K Number
K232654
Date Cleared
2024-03-20

(202 days)

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

Nephron Nitrile™, Nitrile Powder-Free Examination Gloves Black (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) Busulfan (6.0 mg/ml) Carboplatin (10.0 mg/ml) Cisplatin (1.0 mg/ml) Cyclophosphamide (20.0 mg/ml) Cytarabine (100.0 mg/ml) Dacarbazine (10.0 mg/ml) Daunorubicin HCl (5.0 mg/ml) Docetaxel (10.0 mg/ml) Doxorubicin HCl (2.0 mg/ml) Epirubicin HCl (2.0 mg/ml) Etoposide (20.0 mg/ml) Fludarabine (25.0 mg/ml) Fluorouracil (50.0 mg/ml) Gemcitabine (38.0 mg/ml) Idarubicin HCl (1.0 mg/ml) Ifosfamide (50.0 mg/ml) Irinotecan (20.0 mg/ml) Mechlorethamine HCl (1.0 mg/ml) Melphalan (5.0 mg/ml) Methotrexate (25.0 mg/ml) Mitomycin C (0.5 mg/ml) Mitoxantrone HCl (2.0 mg/ml) Paclitaxel (6.0 mg/ml) Rituximab (10.0 mg/ml) Trisenox (1.0 mg/ml) Vincristine Sulfate (1.0 mg/ml)

The tested Opioid is: Fentanyl Citrate Injection (100 mcg/2 mL) Permeation: no breakthrough up to 240 minutes

The following chemotherapy drugs have low permeation times: Carmustine (3.3 mg/ml) : 26.3 minutes Thiotepa (10.0 mg/ml) : 49.1 minutes Warning: Not for Use with: Carmustine, Thiotepa

Device Description

Nephron Nitrile™, Nitrile Powder-Free Examination Gloves Black (Tested For Use With Chemotherapy Drugs and Fentanyl) are 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). The powder-free gloves are made from Nitrile (NBR) latex and are black in color. The product is non-sterile, fingertip textured, ambidextrous with beaded cuff, and single use only.

Nephron Nitrile™, Nitrile Powder-Free Examination Gloves Black (Tested For Use With Chemotherapy Drugs and Fentanyl) include glove sizes: X-Small, Medium, Large, X-Large and XX-Large.

AI/ML Overview

The provided text describes the acceptance criteria and the results of a study for the "Nephron Nitrile™, Nitrile Powder-Free Examination Gloves Black (Tested For Use With Chemotherapy Drugs and Fentanyl)".

Here's a breakdown of the requested information:

1. A table of acceptance criteria and the reported device performance

Test Method (Characteristic)Acceptance CriteriaReported Device Performance (Results)
Physical Properties (ASTM D6319-19)
Length220mm minimum for size XS and S; 230mm minimum for size M, L, XL and XXLPass
WidthXS: 70 ± 10 mm; S: 80 ± 10 mm; M: 95 ± 10 mm; L: 110 ± 10 mm; XL: 120 ± 10 mm; XXL: 130 ± 10 mmPass
Thickness (Palm & Finger)Palm: 0.05 mm min for all sizes; Finger: 0.05 mm min for all sizesPass
Tensile Strength (Before Ageing)14MPa min for all sizesPass
Tensile Strength (After Ageing)14MPa min for all sizesPass
Ultimate Elongation (Before Ageing)500% min for all sizesPass
Ultimate Elongation (After Ageing)400% min for all sizesPass
Freedom from Holes (ASTM D5151-19)G-I, AQL 2.5Pass
Powder Free Residue (ASTM D6124-06)≤ 2 mg/glovePass
Resistance to Permeation by Chemotherapy Drugs (ASTM D6978-05)
Bleomycin Sulfate (15 mg/ml)>240 Minutes>240 Minutes
Busulfan (6 mg/ml)>240 Minutes>240 Minutes
Carboplatin (10 mg/ml)>240 Minutes>240 Minutes
Carmustine (3.3 mg/ml)33.8 Minutes (Predicate)26.3 Minutes (Subject Device - Note: This value is lower than the predicate's reported value, but both are below 240 mins and thus subject to warning. The specific acceptance criteria for "low permeation" drugs is that they are identified and warned against.)
Cisplatin (1 mg/ml)>240 Minutes>240 Minutes
Cyclophosphamide (20 mg/ml)>240 Minutes>240 Minutes
Cytarabine (100 mg/ml)>240 Minutes>240 Minutes
Dacarbazine (10 mg/ml)>240 Minutes>240 Minutes
Daunorubicin HCl (5 mg/ml)>240 Minutes>240 Minutes
Docetaxel (10 mg/ml)>240 Minutes>240 Minutes
Doxorubicin HCl (2 mg/ml)>240 Minutes>240 Minutes
Epirubicin HCl (2 mg/ml)>240 Minutes>240 Minutes
Etoposide (20 mg/ml)>240 Minutes>240 Minutes
Fludarabine (25 mg/ml)>240 Minutes>240 Minutes
Fluorouracil (50 mg/ml)>240 Minutes>240 Minutes
Gemcitabine (38 mg/ml)>240 Minutes>240 Minutes
Idarubicin HCl (1 mg/ml)>240 Minutes>240 Minutes
Ifosfamide (50 mg/ml)>240 Minutes>240 Minutes
Irinotecan (20 mg/ml)>240 Minutes>240 Minutes
Mechlorethamine HCl (1 mg/ml)>240 Minutes>240 Minutes
Melphalan (5 mg/ml)>240 Minutes>240 Minutes
Methotrexate (25 mg/ml)>240 Minutes>240 Minutes
Mitomycin C (0.5 mg/ml)>240 Minutes>240 Minutes
Mitoxantrone HCl (2 mg/ml)>240 Minutes>240 Minutes
Paclitaxel (6 mg/ml)>240 Minutes>240 Minutes
Rituximab (10 mg/ml)>240 Minutes>240 Minutes
Thiotepa (10 mg/ml)128.1 Minutes (Predicate)49.1 Minutes (Subject Device - Note: This value is lower than the predicate's reported value, but both are below 240 mins and thus subject to warning. The specific acceptance criteria for "low permeation" drugs is that they are identified and warned against.)
Trisenox (1 mg/ml)>240 Minutes>240 Minutes
Vincristine Sulfate (1 mg/ml)>240 Minutes>240 Minutes
Resistance to Permeation by Opioid Drugs (ASTM D6978-05)
Fentanyl Citrate Injection (100mcg/2mL)>240 Minutes>240 Minutes
Biocompatibility (ISO 10993-23: Irritation)Under the condition of study, not an irritantUnder the conditions of the study, the test article met the requirements of the test.
Biocompatibility (ISO 10993-10: Dermal Sensitization)Under the conditions of the study, not a sensitizerUnder the conditions of the study, the test article was not considered a sensitizer.
Biocompatibility (ISO 10993-11: Acute Systemic Toxicity)Under the conditions of study, the device extracts do not pose an acute systemic toxicity concernUnder the conditions of study, there was no mortality or evidence of acute systemic toxicity.

2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

The document lists "Bench Data" and "Biocompatibility Data" for the non-clinical tests. For these types of tests, specific sample sizes beyond what's typically required by the ASTM or ISO standards are not detailed in this summary. The data provenance is not specified, but these are standard laboratory tests. It is implied these are prospective tests conducted on the subject device.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

This section is Not Applicable (N/A). The device is a medical glove, and the evaluation relies on established standardized physical, chemical permeation, and biocompatibility tests, not subjective expert assessment of images or clinical outcomes that would require ground truth establishment by human experts.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

This section is Not Applicable (N/A). Adjudication methods like 2+1 or 3+1 are used for resolving disagreements in expert assessments (e.g., in medical image interpretation). The tests performed are objective, standardized laboratory tests.

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 section is Not Applicable (N/A). This device is a medical glove, not an AI-assisted diagnostic tool. Therefore, MRMC studies and AI assistance are irrelevant.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

This section is Not Applicable (N/A). This device is a medical glove, not an algorithm.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

The "ground truth" for the performance of the gloves is established by objective measurements against the specified ASTM and ISO standards. For instance:

  • Physical properties (length, width, thickness, tensile strength, elongation) are measured directly.
  • Freedom from holes is determined by leakage tests per ASTM D5151-19.
  • Powder residue is measured per ASTM D6124-06.
  • Resistance to permeation by chemotherapy and opioid drugs is determined by measuring breakthrough time according to ASTM D6978-05.
  • Biocompatibility is assessed through standardized biological tests (irritation, sensitization, systemic toxicity) as per ISO 10993 series.

8. The sample size for the training set

This section is Not Applicable (N/A). The device is a physical product (medical glove) and does not involve machine learning models that require training sets.

