← Product Code [LZA](/productcode/LZA) · K171737

# Micro Touch Denta Glove Nitrile Hydrasoft Patient Examination Gloves (K171737)

_Ansell Healthcare Products, LLC · LZA · Dec 29, 2017 · General Hospital · SESE_

**Canonical URL:** https://fda-staging.innolitics.com/device/K171737

## Device Facts

- **Applicant:** Ansell Healthcare Products, LLC
- **Product Code:** [LZA](/productcode/LZA.md)
- **Decision Date:** Dec 29, 2017
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 880.6250
- **Device Class:** Class 1
- **Review Panel:** General Hospital

## Indications for Use

Micro Touch Denta Glove Nitrile Hydrasoft Patient Examination Gloves are intended for medical purposes that are worn on the examiners hands to prevent contamination between patient and examiner.

## Device Story

Non-sterile, single-use, powder-free nitrile butadiene rubber examination gloves; ambidextrous design with beaded cuff and straight fingers. Inner surface features polyacrylic polymer coating and HydraSoft (glycerine) coating to facilitate donning. Used in clinical settings by healthcare personnel to provide a barrier against contamination between patient and examiner. Device is passive; no electronic or mechanical components. Benefits include protection against cross-contamination and improved donning comfort via HydraSoft coating.

## Clinical Evidence

No clinical data. Bench testing only. Device performance verified against ASTM D6319-10 (dimensions, tensile strength, elongation), ASTM D5151-06 (freedom from holes), and ASTM D6124-06 (powder residual). Biocompatibility testing performed per ISO 10993-5 (cytotoxicity), ISO 10993-10 (skin irritation and sensitization), and ISO 10993-11 (acute systemic toxicity).

## Technological Characteristics

Material: Nitrile butadiene rubber. Coating: Polyacrylic polymer and HydraSoft (glycerine). Design: Ambidextrous, beaded cuff, finger-textured. Sizes: XS, S, M, L, XL. Standards: ASTM D6319-10, ASTM D5151-06, ASTM D6124-06. Biocompatibility: ISO 10993-5, ISO 10993-10, ISO 10993-11. Non-sterile, single-use.

## Regulatory 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

- Powder Free Nitrile Patient Examination Glove, Blue Colored and White (Non-colored), Non-sterile, Polymer Coated ([K123469](/device/K123469.md))

## Reference Devices

- Encore Sterile Powder-Free Polymer Coated Latex Surgical Glove with Hydrasoft™ Coating ([K051793](/device/K051793.md))

## 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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December 29, 2017

Ansell Healthcare Products LLC Robert Mahler Director, Regulatory Affairs for the Americas 111 Wood Avenue South, Suite 210 Iselin, New Jersey 08830

Re: K171737

Trade/Device Name: Micro Touch Denta Glove Nitrile Hydrasoft Patient Examination Gloves Regulation Number: 21 CFR 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: Class I Product Code: LZA Dated: December 8, 2017 Received: December 11, 2017

Dear Robert Mahler:

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. 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.

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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); medical device reporting of medical device-related adverse events) (21 CFR 803); 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.

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 http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). 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 (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Tina Kiang
-s

Tina Kiang, Ph.D. Acting Director Division of Anesthesiology, General Hospital, Respiratory, 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) K171737

#### Device Name

Micro Touch Denta Glove Nitrile Hydrasoft Patient Examination Glove

### Indications for Use (Describe)

Micro Touch Denta Glove Nitrile Hydrasoft Patient Examination Gloves are intended for medical purposes that are worn on the examiners hands to prevent contamination between patient and examiner.

| Type of Use (Select one or both, as applicable) |                                             |
|-------------------------------------------------|---------------------------------------------|
| Prescription Use (Part 21 CER 801 Subnart D)    | Over-The-Counter Use (21 CFR 801 Subnart C) |
|                                                 |                                             |

