K Number
K140816
Date Cleared
2014-07-08

(98 days)

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

A patient examination glove is disposable non-sterile device intended for medical purpose that is worn on the examiner's hand or finger to prevent contamination between patient and examiner.

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

Test Chemotherapy Drug and ConcentrationAverage BDT
Fluorouracil, 50.0mg/ml (50,000ppm)>240 min.
Etoposide (Toposar), 20.0mg/ml (20,000ppm)>240 min.
Cyclophosphamide (Cytoxan), 20mg/ml (20,000ppm)>240 min.
Carmustine (BCNU), 3.3mg/ml (3,300ppm)2.3 min.
Thiotepa, 10.0mg/ml (10,000ppm)30.9 min.
Paclitaxel (Taxol), 6.0mg/ml (6,000ppm)>240 min.
Doxorubicin Hydrochloride, 2.0mg/ml (2,000ppm)>240 min.
Dacarbazine (DTIC), 10.0mg/ml (10,000ppm)>240 min.
Cisplatin, 1.0mg/ml (1,000ppm)>240 min.

Please note that Carmustine and Thiotepa have extremely low permeation times of 30.9 minutes and 2.3 minutes, respectively.

Device Description

Powder Free Nitrile Examination Glove, Tested for Use with Chemotherapy Drugs (Blue) are Patient Examination Gloves, Disposable, single use only and non-sterile. The gloves are made of nitrile rubber materials and are powder free. The physical and performance characteristics of the devices meet all requirements of ASTM standard D 6319-10 Standard Specification for Nitrile Examination Gloves for Medical Application.

AI/ML Overview

Here's a breakdown of the acceptance criteria and the study information for the Powder Free Nitrile Examination Glove, Tested for Use with Chemotherapy Drugs (Blue), based on the provided text:

1. Table of Acceptance Criteria and Reported Device Performance

CharacteristicStandard/Acceptance CriteriaReported Device Performance
Product CodeLZALZA
Intended UseDisposable non-sterile device for medical purposes, worn on hand/finger to prevent contamination.Meets
Chemotherapy Drugs (Breakthrough Detection Time - BDT)Fluorouracil, Etoposide, Cyclophosphamide, Paclitaxel, Doxorubicin HCl, Dacarbazine, Cisplatin: >240 minFluorouracil (50.0mg/ml): >240 min
Etoposide (20.0mg/ml): >240 min
Cyclophosphamide (20mg/ml): >240 min
Paclitaxel (6.0mg/ml): >240 min
Doxorubicin HCl (2.0mg/ml): >240 min
Dacarbazine (10.0mg/ml): >240 min
Cisplatin (1.0mg/ml): >240 min
Carmustine & Thiotepa: Permeation times should be reported.Carmustine (3.3mg/ml): 2.3 min
Thiotepa (10.0mg/ml): 30.9 min
LabelingNo special labeling claims, no hypoallergenic claims.Meets
Device MaterialsNitrile compoundNitrile Compound
ColorBlueBlue
Tensile strength (before/after aging)ASTM D6319-10 (Meets)Meets
Ultimate elongation (before/after aging)ASTM D6319-10 (Meets)Meets
Freedom from pinholesASTM D6319-10, ASTM D5151-06 (2011), 21CFR800.20 (Meets)Meets
Dimensions (Overall length, Width, Palm, Finger thickness)ASTM D6319-10 (Meets)Meets
Residual powderASTM D6319-10, ASTM D6124 (Meets)Meets
Primary skin irritation testISO 10993-10 (Not an irritant)Not an irritant
Dermal sensitization assayISO 10993-10 (Not a sensitizer)Not a sensitizer
Resistance to PermeationASTM D6978-05 (Specific breakthrough times for chemotherapy drugs)Carmustine: 2.3 minutes
Thiotepa: 30.9 minutes
Other specified drugs: >240 minutes

2. Sample Size Used for the Test Set and Data Provenance

The document does not explicitly state the sample sizes used for the individual tests (e.g., tensile strength, pinholes, biocompatibility, resistance to permeation). However, it indicates that the device's physical and performance characteristics meet the requirements of ASTM D 6319-10 and ASTM D 6978-05, which are standards that specify testing methodologies and, implicitly, sample sizes (e.g., AQL levels for pinholes).

The data provenance is from non-clinical tests performed to demonstrate substantial equivalence to a predicate device. The country of origin for the device manufacturer is CHINA (Hebei Province). The testing itself (e.g., ASTM standards, ISO standards) is generally applicable internationally. The document does not specify if the data is retrospective or prospective, but given it's part of a 510(k) submission, it would be considered prospective in the sense that the device was specifically tested to demonstrate compliance for this submission.

3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications

This information is not applicable to this type of device and study. The "ground truth" for glove performance is established by standardized testing protocols (e.g., ASTM, ISO) that yield quantitative measurements (e.g., tensile strength values, breakthrough detection times, pass/fail for pinholes, irritation/sensitization ratings). There isn't a need for expert consensus in the way there would be for image interpretation or disease diagnosis.

4. Adjudication Method for the Test Set

This is not applicable. As mentioned above, the acceptance criteria are based on objective measurements against established standards, not on subjective interpretations requiring adjudication.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was Done

No, an MRMC comparative effectiveness study was not conducted. This type of study is relevant for diagnostic devices where human readers (e.g., radiologists) interpret results, and the study aims to assess the impact of an AI tool on their performance. For a medical glove, performance is evaluated through physical, chemical, and biological testing as outlined above.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was Done

This is not applicable. The device is a physical product (a glove), not an algorithm or AI system. Its performance is inherent to the product itself, not an independent algorithmic output.

7. The Type of Ground Truth Used

The ground truth used for this device is based on:

  • Standardized Test Results: Compliance with established industry standards such as ASTM D6319-10 (for physical properties like tensile strength, elongation, dimensions, freedom from holes, residual powder) and ISO 10993-10 (for biocompatibility).
  • Quantitative Measurement: For chemotherapy drug permeation, the "ground truth" is the measured breakthrough detection time (BDT), determined according to ASTM D6978-05.

8. The Sample Size for the Training Set

This is not applicable. The device is a physical product, not a machine learning model. Therefore, there is no "training set" in the context of AI/ML. The manufacturing process of the glove and its materials are designed to meet the specifications, and the testing ensures these specifications are met for production batches.

9. How the Ground Truth for the Training Set was Established

This is not applicable for the same reasons as #8.

§ 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.