← Product Code [LZA](/productcode/LZA) · K994124

# NIPROTECT POWDER-FREE NITRILE EXAMINATION GLOVES (K994124)

_Mapa Professional · LZA · Aug 11, 2000 · General Hospital · SESE_

**Canonical URL:** https://fda-staging.innolitics.com/device/K994124

## Device Facts

- **Applicant:** Mapa Professional
- **Product Code:** [LZA](/productcode/LZA.md)
- **Decision Date:** Aug 11, 2000
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 880.6250
- **Device Class:** Class 1
- **Review Panel:** General Hospital

## Indications for 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.

## Device Story

NIPROTECT Powder-Free Nitrile Ambidextrous Gloves are disposable medical examination gloves. Worn by clinicians on hands/fingers during patient examinations; primary function is barrier protection to prevent cross-contamination between patient and examiner. Device is non-sterile, ambidextrous, and composed of nitrile material. Used in clinical settings; no complex operation or electronic components involved.

## Clinical Evidence

Bench testing only. Device conforms to ASTM D6319 (Standard Specification for Nitrile Examination Gloves), ASTM D412 (Tensile Strength), ASTM D624 (Tear), EN 388 (Puncture), and ASTM D6124 (Residual Powder). No clinical data provided.

## Technological Characteristics

Nitrile examination glove; ambidextrous; powder-free. Conforms to ASTM D6319, ASTM D412, ASTM D624, ASTM D5151, and EN 388. Non-sterile.

## 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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>
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K994124

AUG 1 1 2000

Image /page/0/Picture/2 description: The image shows the word "MAPA" in large, bold, black letters. Below the word "MAPA" is the word "PROFESSIONAL" in smaller, bold, black letters. The letters are all capitalized and the background is white. The logo appears to be for a brand or product called "MAPA PROFESSIONAL".

1126 Industrial Parkway N. Brunswick, OH 44212. 800.537.2897. Fax: 800.537.3299 e-mail: ce@mapaglove.com. http://www.mapaglove.com

Page 1 of 3

# [1] 510 (k) Summary

Date Prepared: November 24, 1999

[2] Applicant.

MAPA PROFESSIONAL 1126 Industrial Parkway N. Brunswick, OH 44212 Tel: 800.537.2897 Fax: 800.537.3299 e-mail: ce@mapaglove.com

Contact Person:

Alejandro Sánchez Carretera Saltillo-Zacatecas Entronque a General Cepeda Km. 17.5 Col. La Encantada Saltillo, Coahuila Tel: 011(5284) 17 00 30 Fax: 011(5284) 17 82 11 e-mail: asanchez@interclan.net

[3] Name of Device:

Trade Name: Common Name: Classification Name: NIPROTECT Powder-Free Nitrile Ambidextrous Gloves. Patient Examination Glove

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K994124

Image /page/1/Picture/1 description: The image shows the word "MAPA" in large, bold, black letters. Below the word "MAPA" is the word "PROFESSIONAL" in smaller, bold, black letters. The text appears to be a logo or brand name.

1126 Industrial Parkway N. Brunswick, OH 44212. 800.537.2897. Fax: 800.537.3299 e-mail: ce@mapaglove.com. http://www.mapaglove.com

Page 2 of 3

### [4] Description:

Classified by FDA's general and Plastic device Panel as Class I (21 CFR 880.6250), NIPROTECT Powder-free Nitrile Ambidextrous Gloves (80LZA). Meets all requirements of ASTM D6319 Standard for Nitrile Examination gloves for medical application.

- NIPROTECT Powder-free Nitrile ambidextrous gloves meets the [ર] physical requirements of ASTM Standard D6319 Standard for Nitrile Examination gloves for medical application.
- િય Intended Use.

NIPROTECT Powder-free Nitrile Ambidextrous gloves is a disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner.

- NIPROTECT Powder-free Nitrile Ambidextrous gloves are sumarized [7] with the following technological characteristics compare to ASTM or equivalent standards.

| Characteristics           | Standard          |
|---------------------------|-------------------|
| Dimensions                | Meets ASTM D 6319 |
| Physical Properties       | Meets ASTM D 6319 |
| Tensile Strength, minimum | Meets ASTM D 412  |
| Freedom from holes        | Meets ASTM D 6319 |
|                           | Meets ASTM D 5151 |
| Powder Free               | Meets ASTM D 6319 |
|                           | Meets ASTM D 6124 |

Puncture

EN 388 Meets

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K994124

Image /page/2/Picture/1 description: The image shows the logo for MAPA Professional. The word "MAPA" is in large, bold, black letters. Below it, the word "PROFESSIONAL" is in smaller, bold, black letters.