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# 510k Summary

### 510(k): k171737

### Submitter:

Ansell Healthcare Products LLC. 111 Wood Avenue South, Suite 210 Iselin, NJ 08830 USA

### Contact Person:

Robert Mahler Director, Regulatory Affairs for the Americas Phone: (732) 345-2174 Email: rob.mahler@ansell.com

### Date Prepared:

### 12/8/2017

### Name of the Device:

| Trade Names:                       | Micro Touch Denta Glove Nitrile Hydrasoft Patient Examination Gloves                                                                                                                                                                                         |  |
|------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|
| Common Name:                       | Patient Examination Glove                                                                                                                                                                                                                                    |  |
| Classification Name:               | Patient Examination Glove                                                                                                                                                                                                                                    |  |
| Classification Regulation:         | 21 CFR 880.6250                                                                                                                                                                                                                                              |  |
| Device Class:                      | 1                                                                                                                                                                                                                                                            |  |
| Product Code:                      | LZA                                                                                                                                                                                                                                                          |  |
| Classification Panel:              | General and Plastic Surgery                                                                                                                                                                                                                                  |  |
| Legally Marketed Predicate Device: |                                                                                                                                                                                                                                                              |  |
| Company:                           | Wear Safe (Malaysia) Sdn Bhd                                                                                                                                                                                                                                 |  |
| Trade Name:                        | Powder Free Nitrile Patient Examination Glove, Blue Colored and White (Non-<br>colored), Non-sterile, Polymer Coated<br>Powder Free Nitrile Patient Examination Gloves, Blue Colored and white (Non-<br>colored), Non-sterile, without Polymer (Chlorinated) |  |
| 510(k) Number:                     | K123469                                                                                                                                                                                                                                                      |  |
| Device Class:                      | Class I                                                                                                                                                                                                                                                      |  |

| 510(k) Number: | K123469                                     |
|----------------|---------------------------------------------|
| Device Class:  | Class I                                     |
| Product Code:  | LZA (Nitrile)                               |
| Device Name:   | Patient Examination Glove (21 CFR 880.6250) |

# Reference Device:

| Company:       | Ansell Healthcare LLC                                                                                                                                      |
|----------------|------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Trade Name:    | Encore Sterile Powder-Free Polymer Coated Latex Surgical Glove with Hydrasoft™<br>Coating (containing glycerine) and Protein Labeling Claim (50mg or less) |
| 510(k) Number: | K051793                                                                                                                                                    |
| Device Class:  | Class I                                                                                                                                                    |
| Product Code:  | KGO                                                                                                                                                        |
| Device Name:   | Surgeon's Glove (21 CFR 878.4460)                                                                                                                          |

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### Device Description:

The MICRO-TOUCH® DENTA-GLOVE® Nitrile HydraSoft™ are non-sterile, single use only, disposable, powder free examination gloves. The glove is made of nitrile butadiene rubber. A polyacrylic polymer is applied to the inner surface of the glove to make donning easy. Hydrasoft coating (containing glycerine) is applied on top of the polymer coating on the glove inner surface..

Characteristic:

- Ambidextrous with beaded cuff and straight fingers
- Finger-textured,
- White colored
- Featuring inner coating of polyacrylic polymer coating and HydraSoft™ coating.
- . Five (5) sizes – extra-small, small, medium, large, and extra-large.

High levels of ozone will degrade rubber material of the glove, therefore the glove should be protected from ozone in particular.

The gloves are designed to meets the specifications of ASTM D6319-10, Standard Specification for Nitrile Examination Gloves for Medical Application.

### Indications for Use Statement:

A powder-free 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.

