K Number
K220249
Device Name
Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue)
Date Cleared
2022-05-26

(115 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
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 ASTM D6978 standards. Gloves is direct contact and not to be worn for more than 24 hours.
Device Description
The subject device is Sterile Nitrile Powder Free Examination Gloves Tested for Use with Chemotherapy Drugs And Fentanyl Citrate (Blue). The subject device is a patient examination glove made from nitrile latex compound, blue color, powder free and sterile (Per 21 CFR 880.6250, class I). The device is direct contact and not to be worn for more than 24 hours. The device meets all the specifications in ASTM D6319-19, Standard specification for Nitrile Examination Gloves. Additionally, the gloves have been tested for biocompatibility per 10993-11 and permeability to chemotherapy drugs and Fentanyl Citrate per ASTM D6978-05(2019).
More Information

Not Found

No
The device description and performance studies focus on the physical properties, biocompatibility, and chemical resistance of examination gloves, with no mention of AI or ML.

No
The device, a patient examination glove, is intended for preventing contamination, not for treating a disease or condition.

No

Explanation: The device is a medical glove designed for protection and preventing contamination, not for diagnosing a medical condition. Its function is barrier protection, not information gathering for diagnosis.

No

The device description clearly states it is a physical glove made from nitrile latex compound, which is a hardware component. The performance studies also focus on physical properties and biocompatibility of the glove material.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to be worn on the hand or finger to prevent contamination between patient and examiner. This is a barrier device for protection, not a device used to examine specimens derived from the human body for the purpose of providing information for diagnosis, monitoring, or treatment.
  • Device Description: The description clearly states it's a "patient examination glove" and mentions its composition and testing for physical properties and barrier function.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, detecting analytes, or providing diagnostic information. The testing described relates to the glove's physical properties, biocompatibility, and barrier function against chemicals.

IVD devices are specifically designed to perform tests on samples like blood, urine, tissue, etc., to provide information about a person's health status. This glove does not perform such a function.

N/A

Intended Use / Indications for Use

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 ASTM D6978 standards.

Gloves is direct contact and not to be worn for more than 24 hours.

A patient examination glove is disposable device intended for medical purpose 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 & Fentany] Citrate and provides protection against following chemotherapy drugs and the minimum breakthrough time are listed as follows.

Product codes

LZA, LZC, ODO

Device Description

The subject device is Sterile Nitrile Powder Free Examination Gloves Tested for Use with Chemotherapy Drugs And Fentanyl Citrate (Blue). The subject device is a patient examination glove made from nitrile latex compound, blue color, powder free and sterile (Per 21 CFR 880.6250, class I). The device is direct contact and not to be worn for more than 24 hours. The device meets all the specifications in ASTM D6319-19, Standard specification for Nitrile Examination Gloves.

Additionally, the gloves have been tested for biocompatibility per 10993-11 and permeability to chemotherapy drugs and Fentanyl Citrate per ASTM D6978-05(2019).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Non-clinical tests were performed to verify that the subject device will meet the acceptance criteria of the performance test shown below:

Technological Characteristics: Dimensions
Standard / Test /FDA Guidance: ASTM D6319-19
Result Summary: Meets

Technological Characteristics: Physical Properties
Standard / Test /FDA Guidance: ASTM D6319-19
Result Summary: Meets

Technological Characteristics: Freedom from holes
Standard / Test /FDA Guidance: ASTM D6319- 19, ASTM D5151-19
Result Summary: Meets

Technological Characteristics: Residual Powder
Standard / Test /FDA Guidance: ASTM D 6124-06(2017), ASTM D6319- 19
Result Summary: Meets

Technological Characteristics: Primary Skin Irritation Test
Standard / Test /FDA Guidance: ISO 10993-10:2010
Result Summary: Meets

Technological Characteristics: Dermal Sensitization Assay
Standard / Test /FDA Guidance: ISO 10993-10:2010
Result Summary: Meets

Technological Characteristics: Acute Systemic Toxicity
Standard / Test /FDA Guidance: ISO 10993-11:2017
Result Summary: Meets

The subject device meets the applicable requirements for patient examination gloves with regards to dimension and sizes, physical properties, freedom from holes and powder Residuals as found in the following standards: ASTM D6139, ASTM D5151, ASTM D6124.The subject device passes biological reactivity testing for dermal sensitization, irritation and acute systemic toxicity with accordance ISO10993-10 and ISO 10993-11.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K201531

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: a symbol on the left and the FDA name on the right. The symbol on the left is a stylized image of a human figure, while the FDA name on the right is written in blue letters. The words "U.S. FOOD & DRUG ADMINISTRATION" are written in a clear, sans-serif font.

