AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

A patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner. These gloves were tested for use with Chemotherapy drugs and Fentanyl Citrate as per ASTM D6978-05 (Reapproved 2019) Standard Practice for Assessment of Medical Gloves of Permeation by Chemotherapy Drugs

Device Description

The Medline Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentanyl) – Regular Cuff and the Medline Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentany)) - Extended Cuff are non-sterile, single use, disposable gloves intended for medical purposes to be worn on the hands of examiners to prevent contamination between a patient and an examiner. The gloves are nitrile, powder-free, ambidextrous, and blue-colored with a beaded cuff. The proposed device is offered in two versions: Regular cuff (VS311) and Extended cuff (VS711).

AI/ML Overview

The provided document is a 510(k) Premarket Notification from Medline Industries, Inc. for their Powder-Free Blue Nitrile Examination Gloves. This document focuses on demonstrating the substantial equivalence of their new device to a legally marketed predicate device.

It is NOT a study about a device employing an Artificial Intelligence (AI) algorithm. Therefore, the requested information regarding acceptance criteria and study proving device meets acceptance criteria for an AI device cannot be extracted directly from this document. The document describes traditional performance testing for physical attributes and chemical permeation resistance of medical gloves, not AI algorithm performance.

However, I can extract and present analogous information from the document as if it were a "device" in a general sense, focusing on the acceptance criteria and performance data for the gloves as described. I will make a note where the requested information is not applicable (N/A) due to the nature of the device (medical gloves vs. AI algorithm).


Acceptance Criteria and Device Performance for Medline Powder-Free Blue Nitrile Examination Gloves

This document pertains to the performance testing of Medline Powder-Free Blue Nitrile Examination Gloves (Regular Cuff and Extended Cuff versions) for medical uses, specifically their resistance to chemotherapy drugs and Fentanyl permeation, as well as general physical characteristics. This is not an AI-powered device, so typical AI/ML study components like training/test sets, expert adjudication, or MRMC studies are not applicable.

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria for the gloves are based on various ASTM standards.

Regular Cuff (VS311) - Summarized Performance

CharacteristicAcceptance Criteria (Standard)Reported Device Performance (Average)Complies with Standard (Y/N)
Biocompatibility
Irritation TestingPass/Fail (Not a primary skin irritant)PassY
Sensitization TestingPass/Fail (Not a primary skin sensitizer)PassY
Cytotoxicity TestingPass/Fail (Not cytotoxic)Failed* (Device is cytotoxic)N*
Systemic Toxicity TestingPass/Fail (Not toxic)PassY
Physical Dimensions (per ASTM D6319-10)
Glove Length (XS-XL)220mm min. (XS-S), 230mm min. (M-XL)247-251mmY
Palm Width (XS-XL)Ranges from 70 ± 10mm (XS) to 120 ± 10mm (XL)78-119mm (within specified ranges)Y
Finger Thickness (XS-XL)0.05mm min.0.15-0.16mmY
Palm Thickness (XS-XL)0.05mm min.0.11mmY
Freedom from Holes (per ASTM D5151-06 & ASTM D6319-10, G-1)AQL 1.5XS/Small/Medium – 1/200; Large – 4/400; X-Large -2/200Y
Powder Content (per ASTM D6124-06)Less Than 2mg/glove0.16-0.20 mg/gloveY
Chemotherapy Drug Permeation (per ASTM D6978-05)N/A (Breakthrough time specific to each drug)Varies per drug (>240 min for most, 33.1 min for Carmustine, 69.2 min for Thiotepa)Y (within stated limitations)
Fentanyl Permeation (per ASTM D6978-05)N/A (Breakthrough time specific to Fentanyl)>240 minY

*Note: The cytotoxicity testing failed, indicating the device is cytotoxic under the conditions of the study. However, the FDA has still cleared the device. This implies that the cytotoxicity is either not considered clinically significant for the intended use (external, short-term contact) or that the benefits outweigh this particular risk, likely due to a robust biocompatibility assessment involving multiple tests. This document itself doesn't elaborate further on the implications of the "Failed" cytotoxicity result beyond reporting it.

Extended Cuff (VS711) - Summarized Performance (Only differences from Regular Cuff noted, otherwise assumed to be the same)

CharacteristicAcceptance Criteria (Standard)Reported Device Performance (Average)Complies with Standard (Y/N)
Physical Dimensions (per ASTM D6319-10)
Glove Length (XS-XL)220mm min. (XS-S), 230mm min. (M-XL)298-302mm (Extended cuff, so longer than regular cuff)Y
Palm Width (XS-XL)Ranges from 70 ± 10mm (XS) to 120 ± 10mm (XL)78-115mm (within specified ranges)Y
Finger Thickness (XS-XL)0.05mm min.0.16-0.18mmY
Palm Thickness (XS-XL)0.05mm min.0.12-0.23mmY
Chemotherapy Drug Permeation (per ASTM D6978-05)N/AVaries per drug (>240 min for most, 59.4 min for Carmustine, 68.2 min for Thiotepa)Y (within stated limitations)
Fentanyl Permeation (per ASTM D6978-05)N/A>240 minY

2. Sample size used for the test set and the data provenance

  • Sample Size for Physical Dimensions and Powder Content: 13 glove samples of each size (extra-small, small, medium, large, and extra-large) were tested for physical dimensions. For powder content, the average results across all five sizes are summarized, implying individual testing for each size.
  • Sample Size for Freedom from Holes: Varies based on total number inspected:
    • Regular Cuff: XS/Small/Medium – 200 gloves each; Large – 400 gloves; X-Large -200 gloves.
    • Extended Cuff: XS/Small/Medium, Large, X-Large - 200 gloves each.
  • Sample Size for Permeation Testing: The document does not specify the exact number of samples tested for each chemotherapy drug or Fentanyl. The test method cited is ASTM D6978, which typically involves multiple replicates per drug.
  • Data Provenance: The tests were conducted to support a 510(k) premarket notification for a disposable medical device. This is regulatory testing to demonstrate compliance with recognized standards. The country of origin of the data is not explicitly stated beyond being part of an FDA submission. The nature of this engineering testing is retrospective, as it's data collected to support a product already manufactured or designed.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

Not applicable. This is not an AI/ML device where expert human annotation typically establishes ground truth. The "ground truth" for glove performance is established by adherence to physical and chemical testing standards (e.g., ASTM D6319, ASTM D5151, ASTM D6124, ASTM D6978). The qualification of personnel conducting these lab tests would typically be laboratory technicians and engineers with expertise in the relevant standards and equipment, but this is not specified in the document.

4. Adjudication method for the test set

Not applicable. There is no human interpretative "test set" requiring adjudication in the context of this device. Performance is determined by objective physical and chemical measurements against defined standards.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

Not applicable. This is not an AI-assisted device.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

Not applicable. This is not an AI algorithm.

7. The type of ground truth used

The "ground truth" for the device's performance is objective measurement against established industry standards (ASTM standards for physical properties, hole detection, powder content, and chemical permeation). These standards define the acceptable range or threshold for each characteristic.

8. The sample size for the training set

Not applicable. This is not an AI/ML device and therefore does not have a "training set" in the context of machine learning.

9. How the ground truth for the training set was established

Not applicable. See point 8.

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

August 4, 2020

Leontyne Banks Regulatory Affairs Specialist Three Lakes Drive Northfield, Illinois 60093

Re: K193666

Trade/Device Name: Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy and Fentanyl) - Regular Cuff; Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentany)) -Extended Cuff Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I, reserved Product Code: LZA, OPJ Dated: June 10, 2020 Received: June 10, 2020

Dear Leontyne Banks:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

CAPT Elizabeth Claverie, M.S. Assistant Director DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known)

K193666

Device Name

Medline Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentanyl) – Regular Cuff

Indications for Use (Describe)

A patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner.

