K211601 · Wrp Asia Pacific Sdn. Bhd. · LYY · Aug 22, 2022 · General Hospital
Device Facts
Record ID
K211601
Device Name
Powder Free Latex Examination Glove, Non-Sterile
Applicant
Wrp Asia Pacific Sdn. Bhd.
Product Code
LYY · General Hospital
Decision Date
Aug 22, 2022
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 880.6250
Device Class
Class 1
Intended Use
A patient examination glove is a disposable device made of natural rubber latex intended for medical purposes that is worn on the examiner's hand or finger to prevent contamination between patient and examiner.
Device Story
Disposable natural rubber latex examination glove; non-sterile; powder-free. Ambidextrous design; finger-textured surface. Intended for use by healthcare professionals or in over-the-counter settings to prevent cross-contamination between patient and examiner. Manufactured via surface treatment to facilitate donning without lubricants. Supplied in sizes XS, XL. Device acts as a physical barrier. Performance verified against ASTM D3578 standards for tensile strength, elongation, and dimensions. Biocompatibility confirmed via ISO 10993 testing (irritation, sensitization, cytotoxicity, systemic toxicity). Watertightness verified per ASTM D5151. Shelf life established at 3 years per ASTM D7160.
Clinical Evidence
No clinical data. Bench testing only. Performance verified via ASTM standards for physical properties (tensile strength, elongation), dimensions, watertightness (ASTM D5151), residual powder (ASTM D6124), and extractable protein (ASTM D5712-99). Biocompatibility testing (ISO 10993) confirmed non-cytotoxic, non-irritant, and non-sensitizing properties.
Indicated for use as a disposable, non-sterile, powder-free natural rubber latex glove worn on the examiner's hand or finger to prevent 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.
Predicate Devices
Palm Care Latex Examination Powder Free Glove (K202377)
Related Devices
K221185 — TC Gloves · Thanh Cong Pharmaceutical and Trading Company Limited · Jun 22, 2022
K161961 — UniTex Non-Sterile, Powder-Free, Latex Examination Glove · Ug Global Resources Sdn. Bhd. · May 11, 2017
K140418 — POWDER FREE BLUE NITRILE PATIENT EXAMINATION GLOVES, NON-STERILE · Wrp Rubber Products Sdn Bhd · Sep 3, 2014
K972291 — ALLEGIANCE NON STERILE POWDER FREE LOW PROTEIN LATEX EXAMIATION GLOVES · Allegiance Healthcare Corp. · Jul 28, 1997
Submission Summary (Full Text)
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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food & Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.
August 22, 2022
WRP Asia Pacific SDN. BHD. % Michael Scaglione U.S. Agent SG Global, LLC 3700 Massillon Road, Suite 340 Uniontown, Ohio 44685
Re: K211601
Trade/Device Name: Natural Rubber Latex Examination Glove, Non-Sterile, Powder Free Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I, reserved Product Code: LYY Dated: July 18, 2022 Received: July 19, 2022
Dear Michael Scaglione:
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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
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.
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
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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); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
Bifeng Qian, M.D., Ph.D. Assistant Director DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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### Indications for Use
510(k) Number (if known) K211601
Device Name
Natural Rubber Latex Examination Glove, Non-Sterile, Powder Free
Indications for Use (Describe)
A patient examination glove is a disposable device made of natural rubber latex intended for medical purposes that is worn on the examiner's hand or finger to prevent contamination between patient and examiner.
Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D)
X Over-The-Counter Use (21 CFR 801 Subpart C)
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#### 1.0 Submitter:
| Sponsor: | WRP Asia Pacific Sdn. Bhd. |
|---------------|--------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Name: | Muhammad Ameer Arief bin Mohd Mujab |
| Address: | WRP Asia Pacific Sdn. Bhd.<br>Lot 1, Jalan 3, Kawasan Perusahaan Bandar Baru Salak<br>Tinggi, 43900 Sepang, Selangor Darul Ehsan, MALAYSIA |
| Phone No.: | +60 3 8706 1486 |
| Fax No.: | +60 3 8706 1485 |
Date of Summary Prepared: 12th August 2022
#### 2.0 Identification of the subject device:
| Trade Name | : Natural Rubber Latex Examination Glove, Non-Sterile, Powder Free |
|-----------------------|--------------------------------------------------------------------|
| Common Name | : Patient Examination Gloves |
| Classification Name | : Patient Examination Gloves |
| Device Classification | : I |
| Regulation Number | : 21 CFR 880.6250 |
| Product Code | : LYY |
#### 3.0 Predicate Device:
| | PREDICATE DEVICE |
|------------------|-----------------------------------------------|
| Manufacturer | Hi-Care Thai Gloves Co. Ltd. |
| Device Name | Palm Care Latex Examination Powder Free Glove |
| 510 (k) Number | K202377 |
| Regulatory Class | I |
| Product Code | LYY |
#### 4.0 Description of The Device:
The Device meets all requirements of ASTM standard D3578 and FDA 21 CFR 880.6250.
The powder free latex examination glove is manufactured from natural rubber latex. Inner surface of gloves undergoes surface treatment process to produce a smooth surface that assists the user in donning the gloves with ease without using any lubricant such as powder on the glove surface. The glove is ambidextrous, i.e. can be worn on right hand or left hand. The physical properties of glove i.e. tensile strength meet ASTM standard D3578. Device is intended for single use and nonsterile.
The powder free latex examination glove, non-sterile is supplied in the following sizes: XS, S, M, L and XL. This qlove is natural in color is added) and powder free.
#### 5.0 Indication for use:
A patient examination glove is a disposable device made of natural rubber latex intended for medical purposes that is worn on the examiner's hand or finger to prevent contamination between patient and examiner.
#### 6.0 Technological Characteristics Comparisons of the Device:
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### Table 1
| CHARACTERISTICS | STANDARDS | DEVICE PERFORMANCE | | COMPARISON<br>ANALYSIS |
|--------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------|
| | | PREDICATE | CURRENT | |
| 510(k) Number | - | K202377 | K211601 | Different |
| Manufacturer(s) | - | Hi-Care Thai Gloves Co. Ltd. | WRP Asia Pacific | Different |
| Material | ASTM D3578 | Natural rubber latex | Natural rubber latex | Similar |
| Color | - | Natural | Natural | Similar |
| Texture | - | Finger textured | Finger textured | Similar |
| Physical Properties | | Meets | Meets | |
| Before Aging<br>Tensile Strength:<br>Ultimate Elongation:<br>Stress at 500%<br>Elongation: | ASTM D3578 | 18Mpa min<br>650% min<br>5.5Mpa max | 18MPa min<br>650% min<br>5.5Mpa max | Similar |
| After Aging<br>Tensile Strength:<br>Ultimate Elongation:<br>Stress at 500%<br>Elongation: | ASTM D3578 | 14Mpa min<br>500% min<br>- | 14MPa min<br>500% min<br>- | Similar |
| Thickness:<br>- Finger<br>- Palm | ASTM D3578 | Meets<br>0.08mm min<br>0.08mm min | Meets<br>0.11mm min<br>0.09mm min | Different but<br>within the ASTM<br>standard |
| Powder Free | ASTM D6124 | Less than 2mg per glove | Less than 2mg per glove | Similar |
| CHARACTERISTICS | DEVICE PERFORMANCE | | | |
| | STANDARDS | PREDICATE | CURRENT | COMPARISON<br>ANALYSIS |
