K Number
K223415

Validate with FDA (Live)

Date Cleared
2023-01-26

(77 days)

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

A patient examination glove is a disposable device intended for medical purpose that is worn on the examiner's hand or finger to prevent contamination between patient and examiner. These gloves were tested for use with Chemotherapy Drugs as per ASTM D6978-05 (2019), Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs: Test Chemotherapy Drugs are as follows: Carmustine 3.3mg/ml, Cisplatin 1 mg/ml, Cyclophosphamide 20 mg/ml, Dacarbazine 10 mg/ml, Doxorubicin, HCl 2 mg/ml, Etoposide 20 mg/ml, Fluorouracil 50 mg/ml, Methotrexate 25 mg/ml, Mitomycin 0.5 mg/ml, Oxaliplatin 5 mg/ml, Paclitaxel 6 mg/ml, Thiotepa 10 mg/ml, Vincristine 1 mg/ml. Test Fentanyl Citrate are as follows: Fentanyl Citrate Injection 100mcg/2ml. Warning: Do not use with Carmustine and Thiotepa. Please note that the following drugs have low permeation times: (1)Carmustine - 14.1 minutes (2)Thiotepa - 57.2 minutes.

Device Description

Nitrile Powder Free Blue Patient Examination Gloves Non-sterile, Tested For Use With Chemotherapy Drugs and Fentanyl Citrate meets all the requirements of ASTM standards D6319-19, D6978-05 (2019) and FDA 21 CFR 880.6250. Nitrile Powder Free Blue Patient Examination Gloves Non-sterile, Tested For Use With Chemotherapy Drugs are Class I patient examination gloves bear the product code Nitrile - LZA, LZC, OPJ and QDO (21CFR880.6250). The gloves are made from acrylonitrile-butadiene copolymer dispersion. Inner surface of gloves undergoes surface treatment process to produce a smooth surface that assists the user in donning the gloves without using any lubricant such as powder on the glove surface. These gloves are blue in color and are powder free. The gloves are ambidextrous i.e., can be worn on right hand or left hand, single use disposable devices that come in five sizes (XS, S, M, L and XL). The physical properties of glove, i.e., tensile strength meet ASTM D 6319-19.

AI/ML Overview

The provided document is a 510(k) summary for Nitrile Powder Free Blue Patient Examination Gloves. It details non-clinical testing to demonstrate the device meets acceptance criteria. No information regarding clinical effectiveness studies (such as MRMC studies or standalone algorithm performance for AI devices) is present, as this is not an AI/ML device.

Here's an analysis of the acceptance criteria and the studies that prove the device meets them:

