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510(k) Data Aggregation

    K Number
    K992752
    Date Cleared
    1999-11-05

    (81 days)

    Product Code
    Regulation Number
    878.4460
    Reference & Predicate Devices
    N/A
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    A surgeon's glove is a disposable device intended for medical purpose that is worn on surgeon's hands during surgical operations to prevent contamination between patient surgeon's

    Device Description

    Latex Surgeon's Gloves Pre-Powdered Sterile

    AI/ML Overview

    The provided document is a 510(k) summary for "Latex Surgeon's Gloves Pre-Powdered Sterile" from PT. MAJA AGUNG LATEXINDO. It details the device's characteristics, performance criteria, and a statement that the performance data meets these criteria.

    Here's an analysis to extract the requested information:

    1. Table of Acceptance Criteria and Reported Device Performance

    CharacteristicAcceptance Criteria (Before ageing)Acceptance Criteria (After ageing at 70°C 168 hrs)Reported Device Performance (Implied)
    Dimensions:Meets ASTM D 3577 Standard
    Length mm (min.) Sizes265N/AReported as meeting criteria
    Palm Width mm (for sizes)$83 \pm 6$ to $108 \pm 6$N/AReported as meeting criteria
    Thickness 1. Cuff mm (min)0.10N/AReported as meeting criteria
    Thickness 2. Palm mm(min)0.10N/AReported as meeting criteria
    Thickness 3. Finger Tip mm0.10N/AReported as meeting criteria
    Physical Properties:Meets ASTM D 3577 Standard
    Tensile Strength24 Mpa (min)18 Mpa (min)Reported as meeting criteria
    Ultimate Elongation750 % (min.)560 % (min.)Reported as meeting criteria
    Stress at 500 % Elongation5.5 (max)N/AReported as meeting criteria
    Performance Requirements:
    Watertight (Holes)AQL 1.5N/AMeets FDA pin hole requirement
    DimensionsAQL 4.0N/AReported as meeting criteria
    Physical PropertiesAQL 4.0N/AReported as meeting criteria
    SterilityNot Acceptable for Fails SterilityN/AMeets the sterility assurance level

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

    • Sample Size for Test Set: The document does not explicitly state the sample size used for the test set. It refers to "Inspection Level S-4" and "S-2" and "AQL" values for performance characteristics, which imply sampling plans were used according to standards like ASTM or ISO, but the exact number of units tested is not provided.
    • Data Provenance: The data appears to be from the manufacturer, PT. MAJA AGUNG LATEXINDO, based in Indonesia. The nature of the data (retrospective or prospective) is not specified, but it represents testing conducted to demonstrate compliance with standards.

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

    This information is not provided in the document. The established ground truth for performance characteristics is based on objective measurements and adherence to ASTM D 3577 and FDA requirements, rather than expert consensus on subjective findings.

    4. Adjudication method for the test set

    This information is not provided in the document. Given the objective nature of the tests (dimensions, tensile strength, elongation, watertightness, sterility), an adjudication method in the context of expert review would likely not be applicable. The results would be a direct measurement against the specified criteria.

    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

    • No MRMC study was done. This device is a physical product (latex surgeon's gloves), not an AI-assisted diagnostic or therapeutic tool. Therefore, a study comparing human reader performance with or without AI assistance is not applicable.

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

    • Not applicable. As the device is a physical product, there is no algorithm or AI component to perform in a standalone manner.

    7. The type of ground truth used

    The ground truth used for this device is based on objective measurement against established industry standards and regulatory requirements.

    • ASTM D 3577 Standard: For dimensions and physical properties.
    • FDA pin hole requirement: For watertightness.
    • Sterility Assurance Level: For sterility.
      These are well-defined, quantitative standards.

    8. The sample size for the training set

    • Not applicable. This device is a physical product; there is no machine learning model or algorithm that requires a "training set" in the conventional sense. The product design and manufacturing processes are likely informed by industry experience and engineering principles rather than a data-driven training set.

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

    • Not applicable. As explained above, there is no training set for this type of device. The "ground truth" for ensuring the quality of the manufacturing process would be established through quality control procedures, adherence to Good Manufacturing Practices (GMP), and material specifications, all designed to meet the performance standards.
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    K Number
    K984395
    Device Name
    SURGEON'S GLOVES
    Date Cleared
    1999-05-21

    (164 days)

    Product Code
    Regulation Number
    878.4460
    Reference & Predicate Devices
    N/A
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Surgeon's Glove is a medical device intended to be worn by operating room personnel during surgery to protect a surgical wound from contamination.

