K Number
K221157
Device Name
JR Medic
Date Cleared
2022-08-30

(131 days)

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

JR Medic Blue Latex Examination Powder Free Gloves Tested for use with Chemotherapy drugs are disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner. Additionally, the gloves were tested for use with chemotherapy drugs in accordance with ASTM D6978-05 (2019) Standard Practice for Assessment of Medical Glove to Permeation by Chemotherapy Drugs.

The tested chemotherapy drugs and their breakthrough detection times are as follows:

Tested Chemotherapy Drug Name & ConcentrationMinimum Breakthrough Detection Time
Carmustine (BCNU) (3.3 mg/ml)23.8 Minutes
Carboplatin (10 mg/ml)>240 Minutes
Cisplatin (1 mg/ml)>240 Minutes
Cyclophosphamide (Cytoxan) (20 mg/ml)>240 Minutes
Dacarbazine (10.0 mg/ml)>240 Minutes
Doxorubicin HCl (2 mg/ml)>240 Minutes
Etoposide (20 mg/ml)>240 Minutes
Fluorouracil (50 mg/ml)>240 Minutes
Ifosfamide (50 mg/ml)>240 Minutes
Methotrexate (25 mg/ml)>240 Minutes
Mitomycin C (0.5 mg/ml)>240 Minutes
Mitoxantrone (2 mg/ml)>240 Minutes
Paclitaxel (6 mg/ml)>240 Minutes
Thiotepa (10 mg/ml)24.1 Minutes
Vincristine Sulfate (1 mg/ml)>240 Minutes

Please note that the following drugs have low permeation times: Carmustine (BCNU) (3.3 mg/ml) 23.8 Minutes Thiotepa (10 mg/ml) 24.1 Minutes

Warning: Do not use with Carmustine or Thiotepa.

Device Description

The subject device in 510(K) notification K221157 is JR Medic Blue Latex Examination Powder Free Gloves tested for use with Chemotherapy drugs. The subject device is a patient examination glove made from Natural Rubber Latex, blue color, powder free and non-sterile (as per 21CFR 880.6250, class I).

The subject device meets all the current specifications listed under the ASTM Specification D3578-2019, Standard Specification for Rubber Examination Gloves for Medical Application. This device also complies with requirements for standard practice for assessment of medical gloves to permeation by chemotherapy drugs as per ASTM D6978- 05(2019).

AI/ML Overview

The provided document describes the safety and performance testing of "JR Medic Blue Latex Examination Powder Free Gloves Tested for use with Chemotherapy drugs" to demonstrate substantial equivalence to a predicate device, rather than a study proving the device meets general acceptance criteria for a new medical device technology like an AI algorithm.

Therefore, the requested information elements related to AI/algorithm performance, such as sample size for test set with provenance, number of experts for ground truth, adjudication methods, MRMC studies, standalone performance, training set details, and how ground truth was established for the training set are not applicable to this document.

The document focuses on the physical, chemical, and biological properties of examining gloves and their resistance to chemotherapy drugs.

However, I can extract the acceptance criteria and reported device performance from the provided "G. SUMMARY OF NON-CLINICAL PERFORMANCE DATA" section, focusing on the glove's performance criteria.