May 26, 2022

Grand Work Plastic Products Co., Ltd % Kathy Liu Project Manager Hongray USA Medical Products Inc. 3973 Schaefer Avenue Chino, California 91710

Re: K220249

Trade/Device Name: Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue) Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I, reserved Product Code: LZA, LZC, ODO Dated: April 18, 2022 Received: April 26, 2022

Dear Kathy Liu:

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.

1

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 (QS) 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 mediation-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.

Bifeng Qian, M.D., Ph.D Acting Assistant Director DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K220249

Device Name

Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue)

Indications for Use (Describe)

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 ASTM D6978 standards.

Gloves is direct contact and not to be worn for more than 24 hours

Chemotherapy DrugMinimum BDT (Minutes)
Bleomycin Sulfate 15mg/ml (15000 ppm)>240
Busulfan 6mg/ml (6,000 ppm)>240
Carboplatin 10mg/ml (10,000 ppm)>240
Carmustine 3.3 mg/ml (3,300 ppm)22.4
Chloroquine 50mg/ml (50,000ppm)>240
Cisplatin 1mg/ml (1,000 ppm)>240
Cyclophosphamide 20mg/ml (20,000 ppm)>240
Cyclosporin 100 mg/ml (100,000 ppm)>240
Cytarabine HCL, 100 mg/ml (100,000 ppm)>240
Dacarbazine 10 mg/ml (10,000 ppm)>240
Daunorubicin HCL, 5 mg/ml (5,000 ppm)>240
Docetaxel HCL, 10 mg/ml (10,000 ppm)>240
Doxorubicin HCL, 2 mg/ml (2,000 ppm)>240
Epirubicin HCL, 2 mg/ml (2,000 ppm)>240
Etoposide, 20 mg/ml (20,000 ppm)>240
Fludarabine, 25 mg/ml (25,000 ppm)>240
Fluorouracil, 50mg/ml (50,000ppm)>240
Gemcitabine, 38mg/ml (38,000ppm)>240
Idarubicin HCL, 1mg/ml (1,000ppm)>240
Ifosfamide, 50mg/ml (50,000ppm)>240
Irinotecan, 20mg/ml (20,000ppm)>240
Mechlorethamine HCI, 1mg/ml (1,000ppm)>240
Melphalan, 5mg/ml (5,000ppm)>240
Methotrexate, 25mg/ml (25,000ppm)>240
Mitomycin C, 0.5mg/ml (500ppm)>240
Mitoxantrone HCL, 2mg/ml (2,000ppm)>240
Oxaliplatin, 5mg/ml (5,000ppm)>240
Paclitaxel, 6mg/ml (6,000ppm)>240
Paraplatin, 10mg/ml (10,000ppm)>240
Retrovir, 10mg/ml (10,000ppm)>240
Rituximab, 10mg/ml (10,000ppm)>240
Thiotepa, 10mg/ml (10,000ppm)46.3
Topotecan, 1mg/ml (1,000ppm)>240
Trisenox, 1mg/ml (1,000ppm)>240
Velcade, 1mg/ml (1,000ppm)>240
Vincristine Sulfate, 1mg/ml (1,000ppm)>240

3

  • Please note that the following drugs have extremely low permeation times: Carmustine: 22.4 minutes, Thiotepa: 46.3 minutes WARNING: DO NOT USE WITH CARMUSTINE WARNING: DO NOT USE WITH THIOTEPA
Fentanyl Citrate and Concentration
Fentanyl Citrate Injection (100 mcg/2ml)

Minimum Breakthrough Detection Time in Minutes >240

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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4

Donggao Industrial Zone, Zanhuang, Hebei, 050000, China

Product: Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue)

510(K) SUMMARY

This summary of 510(K) safety and effectiveness information is being submitted in accordance with requirements of 21 CFR §807.92.