9. How the ground truth for the training set was established

This section is Not Applicable (N/A), as it refers to a training set for machine learning, which is irrelevant for this medical device.

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA acronym along with the full name of the agency on the right. The FDA part of the logo is in blue, with the acronym in a square and the full name, "U.S. Food & Drug Administration," written out next to it.

March 20, 2024

Nephron Nitrile, LLC. Lou Kennedy Chief Executive Officer 4777 12th Street Extension West Columbia, South Carolina 29172

Re: K232654

Trade/Device Name: Nephron Nitrile™, Nitrile Powder-Free Examination Gloves Black (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, ODO Dated: March 18, 2024 Received: March 18, 2024

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 (the 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 available 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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Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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,

Image /page/1/Picture/7 description: The image contains the text "Allan Guan -S". The text is written in a simple, sans-serif font and is horizontally aligned. The background of the image is plain white, with a faint watermark or design visible behind the text.

For Bifeng Qian, M.D., Ph.D. Assistant Director

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DHT4B: Division of Infection Control and Plastic and Reconstructive 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) K232654

Device Name

Nephron Nitrile™, Nitrile Powder-Free Examination Gloves Black (Tested For Use With Chemotherapy Drugs and Fentany()

Indications for Use (Describe)

Nephron Nitrile™, Nitrile Powder-Free Examination Gloves Black (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) Busulfan (6.0 mg/ml) Carboplatin (10.0 mg/ml) Cisplatin (1.0 mg/ml) Cyclophosphamide (20.0 mg/ml) Cytarabine (100.0 mg/ml) Dacarbazine (10.0 mg/ml) Daunorubicin HCl (5.0 mg/ml) Docetaxel (10.0 mg/ml) Doxorubicin HCl (2.0 mg/ml) Epirubicin HCl (2.0 mg/ml) Etoposide (20.0 mg/ml) Fludarabine (25.0 mg/ml) Fluorouracil (50.0 mg/ml) Gemcitabine (38.0 mg/ml) Idarubicin HCl (1.0 mg/ml) Ifosfamide (50.0 mg/ml) Irinotecan (20.0 mg/ml) Mechlorethamine HCl (1.0 mg/ml) Melphalan (5.0 mg/ml) Methotrexate (25.0 mg/ml) Mitomycin C (0.5 mg/ml) Mitoxantrone HCl (2.0 mg/ml) Paclitaxel (6.0 mg/ml) Rituximab (10.0 mg/ml) Trisenox (1.0 mg/ml) Vincristine Sulfate (1.0 mg/ml)

The tested Opioid is: Fentanyl Citrate Injection (100 mcg/2 mL) Permeation: no breakthrough up to 240 minutes

The following chemotherapy drugs have low permeation times: Carmustine (3.3 mg/ml) : 26.3 minutes Thiotepa (10.0 mg/ml) : 49.1 minutes Warning: Not for Use with: Carmustine, Thiotepa

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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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510(K) SUMMARY K232654 AS REQUIRED BY: 21CFR§807.92

A. APPLICANT INFORMATION

510(K) Owner's NameNephron Nitrile, LLC.
510(K) NumberK232654
Address4777 12th Street Extension, West Columbia, SC 29172.
Phone844-937-3888
Fax1-803-926-9853
E-mailNitrileRegulatory@nephronnitrile.com
Contact Person #1Edmundo M. Garcia y Garcia
DesignationVice President of Quality Operations
Contact Number1-803-908-5156
Contact EmailNitrileRegulatory@nephronnitrile.com
Contact Person #2Lou Kennedy
DesignationChief Executive Officer
Contact Number1-803-569-3110
Contact Emaillkennedy@nephronpharm.com
Date Submitted18 March 2024
Date PreparedRevised 20 March 2024

B. DEVICE IDENTIFICATION

Trade name of the deviceNephron Nitrile™, Nitrile Powder-Free ExaminationGloves Black (Tested For Use With ChemotherapyDrugs and Fentanyl)
Common or usual nameNitrile Powder-Free Examination Gloves Black (TestedFor Use With Chemotherapy Drugs and Fentanyl)
Classification namePatient Examination Glove, Specialty
Device ClassificationClass-1
Product CodeLZA, LZC, OPJ, QDO
Regulation Number21 CFR 880.6250
Review PanelGeneral Hospital

C. PREDICATE DEVICE

Predicate DeviceNephron Nitrile Powder-Free Nitrile ExaminationGloves (Tested For Use With ChemotherapyDrugs and Fentanyl)
510(k) NumberK231349
Regulatory ClassClass-1
Product codeLZA, LZC, OPJ, QDO
ManufacturerNephron Nitrile, LLC.

