K Number
K221350

Validate with FDA (Live)

Date Cleared
2022-08-05

(87 days)

Product Code
Regulation Number
880.6250
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Non-sterile Powder Free Nitrile Examination Gloves (tested for use with Chemotherapy Drugs) is a non-sterile, single-use, disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner. These gloves have been tested for use with chemotherapy drugs per ASTM D6978-05 (2019) Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs.

Device Description

The subject device, Non-sterile Powder Free Nitrile Examination Gloves (tested for use with Chemotherapy Drugs), is a single use, disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner. These gloves have been tested for use with chemotherapy drugs per ASTM D6978-05 (2019) Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs. These gloves are made of synthetic copolymer of acrylonitrile and butadiene with a blue color additive. The gloves are provided in sizes XS, S. M, L and XL.

AI/ML Overview

The provided text describes the acceptance criteria and performance of "Non-Sterile Powder Free Nitrile Examination Gloves (Tested for Use with Chemotherapy Drugs)" in comparison to a predicate device. This is a medical device submission, and the information is presented as part of a 510(k) summary to the FDA. As such, the "study" referred to is a series of non-clinical tests performed to demonstrate substantial equivalence, rather than a clinical study involving human patients.

Here's a breakdown of the requested information based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance:

The document presents the acceptance criteria and results mainly in reference to established ASTM and ISO standards for medical gloves. The "Reported Device Performance" column directly reflects the results from the non-clinical tests.

StandardTestingAcceptance Criteria (Requirements)Reported Device Performance (Results)
ASTM D6319-19Standard Specification for Nitrile Examination Gloves for Medical ApplicationProduct dimension:- Width: 70mm (±10mm) - XS, 80mm (±10mm) - S, 95mm (±10mm) - M, 110mm (±10mm) - L, 120mm (±10mm) - XL- Overall Length: 220 mm (Minimum) – S and XS, 230 mm (Minimum) – M, L and XL- Thickness: Finger - 0.05 mm (Minimum), Palm - 0.05mm (Minimum)Pass (met listed dimension requirements)
ASTM D412-16Standards test method for Vulcanized Rubber and Thermoplastics Elastomer - TensionPhysical properties:- Before Aging: - Tensile strength: min 14MPa - Elongation: min 500%- After Aging: - Tensile strength: min 14MPa - Elongation: min 400%Pass (met listed physical property requirements)
ASTM D5151-19Standard Test Method for detection of Holes in Medical GlovesPass Inspection Level G1, AQL 2.5Pass
ASTM D6124-06Standard Test Method for Residual Powder on Medical GlovesResidual powder meets specification < 2.0 mg/glovePass
ASTM D6978-05Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy DrugsAn assessment is made based on the permeation (breakthrough) of nine chemotherapy drugs through the glove material over a certain period of time (maximum testing time is 240 minutes)Carmustine (BCNU): 14.6 minutesCisplatin: > 240 minutesCyclophosphamide (Cytoxan®): > 240 minutesDacarbazine (DTIC): > 240 minutesDoxorubicin Hydrochloride: > 240 minutesEtoposide (Toposar®): > 240 minutesFluorouracil: > 240 minutesPaclitaxel (Taxol®): > 240 minutesThiotepa: 15.0 minutesWarning: Do not use with Carmustine and Thiotepa due to low permeation times.
ISO 10993-5Biological Evaluation on Medical Devices - Part 5: Test for In Vitro CytotoxicityPass in vitro cytotoxicityExhibited "Severe" reactivity at 100% concentration and no cytotoxic effect at 10% concentration. (Note: A systemic toxicity study was performed to address the safety of materials given the cytotoxicity result).
ISO 10993-10Biological evaluation on medical device Part 10: Test for Irritation and Skin SensitizationNo irritating and sensitizingUnder the condition of study not an irritant or a sensitizer.
ISO 10993-11Biological Evaluation of Medical Devices - Part 11: Test for Systemic ToxicityNo systemic toxicUnder the condition of the test, not a systemic toxicity.

