K Number
K090568
Device Name
MEDLINE NITRILE EXAM GLOVES W/ALOE -GREEN
Date Cleared
2009-10-02

(213 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Medline Powder-Free Nitrile Examination Glove with Aloe (tested for use with chemotherapy drugs) is a disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner. The tested chemotherapy drugs and their breakthrough detection times are as follows: | Chemotherapy Drug | Average BDT | |----------------------------|-------------| | 5-Fluorouracil | >240 min. | | Etoposide (Toposar) | >240 min. | | Cyclophosphamide (Cytoxan) | >240 min. | | Carmustine | 19.31 min. | | Thiotepa | 26.88 min. | | Paclitaxel (Taxol) | >240 min. | | Doxorubicin Hydrochloride | >240 min. | | Dacarbazine (DTIC) | >240 min. | | Cisplatin | >240 min. | | Ifosfamide (Ifex) | >240 min. | | Mitoxantrone | >240 min. | | Vincristine Sulfate | >240 min. | WARNING: Do not use with Carmustine and Thio-Tepa.
Device Description
Medline Powder-Free Nitrile Examination Glove with Aloe (Green) - Tested for use with Chemotherapy Drugs
More Information

Not Found

Not Found

No
The document describes a disposable examination glove and its performance against chemotherapy drugs. There is no mention of AI or ML technology in the intended use, device description, or any other section.

No.
The device is an examination glove, intended to prevent contamination between patient and examiner, not to provide therapy.

Yes
The device is a medical glove intended for protection, not for diagnosing medical conditions. It does not provide any information or measurements about a patient's health status.

No

The device is a physical examination glove, which is a hardware medical device, not software.

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

Here's why:

  • Intended Use: The intended use is clearly stated as a "disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner." This describes a barrier device used for personal protection and infection control.
  • IVD Definition: An In Vitro Diagnostic device is defined as a medical device that is used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Lack of Diagnostic Function: This glove does not perform any tests on patient samples. Its function is purely protective.
  • Focus on Barrier Properties: The information provided focuses on the glove's ability to act as a barrier against chemotherapy drugs, which is a measure of its protective performance, not its diagnostic capability.

Therefore, the Medline Powder-Free Nitrile Examination Glove with Aloe is a medical device, but it falls under the category of personal protective equipment (PPE) and is not an IVD.

N/A

Intended Use / Indications for Use

The Medline Powder-Free Nitrile Examination Glove with Aloe (tested for use with chemotherapy drugs) is a disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner.

The tested chemotherapy drugs and their breakthrough detection times are as follows:

Chemotherapy DrugAverage BDT
5-Fluorouracil>240 min.
Etoposide (Toposar)>240 min.
Cyclophosphamide (Cytoxan)>240 min.
Carmustine19.31 min.
Thiotepa26.88 min.
Paclitaxel (Taxol)>240 min.
Doxorubicin Hydrochloride>240 min.
Dacarbazine (DTIC)>240 min.
Cisplatin>240 min.
Ifosfamide (Ifex)>240 min.
Mitoxantrone>240 min.
Vincristine Sulfate>240 min.

WARNING: Do not use with Carmustine and Thio-Tepa.

Product codes

LZC, LZA

Device Description

Medline Powder-Free Nitrile Examination Glove with Aloe (Green) - Tested for use with Chemotherapy Drugs

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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)

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Reference Device(s)

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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

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-0609 Silver Spring, MD 20993-0002

Mr. Matt Clausen Regulatory Affairs Medline Industries, Incorporated One Medline Place Mundelein, Illinois 60060

OCT - 2 2009

Re: K090568

Trade/Device Name: Medline Powder-Free Nitrile Examination Glove with Aloe (Green) - Tested for use with Chemotherapy Drugs

Regulation Number: 21CFR 880.6250 Regulation Name: Patient Examination Glove Regulatory Class: I Product Code: LZC, LZA Dated: September 22, 2009 Received: September 23, 2009

Dear Mr. Clausen:

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 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.

1

Page 2 - Mr. Clausen

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 (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to

http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance:

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 (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours.

Susan Runner

Susan Runner, D.D.S., M.A. Acting Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

510(k) Number (if known): K090568

Device Name:

Medline Powder-Free Nitrile Examination Glove with Aloe (Green) – Tested for use with Chemotherapy Drugs

Indications For Use:

The Medline Powder-Free Nitrile Examination Glove with Aloe (tested for use with chemotherapy drugs) is a disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner.

The tested chemotherapy drugs and their breakthrough detection times are as follows:

Chemotherapy DrugAverage BDT
5-Fluorouracil>240 min.
Etoposide (Toposar)>240 min.
Cyclophosphamide (Cytoxan)>240 min.
Carmustine19.31 min.
Thiotepa26.88 min.
Paclitaxel (Taxol)>240 min.
Doxorubicin Hydrochloride>240 min.
Dacarbazine (DTIC)>240 min.
Cisplatin>240 min.
Ifosfamide (Ifex)>240 min.
Mitoxantrone>240 min.
Vincristine Sulfate>240 min.

WARNING: Do not use with Carmustine and Thio-Tepa.

Sheila A. Murphy, M.D.

ैं.
मुंबई को बाद में बाद में बाद में बाद में बाद में बाद में बाद में में में में में में में में में में में में में में में में में में में में में में में में में में में

(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number: K090568

Prescription Use (Part 21 CFR 801 Subpart D)

(

Over-the-Counter Use X (21 CFR 801 Subpart C)

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

OR

Concurrence of CDRH, Office of Device Evaluation (ODE)