Chemo Drugs Tested:Breakthrough Time (Minutes)
Aresenic Trioxide 1 mg/ml (1,000 ppm)>240
Azacitidine 25 mg/ml (25,000 ppm)>240
Bendamustine 5 mg/ml (5,000 ppm)>240
Bleomycin 15 mg/ml (15,000 ppm)>240
Bortezomib 1 mg/ml (1,000 ppm)>240
Busulfan 6 mg/ml (6,000 ppm)>240
Carboplatin 10.0 mg/ml (10,000 ppm)>240
Carfilzomib 2.0 mg/ml (2,000)>240
Carmustine (BCNU) 3.3 mg/ml (3,300 ppm)33.1 min
Cetuximab 2.0 mg/ml (2,000)>240
Cisplatin 1.0 mg/ml (1,000 ppm)>240
Cyclophosphamide (Cytoxan) 20.0 mg/ml (20,000 ppm)>240
Cytarabine 100 mg/ml (100,000 ppm)>240
Cytovene 10 mg/ml (10,000 ppm)>240
Dacarbazine (DTIC) 10.0 mg/ml (10,000 ppm)>240
Daunorubicin 5 mg/ml (5,000 ppm)>240
Decitabine 5 mg/ml (5,000 ppm)>240
Docetaxel 10.0 mg/ml (10,000 ppm)>240
Doxorubicin Hydrochloride 2.0 mg/ml (2,000 ppm)>240
Epirubicin (Ellence) 2.0 mg/ml (2,000 ppm)>240
Etoposide (Toposar) 20.0 mg/ml (20,000 ppm)>240
Fludarabine 25 mg/ml (25,000 ppm)>240
Fluorouracil 50.0 mg/ml (50,000 ppm)>240
Fulvestrant 50.0 mg/ml (50,000 ppm)>240
Gemcitabine (Gemzar) 38 mg/ml (38,000 ppm)>240
Idarubicin 1 mg/ml (1,000 ppm)>240
Ifosfamide 50.0 mg/ml (50,000 ppm)>240
Irinotecan 20.0 mg/ml (20,000 ppm)>240
Mechlorethamine HCI 1.0 mg/ml (1,000 ppm)>240
Melphalan 5 mg/ml (5,000 ppm)>240
Methotrexate 25 mg/ml (25,000 ppm)>240
Mitomycin C 0.5 mg/ml (500 ppm)>240
Mitoxantrone 2.0 mg/ml (2,000 ppm)>240
Oxaliplatin 2.0 mg/ml (2,000 ppm)>240
Paclitaxel (Taxol) 6.0 mg/ml (6,000 ppm)>240
Paraplatin 10 mg/ml (10,000 ppm)>240
Pemetrexed Disodium 25.0 mg/ml (25,000 ppm)>240
Pertuzumab 30 mg/ml (30,000 ppm)>240
Raltitrexed 0.5 mg/ml (500 ppm)>240
Retrovir 10.0 mg/ml (10,000 ppm)>240
Rituximab 10 mg/ml (10,000 ppm)>240
Temsirolimus 25.0 mg/ml (25,000 ppm)>240
Thiotepa 10.0 mg/ml (10,000 ppm)69.2 min
Topotecan HCI 1.0 mg/ml (1,000 ppm)>240
Trastuzumab 21.0 mg/ml (21,000 ppm)>240
Trisonex 1 mg/ml (1,000 ppm)>240
Vinblastine 1 mg/ml (1,000 ppm)>240
Vincristine Sulfate 1.0 mg/ml (1,000 ppm)>240
Vinorelbine 10 mg/ml (10,000 ppm)>240
Zoledronic Acid 0.8 mg/ml (800 ppm)>240
Fentanyl Citrate, 100mcg/2mL>240
Chemotherapy Drug TestedBreakthrough Time (in minutes)
Aresenic Trioxide 1 mg/ml>240
Azacitidine 25 mg/ml>240
Bendamustine 5 mg/ml>240
Bleomycin 15 mg/m>240
Bortezomib 1 mg/ml>240
Busulfan 6 mg/ml>240
Carfilzomib 2 mg/ml>240
Carmustine (BCNU) 3.3 mg/ml59.4 min
Cetuximab>240
Cisplatin 1.0 mg/ml>240
Cyclophosphamide (Cytoxan) 20.0 mg/ml>240
Cytarabine Hydrochloride 100 mg/ml>240
Cytovene 10 mg/ml>240
Dacarbazine (DTIC) 10.0 mg/ml>240
Daunorubicin 5 mg/ml>240
Decitabine 5 mg/ml>240
Docetaxel 10.0 mg/ml>240
Doxorubicin Hydrochloride 2.0 mg/ml>240
Epirubicin (Ellence) 2.0 mg/ml>240
Etoposide (Toposar) 20.0 mg/ml>240
Fludarabine 25 mg/ml>240
Fluorouracil 50.0 mg/ml>240
Fulvestrant 50.0 mg/ml>240
Gemcitabine (Gemzar) 38 mg/ml>240
Idarubicin 1 mg/ml>240
Ifosfamide 50.0 mg/ml>240
Irinotecan 20.0 mg/ml>240
Mechlorethamine HCI 1.0 mg/ml>240
Melphalan 5 mg/ml>240
Methotrexate 25.0 mg/ml>240
Mitomycin C 0.5 mg/ml>240
Mitoxantrone 2mg/ml>240
Oxaliplatin 5.0 mg/ml>240
Paclitaxel (Taxol) 6.0 mg/ml>240
Paraplatin (Carboplatin) 10 mg/ml>240
Pemetrexed Disodium 25.0 mg/ml>240
Pertuzumab 30 mg/ml>240
Raltitrexed 0.5 mg/ml>240
Retrovir 10.0 mg/ml>240
Rituximab 10 mg/ml>240
Temsirolimus 25.0 mg/ml>240
Thiotepa 10.0 mg/ml68.2 min
Topotecan HCI 1.0 mg/ml>240
Trastuzumab 21.0 mg/ml>240
Trisonex 1 mg/ml>240
Vinblastine 1 mg/ml>240
Vincristine Sulfate 1.0 mg/ml>240
Vinorelbine 10 mg/ml>240
Zoledronic Acid 0.8 mg/ml>240
Fentanyl Citrate, 100mcg/2mL>240

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Please note that the following drug has low permeation time:

Carmustine (BCNU) (3.3 mg/ml) 33.1 minutes

Thiotepa (THT) (10.0mg/ml) 69.2 minutes

CAUTION: Testing showed an average breakthrough time of 33.1 minutes with Carmustine and 69.2 minutes with Thiotepa

Type of Use (Select one or both, as applicable)

_ | Prescription Use (Part 21 CFR 801 Subpart D)

|X | Over-The-Counter Use (21 CFR 801 Subpart C)

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Indications for Use

510(k) Number (if known) K193666

Device Name

Medline Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentanyl) - Extended Cuff

Indications for Use (Describe)

A patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner.

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Please note that the following drug has low permeation time:

Carmustine (BCNU) (3.3 mg/ml) 59.4 minutes

Thiotepa (THT) (10.0 mg/ml) 68.2 minutes

CAUTION: Testing showed an average breakthrough time of 59.4 minutes with Carmustine and 68.2 minutes with Thiotepa

Type of Use (Select one or both, as applicable)

| Prescription Use (Part 21 CFR 801 Subpart D)

X Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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Image /page/6/Picture/0 description: The image shows the Medline logo. The logo is set against a blue square background. A white, stylized cross is prominently displayed, with the word "MEDLINE" in white, bold letters superimposed over the center of the cross. A small gray rectangle is visible in the upper right corner of the image.

hree Lakes Drive Northfield. IL 60093

510(k) SUMMARY [AS REQUIRED BY 21CFR807.92(c)]

Submitter / 510(k) Sponsor

Medline Industries, Inc. Three Lakes Drive Northfield, IL 60093 Registration Number: 1417592 Applicant Contact: Leontyne Banks Regulatory Affairs Specialist

Summary Preparation Date

July 31, 2020

Type of 510(k) Submission

Traditional

Device Name / Classification

Name of Device: Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentanyl) – Regular Cuff; Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentanyl) - Extended Cuff

Proprietary Name: Medline Powder-Free Blue Nitrile Patient Examination Gloves (Tested for use with Chemotherapy Drugs and Fentanyl) - Regular Cuff; Medline Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentanyl) - Extended Cuff Common Name: Patient Examination Glove, Specialty

Classification Name: Polymer Patient Exam Glove, Medical Gloves with Chemotherapy/Fentanyl Labeling Claims

Product Code: LZA, OPJ, QDO Classification Panel: General Hospital Regulation #: 21 CFR 880.6250

Predicate Device

YTY Industry (Manjung): Non-Sterile, Powder-Free Nitrile Examination Gloves (Cobalt Blue) Tested for use with Chemotherapy Drugs - K111248

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Image /page/7/Picture/0 description: The image is a logo for Medline. The logo is set against a blue background. The word "MEDLINE" is in white, bold, sans-serif font. A white star-like symbol is behind the word "MEDLINE".

