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510(k) Data Aggregation

    K Number
    K122408
    Date Cleared
    2013-01-17

    (162 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Predicate For
    N/A
    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

    Classified by FDA's General and Plastic Surgery Device panel as Class I, 21 CFR 880.6250, Polymer Patient Examination Gloves, 80 LZA, and meets all requirements of ASTM standard D 6319-10.

    AI/ML Overview

    The provided document describes the acceptance criteria and performance of Hongye Plastic Products Co., Ltd.'s Powder Free Nitrile Examination Gloves. However, it does not describe an AI device or a study involving AI. Therefore, I cannot provide information related to AI-specific aspects like training sets, ground truth for training sets, MRMC studies, or standalone algorithm performance.

    The document details the device's adherence to established standards for medical examination gloves to demonstrate substantial equivalence to a predicate device, as required for a 510(k) submission to the FDA.

    Here's the information based on the provided text, focusing on the device's performance against its acceptance criteria:

    1. Table of Acceptance Criteria and Reported Device Performance

    Acceptance Criteria (Standard)Reported Device Performance
    Product CodeLZA
    Intended Use (disposable non-sterile device for medical purposes, worn on hand/finger to prevent contamination)Meets
    Labeling (no special labeling claims, no hypoallergenic claims)Meets
    Device MaterialsNitrile Compound (Black, White, Green)
    Tensile strength: before and after aging (ASTM D6319-10)Meets ASTM D6319-10
    Ultimate elongation: before and after aging (ASTM D6319-10)Meets ASTM D6319-10
    Freedom from pinholes (ASTM D6319-10)Meets ASTM D6319-10
    Dimensions: Overall length, Width, Palm and Finger thickness (ASTM D6319-10)Meets ASTM D6319-10
    Residual powder (ASTM D6319-10, ASTM D6124)Meets ASTM D6319-10 & ASTM D6124
    Primary skin irritation test (ISO 10993 Part 10, 16CFR 1500.41, 16CFR 1500.3)Passes (Not a primary skin irritation)
    Dermal sensitization assay (ISO 10993 Part 10, 16CFR 1500.41, 16CFR 1500.3)Passes (Not a dermal sensitization)

    Summary of Study that Proves the Device Meets Acceptance Criteria:

    The study described is a non-clinical performance evaluation comparing the subject device (Hongye Plastic Products Co., Ltd.'s Powder Free Nitrile Examination Gloves) to a predicate device (Hong Xin Rubber Products Co., Ltd Powder Free Nitrile Examination Gloves, Blue) and against recognized industry standards. The purpose is to demonstrate "Substantial Equivalence" as required for FDA 510(k) clearance.

    The study involved testing the physical properties, dimensions, freedom from pinholes, residual powder, and biocompatibility of the subject device.

    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 specify the exact sample sizes used for each test (e.g., how many gloves were tested for tensile strength, pinholes, etc.). It only states that the device "Meets" the specified ASTM standards.

    The data provenance is not explicitly stated as retrospective or prospective, nor is the country of origin of the data provided, beyond the manufacturing location of Hongye Plastic Products Co., Ltd. being in Hebei, China.

    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 information is not applicable and not provided. The "ground truth" for examination gloves is adherence to measurable physical and biological standards (e.g., tensile strength, dimensions, biocompatibility), which are typically assessed through standardized laboratory testing, not expert consensus.

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

    This information is not applicable. Adjudication methods like 2+1 or 3+1 are typically used for subjective assessments or when multiple human readers are involved in clinical studies. For physical property testing of gloves, objective measurements against a standard are performed.

    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 information is not applicable. This document describes a medical device (examination gloves), not an AI system or an imaging diagnostic tool where MRMC studies would be relevant.

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

    This information is not applicable. The device is a physical product (gloves) and does not involve an algorithm or AI.

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

    The "ground truth" for this device is based on objective, measurable criteria established by recognized industry standards such as ASTM D6319-10 (Standard Specification for Nitrile Examination Gloves for Medical Application), ASTM D6124 (Standard Test Method for Residual Powder on Medical Gloves), ISO 10993 Part 10 (Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitization), and relevant CFR regulations (e.g., 16CFR 1500.41, 16CFR 1500.3 for flammability and irritation).

    8. The sample size for the training set

    This information is not applicable as this is not an AI device.

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

    This information is not applicable as this is not an AI device, and therefore no training set or its associated ground truth was established.

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