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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 K211131
Device Name Disposable Nitrile Medical Examination Glove
Applicant
Siyang Threeguard Medical Supplies Co., Ltd.
East Of Nanhai Rd. And S. Of Guilin Rd.,
Economic Development Zone, Siyang County
Suqian,  CN 223799
Applicant Contact Guo Hua
Correspondent
Shanghai Truthful Information Technology Co., Ltd.
Rm.608,# 738,Shangcheng Rd., Pudong
Shanghai,  CN 200120
Correspondent Contact Boyle Wang
Regulation Number880.6250
Classification Product Code
LZA  
Date Received04/16/2021
Decision Date 07/29/2021
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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