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510(k) Data Aggregation

    K Number
    K122557
    Date Cleared
    2013-10-03

    (407 days)

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

    A surgeon's glove is a sterile and for single use device made of synthetic rubber intended to be worn by operating room personnel to protect a surgical wound from contamination. The lubricating or dusting powder used in the glove is excluded.

    Device Description

    Motex Powder-free Nitrile Surgical Gloves are made of synthetic rubber. Thev are sterilized by radiation, and intended for be used in surgery for patient and user.

    AI/ML Overview

    The provided document describes the acceptance criteria and a study to demonstrate the substantial equivalence of the "Motex Powder-free Nitrile Surgical Gloves" to a predicate device, focusing on safety and effectiveness.

    Here's a breakdown of the requested information:

    1. Table of Acceptance Criteria and Reported Device Performance:

    CharacteristicStandard/Acceptance CriteriaReported Device Performance
    DimensionsASTM D 3577-09e1Meets ASTM D 3577-09e1
    Physical PropertiesASTM D 3577-09e1Meets ASTM D 3577-09e1
    Freedom from HolesASTM D 3577-09e1Meets ASTM D 3577-09e1
    Water Leak TestingASTM D 5151:2006Meets ASTM D 5151:2006
    Residual Powder TestingASTM D 6124-06Meets ASTM D 6124-06; values below 2mg of residual powder per glove (for "Powder-free" designation)
    Water Extractable Protein TestingASTM D 5712-10Meets ASTM D 5712-10
    BiocompatibilityISO10993-10/-12Meets ISO10993-10/-12 (Gloves are non-irritating and do not display any potential for sensitization)
    Sterilization ValidationISO11137-1/-2Meets ISO11137-1/-2 (Irradiation Sterilization)

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

    The document does not explicitly state the sample sizes for each specific test mentioned (e.g., number of gloves tested for dimensions, holes, powder). The studies are primarily laboratory-based performance tests against established standards. The provenance of the data is from Shanghai, China, where the manufacturer (Shanghai Motex Healthcare Co., Ltd.) is located. These are likely retrospective tests conducted on manufactured batches to ensure compliance with the 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 applicable in the context of this device. The "ground truth" for these types of medical devices is established by adherence to internationally recognized consensus standards (ASTM, ISO). These standards define the acceptable range or threshold for each characteristic, and laboratories perform tests to measure these characteristics against those predefined limits. There isn't a team of experts adjudicating individual glove results in the same way a medical image might be reviewed.

    4. Adjudication method for the test set:

    This is not applicable. As mentioned above, the assessment is against established objective technical standards, not subjective expert judgment that would require 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:

    This is not applicable. This document describes a surgical glove, not an AI-powered diagnostic or assistive device. Therefore, no MRMC study or AI assistance assessment was conducted.

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

    This is not applicable. This device is a physical medical device (surgical glove), not a software algorithm.

    7. The type of ground truth used:

    The ground truth used is based on established industrial and medical device standards (ASTM, ISO). These standards define the limits and methodologies for testing physical properties, safety (biocompatibility), and sterility of surgical gloves.

    8. The sample size for the training set:

    This information is not applicable. This product is a physical device, not an AI or machine learning model that requires a "training set."

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

    This information is not applicable for the same reason as point 8.

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