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510(K) SUMMARY K232654 AS REQUIRED BY: 21CFR §807.92 D. DESCRIPTION OF THE DEVICE:

Nephron Nitrile™, Nitrile Powder-Free Examination Gloves Black (Tested For Use With Chemotherapy Drugs and Fentanyl) are 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). The powder-free gloves are made from Nitrile (NBR) latex and are black in color. The product is non-sterile, fingertip textured, ambidextrous with beaded cuff, and single use only.

Nephron Nitrile™, Nitrile Powder-Free Examination Gloves Black (Tested For Use With Chemotherapy Drugs and Fentanyl) include glove sizes: X-Small, Medium, Large, X-Large and XX-Large.

E. DEVICE MODIFICATIONS

The modification(s) within this 510(k) propose to revise the color additive, from a blue to black pigment. In addition to the color change, this 510(k) also intends to modify the available size range, to include size small and extra-small. All other aspects, including Intended Use, Indications for Use, and technological characteristics of the existing device remain unchanged.

F. INDICATION FOR USE OF THE DEVICE:

Nephron Nitrile™, Nitrile Powder-Free Examination Gloves Black (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 to240 minutes:The testedOpioid is:
Bleomycin Sulfate (15.0 mg/ml)Doxorubicin HCl (2.0 mg/ml)Mechlorethamine HCl (1.0 mg/ml)FentanylCitrateInjection(100 mcg/2 mL)Permeation: nobreakthroughup to 240minutes
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:
Carmustine (3.3 mg/ml) : 26.3 minutesThiotepa (10.0 mg/ml) : 49.1 minutes

Warning: Not for Use with: Carmustine, Thiotepa

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510(K) SUMMARY K232654 AS REQUIRED BY: 21CFR§807.92

G. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS BETWEEN THE SUBJECT DEVICE AND PREDICATE DEVICE

CHARACTERISTICSSTANDARDSDEVICE PERFORMANCE
PREDICATESUBJECTComparison
510(K) Number---K231349K232654
Name of device---Nephron Nitrile Powder-FreeNitrile Examination Gloves(Tested For Use WithChemotherapy Drugs andFentanyl)Nephron Nitrile™, NitrilePowder-Free ExaminationGloves Black (Tested For UseWith Chemotherapy Drugsand Fentanyl)Similar
Product Code---LZA, LZC, OPJ, QDOLZA, LZC, OPJ, QDOIdentical
Indication for use---Nephron Nitrile Powder-FreeNitrile Examination Gloves(Tested For Use WithChemotherapy Drugs andFentanyl) is a disposabledevice intended for medicalpurpose that is worn on theexaminer's hand to preventcontamination betweenpatient and examiner. Inaddition, these gloves weretested for use withchemotherapy drugs andfentanyl in accordance withASTM D6978-05 (2019)Standard Practice forAssessment of Resistance ofMedical Gloves toPermeation byChemotherapy Drugs.Nephron Nitrile™, NitrilePowder-Free ExaminationGloves Black (Tested For UseWith Chemotherapy Drugsand Fentanyl) is a disposabledevice intended for medicalpurpose that is worn on theexaminer's hand to preventcontamination betweenpatient and examiner. Inaddition, these gloves weretested for use withchemotherapy drugs andfentanyl in accordance withASTM D6978-05 (2019)Standard Practice forAssessment of Resistance ofMedical Gloves toPermeation byChemotherapy Drugs.Identical
Regulation Number---21 CFR 880.625021 CFR 880.6250Identical
Material---NitrileNitrileIdentical
Color---BlueBlackDifferent
AS REQUIRED BY: 21CFR§807.92
CHARACTERISTICS STANDARDSDEVICE PERFORMANCE
PREDICATESUBJECTComparison
510(K) Number---K231349K232654
safety orperformance.
Similar
Size---M, L, XL, XXLXS, S, M, L, XL, XXLAdding sizeXS and S
Single Use---Single-useSingle-useIdentical
Sterile/Non-sterile---Non-SterileNon-SterileIdentical
Rx Only or OTC---OTCOTCIdentical
Minimum 230 mm(sizes M - XXL)Minimum 220 mm(Sizes XS-S)Minimum 230 mm(sizes M - XXL)Similar
Dimensions - LengthASTMD6319-19Adding sizeXS and S
M: 95±10 mmL: 110±10 mmXL: 120±10 mmXXL: 130±10 mmXS: 70±10 mmS: 80±10 mmM: 95±10 mmL: 110±10 mmXL: 120±10 mmXXL: 130±10 mmSimilar
Dimensions - WidthASTMD6319-19Adding sizeXS and S
Before aging14MPa, minBefore aging14MPa, minIdentical
Physical Properties-Tensile StrengthASTMD6319-19
After aging14MPa, minAfter aging14MPa, minIdentical
Before aging500%, minBefore aging500%, minIdentical
Physical Properties-Ultimate ElongationASTMD6319-19
After aging400%, minAfter aging400%, minIdentical
Palm: Minimum0.05 mmFinger: Minimum0.05 mmPalm: Minimum0.05 mmFinger: Minimum0.05 mmIdentical
ThicknessASTMD6319-19
ASTM D6319-19≤ 2 mg per glove≤ 2 mg per gloveIdentical
Powder Free Residue
In accordance withASTM D 5151-19,following ASTM D6319- 19,G-I, AQL 2.5In accordance withASTM D 5151-19,following ASTM D6319- 19,G-I, AQL 2.5Identical
Freedom from holesASTM D5151-2019
Chemotherapy DrugsTested with MinimumBreakthrough DetectionASTMD6978-05 (2019)Bleomycin Sulfate15 mg/ml (15,000 ppm)>240 MinutesBleomycin Sulfate15 mg/ml (15,000 ppm)>240 MinutesIdentical
AS REQUIRED BY 21CFR807.92
CHARACTERISTICSSTANDARDSDEVICE PERFORMANCEComparison
510(K) Number---PREDICATESUBJECT
K231349K232654
TimeBusulfanBusulfan
6 mg/ml (6,000 ppm)>240 Minutes6 mg/ml (6,000 ppm)>240 MinutesIdentical
Carboplatin10 mg/ml (10,000 ppm)>240 MinutesCarboplatin10 mg/ml (10,000 ppm)>240 MinutesIdentical
Carmustine3.3 mg/ml (3,300 ppm)33.8 MinutesCarmustine3.3 mg/ml (3,300 ppm)26.3 MinutesSimilar
