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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
    Predicate For
    N/A
    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
    K210780
    Date Cleared
    2021-05-14

    (60 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Predicate For
    N/A
    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
    K210774
    Date Cleared
    2021-05-14

    (60 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Predicate For
    N/A
    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
    K191292
    Date Cleared
    2019-11-05

    (175 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Predicate For
    N/A
    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
    K151679
    Date Cleared
    2015-11-27

    (158 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    N/A
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    Device Description
    AI/ML Overview
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    K Number
    K151682
    Manufacturer
    Date Cleared
    2015-11-17

    (148 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Predicate For
    N/A
    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 body fluids and bloodborne Pathogens. 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. Poly (vinyl chloride) glove is known to create a barrier to bloodborne pathogens and body fluids. ASTM conforming tensile properties create a glove that is strong and flexible. The glove is manufactured in accordance with the requirements of ASTM D5250 and ASTM D5151 requirements.

    AI/ML Overview

    The provided document describes the acceptance criteria and the study that proves Daxwell, LLC's Powder Free Vinyl Patient Examination Gloves, Clear (non-colored) meet those criteria, primarily through a comparison to a predicate device and adherence to established ASTM and ISO standards.

    Here's a breakdown of the requested information:

    1. Table of Acceptance Criteria and Reported Device Performance

    CharacteristicStandard / Acceptance CriteriaReported Device Performance
    DimensionASTM D 5250-06(Reapproved 2011)
    Length≥230mm232-240mm
    Width (Small)80-90mm81-90mm
    Width (Medium)90-100mm93-98mm
    Width (Large)100-110mm102-109mm
    Width (X-Large)110-120mm110-118mm
    Thickness (Fingertip)≥0.05mm0.08-0.11mm
    Thickness (Palm)≥0.08mm0.09-0.12mm
    Physical PropertiesASTM D 5250-06(Reapproved 2011)
    Tensile strength (Before & After aging)≥11MPa15-20MPa
    Elongated rate (Before & After aging)≥300%360-420%
    Freedom from Pinholes21 CFR 800.20, ASTM D5250-06 (Reapproved 2011), ASTM D5151-06 (Reapproved 2011), Inspection Level I AQL2.5Passed Standard (Waterleak test), Meets ASTM D5151-06 (Reapproved 2011)
    Powder ResidualASTM D 5250-06 (Reapproved 2011) and D6124-06 (Reaffirmation 2011)Meets
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    K Number
    K143715
    Date Cleared
    2015-06-05

    (158 days)

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

    Powder Free Vinyl Patient Examination Gloves, Clear (non-colored) is a non-sterile 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 Vinyl Patient Examination Gloves, Clear (Non-colored) that meets all of the requirements of ASTM standard D 5250-06(Reaffirmation 2011).
    -- How the device functions:
    PVC films form a barrier to body fluids and bloodborne Pathogens
    -- Scientific concepts that form the basis for the device
    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.
    -- Physical and performance characteristics such as design, materials and physical properties:
    PVC gloves are known to create a barrier to bloodborne pathogens and body fluids. ASTM conforming tensile properties create a glove that is strong and flexible. The glove is manufactured in accordance with the requirements of ASTM D5250 and ASTM D5151 requirements.

    AI/ML Overview

    The document describes the acceptance criteria and performance of the "Powder Free Vinyl Patient Examination Gloves, Clear (non-colored)" manufactured by Better Plastic Co., Ltd. against regulatory standards and a predicate device.