### Technological Characteristics:

Micro Touch Denta Glove with Hydrasoft Coating Nitrile Patient Examination Gloves have the following technological characteristics as compared to ASTM or equivalent standards:

| Characteristics              | Standard/Test/ | Result Summary                               |
|------------------------------|----------------|----------------------------------------------|
|                              | FDA Guidance   |                                              |
| Physical Characteristics  :  |                |                                              |
| Dimensions:                  | ASTM D6319-10  | Meets ASTM D6319-10 requirements for length, |
|                              |                | width and thickness                          |
| Length                       | Minimum 230mm  | Minimum 240mm                                |
| Palm width (mm)              |                |                                              |
| Size — XS                    | 70 ± 10        | 75 ± 5                                       |
| Size — S                     | 80 ± 10        | 85 + 5                                       |
| Size — M                     | 95 ± 10        | 95 + 5                                       |
| Size — L                     | 110± 10        | 105 + 5                                      |
| Size - XL                    | 120 ± 10       | 115 ± 5                                      |
| Thickness (mm) - single-wall |                |                                              |
| Finger                       | minimum 0.05   | Finger - 0.11 ± 0.03                         |
| Palm                         | minimum 0.05   | Palm    – 0.07 ± 0.02                        |
| Cuff                         |                | Cuff -- 0.06 ± 0.02                          |

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# Pre-market Notification: Traditional 510(k) Submission Micro-Touch Denta-Glove with HydraSoft Coating Nitrile Examination Glove

| Physical Properties:                    | ASTM D6319-10                  | Meets ASTM D6319-10 requirements for tensile<br>strength and ultimate elongation before and after<br>accelerated aging:            |
|-----------------------------------------|--------------------------------|------------------------------------------------------------------------------------------------------------------------------------|
| Tensile Strength                        |                                |                                                                                                                                    |
| Before Aging                            | minimum 14 MPa                 | minimum 17 MPa                                                                                                                     |
| After Aging                             | minimum 14 MPa                 | minimum 17 MPa                                                                                                                     |
| Ultimate Elongation                     |                                |                                                                                                                                    |
| Before Aging                            | minimum 500%                   | minimum 500%                                                                                                                       |
| After Aging                             | minimum 400%                   | minimum 400%                                                                                                                       |
| Freedom from holes                      | ASTM D6319-10<br>ASTM D5151-06 | Meets ASTM D6319-10 and ASTM D5151-06<br>requirements of AQL 2.5                                                                   |
| Powder Residual                         | ASTM D6319-10<br>ASTM D6124-06 | Meets applicable requirement for powder free; ≤<br>2 mg per glove                                                                  |
| Biocompatibility:                       |                                |                                                                                                                                    |
| ISO In Vitro<br>Cytotoxicity            | ISO 10993-5:2009               | Under the conditions of the study, undiluted and<br>1:2 dilution was cytotoxic. 1:4, 1:8, 1:16, 1:32 and<br>1:64 are not cytotoxic |
| ISO Skin Irritation<br>Study            | ISO10993-10:2010               | Under the conditions of the study, not an irritant                                                                                 |
| ISO Maximization<br>Sensitization Study | ISO 10993-10:2010              | Under the conditions of the study, not a<br>sensitizer                                                                             |
| ISO acute systemic<br>toxicity          | ISO 10993-11: 2006             | Under the conditions of the study, no evidence of<br>systemic toxicity                                                             |

