K Number
K222225
Date Cleared
2022-11-11

(109 days)

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

Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs (Blue) is a non-sterile disposable device intended for medical purpose that is worn on the examination between patient and examiner. It is also tested to be used against Chemotherapy Drugs.

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

Device Description

Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs (Blue) is a disposable singleuse, non-sterile, blue-colored and powder-free examination glove made from nitrile latex.

AI/ML Overview

This document is a 510(k) Premarket Notification for a medical device: "Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs (Blue)". It describes the acceptance criteria and the study that proves the device meets those criteria, specifically for its resistance to chemotherapy drugs.

1. Table of Acceptance Criteria and Reported Device Performance

TestAcceptance CriteriaReported Device Performance
Resistance to Permeation by Chemotherapy Drugs (ASTM D6978-05 (Reapproved 2019))For most chemotherapy drugs, a minimum breakthrough detection time (e.g., >240 minutes) is desired for adequate protection. Some drugs may have shorter accepted times based on their specific properties and risks. The predicate device (K151997) also established similar benchmark values.The device reports the following minimum breakthrough detection times: - Carmustine (3.3 mg/ml): 10.2 minutes - Thiotepa (10.0 mg/ml): 30.2 minutes - All other 31 listed chemotherapy drugs (e.g., Cisplatin, Cyclophosphamide, Doxorubicin, Fluorouracil, Methotrexate, Paclitaxel, etc.): >240 minutes Note: A caution explicitly warns against use with Carmustine and Thiotepa due to the shorter breakthrough times.
Freedom from holes (ASTM D5151-19 and ASTM D6319-19)AQL 1.5%Pass
Residual Powder (ASTM D6124-06 (2017))Average less than 2 mg/glovePass
Dimensional Conformance (ASTM D6319-19)Conforms to ASTM D6319 width, thickness, and length requirements for XS, S, M, L, and XL (AQL 4%) - Length: ≥ 230 mm - Width (XS: 70 ± 10 mm, S: 80 ± 10 mm, M: 95 ± 10 mm, L: 110 ± 10 mm, XL: 120 ± 10 mm) - Palm Thickness: Min 0.05 mm - Finger Thickness: Min 0.05 mmPass (Meets specified length, width, palm thickness, and finger thickness requirements. The document specifically states for length "≥ 230 mm" for the subject device and "≥ 240 mm" for the predicate, but both are considered "Same" with a combined ASTM D6319-19 approval)
Tensile Performance (ASTM D6319-19)Conforms to ASTM D6319 tensile strength of at least 14 MPa and ultimate elongation of at least 500% requirements prior to aging, and tensile strength of at least 14 MPa and ultimate strength of at least 400% after accelerated aging (AQL 4%)Pass
Biocompatibility: Skin Irritation (ISO 10993-10)Under the conditions of the study, not an irritant.Pass (Under the conditions of the study, the device is not an irritant)
Biocompatibility: Skin Sensitization (ISO 10993-10)Under the conditions of the study, not a sensitizer.Pass (Under the conditions of the study, the device is not a sensitizer)
Biocompatibility: Acute Toxicity (ISO 10993-11)Under the conditions of the study, no acute systemic toxicity.Pass (Under the conditions of this study, the device showed no evidence of acute systemic toxicity)

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

The document does not explicitly state the specific sample sizes used for each test set within the provided tables (e.g., how many gloves were tested for holes, or how many individual glove samples were exposed to each chemotherapy drug). However, it indicates compliance with recognized standards (ASTM D5151-19, ASTM D6319-19, ASTM D6124-06, ASTM D6978-05). These standards typically specify the minimum sample sizes required for testing.

The data provenance is implied to be prospective testing conducted by the manufacturer (Hartalega NGC Sdn. Bhd.) to meet the requirements for their 510(k) submission. Given the company's address, the testing was likely conducted in Malaysia or an affiliated testing facility.

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

This information is not applicable as the evaluation of the device's performance against physicochemical and biological standards (like chemical permeation, physical properties, and biocompatibility) does not typically involve human experts establishing ground truth in the way a clinical diagnostic study would. The "ground truth" here is defined by the objective metrics and thresholds established by the ASTM and ISO standards.

4. Adjudication Method for the Test Set

This is not applicable. Adjudication methods (like 2+1, 3+1) are typically used in clinical studies involving human interpretation or subjective assessments to resolve discrepancies. The tests described are objective, standardized laboratory tests.

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

This is not applicable. The device is an examination glove, not an AI-powered diagnostic or assistive tool for human readers. Therefore, an MRMC comparative effectiveness study involving human readers and AI assistance is entirely irrelevant to this device.