1. Table of Acceptance Criteria and the Reported Device Performance

Test MethodPurposeAcceptance CriteriaReported Device Performance
ASTM D3578-2019 Standard Specification for Rubber Examination GlovesTo determine the length of the glovesMin 230 mm for all sizesSmall: 304 mm, Medium: 304 mm, Large: 305 mm, X-Large: 305 mm
ASTM D3578-2019 Standard Specification for Rubber Examination GlovesTo determine the width of the glovesSmall: 80+/-10mm, Medium: 95+/-10 mm, Large: 111+/-10 mm, X-Large: 115+/-10 mmSmall: 84 mm, Medium: 94 mm, Large: 105 mm, X-Large: 114 mm
ASTM D3578-2019 Standard Specification for Rubber Examination GlovesTo determine the thickness of the glovesPalm: 0.08 mm min, Finger: 0.08 mm min for all sizesPalm: 0.31mm (all sizes), Finger: 0.38mm (all sizes)
ASTM D3578-2019 Standard Specification for Rubber Examination GlovesTo Determine the physical properties - Tensile strength (Before Ageing)18Mpa Min for all sizesSmall: 33.16 Mpa, Medium: 32.93 Mpa, Large: 32.43 Mpa, X-Large: 32.36 Mpa
ASTM D3578-2019 Standard Specification for Rubber Examination GlovesTo Determine the physical properties - Tensile strength (After Ageing)14Mpa Min for all sizesSmall: 30.78 Mpa, Medium: 30.73 Mpa, Large: 30.23 Mpa, X-Large: 30.16 Mpa
ASTM D3578-2019 Standard Specification for Rubber Examination GlovesTo Determine the physical properties - Ultimate Elongation (Before Ageing)650% Min for all sizesSmall: 1320%, Medium: 1288%, Large: 1376%, X-Large: 1200%
ASTM D3578-2019 Standard Specification for Rubber Examination GlovesTo Determine the physical properties - Ultimate Elongation (After Ageing)500% Min for all sizesSmall: 1066%, Medium: 1105%, Large: 1225%, X-Large: 1041%
ASTM D3578-2019 Standard Specification for Rubber Examination GlovesTo Determine the physical properties - Stress at 500% Elongation (Before Ageing)5.5 Mpa Max for all sizesSmall: 5.1 Mpa, Medium: 5.2 Mpa, Large: 5.2 Mpa, X-Large: 5.2 Mpa
ASTM D5151-2019 Standard Test Method for Detection of Holes in Medical GlovesTo determine the holes in the glovesAQL 2.5Gloves Passes AQL 1.5
ASTM D6124-06 (Reapproved 2017) Standard Test Method for Residual PowderTo determine the residual powder in the gloves2 Mg/Glove MaxSmall: 0.21 mg/glove, Medium: 0.22 mg/glove, Large: 0.22 mg/glove, X-Large: 0.22 mg/glove
ASTM D 5712-95 (Reapproved 2010) Standard Test Method for the Analysis of ProteinTo determine the extractable protein in the gloves.200 µg/ dm² Max for all sizesSmall: 43.12 µg/ dm², Medium: 41.16 µg/ dm², Large: 42.06 µg/ dm², X-Large: 46.24 µg/ dm²
ISO 10993-10 Biological Evaluation of Medical Devices: Irritation TestTo determine the potential of the material under test to produce dermal irritation.Under the condition of study not an irritantUnder the condition of study not an irritant
ISO 10993-10 Biological Evaluation of Medical Devices: Skin Sensitization TestTo determine the skin sensitization potential of the material.Under the conditions of the study not a sensitizerUnder the conditions of the study not a sensitizer
ISO 10993-5:2009 Biological Evaluation of Medical Devices: Cytotoxicity TestTo evaluate the in vitro cytotoxic potential of the test item.Under the conditions of study non cytotoxicUnder the conditions of the study cytotoxic.
Acute systemic toxicityTo determine the acute systemic toxicity potential of the test item.No specific acceptance criteria stated in table, but implication is to show no systemic toxicityUnder the conditions of the study, no systemic toxicity
Material Mediated Pyrogenicity ISO 10993-11:2017(E) / USP 41<151>To determine the pyrogenic potential of the test item extract.Under the conditions of the study non pyrogenicUnder the conditions of the study non pyrogenic
ASTM D6978-05 (2019) Standard Practice for Assessment of Medical Glove to Permeation by Chemotherapy DrugsTo assess breakthrough time for various chemotherapy drugs.Varies per drug, generally aiming for longer breakthrough times. Specific minimums were not explicitly stated as "acceptance criteria" but rather as "minimum breakthrough detection time" in the Indications for Use.Carmustine (BCNU) (3.3 mg/ml): 23.8 MinutesCarboplatin (10 mg/ml): >240 MinutesCisplatin (1 mg/ml): >240 MinutesCyclophosphamide (Cytoxan) (20 mg/ml): >240 MinutesDacarbazine (10.0 mg/ml): >240 MinutesDoxorubicin HCl (2 mg/ml): >240 MinutesEtoposide (20 mg/ml): >240 MinutesFluorouracil (50 mg/ml): >240 MinutesIfosfamide (50 mg/ml): >240 MinutesMethotrexate (25 mg/ml): >240 MinutesMitomycin C (0.5 mg/ml): >240 MinutesMitoxantrone (2 mg/ml): >240 MinutesPaclitaxel (6 mg/ml): >240 MinutesThiotepa (10 mg/ml): 24.1 MinutesVincristine Sulfate (1 mg/ml): >240 Minutes

Non-Applicable Information for this Document:

The following requested information is not applicable to the provided document as it describes the FDA 510(k) clearance for examination gloves and their resistance to chemotherapy drugs, which is a physical device, not an AI/algorithm-based diagnostic or therapeutic tool.