| Biocompatibility | Primary Skin<br>Irritation - ISO<br>10993-10:2010 (E)<br>& Consumer Product<br>Safety Commission<br>2012 Title 16,<br>Chapter II, Part<br>1500.3 & 1500.41 | Passes<br>Not a primary skin irritant<br>under the conditions of the<br>study. | Passes (Not a primary skin<br>irritant)<br>There was no erythema or oedema<br>noted on test site after (24±2),<br>(48±2) and (72±2) hours. The<br>primary Irritation Index (PII) was<br>"0". | Similar |
| | Dermal<br>Sensitization- ISO<br>10993-10: 2010 (E)<br>& Consumer Product<br>Safety Commission<br>2012 Title 16,<br>Chapter II, Part<br>1500.3 & 1500.41 | Passes<br>Not a contact sensitizer<br>under the conditions of the<br>study. | Passes (Not a contact sensitizer).<br>There was no positive allergic<br>reaction observed during the<br>challenge phase (at 0, 24 hours<br>and 48 hours) in animals treated<br>with the test material and<br>negative control. | Similar |
| | Determination of In<br>Vitro Cytotoxicity<br>Effect over L929 Cell<br>Lines by Direct<br>Contact Method, ISO<br>10993-5: 2009 (E) | Passes<br>Non-cytotoxic under the<br>conditions of the study. | Qualitative reactivity grading of<br>cytotoxicity of the test item<br>treatment was not greater than 2.<br>Hence, the test item is considered<br>as 'Non-cytotoxic" to L929 mouse<br>fibroblast cells. | Similar |
| | DEVICE PERFORMANCE | | | |
| CHARACTERISTICS | STANDARDS | PREDICATE | CURRENT | COMPARISON<br>ANALYSIS |
| Biocompatibility | Acute Systemic<br>Toxicity, ISO<br>10993-11:2017 (E) | Not systemic toxic under the<br>conditions of the study. | It is concluded that the product<br>did not induce any systemic<br>toxicity. | Similar |
| Watertight (1000ml) | ASTM D5151 | Inspection Level 1, AQL 1.5 | Inspection Level 1, AQL 1.5 | Similar |
| Intended use / Indications<br>for use | | A patient examination glove is a<br>disposable device intended for<br>medical purposes that is worn<br>on the examiner's hand to<br>prevent contamination between<br>patient and examiner. | A patient examination glove is<br>a disposable device intended<br>for medical purposes that is<br>worn on the examiner's hand<br>or finger to prevent<br>contamination between patient<br>and examiner. | Similar |
| Size | Medical Glove<br>Guidance Manual -<br>Labeling | Extra small<br>Small<br>Medium<br>Large | Extra small<br>Small<br>Medium<br>Large<br>Extra Large | Similar with<br>additional size, XL<br>for current device |
| Single use | Medical Glove<br>Guidance Manual -<br>Labeling | Single use | Single use | Similar |
| Sterility status | Medical Glove<br>Guidance Manual -<br>Labeling | Non-sterile | Non-sterile | Similar |
| Extractable Protein<br>Content | ASTM D5712-99 | 50 $µg/ dm²$ for all available sizes | <50 $µg/ dm²$ for all available<br>sizes | Similar |
| Shelf Life Claim | ASTM D7160 | No claim of shelf life | 3 years claim shelf life | Different |
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There are no significant differences between the subject and the predicate devices. The subject and predicate are identical in terms of intended use, materials, color, compliance with standards for physical properties, powder free and watertightness and sterility status. The sizes are similar with additional size, XL for current device.
They are slightly differed in thickness; whereby the current device is thicker than the predicate device. On another hand, qualitative reactivity grading of cytotoxicity of the current device treatment was not greater than 2. Hence, the test item is considered as `Non-cytotoxic" to L929 mouse fibroblast cells.
#### 7.0 Summary of Non-Clinical Testing
The performance test data of the non-clinical test for this Glove are summarized as per below.