# Substantial Equivalence:

| Trade name                | Predicate Device                                                                                                                                                                                     | Reference Device                                                                                                                                                                                                             | Proposed Subject<br>Device                                                                                                                                                                              | Substantial<br>Equivalence to<br>Predicate |
|---------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------|
|                           | Powder Free Nitrile<br>Patient Examination<br>Glove, Blue Colored,<br>and White (Non-<br>colored). Non-sterile,<br>Polymer Coated                                                                    | Encore Sterile Powder-<br>Free Polymer Coated<br>Latex Surgical Glove<br>with Hydrasoft Coating<br>(containing glycerine)<br>and Protein Labeling<br>Claim (50mg or less)                                                    | MICRO-TOUCH®<br>DENTA-GLOVE® Nitrile<br>HydraSoft™ Non-<br>Sterile Powder-Free<br>Examination Glove                                                                                                     | Not applicable                             |
| 510k Number               | K123469                                                                                                                                                                                              | K051793                                                                                                                                                                                                                      | Pending                                                                                                                                                                                                 | Not Applicable                             |
| Product Owner             | Wear Safe Malaysia                                                                                                                                                                                   | Ansell Healthcare                                                                                                                                                                                                            | Ansell Healthcare                                                                                                                                                                                       | Ansell Healthcare                          |
| Product Code              | LZA                                                                                                                                                                                                  | KGO                                                                                                                                                                                                                          | LZA                                                                                                                                                                                                     | Same                                       |
| Regulation<br>Number      | 21 CFR 880.6250                                                                                                                                                                                      | 21 CFR 878.4460                                                                                                                                                                                                              | 21 CFR 880.6250                                                                                                                                                                                         | Same                                       |
| Regulatory Class          | 1                                                                                                                                                                                                    | 1                                                                                                                                                                                                                            | 1                                                                                                                                                                                                       | Same                                       |
| Regulation Name           | Patient Examination<br>Glove                                                                                                                                                                         | Surgeon's Glove                                                                                                                                                                                                              | Patient Examination<br>Glove                                                                                                                                                                            | Same                                       |
|                           |                                                                                                                                                                                                      |                                                                                                                                                                                                                              |                                                                                                                                                                                                         | Iselin, NJ 088-                            |
| Intended Uses             | The patient<br>examination glove is a<br>disposable device<br>intended for medical<br>purposes that is worn<br>on the examiner's hand<br>to prevent<br>contamination between<br>patient and examiner | The surgical glove is<br>intended to be worn by<br>operating room<br>personnel to protect a<br>surgical wound from<br>contamination. The<br>latex glove contain 50<br>micrograms or less of<br>water extractable per<br>gram | The patient<br>examination glove is a<br>disposable device<br>intended for medical<br>purposes that is worn<br>on the examiner's<br>hand to prevent<br>contamination<br>between patient and<br>examiner | Same                                       |
| Material<br>Composition   | Synthetic nitrile rubber                                                                                                                                                                             | Natural rubber latex                                                                                                                                                                                                         | Synthetic nitrile rubber                                                                                                                                                                                | Same                                       |
| Coating                   | Polyacrylic polymer<br>inner coating to aid<br>donning                                                                                                                                               | Polyurethane polymer<br>inner coating to aid<br>donning                                                                                                                                                                      | Polyacrylic polymer<br>inner coating to aid<br>donning                                                                                                                                                  | Same                                       |
| HydraSoft<br>Coating      | N/A                                                                                                                                                                                                  | HydraSoft™ Coating<br>coated on the donning<br>surface                                                                                                                                                                       | HydraSoft™ Coating<br>coated on the donning<br>surface                                                                                                                                                  | Different from<br>predicate                |
| Design                    | Non-sterile                                                                                                                                                                                          | Sterile                                                                                                                                                                                                                      | Non-sterile                                                                                                                                                                                             | Same                                       |
|                           | Single use                                                                                                                                                                                           | Single use                                                                                                                                                                                                                   | Single use                                                                                                                                                                                              | Same                                       |
|                           | Powder-free                                                                                                                                                                                          | Powder-free                                                                                                                                                                                                                  | Powder-free                                                                                                                                                                                             | Same                                       |
|                           | Ambidextrous                                                                                                                                                                                         | Hand specific                                                                                                                                                                                                                | Ambidextrous                                                                                                                                                                                            | Same                                       |
|                           | Beaded cuff                                                                                                                                                                                          | Beaded cuff                                                                                                                                                                                                                  | Beaded cuff                                                                                                                                                                                             | Same                                       |
| Color                     | White                                                                                                                                                                                                | White                                                                                                                                                                                                                        | White                                                                                                                                                                                                   | Same                                       |
| Shelf Life                | 3 years                                                                                                                                                                                              | 3 years                                                                                                                                                                                                                      | 3 years                                                                                                                                                                                                 | Same                                       |
| Performance               |                                                                                                                                                                                                      |                                                                                                                                                                                                                              |                                                                                                                                                                                                         | Same                                       |
| a. Dimensions             | Meets ASTM D6319-10<br>requirements                                                                                                                                                                  | Meets ASTM 3577<br>requirements                                                                                                                                                                                              | Meets ASTM D6319-10<br>requirements                                                                                                                                                                     |                                            |
| b. Physical<br>Properties | Meets ASTM D6319-10<br>requirements                                                                                                                                                                  | Meets ASTM 3577<br>requirements                                                                                                                                                                                              | Meets ASTM D6319-10<br>requirements                                                                                                                                                                     | Same                                       |
| c. Freedom from<br>holes  | Meets ASTM D6319-10<br>requirements of GI, AQL<br>2.5                                                                                                                                                | Meets ASTM 3577<br>requirements<br>of GI, AQL 1.5                                                                                                                                                                            | Meets ASTM D6319-10<br>requirements of GI,<br>AQL 2.5                                                                                                                                                   | Same                                       |
| d. Powder<br>Residual     | Meets ASTM D6319-10<br>requirements; Not<br>more than 2.0mg/glove                                                                                                                                    | Meets ASTM 3577<br>requirements; Not more<br>than 2.0mg/glove                                                                                                                                                                | Meets ASTM D6319-10<br>requirements; Not<br>more than<br>2.0mg/glove                                                                                                                                    | Same                                       |
| e. Sterility              | Non-sterile                                                                                                                                                                                          | Sterile                                                                                                                                                                                                                      | Non-sterile                                                                                                                                                                                             | Same                                       |
| Biocompatibility          | Passes Primary Skin<br>Irritation Test and<br>Dermal Sensitization<br>Test                                                                                                                           | Passes Primary Skin<br>Irritation Test and<br>Dermal Sensitization<br>Test                                                                                                                                                   | "Under the conditions<br>of the study, not an<br>irritant" and "Under<br>the conditions of the<br>study, not a sensitizer"                                                                              | Same                                       |

