Nephron Nitrile Powder-Free Nitrile Examination Gloves (Tested For Use With Chemotherapy Drugs and Fentanyl)
K231349 · Nephron Nitrile, LLC · LZA · Jun 6, 2023 · General Hospital
Device Facts
| Record ID | K231349 |
| Device Name | Nephron Nitrile Powder-Free Nitrile Examination Gloves (Tested For Use With Chemotherapy Drugs and Fentanyl) |
| Applicant | Nephron Nitrile, LLC |
| Product Code | LZA · General Hospital |
| Decision Date | Jun 6, 2023 |
| Decision | SESE |
| Submission Type | Special |
| Regulation | 21 CFR 880.6250 |
| Device Class | Class 1 |
Intended Use
Nephron Nitrile Powder-Free Nitrile Examination Gloves (Tested For Use With Chemotherapy Drugs and Fentanyl) is a disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner. In addition, these gloves were tested for use with chemotherapy drugs and fentanyl in accordance with ASTM D6978-05 (2019) Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs.
Device Story
Disposable, non-sterile, powder-free nitrile examination gloves; blue color; fingertip textured; ambidextrous; beaded cuff. Used by healthcare examiners to prevent cross-contamination between patient and examiner. Tested for permeation resistance against chemotherapy drugs and fentanyl per ASTM D6978-05 (2019). Provides barrier protection during clinical examinations. Benefits include protection against patient-to-examiner contamination and specific chemical exposure during handling of chemotherapy agents and fentanyl.
Clinical Evidence
No clinical data. Bench testing only.
Technological Characteristics
Material: Nitrile (NBR). Form: Powder-free, fingertip textured, beaded cuff, ambidextrous. Standards: ASTM D6319-19 (specifications), ASTM D6978-05 (2019) (chemotherapy/fentanyl permeation), ASTM D5151-19 (holes), ASTM D6124-06 (residual powder). Biocompatibility: ISO 10993-23 (irritation), ISO 10993-10 (sensitization), ISO 10993-5 (cytotoxicity), ISO 10993-11 (systemic toxicity).
Indications for Use
Indicated for use as a disposable medical glove worn on the examiner's hand to prevent cross-contamination between patient and examiner. Tested for resistance to permeation by specific chemotherapy drugs and fentanyl.
Regulatory Classification
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.
Predicate Devices
- Nephron Nitrile Powder-Free Nitrile Examination Gloves (Tested For Use With Chemotherapy Drugs) (K223559)
Related Devices
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- K232764 — Cornflower Blue Powder Free Nitrile Examination Glove Tested for Use with Chemotherapy Drugs and Fentanyl Citrate · Eco Medi Glove Sdn. Bhd. · Feb 7, 2024
- K210944 — Powder Free Nitrile Examination Glove, Tested for Use with Chemoterapy Drugs (Blue) · Harbour Health, LLC · Apr 29, 2021
Submission Summary (Full Text)
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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 on the right. The symbol on the left is a stylized image of a human figure, while the FDA name on the right is written in blue letters. The words "U.S. FOOD & DRUG ADMINISTRATION" are written in a clear, sans-serif font.
June 6, 2023
Nephron Nitrile, LLC. Lou Kennedy Chief Executive Officer 4777 12th Street Extension West Columbia, South Carolina 29172
Re: K231349
Trade/Device Name: Nephron Nitrile Powder-Free Nitrile Examination Gloves (Tested For Use With Chemotherapy Drugs and Fentanyl) 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: May 9, 2023 Received: May 9, 2023
Dear Lou Kennedy:
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 -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) K231349
#### Device Name
Nephron Nitrile Powder-Free Nitrile Examination Gloves (Tested For Use With Chemotherapy Drugs and Fentanyl)
Indications for Use (Describe)
Nephron Nitrile Powder-Free Nitrile Examination Gloves (Tested For Use With Chemotherapy Drugs and Fentanyl) is a disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner.