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

This is not applicable. The device is a physical medical device (glove), not an algorithm or software. Standalone algorithm performance refers to the assessment of an AI system without human intervention, which does not apply here.

7. The Type of Ground Truth Used

The ground truth used for performance assessment of the Nitrile Powder Free Examination Glove is based on objective, standardized laboratory test results and their comparison against pre-defined acceptance criteria set by international standards:

  • Chemotherapy Drug Permeation: Measured breakthrough times (in minutes) as per ASTM D6978-05 (Reapproved 2019). The standard itself establishes the methodology and criteria for evaluating resistance.
  • Physical Properties: Measurements against specifications outlined in ASTM D5151-19 (freedom from holes), ASTM D6319-19 (dimensional conformance, tensile performance), and ASTM D6124-06 (R17) (residual powder).
  • Biocompatibility: Results of tests performed according to ISO 10993-10 (skin irritation, skin sensitization) and ISO 10993-11 (acute systemic toxicity), which define the methods and expected outcomes for non-toxic materials.

8. The Sample Size for the Training Set

This is not applicable. The device is a manufactured product undergoing standardized testing, not a machine learning model that requires a training set.

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

This is not applicable for the same reason as point 8.

{0}------------------------------------------------

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in a stacked format.

November 11, 2022

Hartalega NGC Sdn. Bhd. Nurul Kong General Manager-Ouality Assurance No. 1, Persiaran Tanjung Kawasan Perindustrian Tanjung Sepang, Selangor Darul Ehsan 43900 Malaysia

Re: K222225

Trade/Device Name: Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs (Blue) Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I. reserved Product Code: LZA, LZC, OPJ Dated: August 9, 2022 Received: August 17, 2022

Dear Nurul Kong:

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 -S

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 Ouality Center for Devices and Radiological Health

{2}------------------------------------------------

Indications for Use

510(k) Number (if known) K22225

Device Name

Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs (Blue)

Indications for Use (Describe)

Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs (Blue) is a non-sterile disposable device intended for medical purpose that is worn on the examination between patient and examiner. It is also tested to be used against Chemotherapy Drugs.

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

Chemotherapy Drug and ConcentrationMinimum Breakthrough Detection Time in Minutes
Carmustine (3.3 mg/ml)10.2
Cisplatin (1.0 mg/ml)>240
Cyclophosphamide (20.0 mg/ml)>240
Dacarbazine (10.0 mg/ml)>240
Doxorubicin Hydrochloride (2.0 mg/ml)>240
Etoposide (20.0 mg/ml)>240
Fluorouracil (50.0 mg/ml)>240
Methotrexate (25.0 mg/ml)>240
Mitomycin C (0.5 mg/ml)>240
Paclitaxel (6.0 mg/ml)>240
Thiotepa (10.0 mg/ml)30.2
Vincristine Sulfate (1.0 mg/ml)>240
Bleomycin Sulfate, 15.0 mg/ml>240
Bortezomib, 1.0 mg/ml>240
Busulfan, 6.0 mg/ml>240
Carboplatin, 10.0 mg/ml>240
Chloroquine, 50.0 mg/ml>240
Cyclosporin A, 100.0 mg/ml>240
Cytarabine, 100.0 mg/ml>240
Daunorubicin, 5.0 mg/ml>240
Docetaxel, 10.0 mg/ml>240
Epirubicin, 2.0 mg/ml>240
Fludarabine, 25.0 mg/ml>240
Gemcitabine, 38.0 mg/ml>240
Idarubicin, 1.0 mg/ml>240
Ifosfamide, 50.0 mg/ml>240
Irinotecan, 20.0 mg/ml>240
Mechlorethamine HCI, 1.0 mg/ml>240
Melphalan, 5.0 mg/ml>240
Mitoxantrone, 2.0 mg/ml>240
Oxaliplatin, 2.0 mg/ml>240
Paraplatin, 10.0 mg/ml>240
Retrovir, 10.0 mg/ml>240
Rituximab, 10.0 mg/ml>240
Topotecan, 1.0 mg/ml>240

{3}------------------------------------------------

Trisenox, 1.0 mg/ml
---------------------

240

Caution: Testing showed an average breakthrough time of 10.2 minutes with Carmustine and 30.2 minutes with Thiotepa. Warning: Do not use with Carmustine and Thiotepa

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

| Prescription Use (Part 21 CFR 801 Subpart D)

× 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."