  1. Sample size used for the test set and the data provenance: Not applicable - tests are on gloves, not a data set for an algorithm.
  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable.
  3. Adjudication method (e.g. 2+1, 3+1, none) for the test set: Not applicable.
  4. 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.
  5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable.
  6. The type of ground truth used (expert consensus, pathology, outcomes data, etc): Not applicable - "ground truth" concept does not apply in this context; instead, it's about objective physical/chemical measurements and biological responses.
  7. The sample size for the training set: Not applicable.
  8. How the ground truth for the training set was established: Not applicable.

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Image /page/0/Picture/0 description: The image shows 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 blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

August 30, 2022

JR Engineering & Medical Technologies (M) SDN.BHD. % Manoj Zacharias Consultant Liberty Management Group Ltd. 75 Executive Dr. STE 114 Aurora, Illinois 60504

Re: K221157

Trade/Device Name: JR Medic Blue Latex Examination Powder Free Gloves Tested for use with Chemotherapy drugs Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I. reserved Product Code: LYY, LZC, OPJ Dated: August 4. 2022 Received: August 4, 2022

Dear Manoj Zacharias:

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); medical device reporting (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/combinationproducts/guidance-regulatory-information/postmarketing-safety-reporting-combination-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. 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

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Indications for Use

510(k) Number (if known) K221157

Device Name

JR Medic Blue Latex Examination Powder Free Gloves Tested for use with Chemotherapy drugs

Indications for Use (Describe)

JR Medic Blue Latex Examination Powder Free Gloves Tested for use with Chemotherapy drugs are disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner. Additionally, the gloves were tested for use with chemotherapy drugs in accordance with ASTM D6978-05 (2019) Standard Practice for Assessment of Medical Glove to Permeation by Chemotherapy Drugs.

The tested chemotherapy drugs and their breakthrough detection times are as follows:

Tested Chemotherapy Drug Name & ConcentrationMinimum Breakthrough Detection Time
Carmustine (BCNU) (3.3 mg/ml)23.8 Minutes
Carboplatin (10 mg/ml)>240 Minutes
Cisplatin (1 mg/ml)>240 Minutes
Cyclophosphamide (Cytoxan) (20 mg/ml)>240 Minutes
Dacarbazine (10.0 mg/ml)>240 Minutes
Doxorubicin HCl (2 mg/ml)>240 Minutes
Etoposide (20 mg/ml)>240 Minutes
Fluorouracil (50 mg/ml)>240 Minutes
Ifosfamide (50 mg/ml)>240 Minutes
Methotrexate (25 mg/ml)>240 Minutes
Mitomycin C (0.5 mg/ml)>240 Minutes
Mitoxantrone (2 mg/ml)>240 Minutes
Paclitaxel (6 mg/ml)>240 Minutes
Thiotepa (10 mg/ml)24.1 Minutes
Vincristine Sulfate (1 mg/ml)>240 Minutes

Please note that the following drugs have low permeation times: Carmustine (BCNU) (3.3 mg/ml) 23.8 Minutes Thiotepa (10 mg/ml) 24.1 Minutes

Warning: Do not use with Carmustine or 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.

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510K SUMMARY K221157

As required by 21CFR§807.92(c)

A. APPLICANT INFORMATION

510(K) Owner's NameJR Engineering & Medical Technologies (M) SDN.BHD.
AddressLot 8 &10, Jalan Zurah 3 & Lot 1&3, Jalan Zurah 3A/1,Pusat Perindustrian 2, 44200 Rasa, Hulu Selangor, SelangorDarul Ehsan, Malaysia.
Phone+603-60572081
Fax+603-60572181
E-mailganeshjrmt@gmail.com
Contact PersonMr. Ganesan Subramaniam
DesignationManaging Director
Contact Number+6012 224 6677
Contact Emailganeshjrmt@gmail.com
Date SubmittedAugust 25, 2022

B. DEVICE IDENTIFICATION

Name of the deviceJR Medic Blue Latex Examination Powder Free GlovesTested for use with Chemotherapy drugs.
Product proprietary or trade nameJR MEDIC
Common or usual nameExam Gloves
Classification namePatient Examination Gloves, Specialty
Device ClassificationClass-1
Product CodeLYY, LZC, OPJ
Regulation Number21 CFR 880.6250
Review PanelGeneral Hospital

