K Number
K081971
Device Name
BIOCLEAN CHEMO ULTIMATE POWDER FREE POLYCHLOROPRENE EXAMINATION GLOVES
Date Cleared
2008-12-23

(166 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
A 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. Tested for use with Chemotherapy Drugs
Device Description
The BioClean Chemo Ultimate is a powder free, sterile, Polychloroprene examination glove, tested for use with chemotherapy agents.
More Information

80LZC

Not Found

No
The summary describes a standard examination glove and contains no mention of AI or ML technology.

No
The device is described as an examination glove intended to prevent contamination, which is a barrier function rather than a therapeutic one. Its predicate device also falls under Class 1 for Patient Examination Gloves, further indicating it's not a therapeutic device.

No
Explanation: The device is a patient examination glove, described as a "disposable device intended for medical purposes that is worn on the examiner's hand or finger to prevent contamination between patient and examiner." Its function is protective, not diagnostic.

No

The device is a physical examination glove, not a software application. The description clearly states it is a "disposable device intended for medical purposes that is worn on the examiner's hand or finger".

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to prevent contamination between patient and examiner by being worn on the hand or finger. This is a physical barrier function, not a diagnostic test performed on samples taken from the body.
  • Device Description: The description confirms it's an examination glove, a physical barrier device.
  • Lack of IVD Characteristics: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting substances, or providing diagnostic information about a patient's health status.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or screening purposes. This glove does not fit that description.

N/A

Intended Use / Indications for Use

A 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. Tested for use with Chemotherapy Drugs

Product codes

LZC

Device Description

The BioClean Chemo Ultimate is a powder free, sterile, Polychloroprene examination glove, tested for use with chemotherapy agents.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

hand or finger

Indicated Patient Age Range

Not Found

Intended User / Care Setting

examiner's hand

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

current Class 1 Patient Examination Glove bearing the product code 80LZC, 21 CFR 880.6250

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

0

Image /page/0/Picture/1 description: The image shows a logo with the letter 'n' in the center. The letter is in a simple, sans-serif font and appears to be the focal point of the design. Encircling the letter 'n' is some text, which is partially obscured but seems to follow the curve of the circle. The overall design is minimalist and likely represents a brand or organization with a name starting with the letter 'n'.

Registration Number K081971 510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

BioClean Chemo Ultimate

1.Submitter's nameNitritex (M) Sdn. Bhd.
2.Submitter's addressLot 2935B, Kampung Batau 9 Kebun Baru,
Jalan Masjid, 42500 Teluk Panglima Garang,
Selangor Darul Ehsan, Malaysia
3.Telephone603-3122 2614
4.Fax603-3122 6331
5.Date of preparation17 November 2008
6.Name of device:
Trade NameBioClean Chemo Ultimate
Common namePatient examination glove
Classification nameGlove, Patient Examination, Specialty - 80LZC
7.Legally marketed device
to which equivalency is
claimedThe BioClean Chemo Ultimate is substantially Equivalent to the
current Class 1 Patient Examination Glove bearing the product code
80LZC, 21 CFR 880.6250. It meets the current specifications ASTM
D 6977-04 and has been tested for chemotherapy agent permeation
performance according to ASTM D 6978-05
8.Description of deviceThe BioClean Chemo Ultimate is a powder free, sterile,
Polychloroprene examination glove, tested for use with
chemotherapy agents.
9.Intended use of the
deviceA 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.
Tested for use with Chemotherapy Drugs

1

Image /page/1/Picture/0 description: This image is a table summarizing the technological characteristics of a device, including non-clinical tests, standards, and performance. The table includes dimensions, physical properties, freedom from pinholes, powder-free status, biocompatibility, and resistance to permeation. It also lists chemotherapy agents tested and their concentrations, along with breakthrough detection times in minutes, such as Cisplatinum at 1.0 mg/mL with no breakthrough up to 480 minutes, and Thio-Tepa at 10.0 mg/mL with a breakthrough time of 47.7 minutes.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized depiction of an eagle or bird-like figure. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the bird.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Derek Watts Director Nitritex (M) Sdn. Bhd. Lot 2935B, Kg. Batu 9 Kebun Baru, Jin Masjid Telok Panglima Garang Kuala Langat, Selangor DE MALAYSIA 42500

DEC 2 3 2008

Re: K081971

Trade/Device Name: BioClean Chemo Ultimate Regulation Number: 21 CFR 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: Class I Product Code: LZC Dated: November 27, 2008 Received: December 5, 2008

Dear Mr. Watts:

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. 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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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.

3

Page 2 - Mr. Watts

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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050,

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Center for Devices and Radiological Health's (CDRH's) Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions-regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html,

Sincerely yours.

Chiu Lin, Ph.D.

Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Indications for use

510(k) Number (if known)

K081971

Device Name

BioClean Chemo Ultimate

Indications For Use

A 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.

Tested for use with Chemotherapy Drugs

Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

x

(PLEASE DO NOT WRITE BELOW THIS LINE – CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Shula A. Murphy, Llc
(Division Sign-Off)

Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number. K081971