K Number
K162381
Date Cleared
2017-01-31

(160 days)

Product Code
Regulation Number
880.6250
Reference & Predicate Devices
Predicate For
N/A
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 the following chemotherapy drugs at specific concentrations as per ASTM D6978-05 Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.

The gloves have been tested with the following drugs and the respective breakthrough detection times are listed below.

No.Chemotherapy Drugs and ConcentrationsBreakthrough
1.Blenoxane (15 mg/ml)> 240 minutes
2.Busulfan (6 mg/ml)> 240 minutes
3.Carboplatin (10 mg/ml)> 240 minutes
4.Carmustine (BCNU) (3.3 mg/ml)*30.4 minutes
5.Cisplatin (1.0 mg/ml)> 240 minutes
6.Cyclophosphamide (Cytoxan) (20 mg/ml)> 240 minutes
7.Cytarabine (100 mg/ml)> 240 minutes
8.Dacarbazine (DTIC) (10.0 mg/ml)> 240 minutes
9.Daunorubicin (5 mg/ml)> 240 minutes
10.Docetaxel (10.0 mg/ml)> 240 minutes
11.Doxorubicin Hydrochloride (2.0 mg/ml)> 240 minutes
12.Ellence (2 mg/ml)> 240 minutes
13.Etoposide (Toposar) (20.0 mg/ml)> 240 minutes
14.Fludarabine (25 mg/ml)> 240 minutes
15.Fluorouracil (50.0 mg/ml)> 240 minutes
16.Ganciclovir (10 mg/ml)> 240 minutes
17.Gemcitabine (Gemzar) (38 mg/ml)> 240 minutes
18.Idarubicin (1 mg/ml)> 240 minutes
19.Ifosfamide (50.0 mg/ml)> 240 minutes
20.Irinotecan (20.0 mg/ml)> 240 minutes
21.Mechlorethamine HCl (1.0 mg/ml)> 240 minutes
22.Melphalan (5 mg/ml)> 240 minutes
23.Methotrexate (25 mg/ml)> 240 minutes
24.Mitoxantrone (2.0mg/ml)> 240 minutes
25.Mitomycin C (0.5 mg/ml)> 240 minutes
26.Oxaliplatin (5 mg/ml)> 240 minutes
27.Paclitaxel (Taxol) (6.0 mg/ml)> 240 minutes
28.Rituximab (10 mg/ml)> 240 minutes
29.Thiotepa (10.0 mg/ml)> 240 minutes
30.Trisenox (0.1 mg/ml)> 240 minutes
31.Vincristine Sulfate (1.0 mg/ml)> 240 minutes
32.Vinorelbine (10 mg/ml)> 240 minutes
Device Description

Nitrile Powder Free Examination Gloves Tested for Use with Chemotherapy Drugs are non-sterile, lavender blue colored, powder-free, ambidextrous patient examination glove that meets the specifications of ASTM D 6319-10, Standard Specification for Nitrile Examination Gloves for Medical Application. In addition these gloves were tested for use with the Chemotherapy drugs listed in the Intended Use(s) section below, as per ASTM D6978-05 Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs.

These gloves meet the 2008 Glove Guidance Manual recommended minimum thickness and length specifications for gloves tested for use with chemotherapy drugs.

AI/ML Overview

This document describes the "HG PRO XP® Nitrile Powder Free Examination Gloves Tested For Use with Chemotherapy Drugs" and its substantial equivalence to a predicate device (K113423). The study primarily focuses on non-clinical performance data, specifically addressing the glove's resistance to permeation by chemotherapy drugs and other physical and biological properties.

Here's an analysis of the acceptance criteria and the study that proves the device meets them:

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

The document provides a comprehensive side-by-side comparison in "Table 1. Side-by-Side Comparison of Predicate Device with Subject Device: Indications for Use, Non-clinical Performance Data and Technological Characteristics" (pages 7-8).

CharacteristicsAcceptance Criteria/StandardsSubject Device Performance
Primary Indication for UseMedical Gloves Guidance ManualA powder-free patient Examination Gloves 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.
Additional Indication (Chemo Drugs)ASTM D6978-05 Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy DrugsBreakthrough Detection Time (min) for various chemotherapy drugs:
  • Blenoxane (15 mg/ml): > 240 min
  • Busulfan (6 mg/ml): > 240 min
  • Carboplatin (10 mg/ml): > 240 min
  • Carmustine (BCNU) (3.3 mg/ml): 30.4 min
  • Cisplatin (1.0 mg/ml): > 240 min
  • Cyclophosphamide (Cytoxan) (20 mg/ml): > 240 min
  • Cytarabine (100 mg/ml): > 240 min
  • Dacarbazine (DTIC) (10.0 mg/ml): > 240 min
  • Daunorubicin (5 mg/ml): > 240 min
  • Docetaxel (10.0 mg/ml): > 240 min
  • Doxorubicin Hydrochloride (2.0 mg/ml): > 240 min
  • Ellence (2 mg/ml): > 240 min
  • Etoposide (Toposar) (20.0 mg/ml): > 240 min
  • Fludarabine (25 mg/ml): > 240 min
  • Fluorouracil (50.0 mg/ml): > 240 min
  • Ganciclovir (10 mg/ml): > 240 min
  • Gemcitabine (Gemzar) (38 mg/ml): > 240 min
  • Idarubicin (1 mg/ml): > 240 min
  • Ifosfamide (50.0 mg/ml): > 240 min
  • Irinotecan (20.0 mg/ml): > 240 min
  • Mechlorethamine HCl (1.0 mg/ml): > 240 min
  • Melphalan (5 mg/ml): > 240 min
  • Methotrexate (25 mg/ml): > 240 min
  • Mitoxantrone (2.0 mg/ml): > 240 min
  • Mitomycin C (0.5 mg/ml): > 240 min
  • Oxaliplatin (5 mg/ml): > 240 min
  • Paclitaxel (Taxol) (6.0 mg/ml): > 240 min
  • Rituximab (10 mg/ml): > 240 min
  • Thiotepa (10.0 mg/ml): > 240 min
  • Trisenox (0.1 mg/ml): > 240 min
  • Vincristine Sulfate (1.0 mg/ml): > 240 min
  • Vinorelbine (10 mg/ml): > 240 min
    *Noted extremely low permeation time: Carmustine (BCNU) (3.3 mg/ml) at 30.4 minutes. |
    | Material | ASTM D6319-10 | Nitrile Synthetic Rubber |
    | Color | - | Lavender Blue |
    | Texture | - | Textured Fingers |
    | Size | Medical Glove Guidance Manual-Labeling- Issued on January 22, 2008 | Extra Small, Small, Medium, Large, Extra Large |
    | Single Use | Medical Gloves Guidance Manual -Issued on January 22, 2008 | Single use |
    | Dimension | ASTM D6319-10 | Meets ASTM D6319-10 (Length: 270 mm minimum, Palm Widths for various sizes provided) |
    | Thickness | ASTM D6319-10 | Meets ASTM D6319-10 (Finger: 0.10 mm minimum, Palm: 0.10 mm minimum) |
    | Physical Properties | ASTM D6319-10 | Meet ASTM D6319-10 (Tensile Strength: 14 MPa min (before & after aging), Ultimate Elongation: 500% min (before aging), 400% min (after aging)) |
    | Watertight test | ASTM D5151-06 | Pass AQL 1.5 |
    | Residual Powder | ASTM D6124-06 | Meet (

§ 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.