K Number
K181130
Date Cleared
2018-08-10

(102 days)

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

The Powder Free Blue Nitrile Examination Gloves, Tested for Use with Chemotherapy Drugs is a disposable device intended for medical purposes that is worn on the examiner's hands to prevent contamination between patient and examiner.

The proposed device was tested for use with Chemotherapy Drugs as per ASTM D6978-05 Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.

Device Description

The proposed device, Powder Free Blue Nitrile Examination Gloves, Tested for Use with Chemotherapy Drugs is a disposable device intended for medical purposes that is worn on the examiner's hands to prevent contamination between patient and examiner.

The proposed device is a Powder Free Nitrile Patient Examination Glove that is available in multiple sizes

The proposed device is provided non-sterile. The proposed device is made of Nitrile. The proposed device acts as a barrier.

AI/ML Overview

Here's a breakdown of the acceptance criteria and study information for the Powder Free Blue Nitrile Examination Gloves, Tested for Use with Chemotherapy Drugs, based on the provided FDA 510(k) submission.

1. Table of Acceptance Criteria and Reported Device Performance

The device is evaluated against specific ASTM standards for various properties and against a predicate device (K163146) for comparison. The key acceptance criteria and reported performance for critical aspects are as follows:

Acceptance Criteria (Standard / Property)Specific Requirement (as per standard)Proposed Device PerformanceMet Criteria?
Chemotherapy Drug PermeationBreakthrough Detection Time: > 240 minutes for most drugs, except where noted by predicateVaries per drug (see table below)Met for most, not for Carmustine and Thiotepa (but disclosed)
Dimension (Length)>= 230 mm (min)230 mm (all sizes)Yes
Dimension (Width)Varies per size (e.g., 70-120 mm) ±10Matches requirementYes
Dimension (Thickness - Finger)0.07 mm ±0.02 (for proposed)0.07 mm ±0.02 (specified)Yes (meets own spec)
Dimension (Thickness - Palm)0.05 mm (min, for proposed)0.05 mm (specified)Yes (meets own spec)
Dimension (Thickness - Cuff)0.05 mm ±0.02 (for proposed)0.05 mm ±0.02 (specified)Yes (meets own spec)
Tensile Strength (Before Aging)15 MPa, min (ASTM D6319)15 MPa, minYes
Ultimate Elongation (Before Aging)500% min (ASTM D6319)500% minYes
Tensile Strength (After Aging)14 MPa, min (ASTM D6319)14 MPa, minYes
Ultimate Elongation (After Aging)400% min (ASTM D6319)400% minYes
Detection of HolesNot detected (ASTM D5151)Not detectedYes
Powder ContentMax. 0.35 mg per glove (specified for proposed, meets ASTM D6319)Max. 0.35 mg per gloveYes (meets own spec)
Biocompatibility (Irritation)Not an irritant (ISO 10993-10)Not an irritantYes
Biocompatibility (Sensitization)Not a sensitizer (ISO 10993-10)Not a sensitizerYes
Biocompatibility (In Vitro Cytotoxicity)Not cytotoxic (ISO 10993-5)Not cytotoxicYes

Chemotherapy Drug Permeation Performance and Acceptance Criteria (from tables on pages 2 and 5-6):

The acceptance criterion for chemotherapy drug permeation is generally a breakthrough detection time of >240 minutes, as demonstrated by most drugs. However, for Carmustine and Thiotepa, lower breakthrough times are explicitly noted and acknowledged. The device performance for these drugs is compared against the general expectation and specific values are provided.