2. Sample Sizes Used for the Test Set and Data Provenance:

  • Sample Size for Test Set: The document does not explicitly state a consolidated sample size for all tests. However, for specific tests, it does provide some details:
    • Freedom from Holes (ASTM D5151-19): AQL = 2.5, Inspection level G1. This standard outlines sampling plans, but the exact number of units tested is not provided in this summary. The predicate device mention "125 samples from batch of 35000", which gives a hint on the sample size used, but this is for the predicate not the subject device.
    • The other non-clinical tests (e.g., physical properties, biocompatibility, chemotherapy permeation) would also have specific sample sizes as per their respective standards, but these are not enumerated in this summary.
  • Data Provenance: The document does not explicitly state the country-of-origin for the "data" or whether the tests were retrospective or prospective. Given that this is a 510(k) summary for a device manufactured by "RUBBEREX ALLIANCE SDN BHD" in Malaysia, it is highly probable that the testing was performed in conjunction with the manufacturer or by contract labs. The tests are prospective as they are conducted specifically for the device submission.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications:

This section is not applicable as the described "study" consists of non-clinical, laboratory-based tests of physical properties and chemical resistance of gloves against established standards (ASTM, ISO). There is no "ground truth" derived from expert interpretation of medical images or patient outcomes data in this context. The "ground truth" is adherence to the objective criteria defined by the test methods and standards.

4. Adjudication Method for the Test Set:

This section is not applicable. Adjudication methods (like 2+1, 3+1) are used in clinical studies or studies involving subjective human interpretation (e.g., reviewing medical images) to resolve discrepancies. The tests described here are objective laboratory measurements against defined standards.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study:

This section is not applicable. An MRMC study assesses the effectiveness of a diagnostic device or AI with and without human readers. The device in question is a medical glove, for which such a study design is irrelevant.

6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study:

This section is not applicable. "Standalone" performance usually refers to the performance of an AI algorithm without human interaction. This document describes the performance of a physical medical device (gloves) through laboratory tests, not an AI algorithm. The performance described is "standalone" in the sense that it's the intrinsic performance of the glove material.

7. Type of Ground Truth Used:

The "ground truth" for the performance of these gloves is based on:

  • Established Standard Specifications: e.g., ASTM D6319-19 for dimensions, tensile strength, elongation.
  • Standardized Test Methods and Protocols: e.g., ASTM D5151-19 for holes, ASTM D6124-06 for residual powder, ASTM D6978-05 for chemotherapy drug permeation, ISO 10993 series for biocompatibility.
  • The results are quantitative measurements interpreted against pre-defined thresholds or criteria derived from these standards.

8. Sample Size for the Training Set:

This section is not applicable. There is no "training set" as this is not an AI/ML device. The tests performed are to evaluate manufactured products against predefined specifications.

9. How the Ground Truth for the Training Set Was Established:

This section is not applicable for the same reason as point 8.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: a symbol on the left and the FDA name and title on the right. The symbol on the left is a stylized representation of a human figure, while the text on the right reads "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue letters.

August 5, 2022

Rubberex Alliance Products Sdn Bhd % Kewin Tham Official Correspondent Mdi Consultants, Inc. 55 Northern Blvd. Suite 200 Great Neck, New York 11021

Re: K221350

Trade/Device Name: Non-Sterile Powder Free Nitrile Examination Gloves (Tested for Use with Chemotherapy Drugs) Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I, reserved Product Code: LZA, LZC, OPJ Dated: May 9, 2022 Received: May 10, 2022

Dear Kewin Tham:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and 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) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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. Please note: CDRH does not evaluate information related to contract liability warranties. We 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.

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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 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 801); medical device 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 https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (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 the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Bifeng Qian, M.D., Ph.D. Assistant Director DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K221350

Device Name

Non-Sterile Powder Free Nitrile Examination Gloves (Tested for Use with Chemotherapy Drugs)

Indications for Use (Describe)

Non-sterile Powder Free Nitrile Examination Gloves (tested for use with Chemotherapy Drugs) is a non-sterile, singleuse, disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner. These gloves have been

tested for use with chemotherapy drugs per ASTM D6978-05 (2019) Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs.

List of Drugs tested concentration and breakthrough detection time in maximum testing time is 240 minutes.

