document is a 510(k) Pre-Market Notification for Powder Free Vinyl Patient Examination Gloves. It focuses on demonstrating substantial equivalence to a predicate device rather than presenting a study proving a novel device meets specific acceptance criteria in a clinical setting.

    Therefore, many of the requested sections are not applicable in this context. However, I can extract information related to the device's technical specifications and the non-clinical tests performed to ensure it meets established safety and performance standards for gloves.

    Here's a breakdown of the relevant information:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are generally defined by compliance with established ASTM and ISO standards for medical examination gloves. The reported device performance is presented as meeting these standards.

    CharacteristicAcceptance Criteria (Standard)Reported Device Performance
    DimensionWidth (mm)
    Width (Small)80-90 mm82-88
    Width (Medium)90-100 mm94-98
    Width (Large)100-110 mm103-109
    Width (X-Large)110-120 mm114-117
    Thickness (mm)
    Fingertip≥0.05 mm (ASTM D 5250-06)0.09-0.10
    Palm≥0.08 mm (ASTM D 5250-06)0.10-0.11
    Physical PropertiesASTM D 5250-06 (Reapproved 2015)
    Tensile Strength (Before & After aging)≥11 MPa15-22 MPa
    Elongation Rate (Before & After aging)≥300%350-420%
    Freedom from PinholesHoles at Inspection Level I AQL2.5 (21 CFR 800.20, ASTM D5250-06, ASTM D5151-19)Met Acceptance Criteria; Holes at Inspection Level I AQL2.5
    Powder Residual
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    K Number
    K191292
    Date Cleared
    2019-11-05

    (175 days)

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

    Powder Free Vinyl Patient Examination Gloves, Clear (non-colored)

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

    Powder Free Vinyl Patient Examination Gloves, Clear (non-colored) 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

    The proposed device is Powder Free Examination Gloves. The proposed device is Clear (non-colored). The proposed device is non-sterile.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information based on the provided text, focusing on what's available and noting what's not:

    1. Table of Acceptance Criteria and Reported Device Performance

    Test/CharacteristicAcceptance CriteriaReported Device Performance (K191292)
    Dimensions - LengthASTM D 5250-06 (Reapproved 2011): ≥ 230mm233-241mm
    Dimensions - WidthASTM D 5250-06 (Reapproved 2011):
    Small 80-90 mm
    Medium 90-100mm
    Large 100-110mm
    X large 110-120 mm84-88 mm
    94-98 mm
    103-109 mm
    114-117 mm
    Dimensions - ThicknessASTM D 5250-06 (Reapproved 2011):
    Fingertip ≥0.05mm
    Palm ≥0.08mmFingertip: 0.08-0.11mm
    Palm: 0.10-0.11mm
    Physical Properties (Tensile Strength)ASTM D 5250-06 (Reapproved 2011): ≥11MPa (Before & After aging)15-17 MPa (for "Physical Properties")
    Physical Properties (Elongation Rate)ASTM D 5250-06 (Reapproved 2011): ≥300% (Before & After aging)350-390% (for "Physical Properties")
    Freedom from PinholesASTM D5151-06 (Reapproved 2011): Holes at Inspection Level I, AQL2.5, Act/Re: 10/11Water leakage test: 3 noncompliance is allowed (This is a different test/criterion reported in the comparison table, but within the "similar" category for pinholes). The detailed result for the ASTM D5151-06 specific criterion is not explicitly stated as "Pass" or "Fail" in the result column, but the overall "similar" comparison implies conformity.
    Powder ResidualASTM D6124-06 (Reaffirmation 2011):
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    K Number
    K191092
    Date Cleared
    2019-07-22

    (89 days)

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

    Powder-Free Vinyl Patient Examination Gloves, Yellow Color

    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 examiners' hands or fingers to prevent contamination between patients and examiners

    Device Description

    Classified by FDA's General and Plastic Surgery Device panel as Class I, 21 CFR 880.6250, Powder-Free Vinyl Patient Examination Gloves, 80 LZA, and meets all requirements of ASTM standard D-6139 and ASTM D-5250.

    AI/ML Overview

    The provided text describes the 510(k) submission for Anhui Intco Medical Products Co. Ltd.'s Powder-Free Vinyl Patient Examination Gloves, Yellow Color (K191092). This submission focuses on demonstrating substantial equivalence to a predicate device, rather than proving the performance of an AI-powered medical device through a clinical study.