The assigned 510(K) number is: K220249

Date Prepared: April 18, 2022

1. Owner's Identification:

Mrs. Wu Yuli Grand Work Plastic Products Co., Ltd. Donggao Industrial Zone, Zanhuang, Hebei, 050000, China Tel: 86-311-66179668

Contact: Ms. Kathy Liu, Project Manager Address: 3973 Schaefer Ave., Chino, CA 91710 Tel: 909-590-1611

2. Name of the Device:

Trade Name: Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue) Common Name: Exam Gloves Classification Name: Patient Examination Glove Classification Regulation: 880.6250 Classification Panel: 880 General Hospital and Personal Use Product Code: LZA, LZC and QDO Device Class: Class I

3. Predicate Device Information:

Hartalega SDN.BHD. Sterile Nitrile Powder Free Examination Glove Tested for use with Chemotherapy Drugs and Fentanyl Citrate (Blue) (K201531)

4. Device Description:

The subject device is Sterile Nitrile Powder Free Examination Gloves Tested for Use with Chemotherapy Drugs And Fentanyl Citrate (Blue). The subject device is a patient examination glove made from nitrile latex compound, blue color, powder free and sterile (Per 21 CFR 880.6250, class I). The device is direct contact and not to be worn for more than 24 hours. The device meets all the specifications in ASTM D6319-19, Standard specification for Nitrile Examination Gloves.

Additionally, the gloves have been tested for biocompatibility per 10993-11 and permeability to chemotherapy drugs and Fentanyl Citrate per ASTM D6978-05(2019).

5. Indications for Use:

A patient examination glove is disposable device intended for medical purpose 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 & Fentany] Citrate and provides protection against following chemotherapy drugs and the minimum breakthrough time are listed as follows.

Chemotherapy DrugMinimum BDT (Minutes)
Bleomycin Sulfate 15mg/ml (15000 ppm)>240
Busulfan 6mg/ml (6,000 ppm)>240
Carboplatin 10mg/ml (10,000 ppm)>240

5

Donggao Industrial Zone, Zanhuang, Hebei, 050000, China

Product: Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue)

Carmustine 3.3 mg/ml (3,300 ppm)22.4
Chloroquine 50mg/ml (50,000ppm)>240
Cisplatin 1mg/ml (1,000 ppm)>240
Cyclophosphamide 20mg/ml (20,000 ppm)>240
Cyclosporin 100 mg/ml (100,000 ppm)>240
Cytarabine HCL, 100 mg/ml (100,000 ppm)>240
Dacarbazine 10 mg/ml (10,000 ppm)>240
Daunorubicin HCL, 5 mg/ml (5,000 ppm)>240
Docetaxel HCL, 10 mg/ml (10,000 ppm)>240
Doxorubicin HCL, 2 mg/ml (2,000 ppm)>240
Epirubicin HCL, 2 mg/ml (2,000 ppm)>240
Etoposide, 20 mg/ml (20,000 ppm)>240
Fludarabine, 25 mg/ml (25,000 ppm)>240
Fluorouracil, 50mg/ml (50,000ppm)>240
Gemcitabine, 38mg/ml (38,000ppm)>240
Idarubicin HCL, 1mg/ml (1,000ppm)>240
Ifosfamide, 50mg/ml (50,000ppm)>240
Irinotecan, 20mg/ml (20,000ppm)>240
Mechlorethamine HCI, 1mg/ml (1,000ppm)>240
Melphalan, 5mg/ml (5,000ppm)>240
Methotrexate, 25mg/ml (25,000ppm)>240
Mitomycin C, 0.5mg/ml (500ppm)>240
Mitoxantrone HCL, 2mg/ml (2,000ppm)>240
Oxaliplatin, 5mg/ml (5,000ppm)>240
Paclitaxel, 6mg/ml (6,000ppm)>240
Paraplatin, 10mg/ml (10,000ppm)>240
Retrovir, 10mg/ml (10,000ppm)>240
Rituximab, 10mg/ml (10,000ppm)>240
Thiotepa, 10mg/ml (10,000ppm)46.3
Topotecan, 1mg/ml (1,000ppm)>240
Trisenox, 1mg/ml (1,000ppm)>240
Velcade, 1mg/ml (1,000ppm)>240
Vincristine Sulfate, 1mg/ml (1,000ppm)>240
Fentanyl Citrate Injection (100 mcg/2ml)>240
  • Please note that the following drugs have extremely low permeation times: Carmustine: 22.4 minutes, Thiotepa: 46.3 minutes WARNING: DO NOT USE WITH CARMUSTINE WARNING: DO NOT USE WITH THIOTEPA