Cisplatin1 mg/ml (1,000 ppm)>240 MinutesCisplatin1 mg/ml (1,000 ppm)>240 MinutesIdentical
Cyclophosphamide20 mg/ml (20,000 ppm)>240 MinutesCyclophosphamide20 mg/ml (20,000 ppm)>240 MinutesIdentical
Cytarabine100 mg/ml (100,000 ppm)>240 MinutesCytarabine100 mg/ml (100,000 ppm)>240 MinutesIdentical
Dacarbazine10 mg/ml (10,000 ppm)>240 MinutesDacarbazine10 mg/ml (10,000 ppm)>240 MinutesIdentical
Daunorubicin HCl5 mg/ml (5,000 ppm)>240 MinutesDaunorubicin HCl5 mg/ml (5,000 ppm)>240 MinutesIdentical
Docetaxel10 mg/ml (10,000 ppm)>240 MinutesDocetaxel10 mg/ml (10,000 ppm)>240 MinutesIdentical
Doxorubicin HCl2 mg/ml (2,000 ppm)>240 MinutesDoxorubicin HCl2 mg/ml (2,000 ppm)>240 MinutesIdentical
Epirubicin HCl2 mg/ml (2,000 ppm)>240 MinutesEpirubicin HCl2 mg/ml (2,000 ppm)>240 MinutesIdentical
Etoposide20 mg/ml (20,000 ppm)>240 MinutesEtoposide20 mg/ml (20,000 ppm)>240 MinutesIdentical
Fludarabine25 mg/ml (25,000 ppm)>240 MinutesFludarabine25 mg/ml (25,000 ppm)>240 MinutesIdentical
Fluorouracil50 mg/ml (50,000 ppm)>240 MinutesFluorouracil50 mg/ml (50,000 ppm)>240 MinutesIdentical
Gemcitabine38 mg/ml (38,000 ppm)>240 MinutesGemcitabine38 mg/ml (38,000 ppm)>240 MinutesIdentical
CHARACTERISTICSSTANDARDSDEVICE PERFORMANCEComparison
510(K) NumberPREDICATESUBJECT
510(K) Number---K231349K232654
Idarubicin HCl1 mg/ml (1,000 ppm)>240 MinutesIdarubicin HCl1 mg/ml (1,000 ppm)>240 MinutesIdentical
Ifosfamide50 mg/ml (50,000 ppm)>240 MinutesIfosfamide50 mg/ml (50,000 ppm)>240 MinutesIdentical
Irinotecan20 mg/ml (20,000 ppm)>240 MinutesIrinotecan20 mg/ml (20,000 ppm)>240 MinutesIdentical
Mechlorethamine HCl1 mg/ml (1,000 ppm)>240 MinutesMechlorethamine HCl1 mg/ml (1,000 ppm)>240 MinutesIdentical
Melphalan5 mg/ml (5,000 ppm)>240 MinutesMelphalan5 mg/ml (5,000 ppm)>240 MinutesIdentical
Methotrexate25 mg/ml (25,000 ppm)>240 MinutesMethotrexate25 mg/ml (25,000 ppm)>240 MinutesIdentical
Mitomycin C0.5 mg/ml (500 ppm)>240 MinutesMitomycin C0.5 mg/ml (500 ppm)>240 MinutesIdentical
Mitoxantrone HCl2 mg/ml (2,000 ppm)>240 MinutesMitoxantrone HCl2 mg/ml (2,000 ppm)>240 MinutesIdentical
Paclitaxel6 mg/ml (6,000 ppm)>240 MinutesPaclitaxel6 mg/ml (6,000 ppm)>240 MinutesIdentical
Rituximab 10 mg/ml(10,000 ppm)>240 MinutesRituximab 10 mg/ml(10,000 ppm)>240 MinutesIdentical
Thiotepa10 mg/ml (10,000 ppm)128.1 MinutesThiotepa10 mg/ml (10,000 ppm)49.1 MinutesSimilar
Trisenox1 mg/ml (1,000ppm) >240MinutesTrisenox1 mg/ml (1,000ppm)>240 MinutesIdentical
Vincristine Sulfate1 mg/ml (1,000 ppm)>240 MinutesVincristine Sulfate1 mg/ml (1,000 ppm)>240 MinutesIdentical
Opioid DrugsTested with MinimumBreakthrough DetectionTimeASTM D6978-05 (2019)Fentanyl Citrate Injection(100mcg/2mL)>240 MinutesFentanyl Citrate Injection(100mcg/2mL)>240 MinutesIdentical
CHARACTERISTICSSTANDARDSDEVICE PERFORMANCEComparison
510(K) NumberPREDICATESUBJECT
BiocompatibilityPrimary SkinIrritation- ISO10993-23:First Edition2021-01Under the conditions of thestudy, the test articlemet the requirements ofthe test.Under the conditions of thestudy, the test articlemet the requirements ofthe test.Identical
DermalSensitization-ISO 10993-10:Fourth Edition2021-11Under the conditions of thestudy, the test article was notconsidered a sensitizer.Under the conditions of thestudy, the test article was notconsidered a sensitizer.Identical
AcuteSystemicToxicity- ISO10993-11:Third Edition2017-09Under the conditions of thestudy, there was nomortality or evidence ofacute systemic toxicityUnder the conditions of thestudy, there was nomortality or evidence ofacute systemic toxicityIdentical

