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510(k) Data Aggregation

    K Number
    K190942
    Date Cleared
    2020-01-07

    (272 days)

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

    The Nitrile Powder Free patient examination glove is a non-sterile disposable device intended for medical purposes that is worn on the examiner's hands or finger to prevent contamination between patient and examiner.

    Device Description

    "Disposable Powder Free Nitrile Examination Glove, Pink Color" and "Disposable Powder Free Nitrile Examination Glove, Black Color" are patient examination gloves made from nitrile compound, non-sterile (as per 21 CFR 880.6250, Class I). The principle operation of the medical device to provide single use barrier protection for the wearer and the device meets all the requirement specifications for Barrier Protection, tensile properties as defined in ASTM D6319-10, Standard specification for Nitrile Examination Gloves.

    AI/ML Overview

    This document is a 510(k) summary for a disposable powder-free nitrile examination glove, and as such, it focuses on demonstrating substantial equivalence to a predicate device based on bench testing. It does not describe an AI medical device, and therefore, many of the requested elements for AI/ML evaluation (such as sample sizes for test/training sets, data provenance, expert ground truth, adjudication methods, MRMC studies, or standalone performance of an algorithm) are not applicable.

    However, I can extract the acceptance criteria and reported device performance from the provided text for the physical characteristics of the glove.

    1. Table of acceptance criteria and the reported device performance

    CharacteristicsAcceptance Criteria (Standard)Reported Device Performance
    DimensionASTM D6319-10 (Reapproved 2015)
    Length≥230mmComplies with ASTM D6319-10 (230mm min.)
    Width (X-Small)70 ± 10 mmComplies with ASTM D6319-10 (70 ± 10 mm)
    Width (Small)80 ± 10 mmComplies with ASTM D6319-10 (80 ± 10 mm)
    Width (Medium)95 ± 10 mmComplies with ASTM D6319-10 (95 ± 10 mm)
    Width (Large)110 ± 10 mmComplies with ASTM D6319-10 (110 ± 10 mm)
    Width (X-Large)120 ± 10 mmComplies with ASTM D6319-10 (120 ± 10 mm)
    Thickness (Finger tip)≥0.05mmComplies with ASTM D6319-10 (0.05mm min.)
    Thickness (Palm)≥0.05mmComplies with ASTM D6319-10 (0.05mm min.)
    Physical PropertiesASTM D6319-10 (Reapproved 2015)
    Tensile strength (Before aging)≥14MPa14 MPa, min.
    Tensile strength (After aging)≥14MPa14 MPa, min.
    Elongated rate (Before aging)≥500%500% min.
    Elongated rate (After aging)≥400%400% min.
    Freedom from pinholesPassed Standard Acceptance Criteria (21 CFR 800.20, ASTM D6319-10, ASTM D5151-06)In accordance with ASTM D6319-10 and ASTM D5151-06, G-1, AQL 2.5
    Powder Residual< 2 mg/glove (ASTM D6319-10, D6124-06)< 2mg per glove (Complies with ASTM D6319-10)
    BiocompatibilityISO 10993-10, ISO 10993-5 criteria
    Primary Skin IrritationNot a primary skin irritantPasses (Not a primary skin irritant)
    Dermal sensitizationNot a primary skin sensitizerPasses (Not a primary skin sensitizer)
    In vitro cytotoxicityNot cytotoxicPasses (Not cytotoxic)

    2. Sample size used for the test set and the data provenance
    The document refers to "bench testing" and compliance with ASTM standards and ISO standards. These standards typically involve specific sample sizes and testing methodologies defined within the standard itself. The document does not explicitly state the exact number of units tested for each specific criterion. Data provenance is not specified beyond "bench testing" implies laboratory testing of the physical product.

    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 (nitrile examination glove) and not an AI/ML medical device where expert ground truth for interpretation would be required. The "ground truth" here is the pass/fail result against established material and performance standards.

    4. Adjudication method for the test set
    Not applicable, as this is bench testing of physical properties against established standards, not an AI output requiring 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 medical device.

    6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done
    Not applicable. This is not an AI medical device.

    7. The type of ground truth used
    The "ground truth" for the device's performance is based on established national and international standards for medical gloves, specifically:

    • ASTM D6319-10 (Reapproved 2015) - Standard specification for Nitrile Examination Gloves
    • 21 CFR 800.20 - Freedom from holes
    • ASTM D5151-06 (Reapproved 2015) - Test method for detection of holes in medical gloves
    • ASTM D6124-06 (Reaffirmation 2011) - Test method for residual powder on medical gloves
    • ISO 10993-10: Third Edition 2010-08-01 - Biological evaluation of medical devices – Part 10: Tests for irritation and skin sensitization
    • ISO 10993-5: Third Edition 2009-06 - Biological evaluation of medical devices – Part 5: Tests for in vitro cytotoxicity

    8. The sample size for the training set
    Not applicable. This is not an AI medical device.

    9. How the ground truth for the training set was established
    Not applicable. This is not an AI medical device.

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