6. Specification for Nitrile Gloves:

ItemsAcceptance CriteriaResults
LengthMinimum 230mmAll size ≥230
Palm WidthXS: 70±10mm76-78mm
S: 80±10mm86-88 mm
M:95±10mm96 -98mm
L:110±10mm106-108 mm
XL: 120±10mm116-118 mm

6

Donggao Industrial Zone, Zanhuang, Hebei, 050000, China

Product: Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue)

XXL: $130\pm10$ mm126-128 mm
ThicknessPalm: 0.05mm (min)0.07-0.08mm
Finger: 0.05mm (min)0.09-0.11mm
Tensile Strength, Before Aging14MPa, min15.7-20.6 MPa
Tensile Strength, After Accelerated Aging14MPa, min15.5-19.5 MPa
Ultimate Elongation, Before Aging500%, min500-550%
Ultimate Elongation, After Accelerated Aging400%, min410-510%
Freedom from holesG-I, AQL 2.5Meet and above AQL2.5 requirements
Powder-Content$\leq$ 2 mg per glove$\leq$ 2 mg, meet requirements

Gloves meet all the specification listed in ASTM D 6319-19.

7. Comparison of Subject Device and Predicate Device:

CharacteristicsSubject DevicePredicate DeviceRemark
K220249K201531
Trade NameSterile Powder Free Nitrile
Examination Gloves (Blue), Tested
for Use with Chemotherapy DrugsNitrile Examination Gloves
Sterile Tested for Use with
Chemotherapy Drugs claim, WhiteSimilar
Product CodeLZA, LZC and QDOLZA, LZC and QDOSame
Regulation Number21 CFR 880.625021 CFR 880.6250Same
ClassIISame
Indications for UseSubject device 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. The
device is for over-the-counter use.Predicate device 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. The device is for over-the-
counter use.Same
DescriptionSterile Examination glove made of
Nitrile and color Blue and tested
with chemotherapy DrugsSterile Examination glove made of Nitrile
and color White and tested with
chemotherapy DrugsSame
Design FeatureAmbidextrousAmbidextrousSame
Material useNitrile Synthetic LatexNitrile Synthetic LatexSame
ColorBlueBlueSame
Sterility ISO 11737-2
EN ISO 11137-2SterilitySterilitySame
Single usedSingle usedSingle usedSame
Non Sterile or SterileSterileSterileSame
10993-10:2010 Skin Irritation
StudyUnder the conditions of the
study, not an irritantUnder the conditions of the study, not
an irritantSame
10993-10:2010 Maximization
Sensitization StudyUnder the conditions of the
study, not a sensitizerUnder the conditions of the study, not a
sensitizerSame
10993-5:2009 In VitroUnder the conditions of this study,Under the conditions of this study, theSame

7

Donggao Industrial Zone, Zanhuang, Hebei, 050000, China

Product: Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue)

| Cytotoxicity Test | the test article extract showed potential toxicity to L929 cells.
Cytotoxicity concern was addressed by acute systematic toxicity testing. | test article extract showed potential toxicity to L929 cells.
Cytotoxicity concern was addressed by acute systematic toxicity testing. | |
|---------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------|------|
| ISO 10993 Part 11
Acute Systemic Toxicity Test | Under the conditions of this study, there was no evidence of systemic toxicity. | Under the condition of this study, Nitrile Examination glove, sterile shows no adverse biological reaction | Same |

| Technological
Characteristics | Subject Device
K220249 | Predicate Device
K201531 | Remark |
|-------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|-----------|
| Length | Minimum 230mm | Minimum 230mm | Same |
| Palm Width (size) (mm) | | | |
| XS | 70±10 | 70±10 | Same |
| S | 80±10 | 80±10 | Same |
| M | 95±10 | 95±10 | Same |
| L | 110±10 | 110±10 | Same |
| XL | 120±10 | 120±10 | Same |
| XXL | 130±10 | / | Different |
| Thickness(mm) | | | |
| Finger | Minimum 0.05 | Minimum 0.05 | Same |
| Palm | Minimum 0.05 | Minimum 0.05 | Same |
| Tensile Strength, Before Aging | 14MPa, min | 14MPa, min | Same |
| Ultimate Elongation,
Before Aging | 500%, min | 500%, min | Same |
| Tensile Strength, After
Accelerated Aging | 14MPa, min | 14MPa, min | Same |
| Ultimate Elongation, After
Accelerated Aging | 400%, min | 400%, min | Same |
| Freedom from holes | In accordance with ASTM D
5151-19, following ASTM
D6319- 19, G-I, AQL 2.5 | In accordance with ASTM D
5151-19, following ASTM
D6319- 19, G-I, AQL 2.5 | Same |
| Residual Powder | 240 | Different |
| Busulfan 6mg/ml (6,000 ppm) | / | >240 | Different |
| Carboplatin 10mg/ml (10,000 ppm) | / | >240 | Different |
| Carmustine 3.3 mg/ml (3,300 ppm) | 26.3 | 22.4 | Similar |

