ULTRA TOUCH POWDER-FREE LATEX EXAMINATION GLOVES WITH PROTEIN LABELING CLAIM (50 MICROGRAMS OR LESS)

K020838 · Ar Alliance Healthcare Sdn. Bhd. · LYY · Apr 23, 2002 · General Hospital

Device Facts

• Record ID: K020838
• Device Name: ULTRA TOUCH POWDER-FREE LATEX EXAMINATION GLOVES WITH PROTEIN LABELING CLAIM (50 MICROGRAMS OR LESS)
• Applicant: Ar Alliance Healthcare Sdn. Bhd.
• Product Code: LYY · General Hospital
• Decision Date: Apr 23, 2002
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.6250
• Device Class: Class 1

Intended Use

A medical gloves is worn on the hand of health care and similar personnel to prevent contamination between health care personnel and the patient.

Device Story

Powder-free latex examination gloves; worn on hands by healthcare personnel; barrier protection to prevent cross-contamination between patient and provider; used in clinical or similar settings.

Clinical Evidence

No clinical data; bench testing only.

Technological Characteristics

Powder-free latex examination gloves; protein labeling claim of 50 micrograms or less.

Indications for Use

Indicated for use by healthcare and similar personnel to prevent cross-contamination between the wearer and the patient.

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)

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### DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 23 2002

Mr. Chua Choon Chuan. Managing Director AR Alliance Healthcare Sdn. Bhd. 8, Lorong Industri 11, Kawasan Perindustrian Bukit Panchor, Nibong Tebal, Pulau Pinang, MALAYSIA

### Re: K020838

Trade/Device Name: Ultra Touch Powder-Free Latex Examination Gloves With Protein Labeling Claim (50 Micrograms or Less) Regulation Number: 880.6250 Regulation Name: Patient Examination Glovers Regulatory Class: I Product Code: LYY Dated: March 11, 2002 Received: March 14, 2002

### Dear Mr. Chuan:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined 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 Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for 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 (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition. FDA may publish further announcements concerning your device in the Federal Register.

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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 of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality 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 a legally marketed predicate device results 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 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your 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 Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.qov/cdrh/dsma/dsmamain.html

Sincerely yours,

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

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K020838

# AR Alliance Healthcare Sdn.Bhd.

8, Lorong Industri 11, Kawasan Perindustrian Bukit Panchor, 14300 Nibong Tebal, Pulau Pinang, Malaysia. email : [e-mail] Tel : [phone] Fax : [phone] Date : 08/03/2002 Page :1/1 Our Ref : CCC/080302/04

#### ATTACHMENT 2 :

## INDICATION FOR USE

Applicant : AR ALLIANCE HEALTHCARE SDN. BHD.

KO20838 510(k) Number (if known) :

Device Name : POWDERED FREE LATEX EXAMINATION GLOVES WITH PROTEIN LABELING CLAIM (50 MIGROGRAM OR LESS).

Trade Name : (1) ULTRA TOUCH (2) Other clients private labeling

Indication For Use :

A medical gloves is worn on the hand of health care and similar personnel to prevent contamination between health care personnel and the patient.

Concurrence of CDRH Office of Device Evaluation (ODE)

SGB for Chiu Lin

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

> Prescription Use Per 21 CFR 801.109

OR

Over-The-Counter