    Table of Acceptance Criteria and Reported Device Performance

    Feature & DescriptionAcceptance Criteria (Predicate / Standard)Reported Device Performance (Subject Device)Result of Comparison
    Product NamePowder Free Vinyl Patient Examination Gloves, Clear (Non-colored) (K120968)Powder-Free Vinyl Patient Examination Gloves, Clear (Non-colored)Same
    Product CodeLYZ (K120968)LYZSame
    SizeSmall/ Medium/ Large/X large (K120968)Small/ Medium/ Large/X largeSubstantially Equivalent
    Intended Use(K120968) Disposable device for medical purposes, worn on examiner's hand/finger to prevent contamination between patient and examiner.Disposable device for medical purposes, worn on examiner's hand/finger to prevent contamination between patient and examiner.Substantially Equivalent
    Device Description & SpecsMeets ASTM D5250-06 (Reapproved 2011)Meets ASTM D5250 -06 (Reapproved 2011)Substantially Equivalent
    Dimensions - LengthMeets ASTM D5250-06 (Reapproved 2011) ≥230mm min.Meets ASTM D5250-06 (Reapproved 2011) 230mm min for all sizesSubstantially Equivalent
    Dimensions - WidthMeets ASTM D5250-06 (Reapproved 2011) Small 80-90 mm, Medium 90-100mm, Large 100-110mm, X large 110-120 mmMeets ASTM D5250-06 (Reapproved 2011) Small 85-87 mm, Medium 95-98 mm, Large 104-107mm, X large 112-116 mmSubstantially Equivalent
    Dimensions - ThicknessMeets ASTM D5250-06 (Reapproved 2011) Finger 0.05mm min., Palm 0.08mm min.Meets ASTM D5250-06 (Reapproved 2011) Finger 0.05mm min., Palm 0.08mm min.Substantially Equivalent
    Physical PropertiesMeets ASTM D5250-06 (Reapproved 2011) Before aging/after aging: Elongation ≥300%, Tensile Strength ≥11MPaMeets ASTM D5250-06 (Reapproved 2011) Before aging/after aging: Elongation ≥300%, Tensile Strength ≥ 11MPaSubstantially Equivalent
    Freedom from PinholesMeets 21 CFR 800.20, ASTM D5250-06 (Reapproved 2011), ASTM D 5151-06 (Reapproved 2011)Meets ASTM D5151-06 (Reapproved 2011) Holes Inspection Level I AQL 2.5Substantially Equivalent
    Residual PowderMeets ASTM D6124-06 (Reaffirmation 2011)ASTM D6124-06 (Reaffirmation 2011) Results generated values below 2mg of residual powderSubstantially Equivalent
    MaterialsPVC (K120968)PVCSubstantially Equivalent
    Dusting or Donning PowderPU (K120968)PU / Surface Coating AgentSubstantially Equivalent
    Performance DataMeets ASTM D5151-06 (Reapproved 2011), ASTM D5250-06 (Reapproved 2011), ASTM D6124-06 (Reaffirmation 2011)Meets ASTM D5151-06 (Reapproved 2011), ASTM D5250-06 (Reapproved 2011), ASTM D6124-06 (Reaffirmation 2011)Substantially Equivalent
    Single Patient UseSingle Patient Use (K120968)Single Patient UseSubstantially Equivalent
    BiocompatibilityNon-irritant and non-sensitizer (studies meets ISO 10993-10:2002/Amd.1:2006)Not an irritant, not a sensitizer (studies meets ISO 10993-10 Third Edition 2010-08-01)Substantially Equivalent
    Labeling-Powder Free, -devices color: Clear(Non-colored), -Patient Examination Glove, -Non sterile, -Single Use Only, - Manufactured For:, - Lot (K120968)-Powder Free, -devices color: Clear(Non-colored), -Patient Examination Glove, -Non sterile, -Single Use Only, - Manufactured For:, - LotSubstantially Equivalent

    Study Details:

    The document describes a submission for a 510(k) premarket notification, which is a process to demonstrate that the new device is substantially equivalent to a legally marketed predicate device. The study is a comparison of the subject device's performance against established ASTM standards and the predicate device's characteristics rather than a traditional clinical study with patients.

    1. Sample sizes used for the test set and the data provenance:

      • The document does not specify a distinct "test set" in the context of a clinical trial or algorithm evaluation. Instead, the "testing" refers to the manufacturing quality control and performance evaluation of the gloves based on established ASTM standards.
      • The data provenance is from non-clinical testing performed by the manufacturer, Better Plastic Co., Ltd. The country of origin for the manufacturing and testing is China, as indicated by the submitter's address. The data is prospective in the sense that it's generated for the submission of this specific device.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

      • This question is not applicable to this type of device and submission. "Ground truth" in the context of diagnostic AI or image analysis typically refers to definitively confirmed diagnoses by expert clinicians, pathology, or long-term outcomes. For patient examination gloves, the "truth" is whether they meet specified physical, chemical, and biological performance standards (e.g., tensile strength, freedom from pinholes, biocompatibility). These are evaluated through standardized laboratory tests, not by human expert consensus on a diagnostic outcome.
    3. Adjudication method for the test set:

      • Not applicable. The "adjudication" for this product involves laboratory testing against defined standards. There is no human observer consensus or adjudication required beyond verifying that the test results meet the specified criteria.
    4. 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 medical device (patient examination gloves), not an AI diagnostic imaging tool or a system that involves human "readers" or AI assistance.
    5. If a standalone (i.e. algorithm only without human-in-the loop performance) was done:

      • Not applicable. This device is not an algorithm or AI system. Its performance is evaluated through physical and chemical testing.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

      • The "ground truth" for this device's performance is defined by adherence to established international and national standards for patient examination gloves, specifically:
        • ASTM D5250-06 (Reaffirmation 2011): Standard Specification for Poly(Vinyl Chloride) Gloves for Medical Application.
        • ASTM D5151-06 (Reapproved 2011): Standard Test Method for Detection of Holes in Medical Gloves.
        • ASTM D6124-06 (Reaffirmation 2011): Standard Test Method for Residual Powder on Medical Gloves.
        • 21 CFR 800.20: General requirements for medical devices.
        • ISO 10993-10 Third Edition 2010-08-01: Biological evaluation of medical devices -- Part 10: Tests for irritation and skin sensitization.
      • The testing also focuses on demonstrating substantial equivalence to a legally marketed predicate device (K120968) which presumably met these same standards.
    7. The sample size for the training set:

      • Not applicable. There is no "training set" in the context of this device. The manufacturing process is controlled, and samples are taken for quality assurance testing against the standards. This is not an AI/ML product that learns from a training dataset.
    8. How the ground truth for the training set was established:

      • Not applicable, as there is no training set for this type of device. The performance standards are established by consensus national and international bodies (e.g., ASTM, ISO, FDA regulations) for medical devices of this type.
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