Chemotherapy DrugConcentrationBreakthrough Detection Time in Minutes (Reported Device Performance)Acceptance Criteria Met? (Based on general >240 min, or specific disclosure for lower times)
Bleomycin15 mg/ml (15,000 ppm)>240Yes
Busulfan6 mg/ml (6,000 ppm)>240Yes
Carboplatin10 mg/ml (10,000ppm)>240Yes
Carmustine (BCNU)3.3 mg/ml (3,300ppm)8.5 (12.7, 13.4, 8.5) (Noted as having low permeation time)Yes (Disclosed and acceptable with warning)
Cisplatin1.0 mg/ml (1,000ppm)>240Yes
Cyclophosphamide(Cytoxan)20.0 mg/ml (20,000ppm)>240Yes
Cytarabine100 mg/ml (100,000ppm)>240Yes
Cytovene10 mg/ml (10,000ppm)>240Yes
Dacarbazine(DTIC)10.0 mg/ml (10,000ppm)>240Yes
Daunorubicin5 mg/ml (5,000ppm)>240Yes
Docetaxel10.0 mg/ml(10,000 ppm)>240Yes
Doxorubicin Hydrochloride2.0 mg/ml (2,000ppm)>240Yes
Ellence2 mg/ml (2,000ppm)>240Yes
Etoposide(Toposar)20.0 mg/ml(20,000ppm)>240Yes
Fludarabine25 mg/ml(25,000ppm)>240Yes
Fluorouracil50 mg/ml(50,000ppm)>240Yes
Gemcitabine (Gemzar)38 mg/ml(38,000ppm)>240Yes
Idarubicin1 mg/ml (1,000ppm)>240Yes
Ifosfamide50.0 mg/ml (50,000ppm)>240Yes
Irinotecan20.0 mg/ml (20,000ppm)>240Yes
Mechlorethamine HCI1.0 mg/ml (1,000ppm)>240Yes
Melphalan5 mg/ml (5,000ppm)>240Yes
Methotrexate25mg/ml (25,000ppm)>240Yes
Mitomycin C0.5 mg/ml (500 ppm)>240Yes
Mitoxantrone2.0 mg/ml(2,000ppm)>240Yes
Oxaliplatin2.0 mg/ml(2,000ppm)>240Yes
Paclitaxel (Taxol)6.0 mg/ml(6,000ppm)>240Yes
Rituximab10 mg/ml(10,000ppm)>240Yes
Thiotepa10.0 mg/ml (10,000ppm)36.1 (51.2, 36.1, 45.6) (Noted as having low permeation time)Yes (Disclosed and acceptable with warning)
Trisenox0.1 mg/ml (100ppm)>240Yes
Vincristine Sulfate1.0 mg/ml (1,000ppm)>240Yes
Vinorelbine10 mg/ml(10,000ppm)>240Yes

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

The document does not explicitly state the exact sample size for each specific test. However, it indicates that "Bench tests were conducted to verify that the proposed device met all specifications."

  • Sample Size: Not explicitly stated as a numerical value for each test. The adherence to standards like ASTM D6319, ASTM D5151, ASTM D6124, ASTM D6978, ISO 2859-1, ISO 10993-10, and ISO 10993-5 implies that appropriate sample sizes, as dictated by these standards, were used for testing various properties (e.g., AQL for holes, specific number of samples for mechanical properties and chemical permeation). ISO 2859-1 specifically relates to "Sampling Procedures for Inspection by Attributes – Part I: Sampling Plans Indexed by Acceptable Quality Level (AQL) for Lot-by-Lot Inspection," indicating a quality control sampling approach for certain attributes.
  • Data Provenance: The tests were non-clinical bench tests conducted to evaluate the physical, performance, and biocompatibility characteristics of the gloves. The country of origin for the manufacturing company is China (Hebei Titans Hongsen Medical Technology Co., LTD.). The submission is for a medical device (gloves), and the testing appears to be prospective in nature, conducted specifically for this 510(k) submission to demonstrate compliance with standards.

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

This type of information is not applicable to this submission. The device is a medical glove, and its performance is evaluated against established physical, chemical, and biological standards (ASTM and ISO). The "ground truth" here is the pass/fail criteria defined by these objective engineering and material science standards, not subjective human interpretations or expert consensus on medical images or diagnoses.

4. Adjudication Method for the Test Set

This is not applicable as the evaluation is based on objective, standardized test methods with clear pass/fail criteria, not on subjective expert review requiring adjudication.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and the Effect Size of How Much Human Readers Improve with AI vs. Without AI Assistance

This is not applicable. This submission is for a medical device (gloves) and does not involve AI or human readers for diagnostic or interpretive tasks.

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

This is not applicable. This submission is not for an algorithm or AI device.

7. The Type of Ground Truth Used

The "ground truth" in this context refers to the established scientific and engineering standards and their predefined pass/fail criteria. These include:

  • ASTM D6319-10: Standard Specification for Nitrile Examination Gloves for Medical Application (for dimensions, physical properties).
  • ASTM D5151-06: Standard Test Method for Detection of Holes in Medical Gloves.
  • ASTM D6124-06: Standard Test Method for Residual Powder on Medical Gloves.
  • ASTM D6978-05: Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs (for chemical permeation).
  • ISO 2859-1:1999: Sampling Procedures for Inspection by Attributes – Part I: Sampling Plans Indexed by Acceptable Quality Level (AQL) for Lot-by-Lot Inspection.
  • ISO 10993-10: 2010: Biological evaluation of medical devices Part 10: Tests for irritation and skin sensitization.
  • ISO 10993-5:2009: Biological Evaluation of Medical Devices - Part 5: Tests For In Vitro Cytotoxicity.

The performance values obtained from the actual testing of the gloves are compared directly against the quantitative limits set forth in these standards.

8. The Sample Size for the Training Set

This is not applicable. The device is a physical product (gloves) and does not involve a "training set" in the context of machine learning or AI models.

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

This is not applicable for the same reason as point 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.