1. Table of Acceptance Criteria and Reported Device Performance:

Characteristic and ParameterStandard / Test MethodAcceptance CriteriaProposed Device Performance (Result)Comparison Analysis (where available)
Residual PowderASTM D6124-06 (Reapproved 2017)Less than 2mg / gloveXS: 0.25mg/glove, S: 0.20mg/glove, M: 0.28mg/glove, L: 0.28mg/glove, XL: 0.38mg/gloveSimilar
Freedom of HolesASTM D5151-19Inspection level, G-I AQL 2.5 (In accordance with ASTM D6319-19)Passed G-I, AQL 1.5Similar (meets AQL 1.5 which is better than 2.5)
Physical Dimensions (ASTM D6319-19)
LengthXS: 220mm, min; S: 220mm, min; M: 230mm, min; L: 230mm, min; XL: 230mm, minXS: 245-251mm; S: 247-255mm; M: 245-255mm; L: 247-255mm; XL: 247-252mmSimilar
WidthXS: 70 ± 10mm; S: 80 ± 10mm; M: 95 ± 10mm; L: 110 ± 10mm; XL: 120 ± 10mmXS: 76-78mm; S: 82-88mm; M: 95-99mm; L: 111-118mm; XL: 120-127mmSimilar, subject device meets ASTM D6319 requirements
Thickness (Palm)0.05mm, minXS: 0.06-0.06mm; S: 0.06-0.07mm; M: 0.06-0.07mm; L: 0.06-0.06mm; XL: 0.06-0.06mm (average)Similar (all above min)
Thickness (Finger)0.05mm, minXS: 0.07-0.07mm; S: 0.07-0.08mm; M: 0.07-0.08mm; L: 0.07-0.08mm; XL: 0.07-0.08mm (average)Similar (all above min)
Physical Properties (ASTM D6319-19)
Tensile Strength (Before aging)14 MPa, minXS: 23.97 MPa, S: 26.35 MPa, M: 25.15 MPa, L: 25.11 MPa, XL: 25.85 MPa (average)Similar (all above min)
Tensile Strength (After accelerated aging)14 MPa, minXS: 27.11 MPa, S: 26.78 MPa, M: 29.22 MPa, L: 25.94 MPa, XL: 26.50 MPa (average)Similar (all above min)
Ultimate Elongation (Before aging)500%, minXS: 571%, S: 571%, M: 538%, L: 552%, XL: 525% (average)Similar (all above min)
Ultimate Elongation (After accelerated aging)400%, minXS: 462%, S: 458%, M: 434%, L: 457%, XL: 434% (average)Similar (all above min)
Chemotherapy Drug Permeation (ASTM D6897-05)
Carmustine 3.3mg/ml>240 minutes (General criteria mentioned in Table 2, but specific values for individual drugs are listed in the Indications for Use and Summary of Technological Characteristics)14.1 minutesSimilar; Below 240 minutes permeation times (Warning included)
Cisplatin 1 mg/ml>240 minutes (General criteria)>240 minutesSimilar
Cyclophosphamide 20 mg/ml>240 minutes (General criteria)>240 minutesSimilar
Dacarbazine 10 mg/ml>240 minutes (General criteria)>240 minutesSimilar
Doxorubicin, HCl 2 mg/ml>240 minutes (General criteria)>240 minutesSimilar
Etoposide 20 mg/ml>240 minutes (General criteria)>240 minutesSimilar
Fluorouracil 50 mg/ml>240 minutes (General criteria)>240 minutesSimilar
Methotrexate 25 mg/mlNot specified in predicate, but >240 min in proposed device>240 minutesOptional, subject device performs additional Chemo drug test
Mitomycin 0.5 mg/mlNot specified in predicate, but >240 min in proposed device>240 minutesOptional, subject device performs additional Chemo drug test
Oxaliplatin 5 mg/mlNot specified in predicate, but >240 min in proposed device>240 minutesOptional, subject device performs additional Chemo drug test
Paclitaxel 6 mg/ml>240 minutes (General criteria)>240 minutesSimilar
Thiotepa 10 mg/ml>240 minutes (General criteria)57.2 minutesSimilar; Below 240 minutes permeation times (Warning included)
Vincristine 1 mg/ml>240 minutes (General criteria)>240 minutesSimilar
Fentanyl Citrate Injection 100mcg/2ml>240 minutes (General criteria)>240 minutesSimilar
Biocompatibility Testing
Animal Irritation TestISO 10993-10Under the condition of study not an irritant.No observable irreversible alteration; PII = "0"; not corrosive; negligible primary irritation. Met requirement.Similar
Dermal Sensitization AssayISO 10993-10Under the condition of the study not a sensitizer.No sensitization induced. Met requirement.Similar
Acute Systemic ToxicityISO 10993-11Not induce systemic toxicityNon-toxic effects of extracts. Met requirement.Similar

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

The document does not specify the exact sample sizes used for each individual test (e.g., number of gloves tested for holes, number of material samples for tensile strength). However, the tests are conducted in accordance with the specified ASTM and ISO standards, which typically include defined sampling plans.

  • Data Provenance: The origin of the data is from non-clinical laboratory testing performed by "Mah Sing Healthcare Sdn Bhd" or their contracted laboratories, as part of the 510(k) submission process. The submission is from Malaysia. This is prospective data generated for regulatory submission.

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

This information is not applicable as the device is a physical medical glove and the testing involves objective measurement against pre-defined physical, chemical, and biological standards, not interpretation by human experts or AI algorithms. Ground truth is established by the test procedures and acceptance criteria defined in the ASTM and ISO standards.

4. Adjudication Method for the Test Set:

This is not applicable. As stated above, the device performance is evaluated against objective standards, not through adjudication of expert interpretations.

5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study Was Done, If So, What Was the Effect Size of How Much Human Readers Improve with AI vs Without AI Assistance:

This is not applicable. The device is a physical medical glove. The submission does not involve Artificial Intelligence (AI) or Machine Learning (ML) components, nor does it relate to diagnostic image interpretation where MRMC studies would typically be conducted.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done:

This is not applicable. The device is a physical medical glove and does not involve an algorithm.

