SYNTHETIC VINYL PATIENT EXAM GLOVES POWDER-FREE, YELLOW

K062715 · Baoding Guanzhong Glove Co., Ltd. · LYZ · Nov 3, 2006 · General Hospital

Device Facts

• Record ID: K062715
• Device Name: SYNTHETIC VINYL PATIENT EXAM GLOVES POWDER-FREE, YELLOW
• Applicant: Baoding Guanzhong Glove Co., Ltd.
• Product Code: LYZ · General Hospital
• Decision Date: Nov 3, 2006
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.6250
• Device Class: Class 1

Intended Use

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

Device Story

Synthetic vinyl patient examination gloves; powder-free; yellow color. Disposable device worn on hands/fingers by healthcare examiners. Function: barrier protection to prevent cross-contamination between patient and examiner. Used in clinical settings. No electronic components or software.

Clinical Evidence

No clinical data; bench testing only.

Technological Characteristics

Synthetic vinyl material; powder-free; yellow color; disposable; non-sterile; patient examination glove; 21 CFR 880.6250.

Indications for Use

Indicated for use as a disposable medical glove worn on the examiner's hands or fingers to prevent cross-contamination between patient and examiner.

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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Image /page/0/Picture/11 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States. The seal features a stylized eagle with outstretched wings, symbolizing protection and service. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

## NOV - 3 2006

Baoding Guanzhong Glove Company, Limited C/O Ms. Marv A. Doucette Doucette Medical Supply, LLC 10 Seton Court Rancho Mirage, California 92270

Re: K062715

Trade/Device Name: Synthetic Vinyl Patient Exam Gloves Powder-Free Yellow Regulation Number: 21 CFR 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: 1 Product Code: LYZ Dated: June 1, 2006 Received: September 12, 2006

Dear Ms. Doucette:

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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Page 2 - Ms. Doucette

Please be advised that FDA's issuance of a substantial equivalence determination does not mcan 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), please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act 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.gov/cdrh/industry/support/index.html,

Sincerely vours,

Chute

Chiu S. Lin. Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Indications for Use

510(k) Number (if known): _K O 6 2 7 / 5

Device Name: _SYNTHETIC VINYL PATIENT EXAM GLOVES POWDER-FREE VELLOW_

Indications for Use:

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

Prescription Use __ (Part 21 CFR 801 Subpart D)

71

2x hich

AND/OR

Over-The-Counter Use (21 CFR 801 Subparl C)

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Concurrence of CDRH, Office of Device Evaluation (ODE)

Thinks H. Mayhey, M.D. 11/3/06

n of Anasthestology, General Hospical, Control, Dental Devices

K062715