K Number
K111139
Device Name
DERMA PRENE ISOTOUCH GREEN STERILE POWDER-FREE POLYISOPRENE SURGICAL GOVES, TESTED FOR U
Date Cleared
2011-09-02

(133 days)

Product Code
Regulation Number
878.4460
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
These gloves are intended to be worn by operating room personnel to protect a surgical wound from contamination, and are tested for use with chemotherapy drugs.
Device Description
The Derma Prene® Isotouch® Green Sterile Powder-Free Polyisoprene Surgical Gloves, Tested for Use with Chemotherapy Drugs, is a disposable device made of synthetic latex rubber that is intended to be worn by operating room personnel to protect a surgical wound from contamination, and is tested for use with chemotherapy drugs. A coating of Aliphatic Polyester Polyurethane is applied to the inner surface of the glove to make donning easy.
More Information

Not Found

No
The device is a surgical glove and the summary does not mention any AI or ML capabilities. The performance studies focus on physical properties and chemotherapy drug permeation, not algorithmic performance.

No
The device is a surgical glove intended to protect personnel and prevent contamination, not to treat a medical condition or ailment.

No
The device description and intended use clearly state that these gloves are for protection against contamination and for use with chemotherapy drugs, not for diagnosing any condition.

No

The device is a physical surgical glove made of synthetic latex rubber, not software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices intended for use in vitro for the examination of specimens, including blood and tissue samples, derived from the human body, solely or principally for the purpose of providing information concerning a physiological or pathological state, or concerning a congenital abnormality, or to determine the safety and compatibility with potential recipients, or to monitor therapeutic measures.
  • Device's Intended Use: The intended use of these gloves is to be worn by operating room personnel to protect a surgical wound from contamination and for use with chemotherapy drugs. This is a barrier function and protection for the user and the patient's wound, not for examining specimens from the body to provide diagnostic information.
  • Device Description: The description confirms it's a disposable glove for wearing on hands.
  • Lack of IVD Characteristics: The document does not mention any analysis of biological samples, diagnostic testing, or providing information about a patient's health status based on in vitro examination.

Therefore, based on the provided information, this device clearly falls outside the definition and purpose of an In Vitro Diagnostic.

N/A

Intended Use / Indications for Use

These gloves are intended to be worn by operating room personnel to protect a surgical wound from contamination, and are tested for use with chemotherapy drugs.

Product codes (comma separated list FDA assigned to the subject device)

KGO, LZC

Device Description

The Derma Prene® Isotouch® Green Sterile Powder-Free Polyisoprene Surgical Gloves, Tested for Use with Chemotherapy Drugs, is a disposable device made of synthetic latex rubber that is intended to be worn by operating room personnel to protect a surgical wound from contamination, and is tested for use with chemotherapy drugs. A coating of Aliphatic Polyester Polyurethane is applied to the inner surface of the glove to make donning easy.

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

operating room personnel

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)

Chemotherapy Drug Permeation (average breakthrough detection time in minutes) (ASTM D6978-05) was tested and results for various chemotherapy drugs are provided, with Carmustine and ThioTEPA showing a 15.5 minute permeation time and others showing >240 minutes. The device meets ASTM D3577-09e1 for Dimensions, Physical Properties, and Freedom from Holes; ASTM D 5151-06 for Freedom from Holes; ASTM D 6124-06 for Powder-Free (≤ 2 mg per glove); ASTM D3577-09e1 and ASTM D 5712 for Protein Content (Maximum 50 µg/dm²). Biocompatibility studies for Dermal Sensitization and Primary Skin Irritation Study passed.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K013302

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 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).

0

Image /page/0/Picture/1 description: The image shows the word "Ansell" in a bold, sans-serif font. The word is underlined with a thick, slightly curved line. The text and the line are both black, contrasting with the white background.

1635 Industrial Road Dothan, AL 36303 Tel: (334) 615-2563 Fax: (334) 615-2574

510(k) SUMMARY

1.0 Submitter: Ansell Healthcare Products LLC 1635 Industrial Road Dothan, AL 36303

2.0 Date of Preparation: July 21, 2011

3.0 Contact Information: Cynthia A. Ingram, Regulatory Affairs Manager, Americas Fax: 334-615-2573 Telephone: 334-615-2563

  • 4.0 Name of Device: Trade Name: Derma Prene® Isotouch® Green Sterile Powder-Free Polyisoprene Surgical Gloves, Tested for Use with Chemotherapy Drugs
    Common Name: Surgeon's Gloves Classification Name: Surgeon's Gloves

  • Legally Marketed Device to Which Equivalence is being Claimed: રું. વ
    Device Name: Cardinal Health Duraprene SMT Powder-Free Synthetic Neoprene Surgical Gloves Tested for Use with Chemotherapy Drugs

510(k) Number: K013302

  • 6.0 Identification of the Device:
    Derma Prene® Isotouch® Green Sterile Powder-Free Polyisoprene Surgical Gloves, Tested for Use with Chemotherapy Drugs

  • 7.0 Description of the Device:
    The Derma Prene® Isotouch® Green Sterile Powder-Free Polyisoprene Surgical Gloves, Tested for Use with Chemotherapy Drugs, is a disposable device made of synthetic latex rubber that is intended to be worn by operating room personnel to protect a surgical wound from contamination, and is tested for use with chemotherapy drugs. A coating of Aliphatic Polyester Polyurethane is applied to the inner surface of the glove to make donning easy.