7. The Type of Ground Truth Used:

The ground truth used for these tests is based on defined performance specifications and measurement methodologies established by widely recognized consensus standards such as ASTM (American Society for Testing and Materials) and ISO (International Organization for Standardization). For example:

  • Physical dimensions: Measured against specified millimeter ranges.
  • Tensile strength and elongation: Measured against minimum MPa and percentage values.
  • Freedom from holes: Assessed against an Acceptable Quality Limit (AQL) per ASTM D5151-19.
  • Chemotherapy drug permeation: Measured as breakthrough detection time in minutes per ASTM D6978-05.
  • Biocompatibility: Assessed based on observable reactions in animal models according to ISO 10993 series and reported as "Passed" or "Not an irritant/sensitizer/systemic toxin."

8. The Sample Size for the Training Set:

This is not applicable. There is no "training set" as this device is not an AI/ML product. The manufacturing process is controlled and monitored, but there isn't a data-driven training phase for the device itself.

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

This is not applicable. As there is no training set for an AI/ML algorithm, there is no ground truth established for one. The "ground truth" for glove manufacturing is established through quality control and adherence to standardized manufacturing practices and raw material specifications.

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo in blue, with the words "U.S. FOOD & DRUG" on top and "ADMINISTRATION" below.

February 2, 2023 Mah Sing Healthcare Sdn Bhd Ivan Tan Chee Wei Senior QA Manager Wisma Mah Sing, Penthouse Suite 1, 163 Jalan Sungai Besi Kuala Lumpur, Kuala Lumpur 57100 Malaysia

Re: K223415

Trade/Device Name: Nitrile Powder Free Blue Patient Examination Gloves, Non-Sterile, Tested for Use with Chemotherapy Drugs and Fentanyl Citrate Regulation Number: 21 CFR 880.6250 Regulation Name: Non-powdered patient examination glove Regulatory Class: Class I, reserved Product Code: LZA, LZC, OPJ, QDO

Dear Ivan Tan Chee Wei:

The Food and Drug Administration (FDA) is sending this letter to notify you of an administrative change related to your previous substantial equivalence (SE) determination letter dated 01/27/23. Specifically, FDA is updating this SE Letter to correct the contact name to include the two middle names as an administrative correction.

Please note that the 510(k) submission was not re-reviewed. For questions regarding this letter please contact Bifeng Qian, OHT4: Office of Surgical and Infection Control Devices, at: 301-796-2261 or bifeng.gian@fda.hhs.gov.

Sincerely,

Bifeng Qian -S

Bifeng Qian, MD, 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

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Image /page/1/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, with the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in blue, and the word "ADMINISTRATION" in a smaller font below.

January 26, 2023

Mah Sing Healthcare Sdn Bhd Ivan Wei Senior QA Manager Wisma Mah Sing, Penthouse Suite 1, 163 Jalan Sungai Besi Kuala Lumpur, Kuala Lumpur 57100 Malaysia

Re: K223415

Trade/Device Name: Nitrile Powder Free Blue Patient Examination Gloves, Non-Sterile, Tested for Use with Chemotherapy Drugs and Fentanyl Citrate Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I. reserved Product Code: LZA, LZC, OPJ, QDO Dated: November 1, 2022 Received: November 10, 2022

Dear Ivan Wei:

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 mav, 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.

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

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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 (OS) 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 -S

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) K223415

Device Name

Nitrile Powder Free Blue Patient Examination Gloves, Non-Sterile, Tested For Use With Chemotherapy Drugs and Fentanyl Citrate

Indications for Use (Describe)

A patient examination glove is a disposable device intended for medical purpose that is worn on the examiner's hand or finger to prevent contamination between patient and examiner.

These gloves were tested for use with Chemotherapy Drugs as per ASTM D6978-05 (2019), Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs:

Test Chemotherapy Drugs are as follows:

Test Chemotherapy Drugs ConcentrationMinimum Breakthrough Detection Time in minutes
*Carmustine 3.3mg/ml14.1
Cisplatin1 mg/ml>240
Cyclophosphamide 20 mg/ml>240
Dacarbazine 10 mg/ml>240
Doxorubicin, HCl2 mg/ml>240
Etoposide20 mg/ml>240
Fluorouracil 50 mg/ml>240
Methotrexate 25 mg/ml>240
Mitomycin 0.5 mg/ml>240
Oxaliplatin 5 mg/ml>240
Paclitaxel 6 mg/ml>240
*Thiotepa 10 mg/ml57.2
Vincristine 1 mg/ml>240
Test Fentanyl Citrate are as follows:

Test Chemotherapy Drugs Concentration Fentanyl Citrate Injection 100mcg/2ml

Minimum Breakthrough Detection Time in minutes >240

Warning: Do not use with Carmustine and Thiotepa. Please note that the following drugs have low permeation times: (1)Carmustine - 14.1 minutes (2)Thiotepa - 57.2 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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Image /page/5/Picture/0 description: The image contains the logo for MahSing Healthcare. The word "MahSing" is in a large, bold, red font. Below that, the word "HEALTHCARE" is in a smaller, black, sans-serif font. The logo is simple and clean, with a focus on the company name.

Premarket Notification [510(k)] No: K223415

510 (K) SUMMARY
1.0 Device NameNitrile Powder Free Blue Patient Examination Gloves, Non-Sterile,Tested For Use With Chemotherapy Drugs and Fentanyl Citrate.
2.0 Submitter name /Contact detailsMah Sing Healthcare Sdn. BhdWisma Mah Sing, Penthouse Suite 1,163 Jalan Sungai Besi,Kuala Lumpur57100MALAYSIA
Contact Person Details:Ivan Tan Chee Wei (Mr)E-mail: ivan.tan@mshealthcare.comTel: +60-3-3396 2288, Extn: 2213Fax: +60-3-3396 2299
3.0 SummaryPreparation DateJanuary 18, 2023
4.0 Device Name &ClassificationTrade Name: Nitrile Powder Free Blue Patient Examination GlovesNon-sterile, Tested for use with Chemotherapy Drugsand Fentanyl Citrate.
Common Name: Nitrile Powder Free Patient Examination Glove
Classification Name: Patient Examination Gloves SpecialtyPolymer Patient Examination Gloves
Device Classification: I
Regulation Number: 21 CFR 880.6250
Panel: General Hospital
Product Code: LZC, LZA, OPJ, QDO
5.0 Identification ofThe Legally MarketedDevicePredicate Device Name: Blue Colored, Powder Free Nitrile ExaminationGloves, Non-sterile, and Tested for UseWith Chemotherapy Drugs and Fentanyl Citrate
Predicate 510(K) Number: K192954
Manufacture's Name: Comfort Rubber Gloves Industries Sdn Bhd.
DrivingInnovation. Protecting Lives.MAH SING HEALTHCARE SDN BHDLot 6478, Lorong Sungai Puloh / KU6,Kawasan Industri Sungai Puloh,42100 Klang, Selangor.MALAYSIAT 603 3396 2288F 603 3396 2299mshealthcare.com

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Image /page/6/Picture/0 description: The image contains the logo for "Mah Sing Healthcare". The word "MahSing" is in red, with the word "Healthcare" in black underneath. The font is sans-serif and bolded.

6.0 Description of DeviceNitrile Powder Free Blue Patient Examination Gloves Non-sterile, TestedFor Use With Chemotherapy Drugs and Fentanyl Citrate meets all therequirements of ASTM standards D6319-19, D6978-05 (2019) and FDA21 CFR 880.6250.
Nitrile Powder Free Blue Patient Examination Gloves Non-sterile, TestedFor Use With Chemotherapy Drugs are Class I patient examination glovesbear the product code Nitrile - LZA, LZC, OPJ and QDO (21CFR880.6250).The gloves are made from acrylonitrile-butadiene copolymer dispersion.Inner surface of gloves undergoes surface treatment process to produce asmooth surface that assists the user in donning the gloves without usingany lubricant such as powder on the glove surface. These gloves are bluein color and are powder free. The gloves are ambidextrous i.e., can be wornon right hand or left hand, single use disposable devices that come in fivesizes (XS, S, M, L and XL). The physical properties of glove, i.e., tensilestrength meet ASTM D 6319-19.
7.0 Indications for UseA patient examination glove is a disposable device intended for medicalpurpose that is worn on the examiner's hand or finger to preventcontamination between patient and examiner.These gloves were tested for use with Chemotherapy Drugs as perASTM D6978-05 (2019), Standard Practice for Assessment of MedicalGloves to Permeation by Chemotherapy Drugs:
Test Chemotherapy Drugs are as follows:
Test ChemotherapyConcentrationMinimum Breakthrough
DrugsDetection Time in minutes
*Carmustine3.3mg/ml14.1
Cisplatin1 mg/ml>240
Cyclophosphamide20 mg/ml>240
Dacarbazine10 mg/ml>240
Doxorubicin, HCl2 mg/ml>240
Etoposide20 mg/ml>240
Fluorouracil50 mg/ml>240
Methotrexate25 mg/ml>240
Mitomycin0.5 mg/ml>240
Oxaliplatin5 mg/ml>240
Paclitaxel6 mg/ml>240
*Thiotepa10 mg/ml57.2
Vincristine1 mg/ml>240
Test Fentanyl Citrate are as follows:Test Chemotherapy DrugsConcentrationMinimum Breakthrough
Detection Time in minutes
Fentanyl Citrate Injection100mcg/2ml>240
Warning: Do not use with Carmustine and Thiotepa.
*Note:Please note that the following drugs have low permeation times:(1) Carmustine - 14.1 minutes(2) Thiotepa - 57.2 minutes.
ovation. Protecting Lives.MAH SING HEALTHCARE SDN BHDLot 6478, Lorong Sungai Puloh / KU6,Kawasan Industri Sungai Puloh,42100 Klang, Selangor.MALAYSIAT 603 3396 2288F 603 3396 2299mshealthcare.com