    Therefore, most of the requested information regarding AI device acceptance criteria and study details (such as MRMC studies, standalone algorithm performance, AI training/test set ground truth, and expert qualifications for ground truth establishment) is not applicable to this document.

    However, I can extract information related to the performance characteristics that were tested for these medical gloves to demonstrate substantial equivalence.

    Here's the information that is applicable based on the provided document:

    1. Table of acceptance criteria and the reported device performance:

    The document compares the subject device (K191092) to a predicate device (K022091) across various physical and biocompatibility characteristics. The "acceptance criteria" here are essentially the performance levels of the predicate device or established standards (like ASTM).

    CharacteristicAcceptance Criteria (Predicate Device K022091 Reported Performance / Standard)Reported Device Performance (K191092)Comparison
    Physical Properties (Before Aging)
    Average Tensile Strength (Mpa)17.00 Mpa17.44 MpaSimilar
    Average Ultimate Elongations500%519.4%Similar
    Physical Properties (After Aging)
    Average Tensile Strength (Mpa)15 Mpa15 MpaSimilar
    Average Ultimate Elongations475%481.96%Similar
    Dimensions (Medium Size)
    Overall LengthAverage over 230.00 mmAverage over 232.23mmSimilar
    Width of PalmAverage 95.00mmAverage 95.08mmSame
    Palm ThicknessAverage 0.095 mmAverage 0.095 mmSame
    Finger ThicknessAverage 0.090 mmAverage 0.090 mmSimilar
    Other Tests
    Residual Powder
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    K Number
    K182575
    Date Cleared
    2019-05-24

    (247 days)

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

    Jaysun Powder Free Vinyl Patient Examination Gloves, Clear (non-colored)

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

    Powder Free Vinyl Patient Examination Gloves, Clear (non-colored) 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

    PVC films form a barrier to prevent contamination between patient and examiner. The PVC rubber is water tight under normal conditions of use. It's tensile properties cause it to conform to the hand, allowing movements necessary for a medical procedure. The Poly (vinyl chloride) glove acts as a barrier to prevent contamination between patient and examiner. The glove is manufactured in accordance with the requirements of ASTM D5250 and ASTM D5151.

    AI/ML Overview

    This document, K182575, is a 510(k) Premarket Notification for "Powder Free Vinyl Patient Examination Gloves, Clear (non-colored)". As such, it does not contain the type of acceptance criteria and study data typically associated with a "device" in the context of an AI/ML medical device, which would involve performance metrics like accuracy, sensitivity, specificity, and a detailed human-in-the-loop (HITL) study.

    This submission is for a Class I medical device (patient examination glove), which, by regulation, has a much lower bar for demonstrating substantial equivalence to a predicate device. The "performance data" here refers to physical and biological characteristics of the glove, not diagnostic or predictive performance.

    Therefore, I cannot provide the requested information in the format of AI/ML device studies because the provided document does not pertain to such a device. The "acceptance criteria" and "study that proves the device meets the acceptance criteria" in this context refer to manufacturing and material standards, not clinical diagnostic accuracy.

    However, I can extract the information relevant to this specific device type and its "studies":


    Acceptance Criteria and Device Performance (for a physical medical device: Examination Glove)