{4}------------------------------------------------

510(k) SUMMARY

K222225

NITRILE POWDER FREE EXAMINATION GLOVE TESTED FOR USE WITH CHEMOTHERAPY DRUGS (BLUE)

(The information contained herein is being provided in accordance with the requirements of 21 CFR 807.92)

1. SUBMISSION APPLICANT

1

Date Prepared:November 10, 2022
Name:Hartalega NGC Sdn. Bhd.
Address:No. 1, Persiaran Tanjung,Kawasan Perindustrian Tanjung,43900 Sepang, Selangor,Malaysia
Establishment RegistrationNumber:3011200663

SUBMISSION CORRESPONDENT AND/OR PREPARER

Contact Name :Nurul Aisyah Kong
Contact Title :General Manager – Quality Assurance
Phone Number :(603) 3280 3888
Fax Number :(603) 3271 0135
Contact Email :wkkong@hartalega.com.my

2. DEVICE IDENTIFICATION

Common Name of the Device:Examination Glove
Trade Name (Proprietary Name):Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs (Blue)
Device Class:1
Product Code:LZA, LZC, OPJ
Regulation Number:21 CFR 880.6250

{5}------------------------------------------------

3. PREDICATE DEVICE INFORMATION

510(k)NumberTradenameProductCode
K151997Nitrile Powder Free Examination Glove Tested for Use withChemotherapy Drugs - Violet Blue (VBLU)LZA
Regulation NamePatient Examination Glove
Trade Name (Proprietary Name)Nitrile Powder Free Examination Glove Tested for Use withChemotherapy Drugs - Violet Blue (VBLU)
Device Class1
Product CodeLZA
Regulation Number21 CFR 880.6250

4. DESCRIPTION OF THE DEVICE:

Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs (Blue) is a disposable singleuse, non-sterile, blue-colored and powder-free examination glove made from nitrile latex.

5. INDICATIONS FOR USE:

Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs (Blue) is a non-sterile disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner. It is also tested to be used against Chemotherapy Drugs.

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

Chemotherapy Drug and ConcentrationMinimum Breakthrough Detection Time inMinutes
Carmustine (3.3 mg/ml)10.2
Cisplatin (1.0 mg/ml)> 240
Cyclophosphamide (20.0 mg/ml)> 240
Dacarbazine (10.0 mg/ml)> 240
Doxorubicin Hydrochloride (2.0 mg/ml)> 240
Etoposide (20.0 mg/ml)> 240
Fluorouracil (50.0 mg/ml)> 240
Methotrexate (25.0 mg/ml)> 240
Mitomycin C (0.5 mg/ml)> 240
Paclitaxel (6.0 mg/ml)> 240

Hartalega NGC Sdn. Bhd.

{6}------------------------------------------------

Thiotepa (10.0 mg/ml)30.2
Vincristine Sulfate (1.0 mg/ml)> 240
Bleomycin Sulfate, 15.0 mg/ml> 240
Bortezomib, 1.0 mg/ml> 240
Busulfan, 6.0 mg/ml> 240
Carboplatin, 10.0 mg/ml> 240
Chloroquine, 50.0 mg/ml> 240
Cyclosporin A, 100.0 mg/ml> 240
Cytarabine, 100.0 mg/ml> 240
Daunorubicin, 5.0 mg/ml> 240
Docetaxel, 10.0 mg/ml> 240
Epirubicin, 2.0 mg/ml> 240
Fludarabine, 25.0 mg/ml> 240
Gemcitabine, 38.0 mg/ml> 240
Idarubicin, 1.0 mg/ml> 240
Ifosfamide, 50.0 mg/ml> 240
Irinotecan, 20.0 mg/ml> 240
Mechlorethamine HCl, 1.0 mg/ml> 240
Melphalan, 5.0 mg/ml> 240
Mitoxantrone, 2.0 mg/ml> 240
Oxaliplatin, 2.0 mg/ml> 240
Paraplatin, 10.0 mg/ml> 240
Retrovir, 10.0 mg/ml> 240
Rituximab, 10.0 mg/ml> 240
Topotecan, 1.0 mg/ml> 240
Trisenox, 1.0 mg/ml> 240

Caution: Testing showed an average breakthrough time of 10.2 minutes with Carmustine and 30.2 minutes with Thiotepa.