Medline Industries, Inc.
Three Lakes Drive
Northfield, IL 60093

Device Description

The Medline Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentanyl) – Regular Cuff and the Medline Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentany)) - Extended Cuff are non-sterile, single use, disposable gloves intended for medical purposes to be worn on the hands of examiners to prevent contamination between a patient and an examiner. The gloves are nitrile, powder-free, ambidextrous, and blue-colored with a beaded cuff. The proposed device is offered in two versions: Regular cuff (VS311) and Extended cuff (VS711).

Model NumberSize
VS311XSExtra-Small
VS311SSmall
VS311MMedium
VS311LLarge
VS311XLExtra-Large

TABLE 1: The Medline Powder-Free Blue Nitrile Examination Gloves – Regular Cuff Sizes

TABLE 2: The Medline Powder-Free Blue Nitrile Examination Gloves – Extended Cuff Sizes

Model NumberSize
VS711XSExtra-Small
VS711SSmall
VS711MMedium
VS711LLarge
VS711XLExtra-Large

The gloves are designed and manufactured in accordance with the ASTM D6319-10 Standard Specification for Nitrile Examination Gloves for Medical Application and are tested for use with chemotherapy drugs as well as for use with Fentanyl per ASTM D6978-05 (Reapproved 2019).

Indications for Use - Regular Cuff (VS311XS, VS311S, VS311M, VS311L and VS311XL)

A patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner. These gloves were tested

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Image /page/8/Picture/0 description: The image is a square logo for Medline. The logo is set against a blue background. The word "MEDLINE" is written in white, block letters, and a white star-like symbol is above and below the word. The star symbol has four points, with the top and bottom points being longer than the side points.

for use with chemotherapy drugs per ASTM D6978-05 (Reapproved 2019) Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs

Chemo Drugs Tested:Breakthrough Time (Minutes)
Aresenic Trioxide 1 mg/ml (1,000 ppm)>240
Azacitidine 25 mg/ml (25,000 ppm)>240
Bendamustine 5 mg/ml (5,000 ppm)>240
Bleomycin 15 mg/ml (15,000 ppm)>240
Bortezomib 1 mg/ml (1,000 ppm)>240
Busulfan 6 mg/ml (6,000 ppm)>240
Carboplatin 10.0 mg/ml (10,000 ppm)>240
Carfilzomib 2.0 mg/ml (2,000)>240
Carmustine (BCNU) 3.3 mg/ml (3,300 ppm)33.1 min
Cetuximab 2.0 mg/ml (2,000)>240
Cisplatin 1.0 mg/ml (1,000 ppm)>240
Cyclophosphamide (Cytoxan) 20.0 mg/ml (20,000 ppm)>240
Cytarabine 100 mg/ml (100,000 ppm)>240
Cytovene 10 mg/ml (10,000 ppm)>240
Dacarbazine (DTIC) 10.0 mg/ml (10,000 ppm)>240
Daunorubicin 5 mg/ml (5,000 ppm)>240
Decitabine 5 mg/ml (5,000 ppm)>240
Docetaxel 10.0 mg/ml (10,000 ppm)>240
Doxorubicin Hydrochloride 2.0 mg/ml (2,000 ppm)>240
Epirubicin (Ellence) 2.0 mg/ml (2,000 ppm)>240
Etoposide (Toposar) 20.0 mg/ml (20,000 ppm)>240
Fludarabine 25 mg/ml (25,000 ppm)>240
Fluorouracil 50.0 mg/ml (50,000 ppm)>240
Fulvestrant 50.0 mg/ml (50,000 ppm)>240
Gemcitabine (Gemzar) 38 mg/ml (38,000 ppm)>240
Idarubicin 1 mg/ml (1,000 ppm)>240
Ifosfamide 50.0 mg/ml (50,000 ppm)>240
Irinotecan 20.0 mg/ml (20,000 ppm)>240
Mechlorethamine HCI 1.0 mg/ml (1,000 ppm)>240
Melphalan 5 mg/ml (5,000 ppm)>240
Methotrexate 25 mg/ml (25,000 ppm)>240
Mitomycin C 0.5 mg/ml (500 ppm)>240
Mitoxantrone 2.0 mg/ml (2,000 ppm)>240
Oxaliplatin 2.0 mg/ml (2,000 ppm)>240
Paclitaxel (Taxol) 6.0 mg/ml (6,000 ppm)>240
Paraplatin 10 mg/ml (10,000 ppm)>240
Pemetrexed Disodium 25.0 mg/ml (25,000 ppm)>240
Pertuzumab 30 mg/ml (30,000 ppm)>240
Raltitrexed 0.5 mg/ml (500 ppm)>240
Retrovir 10.0 mg/ml (10,000 ppm)>240
Rituximab 10 mg/ml (10,000 ppm)>240
Temsirolimus 25.0 mg/ml (25,000 ppm)>240
Thiotepa 10.0 mg/ml (10,000 ppm)69.2 min
Topotecan HCI 1.0 mg/ml (1,000 ppm)>240
Trastuzumab 21.0 mg/ml (21,000 ppm)>240
Trisonex 1 mg/ml (1,000 ppm)>240
Vinblastine 1 mg/ml (1,000 ppm)>240
Vincristine Sulfate 1.0 mg/ml (1,000 ppm)>240
Vinorelbine 10 mg/ml (10,000 ppm)>240
Zoledronic Acid 0.8 mg/ml (800 ppm)>240
Fentanyl Citrate, 100mcg/2mL>240

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Image /page/9/Picture/0 description: The image shows the Medline logo. The logo consists of the word "MEDLINE" in white, with a stylized white cross behind it. The background is a solid dark blue. There is a gray bar on the right side of the image.

Northfield II 60093

Please note that the following drugs have low permeation times: Carmustine (BCNU) (3.3 mg/ml) 33.1 minutes Thiotepa (10.0 mg/ml) 69.2 minutes

CAUTION: Testing showed an average breakthrough time of 33.1 minutes with Carmustine and 69.2 minutes with Thiotepa.

Indications for Use – Extended Cuff (VS711XS, VS711M, VS711M, VS711L and VS711XL)

A patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner.

These gloves were tested for use with chemotherapy drugs per ASTM D6978-05 (Reapproved 2019) Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.

Chemo Drugs Tested:Breakthrough Time (Minutes
Aresenic Trioxide 1 mg/ml>240
Azacitidine 25 mg/ml>240
Bendamustine 5 mg/ml>240
Bleomycin 15 mg/m>240
Bortezomib 1 mg/ml>240
Busulfan 6 mg/ml>240
Carfilzomib 2 mg/ml>240
Carmustine (BCNU) 3.3 mg/ml59.4 min
Cetuximab>240
Cisplatin 1.0 mg/ml>240
Cyclophosphamide (Cytoxan) 20.0 mg/ml>240
Cytarabine Hydrochloride 100 mg/ml>240
Cytovene 10 mg/ml>240
Dacarbazine (DTIC) 10.0 mg/ml>240
Daunorubicin 5 mg/ml>240
Decitabine 5 mg/ml>240
Docetaxel 10.0 mg/ml>240
Doxorubicin Hydrochloride 2.0 mg/ml>240
Epirubicin (Ellence) 2.0 mg/ml>240
Etoposide (Toposar) 20.0 mg/ml>240
Fludarabine 25 mg/ml>240
Fluorouracil 50.0 mg/ml>240
Fulvestrant 50.0 mg/ml>240
Gemcitabine (Gemzar) 38 mg/ml>240
Idarubicin 1 mg/ml>240
Irinotecan 20.0 mg/ml>240
Mechlorethamine HCI 1.0 mg/ml>240
Melphalan 5 mg/ml>240
Methotrexate 25.0 mg/ml>240
Mitomycin C 0.5 mg/ml>240
Oxaliplatin 5.0 mg/ml>240
Paclitaxel (Taxol) 6.0 mg/ml>240
Paraplatin (Carboplatin) 10 mg/ml>240
Pemetrexed Disodium 25.0 mg/ml>240
Pertuzumab 30 mg/ml>240
Raltitrexed 0.5 mg/ml>240
Retrovir 10.0 mg/ml>240
Rituximab 10 mg/ml>240
Temsirolimus 25.0 mg/ml>240
Thiotepa 10.0 mg/ml68.2 min
Topotecan HCI 1.0 mg/ml>240
Trastuzumab 21.0 mg/ml>240
Trisonex 1 mg/ml>240
Vinblastine 1 mg/ml>240
Vincristine Sulfate 1.0 mg/ml>240
Vinorelbine 10 mg/ml>240
Zoledronic Acid 0.8 mg/ml>240
Fentanyl Citrate, 100mcg/2mL>240

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Image /page/10/Picture/0 description: The image shows the Medline logo. The logo features the word "MEDLINE" in white, bold, sans-serif font, positioned to the left of a white, four-pointed star-like symbol. The background is a solid dark blue color. A small gray rectangle is visible in the upper right corner of the image.