DrivingInn

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Image /page/7/Picture/0 description: The image contains the logo for "Mah Sing Healthcare". The words "MahSing" are in a large, bold, red font. Below that, the word "HEALTHCARE" is in a smaller, black, bold font. The logo is simple and professional.

8.0 Summary of the Technological Characteristic of the Device

Nitrile Powder Free Blue Patient Examination Gloves Non-sterile, Tested For Use with Chemotherapy Drugs and Fentanyl Citrate meets all the requirements of ASTM standards D6319-19, D6978-05 (2019) and FDA 21 CFR 880.6250.

1able1
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Characteristics andParametersStandardProposed DevicePredicate deviceComparisonAnalysis
510(k) Number-K223415K192954Different
Manufacturer-Mah Sing Healthcare Sdn.Bhd.Comfort Rubber GlovesIndustries Sdn BhdDifferent
Name of device-Nitrile Powder Free BluePatient ExaminationGloves, Non-Sterile,Tested for use withchemotherapy drugs andfentanyl citrateBlue Colored, PowderFree Nitrile ExaminationGloves, Non-Sterile, andTested for use withchemotherapy drugs andfentanyl citrateSimilar
Device ClassificationName/Regulation NumberPatient ExaminationGlove,21 CFR Part 880.6250Patient ExaminationGlove,21 CFR Part 880.6250Patient ExaminationGlove,21 CFR Part 880.6250Same
Product Code-LZA, LZC, OPJ, QDOLZA, LZC, QDOSame
Classification-Class 1Class 1Same
Raw Rubber MaterialASTM D 6319-19NitrileNitrileSame
Color-BlueBlueSame
Characteristics andParametersStandardProposed DevicePredicate deviceComparisonAnalysis
Chemotherapy DrugPermeation TestASTM D6897-05
Test ChemotherapyDrugsConcentrationMinimum Breakthrough Detection Time (min)
*Carmustine3.3mg/ml14.118.2SimilarBelow 240 minutespermeation times
Cisplatin1 mg/ml>240>240Similar
Cyclophosphamide20 mg/ml>240>240Similar
Dacarbazine10 mg/ml>240>240Similar
Doxorubicin, HCl2 mg/ml>240>240Similar
Etoposide20 mg/ml>240>240Similar
Fluorouracil50 mg/ml>240>240Similar
Methotrexate25 mg/ml>240Not testedOptional, Subjectdevice performadditionalChemotherapy drugtest
Mitomycin0.5 mg/ml>240Not testedOptional, Subjectdevice performadditionalChemotherapy drugtest
Oxaliplatin5 mg/ml>240Not testedOptional, Subjectdevice performadditionalChemotherapy drugtest
Paclitaxel6 mg/ml>240>240Similar
*Thiotepa10 mg/ml57.257.3SimilarBelow 240 minutespermeation times
Vincristine1 mg/ml>240>240Similar
Fentanyl Citrate Injection100 mcg/2ml>240>240Similar
Characteristics andParametersStandardProposed DevicePredicate deviceComparisonAnalysis
LengthXS: Min. 220mmS: Min.220mmM: Min.230mmL: Min.230mmXL: Min.230mmASTM D 6319-19XS: 245 -251mmS: 247 - 255mmM: 245 - 255mmL: 247 - 255mmXL: 247- 252mmMin. 240 mmSimilar
WidthXS:60mm - 80mmS: 70mm – 90mmM: 85mm - 105mmL: 100mm - 120mmXL:110mm - 130mmASTM D 6319-19XS: 76 - 78mmS: 82 - 88mmM: 95 - 99mmL: 111 - 118mmXL: 120 - 127mmNot stated by predicatedeviceSimilar, subjectdevice meetrequirementsof ASTMD6319
Palm Thickness(Minimum 0.05mm)ASTM D 6319-19Average: 0.06mmMin 0.05Similar
Finger Thickness(Minimum 0.05mm)ASTM D 6319-19Average: 0.07mmMin 0.05Similar
Tensile Strength(Before aging) Minimum14 MPaASTM D 6319-19Average: 25.29MPaMeetsSimilar
Tensile Strength(After accelerated aging)Minimum 14 MPaASTM D 6319-19Average: 27.11MPaMeetsSimilar
