K Number
K171104
Date Cleared
2017-08-25

(134 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 gloves is a disposable device intended for medical purpose that is worn on the examiner's hand or finger to prevent contamination between patient and examiner. This glove is also tested for use against Chemotherapy Drugs. The Chemotherapy Drugs and its permeation time is listed as below.

Device Description

Non-Sterile, Powder Free Nitrile Examination Gloves Tested For Use With Chemotherapy Drugs - Blue and Non-Sterile, Powder Free Nitrile Examination Gloves Tested For Use With Chemotherapy Drugs - Cobalt Blue meets all the current specifications listed under the ASTM Specification D6319-10, Standard Specification for Nitrile Examination Gloves for Medical Application and D6978-05 Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs and FDA 21 CFR 880.6250. The principle operation and mechanism of this device is to prevent contamination between patient and examiner and this principle is achieved through testing of barrier, physical properties and other testing stated in the performance data. This device is for over-the counter single use.

AI/ML Overview

The provided text describes the acceptance criteria and performance data for two types of nitrile examination gloves: "Non-Sterile, Powder Free Nitrile Examination Gloves, Tested for use with Chemotherapy Drugs (Blue)" and "Non-Sterile, Powder Free Nitrile Examination Gloves, Tested for use with Chemotherapy Drugs (Cobalt Blue)". The information is presented as a 510(k) summary, comparing the subject devices to a predicate device (K161215).

Here's a breakdown of the requested information:

1. Table of Acceptance Criteria and Reported Device Performance:

The acceptance criteria for the gloves are primarily based on ASTM standards (ASTM D6319-10 for physical and dimensional properties, ASTM D6124-06 for powder-free claims, and ASTM D6978-05 for chemotherapy drug permeation), as well as ISO 10993-10 for biocompatibility. The reported device performance is compared against these standards and the predicate device.

CharacteristicAcceptance Criteria (Standard)Blue Glove Performance (Reported)Cobalt Blue Glove Performance (Reported)
Chemotherapy Permeation (ASTM D6978-05)(Comparison to predicate and general clinical expectation of protection)See detailed table belowSee detailed table below
Carboplatin, 10mg/mlNo specific numerical acceptance listed, but >240 min is ideal> 240 minutes> 240 minutes
Carmustine, 3.3mg/mlNo specific numerical acceptance listed15.0 minutes2.4 minutes
Cisplatin, 1.0mg/mlNo specific numerical acceptance listed, but >240 min is ideal> 240 minutes> 240 minutes
Cyclophosphamide, 20.0mg/mlNo specific numerical acceptance listed, but >240 min is ideal> 240 minutes> 240 minutes
Dacarbazine, 10.0mg/mlNo specific numerical acceptance listed, but >240 min is ideal> 240 minutes> 240 minutes
Doxorubicin HCl, 2.0mg/mlNo specific numerical acceptance listed, but >240 min is ideal> 240 minutes> 240 minutes
Etoposide, 20.0mg/mlNo specific numerical acceptance listed, but >240 min is ideal> 240 minutes> 240 minutes
Fluorouracil, 50.0mg/mlNo specific numerical acceptance listed, but >240 min is ideal> 240 minutes> 240 minutes
Ifosfamide, 50.0mg/mlNo specific numerical acceptance listed, but >240 min is ideal> 240 minutes> 240 minutes
Methotrexate, 25mg/mlNo specific numerical acceptance listed, but >240 min is ideal> 240 minutes> 240 minutes
Mitomycin C, 0.5mg/mlNo specific numerical acceptance listed, but >240 min is ideal> 240 minutes> 240 minutes
Mitoxantrone, 2mg/mlNo specific numerical acceptance listed, but >240 min is ideal> 240 minutes> 240 minutes
Paclitaxel, 6.0mg/mlNo specific numerical acceptance listed, but >240 min is ideal> 240 minutes> 240 minutes
ThioTEPA, 10.0mg/mlNo specific numerical acceptance listed30.1 minutes1.9 minutes
Vincristine Sulfate, 1.0mg/mlNo specific numerical acceptance listed, but >240 min is ideal> 240 minutes> 240 minutes
Physical (ASTM D6319-10)Meets ASTM D6319-10 specificationsMeetsMeets
Dimension (Length)Min 240mm (ASTM D6319-10)Min 240mmMin 240mm
Thickness (Finger)No specific numerical acceptance for subject devices listed, predicate 0.03-0.05mm0.03mm min0.03mm min
Thickness (Palm)No specific numerical acceptance for subject devices listed, predicate 1.5-0.08mm0.05mm min0.05mm min
Thickness (Cuff)No specific numerical acceptance for subject devices listed, predicate 1.6-0.09mm0.05mm min0.05mm min
Powder-free

§ 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.