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Image /page/11/Picture/0 description: The image is a logo for Medline. The logo consists of the word "MEDLINE" in a sans-serif font, with a white cross-like symbol to the right of the text. The background is a solid blue color. There is a gray bar at the top right corner of the image.

Please note that the following drugs have low permeation times: Carmustine (BCNU) (3.3 mg/ml) 59.4 minutes Thiotepa (10.0 mg/ml) 68.2 minutes

CAUTION: Testing showed an average breakthrough time of 59.4 minutes with Carmustine and 68.2 minutes with Thiotepa.

Comparison of Technological Characteristics

DeviceCharacteristicProposedDeviceVS311PredicateDeviceComparison Analysis
Product NameMedline Powder-Free BlueNitrile Examination Gloves(Tested for use withChemotherapy Drugs andFentanyl)Regular CuffNon-Sterile, Powder-FreeNitrile Examination Gloves(Cobalt) Tested for use withchemotherapy drugsN/A
510(k) ReferenceK193666K111248N/A
Product OwnerMedline Industries, Inc.YTY Industry (Manjung) SDN,BHDN/A
Product CodeLZA, OPJ, QDOLZA, LZCSimilar
Intended UseA patient examination glove isa disposable device intendedfor medical purposes that isworn on the examiner's handto prevent contaminationbetween patient and examinerThese gloves were tested foruse with Chemotherapy drugsand Fentanyl Citrate as perASTM D6978-05 (Reapproved2019) Standard Practice forAssessment of Medical Glovesof Permeation byChemotherapy DrugsA patient examination glove isa disposable device intendedfor medical purposes that isworn on the examiner's handor fingers to preventcontamination betweenpatient and examiner.These glove were tested foruse with chemotherapy drugs.Same
RegulationNumber21 CFR 880.625021 CFR 880.6250Same
MaterialsPowder-Free NitrilePowder-Free NitrileSame
ColorBlueBlueSame
Sizesx- small, small, medium, large,x-largeMedium, Large, Extra-largeSimilar
Dimensions -LengthComplies with:ASTM D6319-10220mm min.Complies with:ASTM D6319-10220mm min.Same
Dimensions -WidthComplies with:ASTM D6319-1070mm minComplies with:ASTM D6319-1070mm minSame
Dimensions -ThicknessComplies with:ASTM D6319-10Palm – 0.05mm min.Finger – 0.05mm min.Complies with:ASTM D6319-10Palm – 0.05mm min.Finger – 0.05mm min.Same
PhysicalPropertiesComplies with:ASTM D6319-10 minimum:Tensile Strength:Before Aging ≥14 MPa, min.After Aging ≥14 MPa, min.Elongation:Before Aging 500%, min.After Aging 400%, min.Complies with:ASTM D6319-10 minimum:Tensile Strength:Before Aging ≥14 MPa, min.After Aging ≥14 MPa, min.Elongation:Before Aging 500% min.After Aging 400% min.Same
Freedom fromHolesComplies with:ASTM D6319-10 andASTM D5151-06 G-1,AQL 1.5Complies with:ASTM D6319-10 andASTM D5151-06 G-1,AQL 2.5Same
Powder orPowder-FreePowder-FreePowder-FreeSame
Residual PowderComplies with:ASTM D6319-10<2mg per gloveComplies with:ASTM D6319-05<2mg per gloveSame
Contact DurationsLimited <24 hoursLimited <24 hoursSame
BiocompatibilityAAMI/ANSI/ISO 10993-10:Not a skin irritantNot a skin sensitizerAAMI/ANSI/ISO 10993-10:Not a skin irritantNot a skin sensitizerSame
SterilityNon-sterileNon-sterileSame
Rx OnlyorOTCOver the CounterOver the CounterSame
TestedChemotherapyDrugsAresenic Trioxide 1.0 mg/ml(1,000 ppm)>240 min.Different
Azacitidine (Vidaza) 25.0 mg/ml(25,000 ppm)>240 min.Different
Bendamustine 5.0 mg/ml (5,000ppm)>240 min.Different
Bleomycin 15.0 mg/ml (15,000ppm)>240 min.Different
Bortezomib 1.0 mg/ml(1,000 ppm)Different
Busulfan 6.0 mg/ml(6,000 ppm)>240 min.Different
Carboplatin 10mg/ml10,000 ppm>240 minCarboplatin 10mg/ml10,000 ppm>240 minSame
Carfilzomib 2.0 mg/ml(2,000 ppm)>240 min.Different
Carmustine (BCNU) 3.3 mg/ml(3,300 ppm)33.1 min.Carmustine (BCNU) 3.3 mg/ml(3,300 ppm)1.82 minSimilar
Cetuximab 2.0 mg/ml(2,000 ppm)>240 minDifferent
Cisplatin 1.0 mg/ml(1,000 ppm)>240 min.Cisplatin 1.0 mg/ml(1,000 ppm)>240 min.Same
Cyclophosphamide (Cytoxan)20.0 mg/ml(20,000 ppm)>240 min.Cyclophosphamide (Cytoxan)20.0 mg/ml(20,000 ppm)>240 min.Same
Cytarabine 100.0 mg/ml(100,000 ppm)>240 min.Different
Cytovene 10.0 mg/ml(10,000 ppm)>240 min.Different
Dacarbazine (DTIC) 10.0 mg/ml(10,000 ppm)>240 min.Dacarbazine (DTIC) 10 mg/ml(10,000 ppm)>240 min.Same
Daunorubicin 5.0 mg/ml(5,000 ppm)>240 min.Different
Decitabine 5.0 mg/ml(5,000 ppm)>240 min.Different
Docetaxel 10.0 mg/ml(10,000 ppm)>240 min.Different
Doxorubicin Hydrochloride 2.0mg/ml(2,000 ppm)>240 min. *Doxorubicin Hydrochloride2.0 mg/ml(2,000 ppm)>240 minSame
Epirubicin (Ellence)2.0 mg/ml(2,000 ppm)>240 min.Different
Etoposide (Toposar)20.0 mg/ml(20,000 ppm)>240 min. *Etoposide (Toposar)20.0 mg/ml(20,000 ppm)>240 min.Same
Fludarabine 25.0 mg/ml(25,000 ppm)>240 min.Different
Fluorouracil 50.0 mg/ml(50,000 ppm)>240 min.Fluorouracil 50.0 mg/ml(50,000 ppm)>240 min.Same
Fulvestrant 50.0 mg/ml (50,000 ppm)>240 min.Different
Gemcitabine (Gemzar) 38.0mg/ml(38,000 ppm)>240 min.Different
Idarubicin 1.0 mg/ml(1,000 ppm)>240 min.Different
Ifosfamide 50.0 mg/ml(50,000 ppm)>240 min.Ifosfamide 50.0 mg/ml(50,000 ppm)>240 min.Same
Irinotecan 20.0 mg/ml(20,000 ppm)>240 min.Different
Mechlorethamine HCl 1.0mg/ml(1,000 ppm)>240 min.Different
Melphalan 5.0 mg/ml(5,000 ppm)>240 min.Different
Methotrexate 25.0 mg/ml(25,000 ppm)>240 min. *Methotrexate 25.0 mg/ml(25,000 ppm)>240 min.Same
Mitomycin C 0.5 mg/ml(500 ppm)>240 min.Mitomycin C 0.5 mg/ml(2,000 ppm)>240 min.Same
Mitoxantrone 2.0 mg/ml(2,000 ppm)>240 min.Mitoxantrone 2.0 mg/ml(2,000 ppm)>240 min.Same
Oxaliplatin 2.0 mg/ml(2,000 ppm)>240 min.Different
Paclitaxel (Taxol) 6.0 mg/ml(6,000 ppm)>240 min.Paclitaxel (Taxol) 6.0 mg/ml(6,000 ppm)>240 min.Same
Paraplatin 10.0 mg/ml(10,000 ppm)>240 min.Different
Pemetrexed Disodium 25.0 mg/ml(25,000 ppm)>240 min.Different
Pertuzumab 30.0 mg/ml(30,000 ppm)>240 min.Different
Raltitrexed 0.5 mg/ml(500 ppm)240> min.Different
Retrovir 10.0 mg/ml(10,000 ppm)240> min.Different
Rituximab 10.0 mg/ml (10,000 ppm)240> min.Different
Temsirolimus 25.0 mg/ml(25,000 ppm)240> min.Different
Thiotepa 10.0 mg/ml(10,000 ppm)69.2 min.Thiotepa 10.0 mg/ml(10,000 ppm)0.93 min.Similar
Topotecan HCI 1.0 mg/ml(1,000 ppm)240> min.Different
Trastuzumab 21.0 mg/ml(21,000 ppm)240> min.Different
Trisonex 1.0 mg/ml(1,000 ppm)240> min.Different
Vinblastine 1 mg/ml(1,000 ppm)240> min.Different
Vincristine Sulfate 1.0 mg/ml(1,000 ppm)>240 min.Vincristine Sulfate 1.0 mg/ml(1,000 ppm)>240 min.Same
Vinorelbine 10.0 mg/ml (10,000 ppm)240> min.Different
Zoledronic Acid 0.8 mg/ml (800 ppm)240> min.Different
Fentanyl TestingFentanyl Citrate,100.0 mcg/2mL>240 min.Different

