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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Polymer Patient Examination Glove
510(k) Number K162491
Device Name Nitrile Powder Free Examination Glove with Low Dermatitis Potential Claim (Blue)
Applicant
Hartalega Sdn Bhd
Dataran Sd Pju9
Bandar Sri Damansara,  MY 52200
Applicant Contact KUAN KAM HON
Correspondent
Hartalega Sdn Bhd
# 7 Kawasan Perusahaan Suria
Bestari Jaya,  SE 45600
Correspondent Contact NURUL AISYAH KONG BT ABDULLAH
Regulation Number880.6250
Classification Product Code
LZA  
Date Received09/07/2016
Decision Date 02/08/2017
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty General Hospital
510k Review Panel General Hospital
Statement Statement
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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