Drug TestedConcentrationBreakthrough Detection Time in Minutes
Carmustine (BCNU)3.3 mg/mL (3300 ppm)14.6
Cisplatin1.0 mg/mL (1000 ppm)> 240
Cyclophosphamide (Cytoxan®)20 mg/mL (20000 ppm)> 240
Dacarbazine (DTCI)10 mg/mL (10000 ppm)> 240
Doxorubicin Hydrochloride2.0 mg/mL (2000 ppm)> 240
Etoposide (ToposarⓇ)20 mg/mL (20000 ppm)> 240
Fluorouracil50 mg/mL (50000 ppm)> 240
Paclitaxel (Taxol®)6.0 mg/mL (6000 ppm)> 240
Thiotepa10 mg/mL (10000 ppm)15.0

Warning: Do not use with Carmustine and Thiotepa.

Please note that the following drugs have low permeation times:

Camustine (BCNU)3.3 mg/mL (3300 ppm)14.6 minutes
Thiotepa10.0 mg/mL (10000 ppm)15.0 minutes

Type of Use (Select one or both, as applicable)

☐ Prescription Use (Part 21 CFR 801 Subpart D)
☑ Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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510(k) SUMMARY

K221350 Date Summary Prepared: 29 July 2022

1. Submitter's Identification:

a. Applicant:RUBBEREX ALLIANCE SDN BHDLot 138201 Off ¾ Mile, Jalan BerchamKawasan Perindustrian Bercham31400 Ipoh, Perak, Malaysia
b. Applicant Contact Person:Sabri Bin Abdul HamidLot 138201 Off ¾ Mile, Jalan BerchamKawasan Perindustrian Bercham31400 Ipoh, Perak, Malaysia
c. Official 510k Correspondent:Ms. Kewin ThamOfficial Contact for RUBBEREX ALLIANCE SDN BHD
d. Official 510k Correspondent FirmMdi Consultants, Inc55 Northern Blvd. Suite 200Great Neck, New York 11021(516) 482-9001Fax: (516) 482-0186Email: kewin@mdiconsultants.com

2. Name of the Device:

Non-Sterile Powder Free Nitrile Examination Gloves (Tested for Use with Chemotherapy Drugs)

Regulation Number:21 CFR 880.6250
Regulation Name:Non-Powdered Patient Examination Glove
Regulatory Class:Class I, reserved
Product Code:LZA, LZC, OPJ

3. Information for the 510(k) Cleared Device (Predicate Device):

Predicate device:K213227
Trade/Device Name:Uweport Powder-Free Nitrile Examination Gloves Tested for Use
with Chemotherapy Drugs
Device Classification Name:Non-Powdered Patient Examination gloves
Regulation Number:21 CFR 880.6250
Device Class:Class I
Product Code:LZA, LZC, OPJ
Applicant name:Uweport LLC.

4. Device Description:

The subject device, Non-sterile Powder Free Nitrile Examination Gloves (tested for use with Chemotherapy Drugs), is a single use, disposable device intended for medical purposes that is worn

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on the examiner's hand to prevent contamination between patient and examiner. These gloves have been tested for use with chemotherapy drugs per ASTM D6978-05 (2019) Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs. These gloves are made of synthetic copolymer of acrylonitrile and butadiene with a blue color additive. The gloves are provided in sizes XS, S. M, L and XL.

ട. Indications for Use:

Non-sterile Powder Free Nitrile Examination Gloves (tested for use with Chemotherapy Drugs) is a non-sterile, single-use, disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner. These gloves have been tested for use with chemotherapy drugs per ASTM D6978-05 (2019) Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs.

List of Drugs tested concentration and breakthrough detection time in minutes. The maximum testing time is 240 minutes.

Drug TestedConcentrationBreakthroughDetection Timein Minutes
Carmustine (BCNU)3.3 mg/mL (3300 ppm)14.6
Cisplatin1.0 mg/mL (1000 ppm)> 240
Cyclophosphamide (Cytoxan®)20 mg/mL (20000 ppm)> 240
Dacarbazine (DTCI)10 mg/mL (10000 ppm)> 240
Doxorubicin Hydrochloride2.0 mg/mL (2000 ppm)> 240
Etoposide (Toposar®)20 mg/mL (20000 ppm)> 240
Fluorouracil50 mg/mL (50000 ppm)> 240
Paclitaxel (Taxol®)6.0 mg/mL (6000 ppm)> 240
Thiotepa10 mg/mL (10000 ppm)15.0

Warning: Do not use with Carmustine and Thiotepa.