TABLE 3: Comparison of Proposed – VS311 and Predicate Device

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Image /page/12/Picture/0 description: The image shows the Medline logo. The logo features the word "MEDLINE" in a sans-serif font, with the letters in white against a blue background. To the right of the word is a white, four-pointed star-like symbol. The background is a solid blue color.

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Image /page/13/Picture/0 description: The image features the Medline logo, set against a blue background. The logo consists of the word "MEDLINE" in a bold, sans-serif font, positioned to the left of a stylized white symbol that resembles a starburst or a stylized medical cross. The overall design is clean and professional, conveying a sense of reliability and expertise often associated with healthcare and medical information.

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Image /page/14/Picture/0 description: The image shows the Medline logo. The logo consists of the word "MEDLINE" in a sans-serif font, with a stylized white starburst symbol behind it. The background is a solid dark blue color. The logo is simple and modern, and the colors are clean and professional.

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Image /page/15/Picture/0 description: The image features the Medline logo, set against a blue background. The logo consists of the word "MEDLINE" in bold, white letters, positioned to the left of a stylized white starburst symbol. The starburst is composed of four elongated, pointed shapes converging at a central point, creating a dynamic and modern design.

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Image /page/16/Picture/0 description: The image features the Medline logo against a blue background. The logo consists of the word "MEDLINE" in bold, white sans-serif font, positioned to the left of a white, stylized starburst or cross shape. The starburst/cross has four points, each formed by two converging lines, creating a symmetrical design. The overall impression is clean and professional, typical of a healthcare or medical supply company.

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Image /page/17/Picture/0 description: The image shows the Medline logo. The logo consists of the word "MEDLINE" in a bold, sans-serif font, with a stylized white starburst or cross shape positioned below the text. The background is a solid dark blue color. The logo is simple and modern, with a clean design.

TABLE 4: Comparison of Proposed – VS711 and Predicate Device

DeviceCharacteristicProposedDeviceVS711PredicateDeviceComparison Analysis
Product NameMedline Powder-Free BlueNitrile Examination Gloves(Tested for use withChemotherapy Drugs andFentanyl)Extended CuffNon-Sterile, Powder-FreeNitrile Examination Gloves(Cobalt)Tested for use withchemotherapy drugsN/A
510(k) ReferenceK193666K111248N/A
Product OwnerMedline Industries, Inc.YTY Industry (Manjung) SDN,BHDN/A
Product CodeLZA, OPJ, QDOLZA, LZCSimilar
Intended UseA patient examination glove isa disposable device intendedfor medical purposes that isworn on the examiner's handto prevent contaminationbetween patient and examinerThese gloves were tested foruse with Chemotherapy drugsand Fentanyl Citrate as perASTM D6978-05 (Reapproved2019) Standard Practice forAssessment of Medical Glovesof Permeation byChemotherapy DrugsA patient examination glove isa disposable device intendedfor medical purposes that isworn on the examiner's handor fingers to preventcontamination betweenpatient and examiner.These glove were tested foruse with chemotherapy drugs.Same
RegulationNumber21 CFR 880.625021 CFR 880.6250Same
MaterialsPowder-Free NitrilePowder-Free NitrileSame
ColorBlueBlueSame
Sizesx- small, small, medium, large,x-largeMedium, Large, Extra-largeSimilar
Dimensions -LengthComplies with:ASTM D6319-10230mm minComplies with:ASTM D6319-10230mm min.Same.
Dimensions – WidthComplies with:ASTM D6319-1070mm minComplies with:ASTM D6319-1070mm minSame
Dimensions – ThicknessComplies with:ASTM D6319-10Palm – 0.05mm min.Finger – 0.05mm min.Complies with:ASTM D6319-10Palm – 0.05mm min.Finger – 0.05mm min.Same
Complies with:ASTM D6319-10 minimum:Complies with:ASTM D6319-10 minimum:
PhysicalPropertiesTensile Strength:Before Aging ≥14 MPa, min.After Aging ≥14 MPa, min.Elongation:Before Aging 500%, min.After Aging 400%, min.Tensile Strength:Before Aging ≥14 MPa, min.After Aging ≥14 MPa, min.Elongation:Before Aging 500% min.After Aging 400% min.Same
Freedom fromHolesComplies with:ASTM D6319-10 andASTM D5151-06 G-1,AQL 1.5Complies with:ASTM D6319-10 andASTM D5151-06 G-1,AQL 2.5Same
Powder orPowder-FreePowder-FreePowder-FreeSame
Residual PowderComplies with:ASTM D6319-10<2mg per gloveComplies with:ASTM D6319-05<2mg per gloveSame
Contact DurationsLimited ≤24 hoursLimited ≤24 hoursSame
BiocompatibilityAAMI/ANSI/ISO 10993-10:Not a skin irritantNot a skin sensitizerAAMI/ANSI/ISO 10993-10:Not a skin irritantNot a skin sensitizerSame
SterilityNon-sterileNon-sterileSame
Rx OnlyorOTCOver the CounterOver the CounterSame
TestedChemotherapyDrugsAresenic Trioxide 1.0 mg/ml(1,000 ppm)>240 min.Different
Azacitidine (Vidaza) 25.0 mg/ml(25,000 ppm)Different
Bendamustine 5.0 mg/ml (5,000 ppm)>240 min.Different
Bleomycin 15.0 mg/ml (15,000 ppm)>240 min.Different
Bortezomib 1.0 mg/ml(1,000 ppm)>240 min.Different
Busulfan 6.0 mg/ml(6,000 ppm)>240 min.Different
Carboplatin 10mg/ml10,000 ppm>240 minCarboplatin 10mg/ml10,000 ppm>240 minSame
Carfilzomib 2.0 mg/ml(2,000 ppm)>240 min.Different
Carmustine (BCNU) 3.3 mg/ml(3,300 ppm)59.4 min.Carmustine (BCNU) 3.3 mg/ml(3,300 ppm)1.82 minSimilar
Cetuximab 2.0 mg/ml(2,000 ppm)>240 minDifferent
Cisplatin 1.0 mg/ml(1,000 ppm)>240 min.Cisplatin 1.0 mg/ml(1,000 ppm)>240 min.Same
Cyclophosphamide (Cytoxan)20.0 mg/ml(20,000 ppm)>240 min.Cyclophosphamide (Cytoxan)20.0 mg/ml(20,000 ppm)>240 min.Same
Cytarabine 100.0 mg/ml(100,000 ppm)>240 min.Different
Cytovene 10.0 mg/ml(10,000 ppm)>240 min.Different
Dacarbazine (DTIC) 10.0 mg/ml(10,000 ppm)>240 min.Dacarbazine (DTIC) 10 mg/ml(10,000 ppm)>240 min.Same
Daunorubicin 5.0 mg/ml(5,000 ppm)>240 min.Different
Decitabine 5.0 mg/ml(5,000 ppm)>240 min.Different
Docetaxel 10.0 mg/ml(10,000 ppm)>240 min.Different
Doxorubicin Hydrochloride 2.0 mg/ml(2,000 ppm)>240 min. *Doxorubicin Hydrochloride 2.0 mg/ml(2,000 ppm)>240 minSame
Epirubicin (Ellence)2.0 mg/ml(2,000 ppm)>240 min.Different
Etoposide (Toposar)20.0 mg/ml(20,000 ppm)>240 min. *Etoposide (Toposar)20.0 mg/ml(20,000 ppm)>240 min.Same
Fludarabine 25.0 mg/ml(25,000 ppm)>240 min.Different
Fluorouracil 50.0 mg/ml(50,000 ppm)>240 min.Fluorouracil 50.0 mg/ml(50,000 ppm)>240 min.Same
Fulvestrant 50.0 mg/ml (50,000 ppm)>240 min.Different
Gemcitabine (Gemzar) 38.0 mg/ml(38,000 ppm)>240 min.Different
Idarubicin 1.0 mg/ml(1,000 ppm)>240 min.Different
Irinotecan 20.0 mg/ml(20,000 ppm)>240 minDifferent
Mechlorethamine HCl 1.0mg/ml(1,000 ppm)>240 min.Different
Melphalan 5.0 mg/ml(5,000 ppm)>240 min.Different
Methotrexate 25.0 mg/ml(25,000 ppm)>240 min. *Methotrexate 25.0 mg/ml(25,000 ppm)>240 min.Same
Mitomycin C 0.5 mg/ml(500 ppm)>240 min.Mitomycin C 0.5 mg/ml(2,000 ppm)>240 min.Same
Oxaliplatin 2.0 mg/ml(2,000 ppm)>240 min.Different
Paclitaxel (Taxol) 6.0 mg/ml(6,000 ppm)>240 min.Paclitaxel (Taxol) 6.0 mg/ml(6,000 ppm)>240 min.Same
Paraplatin 10.0 mg/ml(10,000 ppm)>240 min.Different
Pemetrexed Disodium 25.0mg/ml(25,000 ppm)>240 min.Different
Pertuzumab 30.0 mg/ml(30,000 ppm)>240 min.Different
Raltitrexed 0.5 mg/ml(500 ppm)240> min.Different
Retrovir 10.0 mg/ml(10,000 ppm)240> min.Different
Rituximab 10.0 mg/ml (10,000ppm)240> min.Different
Temsirolimus 25.0 mg/ml(25,000 ppm)240> min.Different
Thiotepa (THT) 10.0 mg/ml(10,000 ppm)68.2 min.Thiotepa 10.0 mg/ml(10,000 ppm)0.93 minSimilar
Topotecan HCI 1.0 mg/ml(1,000 ppm)240> min.Different
Trastuzumab 21.0 mg/ml(21,000 ppm)240> min.Different
Trisonex 1.0 mg/ml(1,000 ppm)240> min.Different
Vinblastine 1 mg/ml(1,000 ppm)240> min.Different
Vincristine Sulfate 1.0 mg/ml(1,000 ppm)>240 min.Vincristine Sulfate 1.0 mg/ml(1,000 ppm)>240 min.Same
Vinorelbine 10.0 mg/ml (10,000 ppm)240> min.Different
Zoledronic Acid 0.8 mg/ml (800 ppm)240> min.Different
Fentanyl TestingFentanyl Citrate,100.0 mcg/2mL>240 min.Different

