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510(k) Data Aggregation

    K Number
    K100699
    Date Cleared
    2010-05-20

    (70 days)

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

    Powder free vinyl 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 vinyl patient examination gloves, Clear(non-colored) that meets all of the requirements of ASTM standard D 5250-06.

    AI/ML Overview

    This document describes the premarket notification (510(k)) summary for Shijiazhuang Star Plastic Co., LTD's Powder Free Vinyl Patient Examination Gloves. It details the device's characteristics, intended use, and substantial equivalence to a predicate device.

    1. Table of Acceptance Criteria and Reported Device Performance:

    CharacteristicsAcceptance Criteria (Standard)Reported Device Performance
    DimensionASTM standard D 5250-06Meets
    Physical PropertiesASTM standard D 5250-06Meets
    Freedom from pinholes21 CFR 800.20Meets
    Powder ResidualASTM standard D 5250-06, D6124-06<2mg/glove
    BiocompatibilityPrimary Skin Irritation in rabbitsPasses (Not a Primary Skin Irritation)
    Dermal sensitization in the guinea pigPasses (Not a Dermal sensitization)

    2. Sample Size Used for the Test Set and Data Provenance:

    The document describes non-clinical testing data. It does not specify a separate "test set" in the context of machine learning or AI. Instead, the "device performance" relies on material testing and biocompatibility studies.

    • Sample Size: Not explicitly stated as a numerical count of gloves for each test. The performance is reported as meeting the specified standards, implying a sufficient sample size was tested to confidently demonstrate compliance.
    • Data Provenance: The tests are described as non-clinical testing data, likely conducted by the manufacturer or contracted labs. The country of origin of the data is not specified, but the manufacturer is from China. The studies are prospective in the sense that they are performed on the device to determine compliance.

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications:

    This information is not applicable to this submission. The "ground truth" for this medical device submission is established by the objective criteria set forth in recognized standards (ASTM, CFR, ISO) for physical properties and biocompatibility.

    4. Adjudication Method for the Test Set:

    This information is not applicable to this submission. Adjudication methods like 2+1 or 3+1 are typically used in clinical studies or AI algorithm evaluations where human expert consensus is required for ground truth, which is not the case here.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and Effect Size:

    No MRMC comparative effectiveness study was done. This type of study is used for diagnostic devices, particularly those involving image interpretation by human readers. This submission is for patient examination gloves.

    6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done:

    Not applicable. This is a physical medical device (gloves), not an AI algorithm.

    7. The Type of Ground Truth Used:

    The ground truth used for demonstrating compliance is based on objective measurements and observations as defined by:

    • Standard Specifications: ASTM standard D 5250-06 for dimension, physical properties, and powder residual.
    • Regulatory Requirements: 21 CFR 800.20 for freedom from pinholes.
    • Biocompatibility Standards: ISO10993-10 for primary skin irritation and dermal sensitization.

    8. The Sample Size for the Training Set:

    Not applicable. This is a physical medical device, not an AI algorithm requiring a training set.

    9. How the Ground Truth for the Training Set Was Established:

    Not applicable, as there is no training set for a physical medical device.

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