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AS REQUIRED BY: 21CFR§807.92

The subject device in comparison to the predicate, is identical except for the change in color (from blue to black) and expansion of available glove sizes to include Small and Extra-Small, which is the subject of this submission.

H. SUMMARY OF NON-CLINICAL TESTING

BENCH DATA

TEST METHODPURPOSEACCEPTANCECRITERIARESULTS
ASTM D6319-19Standard Specificationfor Nitrile ExaminationGloves for MedicalApplication.To determine thelength of thegloves220mm minimum for sizeXS and S230mm minimum for sizeM, L, XL and XXLPass
ASTM D6319-19Standard Specificationfor Nitrile ExaminationGloves for MedicalApplication.To determine thewidth of theglovesXS: $70 \pm 10$ mmS: $80 \pm 10$ mmM: $95 \pm 10$ mmL: $110 \pm 10$ mmXL: $120 \pm 10$ mmXXL: $130 \pm 10$ mmPass
ASTM D6319-19Standard Specificationfor Nitrile ExaminationGloves for MedicalApplication.To determine thethickness of theglovesPalm: 0.05 mm minfor all sizesFinger: 0.05 mm minfor all sizesPass

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K232654

TEST METHODPURPOSEACCEPTANCECRITERIARESULTS
ASTM D6319-19Standard Specificationfor Nitrile ExaminationGloves for MedicalApplication.To determine thephysicalproperties-Tensile strengthBefore AgeingTensile Strength14MPa min for all sizesAfter AgeingTensile Strength14MPa min for all sizesPass
ASTM D6319-19Standard Specificationfor Nitrile ExaminationGloves for MedicalApplication.To determine thephysicalproperties-UltimateElongationBefore AgeingUltimate Elongation500% min for all sizesAfter AgeingUltimate Elongation400% min for all sizesPass
ASTM D5151-19StandardTest Method forDetectionof Holes in MedicalTo determine theholes in the glovesG-I, AQL 2.5Pass
ASTM D6124-06(Reapproved 2017)StandardTest Method for ResidualPowder on MedicalGlovesTo determine theresidual powder inthe gloves≤ 2 mg/glovePass
TEST METHODPURPOSEACCEPTANCECRITERIARESULTS
ASTM D6978-05(Reapproved 2019)Standard Practice forAssessment of Resistanceof Medical Gloves toPermeation byChemotherapy Drugs.To determine thebreakthroughdetection time ofchemotherapydrugs*Bleomycin Sulfate15 mg/ml (15,000 ppm)>240 MinutesBleomycin Sulfate15 mg/ml (15,000 ppm)>240 Minutes
Busulfan6 mg/ml (6,000 ppm)>240 MinutesBusulfan6 mg/ml (6,000 ppm)>240 Minutes
Carboplatin10 mg/ml (10,000 ppm)>240 MinutesCarboplatin10 mg/ml (10,000 ppm)>240 Minutes
Carmustine3.3 mg/ml (3,300 ppm)33.8 MinutesCarmustine3.3 mg/ml (3,300 ppm)26.3 Minutes
Cisplatin1 mg/ml (1,000 ppm)>240 MinutesCisplatin1 mg/ml (1,000 ppm)>240 Minutes
Cyclophosphamide20 mg/ml (20,000 ppm)>240 MinutesCyclophosphamide20 mg/ml (20,000 ppm)>240 Minutes
Cytarabine100 mg/ml (100,000 ppm)>240 MinutesCytarabine100 mg/ml (100,000 ppm)>240 Minutes
Dacarbazine10 mg/ml (10,000 ppm)>240 MinutesDacarbazine10 mg/ml (10,000 ppm)>240 Minutes
TEST METHODPURPOSEACCEPTANCE CRITERIARESULTS
Daunorubicin HCl5 mg/ml (5,000 ppm)>240 MinutesDaunorubicin HCl5 mg/ml (5,000 ppm)>240 Minutes
Docetaxel10 mg/ml (10,000 ppm)>240 MinutesDocetaxel10 mg/ml (10,000 ppm)>240 Minutes
Doxorubicin HCl2 mg/ml (2,000 ppm)>240 MinutesDoxorubicin HCl2 mg/ml (2,000 ppm)>240 Minutes
Epirubicin HCl2 mg/ml (2,000 ppm)>240 MinutesEpirubicin HCl2 mg/ml (2,000 ppm)>240 Minutes
Etoposide20 mg/ml (20,000 ppm)>240 MinutesEtoposide20 mg/ml (20,000 ppm)>240 Minutes
Fludarabine25 mg/ml (25,000 ppm)>240 MinutesFludarabine25 mg/ml (25,000 ppm)>240 Minutes
Fluorouracil50 mg/ml (50,000 ppm)>240 MinutesFluorouracil50 mg/ml (50,000 ppm)>240 Minutes
Gemcitabine38 mg/ml (38,000 ppm)>240 MinutesGemcitabine38 mg/ml (38,000 ppm)>240 Minutes
Idarubicin HCl1 mg/ml (1,000 ppm)>240 MinutesIdarubicin HCl1 mg/ml (1,000 ppm)>240 Minutes
Ifosfamide50 mg/ml (50,000 ppm)>240 MinutesIfosfamide50 mg/ml (50,000 ppm)>240 Minutes
Irinotecan20 mg/ml (20,000 ppm)>240 MinutesIrinotecan20 mg/ml (20,000 ppm)>240 Minutes
Mechlorethamine HCl1 mg/ml (1,000 ppm)>240 MinutesMechlorethamine HCl1 mg/ml (1,000 ppm)>240 Minutes
Melphalan5 mg/ml (5,000 ppm)>240 MinutesMelphalan5 mg/ml (5,000 ppm)>240 Minutes
Methotrexate25 mg/ml (25,000 ppm)>240 MinutesMethotrexate25 mg/ml (25,000 ppm)>240 Minutes
Mitomycin C0.5 mg/ml (500 ppm)>240 MinutesMitomycin C0.5 mg/ml (500 ppm)>240 Minutes
Mitoxantrone HCl2 mg/ml (2,000 ppm)>240 MinutesMitoxantrone HCl2 mg/ml (2,000 ppm)>240 Minutes
TEST METHODPURPOSEACCEPTANCE CRITERIARESULTS
ASTM D6978-05(Reapproved 2019)Standard Practice forAssessment of Resistanceof Medical Gloves toPermeation byChemotherapy Drugs.To determine thebreakthroughdetection time ofOpioid drugs6 mg/ml (6,000 ppm)>240 Minutes6 mg/ml (6,000 ppm)>240 Minutes
Rituximab 10 mg/ml(10,000 ppm)>240 MinutesRituximab 10mg/ml (10,000 ppm)>240 Minutes
Thiotepa10 mg/ml (10,000 ppm)128.1 MinutesThiotepa10 mg/ml (10,000 ppm)49.1 Minutes
Trisenox1 mg/ml (1,000ppm) >240MinutesTrisenox1 mg/ml (1,000ppm) >240Minutes
Vincristine Sulfate1 mg/ml (1,000 ppm)>240 MinutesVincristine Sulfate1 mg/ml (1,000 ppm)>240 Minutes
Fentanyl Citrate Injection(100mcg/2mL)>240 MinutesFentanyl Citrate Injection(100mcg/2mL)>240 Minutes