In addition, these gloves were tested for use with Chemotherapy drugs and Fentanyl in accordance with ASTM D6978-05 (2019) Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs.
The following chemotherapy drugs and concentration had NO breakthrough detected up to 240 minutes:
| Bleomycin Sulfate (15.0 mg/ml) | Doxorubicin HCl (2.0 mg/ml) | Mechlorethamine HCl (1.0 mg/ml) |
|--------------------------------|-----------------------------|---------------------------------|
| Busulfan (6.0 mg/ml) | Epirubicin HCl (2.0 mg/ml) | Melphalan (5.0 mg/ml) |
| Carboplatin (10.0 mg/ml) | Etoposide (20.0 mg/ml) | Methotrexate (25.0 mg/ml) |
| Cisplatin (1.0 mg/ml) | Fludarabine (25.0 mg/ml) | Mitomycin C (0.5 mg/ml) |
| Cyclophosphamide (20.0 mg/ml) | Fluorouracil (50.0 mg/ml) | Mitoxantrone HCl (2.0 mg/ml) |
| Cytarabine (100.0 mg/ml) | Gemcitabine (38.0 mg/ml) | Paclitaxel (6.0 mg/ml) |
| Dacarbazine (10.0 mg/ml) | Idarubicin HCl (1.0 mg/ml) | Rituximab (10.0 mg/ml) |
| Daunorubicin HCl (5.0 mg/ml) | Ifosfamide (50.0 mg/ml) | Trisenox (1.0 mg/ml) |
| Docetaxel (10.0 mg/ml) | Irinotecan (20.0 mg/ml) | Vincristine Sulfate (1.0 mg/ml) |
The following chemotherapy drugs have low permeation times: Thiotepa (10.0 mg/ml) : 128.1 minutes Carmustine (3.3 mg/ml) : 33.8 minutes
Warning: Not for Use with: Carmustine, Thiotepa
The tested Opioid is:
Fentanyl Citrate Injection (100 mcg/2 mL). Permeation: no breakthrough up to 240 minutes
Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D)
X Over-The-Counter Use (21 CFR 801 Subpart C)
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### A. APPLICANT INFORMATION
| 510(K) Owner's Name | Nephron Nitrile, LLC. |
|---------------------|---------------------------------------------------------|
| Address | 4777 12th Street Extension, West Columbia, SC<br>29172. |
| Phone | 844-937-3888 |
| Fax | 1-803-926-9853 |
| E-mail | lkennedy@nephronpharm.com |
| Contact Person | Lou Kennedy |
| Designation | Chief Executive Officer |
| Contact Number | 1-803-569-3110 |
| Contact Email | lkennedy@nephronpharm.com |
| Date Prepared | 31 May 2023 |
### B. DEVICE IDENTIFICATION
| Name of the device | Nephron Nitrile Powder-Free Nitrile Examination<br>Gloves (Tested For Use With Chemotherapy<br>Drugs and Fentanyl) |
|-----------------------------------|--------------------------------------------------------------------------------------------------------------------|
| Product proprietary or trade name | Nephron Nitrile |
| Common or usual name | Nitrile Examination Gloves (Tested for use with<br>Chemotherapy drugs and Fentanyl) |
| 510(k) Number | K231349 |
| Classification name | Patient Examination Glove, Specialty |
| Device Classification | Class-1 |
| Product Code | LZA, LZC, OPJ, QDO |
| Regulation Number | 21 CFR 880.6250 |
| Review Panel | General Hospital |
### C. PREDICATE DEVICE
| Predicate Device | Nephron Nitrile Powder-Free Nitrile Examination<br>Gloves (Tested For Use With Chemotherapy<br>Drugs) |
|------------------|-------------------------------------------------------------------------------------------------------|
| 510(k) Number | K223559 |
| Regulatory Class | Class-1 |
| Product code | LZA, LZC, OPJ |
| Owner | Nephron Nitrile, LLC. |
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#### D. DESCRIPTION OF THE DEVICE:
Nephron Nitrile Powder-Free Nitrile Examination Gloves (Tested For Use With Chemotherapy Drugs and Fentanyl) is a Class I patient examination gloves bearing the product codes LZA, LZC, OPJ, QDO (21 CFR 880.6250). They meet all the current specifications listed under the ASTM D6319-19. Standard Specification for Nitrile Examination Gloves for Medical Application and also complies with requirements for Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs as per ASTM D6978-05 (2019). They are made from Nitrile (NBR). These gloves are blue in color and are powder free. The product is non-sterile, fingertip textured, ambidextrous with beaded cuff and single use only.