8

Donggao Industrial Zone, Zanhuang, Hebei, 050000, China

Product: Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue)

Chloroquine 50mg/ml (50,000ppm)/>240Different
Cisplatin 1mg/ml (1,000 ppm)>240>240Same
Cyclophosphamide 20mg/ml (20,000 ppm)>240>240Same
Cyclosporin 100 mg/ml (100,000 ppm)/>240Different
Cytarabine HCL, 100 mg/ml (100,000 ppm)/>240Different
Dacarbazine 10 mg/ml (10,000 ppm)>240>240Same
Daunorubicin HCL, 5 mg/ml (5,000 ppm)/>240Different
Docetaxel HCL, 10 mg/ml (10,000 ppm)/>240Different
Doxorubicin HCL, 2 mg/ml (2,000 ppm)>240>240Same
Epirubicin HCL, 2 mg/ml (2,000 ppm)/>240Different
Etoposide, 20 mg/ml (20,000 ppm)>240>240Same
Fludarabine, 25 mg/ml (25,000 ppm)/>240Different
Fluorouracil, 50mg/ml (50,000ppm)>240>240Same
Gemcitabine, 38mg/ml (38,000ppm)/>240Different
Idarubicin HCL, 1mg/ml (1,000ppm)/>240Different
Ifosfamide, 50mg/ml (50,000ppm)/>240Different
Irinotecan, 20mg/ml (20,000ppm)/>240Different
Mechlorethamine HCI, 1mg/ml (1,000ppm)/>240Different
Melphalan, 5mg/ml (5,000ppm)/>240Different
Methotrexate, 25mg/ml (25,000ppm)>240>240Same
Mitomycin C, 0.5mg/ml (500ppm)>240>240Same
Mitoxantrone HCL, 2mg/ml (2,000ppm)/>240Different
Oxaliplatin, 5mg/ml (5,000ppm)/>240Different
Paclitaxel, 6mg/ml (6,000ppm)>240>240Same
Paraplatin, 10mg/ml (10,000ppm)/>240Different
Retrovir, 10mg/ml (10,000ppm)/>240Different
Rituximab, 10mg/ml (10,000ppm)/>240Different
Thiotepa, 10mg/ml (10,000ppm)97.146.3Similar
Topotecan, 1mg/ml (1,000ppm)/>240Different
Trisenox, 1mg/ml (1,000ppm)/>240Different
Velcade, 1mg/ml (1,000ppm)/>240Different
Vincristine Sulfate, 1mg/ml (1,000ppm)>240>240Same
Fentanyl Citrate Injection (100 mcg/2ml)>240>240Same

8 Summary of Non-Clinical Testing

Non-clinical tests were performed to verify that the subject device will meet the acceptance criteria of the performance test shown below:

Technological CharacteristicsStandard / Test /FDA GuidanceResult Summary
DimensionsASTM D6319-19Meets
Physical PropertiesASTM D6319-19Meets
Freedom from holesASTM D6319- 19
ASTM D5151-19Meets
Residual PowderASTM D 6124-06(2017)
ASTM D6319- 19Meets
Primary Skin Irritation TestISO 10993-10:2010Meets
Dermal Sensitization AssayISO 10993-10:2010Meets
Acute Systemic ToxicityISO 10993-11:2017Meets

9

Donggao Industrial Zone, Zanhuang, Hebei, 050000, China

Product: Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue)

The subject device meets the applicable requirements for patient examination gloves with regards to dimension and sizes, physical properties, freedom from holes and powder Residuals as found in the following standards: ASTM D6139, ASTM D5151, ASTM D6124.The subject device passes biological reactivity testing for dermal sensitization, irritation and acute systemic toxicity with accordance ISO10993-10 and ISO 10993-11.

9. Conclusion:

The conclusions drawn from the nonclinical tests demonstrate that the Subject device is as safe, as effective, and performs as well as or better than the legally marketed predicated device.