← Product Code [KGO](/submissions/SU/subpart-e%E2%80%94surgical-devices/KGO) · K964474

# ULTRAFREE STERILE LATEX POWDER-FREE SURGICAL GLOVES (K964474)

_Allegiance Healthcare Corp. · KGO · Mar 11, 1997 · General, Plastic Surgery · SESE_

**Canonical URL:** https://fda.innolitics.com/submissions/HO/subpart-e%E2%80%94surgical-devices/KGO/K964474

## Device Facts

- **Applicant:** Allegiance Healthcare Corp.
- **Product Code:** [KGO](/submissions/SU/subpart-e%E2%80%94surgical-devices/KGO.md)
- **Decision Date:** Mar 11, 1997
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 878.4460
- **Device Class:** Class 1
- **Review Panel:** General, Plastic Surgery

## Intended Use

Ultrafree Sterile Latex Powder-Free Surgical Gloves are intended for use in sterile environments within hospitals and other healthcare facilities. The gloves are appropriate for use during invasive surgical procedures and non-invasive medical procedures requiring sterility. They are intended to be worn by operating room personnel to protect a surgical wound from contamination.

## Device Story

Sterile, powder-free surgical gloves; composed of natural rubber latex; intended for use by operating room personnel in hospitals/healthcare facilities; provides barrier protection for surgical wounds during invasive and non-invasive procedures; prevents contamination between patient and clinician.

## Clinical Evidence

Bench testing only. Biocompatibility: primary skin irritation (negative), systemic toxicity (negative), intracutaneous reactivity (none), hemocompatibility (no lysis), guinea pig maximization (no irritation). Physical: tensile strength/elongation meet ASTM D3577-91; barrier defects meet 21 CFR §800.20 (AQL 2.5); powder-free status verified via vacuum filtration (<2 mg/glove) and negative iodine test.

## Technological Characteristics

Material: natural rubber latex. Form factor: surgical glove. Performance standards: ASTM D3577-91 (tensile strength/elongation), 21 CFR §800.20 (barrier integrity). Designation: powder-free (vacuum filtration/iodine test). Sterilization: sterile.

## Regulatory Identification

A non-powdered surgeon's glove is a device intended to be worn on the hands of operating room personnel to protect a surgical wound from contamination. A non-powdered surgeon's glove does not incorporate powder for purposes other than manufacturing. The final finished glove includes only residual powder from manufacturing.

## Predicate Devices

- Triflex® Sterile Latex Powder-Free Surgical Gloves

## Submission Summary (Full Text)

> This content was OCRed from public FDA records by [Innolitics](https://innolitics.com). If you use, quote, summarize, crawl, or train on this content, cite Innolitics at https://innolitics.com.
>
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MAR 11 1997
K964474

# XIV. SUMMARY OF SAFETY AND EFFECTIVENESS

## Allegiance

### 510(k) SUMMARY OF SAFETY AND EFFECTIVENESS
### ULTRAFREE STERILE LATEX POWDER-FREE SURGICAL GLOVES

**Manufacturer:**
Allegiance Healthcare Sdn. Bhd.
Plot 87 Kampung Jawa
11900 Bayan Lepas
Penang, West Malaysia

**Regulatory Affairs Contact:**
Maryalice Smith
Allegiance Healthcare Corporation
1500 Waukegan Road, Bldg. K
McGaw Park, IL 60085

**Telephone:** (847) 785-3322

**Date Summary Prepared:** February, 1997

**Product Trade Name:** Ultrafree Sterile Latex Powder-Free Surgical Gloves

**Common Name:** Surgical Glove

**Classification:** Glove, Surgical

**Predicate Devices:** Triflex® Sterile Latex Powder-Free Surgical Gloves

**Description:** The Ultrafree Surgical gloves are formulated using natural rubber latex and offered sterile.

**Intended Use:** Ultrafree Sterile Latex Powder-Free Surgical Gloves are intended for use in sterile environments within hospitals and other healthcare facilities. The gloves are appropriate for use during invasive surgical procedures and non-invasive medical procedures requiring sterility. They are intended to be worn by operating room personnel to protect a surgical wound from contamination.

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## Substantial Equivalence:

The Ultrafree Sterile Latex Powder-Free Surgical Gloves are substantially equivalent to Triflex® Sterile Latex Powder-Free Surgical Gloves in that they provide the following characteristics:

- intended use
- size, configuration, packaging
- made of natural rubber latex
- tensile strength and thickness profiles

## Summary of Testing:

|  Test | Result  |
| --- | --- |
|  Primary Skin Irritation | Glove does not display any potential for irritation.  |
|  Systemic Toxicity | Glove does not elicit any toxic reactions to acute application.  |
|  Intracutaneous Reactivity | No reactivity was observed.  |
|  Hemocompatibility | Gloves are hemocompatible exhibiting no lysis.  |
|  Guinea Pig Maximization | Glove does not display any potential for irritation.  |
|  Ultimate Elongation & Tensile Strength | Glove meets or exceeds requirements for rubber surgical gloves per ASTM D3577-91.  |
|  Barrier Defects | Glove meets or exceeds requirements per 21 CFR §800.20, AQL = 2.5.  |
|  Data/Test Method | Glove meets powder level requirements for “Powder Free” designation using the vacuum filtration method plus a negative iodine test. Results generated values below the 2 mg/glove cornstarch level including negative iodine test.  |

---

**Source:** [https://fda.innolitics.com/submissions/HO/subpart-e%E2%80%94surgical-devices/KGO/K964474](https://fda.innolitics.com/submissions/HO/subpart-e%E2%80%94surgical-devices/KGO/K964474)

**Published by [Innolitics](https://innolitics.com)** — a medical-device software consultancy. We help companies design, build, and clear FDA-regulated software and AI/ML devices. If you're preparing [a 510(k)](https://innolitics.com/services/510ks/), [a De Novo](https://innolitics.com/services/regulatory/), [a SaMD](https://innolitics.com/services/end-to-end-samd/), [an AI/ML medical device](https://innolitics.com/services/medical-imaging-ai-development/), or [an FDA regulatory strategy](https://innolitics.com/services/regulatory/), [get in touch](https://innolitics.com/contact).

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