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510(k) Data Aggregation

    K Number
    K121528
    Date Cleared
    2012-09-11

    (111 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K090194

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    A disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner. This device is single use only.

    Device Description

    The Powder-Free Blue Nitrile Examination Gloves Peppermint Scented meets all requirements of ASTM D 6319-10 and FDA 21 CFR 800.20. The device is made out of nitrile.

    AI/ML Overview

    The provided 510(k) summary (K121528) describes the acceptance criteria and performance of Powder-Free Blue Nitrile Examination Gloves, Peppermint Scented. The study is a non-clinical performance assessment comparing the new device against established standards and a predicate device (K090194).

    Here's a breakdown of the requested information:

    1. Table of Acceptance Criteria and Reported Device Performance

    CharacteristicAcceptance Criteria (Standards)Reported Device Performance
    DimensionsASTM D6319-10Meets
    Physical PropertiesASTM D6319-10Meets
    Freedom from PinholesASTM D6319-10 & FDA 21 CFR 800.20Meets, AQL 2.5
    Powder-FreeASTM D 6124-06Meets
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    K Number
    K120890
    Date Cleared
    2012-08-17

    (147 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Why did this record match?
    Reference Devices :

    K090194

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    A disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner. This device is single use only.

    Device Description

    The Powder-Free Nitrile Examination Gloves, Orange is substantial equivalent to Powder-Free Nitrile Examination Gloves, Black Color with 510k number K090194 that is currently marketed. The device modification is a change in color from Black to Orange. Another device modification is the addition of adding a citric acid coating to the interior surface of the gloves to achieve a pH of 5.0 - 5.5 for the inner surface of the glove.

    AI/ML Overview

    The provided document is a 510(k) Summary for Powder-Free Nitrile Examination Gloves, Orange Color. It describes the device, its intended use, and a summary of technological characteristics compared to standards. The document does not describe a study in the context of an AI/ML medical device with the information requested (e.g., sample sizes for test/training, number of experts, adjudication methods, MRMC studies, or specific ground truth types like pathology or outcomes data).

    Instead, this document is a submission to the FDA demonstrating substantial equivalence for a medical device (gloves) by confirming its compliance with established performance standards.

    Therefore, many of the requested fields cannot be filled from the provided text as they are not applicable to this type of device submission.

    Here's an attempt to answer based on the provided document, using "N/A" where information is not present or not relevant to the type of device:


    1. Table of acceptance criteria and the reported device performance

    CharacteristicsStandards (Acceptance Criteria)Device Performance
    DimensionsASTM D6319-10Meets
    Physical PropertiesASTM D6319-10Meets
    Freedom from pinholesASTM D6319-10 / FDA 21 CFR 800.20Meets, AQL 2.5
    Powder-FreeASTM D 6124-06Meets
    Ask a Question

    Ask a specific question about this device

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