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Image /page/18/Picture/0 description: The image features the logo of Medline, a healthcare company. The logo is set against a blue square background. The word "MEDLINE" is prominently displayed in a sans-serif font, positioned to the left of a stylized white starburst symbol. The starburst is composed of four triangular shapes converging at a central point, creating a dynamic and modern visual element.

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Image /page/19/Picture/0 description: The image features the Medline logo against a blue background. The logo consists of the word "MEDLINE" in a sans-serif font, positioned to the left of a white, stylized starburst symbol. The starburst is composed of four elongated triangles converging at a central point, creating a dynamic and modern design.

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Image /page/20/Picture/0 description: The image features the Medline logo, set against a blue background. The logo consists of the word "MEDLINE" in bold, white letters, positioned to the left of a stylized white starburst symbol. The starburst is composed of four elongated, pointed shapes converging at a central point, creating a dynamic and modern design.

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Image /page/21/Picture/0 description: The image features the Medline logo against a blue background. The logo consists of the word "MEDLINE" in bold, white sans-serif font, positioned to the left of a white, stylized starburst or cross-like symbol. The symbol is composed of four pointed shapes converging at a central point, creating a visual effect reminiscent of a compass rose or a medical cross. The overall design is clean and corporate, conveying a sense of professionalism and reliability.

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Image /page/22/Picture/0 description: The image features the Medline logo, set against a blue background. The logo consists of the word "MEDLINE" in bold, white letters, positioned to the left of a stylized white starburst symbol. The starburst is composed of four elongated, triangular shapes converging at a central point, creating a dynamic and modern design.

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Image /page/23/Picture/0 description: The image features the Medline logo, which is set against a dark blue background. The logo consists of the word "MEDLINE" in a bold, sans-serif font, positioned to the left of a stylized white starburst symbol. The starburst has four points, resembling a compass rose, and is oriented vertically. The overall design is clean and professional, reflecting the company's focus on medical supplies and services.

Summary of Non-Clinical Testing:

Biocompatibility Testing

Table 5 below summarize the biocompatibility results for the Medline Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentanyl) – Regular Cuff and the Medline Powder-Free Blue Nitrile Examination Gloves-(Tested for use with Chemotherapy Drugs and Fentanyl) — Extended Cuff

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Image /page/24/Picture/0 description: The image is a logo for Medline. The logo is a blue square with the word "MEDLINE" in white, sans-serif font on the upper left. A white, stylized cross is behind the text, with the top and bottom points of the cross extending beyond the text. There is a gray rectangle on the right side of the image.

Table 5: Biocompatibility Testing – VS311 & VS711

Name of Test/ CitationPurposeAcceptanceCriteriaResults
ISO 10993-10: 2010 BiologicalEvaluation of Medical Devices,Part 10-Tests for Irritation andSkin SensitizationIrritationTestingPass/FailPassUnder the conditions of thestudy, the subject device is nota primary skin irritant.
ISO 10993-10:2010. BiologicalEvaluation of Medical Devices,Part 10: Tests for Irritation andSkin Sensitization.SensitizationTestingPass/FailPassUnder the conditions of thestudy, the subject device is nota primary skin sensitizer.
ISO 10993-5:2009Biological Evaluationof Medical Devices,Part 5: Tests for InVitro CytotoxicityCytotoxicityTestingPass/FailFailedUnder the conditions of thestudy, the subject device iscytotoxic.
ISO 10993-11: 2017 BiologicalEvaluation of Medical DevicesPart 11: Tests for SystemicToxicity.SystemicToxicity TestingPass/FailPassUnder the conditions of thestudy, the subject device is nottoxic.

Table 6: Quality Assurance Testing For Finished Gloves

CharacteristicsReference TestMethod & SamplingInspection LevelInspection LevelAcceptanceCriteria
Dimension (length, width, thickness)ASTM D6319 – 10(2015)S-24.0Meet AcceptanceNumber
Tensile strength andUltimateelongationASTM D 6319 – 10(2015)S-24.0Meet AcceptanceNumber
Water LeakASTM D 5151-06(2015)andASTM D 6319-10G-11.5Meet AcceptanceNumber
Powder ResidueASTM D6124 - 06(2011)N/AN/A2 mg/glove

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Image /page/25/Picture/0 description: The image shows the Medline logo. The logo is white text on a blue background. The text "MEDLINE" is in a sans-serif font. There is a white cross-like shape behind the text. The cross shape is stylized, with the top and bottom points being longer than the side points.

Medline Industries, Inc.
Three Lakes Drive
Northfield, IL 60093

Physical Dimensions

Thirteen (13) glove samples of each size (extra-small, small, medium, large and extra-large) were tested for physical dimensions according to ASTM D6319-10. All samples from each of the five size gloves met the specifications for physical dimensions.