Nephron Nitrile Powder-Free Nitrile Examination Gloves (Tested For Use With Chemotherapy Drugs and Fentanyl) with sizes Medium, Large, X-Large and XX-Large are included in the submission.
### E. INDICATION FOR USE OF THE DEVICE:
Nephron Nitrile Powder-Free Nitrile Examination Gloves (Tested For Use With Chemotherapy Drugs and Fentanyl) is a disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner. In addition, these gloves were tested for use with chemotherapy drugs and fentanyl in accordance with ASTM D6978-05 (2019) Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs.
| The following chemotherapy drugs and concentration had NO breakthrough detected up to | | | The tested |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------|
| 240 minutes: | | | Opioid is: |
| Bleomycin Sulfate (15.0 mg/ml)<br>Busulfan (6.0 mg/ml)<br>Carboplatin (10.0 mg/ml)<br>Cisplatin (1.0 mg/ml)<br>Cyclophosphamide (20.0 mg/ml)<br>Cytarabine (100.0 mg/ml)<br>Dacarbazine (10.0 mg/ml)<br>Daunorubicin HCl (5.0 mg/ml)<br>Docetaxel (10.0 mg/ml) | Doxorubicin HCl (2.0 mg/ml)<br>Epirubicin HCl (2.0 mg/ml)<br>Etoposide (20.0 mg/ml)<br>Fludarabine (25.0 mg/ml)<br>Fluorouracil (50.0 mg/ml)<br>Gemcitabine (38.0 mg/ml)<br>Idarubicin HCl (1.0 mg/ml)<br>Ifosfamide (50.0 mg/ml)<br>Irinotecan (20.0 mg/ml) | Mechlorethamine HCl (1.0 mg/ml)<br>Melphalan (5.0 mg/ml)<br>Methotrexate (25.0 mg/ml)<br>Mitomycin C (0.5 mg/ml)<br>Mitoxantrone HCl (2.0 mg/ml)<br>Paclitaxel (6.0 mg/ml)<br>Rituximab (10.0 mg/ml)<br>Trisenox (1.0 mg/ml)<br>Vincristine Sulfate (1.0 mg/ml) | Fentanyl<br>Citrate<br>Injection<br>(100 mcg/2 mL)<br>Permeation: no<br>breakthrough<br>up to 240<br>minutes |
| The following chemotherapy drugs have low permeation times:<br>Carmustine (3.3 mg/ml) : 33.8 minutes<br>Thiotepa (10.0 mg/ml) : 128.1 minutes<br>Warning: Not for Use with: Carmustine, Thiotepa | | | minutes |
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### F. SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE PREDICATE DEVICE
| CHARACTERISTICS | STANDARDS | DEVICE PERFORMANCE | | Comparison | |
|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------|
| | PREDICATE | SUBJECT | | | |
| 510(K) Number | --- | K223559 | K231349 | | |
| Name of device | --- | Nephron Nitrile Powder-<br>Free Nitrile Examination<br>Gloves (Tested For Use<br>With Chemotherapy Drugs) | Nephron Nitrile Powder-Free<br>Nitrile Examination Gloves<br>(Tested For Use With<br>Chemotherapy Drugs and<br>Fentanyl) | Different:<br>Except for the<br>addition of<br>Fentanyl for<br>subject device,<br>it is identical | |
| Product Code | --- | LZA, LZC, OPJ | LZA, LZC, OPJ, QDO | Different:<br>Added one<br>product code | |