    Acceptance Criteria CategorySpecific Acceptance Criteria (Standard & Value)Reported Device Performance (Subject Device K182575)
    DimensionsASTM D5250-06 (Reapproved 2011)Meets ASTM D5250-06 (Reapproved 2011)
    Length≥230mm (Predicate)231-241mm (Subject Device) - Note: Predicate shown as 232-243mm, Subject shows 231-241mm and a comparison "Same" with Predicate.
    Width (Small)80-90mm (Predicate)81-89mm (Subject Device) - Note: Predicate shows 82-88mm, Subject shows 81-89mm and a comparison "Same" with Predicate.
    Width (Medium)90-100mm (Predicate)93-99mm (Subject Device) - Note: Predicate shows 93-98mm, Subject shows 93-99mm and a comparison "Same" with Predicate.
    Width (Large)100-110mm (Predicate)102-110mm (Subject Device) - Note: Predicate shows 102-109mm, Subject shows 102-110mm and a comparison "Same" with Predicate.
    Width (X-Large)110-120mm (Predicate)111-119mm (Subject Device) - Note: Predicate shows 113-118mm, Subject shows 111-119mm and a comparison "Same" with Predicate.
    Thickness (Finger)≥ 0.05mm (Predicate)0.05-0.10mm (Subject Device) - Note: Predicate shows 0.08-0.11mm, Subject shows 0.05-0.10mm and a comparison "Same" with Predicate.
    Thickness (Palm)≥ 0.08mm (Predicate)0.09-0.13mm (Subject Device) - Note: Predicate shows 0.10-0.11mm, Subject shows 0.09-0.13mm and a comparison "Same" with Predicate.
    Physical PropertiesASTM D5250-06 (Reapproved 2011)Meets ASTM D5250-06 (Reapproved 2011)
    Elongation (Before/After aging)≥ 300% (Predicate)340-410% (Subject Device) - Note: Predicate shows 350-420%, Subject shows 340-410% and a comparison "Same" with Predicate.
    Tensile Strength (Before/After aging)≥ 14MPa (Predicate)15-25 MPa (Subject Device) - Note: Predicate shows 15-20 MPa, Subject shows 15-25 MPa and a comparison "Same" with Predicate.
    Freedom from PinholesASTM D5151-06 (Reapproved 2015), Holes at Inspection Level I AQL 2.5 (Predicate: LAOL 2.5)Meets ASTM D5151-06 (Reapproved 2011), Holes at Inspection Level I AQL 2.5
    Residual PowderASTM D5250-06 (Reapproved 2011) and D6124-06 (Reaffirmation 2011):
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    K Number
    K180381
    Date Cleared
    2018-11-07

    (268 days)

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

    Powder Free Vinyl Patient Examination Gloves

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

    A patient examination glove is disposable non-sterile device intended for medical purpose that is worn on the examiner's hand or finger to prevent contamination between patient and examiner.

    Device Description

    Powder Free Vinyl Patient Examination Gloves are Patient Examination Gloves, Disposable, single use only and non-sterile. The gloves are made of vinyl materials and are powder free. The physical and performance characteristics of the devices meet all requirements of ASTM D5250-06 (Reapproved 2015) Standard Specification For Poly(Vinyl Chloride) Gloves For Medical Application.

    AI/ML Overview

    This document is a 510(k) summary for "Powder Free Vinyl Patient Examination Gloves," a Class I medical device. The information provided pertains to the substantial equivalence of the subject device to a predicate device, focusing on non-clinical performance characteristics to demonstrate safety and effectiveness.

    Here's the breakdown of the acceptance criteria and the study that proves the device meets them, based on the provided text:

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

    The acceptance criteria are generally established by the ASTM D 5250-06 (Reapproved 2015) Standard Specification for Poly(Vinyl Chloride) Gloves For Medical Application. The predicate device and the subject device both aim to meet these requirements.

    CharacteristicsAcceptance Criteria (ASTM D 5250-06 (2015) requirements)Reported Device Performance (Subject Device K180381)Result of Comparison (Predicate vs Subject)Conclusion (Subject Device performance)
    Physical Properties:
    Tensile Strength (Before aging)11 Mpa minimum14.4-17.1 MpaSame (Met/Exceeded)Pass (Meets/Exceeds criteria)
    Tensile Strength (After aging)11 Mpa minimum14.1-16.9 MpaSame (Met/Exceeded)Pass (Meets/Exceeds criteria)
    Elongation (Before aging)300% minimum390-480%Same (Met/Exceeded)Pass (Meets/Exceeds criteria)
    Elongation (After aging)300% minimum380-470%Same (Met/Exceeded)Pass (Meets/Exceeds criteria)
    Freedom from PinholeG-I, AQL 2.5 (Meets ASTM D 5250-06 (2015) requirements)Meets AQL 2.5 requirementsSamePass (Meets criteria)
    Dimensions:Meets ASTM D 5250-06 (2015) requirementsSamePass (Meets criteria)
    - Overall Length (mm)230 for all sizes minimumS: 233-241mm, M:231-242mm, L:230-244mm, XL: 234-245mmN/A (Directly compared to standard)Pass (Meets/Exceeds criteria)
    - Width (mm)S: 85 ± 5, M: 95 ± 5, L: 105±5, XL: 115±5S: 87-88 mm, M: 97-98 mm, L: 107-108 mm, XL: 118-119 mmN/A (Directly compared to standard)Pass (Meets criteria)
    - Palm Thickness (mm)0.08mm minimum0.08mmN/A (Directly compared to standard)Pass (Meets criteria)
    - Finger Thickness (mm)0.05mm minimum0.09-0.11mmN/A (Directly compared to standard)Pass (Meets/Exceeds criteria)
    Residual PowderNot more than 2 mg per glove (Meets Applicable Definition for Powder Free)0.20 mg/gloveSame (Met/Exceeded)Pass (Meets/Exceeds criteria)
    Biocompatibility:
    - Primary Skin IrritationUnder conditions of the study, not an irritantUnder conditions of the study, not an irritantSamePass (Not an irritant)
    - Dermal SensitizationUnder conditions of the study, not an irritantUnder conditions of the study, not an irritantSamePass (Not an irritant)
    - Cytotoxicity TestN/A (Predicate had no data)Under the conditions of this study, not a cytotoxic potentialDifferent (Subject had data)Pass (Not a cytotoxic potential)

