← Product Code [LZA](/productcode/LZA) · K974114

# DASH, VITAL GARD (K974114)

_Dash Medical Gloves Sdn Bhd · LZA · Dec 18, 1997 · General Hospital · SESE_

**Canonical URL:** https://fda-staging.innolitics.com/device/K974114

## Device Facts

- **Applicant:** Dash Medical Gloves Sdn Bhd
- **Product Code:** [LZA](/productcode/LZA.md)
- **Decision Date:** Dec 18, 1997
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 880.6250
- **Device Class:** Class 1
- **Review Panel:** General Hospital

## Indications for Use

A medical glove is worn on the hand of health care and similar personnel to prevent contamination between health care personnel and the patient.

## Device Story

Vital Gard powder-free blue nitrile examination gloves serve as a protective barrier for healthcare personnel. Worn on the hands, the gloves prevent cross-contamination between the wearer and the patient. Used in clinical or similar settings, the device acts as a physical barrier to reduce the risk of infection transmission during patient examinations or procedures.

## Clinical Evidence

No clinical data provided; bench testing only.

## Technological Characteristics

Nitrile rubber material; powder-free; blue color; examination glove form factor. Class I device subject to general controls.

## 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.

## Submission Summary (Full Text)

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three lines forming its body and head. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Robert J. Sullivan Jr. President Dash Medical Gloves Sdn Bhd C/O Dash Medical Gloves Incorporated 10180 South 54th Street Franklin, Wisconsin 53132

DEC 1 8 1997

Re : K974114 Dash, "Vital Gard" Powderfree Blue Nitrile Trade Name: Examination Gloves Regulatory Class: I Product Code: LZA Dated: July 23, 1997 Received: October 31, 1997

Dear Mr. Sullivan:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). 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, labelinq, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. ರ್ substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in requlatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does

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Paqe 2 - Mr. Sullivan

not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations.

This letter will allow you to beqin marketing your device as described in your 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 requlation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4618. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to
premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.qov/cdrh/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

Directbr Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## INDICATIONS FOR USE

| Applicant: ___________________________________________________________________________________________________________________________________________________________________ |  |  | Dash Medical Gloves, Inc. |      |                                                          |  |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--|--|---------------------------|------|----------------------------------------------------------|--|
| 510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________ |  |  |                           | RITE |                                                          |  |
| Device Name: _________________________________________________________________________________________________________________________________________________________________ |  |  |                           |      | Dash, Vital Gard, Powder Free Nitrile Examination Gloves |  |
| Indications For Use:                                                                                                                                                           |  |  |                           |      |                                                          |  |

A medical glove is worn on the hand of health care and similar personnel to prevent contamination between health care personnel and the patient.

Robert J. Sullivan
President

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

Concurrence of CDRH Office of Device Evaluation (ODE)

Clim S. Lin

(Division Sign-Off)

Division of Dental, Infection Control, and General Hospita 510(k) Number .

Prescription Use Per 21 CFR 801.109 OR

Over-The-Counter X

(Optional Pormat 1-2-96)

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**Source:** [https://fda-staging.innolitics.com/device/K974114](https://fda-staging.innolitics.com/device/K974114)

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