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| Test<br>Method | Standard | Purpose<br>of<br>Testing | Acceptance Criteria | | Results | | Status | |
|------------------------|-------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------|---------------------------------|--------------|--------------|--------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------|------|
| | | | Before aging | After aging | Before aging | After aging | | |
| Physical<br>Properties | ASTM D412<br>(Standard Test<br>Method for<br>Vulcanized<br>Rubber and<br>Thermoplastic<br>Elastomers-<br>Tension) | To<br>evaluate<br>the tensile<br>(tension)<br>properties<br>of glove. | Tensile<br>strength | Min 18.0 MPa | Min 14.0 MPa | Extra small - 24.40 MPa<br>Small - 24.56 MPa<br>Medium - 27.18 MPa<br>Large - 26.51 MPa<br>Extra Large - 26.11 MPa | Extra small - 25.59 MPa<br>Small - 22.37 MPa<br>Medium - 27.16 MPa<br>Large - 25.95 MPa<br>Extra Large - 26.67 MPa | Pass |
| | | | Ultimate<br>elongation | Min 650% | Min 500% | Extra small - 792 %<br>Small - 808 %<br>Medium - 817 %<br>Large - 811 %<br>Extra Large - 783 % | Extra small - 802 %<br>Small - 723 %<br>Medium - 809 %<br>Large - 829 %<br>Extra Large -785 % | Pass |
| | | | Stress at<br>500%<br>Elongation | Max. 5.5 MPa | - | Extra small - 4.77 MPa<br>Small - 5.11 MPa<br>Medium - 4.55 MPa<br>Large - 4.85 MPa<br>Extra Large - 5.22 MPa | Extra small - 4.39 MPa<br>Small - 4.85 MPa<br>Medium - 4.61 MPa<br>Large - 3.17 MPa<br>Extra Large - 5.09 MPa | Pass |
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| Test<br>Method | Standard | Purpose<br>of<br>Testing | Acceptance Criteria | Results | Status |
|----------------|-------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------|
| Dimension | ASTM D3767<br>Standard<br>Practice for<br>Rubber -<br>Measurement<br>of Dimensions | To<br>measure<br>the length,<br>width and<br>thickness<br>of glove | Length<br>Extra small – Min 240 mm<br>Small – Min 240 mm<br>Medium – Min 240 mm<br>Large – Min 240 mm<br>Extra Large – Min 240 mm<br><br>Width<br>Extra small – Max 80 mm<br>Small – Min 80 ± 10 mm<br>Medium - Min 95 ± 10 mm<br>Large - Min 110 ± 10 mm<br>Extra Large – Min 110mm<br><br>Thickness<br>Finger – Min 0.11 mm<br>Palm – Min 0.09 mm | Length<br>Extra small – 243 mm<br>Small – 243 mm<br>Medium - 243 mm<br>Large - 243 mm<br>Extra Large – 243 mm<br><br>Width<br>Extra small - 78 mm<br>Small – 84 mm<br>Medium - 95 mm<br>Large – 106 mm<br>Extra Large – 116 mm<br><br>Thickness<br>Finger Extra small – 0.14<br>Small – 0.14 mm<br>Medium – 0.15 mm<br>Large – 0.15 mm<br>Extra Large – 0.16 mm<br>Palm Extra small - 0.12<br>Small – 0.12 mm<br>Medium – 0.12 mm<br>Large – 0.12 mm<br>Extra Large - 0.13 mm | Pass<br>Pass<br>Pass |
| Test<br>Method | Standard | Purpose of<br>Testing | Acceptance Criteria | Results | Status |
| Watertight | ASTM<br>D5151<br>(Standard<br>Test Method<br>for Detection<br>of Holes in<br>Medical<br>Gloves) | To detect<br>holes that<br>leak water<br>and thereby<br>compromise<br>the<br>usefulness of<br>the glove. | Size: XS<br>Sample size: 200 pcs<br>Inspection level: G1<br>AQL: 1.0,<br>Acceptance No. 5, Found 0 | The batch size for this sampling is 35,001 to 150,000.<br>Hence, according to the single sampling plan GI, the<br>sample to be drawn under code L is equivalent to 200<br>pieces with accept 5 and reject 6 to be accepted under<br>AQL 1.0. During the test, 0 pieces were found with leaks.<br>Hence it falls within the acceptance criteria. | Pass |