    2. Sample sized 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 specific numerical sample sizes for each test. Instead, it refers to "Inspection Level and AQL" (Acceptable Quality Level) from the ASTM standards for some tests (e.g., S-2, AQL 4.0 for dimensions and tensile strength; G-I, AQL 2.5 for pinhole). These AQLs imply a sampling plan rather than a fixed sample size.

    • Pinhole: Inspection Level G-I, AQL 2.5.
    • Dimensions, Tensile Strength, Ultimate Elongation: Inspection Level S-2, AQL 4.0.
    • Residual Powder: N=5 (5 gloves were tested).
    • Biocompatibility Tests (Primary Skin Irritation, Dermal Sensitization, Cytotoxicity Test): No sample sizes are specified for these in the table; the results are qualitative ("not an irritant," "not a cytotoxic potential").

    The data provenance is from Shanxi Hongjin Plastic Technology Co., Ltd in China, as indicated by their address on the document. The studies are non-clinical lab tests conducted to support the 510(k) submission, implying a prospective data generation process for the purpose of regulatory approval.

    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 device is a medical glove, and the "ground truth" is based on objective physical, chemical, and biological performance characteristics measured by laboratory tests and adherence to industry standards (ASTM D5250-06), not expert medical interpretation of images or clinical outcomes.

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

    This is not applicable. Adjudication methods like 2+1 or 3+1 are typically used in studies involving subjective human interpretation (e.g., radiologists reading medical images) to establish consensus ground truth. The tests for these gloves are objective measurements.

    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. This type of study relates to AI-assisted diagnostic devices and human reader performance, not physical medical devices like examination gloves.

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

    This is not applicable. This concept applies to AI/software as a medical device, where the algorithm performs a task independently. The tests performed here are direct measurements of a physical product's attributes.

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

    The "ground truth" for this device's performance is established by objective measurements against pre-defined specifications and compliance with recognized industry standards, specifically ASTM D 5250-06 (Reapproved 2015). For biocompatibility, it's based on standard biological evaluation tests determining if the material is an irritant or cytotoxic.

    8. The sample size for the training set

    This is not applicable. The concept of a "training set" refers to data used to train machine learning models. This document describes the testing and performance of a physical product according to established standards, not an AI/ML device.

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

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

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    K Number
    K180260
    Date Cleared
    2018-06-12

    (133 days)

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

    Powder Free Vinyl Patient Examination Gloves (Yellow, White)

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

    A patient examination glove is disposable non-sterile device intended for medical purpose that is worn on the examiner's hand or finger to prevent contamination between patient and examiner.

    Device Description

    Powder Free Vinyl Patient Examination Gloves (Yellow, White) are Patient Examination Gloves, Disposable, single use only and non-sterile. The gloves are made of vinyl materials and are powder free. The physical and performance characteristics of the devices meet all requirements of ASTM D5250-06 (Reapproved 2015) Standard Specification For Poly (Vinyl Chloride) Gloves For Medical Application.

    AI/ML Overview

    This document is a 510(k) Pre-Market Notification for Powder Free Vinyl Patient Examination Gloves. It focuses on demonstrating substantial equivalence to a predicate device, rather than proving the device meets acceptance criteria through clinical studies in the typical sense of AI/software devices. The "acceptance criteria" and "study that proves the device meets the acceptance criteria" here refer to compliance with recognized standards and performance thresholds for examination gloves.