P. 1 of 4

1

8.0 Intended Use of the Device:

These gloves are intended to be worn by operating room personnel to protect a surgical wound from contamination, and are tested for use with chemotherapy drugs.

Chemotherapy Drug Permeation (average breakthrough detection time in minutes) (ASTM D6978-05)

*Carmustine15.5
Cyclophosphamide>240
Doxorubicin Hydrochloride>240
Etoposide (Toposar)>240
5-Fluorouracil>240
Paclitaxel (Toxol)>240
*ThioTEPA15.5
Methotrexate>240
Vincristine Sulfate>240

Please note that Carmustine and ThioTEPA have an extremely low permeation time of 15.5 minutes.

ਰੇ.0 Summary of Technological Characteristics of the Device:

Derma Prene® Isotouch® Green Sterile Powder-Free Polyisoprene Surgical Gloves, Tested for Use with Chemotherapy Drugs have the following technological characteristics compared to ASTM or equivalent standards:

CharacteristicsStandardDevice Performance
DimensionsASTM D3577-09e1Meets
Physical PropertiesASTM D3577-09e1Meets
Freedom from HolesASTM D3577-09e1Meets
ASTM D 5151-06
Powder-FreeASTM D 6124-06≤ 2 mg per glove
Protein ContentASTM D3577-09e1Maximum 50 µg/dm²
ASTM D 5712
BiocompatibilityDermal SensitizationPasses
Primary Skin Irritation StudyPasses

2

Substantial Equivalence Based on Assessment of Non-Clinical Performance Data: 10.0

Comparison to Predicate – The subject device (Derma Prené® Isotouch® Green Sterile Powder-Free Polyisoprene Surgical Gloves, Tested for Use with Chemotherapy Drugs) compares favorably to the predicate device (Cardinal Health Duraprene SMT Powder-Free Synthetic Neoprene Surgical Gloves Tested for Use with Chemotherapy Drugs) as indicated in the tabulated summary below.

Substantial Equivalence Comparison Table
Subject DevicePredicate DeviceSubstantial
Equivalence (SE)?
Derma Prene® Isotouch® Green
Sterile Powder-Free
Polyisoprene Surgical Gloves,
Tested for Use with
Chemotherapy DrugsCardinal Health Duraprene SMT
Gloves, Tested for Use with
Chemotherapy Drugs
(Allegiance Healthcare
Corporation K013302)
Indications for
UseThese gloves are intended to be
worn by operating room
personnel to protect a surgical
wound from contamination, and
are tested for use with
chemotherapy drugs.These gloves are intended for
use in environments within
hospitals and other healthcare
facilities. The gloves are
appropriate for use during
invasive as well as non-invasive
medical procedures requiring
sterility. They are intended to
be worn by operating room
personnel to protect a surgical
wound form contamination.Yes, Substantially
Equivalent
Chemotherapy
Permeation
StandardMeets ASTM D6978-05Meets ASTM F739-91Yes, Substantially
Equivalent
Design
SpecificationsMeets ASTM D3577-09e1Meets ASTM D3577 and
EN 455-2Yes, Substantially
Equivalent
PerformanceMeets ASTM D3577-09e1Meets ASTM D3577 and
EN 455-2Yes, Substantially
Equivalent
MaterialsFlexible Synthetic Rubber -
Synthetic Polyisoprene Rubber
and Aliphatic Polyester
Polyurethane inner coating to
aid donningFlexible Synthetic Rubber -
Neoprene and Nitrile for easy
donningYes, Substantially
Equivalent
BiocompatibilityPassesPassesYes, Substantially
Equivalent
SterilitySterileSterileIdentical
ColorSynthetic Glove with embedded
Colorant -GreenSynthetic Glove with embedded
Colorant -FleshYes, Substantially
Equivalent
Powder-FreeMeets Applicable Definition for
Powder Free: 240
Doxorubicin Hydrochloride>240
Etoposide (Toposar)>240
5-Fluorouracil>240
Paclitaxel (Taxol)>240
*ThioTEPA15.5
Methotrexate>240
Vincristine Sulfate>240

Please note that Carmustine and ThioTEPA have an extremely low permeation time of 15.5 minutes.

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

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH Office of Device Evaluation (ODE)

Elishath F. Clavie-Wells

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

510(k) Number: _K !!!! 3 9