Tables 7 through 16 below summarize the physical dimension results for the Medline Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentanyl) – Regular Cuff and the Medline Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentanyl) - Extended Cuff.

CharacteristicDevice SpecificationAverage DevicePerformance (n=13)Complies withStandard (Y/N)
Glove Length220mm min.247mmYes
Palm Width$70 \pm 10mm$78mmYes
Thickness Finger0.05mm min.0.16mmYes
Thickness Palm0.05mm min.0.11mmYes

TABLE 7: ASTM D6319-10 Test Results - Extra-Small, VS311XS (Regular Cuff)

TABLE 8: ASTM D6319-10 Test Results - Small, VS311S (Regular Cuff)

CharacteristicDevice SpecificationAverage Device Performance (n=13)Complies with Standard (Y/N)
Glove Length220mm min.248mmYes
Palm Width$80 \pm 10mm$86mmYes
Thickness Finger0.05mm min0.16mmYes
Thickness Palm0.05mm min0.11mmYes

TABLE 9: ASTM D6319-10 Test Results – Medium, VS311M (Regular Cuff)

CharacteristicDevice SpecificationAverage DevicePerformance (n=13)Complies withStandard (Y/N)
Glove Length230mm min.250mmYes
Palm Width95 ± 10mm97mmYes
Thickness Finger0.05mm0.15mmYes
Thickness Palm0.05mm0.11mmYes

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Image /page/26/Picture/0 description: The image is a logo for Medline. The logo features the word "MEDLINE" in a sans-serif font, with the letters stacked vertically. A white star-like shape is behind the text. The background of the logo is a dark blue color.

TABLE 10: ASTM D6319-10 Test Results – Large, VS311L (Regular Cuff)

CharacteristicDevice SpecificationAverage DevicePerformance (n=13)Complies withStandard (Y/N)
Glove Length230mm min.250mmYes
Palm Width$110 \pm 10mm$107mmYes
Thickness Finger0.05mm0.16mmYes
Thickness Palm0.05mm0.11mmYes

TABLE 11: ASTM D6319-10 Test Results – Extra-Large, VS311XL (Regular Cuff)

CharacteristicDevice SpecificationAverage Device Performance (n=13)Complies with Standard (Y/N)
Glove Length230mm min.251mmYes
Palm Width$120 \pm 10mm$119mmYes
Thickness Finger0.05mm0.15mmYes
Thickness Palm0.05mm0.11mmYes

TABLE 12: ASTM D6319-10 Test Results – Extra-Small, VS711XS (Extended Cuff)

CharacteristicDevice SpecificationAverage Device Performance (n=13)Complies with Standard (Y/N)
Glove Length220mm min.302mmYes
Palm Width$70 \pm 10mm$78mmYes
Thickness Finger0.05mm min.0.17mmYes
Thickness Palm0.05mm min.0.12mmYes

TABLE 13: ASTM D6319-10 Test Results - Small, VS711S (Extended Cuff)

CharacteristicDevice SpecificationAverage DevicePerformance (n=13)Complies withStandard (Y/N)
Glove Length220mm300mmYes
Palm Width$80 \pm 10mm$89mmYes
Thickness Finger0.05mm min.0.18mmYes
Thickness Palm0.05mm min.0.12mmYes

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Image /page/27/Picture/0 description: The image features the Medline logo, which is set against a blue square. The word "MEDLINE" is prominently displayed in white, with a stylized white symbol resembling a starburst or intersecting lines positioned above the text. The overall design is clean and corporate, suggesting a professional and established brand identity.

TABLE 14: ASTM D6319-10 Test Results – Medium, VS711M (Extended Cuff)

CharacteristicDevice SpecificationAverage DevicePerformance (n=13)Complies withStandard (Y/N)
Glove Length230mm min.301mmYes
Palm Width$95 \pm 10mm$99mmYes
Thickness Finger0.05mm0.18mmYes
Thickness Palm0.05mm0.13mmYes

TABLE 15: ASTM D6319-10 Test Results – Large, VS711L (Extended Cuff)

CharacteristicDevice SpecificationAverage Device Performance (n=13)Complies with Standard (Y/N)
Glove Length230mm min.299mmYes
Palm Width$110 \pm 10$ mm108mmYes
Thickness Finger0.05mm0.16mmYes
Thickness Palm0.05mm0.12mmYes

TABLE 16: ASTM D6319-10 Test Results – Extra-Large, VS711XL (Extended Cuff)

CharacteristicDevice SpecificationAverage DevicePerformance (n=13)Complies withStandard (Y/N)
Glove Length230mm min.298mmYes
Palm Width120 ± 10mm115mmYes
Thickness Finger0.05mm0.18mmYes
Thickness Palm0.05mm0.23mmYes

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Image /page/28/Picture/0 description: The image is a logo for Medline. The logo is set on a blue square background. The word "MEDLINE" is in white, block letters on the left side of the square. To the right of the word is a white, stylized cross shape.

Three Lakes Drive Northfield. IL 60093

Freedom from Holes

Medline Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentanyl) – Regular Cuff and Medline Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentanyl) - Extended Cuff were tested for freedom from holes as per ASTM D5151-06, Standard Test Method for Detection of Holes in Medical Gloves and the FDA 1000ml Water Leak Test per 21 CFR 800.20. The results for all sizes (XS/S/M/L/XL) are summarized in Tables below.

TABLE 17: ASTM D5151 Freedom from Holes Test Results: PF Blue Nitrile Glove – Regular Cuff (VS311)

CharacteristicSpecificationDevice PerformanceComplies with Standard(Y/N)
Freedom from HolesASTM D 5151-06 (2015)andASTM D 6319-10, G-1,AQL 1.5XS/Small/Medium – 1/200Large – 4/400X-Large -2/200Y

TABLE 18: ASTM D5151 Freedom from Holes Test Results: PF Blue Nitrile Glove-Extended Cuff (VS711)

CharacteristicSpecificationDevice PerformanceComplies with Standard(Y/N)
Freedom from HolesASTM D 5151-06 (2015)andASTM D 6319-10, G-1,AQL 1.5XS/Small/Medium, Large,X-Large -0/200Y

Powder Content

Residual powder content for the Medline Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentany) – Regular Cuff and Medline Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentanyl) - Extended Cuff was confirmed in accordance with ASTM D6124-06, Standard Test Method for Residual Powder on Medical Gloves. The average results for all sizes (XS/S/M/L/XL) are summarized below.

TABLE 19: ASTM D6124 Residual Powder Test Results: PF Blue Nitrile Glove – Regular Cuff (VS311)

CharacteristicSpecificationDevice PerformanceComplies with Standard(Y/N)
Powder Content per GloveLess Than 2mg/gloveX-Small - 0.16 mg/gloveSmall – 0.20 mg/gloveMedium – 0.16 mg/gloveLarge – 0.16 mg/gloveX-Large — 0.18 mg/gloveY

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Image /page/29/Picture/0 description: The image shows the Medline logo. The logo is set against a blue square background. The word "MEDLINE" is written in white, block letters. A white, stylized starburst symbol is behind the text, with the center of the starburst aligned with the center of the word "MEDLINE". There is a gray rectangle on the right side of the image.

Northfield II 60093

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TABLE 20: ASTM D6124 Residual Powder Test Results: PF Blue Nitrile Glove-Extended Cuff (VS711)

CharacteristicSpecificationDevice PerformanceComplies with Standard(Y/N)
Powder Content per GloveLess Than 2mg/gloveX-Small- 0.16Small- 0.20Medium- 0.16Large- 0.18X-Large- 0.18Y

Permeation Testing

Permeation testing was conducted to support the addition of the labeling claim: Tested for use with chemotherapy drugs and Fentanyl. The gloves were tested according to ASTM D6978, Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs. Minimum breakthrough times were determined for a wide range of chemotherapy drugs and Fentanyl. A summary of the minimum breakthrough times is provided in Table 21 and Table 22 (below).

Please note that the following drug, Carmustine and Thiotepa have a low permeation time. Labeling will include caution statement in the presence of these chemotherapy drugs.

TABLE 21: Chemotherapy Drugs/Fentanyl Tested – Regular Cuff (VS311XS, VS311S, VS311M, VS311L and VS311XL)

Summarized in Table 21 below are the drugs the proposed devices have been tested for use with per ASTM D6978-05 (Reapproved 2019) Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.