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## Pre-market Notification: Traditional 510(k) Submission Micro-Touch Denta-Glove with HydraSoft Coating Nitrile Examination Glove

The MICRO-TOUCH® DENTA-GLOVE® Nitrile HydraSoft™ are non-sterile, single use only, disposable, powder free patient examination gloves. The glove is made of nitrile butadiene rubber. A polyacrylic polymer is applied to the inner surface of the glove to make donning easy. Hydrasoft coating glycerine) is applied on top of the polymer coating on the glove inner surface.

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The subject device meets the applicable requirements for patient examination gloves regarding dimensions and sizes, physical properties, freedom from holes, and powder residues as found in the following standards: ASTM D6319, ASTM D5151 and ASTM D6124. The subject device passes biological reactivity testing for dermal sensitization and irritation, in accord with the ISO 10993 series of standards.

### Performance Data:

A clinical study was not conducted on the subject or predicate devices.

# Substantial Equivalence Statement

The Micro-Touch Denta-Glove with HydraSoft Coating Nitrile Patient Examination Glove is as safe and effective as the predicate device with respect to design, technological characteristics, intended use and conformance to standard requirements.

# Conclusion

The conclusions drawn from the non clinical tests demonstrate that theMicro-Touch Denta-Glove with HydraSoft Coating Nitrile Patient Examination Glove is as safe and effective as the legally marketed predicate device previously cleared under K123469, Class I (21 CFR 880.6250, Product Code: LZA).

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**Source:** [https://fda-staging.innolitics.com/device/K171737](https://fda-staging.innolitics.com/device/K171737)

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