K Number
K151390
Date Cleared
2016-05-02

(342 days)

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

A powder free 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.

In addition, these gloves were tested for use with chemotherapy drugs in accordance with ASTMD6978-05 Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs:

Test Chemotherapy Drug and ConcentrationMinimum Breakthrough Detection Time (Minutes)
Cisplatin, 1.0mg/ml>240
Cyclophosphamide (Cytoxan), 20mg/ml>240
Carmustine (BCNU), 3.3mg/ml1.0
Dacarbazine (DTIC), 10.0mg/ml>240
Doxorubicin Hydrochloride, 2.0mg/ml>240
Etoposide (Toposar), 20.0mg/ml>240
Fluorouracil, 50.0mg/ml>240
Paclitaxel (Taxol), 6.0mg/ml>240
Thiotepa, 10.0mg/ml31.3
Methotrexate ,25mg/ml>240
Mitomycin C, 0.5mg/ml>240
Vincristine Sulfate, 1.0mg/ml>240
Ifosfamide, 50.0mg/ml>240

Please note that the following drugs have low permeation time of less than 240 minutes: Carmustine (BCNU), 3.3mg/ml: 1.0 minute Thiotepa, 10.0mg/ml: 31.3 minutes

Device Description

These patient examination gloves are formulated using nitrile, non-sterile, powder free, meet all the requirements of ASTM D6319 and tested for use with chemotherapy drugs.

AI/ML Overview

This document does not describe a device that uses Artificial Intelligence (AI) or Machine Learning (ML). It is an FDA 510(k) premarket notification for Powder Free Nitrile Examination Gloves Tested For Use with Chemotherapy Drugs.

Therefore, the requested information regarding acceptance criteria, study details, sample sizes, ground truth, expert qualifications, adjudication methods, MRMC studies, or standalone algorithm performance for an AI/ML device is not applicable to this document.

The document focuses on the physical and chemical properties of the gloves, primarily their resistance to permeation by chemotherapy drugs, and compares them to established ASTM standards and a predicate device.

However, to address the acceptance criteria and performance data as presented in the document for the physical device (gloves):

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria for the gloves are primarily based on ASTM standards. The relevant performance data is provided in "Table 1" on page 4 of the document, comparing the applicant's device to a predicate device and relevant standards.

CharacteristicsStandardsAcceptance Criteria (from Standards or Predicate)Reported Device Performance (Current Device)
DimensionsASTM D6319-10Min 240mm (Predicate)Min 270mm
Physical PropertiesASTM D6319-10MeetMeet
Thickness - FingerASTM D6319-100.07-0.10mm (Predicate)Min 0.10mm
Thickness - PalmASTM D6319-100.07-0.09mm (Predicate)Min 0.10mm
Freedom From HolesASTM D6319-10 and ASTM D5151PassPass
Powder Free ResidueASTM D6319-10 and ASTM D6124MeetMeet
Resistance to Permeation by Chemotherapy Drugs (ASTM D6978-05)Minimum Breakthrough Detection Time (min)Minimum Breakthrough Detection Time (min)
Cisplatin, 1.0mg/ml>240 minutes>240 minutes
Cyclophosphamide (Cytoxan), 20mg/ml>240 minutes>240 minutes
Carmustine (BCNU), 3.3mg/ml15.0 minutes1.0 minute (with warning)
Dacarbazine (DTIC), 10.0mg/ml>240 minutes>240 minutes
Etoposide (Toposar), 20.0mg/ml>240 minutes>240 minutes
Doxorubicin Hydrochloride, 2.0mg/ml>240 minutes>240 minutes
Fluorouracil, 50.0mg/ml>240 minutes>240 minutes
Paclitaxel (Taxol), 6.0mg/ml>240 minutes>240 minutes
Thiotepa, 10.0mg/ml2.0 minutes31.3 minutes (with warning)
Methotrexate, 25mg/ml- (Not explicitly listed for predicate)>240 minutes
Mitomycin C, 0.5mg/ml- (Not explicitly listed for predicate)>240 minutes
Vincristine Sulfate, 1.0mg/ml>240 minutes>240 minutes
Ifosfamide, 50.0mg/ml>240 minutes>240 minutes
Biocompatibility - Primary Skin IrritationISO 10993PassPass
Biocompatibility - Dermal SensitizationISO 10993PassPass
MaterialASTM D6319-10NitrileNitrile
Texture-Finger TexturedFinger Textured

Note on Chemotherapy Drug Permeation: The "acceptance criteria" here are comparison points from the predicate device and the standard. The device performance for Carmustine and Thiotepa for the current device are lower than >240 minutes, but still considered acceptable with explicit warnings regarding their low permeation times, similar to how the predicate device also had drugs with low permeation times. For Thiotepa, the current device performance (31.3 minutes) is significantly better than the predicate (2.0 minutes). For Carmustine, the current device performance (1.0 minute) is lower than the predicate (15.0 minutes). These differences are noted and addressed by a warning statement.

This summary is based on the information provided, which details the device's compliance with established industry standards for patient examination gloves and specific testing for chemotherapy drug permeation.

§ 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.