| Indication for use | --- | Nephron Nitrile Powder-<br>Free Nitrile Examination<br>Gloves (Tested For Use<br>With Chemotherapy Drugs)<br>is a disposable device<br>intended for medical<br>purpose that is worn on the<br>examiner's hand to prevent<br>contamination between<br>patient and examiner. In<br>addition, these gloves were<br>tested for use with<br>chemotherapy drugs in<br>accordance with ASTM<br>D6978-05 (2019) Standard<br>Practice for Assessment of<br>Resistance of Medical<br>Gloves to Permeation by<br>Chemotherapy Drugs. | Nephron Nitrile Powder-Free<br>Nitrile Examination Gloves<br>(Tested For Use With<br>Chemotherapy Drugs and<br>Fentanyl) is a disposable<br>device intended for medical<br>purpose that is worn on the<br>examiner's hand to prevent<br>contamination between<br>patient and examiner. In<br>addition, these gloves were<br>tested for use with<br>chemotherapy drugs and<br>fentanyl in accordance with<br>ASTM D6978-05 (2019)<br>Standard Practice for<br>Assessment of Resistance of<br>Medical Gloves to<br>Permeation by<br>Chemotherapy Drugs. | Different:<br>Except for the<br>addition of<br>Fentanyl for<br>subject device,<br>it is identical<br>Note: Adding the<br>Fentanyl to the<br>indication<br>does not affect the<br>intended use. | |
| Regulation Number | --- | 21 CFR 880.6250 | 21 CFR 880.6250 | Identical | |
| Material | --- | Nitrile | Nitrile | Identical | |
| Color | --- | Blue | Blue | Identical | |
| Size | --- | M, L, XL, XXL | M, L, XL, XXL | Identical | |
| Single Use | --- | Single-use | Single-use | Identical | |
| CHARACTERISTICS | STANDARDS | DEVICE PERFORMANCE | | Comparison | |
| | | PREDICATE | SUBJECT | | |
| 510(K) Number | --- | K223559 | K231349 | | |
| Sterile/non sterile | --- | Non Sterile | Non Sterile | Identical | |
| Rx Only or OTC | --- | OTC | OTC | Identical | |
| Dimensions - Length | ASTM<br>D6319-19 | Minimum 230 mm<br>(sizes M - XXL) | Minimum 230 mm<br>(sizes M - XXL) | Identical | |
| Dimensions - Width | ASTM<br>D6319-19 | M: 95±10 mm<br>L: 110±10 mm<br>XL: 120±10 mm<br>XXL: 130±10 mm | M: 95±10 mm<br>L: 110±10 mm<br>XL: 120±10 mm<br>XXL: 130±10 mm | Identical | |
| Physical Properties-<br>Tensile Strength | ASTM<br>D63192019 | Before aging<br>14MPa, min | Before aging<br>14MPa, min | Identical | |
| | | After aging<br>14MPa, min | After aging<br>14MPa, min | Identical | |
| Physical Properties-<br>Ultimate Elongation | ASTM<br>D63192019 | Before aging<br>500%, min | Before aging<br>500%, min | Identical | |
| | | After aging<br>400%, min | After aging<br>400%, min | Identical | |
| Thickness | ASTM<br>D6319-19 | Palm: Minimum 0.05 mm<br>Finger: Minimum 0.05<br>mm | Palm: Minimum<br>0.05 mm<br>Finger: Minimum<br>0.05 mm | Identical | |
