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510(k) Data Aggregation

    K Number
    K222531
    Date Cleared
    2023-01-22

    (153 days)

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

    Powder Free Polyethylene Examination Gloves, is a non-sterile 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

    The subject device in this 510(k) Notification is Synthetic Polymer- polyethylene - Powder Free Examination Glove. The subject device is a patient examination glove made from Low Density Polyethylene material, Black Color, Powder free and non-sterile (Per 21 CFR 880.6250 - class I). The device meets the specifications in ASTM D6319-19 Standard Specification for Nitrile Examination Gloves for Medical Application. The available sizes of the subject devices are Small, Medium, Large. X-Large & XX Large.

    AI/ML Overview

    The provided text describes the acceptance criteria and the study that proves the device, Synthetic Polymer Glove - Polyethylene (Black), meets these criteria. The device is a non-sterile, disposable examination glove.

    Here's the breakdown of the requested information:

    1. A table of acceptance criteria and the reported device performance

    CharacteristicsAcceptance CriteriaReported Device Performance (Average Results)Final Status
    Sterility-Non-sterile (Small, Medium, Large, X Large, XX Large)-
    Freedom from hole (ASTM D5151-19)AQL 2.5 Inspection Level G-1Pass (for all sizes)Pass
    Overall Length (mm)Min 230mmSmall: 261.53, Medium: 260.1, Large: 260.08, X-Large: 259.8, XX-Large: 268.5Pass
    Width (±10 mm)Small: 80, Medium: 95, Large: 110, X-large: 120, XX-Large: 130Small: 86.30, Medium: 99.4, Large: 115.23, X-Large: 123.54, XX-Large: 134.5Pass
    Thickness at Palm (mm)Min 0.05 mm0.06 mm (for all sizes)Pass
    Thickness at Fingertip (mm)Min 0.05 mm0.06 mm (for all sizes)Pass
    Physical Properties - Before Ageing
    - Tensile strength (MPa)14 MPa, min.Small: 18.6, Medium: 17.45, Large: 18.53, X Large: 17.4, XX Large: 18.69Pass
    - Ultimate Elongation (%)500% minSmall: 653.43, Medium: 673.5, Large: 689.15, X Large: 636.56, XX Large: 645.83Pass
    Physical Properties - After Accelerated Ageing
    - Tensile strength (MPa)14 MPa, min.Small: 17.8, Medium: 18.13, Large: 18.61, X Large: 18.3, XX Large: 18.34Pass
    - Ultimate Elongation (%)400% minSmall: 645.18, Medium: 680.2, Large: 686.15, X Large: 614.58, XX Large: 636.87Pass
    Powder-free Residue (ASTM D6124-06)
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