    Device Description

    Class 1- Surgeon's Gloves (Pre-Powdered) 79KGO that meets all the requirements of ASTM D 3577 - 91. Type 1 - Gloves compounded primarily from Natural Rubber Latex.

    AI/ML Overview

    The device being described is a Surgeon's Glove manufactured by SRI ANUSHAM RUBBER INDUSTRIES PRIVATE LIMITED. The acceptance criteria and performance data are primarily based on the ASTM D3577-91/95 specifications for latex surgeon's gloves.

    Here's the breakdown of the information requested:

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

    CharacteristicAcceptance Criteria (ASTM D3577-95)Reported Device Performance (SARI Value)Result
    Dimensions
    Length (various sizes)245 mm minimum (size 5.5), 265 mm minimum (sizes 6-9)270-272mm (all sizes)Meets
    Width (various sizes)Varies by size (e.g., 70 +/- 6 mm for 5.5, 114 +/- 6 mm for 9)Consistent with ASTM ranges (e.g., 68mm for 5.5, 112mm for 9)Meets
    Thickness0.1mm minimum at cuff, palm, and finger0.12mm (cuff), 0.16mm (palm), 0.19mm (finger)Meets
    Physical Properties
    Tensile Strength (Before Ageing)24 mpa min.31 mpa (SARI Value), 29 mpa (Performance Test Data)Meets
    Elongation at Break % (Before Ageing)750% min.950-975% (SARI Value), 850% (Performance Test Data)Meets
    Tensile Strength (After Ageing)18 mpa min.22 mpaMeets
    Elongation at Break % (After Ageing)560% min.850-900% (SARI Value), 800% (Performance Test Data)Meets
    Modulus at 500% Elongation (Before Ageing)5.5 mpa (max)3.4 mpaMeets
    Performance Requirements (AQL)
    Freedom from HolesAQL 1.5AQL 1.5 (SARI)Meets
    DimensionsAQL 4AQL 4 (SARI)Meets
    Physical PropertyAQL 4AQL 4 (SARI)Meets
    Other Properties
    Powder ContentNot explicitly stated in ASTM, but implied compliance through SARI value. (ASTM D3577-95 typically specifies maximum powder residue)120 +/- 20 mg per glove (SARI Value for Powder Content)Meets
    Protein ContentFDA Requirement: Value not fixed80 +/- 20 ppmMeets (no fixed requirement)
    Moisture ContentFDA Requirement: Value not fixed0.8% (SARI Value/Maximum for Performance Test Data)Meets (no fixed requirement)
    Bio-compatibilityBiologically Compatible (FDA Requirement)Biologically CompatibleMeets
    SterilityNA (as per SARI)"Fails Sterility" is a defect, not a performance metric for the device itself (AQL level "As per IP" for SARI, "As per USP" for ASTM is listed). The document doesn't explicitly state the glove is sterile, but rather that sterility failure is a defect.N/A (implied that if claimed sterile it meets standard, but not explicitly stated as a performance criteria metric)

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

    • Sample Size: The document does not explicitly state the sample sizes used for each specific test (e.g., number of gloves for tensile strength testing, number of gloves for hole testing). It refers to "SARI Value" and "Performance Test Data," suggesting internal testing by the manufacturer.
    • Data Provenance: The data is retrospective, generated by SRI ANUSHAM RUBBER INDUSTRIES PRIVATE LIMITED, a company located in Nagercoil, Tamil Nadu, S. India. It represents their internal testing results for the purposes of a 510(k) submission to the FDA.

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

    • Number of Experts: Not applicable. The ground truth is established by adherence to a recognized international standard, ASTM D3577-91/95, which defines the specifications for surgeon's gloves. The "Pioneer Manikandan Buildings" entity appears to be the manufacturer, not an expert panel for ground truth assessment.
    • Qualifications of Experts: Not applicable.

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

    • Adjudication Method: Not applicable. This type of study does not involve human expert adjudication in the traditional sense. The device's performance is objectively measured against a predefined technical standard (ASTM D3577).

    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

    • MRMC Study: No, a multi-reader multi-case comparative effectiveness study was not done. This is a technical performance study for a physical medical device (surgeon's gloves), not an AI-assisted diagnostic tool.

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

    • Standalone Performance: Not applicable. This device is a physical product (surgeon's gloves), not an algorithm or software. Its performance is measured directly through physical and chemical tests.

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

    • Type of Ground Truth: The ground truth is established by existing regulatory standards and technical specifications, specifically the ASTM D3577-91/95 for latex surgeon's gloves. This standard defines the required physical and chemical properties.