C. PREDICATE DEVICE

Predicate DeviceTextured, Blue, Latex Powder Free Examination Gloves,Tested For Use With Chemotherapy Drugs With ProteinLabeling Claim (50µg/dm² or Less of Water SolubleProtein)
510( K) NumberK121926
Regulatory Class1
Product codeLZC

D. DESCRIPTION OF THE DEVICE:

The subject device in 510(K) notification K221157 is JR Medic Blue Latex Examination Powder Free Gloves tested for use with Chemotherapy drugs. The subject device is a patient examination glove made from Natural Rubber Latex, blue color, powder free and non-sterile (as per 21CFR 880.6250, class I).

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The subject device meets all the current specifications listed under the ASTM Specification D3578-2019, Standard Specification for Rubber Examination Gloves for Medical Application. This device also complies with requirements for standard practice for assessment of medical gloves to permeation by chemotherapy drugs as per ASTM D6978- 05(2019).

E. INDICATIONS FOR USE/INTENDED USE OF THE DEVICE:

JR Medic Blue Latex Examination Powder Free Gloves Tested for use with Chemotherapy drugs are disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner. Additionally, the gloves were tested for use with chemotherapy drugs in accordance with ASTM D6978-05 (2019) Standard Practice for Assessment of Medical Glove to Permeation by Chemotherapy Drugs

Tested Chemotherapy Drug Name &ConcentrationMinimum Breakthrough DetectionTime (Minutes)
Carmustine (BCNU) (3.3 mg/ml)23.8 Minutes
Carboplatin (10 mg/ml)>240 Minutes
Cisplatin (1 mg/ml)>240 Minutes
Cyclophosphamide (Cytoxan) (20 mg/ml)>240 Minutes
Dacarbazine (10.0 mg/ml)>240 Minutes
Doxorubicin HCl (2 mg/ml)>240 Minutes
Etoposide (20 mg/ml)>240 Minutes
Fluorouracil (50 mg/ml)>240 Minutes
Ifosfamide (50 mg/ml)>240 Minutes
Methotrexate (25 mg/ml)>240 Minutes
Mitomycin C (0.5 mg/ml)>240 Minutes
Mitoxantrone (2 mg/ml)>240 Minutes
Paclitaxel (6 mg/ml)>240 Minutes
Thiotepa (10 mg/ml)24.1 Minutes
Vincristine Sulfate (1 mg/ml)>240 Minutes

The tested chemotherapy drugs and their breakthrough detection times are as follows:

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F. SUMMARY OF THE TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE PREDICATE DEVICE

CHARACTERSTICSSTANDARDSDEVICE PERFORMANCEComparison
PREDICATEPROPOSEDDEVICE
510(K) Number-K121926K221157
Name of device-Textured, Blue,Latex PowderFree ExaminationGloves, TestedFor Use WithChemotherapyDrugs WithProtein LabelingClaim ( $50µg/dm²$or Less of WaterSoluble Protein)JR MedicBlue LatexExaminationPowder FreeGloves Tested forUse withChemotherapyDrugsSimilar
Product Code-LZCLYY, LZCSame
Intended use / Indicationsfor Use-The examinationglove is adisposable deviceintended formedical purposesthat is worn onthe examiner'shand or finger topreventcontaminationbetween patientand examiner.In addition, thesegloves weretested for usewithchemotherapydrugs inaccordance withASTM D6978-05Standard Practicefor Assessmentof MedicalJR Medic BlueLatexExaminationPowder FreeGloves Testedfor use withChemotherapydrugs aredisposabledevice intendedfor medicalpurpose that isworn on theexaminer's handto preventcontaminationbetween patientand examiner.Additionally,the gloves weretested for usewithchemotherapydrugs inaccordance withSimilar