1126 Industrial Parkway N. Brunswick, OH 44212. 800.537.2897. Fax: 800.537.3299 e-mail: ce@mapaglove.com. http://www.mapaglove.com

Page 2 of 3

[8] Comparison to Predicate Device and Equivalence.

Non-clinical Performance Date:

Applicant device conforms fully to ASTM D6319. Standards specifications for Nitrile examination gloves for medical application. It also meets all requirements of ASTM D412-Tensile, ASTM D624-Tear, EN 388-Puncture and ASTM D6124-residual powder. This device is substantially equivalent to those in commercial distribution.

#### તિ) Conclusions:

It is concluded that NIPROTECT Powder-Free Ambidextrous Gloves are safe, effective and substantially equivalent to those currently in commercial distribution. It conforms fully to ASTM D6319, Standard specification for nitrile examination gloves for medical application and 21 CFR170-199 food additives.

- This summary will include any other information reasonable deemed [10] necessary by the FDA.

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# DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image is a circular seal for the U.S. Department of Health & Human Services. The seal features the department's name encircling the perimeter in bold, uppercase letters. At the center is a stylized emblem consisting of three abstract, wing-like shapes, arranged in a descending, overlapping pattern. The emblem is rendered in solid black, contrasting with the white background of the seal.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

AUG 1 1 2000

Mapa Professional C/O Mr. Alejandro Sanchez Quality Manager Carretera Saltillo-General Cepeda 947 Col. La Encantada Saltillo Coah MEXICO

K994124 Re : Niprotect Powder-Free Nitrile Trade Name: Examination Gloves Regulatory Class: I Product Code: LZA July 6, 2000 Dated: Received: July 6, 2000

## Dear Mr. Sanchez:

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 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). 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 (Premarket Approval), it may be subject to such additional controls. Existing major requlations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. ਉ substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, 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 requlation may result in regulatory In addition, FDA may publish further announcements action. concerning your device in the Federal Register. Please note: this response to your premarket notification submission does 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.

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Page 2 - Mr. Sanchez

This letter will allow you to begin marketing your device as This letter will allow you ee are to trification. The FDA described in your 510(K) prematice of your device to a legally
finding of substantial equivalence of your device for your finding of substancial equivarence on a classification for your marketed predicate device resures in a camat.
device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling If you desire specific advice read additionally 809.10 for in regulation (21 crk Fare ove are sontact the Office of
vitro diagnostic devices), please contact the for questi vitro diagnostic devices); preaso otionally, for questions on Compliance at (301) 334 - 1222 - 12 - 12 - 12 - 12 - 12 - 12 - 12 - 12 - 12 - 12 - 12 - 12 - - 13 - - - 13 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - the promotion and advertising of your ac-rosy from the office of the Office of "Misbranding by reference to the regulation entitled, premarket notification" (21CFR 807.97). Other general premarket notification - (arch over the Act may be information on your responsible small Manufacturers Assistance obtained from the Division of Billian Halling (301) 443-6597 or at its internet address

lts incernet addrebb
"http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Patrice Cucentaffa

Timothy A. Ulatowski Director Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Image /page/5/Picture/0 description: The image shows the logo for Mapa Professional. The word "MAPA" is written in large, bold, black letters. Below it, the word "PROFESSIONAL" is written in smaller, black letters. The font is sans-serif and slightly slanted.

1126 Industrial Parkway N. Brunswick, OH 44212. 800.537.2897. Fax: 800.537.3299 isthal Parkway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

## Indications for Use Statement. 4.0

# INDICATIONS FOR USE

K994124

Applicant:

MAPA PROFESSIONAL -

510 (k) Number (if know):*

Device Name:

NIPROTECT - Powder free Nitrile Examination Gloves

Indications For Use:

A patient examination glove is a disposable device intended for medical A pattent exammation grove is a examiner's hand or finger to prevent contamination between patient and examiner.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED. Concurrence of CDRH Office of Device evaluation (ODE)

Chiu S. Lin

(Division Sign-Off) Division of Dental, Infection Control, and General Hospital Devig 1-10(k) Number _

Prescription Use

Over the Counter Use OR

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**Source:** [https://fda-staging.innolitics.com/device/K994124](https://fda-staging.innolitics.com/device/K994124)

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