K Number
K220250
Date Cleared
2022-05-11

(100 days)

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

Sterile Powder Free Nitrile Examination Gloves (Blue), Tested for Use with Chemotherapy Drugs 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.

Device Description

The subject device is Nitrile Examination Gloves Sterile with Chemotherapy drugs claims. 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 10993-10, 10993-11 and permeability to chemotherapy drugs per ASTM D6978-05(2019).

AI/ML Overview

The provided document is a 510(k) Premarket Notification from the FDA regarding Sterile Powder Free Nitrile Examination Gloves (Blue), Tested for Use with Chemotherapy Drugs.

This document does not describe the acceptance criteria and study proving a software algorithm device meets these criteria, but rather the acceptance criteria and test results for a physical medical device (examination gloves).

Therefore, many of the requested categories in your prompt (such as sample size for test/training sets, data provenance, number of experts for ground truth, adjudication method, MRMC study, standalone performance, etc.) are not applicable to this type of device and the information provided in the 510(k) summary.

However, I can extract the relevant information about the acceptance criteria and the device's performance based on the provided document.


Device: Sterile Powder Free Nitrile Examination Gloves (Blue), Tested for Use with Chemotherapy Drugs

Type of Device: Physical Medical Device (Examination Gloves), Class I, reserved

Study Purpose: To demonstrate substantial equivalence to a predicate device (Riverstone Resources SDN BHD. Nitrile Examination Glove, Sterile Tested for use with Chemotherapy Drugs Claim, White (K190725)) by verifying that the subject device meets specific performance standards and has similar technological characteristics.

1. Table of Acceptance Criteria and Reported Device Performance

The document presents several tables detailing the acceptance criteria (standards/specifications) and the results indicating that the device meets these criteria.

Item/TestAcceptance Criteria (Standard/Specification)Reported Device Performance (Results)
Dimensions
LengthMinimum 230mmAll size ≥290mm
Palm Width (XS)70 ± 10mm76-78mm
Palm Width (S)80 ± 10mm86-88mm
Palm Width (M)95 ± 10mm96-98mm
Palm Width (L)110 ± 10mm106-108mm
Palm Width (XL)120 ± 10mm116-118mm
Palm Width (XXL)130 ± 10mm126-128mm
Physical Properties (Thickness)
Thickness (Palm)0.05mm (min)0.09-0.11mm
Thickness (Finger)0.05mm (min)0.13-0.14mm
Physical Properties (Tensile Strength)
Tensile Strength, Before Aging14MPa, min15.8-20.8 MPa
Tensile Strength, After Accelerated Aging14MPa, min15.6-19.8 MPa
Physical Properties (Ultimate Elongation)
Ultimate Elongation, Before Aging500%, min500-560%
Ultimate Elongation, After Accelerated Aging400%, min400-500%
Integrity
Freedom from holesG-I, AQL 2.5 (per ASTM D5151-19, ASTM D6319-19)Meet and above AQL 2.5 requirements
Powder Content≤ 2 mg per glove (per ASTM D6124-06(2017), ASTM D6319-19)≤ 2 mg, meet requirements
Biocompatibility
Primary Skin Irritation TestNot an irritant (per ISO 10993-10:2010)Not an irritant
Dermal Sensitization AssayNot a sensitizer (per ISO 10993-10:2010)Not a sensitizer
Acute Systemic Toxicity TestNo evidence of systemic toxicity (per ISO 10993-11:2017)No evidence of systemic toxicity
Chemotherapy Drug Permeation (Minimum Breakthrough Time - BDT)
Carmustine (BCNU) (3.3mg/ml)- (Predicate: 39 min)54.3 minutes
Cyclophosphamide (20mg/ml)- (Predicate: >240 min)>240 minutes
Doxorubicin Hydrochloride (2 mg/ml)- (Predicate: >240 min)>240 minutes
Etoposide (20mg/ml)- (Predicate: >240 min)>240 minutes
Fluorouracil (50mg/ml)- (Predicate: >240 min)>240 minutes
Paclitaxel (6mg/ml)- (Predicate: >240 min)>240 minutes
Thiotepa (10mg/ml)- (Predicate: 97.6 min)196.7 minutes
Methotrexate (25mg/ml)- (Predicate: >240 min)>240 minutes
Cisplatin (1mg/ml)- (Predicate: N/A)>240 minutes
Vincristine Sulfate (1.0 mg/ml)- (Predicate: N/A)>240 minutes
Cytarabine HCL (100mg/ml)- (Predicate: N/A)>240 minutes
Mitoxantrone (2.0 mg/ml)- (Predicate: N/A)>240 minutes
Mitomycin C (0.5 mg/ml)- (Predicate: N/A)>240 minutes
Ifosfamide (50.0 mg/ml)- (Predicate: N/A)>240 minutes
Dacarbazine (DTIC) (10.0 mg/ml)- (Predicate: N/A)>240 minutes

(Note: For chemotherapy drug permeation, the "Acceptance Criteria" are implied by comparison to the predicate device and showing equivalent or better performance. The exact criteria are not explicitly stated for each drug beyond the measured BDT.)

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

  • Sample Size for Test Set: Not explicitly stated as a number of "cases" or "samples" in the way a software algorithm test set would be. The testing is based on batches of gloves or representative samples according to the referenced ASTM/ISO standards. For example, "Freedom from holes" testing follows an AQL (Acceptance Quality Limit) which implies a sampling plan.
  • Data Provenance: The tests are non-clinical and conducted based on international standards (ASTM, ISO). The manufacturer is Grand Work Plastic Products Co., Ltd, located in Donggao Industrial Zone, Zanhuang, Hebei, China. The testing would have been performed there or at certified labs used by the manufacturer. The data is retrospective in the sense that it was collected as part of the device's development and qualification prior to the 510(k) submission.

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

Not applicable. The "ground truth" for this physical device's performance (e.g., tensile strength, breakthrough time) is established by adherence to standardized physical and chemical testing methods (ASTM, ISO standards), not by human expert consensus or clinical judgment in the traditional sense of diagnostic AI. These standards define the test procedures and acceptance limits.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

Not applicable. This is not a study requiring human reader adjudication. Performance is measured by laboratory equipment and standard protocols.

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-based diagnostic device.

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

Not applicable. This is not an AI-based diagnostic device.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

The "ground truth" is established through standardized physical, chemical, and biological testing methods as defined by:

  • ASTM D6319-19 (Standard Specification for Nitrile Examination Gloves)
  • ASTM D5151-19 (Standard Test Method for Detection of Holes in Medical Gloves)
  • ASTM D6124-06(2017) (Standard Test Method for Residual Powder on Medical Gloves)
  • ASTM D6978-05(2019) (Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs)
  • ISO 10993-10:2010 (Biological evaluation of medical devices - Part 10: Tests for irritation and skin sensitization)
  • ISO 10993-11:2017 (Biological evaluation of medical devices - Part 11: Tests for systemic toxicity)

8. The sample size for the training set

Not applicable. This is not a machine learning device that requires a training set.

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

Not applicable. This is not a machine learning device.

§ 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.