K Number
K110272
Date Cleared
2011-06-08

(128 days)

Product Code
Regulation Number
878.4460
Panel
HO
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

This powder-free surgeon's glove is a disposable device made of synthetic rubber intended to be worn by operating room personnel to protect a surgical wound from contamination. In addition, these gloves were tested for use with chemotherapy drugs in accordance with ASTM m and the most go res world of Medical Gloves to Permeation by Chemotherapy Drugs.

Device Description

The proposed device is a disposable device. It is not made with natural rubber latex. Instead, it is formulated from polyisoprene, which is a synthetic rubber latex. This Sterile Polyisoprene Powder-Free Surgical Glove is manufactured using exact same material used in the currently cleared device, Esteem SMT glove (K093300) that has been legally marketed by Cardinal Health. The glove is manufactured using molds that feature anti-slip finish, independent thumb, and tapered mechanically locking cuffs to help reduce cuff roll down. It is offered powder-free and sterile.

AI/ML Overview

The provided document describes the safety and effectiveness summary for "Sterile Polyisoprene Powder-Free Surgical Gloves Tested for Use with Chemotherapy Drugs." This is for a medical device and not an AI or software device, therefore, the requested information elements related to AI/algorithm performance studies like sample size for test/training sets, data provenance, number/qualification of experts for ground truth, adjudication methods, MRMC studies, or standalone algorithm performance are not applicable.

The acceptance criteria and the study proving the device meets these criteria are related to the physical, chemical, and biological properties of the surgical gloves.

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

CharacteristicAcceptance Criteria (Standard/Test/FDA Guidance)Reported Device Performance (New Device - K110272)
Biocompatibility:
Primary Skin IrritationISO 10993-10Gloves are non-irritating. (Pass)
Guinea Pig MaximizationISO 10993-10Gloves do not display any potential for sensitization. (Pass)
Physical Characteristics:
DimensionsASTM D3577Meet requirements
Physical PropertiesASTM D3577Meet requirements for rubber surgical gloves
Freedom from Holes21 CFR 800.20 & ASTM D3577Tested in accordance with ASTM D5151 with acceptable results. Meets requirements.
Powder ResidualASTM D3577 tested using ASTM D6124Gloves meet powder level requirements for "Powder-Free" designation per ASTM D3577. Results generated values 240 minutes for acceptable protection (implied by the majority of test results).
Busulfan (6 mg/ml): >240 min
Carmustine (BCNU) (3.3 mg/ml): 0.37 min
Cisplastin, (1.0 mg/ml): >240 min
Cytarabine (100 mg/ml): >240 min
Cyclophosphamide (20 mg/ml): >240 min
Dacarbazine (10 mg/ml): >240 min
Doxorubicin HCl (2.0 mg/ml): >240 min
Ellence (25 mg/ml): >240 min
Etoposide (Toposar) (20 mg/ml): >240 min
Fludarabine (25 mg/ml): >240 min
Fluorouracil (50 mg/ml): >240 min
Idarubicin (1 mg/ml): >240 min
Ifosfamide (50 mg/ml): >240 min
Mechlorethamine HCl (1 mg/ml): >240 min
Melphalan (5 mg/ml): >240 min
Methotrexate (25 mg/ml): >240 min
Mitoxantrone (2 mg/ml): >240 min
Mitomycin C (0.5 mg/ml): >240 min
Paclitaxel (Taxol) (6.0 mg/ml): >240 min
Paraplatin (10 mg/ml): >240 min
Rituximab (10 mg/ml): >240 min
Thiotepa (10 mg/ml): 0.44 min
Trisenox (0.1 mg/ml): >240 min
Vincristine sulfate (1 mg/ml): >240 min

2. Sample size used for the test set and the data provenance

The document does not explicitly state the sample sizes for each specific test (e.g., how many gloves were tested for holes, or how many samples for biocompatibility). However, the tests were conducted according to recognized international and national standards (e.g., ISO 10993, ASTM D3577, ASTM D6978, 21 CFR 800.20), which typically specify appropriate sample sizes and methodologies.

The "data provenance" for this type of device (surgical gloves) would relate to the manufacturing and testing environment, not patient data. The tests are non-clinical, laboratory-based studies.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

Not applicable. For surgical glove testing, "ground truth" is established by adherence to standardized test methods and criteria defined by organizations like ASTM and ISO, not by expert human consensus on medical images or diagnoses.

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

Not applicable. Adjudication methods are relevant for subjective assessments, typically in clinical studies or for AI output evaluation. The tests performed for these gloves (e.g., physical properties, chemical permeation) are objective laboratory measurements, not requiring adjudication.

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

Not applicable. This device is a physical medical glove, not an AI or imaging diagnostic tool.

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

Not applicable. This device is a physical medical glove, not an AI or algorithm.

7. The type of ground truth used

The "ground truth" for this device's performance is established by objective laboratory measurements and adherence to predefined specifications and test standards. For example:

  • Biocompatibility: Determined by standardized in-vivo (e.g., guinea pig maximization) and in-vitro tests following ISO 10993.
  • Physical Properties: Measured against specifications in ASTM D3577.
  • Freedom from Holes: Determined by testing according to ASTM D5151 and meeting AQL (Acceptable Quality Level) requirements specified in 21 CFR 800.20 & ASTM D3577.
  • Powder Residual: Measured using ASTM D6124 to meet ASTM D3577 limits.
  • Chemotherapy Drug Permeation: Measured as breakthrough time using ASTM D6978.

8. The sample size for the training set

Not applicable. This is a physical device, not an AI model requiring a training set.

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

Not applicable. This is a physical device, not an AI model.

§ 878.4460 Non-powdered surgeon's glove.

(a)
Identification. A non-powdered surgeon's glove is a device intended to be worn on the hands of operating room personnel to protect a surgical wound from contamination. A non-powdered surgeon's 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).