Warning: Do not use with Carmustine and Thiotepa

6. TECHNOLOGICAL CHARACTERISTICS COMPARISON TABLE:

Characteristicsand ParametersSubject DevicePredicate Device (K151997)Discussion
Trade NameNitrile Powder Free Examination GloveTested for Use with ChemotherapyDrugs (Blue)Nitrile Powder Free Examination GlovesTested for Use with Chemotherapy Drugs– Violet Blue (VBLU)-
ApplicantHartalega NGC Sdn. Bhd.Hartalega NGC Sdn. Bhd.Same
Product CodeLZA, LZC, OPJLZASimilar
Classification11Same
RegulationNumber21 CFR 880.625021 CFR 880.6250Same

{7}------------------------------------------------

Regulation NamePatient Examination GlovePatient Examination GloveSame
Indications for UseA non-sterile disposable device intendedfor medical purpose that is worn on theexaminer's hand to preventcontamination between patient andexaminer. It is also tested to be usedagainst Chemotherapy Drugs.The gloves were tested for use withchemotherapy drugs as per ASTMD6978-05 (Reapproved 2019) StandardPractice for Assessment of Resistance ofMedical Gloves to Permeation byChemotherapy Drugs.A non-sterile disposable device intendedfor medical purpose that is worn on theexaminer's hand to preventcontamination between patient andexaminer. It is also tested to be usedagainst Chemotherapy Drugs.The gloves were tested for use withchemotherapy drugs as per ASTM D6978-05 (Reapproved 2019) Standard Practicefor Assessment of Resistance of MedicalGloves to Permeation by ChemotherapyDrugs.Similar
Chemotherapy Drugand ConcentrationChemotherapy Drugand Concentration
Minimum BreakthroughDetection Timein MinutesMinimum BreakthroughDetection Timein Minutes
Carmustine, 3.3 mg/ml 10.2Carmustine, 3.3 mg/ml 10.2
Cisplatin, 1.0 mg/ml > 240Cisplatin, 1.0 mg/ml > 240
Cyclophosphamide(Cytoxan), 20.0 mg/ml > 240Cyclophosphamide(Cytoxan), 20.0 mg/ml > 240
Dacarbazine, 10.0 mg/ml > 240Dacarbazine, 10.0 mg/ml > 240
Doxorubicin Hydrochloride,2.0 mg/ml > 240Doxorubicin Hydrochloride,2.0 mg/ml > 240
Etoposide (Toposar), 20.0mg/ml > 240Etoposide (Toposar), 20.0mg/ml > 240
Fluorouracil, 50.0 mg/ml > 240Fluorouracil, 50.0 mg/ml > 240
Methotrexate, 25.0 mg/ml > 240Methotrexate, 25.0 mg/ml > 240
Mitomycin C, 0.5 mg/ml > 240Mitomycin C, 0.5 mg/ml > 240
Paclitaxel (Taxol), 6.0 mg/ml > 240Paclitaxel (Taxol), 6.0 mg/ml > 240
Thiotepa, 10.0 mg/ml 30.2Thiotepa, 10.0 mg/ml 30.2
Vincristine Sulfate, 1.0 mg/ml > 240Vincristine Sulfate, 1.0 mg/ml > 240
Bleomycin Sulfate, 15.0 mg/ml > 240Caution: Testing showed an averagebreakthrough time of 10.2 minutes withCarmustine and 30.2 minutes withThiotepa.
Bortezomib, 1.0 mg/ml > 240Warning: Do not use with Carmustine andThiotepa
Busulfan, 6.0 mg/ml > 240
Carboplatin, 10.0 mg/ml > 240
Chloroquine, 50.0 mg/ml > 240
Cyclosporin A, 100.0 mg/ml > 240
Cytarabine, 100.0 mg/ml > 240
Daunorubicin, 5.0 mg/ml > 240
Docetaxel, 10.0 mg/ml > 240
Epirubicin, 2.0 mg/ml > 240
Fludarabine, 25.0 mg/ml > 240
Gemcitabine, 38.0 mg/ml > 240
Idarubicin, 1.0 mg/ml > 240
Ifosfamide, 50.0 mg/ml > 240
Irinotecan, 20.0 mg/ml > 240
Mechlorethamine HCl, 1.0 mg/ml > 240