Ultimate Elongation(before aging) Minimum500%ASTM D 6319-19Average: 551%MeetsSimilar
Ultimate Elongation(after accelerated aging)Minimum 400%ASTM D 6319-19Average: 449%MeetsSimilar
Freedom of Holes MeetAQL 2.5 at G1ASTM D 5151-19Meet AQL 1.5 with G1PassesSimilar
Residual powder test(Less than 2mg/glove)ASTM D 6124-06Average powder residuefor each size.XS: 0.25mg/gloveS: 0.20mg/gloveM: 0.28mg/gloveL: 0.28mg/gloveXL: 0.38mg/gloveMeetsSimilar
Animal Irritation TestISO 10993-10Biological evaluationof medical devices -Part 10: Tests forirritation and skinsensitizationPassed.Under the conditions ofstudy, not an irritantPassesUnder the conditions ofthe study, the subjectdevice is non-irritatingSimilar
Dermal SensitizationISO 10993-10Biological evaluationof medical devices -Part 10: Tests forirritation and skinsensitizationPassed.Under the conditions ofstudy, not a sensitizerPassesUnder the conditions ofthe study, the subjectdevice is non-sensitizationSimilar
Acute Systemic ToxicityISO 10993-11Biological evaluationof medical devices -Part 11: Tests forsystemic toxicityNot induce acute systemictoxicityPassesUnder the conditions ofthe study, the subjectshowed no adversebiological reactionSimilar
Characteristics andParametersStandardProposed DevicePredicate deviceComparisonAnalysis
Indication for use-Nitrile Powder Free BluePatient ExaminationGloves, Non-Sterile,Tested for Use withChemotherapy Drugs andFentanyl Citrate is apatient examination gloveis a disposable deviceintended for medicalpurpose that is worn onthe examiner's hand orfinger to preventcontamination betweenpatient and examiner.These gloves were testedfor use withChemotherapy Drugs asper ASTM D6978-05(2019), Standard Practicefor Assessment ofMedical Gloves toPermeation byChemotherapy Drugs.Blue Colored, PowderFree Nitrile ExaminationGloves, Non-sterile, andTested for Use withChemotherapy Drugs andFentanyl Citrate is aspecialty medical glovewhich is a disposabledevice intended formedical purpose that isworn on the examiner'shand or finger to preventcontamination betweenexaminer and patient. Theglove was tested for usewith Chemotherapy Drugsand Fentanyl Citrate as perASTM D6978-05Standard Practice forAssessment of MedicalGloves to Permeation byChemotherapy Drugs.Same intendeduse

Driving Innovation. Protecting Lives.

mah sing healthcare sdn bhd Lot 6478, Lorong Sungai Puloh / KU6, Kawasan Industri Sungai Puloh, 42100 Klang, Selangor. MALAYSIA

T 603 3396 2288 F 603 3396 2299 mshealthcare.com

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Image /page/8/Picture/0 description: The image contains the logo for Mah Sing Healthcare. The word "MahSing" is in red, with the "M" being larger than the other letters. Below "MahSing" is the word "HEALTHCARE" in black, block letters. The logo is simple and modern.

DrivingInnovation. Protecting Lives.

MAH SING HEALTHCARE SDN BHD Lot 6478, Lorong Sungai Puloh / KU6, Kawasan Industri Sungai Puloh, 42100 Klang, Selangor. MALAYSIA

T 603 3396 2288 F 603 3396 2299 mshealthcare.com

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Lot 6478, Lorong Sungai Puloh / KU6,

Kawasan Industri Sungai Puloh,

42100 Klang, Selangor.

MALAYSIA

F 603 3396 2299 mshealthcare.com

Driving Innovation. Protecting Lives.

