SAFESKIN HEALTHTOUCH POWDER-FREE EXAM GLOVE WITH VITAMIN E AND ALOE

K012815 · Kimberly-Clark Corp. · LYY · Nov 13, 2001 · General Hospital

Device Facts

• Record ID: K012815
• Device Name: SAFESKIN HEALTHTOUCH POWDER-FREE EXAM GLOVE WITH VITAMIN E AND ALOE
• Applicant: Kimberly-Clark Corp.
• Product Code: LYY · General Hospital
• Decision Date: Nov 13, 2001
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.6250
• Device Class: Class 1

Intended Use

A medical glove intended to be worn on the hands of healthcare and similar personnel to prevent contamination between such personnel and the patient.

Device Story

Disposable powder-free latex examination glove; coated with Vitamin E and Aloe; intended for use by healthcare personnel to prevent cross-contamination between patient and provider. Device functions as physical barrier. Performance verified against ASTM D 3578-00a standards for dimensions, physical properties, and freedom from pinholes. Biocompatibility confirmed via rabbit primary skin irritation and guinea pig sensitization testing. Protein content limited to < 50 µg/g per ASTM D 5712-99.

Clinical Evidence

Bench testing only. No clinical data required for examination gloves. Compliance demonstrated via ASTM D 3578-00a (physical properties/dimensions), ASTM D 5151-99 (pinholes), ASTM D 6124-00a (powder-free), and ASTM D 5712-99 (protein content). Biocompatibility testing (primary skin irritation, guinea pig sensitization) passed.

Technological Characteristics

Latex material; powder-free; contains Vitamin E and Aloe. Meets ASTM D 3578-00a (dimensions, physical properties, powder-free), ASTM D 5151-99 (pinholes), ASTM D 6124-00a (powder-free), and ASTM D 5712-99 (protein content < 50 µg/g).

Indications for Use

Indicated for use by healthcare and similar personnel as a protective barrier to prevent cross-contamination between personnel and patients.

Regulatory Classification

Identification

A non-powdered patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hand or finger to prevent contamination between patient and examiner. A non-powdered patient examination glove does not incorporate powder for purposes other than manufacturing. The final finished glove includes only residual powder from manufacturing.

Submission Summary (Full Text)

{0}------------------------------------------------

Image /page/0/Picture/0 description: The image shows the Kimberly-Clark logo. The logo consists of a stylized "K" inside a circle on the left, followed by the words "Kimberly-Clark" in bold, sans-serif font. The logo is black and white.

K012815

## NOV 1 3 2001

August 21, 2001

- [1] 510(k) Summary of Safety and Effectiveness Information
[2] Kimberly-Clark Corporation 1400 Holcomb Bridge Road Roswell, GA 30076-2199 Telephone: [phone] Fax:

> Contact: Marcia Johnson Telephone: [phone] Fax: [phone]

- "SAFESKIN HEALTHTOUCH" Powder-Free Latex Exam Glove [3] Trade Name: with Vitamin E and Aloe Patient Examination Gloves, Latex Common Name: Classification Name: Patient Examination Gloves, Latex
- [4] The predicate device is a Class I, powder-free latex exam glove 80L Y Y that meets all of the requirements of ASTM D 3578-00a, Standard Specification for Rubber Examination Gloves.
- The powder-free latex exam glove with vitamin E and aloe meets the current [૨] specifications for ASTM D 3578-00a.
- [୧] The powder-free latex exam gloves with vitamin E and aloe are disposable devices intended to be worn by healthcare and similar personnel to prevent contamination between such personnel and the patient.
- [7] The powder-free latex exam gloves with vitamin E and aloe possess the following technological characteristics (as compared to ASTM or equivalent standards):

| Characteristics | Standards |
|-----------------------|-----------------------|
| Dimensions | Meets ASTM D 3578-00a |
| Physical Properties | Meets ASTM D 3578-00a |
| Freedom from pinholes | Meets ASTM D 3578-00a |
| | Meets ASTM D 5151-99 |
| Powder Free | Meets ASTM D 6124-00a |
| | Meets ASTM D 3578-00a |

G2

{1}------------------------------------------------

Image /page/1/Picture/0 description: The image shows the Kimberly-Clark logo. The logo consists of a stylized symbol on the left, followed by the company name "Kimberly-Clark" in bold, sans-serif font. The symbol appears to be a stylized cross or geometric shape enclosed within a circle.

Protein Content

Meets ASTM D 5712-99 < 50 µg/g

Biocompatability

| Primary Skin Irritation in Rabbits | Passed |
|------------------------------------|--------|
| Guinea Pig Sensitization | Passed |

- The performance test data that support a determination of substantial equivalence are [8] described above.
- Clinical data are not needed for examination gloves. િત
- It can be concluded that the powder-free latex exam glove with vitamin E and aloe is safe [10] It can be ocheluded that the porccording to the glove performance standards referenced in and chool.vo and will perfected ing ASTM standards, FDA requirements, and the labeling claims for the product. Consequently, this exam glove is substantially equivalent to currently marketed exam gloves.

{2}------------------------------------------------

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV 1 3 2001

Ms. Marcia Jonhson Senior Regulatory Associate Kimberly-Clark Corporation 1400 Holcomb Bridge Road Roswell, Georgia 30076

Re: K012815

R012815
Trade/Device Name: Safeskin Healthtouch Powder-Free Examination Glove with Vitamin E, Aloe and Protein Content Labeling Claim (50 Micrograms or Less) Regulation Number: 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LYY Dated: August 21, 2001 Received: August 22, 2001

Dear Ms. Johnson:

We have reviewed your Section 510(k) premarket notification of intent to market the device we have reviewed your becater mined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Interstate commerce prior to that have been reclassified in accordance with the provisions of Antinunients, or to do roug, and Cosmetic Act (Act) that do not require approval of a premarket the Fouchal I ood, Drag, and Commons, therefore, market the device, subject to the general approvisions of the Act. The general controls provisions of the Act include controls providents or annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III If your device is classinod (see as additional controls. Existing major regulations affecting (FMA), it may of subject to back adding the end Regulations, Title 21, Parts 800 to 898. In your device can or rouncements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements

{3}------------------------------------------------

Page 2 - Ms. Johnson

of the Act or any Federal statutes and regulations administered by other Federal agencies. of the Act of ally I oderal bats requirements, including, but not limited to: registration Touring (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice alle listing (21 OF RT rat 807), abolity systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to 310(K) prematics notification. In a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 If you desire specific ad not 10. Jour in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and office of configurar device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and alle Act may of ocument its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Ti hy A. Ulatowski Director Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

{4}------------------------------------------------

NOV 1 3 2001

## INDICATIONS FOR USE

| Applicant: | Kimberly-Clark Corporation |
|----------------|--------------------------------------------------------------------------------------------------------------------------------|
| 510(k) Number: | K012815 |
| Device Names: | SAFESKIN HEALTHTOUCH Powder-Free Latex Exam Glove<br>with Vitamin E and Aloe with Protein Labeling Claim( 50 MICROGRAMS OR LES |

Indications for Use:

A medical glove intended to be worn on the hands of healthcare and similar personnel to prevent contamination between such personnel and the patient.

## (PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH Office of Device Evaluation (ODE)

Over-The-Counter _____________________________________________________________________________________________________________________________________________________________

Olin S. Lin

(Division Sign-Off) Division of Dental, Infection Control, and General Hospital Device B2 510(k) Number .