MEDICAL GLOVE SERIES

K072145 · Zhanjiang Jiali Glove Products Co., Ltd. · LYY · Feb 26, 2008 · General Hospital

Device Facts

• Record ID: K072145
• Device Name: MEDICAL GLOVE SERIES
• Applicant: Zhanjiang Jiali Glove Products Co., Ltd.
• Product Code: LYY · General Hospital
• Decision Date: Feb 26, 2008
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.6250
• Device Class: Class 1

Intended Use

A patient examination glove is disposable devices intended for medical purpose that is worn on the hand or finger(s) to prevent contamination between patient and examiner.

Device Story

Disposable latex and nitrile examination gloves; worn on examiner's hand or fingers; barrier protection to prevent contamination between patient and examiner; used in medical and dental settings; manual operation by healthcare providers; provides physical barrier to reduce risk of infection transmission.

Clinical Evidence

No clinical data. Bench testing only.

Technological Characteristics

Disposable patient examination gloves made of latex or nitrile; available in powdered and powder-free configurations; physical barrier design; non-sterile; standard glove form factor.

Indications for Use

Indicated for use by medical personnel on the hand or finger(s) to prevent cross-contamination between patient and examiner in medical settings.

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.

Predicate Devices

• CHLORINATED, POLYMER-COATED POWDER-FREE LATEX EXAMINATION GLOVE WITH EXTRACTABLE PROTEIN CONTENT LABELING CLAIM (K062965)
• LATEX POWDERED EXAMINATION GLOVE (K060858)
• NITRILE POWDER FREE EXAMINATION GLOVES (GREEN) (K063046)
• POWDER NITRILE EXAMINATION GLOVE (K063522)

Submission Summary (Full Text)

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K072145

# Appendix III. 510(k) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 9807.92.

The Assigned 510(k) Number is:

FEB 26 - 1

## 1. Applicant Device Information

#### Trade/Proprietary Name:

Latex Examination Gloves (Powdered and Powder-Free) Nitrile Examination Gloves (Powdered and Powder-Free)

#### Common Name:

Latex Examination Gloves (pre-powdered and powder free) Nitrile Examination Gloves (pre-powdered and powder free)

### Classification Name:

Glove, patient examination, latex

Glove, patient examination, poly

## Device Class: I

Product Code: LYY & LZA

Regulation Number:

880.6250

#### Intended Use:

A 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.

## 2. Submitter Information

#### Manufacturer Name:

Zhanjiang Jiali Glove Products Co., LTD YinHao Village, MaZhi Road Zhanjiang, Guangdong, 524002, China

#### Contact Person of the Submission:

Ms. Diana Hong Mr. Eric Chen Suite 8D, Zhongxin Zhongshan Mansion, No.19, Lane 999, Zhong Shan Nan Er Road Shanghai, China 20020

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Phone: [phone] x 152 Fax: [phone] x 809 Email: [e-mail]

### 3. Predicate Device

## 1). CHLORINATED, POLYMER-COATED POWDER-FREE LATEX EXAMINATION GLOVE WITH EXTRACTABLE PROTEIN CONTENT LABELING CLAIM

K Number: K062965

Product Code: LYY

#### Intended Use:

A 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.

#### Manufactured by

KOSSAN LATEX INDUSTRIES (M) SDN. BHD.

2530 Riva Road, suite 308

Annapolis, MD 21401

2). LATEX POWDERED EXAMINATION GLOVE

K Number: K060858

Product Code: LYY

#### Intended Use:

A 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.

#### Manufactured by

HIGH MOMENTUM SDN BHD

#### 3). NITRILE POWDER FREE EXAMINATION GLOVES (GREEN)

K Number: K063046

Product Code: LZA

Intended Use:

The nitrile examination gloves is a disposable device intended for medical and dental purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.

#### Manufactured by Hartalega SDN BHD

4). POWDER NITRILE EXAMINATION GLOVE K Number: K063522

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## Product Code: LZA

## Intended Use:

The nitrile examination gloves is a disposable device intended for medical and dental purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.

## Manufactured by

HL RUBBER INDUSTRIES SDN BHD

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Image /page/3/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with its wings outstretched, forming a protective shape. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES. USA" are arranged in a circular pattern around the eagle.

#### Public Health Service

## JUN 2 6 2008

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Zhanjiang Jiali Glove Products Company, Limited C/O Ms. Diana Hong General Manager Shanghai Mid-Link Business Consulting Company, Limited Suite 8D, Zhongxin Zhongshan Mansion No. 19, Lane 999, Zhong Shan, No. 2 Road(S) Shanghai, 200030 CHINA

Re: K072145

Trade/Device Name: Latex Examination Gloves (Powdered and Powder-Free) Nitrile Examination Gloves (Powdered and Powder-Free) Regulation Number: 880,6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LYY, LZA Dated: February 19, 2008 Received: February 19, 2008

Dear Ms. Hong:

This letter corrects our substantially equivalent letter of February 19, 2008.

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 (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 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. Hong

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 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to continue 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/dsma/dsmamain.html

Sincerely yours,

Chiu Lin, Ph.D.

Chiu 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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# Appendix V. Indications for Use

17214 510(k) Number: _______________________________________________________________________________________________________________________________________________________________

Device Name: Latex Examination Gloves (Powdered and Powder-Free) Nitrile Examination Gloves (Powdered and Powder-Free)

#### Indications for Use:

A patient examination glove is disposable devices intended for medical purpose that is worn on the hand or finger(s) to prevent contamination between patient and examiner.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Shuler A. Mighuell
(Division Sign-Off)

Page _1_ of __1_

Division of Anesthesiology, General Hospital
Infection Control, Dental Devices

510(k) Number: K072145