Please note that the following drugs have low permeation times:
Camustine (BCNU)3.3 mg/mL (3300 ppm)14.6 minutes
Thiotepa10.0 mg/mL (10000 ppm)15.0 minutes

6. Comparison to the 510(k) Cleared Devices (Predicate Devices):

Table 1: Comparison to Predicate Device

CharacteristicPredicate DeviceSubject DeviceComparisonAnalysis
ManufacturerUweport LLCRubberex Alliance SdnBhdN/A
Device NameNitrile Exam Glove (testedfor use with ChemotherapyDrugs)Non-sterile Powder FreeNitrile Examination Gloves(tested for use withChemotherapy Drugs)Similar
510(k) ReferenceK213227K221350N/A
Product CodeLZA, LZC, OPJLZA, LZC, OPJSame
CharacteristicPredicate DeviceSubject DeviceComparisonAnalysis
Indication for UseUweport Powder-FreeNitrile Exam Gloves Testedfor Use with ChemotherapyDrugs is a non-sterile,disposable device intendedfor medical purposes that isworn on the examiner'shand to preventcontamination. The Gloveshave been tested for usewith chemotherapy drugsper ASTM D6978-05(2019)Standard Practice forAssessment of Resistance ofMedical Gloves toPermeation byChemotherapy Drugs.Non-sterile Powder FreeNitrile Examination Gloves(Tested for Use withChemotherapy Drugs) is anon-sterile, disposabledevice intended formedical purposes that isworn on the examiner'shand to preventcontamination. The gloveshave been tested for usewith chemotherapy drugsper ASTM D6978-05(2019) Standard Practicefor Assessment ofResistance of MedicalGloves to Permeation byChemotherapy Drugs.Similar
Regulation Number21 CFR 880.625021 CFR 880.6250Same
MaterialNitrileNitrileSame
ColorBlueBlueSame
Design FeaturesAmbidextrousTextured fingertipsBeaded cuffStraight fingersAmbidextrousTextured fingertipsBeaded cuffStraight fingersSame
SizesSmall, Medium, Large,Extra LargeExtra Small, Small,Medium, Large, ExtraLargeDifferent(1) See Below
Dimension-ThicknessComplies with ASTMD6319-19Palm: 0.07S; 0.08M; 0.08L;0.08XL all ± 0.03mmFinger: 0.09 ± 0.03mmComplies with ASTMD6319-19Palm: min 0.05mmFinger: min 0.05mmDifferentSee Below(2)
Dimension-WidthComplies with ASTMD6319-19Small: 85 ± 5mmMedium: 96 ± 5mmLarge: 108 ± 5mmExtra Large: 115 ± 5mmComplies with ASTMD6319-19Extra Small: 70 ± 10mmSmall: 80 ± 10mmMedium: 95 ± 10mmLarge: 110 ± 10mmExtra Large: 120 ± 10mmDifferentSee Below(3)
Dimension-LengthComplies with ASTMD6319-19Small: ≥ 220mmMedium/Large/Extra Large:≥ 240mmComplies with ASTMD6319-19Extra Small/Small: ≥220mmMedium/Large/ExtraLarge: ≥ 230mmDifferentSee Below(4)
Rx vs OTCOTCOTCSame
Sterile vs Non-SterileDisposable vs Non-DisposableNon-SterileDisposableNon-SterileDisposableSameSame
BiocompatibilityCytotoxicity ISO10993-5At 100% extraction the cellviability was 17.1%.Exhibited "Severe"reactivity at 100%concentration and noDifferentSee Below(5)
CharacteristicPredicate DeviceSubject DeviceComparisonAnalysis
BiocompatibilitySensitization ISO10993-10The test article passed bothextracts with a 0 score.The test article passed bothextracts with a 0 score.Same
BiocompatibilityIrritation ISO 10993-10The test article from bothextracts was categorized asnegligible under the testconditions.The test article from bothextracts was categorized asnegligible under the testconditions.Same
BiocompatibilityAcute SystemicToxicity ISO 10993-11:2017Under the conditions of thestudy the test article extractmet the requirements of thestudy; Body weight data andanimal appearance wasnormal throughout the study.Under the conditions of thestudy the test article extractmet the requirements of thestudy; Body weight dataand animal appearance wasnormal throughout thestudy.Same
Single UseYesYesSame
Physical Properties -Tensile StrengthComplies with ASTMD6319-19 at nominalconditions ≥ 14MPaComplies with ASTMD6319-19 at nominalconditions ≥ 14MPaSame
Physical Properties -ElongationComplies with ASTMD6319-19 at nominalconditions; ≥ 500%Complies with ASTMD6319-19Before aging: min 500%After aging: min 400%Different(6) See Below
Freedom from HolesComplies with ASTMD5151-19; AQL = 2.5, 125samples from batch of35000, inspection level 1,criterion ≤ 7Zero nonconformingComplies with ASTMD5151-19; AQL = 2.5,Inspection level G-1Similar
Residual PowderASTM D6124 Standard TestMethod for Residual Powderon Medical Gloves; residualpowder 0.15; 0.18 and 0.19mg/ gloveComplies with ASTMD6124 Standard TestMethod for ResidualPowder on MedicalGloves; residual powder ≤2.0 mg/ gloveSimilar
ChemotherapyPermeationASTM D6978-05(2019) Assessmentof Resistance ofMedical Gloves toPermeation byChemotherapy DrugsCarmustine (BCNU) 3.3mg/mL (3300 ppm): 22.6minutesCarmustine (BCNU) 3.3mg/mL (3300 ppm): 14.6minutesSimilar
Cisplatin 1.0 mg/mL (1000ppm): > 240 minutesCisplatin 1.0 mg/mL (1000ppm): > 240 minutesSame
Cyclophosphamide(Cytoxan®) 20 mg/mL(20000 ppm): > 240 minutesCyclophosphamide(Cytoxan®) 20 mg/mL(20000 ppm): > 240minutesSame
Dacarbazine (DTIC) 10mg/mL (10000 ppm): > 240minutesDacarbazine (DTIC) 10mg/mL (10000 ppm): >240 minutesSame
Doxurubicin Hydrochloride2.0 mg/mL (2000 ppm): >240 minutesDoxurubicinHydrochloride 2.0 mg/mL(2000 ppm): > 240 minutesSame
CharacteristicPredicate DeviceSubject DeviceComparisonAnalysis
Etoposide (Toposar®) 20mg/mL (20000 ppm): > 240minutesEtoposide (Toposar®) 20mg/mL (20000 ppm): >240 minutesSame
Fluorouracil 50 mg/mL(50000 ppm): > 240 minutesFluorouracil 50 mg/mL(50000 ppm): > 240minutesSame
Paclitaxel (Taxol®) 6.0mg/mL (6000 ppm): > 240minutesPaclitaxel (Taxol®) 6.0mg/mL (6000 ppm): > 240minutesSame
Thiotepa 10 mg/mL (10000ppm): 46.8 minutesThiotepa 10 mg/mL(10000 ppm): 15.0 minutesSimilar