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9.0 Summary of Non-Clinical Testing

Table 2 -Performance Testing

Non-Clinical Testing
Test MethodPurposeAcceptance CriteriaResult
ASTM D6124-06(Reapproved 2017)Standard Test Method forResidual Powder on MedicalGloves.To determine theresidual powder inthe glovesLess than 2mg / gloveSize XS 0.25mg /gloveSize S 0.20mg /gloveSize M 0.28mg /gloveSize L 0.28mg /gloveSize XL 0.38mg /glove
ASTM D5151-19Standard Test Method forDetection of Holes inMedical Gloves.To determine theholes in the glovesInspection level, G-IAQL 2.5(In accordance with ASTMD6319-19)Passed G-I, AQL 1.5
ASTM D6319-19Standard Specificationfor Nitrile ExaminationGloves for MedicalApplication.To determine thelength of the glovesSize XS 220mm, minSize S 220mm, minSize M 230mm, minSize L 230mm, minSize XL 230mm, minSize XS 245 - 251mmSize S 247 - 255mmSize M 245 - 255mmSize L 247 - 255mmSize XL 247 - 252mm
ASTM D6319-19Standard Specification forNitrile Examination Glovesfor Medical Application.To determine thewidth of the glovesSize XS 70 ± 10mmSize S 80 ± 10mmSize M 95 ± 10mmSize L 110 ± 10mmSize XL 120 ± 10mmSize XS 76 - 78mmSize S 82 - 88mmSize M 95 - 99mmSize L 111 - 118mmSize XL 120 - 127mm
Non-Clinical Testing (Cont'd)
Test MethodPurposeAcceptance CriteriaResult
ASTM D6319-19Standard Specificationfor Nitrile ExaminationGloves for MedicalApplication.To determine thethickness of theglovesPalm0.05mm, minMeasured in single wall at approximate center of palm areaSize XS 0.06 - 0.06mmSize S 0.06 - 0.07mmSize M 0.06 - 0.07mmSize L 0.06 - 0.06mmSize XL 0.06 - 0.06mm
Finger0.05mm, minMeasured in single wall at 13±3mm from the tip of middle fingerSize XS 0.07 — 0.07mmSize S 0.07 - 0.08mmSize M 0.07 - 0.08mmSize L 0.07 - 0.08mmSize XL 0.07 - 0.08mm
ASTM D6319-19Standard Specificationfor Nitrile ExaminationGloves for MedicalApplication.To determine thephysical properties-Tensile strengthBefore AgeingTensile Strength14Mpa, min for all sizesSize XS 23.97 MPa, averageSize S 26.35 MPa, averageSize M 25.15 MPa, averageSize L 25.11 MPa, averageSize XL 25.85 MPa, average
After AgeingTensile Strength14Mpa, min for all sizesSize XS 27.11 MPa, averageSize S 26.78 MPa, averageSize M 29.22 MPa, averageSize L 25.94 MPa, averageSize XL 26.50 MPa, average
To determine thephysical properties-Ultimate ElongationBefore AgeingUltimate Elongation500%, min for all sizesSize XS 571%, averageSize S 571%, averageSize M 538%, averageSize L 552%, averageSize XL 525%, average
After AgeingUltimate Elongation 400%,min for all sizesSize XS 462%, averageSize S 458%, averageSize M 434%, averageSize L 457%, averageSize XL 434%, average
Non-Clinical Testing (Cont'd)
Test MethodPurposeAcceptanceCriteriaResult
ASTM D6897-05Standard Practice forAssessment of Resistanceof Medical Gloves toPermeation byChemotherapy DrugsTo provide a uniformprocedure for assessing theresistance of medical glovematerials to permeation bychemotherapy drugs, andto establish a consistentreporting of the test data.>240minutes*Carmustine 3.3mg/ml = 4.1Cisplatin 1 mg/ml = >240Cyclophosphamide 20 mg/ml = >240Dacarbazine 10 mg/ml = >240Doxorubicin, HCl 2 mg/ml = >240Etoposide 20 mg/ml = >240Fluorouracil 50 mg/ml = >240Methotrexate 25 mg/ml = >240Mitomycin 0.5 mg/ml = >240Oxaliplatin 5 mg/ml = >240Paclitaxel 6 mg/ml = >240*Thiotepa 10 mg/ml = 57.2Vincristine 1 mg/ml = >240Fentanyl Citrate Injection 100mcg/2ml = >240

MAH SING HEALTHCARE SDN BHD

DrivingInnovation. Protecting Lives.