| Powder Free Residue | ASTM D6319-<br>19 | ≤ 2 mg per glove | ≤ 2 mg per glove | Identical | |
| Freedom from holes | ASTM D5151-<br>2019 | In accordance with<br>ASTM D 5151-19,<br>following ASTM D6319-19,<br>G-I, AQL 2.5 | In accordance with<br>ASTM D 5151-19,<br>following ASTM D6319- 19,<br>G-I, AQL 2.5 | Identical | |
| Chemotherapy Drugs<br>Tested with Minimum<br>Breakthrough Detection<br>Time | ASTM D6978-<br>05 (2019) | Bleomycin Sulfate<br>15 mg/ml (15,000 ppm)<br>>240 Minutes | Bleomycin Sulfate<br>15 mg/ml (15,000 ppm)<br>>240 Minutes | Identical | |
| | | Busulfan<br>6 mg/ml (6,000 ppm)<br>>240 Minutes | Busulfan<br>6 mg/ml (6,000 ppm)<br>>240 Minutes | Identical | |
| | | Carboplatin<br>10 mg/ml (10,000 ppm)<br>>240 Minutes | Carboplatin<br>10 mg/ml (10,000 ppm)<br>>240 Minutes | Identical | |
| | | Carmustine<br>3.3 mg/ml (3,300 ppm)<br>33.8 Minutes | Carmustine<br>3.3 mg/ml (3,300 ppm)<br>33.8 Minutes | Identical | |
| | | Cisplatin<br>1 mg/ml (1,000 ppm)<br>>240 Minutes | Cisplatin<br>1 mg/ml (1,000 ppm)<br>>240 Minutes | Identical | |
| CHARACTERISTICS STANDARDS | | DEVICE PERFORMANCE | PREDICATE | SUBJECT | Comparison |
| 510(K) Number | --- | K223559 | K231349 | | |
| | | Cyclophosphamide<br>20 mg/ml (20,000 ppm)<br>>240 Minutes | Cyclophosphamide<br>20 mg/ml (20,000 ppm)<br>>240 Minutes | Identical | |
| | | Cytarabine<br>100 mg/ml (100,000 ppm)<br>>240 Minutes | Cytarabine<br>100 mg/ml (100,000 ppm)<br>>240 Minutes | Identical | |
| | | Dacarbazine<br>10 mg/ml (10,000 ppm)<br>>240 Minutes | Dacarbazine<br>10 mg/ml (10,000 ppm)<br>>240 Minutes | Identical | |
| | | Daunorubicin HCl<br>5 mg/ml (5,000 ppm)<br>>240 Minutes | Daunorubicin HCl<br>5 mg/ml (5,000 ppm)<br>>240 Minutes | Identical | |
| | | Docetaxel<br>10 mg/ml (10,000 ppm)<br>>240 Minutes | Docetaxel<br>10 mg/ml (10,000 ppm)<br>>240 Minutes | Identical | |
| | | Doxorubicin HCl<br>2 mg/ml (2,000 ppm)<br>>240 Minutes | Doxorubicin HCl<br>2 mg/ml (2,000 ppm)<br>>240 Minutes | Identical | |
| | | Epirubicin HCl<br>2 mg/ml (2,000 ppm)<br>>240 Minutes | Epirubicin HCl<br>2 mg/ml (2,000 ppm)<br>>240 Minutes | Identical | |
| | | Etoposide<br>20 mg/ml (20,000 ppm)<br>>240 Minutes | Etoposide<br>20 mg/ml (20,000 ppm)<br>>240 Minutes | Identical | |
| | | Fludarabine<br>25 mg/ml (25,000 ppm)<br>>240 Minutes | Fludarabine<br>25 mg/ml (25,000 ppm)<br>>240 Minutes | Identical | |
| | | Fluorouracil<br>50 mg/ml (50,000 ppm)<br>>240 Minutes | Fluorouracil<br>50 mg/ml (50,000 ppm)<br>>240 Minutes | Identical | |
| | | Gemcitabine<br>38 mg/ml (38,000 ppm)<br>>240 Minutes | Gemcitabine<br>38 mg/ml (38,000 ppm)<br>>240 Minutes | Identical | |
| | | Idarubicin HCl<br>1 mg/ml (1,000 ppm)<br>>240 Minutes…