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510(k) Data Aggregation

    K Number
    K212584
    Date Cleared
    2022-05-28

    (285 days)

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

    Blue Nitrile Examination Gloves Powder Free is disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.

    Device Description

    Blue Nitrile Examination Gloves Powder Free are Class I patient examination gloves bearing the product code Nitrile - LZA (21CFR880.6250). The gloves are made from acrylonitrilebutadiene copolymer dispersion. These gloves are blue in color and are powder free.

    AI/ML Overview

    The provided text is a 510(k) summary for "Blue Nitrile Examination Gloves Powder Free". It details the device's characteristics, intended use, and a comparison to a predicate device. The document explicitly states that clinical testing is not applicable and that clinical data is not needed for gloves or for most devices cleared by the 510(K) process.

    Therefore, there is no information in the provided text regarding a study that proves the device meets acceptance criteria related to AI or human-in-the-loop performance, as this is a physical medical device (examination gloves), not an AI-powered diagnostic or assistive tool.

    However, I can extract the acceptance criteria and reported performance for the non-clinical tests conducted on the device, which are relevant for demonstrating its substantial equivalence to the predicate device.

    1. Table of Acceptance Criteria and Reported Device Performance (Non-Clinical)

    CharacteristicStandardAcceptance CriteriaReported Device Performance
    DimensionsASTM D6319-2019
    LengthMin 230 mm for all sizesX-Small: 303 mmSmall: 304 mmMedium: 305mmLarge: 306mmX-Large: 307mm
    Width (for specific sizes)X-small: 70+/-10 mmSmall: 80+/-10 mmMedium: 95+/-10mmLarge: 110+/-10 mmX-Large: 120+/-10 mmX-small: 74 mmSmall: 84 mmMedium: 94 mmLarge: 104 mmX-Large: 115 mm
    Physical PropertiesASTM D6319-2019
    Before Aging:
    Tensile Strength14 Mpa Min for all sizesX-Small: 18.44 MpaSmall: 18.49 MpaMedium: 18.56 MpaLarge: 18.62 MpaX-Large: 18.64 Mpa
    Ultimate Elongation500% Min for all sizesX-Small: 683%Small: 687%Medium: 692%Large: 695%X-Large: 698%
    After Aging:
    Tensile Strength14 Mpa Min for all sizesX-Small: 17.49 MpaSmall: 17.53 MpaMedium: 17.65 MpaLarge: 17.71 MpaX-Large: 17.76 Mpa
    Ultimate Elongation400% Min for all sizesX-Small: 656%Small: 660%Medium: 663%Large: 666%X-Large: 669%
    ThicknessASTM D6319-2019Palm 0.05 mm minFinger 0.05 mm minPalm: 0.10 mm for all sizesFinger: 0.12 mm for all sizes
    Water TightnessASTM D5151-2019AQL-1.5Passes AQL 1.5
    Powder ResidueASTM D6124-06 (Reapproved 2017)2 mg/glove MaxX-Small: 0.21 mg/gloveSmall: 0.21 mg/gloveMedium: 0.22 mg/gloveLarge: 0.22 mg/gloveX-Large: 0.22 mg/glove
    Biocompatibility
    Primary Skin IrritationISO 10993-10Under the condition of study not an irritantUnder the condition of study not an irritant
    Dermal SensitizationISO 10993-10Under the conditions of the study not a sensitizerUnder the conditions of the study not a sensitizer
    In vitro CytotoxicityISO 10993-5:2009Under the conditions of study non cytotoxicUnder the conditions of the study cytotoxic.
    Acute Systemic ToxicityISO 10993-11:2017Under the conditions of study the device extracts do not pose a systemic toxicity concernUnder the conditions of study the device extracts do not pose a systemic toxicity concern
    Material Mediated PyrogenicityISO 10993-11:2017 / USP 41 <151>Under the conditions of the study, the device did not demonstrate a material mediated pyrogenicity response.Under the conditions of the study, the device did not demonstrate a material mediated pyrogenicity response.

    Regarding the other requested information (2-9), as a physical medical device (gloves) and not an AI/software device, these questions are not applicable to the context of the provided document.

    • 2. Sample size used for the test set and the data provenance: Not applicable. (These are physical tests on glove samples, not a test set for AI performance).
    • 3. Number of experts and qualifications: Not applicable. (These are standardized physical and biological tests).
    • 4. Adjudication method: Not applicable. (These are standardized physical and biological tests).
    • 5. Multi-reader multi-case (MRMC) comparative effectiveness study: Not applicable. This is for AI-assisted image interpretation or similar.
    • 6. Standalone (algorithm only without human-in-the-loop performance): Not applicable. This is for AI algorithms.
    • 7. Type of ground truth used: Not applicable in the AI sense. The "ground truth" for these tests comes from established industry standards (ASTM, ISO, USP) for physical and chemical properties and biological responses.
    • 8. Sample size for the training set: Not applicable. Applies to AI/machine learning.
    • 9. How the ground truth for the training set was established: Not applicable. Applies to AI/machine learning.
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