Lot 6478, Lorong Sungai Puloh / KU6, Kawasan Industri Sungai Puloh, 42100 Klang, Selangor. MALAYSIA

T 603 3396 2288 F 603 3396 2299 mshealthcare.com

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Image /page/11/Picture/0 description: The image shows the logo for Mah Sing Healthcare. The words "Mah Sing" are in a large, red, bold font. Below that, the word "HEALTHCARE" is in a smaller, black, bold font. The logo is simple and professional.

DrivingInnovation. Protecting Lives.

MAH SING HEALTHCARE SDN BHD Lot 6478, Lorong Sungai Puloh / KU6, Kawasan Industri Sungai Puloh, 42100 Klang, Selangor. MALAYSIA

T 603 3396 2288 F 603 3396 2299 mshealthcare.com

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Image /page/12/Picture/1 description: The image contains the logo for Mah Sing Healthcare. The words "MahSing" are in a large, red, stylized font. Below that, the word "HEALTHCARE" is in a smaller, black, sans-serif font. The logo is simple and professional.

Biocompatibility Testing
Test MethodPurposeAcceptanceCriteriaResult
ISO 10993-10Biological evaluation ofmedical devices - Part10: Tests for irritationand skin sensitization(Animal IrritationTest)To determine the potentialof the material under testto produce dermalirritation in RabbitsUnder thecondition ofstudy not anirritant.There was no observable irreversiblealteration on the skin at the sites of contactwith the test material. The PrimaryIrritation Index (PII) was "0". The testmaterial was not corrosive, and thePrimary Irritation Response Category istherefore "negligible", thereof met therequirement.
ISO 10993-10Biological evaluation ofmedical devices -Part 10: Tests forirritation and skinsensitization(Dermal SensitizationAssay Test)To determine the skinsensitization potential ofthe material both interms of induction andelicitation in Guinea pigUnder thecondition ofthe study not asensitizer.There was no sensitization induced by theapplication of the test material on thealbino guinea pigs under the condition ofthis test, thereof met the requirement.
ISO 10993-11Biological evaluation ofmedical devices - Part 11:Tests for systemic toxicity(Acute Systemic Toxicity)To provide informationon health hazards likely toarise from a short-termexposure to the extracts oftest material byintravenous andintraperitoneal injectionin miceNot inducesystemictoxicityUnder the condition of this study, thesingle dose acute systemic toxicity ofextracts from test material using bothnormal saline and sesame oil, shown non-toxic effects, thereof met the requirement.

Non-clinical tests were carried out to demonstrate product performance conformity with standards referenced.

DrivingInnovation. Protecting Lives.

mah sing healthcare sdn bhd Lot 6478, Lorong Sungai Puloh / KU6, Kawasan Industri Sungai Puloh, 42100 Klang, Selangor. MALAYSIA

T 603 3396 2288 F 603 3396 2299 mshealthcare.com

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Attachment 1 Additional Information Page 9 of 9

The following bench tests were performed:

Non-clinical tests

  • Residual Powder Content
  • Physical Properties
  • Physical Dimension
  • Freedom from Holes
  • Chemotherapy Drug Permeation Test

Biocompatibility Testing

  • Animal Irritation Test
  • Dermal Sensitization Assay
  • Acute Systemic Toxicity

The results from these performance evaluations demonstrated that the Nitrile Powder Free Blue Patient Examination Gloves, Non-Sterile, Tested for Use With Chemotherapy Drugs and Fentanyl Citrate met the acceptance criteria defined in standards referenced.

10.0 Summary of Clinical TestingClinical Testing is not needed for this device.
11.0 ConclusionThe conclusion drawn from the non-clinical test demonstratethat the subject device is as safe, as effective, and performs aswell as or better than the legally marketed predicate deviceK192954.

DrivingInnovation. Protecting Lives.

MAH SING HEALTHCARE SDN BHD Lot 6478, Lorong Sungai Puloh / KU6, Kawasan Industri Sungai Puloh, 42100 Klang, Selangor. MALAYSIA

T 603 3396 2288 F 603 3396 2299 mshealthcare.com

§ 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.