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510(k) Data Aggregation

    K Number
    K180467
    Date Cleared
    2018-10-10

    (231 days)

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

    K180467

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

    A powder free patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hands or fingers to prevent contamination between patient and examiner.

    Device Description

    The SBG Blue Nitrile Powder Free Medical Examination Glove is a single use, disposable device made from a nitrile latex compound. Blue in color, powder free and non-sterile.

    AI/ML Overview

    The provided document is a 510(k) summary for a medical device called "SBG Blue Nitrile Powder Free Medical Examination Glove." This document outlines the device's characteristics, its comparison to a predicate device, and the results of various non-clinical tests to demonstrate substantial equivalence.

    Here's an analysis of the acceptance criteria and study information based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance:

    CharacteristicAcceptance CriteriaProposed Device Performance (SBG Blue Nitrile Powder Free Medical Examination Glove)Predicate Device Performance (EMG Blue Nitrile Medical Examination Glove Powder Free)Comparison
    Product CodeLZALZALZASame
    Intended UseDisposable device for medical purposes, worn on hands/fingers to prevent contamination, for over-the-counter use.Matches acceptance criteria description.Matches acceptance criteria description.Same
    Material UseNot made from Natural Rubber LatexNitrile latex compoundNitrile latex compoundSame
    ColorBlueBlueBlueSame
    SterilityNon-SterileNon-SterileNon-SterileSame
    Dimensions: Overall Length (mm)220 mm (sizes XS-S), 230 mm (sizes M-XL)Size Medium: 234 mmSize Medium: 245 mmSame
    Dimensions: Width (± 10 mm)Size S = 80 mm, Size M = 95 mm, Size L = 110 mm, Size XL = 120 mmSize Medium: 97 mmSize Medium: 94 mmSame
    Dimensions: Thickness at Finger (mm)All Sizes = 0.05 mm0.11 mm0.17 mmSame
    Dimensions: Thickness at Palm (mm)All Sizes = 0.05 mm0.10 mm0.10 mmSame
    Physical Properties
    Tensile Strength (MPa)14 min.3734Same
    Ultimate Elongation (%)500 min.590600Same
    After Aging (ASTM 6319-10 (D573) - 70°C ± 2 °C for 166 hrs ± 2 hrs.): Tensile Strength (MPa)14 min.3830Same
    After Aging: Ultimate Elongation (%)500 min.533560Same
    Freedom from Holes (D 5151)AQL 2.5 Inspection Level G-1, Accept at 5 failures, Reject at 6 failuresMeets ASTM D5151-06Meets ASTM D5151-06Same
    Residual Powder (D 6124)≤ 2.0 mg/pc0.18 mg0.20 mgSame
    Biocompatibility
    Primary Skin Irritation Test (ISO 10993-10:2010 (E))(Implicitly: not a primary skin irritant)Under the conditions of the study, not a primary skin irritant.Under the conditions of the study, not a primary skin irritant.Same
    Dermal Sensitization Assay (ISO 10993-10:2010 (E))(Implicitly: not a contact sensitizer)Under conditions of the study, not a contact sensitizer.Under conditions of the study, not a contact sensitizer.Same
    Safety Assessment (Systemic Toxicity)(Implicitly: low potential health risk)The results from the safety assessment demonstrated the device presents a low potential health risk./ (Not explicitly stated for predicate in table, but implied by "Same" in other biocompatibility tests)Different (Table shows a "/" for predicate implying direct data not provided in this row)

    2. Sample Size Used for the Test Set and the Data Provenance:

    The document does not explicitly state the specific sample sizes used for each test (e.g., freedom from holes, physical properties, biocompatibility) or their data provenance (country of origin, retrospective/prospective). However, for tests like "Freedom from Holes (D 5151)," it mentions an "AQL 2.5 Inspection Level G-1," which implies a statistically defined sampling plan as per ASTM D5151-06. The standard for biocompatibility tests (ISO 10993-10) also specifies testing guidelines.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and the Qualifications of Those Experts:

    This information is not provided in the document. The document describes non-clinical tests (physical properties, biocompatibility) of a medical examination glove, which typically rely on standardized testing protocols rather than expert consensus on a test set (as would be the case for AI/imaging devices).

    4. Adjudication Method for the Test Set:

    This information is not applicable and therefore not provided in the document. Adjudication methods (like 2+1, 3+1) are common in studies involving human interpretation or subjective assessments, particularly in AI models for medical imaging. The tests described here are objective, quantitative measurements of material properties and biological responses.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done:

    No, an MRMC comparative effectiveness study was not conducted. This type of study is relevant for AI-powered diagnostic or interpretive tools to assess how human readers' performance changes with AI assistance. The device in question is a physical glove, not an AI diagnostic tool.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done:

    No, a standalone study as defined for AI algorithms was not done. The device is a physical product, and its performance is evaluated based on its material properties and safety characteristics, not an algorithm's output.

    7. The Type of Ground Truth Used:

    The "ground truth" for the tests described are objective physical and chemical measurements and biological responses as defined by specific ASTM and ISO standards. For example:

    • Freedom from Holes: Defined by the ASTM D5151-06 standard and its specified AQL (Acceptance Quality Limit).
    • Tensile Strength & Ultimate Elongation: Measured according to material testing standards.
    • Residual Powder: Measured according to ASTM D6124.
    • Biocompatibility (Primary Skin Irritation, Dermal Sensitization): Determined by standardized animal or in-vitro tests following ISO 10993-10:2010 (E) protocols. The outcomes (e.g., "not a primary skin irritant") serve as the ground truth based on the established biological criteria of these tests.

    8. The Sample Size for the Training Set:

    This concept is not applicable to this device. A "training set" is used for machine learning algorithms. This device is a physical glove, not an AI model, and therefore does not have a training set.

    9. How the Ground Truth for the Training Set Was Established:

    This information is not applicable as there is no training set for this device.

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