    8. The sample size for the training set

    • Sample Size for Training Set: Not applicable. There is no "training set" in the context of this device's evaluation, as it is not a machine learning model. The manufacturer would have internal quality control and manufacturing processes that produce gloves meeting the specifications, but this isn't a "training set" in the AI sense.

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

    • Ground Truth for Training Set: Not applicable (as per point 8). The manufacturing process and quality control would be geared towards consistent production of gloves that adhere to the ASTM D3577 standards.
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    K Number
    K974356
    Device Name
    SURGEON'S GLOVES
    Date Cleared
    1998-01-29

    (71 days)

    Product Code
    Regulation Number
    878.4460
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The surgeon's gloves are sterile gloves worn by surgeons, healthcare workers or similar personnel during surgical procedures to prevent contamination between the user and the patient.

    Device Description

    Surgeon's Gloves or Surgical Gloves. Anatomical in shape. Hand Specific (Left or Right). Available in sizes 6, 6½, 7, 7½, 8, 8½, 9. Made from Natural Rubber Latex, Sulphur, Zinc Oxide, ZDEC, ZDBC, Titanium Dioxide, Antioxidant (Styrenated Phenol), and Absorbable Corn Starch. Designed to comply with the physical measurements of ASTM D 3577.

    AI/ML Overview

    The provided document describes a 510(k) submission for Surgeon's Gloves (SUR-G GLOV®) and focuses on demonstrating substantial equivalence to predicate devices rather than proving performance against specific acceptance criteria for an AI-based device. Therefore, many of the requested elements for an AI device study (such as sample sizes for test/training sets, expert qualifications, adjudication methods, MRMC studies, standalone performance, and ground truth types) are not applicable and not present in this document.

    However, the document does contain information regarding the performance characteristics of the gloves, which can be interpreted as acceptance criteria based on the ASTM D 3577 standard.

    Here's the breakdown of the available information:

    1. Table of Acceptance Criteria and Reported Device Performance

    The device's performance is compared against the ASTM D 3577 (91) standard. This standard serves as the acceptance criteria for various physical characteristics of surgeon's gloves.

    CharacteristicsAcceptance Criteria (ASTM D 3577 (91))Reported Device Performance (SUR-G GLOV®)
    Width Size
    6$76 \pm 6$$76 \pm 3$
    $83 \pm 6$$83 \pm 3$
    7$89 \pm 6$$90 \pm 3$
    $95 \pm 6$$95 \pm 3$
    8$102 \pm 6$$103 \pm 3$
    $108 \pm 6$$109 \pm 3$
    9$114 \pm 6$$115 \pm 3$
    Length (min)265280
    Thickness
    Palm mm0.10$0.21 \pm 0.02$
    Finger mm0.10$0.23 \pm 0.02$
    Cuff mm0.10$0.21 \pm 0.02$
    Tensile Strength Min
    (Unaged)24 Mpa27 Mpa
    (Aged)18 Mpa24 Mpa
    Elongation @ break
    (Unaged)750% min830%
    (Aged)560% min800%
    Modulus @ 500 % elongation (max.)5.5 Mpa4.0 Mpa
    External powder levelNA (Not Available in ASTM standard)$80 \pm 25$ mg
    Internal powder levelNA (Not Available in ASTM standard)$90 \pm 25$ mg

    2. Sample sized used for the test set and the data provenance

    The document states "A test certificate of the above is in Appendix B." but Appendix B is not provided in the extracted text. Therefore, the specific sample sizes used for testing these performance characteristics are not available. The data provenance (country of origin, retrospective/prospective) is also not available from the provided text.

    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 device (surgical gloves), and its performance is measured against established engineering and material standards (ASTM D 3577), not by expert interpretation or ground truth derived from expert consensus.

    4. Adjudication method for the test set

    Not Applicable. As per point 3, the assessment is against a standard, not expert adjudication.

    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 not an AI-based device, and therefore, no MRMC study or AI assistance is relevant.

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

    Not Applicable. This is not an AI algorithm.

    7. The type of ground truth used

    The "ground truth" for the device's performance is adherence to the ASTM D 3577 standard for surgical gloves, which defines acceptable physical properties.

    8. The sample size for the training set

    Not Applicable. This is not an AI device that requires a training set. The gloves are manufactured and tested against specifications.

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

    Not Applicable. No training set is relevant for this device. The "ground truth" (i.e., the standard specifications) for manufacturing and testing are established by ASTM International.

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