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Gloves toASTM D6978-05 (2019)StandardPractice for
-----------------------------------------------------------------
CHARACTERSTICSSTANDARDSDEVICE PERFORMANCEComparison
PREDICATEK121926PROPOSEDDEVICEK221157
Permeation ofChemotherapyDrugsAssessment ofMedical Glove toPermeation byChemotherapyDrugs.
Regulation Number-21 CFR 880.625021 CFR 880.6250Same
Material-Natural LatexNatural LatexSame
Color-BlueBlueSame
Texture-Finger TextureFinger textureSame
SizeASTM D3578-2019Small, Medium,Large, ExtraLargeSmall, Medium,Large, Extra LargeSame
Single UseMedical GloveGuidanceManual- LabelingSingle UseSingle UseSame
Sterile/nonsterile-NonsterileNonsterileSame
DimensionsASTM D3578-2019Length: Small-Min 220 mm &Medium, Large& Extra-large-Min 230 mmWidth Min 95+/-10 mm( MediumSize)Length > 230 mmWidth Min 95+/-10mm(for mediumsize)Similar
Physical PropertiesASTM D3578-2019Before AgeingTensile Strengthmin 18 MpaUltimateElongationMin 650%After AgeingTensile Strengthmin 14 MpaUltimateElongationMin 500%Before AgeingTensile Strength> 18 MpaUltimateElongation>650%After AgeingTensile Strength>14 MpaUltimateElongation> 500%Similar
ThicknessASTM D3578-2019Palm min 0.08mmPalm > 0.08 mmFinger > 0.08 mmSimilar

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Finger min 0.08 mm
Powder FreeResidueASTM D3578-2019$\leq 2$ mg/glove$\leq 2$ mg/gloveSame
Watertight(1000 ml)ASTM D3578-2019Passes AQL-2.5Passes AQL-1.5Similar
Label and LabelingFDA LabelrequirementsMeets FDA'srequirementsMeets FDA'srequirementsSame
CHARACTERSTICSSTANDARDSDEVICE PERFORMANCEComparison
PREDICATEK121926PROPOSEDDEVICEK221157
Bio-compatibilityPrimary SkinIrritation-ISO10993-10:2010(E)Gloves are non-irritatingUnder the conditionof study not anirritantSimilar
Bio-compatibilityDermalSensitization-ISO 10993-10:2010( E)Gloves do notdisplay anypotential forsensitizationUnder the conditionsof the study not asensitizerSimilar
Bio-compatibilityIn vitrocytotoxicityISO10993-5:2009(E)No Data AvailableUnder theconditions of thestudy, cytotoxic----
Bio-compatibilityAcutesystemictoxicityUnder theconditions of thestudy nosystemictoxicity
Bio-compatibilityMaterialMediatedPyrogenicityISO 10993-11:2017(E) /USP 41<151>No Data AvailableUnder theconditions of thestudy nonpyrogenic----

Chemotherapy Drugs Tested with Minimum Breakthrough Detection Time as tested per

ASTM D6978

Carmustine (BCNU) (3.3 mg/ml)15.4 Minutes23.8 MinutesDifferent
Carboplatin (10 mg/ml)Not Tested>240 MinutesDifferent
Cisplatin (1 mg/ml)>240 Minutes>240 MinutesSame
Cyclophosphamide (Cytoxan)(20 mg/ml)>240 Minutes>240 MinutesSame
Dacarbazine (10.0 mg/ml)>240 Minutes>240 MinutesSame
Doxorubicin HCl (2 mg/ml)>240 Minutes>240 MinutesSame

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Etoposide (20 mg/ml)>240 Minutes>240 MinutesSame
Fluorouracil (50 mg/ml)>240 Minutes>240 MinutesSame
Ifosfamide (50 mg/ml)Not Tested>240 MinutesDifferent
Methotrexate (25 mg/ml)>240 Minutes>240 MinutesSame
Mitomycin C (0.5 mg/ml)>240 Minutes>240 MinutesSame
Mitoxantrone (2 mg/ml)Not Tested>240 MinutesDifferent
Paclitaxel (6 mg/ml)>240 Minutes>240 MinutesSame
Thiotepa (10 mg/ml)1.6 Minutes24.1 MinutesDifferent
Vincristine Sulfate (1 mg/ml)>240 Minutes>240 MinutesSame