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1. Sizes

The subject device sizes ranges from Extra Small, Small, Medium, Large, Extra Large, whereas the predicate device size ranges from Small, Medium, Large, Extra Large. This does not introduce any new risk to the device.

2. Dimension-Thickness

The subject device dimension thickness Palm: measures at a min of 0.05mm and Finger: measures at a min of 0.05mm, whereas the predicate device Palm: measures at 0.07 Small; 0.08 Medium; 0.08 Large; 0.08 Extra Large all ± 0.03m and Finger measures at: 0.09 ± 0.03mm. These differences do not affect the performance nor introduce any new risk to the device.

3. Dimension-Width

The subject device which complies with ASTM D6319-19 measures for: Extra Small: 70 ± 10mm Small: 80 ± 10mm Medium: 95 ± 10mm Large: 110 ± 10mm Extra Large: 120 ± 10mm Whereas, the predicate device which complies with ASTM D6319-19 measures for: Small: 85 ± 5mm Medium: 96 ± 5mm Large: 108 ± 5mm Extra Large: 115 ± 5mm These differences do not affect the device's performance or safety and effectiveness.

4. Dimension-Length

The subject device which complies with ASTM D6319-19 measures for: Extra Small/Small: ≥ 220mm Medium/Large/Extra Large: ≥ 230mm Whereas, the predicate which complies with ASTM D6319-19 measures for: Small: ≥ 220mm Medium/Large/Extra Large: ≥ 240mm

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These dimensional differences does not introduce any new risk to the device. Nor does it affect the device's safety and effectiveness.

