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510(k) Data Aggregation

    K Number
    K201857
    Date Cleared
    2021-08-20

    (410 days)

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

    Powder Free Nitrile Examination Glove Black and Dual Color White-Blue

    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 on the examiner's hand or finger to prevent contamination between patient and examiner.

    Device Description

    Powder Free Nitrile Examination Glove, Black and dual color White-Blue are Class 1 Patient Examination Gloves. The dual color White-Blue is made dual color by double dipping. They are ambidextrous and come in different sizes, Extra Small, Small, Medium, Large and Extra Large, Double Extra-Large and Triple Extra-Large.

    AI/ML Overview

    This document describes the premarket notification (510(k)) for Powder Free Nitrile Examination Gloves (Black and Dual Color White-Blue) from Careplus (M) SDN BHD. This is for an examination glove, a Class I reserved device (21 CFR 880.6250) intended for medical purposes to prevent contamination between patient and examiner.

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

    1. Table of Acceptance Criteria and Reported Device Performance

    ParameterStandard ReferenceStandard SpecificationDevice Performance (Black Glove)Device Performance (White-Blue Glove)Predicate Device Performance
    Product Code-LZA, 21 CFR 880.6250LZA, 21 CFR 880.6250LZA, 21 CFR 880.6250LZA, 21 CFR 880.6250
    Class-IIII
    Material-NitrileNitrileNitrileNitrile
    Color--BlackWhite-BlueBlue, White
    White Pigment-Titanium DioxideTitanium DioxideTitanium DioxideTitanium Dioxide
    SizeASTM D6319-19-XS,S,M,L,XL, XXL,XXXLXS,S,M,L,XL, XXL,XXXLXS,S,M,L,XL
    Water Tight TestASTM D6319-19, ASTM D5151-06G-I, AQL 2.5Meets specificationMeets specificationMeets specification
    Physical Properties (Before Aging)
    Tensile StrengthASTM D6319-19Min. 14 MpaMeets specification (min. 25 Mpa)Meets specification (min. 25 Mpa)Meets specification
    Ultimate ElongationASTM D6319-19Min. 500 %Meets specification (min. 605 %)Meets specification (min. 606 %)Meets specification
    Physical Properties (After Aging)
    Tensile StrengthASTM D6319-19Min. 14 MpaMeets specification (min. 29 Mpa)Meets specification (min. 26 Mpa)Meets specification
    Ultimate ElongationASTM D6319-19Min. 500 % (should be 400 min based on table 6)Meets specification (min. 559 %)Meets specification (min. 576 %)Meets specification
    Powder ContentASTM D6319-19, ASTM D6124-06Max. 2 mg/gloveMeets specification (Max. 1.02)Meets specification (Max. 0.90)Meets specification
    Biocompatibility Tests
    Primary Skin Irritation TestISO 10993-10-No irritant responseNo irritant responseNo irritant response
    Dermal Sensitization TestISO 10993-10-No skin sensitization effectNo skin sensitization effectNo skin sensitization effect
    Acute Systemic ToxicityISO 10993-11-No revelation of toxicityNo revelation of toxicityNo revelation of toxicity
    In vitro Cytotoxicity TestISO 10993-5Cytotox at undiluted, 1:2 (Black); undiluted, 1:2, 1:4, 1:8 (White-Blue)Varies by dilution, non-cytotoxic at higher dilutionsVaries by dilution, non-cytotoxic at higher dilutionsVaries by dilution, non-cytotoxic at higher dilutions
    Freedom from pin-holesASTM D6319-19AQL 2.51.5 and below1.5 and below1.5 and below
    Dimensions
    Width, mmASTM D6319-19XS - 70 ± 10, etc.Within specificationWithin specificationMeet Specification
    Length, mmASTM D6319-19XS - 220 min, etc.Within specificationWithin specificationMeet Specification
    Thickness Palm, mmASTM D6319-19XS - 0.05 min, etc.Within specification (e.g., min 0.13)Within specification (e.g., min 0.15)Meet Specification
    Thickness Finger, mmASTM D6319-19XS - 0.05 min, etc.Within specification (e.g., min 0.18)Within specification (e.g., min 0.19)Meet Specification
    Single Use-Single UseSingle UseSingle UseSingle Use
    Labeling-Single UseSingle UseSingle UseSingle Use
    Intended Use-As defined (medical purposes)Same as predicateSame as predicateSame as predicate

    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 specific sample sizes used for each test. Instead, it indicates that the "performance test data from the non-clinical test met the specifications from ASTM testing methodology." ASTM standards for examination gloves (like D6319-19) typically define sampling plans for various tests (e.g., AQL for pinholes).

    The data provenance is not specified beyond being generated by the device manufacturer, Careplus (M) SDN BHD, located in Seremban, Negeri Sembilan Darul Khusus, Malaysia. The studies are prospective in the sense that they were conducted to test the performance of the specific subject devices.

    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 an examination glove, not an AI or diagnostic imaging device that requires expert interpretation to establish a "ground truth" for a test set. Its performance is evaluated against physical and chemical specifications and biocompatibility standards.

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

    This section is not applicable. The performance evaluation for examination gloves typically involves objective measurements and scientific testing against established standards, not subjective adjudication by experts on a test set as would be found in AI/diagnostic studies.

    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 section is not applicable. The device is an examination glove, not an AI-assisted diagnostic tool. Therefore, MRMC studies are irrelevant to this submission.

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

    This section is not applicable. The device is a physical product (an examination 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's performance is established by objective measurements and adherence to recognized international standards such as ASTM D6319-19 (Standard Specification for Nitrile Examination Gloves for Medical Application) and ISO 10993 (Biological evaluation of medical devices for biocompatibility). For example:

    • Pin-hole detection is measured against an Acceptable Quality Level (AQL).
    • Physical properties like tensile strength, elongation, and dimensions are tested against minimum/maximum values specified in the ASTM standard.
    • Biocompatibility is assessed through standardized tests (e.g., skin irritation, sensitization, acute systemic toxicity, in vitro cytotoxicity) as per ISO 10993, with predefined criteria for "no irritant response," "no skin sensitization effect," etc.

    8. The sample size for the training set

    This section is not applicable. The device is a physical product, not a machine learning model, so there is no "training set."

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

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

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