| Watertight | | | Size: S<br>Sample size: 500 pcs<br>Inspection level: G1<br>AQL: 1.0,<br>Acceptance No. 10, Found 1 | The batch size for this sampling is 500,001 to over.<br>Hence, according to the single sampling plan GI, the<br>sample to be drawn under code N equivalent to 500<br>pieces with accept 10 and reject 11 to be accepted under<br>AQL 1.0. During the test, 1 piece was found with leaks.<br>Hence it falls within the acceptance criteria. | Pass |
| Watertight | | | Size: M<br>Sample size: 500 pcs<br>Inspection level: G1<br>AQL: 1.0,<br>Acceptance No. 10, Found 3 | The batch size for this sampling is 500,001 to over.<br>Hence, according to the single sampling plan GI, the<br>sample to be drawn is under code N equivalent to 500<br>pieces with accept 10 and reject 11 to be accepted under<br>AQL 1.0. During the test, 3 pieces were found with leaks.<br>Hence it falls within the acceptance criteria. | Pass |
| Watertight | | | Size: L<br>Sample size: 500 pcs<br>Inspection level: G1<br>AQL: 1.0,<br>Acceptance No. 10, Found 3 | The batch size for this sampling is 500,001 to over.<br>Hence, according to the single sampling plan GI, the<br>sample to be drawn is under code M equivalent to 500<br>pieces with accept 10 and reject 11 to be accepted under<br>AQL 1.0. During the test, 3 pieces were found with leaks.<br>Hence it falls within the acceptance criteria. | Pass |
| Watertight | | | Size: XL<br>Sample size: 200 pcs<br>Inspection level: G1<br>AQL: 1.0,<br>Acceptance No. 5, Found 3 | The batch size for this sampling is 35,001 to 150,000.<br>Hence, according to the single sampling plan GI, the<br>sample to be drawn is under code L equivalent to 200<br>pieces with accept 5 and reject 6 to be accepted under<br>AQL 1.0. During the test, 3 pieces were found with<br>leaks. Hence it falls within the acceptance criteria. | Pass |
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| Test<br>Method | Standard | Purpose of<br>Testing | Acceptance Criteria | Results<br>(Sample size: 5 pcs) | Status |
|--------------------|-------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------|----------------------------------------------------|-----------------------------------------------------------------------------------------------------|--------|
| Residual<br>Powder | ASTM D6124<br>(Standard Test<br>Method for Residual<br>Powder on Medical<br>Gloves) | To determine the<br>amount of<br>residual powder<br>and non-powder<br>solids found on<br>gloves. | Have a powder residue limit<br>of 2.0 mg per glove | Extra small – 0.2 mg<br>Small – 0.5 mg<br>Medium – 0.1 mg<br>Large – 0.1 mg<br>Extra Large – 0.2 mg | Pass |
| Test<br>Method | Standard | Purpose of<br>Testing | Acceptance Criteria | Results<br>(Sample size: 3 pcs) | Status |
|-----------------------------------|--------------------------------------------------------------------------------------------|------------------------------------------------------|---------------------|---------------------------------|--------|
| Extractable<br>Protein<br>Content | ASTM D5712-99<br>(Standard Test<br>Method for Analysis<br>of Protein in Natural<br>Rubber) | To determine the<br>extractable protein<br>in gloves | 200 µg/ dm² Max | Less than 50 µg/ dm² | Pass |
The shelf-life study claim of this Glove describes the effect of accelerated aging on visual appearance, hole defect and physical properties for establishing a 3 years shelf life based on ASTM D7160.
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#### 8.0 Summary of Clinical Testing:
No clinical study is included in this submission.
#### 9.0 Conclusion
The conclusion drawn from the non-clinical tests demonstrate that the subject Natural Rubber Latex Examination Glove, Non-Sterile, Powder Free is as safe, as effective, and performs as well as or better than the legally marketed predicate devices K202377.
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