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G. SUMMARY OF NON-CLINICAL PERFORMANCE DATA

Test MethodPurposeAcceptance CriteriaResult
ASTM D3578-2019 StandardSpecification for Rubber ExaminationGlovesTo determine thelength of the glovesMin 230 mm for all sizesSmall 304 mmMedium 304 mmLarge 305 mmX-Large 305 mm
ASTM D3578-2019 StandardSpecification for Rubber ExaminationGlovesTo determine the widthof the glovesSmall 80+/-10mmMedium 95+/-10 mmLarge 111+/-10 mmX-Large 115+/-10 mmSmall 84 mmMedium 94 mmLarge 105 mmX-Large 114 mm
Test MethodPurposeAcceptanceCriteriaResult
ASTM D3578-2019 StandardSpecification for RubberExamination GlovesTo determine the thickness ofthe glovesPalm 0.08 mm minFinger 0.08 mm minfor all sizesSizeSmallMediumLargeX-LargePalm Finger0.31mm 0.38mm0.31mm 0.38mm0.31mm 0.38mm0.31mm 0.38mm
To Determine the physicalproperties-Tensile strengthBefore AgeingTensile Strength18Mpa Min for allsizesAfter AgeingTensile Strength14Mpa Min for allsizesSizeSmallMediumLargeX-LargeBefore Afterageing ageing33.16 Mpa 30.78 Mpa32.93 Mpa 30.73 Mpa32.43 Mpa 30.23 Mpa32.36 Mpa 30.16 Mpa
ASTM D3578-2019Standard Specification forRubber Examination GlovesTo Determine the physicalproperties-Ultimate ElongationBefore AgeingUltimate Elongation650% Min for allsizesAfter AgeingUltimate Elongation500% Min for allsizesSizeSmallMediumLargeX-LargeBefore Afterageing ageing1320% 1066%1288% 1105%1376% 1225%1200% 1041%
To Determine the physicalproperties-stress at 500%ElongationBefore Ageing5.5 Mpa Max for allsizesSizeSmallMediumLargeX-LargeBeforeageing NA5.1 Mpa5.2 Mpa5.2 Mpa5.2 Mpa
ASTM D5151-2019 StandardTest Method for Detection ofHoles in Medical GlovesTo determine the holes in theglovesAQL 2.5Gloves Passes AQL 1.5
ASTM D6124-06(Reapproved 2017) StandardTest Method for ResidualPowder on Medical GlovesTo determine the residualpowder in the gloves2 Mg/Glove MaxSizeSmallMediumLargeX-LargeResidual PowderContent0.21 mg/glove0.22 mg/glove0.22 mg/glove0.22 mg/glove
ASTM D 5712-95 ( Reapproved 2010) Standard TestMethod for the Analysis ofProtein in Natural RubberTo determine the extractableprotein in the gloves.200 µg/ dm² Max forall sizesSizeSmallMediumLargeX-LargeExtractableProtein content43.12 µg/ dm²41.16 µg/ dm²42.06 µg/ dm²46.24 µg/ dm²
Test MethodPurposeAcceptance CriteriaResult
ISO 10993-10 BiologicalEvaluation of MedicalDevices Test for Irritationand Skin Sensitization. Testdone for irritation.To determine the potentialof the material under test toproduce dermal irritation inRabbitsUnder thecondition ofstudy not anirritantUnder the conditionof study not an irritant
ISO 10993-10 BiologicalEvaluation of MedicalDevices Test for Irritationand Skin Sensitization. Testdone Skin sensitization.To determine the skinsensitization potential of thematerial both in terms ofinduction and elicitation inGuinea Pig.Under theconditions of thestudy not asensitizerUnder the conditionsof the study not asensitizer
ISO 10993-5:2009biological evaluation ofmedical devices - part 5,tests for in vitro cytotoxicity.To evaluate the in vitrocytotoxic potential of thetest item (both inner andouter surface) Extracts in L-929 mouse fibroblasts cellsusing elution method.Under theconditions ofstudy noncytotoxicUnder the conditionsof the study cytotoxic.
Acute systemic toxicityTo determine the acutesystemic toxicity potentialof the test item in Swissalbino miceUnder the conditionsof the study, nosystemic toxicity
Material MediatedPyrogenicity ISO 10993-11:2017(E) / USP 41<151>To determine the pyrogenicpotential of the test itemextract followingintravenous injection inNew Zealand white RabbitsUnder theconditions of thestudy nonpyrogenicUnder the conditions ofthe study non pyrogenic

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H. BIO-COMPATIBILITY DATA

I. CLINICAL TESTING SUMMARY

Not applicable - Clinical data is not needed for gloves or for most devices cleared by the 510(K) process.

J. CONCLUSION

The conclusion drawn from the nonclinical tests demonstrates that the subject device in 510(K) submission JR Medic Blue Latex Examination Powder Free Gloves Tested for use with Chemotherapy drugs is as safe, as effective, and performs as well as or better than the legally marketed predicate device Textured, Blue, Latex Powder Free Examination Gloves, Tested For Use With Chemotherapy Drugs With Protein Labeling Claim (50µg/dm² or Less of Water-Soluble Protein) K121926.

§ 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.