    Here's a breakdown of the requested information based on the provided text, interpreted in the context of a medical glove submission:

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

    Testing ItemsAcceptance Criteria (FDA-recognized Standard Requirements)Reported Device Performance (Actual Testing Results)Conclusion
    Overall Length (mm)230 mm for all sizes minimumS: 233-244mm, M: 231-241mm, L: 230-243mm, XL: 234-242mmPass
    Width (mm)S: 85±5, M: 95±5, L: 105±5, XL: 115±5S: 87-88 mm, M: 97-98 mm, L: 107-108 mm, XL: 118-119 mmPass
    Palm Thickness (mm)0.08mm minimum0.08mmPass
    Finger Thickness (mm)0.05mm minimum0.09-0.12mmPass
    Tensile Strength (Mpa) - Before aging11Mpa minimum15.1-18.1MpaPass
    Tensile Strength (Mpa) - After aging11Mpa minimum14.9-17.7MpaPass
    Ultimate Elongation (%) - Before aging300% minimum390-470%Pass
    Ultimate Elongation (%) - After aging300% minimum380-490%Pass
    PinholeASTM D 5250-06 (2015) requirements / Meet AQL 2.5 requirementsMeets AQL 2.5 requirementsPass
    Residual PowderNot more than 2mg per glove0.18 mg/glovePass
    Primary Skin Irritation TestUnder conditions of the study, not an irritantUnder conditions of the study, not an irritantPass
    Dermal Sensitization StudyUnder conditions of the study, not a sensitizerUnder conditions of the study, not a sensitizerPass
    Cytotoxicity TestUnder the conditions of this study, not a cytotoxic potentialUnder the conditions of this study, not a cytotoxic potentialPass
    Overall PerformanceMeets ASTM D5250-06 (Reapproved 2015) Standard Specification For Poly (Vinyl Chloride) Gloves For Medical ApplicationConforms fully to ASTM D 5250-06 (2015) standard, applicable 21 CFR references, and FDA requirementsOverall Compliance Demonstrated

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    • Sample Size for Test Set: The sample sizes are indicated by the "Inspection Level and AQL" (Acceptable Quality Limit) for most physical and performance tests, such as S-2, AQL4.0, and G-I, AQL2.5. For Residual Powder, the sample size was N=5. These AQL levels refer to sampling plans (e.g., ISO 2859-1 or ANSI/ASQ Z1.4), where a specific number of units are inspected from a lot, and the lot is accepted or rejected based on the number of defects found. The exact number of units tested isn't explicitly stated but would be determined by the AQL tables for the lot size.
    • Data Provenance: The manufacturing entity is Shanxi Hongjin Plastic Technology Co., LTD, located in China. The testing would have been conducted by or on behalf of this company. The data is prospective in the sense that it's generated for the purpose of demonstrating compliance for this submission.

    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 product is a medical device (patient examination gloves) tested against recognized physical, chemical, and biological standards. "Ground truth" in this context is established by the accepted scientific methodologies and criteria outlined in the ASTM and ISO standards, rather than expert human interpretation in the way it applies to diagnostic AI. Therefore, there are no "experts" in the sense of clinicians establishing ground truth for individual cases. The ground truth is the objective measurement against the specified standard requirements.

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

    Not applicable. Adjudication methods like 2+1 or 3+1 are used for resolving discrepancies in expert interpretations (e.g., in medical image reading). For device performance testing against quantitative standards, the measurements are objective.

    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 physical product (medical glove), not an AI or software algorithm. Therefore, an MRMC comparative effectiveness study involving human readers and AI assistance is not relevant.

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

    Not applicable. This is not an algorithm or AI device.

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

    The "ground truth" for the performance tests in this submission is the objective measurement against scientifically established and recognized standards (e.g., ASTM D5250-06 for physical properties, specific thresholds for residual powder, and standard biocompatibility tests for irritation and sensitization). It is not pathology, outcomes data, or expert consensus on a diagnostic interpretation.

    8. The sample size for the training set

    Not applicable. This is not a machine learning/AI device, so there is no training set in that context. Statistical sampling is used for quality control during manufacturing and for conformity testing.

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

    Not applicable. As there is no training set for a machine learning model, this question is not relevant.

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