Chemotherapy Drug TestedBreakthrough Time(minutes)
Aresenic Trioxide 1 mg/ml (1,000 ppm)>240
Azacitidine 25 mg/ml (25,000 ppm)>240
Bendamustine 5 mg/ml (5,000 ppm)>240
Bleomycin 15 mg/ml (15,000 ppm)>240
Bortezomib 1 mg/ml (1,000 ppm)>240
Busulfan 6 mg/ml (6,000 ppm)>240
Carboplatin 10.0 mg/ml (10,000 ppm)>240
Carfilzomib 2.0 mg/ml (2,000)>240
Carmustine (BCNU) 3.3 mg/ml (3,300 ppm)33.1 min
Cetuximab 2.0 mg/ml (2,000)>240
Cisplatin 1.0 mg/ml (1,000 ppm)>240
Cyclophosphamide (Cytoxan) 20.0 mg/ml (20,000 ppm)>240
Cytarabine 100 mg/ml (100,000 ppm)>240
Cytovene 10 mg/ml (10,000 ppm)>240
Dacarbazine (DTIC) 10.0 mg/ml (10,000 ppm)>240
Daunorubicin 5 mg/ml (5,000 ppm)>240
Decitabine 5 mg/ml (5,000 ppm)>240
Docetaxel 10.0 mg/ml (10,000 ppm)>240
Doxorubicin Hydrochloride 2.0 mg/ml (2,000 ppm)>240
Epirubicin (Ellence) 2.0 mg/ml (2,000 ppm)>240
Etoposide (Toposar) 20.0 mg/ml (20,000 ppm)>240
Fludarabine 25 mg/ml (25,000 ppm)>240
Fluorouracil 50.0 mg/ml (50,000 ppm)>240
Fulvestrant 50.0 mg/ml (50,000 ppm)>240
Gemcitabine (Gemzar) 38 mg/ml (38,000 ppm)>240
Idarubicin 1 mg/ml (1,000 ppm)>240
Ifosfamide 50.0 mg/ml (50,000 ppm)>240
Irinotecan 20.0 mg/ml (20,000 ppm)>240
Mechlorethamine HCI 1.0 mg/ml (1,000 ppm)>240
Melphalan 5 mg/ml (5,000 ppm)>240
Methotrexate 25 mg/ml (25,000 ppm)>240
Mitomycin C 0.5 mg/ml (500 ppm)>240
Mitoxantrone 2.0 mg/ml (2,000 ppm)>240
Oxaliplatin 2.0 mg/ml (2,000 ppm)>240
Paclitaxel (Taxol) 6.0 mg/ml (6,000 ppm)>240
Paraplatin 10 mg/ml (10,000 ppm)>240
Pemetrexed Disodium 25.0 mg/ml (25,000 ppm)>240
Pertuzumab 30 mg/ml (30,000 ppm)>240
Raltitrexed 0.5 mg/ml (500 ppm)>240
Retrovir 10.0 mg/ml (10,000 ppm)>240
Rituximab 10 mg/ml (10,000 ppm)>240
Temsirolimus 25.0 mg/ml (25,000 ppm)>240
Thiotepa 10.0 mg/ml (10,000 ppm)69.2 min
Topotecan HCI 1.0 mg/ml (1,000 ppm)>240
Trastuzumab 21.0 mg/ml (21,000 ppm)>240
Trisonex 1 mg/ml (1,000 ppm)>240
Vinblastine 1 mg/ml (1,000 ppm)>240
Vincristine Sulfate 1.0 mg/ml (1,000 ppm)>240
Vinorelbine 10 mg/ml (10,000 ppm)>240
Zoledronic Acid 0.8 mg/ml (800 ppm)>240
Fentanyl TestedBreakthrough Time(in minutes)
Fentanyl Citrate, 100mcg/2mL>240

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Image /page/30/Picture/0 description: The image shows the logo for Medline. The logo consists of the word "MEDLINE" in white, set against a dark blue square background. A white star-like symbol is positioned above the text, with its points extending beyond the word. A gray rectangle is visible on the right side of the image.

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Image /page/31/Picture/0 description: The image features the Medline logo against a blue background. The logo consists of the word "MEDLINE" in a bold, sans-serif font, positioned to the left of a stylized star-like symbol. The star has four points, each formed by two lines converging at a sharp angle, creating a sense of dynamism. A small gray rectangle is visible in the upper right corner of the image.

TABLE 22: Chemotherapy/Fentanyl Drugs Tested – Extended Cuff (VS311XS, VS311S, VS311M, VS311L and VS311XL)

Summarized in 18 below, are the drugs the proposed devices have been tested for use with per ASTM D6978-05 (Reapproved 2019) Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.

Chemotherapy Drug TestedBreakthrough Time(in minutes)
Aresenic Trioxide 1 mg/ml>240
Azacitidine 25 mg/ml>240
Bendamustine 5 mg/ml>240
Bleomycin 15 mg/ml>240
Bortezomib 1 mg/ml>240
Busulfan 6 mg/ml>240
Carfilzomib 2 mg/ml>240
Carmustine (BCNU) 3.3 mg/ml59.4 min
Cetuximab>240
Cisplatin 1.0 mg/ml>240
Cyclophosphamide (Cytoxan) 20.0 mg/ml>240
Cytarabine Hydrochloride 100 mg/ml>240
Cytovene 10 mg/ml>240
Dacarbazine (DTIC) 10.0 mg/ml>240
Daunorubicin 5 mg/ml>240
Decitabine 5 mg/ml>240
Docetaxel 10.0 mg/ml>240
Doxorubicin Hydrochloride 2.0 mg/ml>240
Epirubicin (Ellence) 2.0 mg/ml>240
Etoposide (Toposar) 20.0 mg/ml>240
Fludarabine 25 mg/ml>240
Fluorouracil 50.0 mg/ml>240
Fulvestrant 50.0 mg/ml>240
Gemcitabine (Gemzar) 38 mg/ml>240
Idarubicin 1 mg/ml>240
Irinotecan 20.0 mg/ml>240
Mechlorethamine HCI 1.0 mg/ml>240
Melphalan 5 mg/ml>240
Methotrexate 25.0 mg/ml>240
Mitomycin C 0.5 mg/ml>240
Oxaliplatin 5.0 mg/ml>240
Paclitaxel (Taxol) 6.0 mg/ml>240
Paraplatin (Carboplatin) 10 mg/ml>240
Pemetrexed Disodium 25.0 mg/ml>240
Pertuzumab 30 mg/ml>240
Raltitrexed 0.5 mg/ml>240
Retrovir 10.0 mg/ml>240
Rituximab 10 mg/ml>240
Temsirolimus 25.0 mg/ml>240
Thiotepa 10.0 mg/ml68.2 min
Topotecan HCI 1.0 mg/ml>240
Trastuzumab 21.0 mg/ml>240
Trisonex 1 mg/ml>240
Vinblastine 1 mg/ml>240
Vincristine Sulfate 1.0 mg/ml>240
Vinorelbine 10 mg/ml>240
Zoledronic Acid 0.8 mg/ml>240
Fentanyl TestedBreakthrough Time(in minutes)

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Image /page/32/Picture/0 description: The image features the Medline logo, which is set against a blue background. The word "MEDLINE" is prominently displayed in white, bold letters. Above the text is a white, star-like symbol with four points, adding a distinctive visual element to the logo. A small gray rectangle is visible on the right edge of the image.

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Image /page/33/Picture/0 description: The image shows the Medline logo. The logo consists of the word "MEDLINE" in white, set against a blue background. To the right of the word is a white star-like shape with four points. There is a gray bar on the right side of the logo.

Conclusion

In accordance with 21 CFR Part 807, and based on the information provided in this premarket notification, Medline Industries, Inc. concludes that The Medline Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentanyl) – Regular Cuff and the Medline Powder-Free Blue Nitrile Examination Gloves (Tested for use with Chemotherapy Drugs and Fentanyl) - Extended Cuff are as safe, as effective, and performs as well as or better than the legally marketed predicate device, the YTY Industry (Manjung) Non-Sterile, Powder-Free Nitrile Examination Gloves (Cobalt Blue) Tested for use with Chemotherapy Drugs – K111248.

§ 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.