{8}------------------------------------------------

Melphalan, 5.0 mg/ml > 240Mitoxantrone, 2.0 mg/ml > 240Oxaliplatin, 2.0 mg/ml > 240Paraplatin, 10.0 mg/ml > 240Retrovir, 10.0 mg/ml > 240Rituximab, 10.0 mg/ml > 240Topotecan, 1.0 mg/ml > 240Trisenox, 1.0 mg/ml > 240Caution: Testing showed an averagebreakthrough time of 10.2 minutes withCarmustine and 30.2 minutes withThiotepa.Warning: Do not use with Carmustineand Thiotepa
Type of useOver the counter useOver the counter useSame
MaterialsNitrileNitrileSame
ColorBlueBlueSame
Design• Single Use• Non-sterile• Powder-Free• Ambidextrous• Single Use• Non-sterile• Powder-Free• AmbidextrousSame
SterilityNon-sterileNon-sterileSame
Freedom fromholesMeets ASTM D5151-19 and ASTM D6319-19: AQL 1.5Meets ASTM D5151-19 and ASTM D6319-19: AQL 1.5Same
LengthMeets ASTM D6319-19:$\geq$ 230 mmMeets ASTM D6319-19:$\geq$ 240 mmSame
DimensionsMeets ASTM D6319-19: XS - 70 ± 10 mmS - 80 ± 10 mmM - 95 ± 10 mmL - 110 ± 10 mmXL - 120 ± 10 mmMeets ASTM D6319-19: XS - 70 ± 10 mmS - 80 ± 10 mmM - 95 ± 10 mmL - 110 ± 10 mmXL - 120 ± 10 mmSame
ThicknessMeets ASTM D6319-19:Palm Thickness: Min 0.05 mm FingerThickness: Min 0.05 mmMeets ASTM D6319-19:Palm Thickness: 0.08 ± 0.01 mm FingerThickness: $\geq$ 0.10 mmSame
PhysicalPropertiesMeets ASTM D6319-19:Tensile Strength Before Aging: $\geq$ 14 MPaTensile Strength After Aging: $\geq$ 14 MPaUltimate Elongation Before Aging: $\geq$ 500 %Ultimate Elongation After Aging: $\geq$ 400 %Meets ASTM D6319-19:Tensile Strength Before Aging: $\geq$ 14 MPaTensile Strength After Aging: $\geq$ 14 MPaUltimate Elongation Before Aging: $\geq$ 500 %Ultimate Elongation After Aging: $\geq$ 400 %Same
Powder residualMeets ASTM D6319-19 & ASTM D6124-06 (2017):Residual Powder: $\leq$ 2 mg per gloveMeets ASTM D6319-19 & ASTM D6124-06(2017):Residual Powder: $\leq$ 2 mg per gloveSame
Primary SkinIrritation ISO10993-10Under the conditions of the study, thedevice is not an irritantUnder the conditions of the study, thedevice not an irritantSame
DermalUnder the conditions of the study, theUnder the conditions of the study, theSame
SensitizationISO 10993-10device is not a sensitizerdevice not a sensitizer
Acute SystemicToxicity Test ISO10993-11 (2017)Under the conditions of this study, thedevice showed no evidence of acutesystemic toxicityNot performedDifferent

{9}------------------------------------------------

7. SUMMARY OF NON-CLINICAL TESTING:

Non-clinical tests were conducted to verify that the subject device meets all design specifications.

TestPurposeCriteriaResult
Standard Test Method forDetection of Holes in MedicalGlovesASTM D5151-19To demonstrate glove integrityFreedom from holesAQL 1.5%Pass
Standard Test Method for ResidualPowder on Medical GlovesASTM D6124-06(R17)To demonstrate the gloves are'powder free'Average less than 2mg/glovePass
Dimensional ConformanceASTM D6319To demonstrate appropriatedimensions for labeled sizesConforms to ASTM D6319width, thickness, andlength requirements forXS, S, M, L, and XLAQL 4%Pass
Tensile PerformanceASTM D6319To demonstrate adequate tensilepropertiesConforms to ASTM D6319tensile strength of at least14MPa and ultimateelongation of at least500% requirements priorto aging, and tensilestrength of at least14MPa and ultimatestrength of at least 400%after accelerated agingAQL 4%Pass
Biocompatibility: Skin IrritationISO 10993-10To demonstrate low potential forskin irritationUnder the conditions ofthe study, not an irritant.Pass
Biocompatibility: Skin SensitizationISO 10993-10To demonstrate low potential forskin sensitizationUnder the conditions ofthe study, not a sensitizerPass
Biocompatibility:Acute ToxicityISO 10993-11To demonstrate low acutetoxicityUnder the conditions ofthe study, no acutetoxicityPass

CLINICAL PERFORMANCE DATA:

Not applicable. No clinical testing was performed in support of this submission.

CONCLUSION:

The conclusions drawn from the non-clinical performance data demonstrate that, the subject device, Nitrile

Powder Free Examination Glove Tested for Use with Chemotherapy Drugs (Blue), is as safe, as effective and performs as well as or better than the legally marketed predicate device K151997.

Hartalega NGC Sdn. Bhd.

§ 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.