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Nitrile Exam Gloves Powder Free, Standard Cuff: Colloidal Oatmeal System
Nitrile Exam Gloves Powder Free, Standard Cuff: Colloidal Oatmeal System
1200x1000x120 mm.
the pallet size
Additional Info:
Sizes: Classification:
6 (XS) – 10 (XL) EN ISO 374-1:2016/Type B Level EN374-4:2013
37% Formaldehyde 6 3.1%
40% Sodium Hydroxide 6 -25.6%
30% Hydrogen Peroxide 2 17.0%
EN ISO 374-5:2016
Resistance to Bacteria and Fungi Pass
Resistance to Virus Pass
SATRA Technology Europe Limited. Bracetown Business Park. Clonee. D15YN2P. Republic of Ireland.
Page 1 of 2
April 25, 2020 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
Hartalega NGC SDN. BHD. 801); medical device reporting (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
Nurul Kong https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-
Senior Manager- Quality Assurance combination-products); good manufacturing practice requirements as set forth in the quality systems (QS)
Kawasan Perindustrian Tanjung regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for
Sepang, Selangor 43900 combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-
Malaysia 542 of the Act); 21 CFR 1000-1050.
Re: K200581 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
Trade/Device Name: Biodegradable Nitrile Powder Free Examination Gloves Tested for Use with
803), please go to https://www.fda.gov/medical-devices/medical-device-safety/medical-device-reporting-
Chemotherapy Drugs and Fentanyl Citrate (Blue) mdr-how-report-medical-device-problems.
Regulation Number: 21 CFR 880.6250
Regulation Name: Non-Powdered Patient Examination Glove For comprehensive regulatory information about medical devices and radiation-emitting products, including
Regulatory Class: Class I, reserved information about labeling regulations, please see Device Advice (https://www.fda.gov/medical-
Product Code: LZA, LZC, QDO devices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn
Dated: February 27, 2020 (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
Received: March 5, 2020
the DICE website (https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-
assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE
Dear Nurul Kong: by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced Sincerely,
above and have determined the device is substantially equivalent (for the indications for use stated in the Elizabeth F.
enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the Claverie -S
enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance
CAPT Elizabeth Claverie, M.S.
with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a Assistant Director
premarket approval application (PMA). You may, therefore, market the device, subject to the general DHT4B: Division of Infection Control
controls provisions of the Act. Although this letter refers to your product as a device, please be aware that and Plastic Surgery Devices
some cleared products may instead be combination products. The 510(k) Premarket Notification Database OHT4: Office of Surgical
located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination and Infection Control Devices
product submissions. The general controls provisions of the Act include requirements for annual registration, Office of Product Evaluation and Quality
Center for Devices and Radiological Health
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 Enclosure
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
TEST REPORT
TEST REPORT
Product Description : Powder Free Nitrile Examination Gloves
Country of Origin : Malaysia
Size : Medium Product Description : Powder Free Nitrile Examination Gloves
Quantity Tested : 200 pieces Country of Origin : Malaysia
Test Conducted : Freedom from holes Size : Medium
: Quantity Tested : 13 pieces
Test Method EN455 Part 1:2000
Test Conducted : Dimensions
Testing Period : 02 Mar 2018 – 08 Mar 2018
Test Method : EN 455 Part 2:2015
Testing Period : 02 Mar 2018 – 08 Mar 2018
Based on submitted samples, the following results obtained :-
Based on submitted samples, the following results obtained :-
Acceptable Quality Limit (AQL) : 1.5 Accept : 7 Found : 2
Size M M M
Size M M M M M M M M M M Median
Note: Upon Customer’s request, this report has been issued in more than one original. Only the first original is a
legally binding document and may be used for any legal purpose, including payment. (Original 1-3) Length 250 255 250 255 251 250 252 252 250 254 252 253 252 252
Note: Upon Customer’s request, this report has been issued in more than one original. Only the first original is a
legally binding document and may be used for any legal purpose, including payment. (Original 1-3)
--------------------------
-------------------------- CHEE TUCK CHOON
CHEE TUCK CHOON B.Sc. MMIC
B.Sc. MMIC SECTION HEAD
SECTION HEAD This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com/en/Terms-and-Conditions.aspx and, for
electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com/en/Terms-and-Conditions/Terms-e-Document.aspx . Attention is drawn to the limitation of
This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com/en/Terms-and-Conditions.aspx and, for liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only
and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and
electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com/en/Terms-and-Conditions/Terms-e-Document.aspx . Attention is drawn to the limitation of
obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the
liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only
content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. Unless otherwise stated the results shown in this test report refer only to the sample(s)
and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and tested and such sample(s) are retained for seven days (perishable food sample) or three months only.
obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the
content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. Unless otherwise stated the results shown in this test report refer only to the sample(s) SGS (Malaysia) Sdn. Bhd. Lot 4, Persiaran Jubli Perak, Seksyen 22, 40300 Shah Alam, Selangor, Malaysia
tested and such sample(s) are retained for seven days (perishable food sample) or three months only.
(Company No. 10871-T) t +6 (03) 5481 8282 f +6 (03) 5481 8215 www.sgs.com
SGS (Malaysia) Sdn. Bhd. Lot 4, Persiaran Jubli Perak, Seksyen 22, 40300 Shah Alam, Selangor, Malaysia
Member of the SGS Group (SGS SA)
(Company No. 10871-T) t +6 (03) 5481 8282 f +6 (03) 5481 8215 www.sgs.com
Member of the SGS Group (SGS SA)
TEST REPORT
Product Description : Powder Free Nitrile Examination Gloves TEST REPORT
Country of Origin : Malaysia
Size : Medium Product Description : Powder Free Nitrile Examination Gloves
Quantity Tested : 13 pieces Country of Origin : Malaysia
Test Conducted : Force at Break During Shelf Life and After Size : Medium
Test Method : Challenge EN 455 Part 2:2015 Quantity Tested : 5 pieces
Ageing : 70 ± 2 Deg C for 168 hrs Test Conducted : Powder Content
Testing Period : 02 Mar 2018 – 14 Mar 2018 Test Method : EN455 Part 3:2015
Testing Period : 02 Mar 2018 – 08 Mar 2018
Force at Break, N
SIZE SAMPLE NO. BEFORE AGING AFTER AGING
M 1 8.2 8.4
2 8.1 8.2
On testing the samples, the following results were obtained:-
3 7.9 6.5
4 7.3 7.9
5 8.5 6.6
6 9.2 9.3 SIZE Average Powder Mass per Glove
7 8.7 7.2
8 8.8 7.4 M 0.26 mg
9 9.3 7.1
10 8.0 7.9
11 9.2 7.3 Note: Upon Customer’s request, this report has been issued in more than one original. Only the first original is a
12 6.3 7.1 legally binding document and may be used for any legal purpose, including payment. (Original 1-3)
13 8.1 7.1
Median 8.2 7.3
Requirement ≥ 6.0 ≥ 6.0
Note: Upon Customer’s request, this report has been issued in more than one original. Only the first original is a
legally binding document and may be used for any legal purpose, including payment. (Original 1-3)
-------------------------- --------------------------
CHEE TUCK CHOON CHEE TUCK CHOON
B.Sc. MMIC B.Sc. MMIC
SECTION HEAD SECTION HEAD
This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com/en/Terms-and-Conditions.aspx and, for This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com/en/Terms-and-Conditions.aspx and, for
electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com/en/Terms-and-Conditions/Terms-e-Document.aspx . Attention is drawn to the limitation of electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com/en/Terms-and-Conditions/Terms-e-Document.aspx . Attention is drawn to the limitation of
liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only
and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and
obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the
content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. Unless otherwise stated the results shown in this test report refer only to the sample(s) content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. Unless otherwise stated the results shown in this test report refer only to the sample(s)
tested and such sample(s) are retained for seven days (perishable food sample) or three months only. tested and such sample(s) are retained for seven days (perishable food sample) or three months only.
SGS (Malaysia) Sdn. Bhd. Lot 4, Persiaran Jubli Perak, Seksyen 22, 40300 Shah Alam, Selangor, Malaysia SGS (Malaysia) Sdn. Bhd. Lot 4, Persiaran Jubli Perak, Seksyen 22, 40300 Shah Alam, Selangor, Malaysia
(Company No. 10871-T) t +6 (03) 5481 8282 f +6 (03) 5481 8215 www.sgs.com (Company No. 10871-T) t +6 (03) 5481 8282 f +6 (03) 5481 8215 www.sgs.com
Member of the SGS Group (SGS SA) Member of the SGS Group (SGS SA)