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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 K213044
Device Name Nitrile Examination Gloves
Applicant
Jiangsu Huayuan Medical Technology Co., Ltd.
No. 36 Nanzhuang Road,
High-Tech Industrial Development Zone
Dongtai City,  CN 224299
Applicant Contact Yun Gao
Correspondent
Shanghai Truthful information Technology Co., Ltd.
RM. 1801, No. 161 Lujiazui East Rd.,Pudong
Shanghai,  CN 200120
Correspondent Contact Boyle Wang
Regulation Number880.6250
Classification Product Code
LZA  
Date Received09/22/2021
Decision Date 01/21/2022
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty General Hospital
510k Review Panel General Hospital
Summary Summary
Type Traditional
Reviewed by Third Party No
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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