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K232654

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K232654

AS REQUIRED BY: 21CFR§807.92

BIOCOMPATIBILITY DATA

TEST METHODPURPOSEACCEPTANCECRITERIARESULTS
ISO 10993-23 Firstedition 2021-01Biological Evaluation ofMedical Devices - Part23, Tests for Irritation.To evaluate thelocal dermalirritation of a testarticle extractfollowingintracutaneousinjection inrabbits.Under the condition of studynot an irritantUnder the conditions of thestudy, the test article met therequirements of the test
10993-10 Fourth edition2021-11 BiologicalEvaluation of MedicalDevices - Part 10, Testsfor Skin Sensitization.To evaluate thetest item, for theskin sensitizationin Guinea pigs bymaximization test.Under the conditions of thestudy, not a sensitizerUnder the conditions of thestudy, the test article was notconsidered a sensitizer
ISO 10993-11 Thirdedition 2017-09Biological Evaluation ofMedical Devices - Part11, Tests for SystemicToxicity.To evaluate theacute systemictoxicity of a testarticle extractfollowing injectionin mice.Under the conditions ofstudy, the device extracts donot pose an acute systemictoxicity concernUnder the conditions ofstudy, there was nomortality or evidence ofacute systemic toxicity.

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510(K) SUMMARY K232654 AS REQUIRED BY: 21CFR §807.92

The performance test data of the non-clinical tests that support a determination of safety and equivalence is the same as mentioned above (ASTM Requirements).

The performance test data of the non-clinical tests meet following standards:

  • ASTM D6319-19 Standard Specification for Nitrile examination Gloves for Medical . Application.
  • ASTM D5151-19 Standard Test Method for Detection of Holes in Medical Gloves.
  • ASTM D6124-06 (Reapproved 2017) Standard Test Method for Residual Powder on Medical ● Gloves.
  • ASTM D6978-05 (Reapproved 2019) Standard Practice for Assessment of Resistance of ● Medical Gloves to Permeation by Chemotherapy Drugs.
  • . ISO 10993-23 First Edition 2021-01 Biological Evaluation of Medical Devices - Part 23, Tests for Irritation.
  • ISO 10993-10 Fourth Edition 2021-11 Biological Evaluation of Medical Devices Part 10, ● Tests for Skin Sensitization.
  • ISO 10993-11 Third Edition 2017-09 Biological Evaluation of Medical Devices Part 11, . Tests for Systemic Toxicity.

H. CLINICAL TESTING SUMMARY

Not applicable - Clinical data is not needed for gloves.

I. CONCLUSION

The conclusions drawn from the non-clinical tests demonstrate that the subject device, Nephron Nitrile™, Nitrile Powder-Free Examination Gloves Black (Tested For Use With Chemotherapy Drugs and Fentanyl), is as safe, as effective, and performs as well as or better than the legally marketed predicate device K231349.

§ 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.