5. Biocompatibility- Cytotoxicity ISO 10993-5

The subject device exhibited "severe" reactivity at 100% concentration and no cytotoxic effect at 10% concentration. Whereas, for the predicate device, at 100% extraction the cell viability was 17.1%.. To demonstrate the safety of the materials the sponsor elected to perform a systemic toxicity study in which the device was found to be non-toxic.

6. Physical Properties - Elongation

The subject device which complies with ASTM D6319-19 was found to be Before aging: min 500% After aging: min 400% Whereas, the predicate device which complies with ASTM D6319-19 at nominal conditions was ≥ 500%

These differences do not affect the device's performance or safety and effectiveness.

7. Summary of Non-Clinical Tests Performed

Non-sterile Powder Free Nitrile Examination Gloves (tested for use with Chemotherapy Drugs) was tested and found in conformance with the following standards.

StandardTestingRequirementsResults
ASTM D6319-19Standard Specificationfor NitrileExamination Glovesfor MedicalApplicationProduct dimension pass (between thetolerance gaps)Pass
Width:
70 mm (±10mm) - XS
80 mm (±10mm) - S
95 mm (±10mm) - M
110 mm (±10mm) - L
120 mm (±10mm) - XL
Overall Length:220 mm (Minimum) – S and XS230 mm (Minimum) – M, L andXL
Thickness: (for all sizes)Finger -0.05 mm (Minimum)Palm -0.05mm (Minimum)
ASTM D412-16Standards test methodfor Vulcanized Rubberand ThermoplasticsElastomer - TensionPhysical properties:Before Aging:Tensile strength: min 14MPaElongation: min 500%Pass
After Aging:Tensile strength: min 14MPa

Table 2: Summary Non-Clinical Tests

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StandardTestingRequirementsResults
Elongation: min 400%
ASTM D5151-19Standard Test Methodfor detection of Holesin Medical GlovesPass Inspection Level G1, AQL 2.5Pass
ASTM D6124-06Standard Test Methodfor Residual Powderon Medical GlovesResidual powder meets specification<2.0mg/glovePass
ASTM D6978-05Standard Practice forAssessment ofResistance of MedicalGloves to Permeationby ChemotherapyDrugsAn assessment is made based on thepermeation (breakthrough) of ninechemotherapy drugs through theglove material over a certain periodof timeSee Table 1 above
ISO 10993-5Biological Evaluationon Medical Devices-Part 5: Test for InVitro CytotoxicityPass in vitro cytotoxicityExhibited "Severe"reactivity at 100%concentration and nocytotoxic effect at10% concentration.
ISO 10993-10Biological evaluationon medical device Part10: Test for Irritationand Skin SensitizationNo irritating and sensitizingUnder the conditionof study not anirritant or asensitizer.
ISO 10993-11Biological Evaluationof Medical Devices -Part 11: Test forSystemic ToxicityNo systemic toxicUnder the conditionof the test, not asystemic toxicity.

The following National and International Standards were utilized for testing the subject device:

ASTM D6319-19Standard Specification for Nitrile Examination Glovesfor Medical Application
ASTM D412-16Standard Test Methods for Volcanized Rubber andThermoplastic Elastomers - Tension
ASTM D5151-19Standard Test Method for detection of Holes in MedicalGloves
ASTM D6124-06Standard Test Method for Residual Powder on MedicalGloves
ASTM D6978-05Standard Practice for Assessment of Resistance ofMedical Gloves to Permeation by Chemotherapy Drugs
ISO 10993-5Biological Evaluation on Medical Devices- Part 5: Testfor In Vitro Cytotoxicity
ISO 10993-10Biological Evaluation on Medical Devices- Part 10: Testfor Irritation and Skin Sensitization
ISO 10993-11Biological Evaluation of Medical Devices – Part 11:Testfor Systemic Toxicity

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Summary of Clinical Testing: 8.

Clinical Testing is not required for the subject gloves.

9. Conclusions:

The conclusion drawn from the non-clinical tests demonstrates that the subject device, Non-sterile Powder Free Nitrile Examination Glove (tested for use with Chemotherapy Drugs) is as safe, as effective, and performs as well as or better than the legally marketed Predicate device cleared under K213227.

§ 880.6250 Non-powdered patient examination glove.

(a)
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.(b)
Classification. Class I (general controls). The device, when it is a finger cot, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 880.9.