K Number
K222225
Device Name
Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs (Blue)
Date Cleared
2022-11-11

(109 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
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.
More Information

Not Found

No
The device is a physical examination glove and the summary describes standard physical and chemical testing, not AI/ML capabilities.

No.
The device is an examination glove, acting as a barrier for protection, not for treating or curing a medical condition.

No

The device is a non-sterile disposable examination glove worn between patient and examiner. Its purpose is protective and not to diagnose any condition or disease.

No

The device is a physical examination glove made of nitrile latex, not a software program. The description focuses on material properties and physical performance tests.

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

Here's why:

  • Intended Use: The intended use clearly states it's a "non-sterile disposable device intended for medical purpose that is worn on the examination between patient and examiner." This describes a barrier device used during physical examinations.
  • Function: The primary function is to provide a barrier and protect against chemotherapy drugs. This is a physical barrier function, not a diagnostic function.
  • No Diagnostic Purpose: There is no mention of the device being used to diagnose a disease, condition, or state of health. It doesn't analyze samples from the human body (like blood, urine, tissue, etc.) to provide diagnostic information.
  • Testing: The testing mentioned (ASTM D6978-05) is for permeation by chemotherapy drugs, which relates to the protective barrier function, not diagnostic performance.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for diagnosis, monitoring, or screening. This glove does not fit that description.

N/A

Intended Use / 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.

Product codes

LZA, LZC, OPJ

Device Description

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

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 conducted to verify that the subject device meets all design specifications.

Test: Standard Test Method for Detection of Holes in Medical Gloves ASTM D5151-19
Purpose: To demonstrate glove integrity
Criteria: Freedom from holes AQL 1.5%
Result: Pass

Test: Standard Test Method for Residual Powder on Medical Gloves ASTM D6124-06(R17)
Purpose: To demonstrate the gloves are 'powder free'
Criteria: Average less than 2 mg/glove
Result: Pass

Test: Dimensional Conformance ASTM D6319
Purpose: To demonstrate appropriate dimensions for labeled sizes
Criteria: Conforms to ASTM D6319 width, thickness, and length requirements for XS, S, M, L, and XL AQL 4%
Result: Pass

Test: Tensile Performance ASTM D6319
Purpose: To demonstrate adequate tensile properties
Criteria: Conforms to ASTM D6319 tensile strength of at least 14MPa and ultimate elongation of at least 500% requirements prior to aging, and tensile strength of at least 14MPa and ultimate strength of at least 400% after accelerated aging AQL 4%
Result: Pass

Test: Biocompatibility: Skin Irritation ISO 10993-10
Purpose: To demonstrate low potential for skin irritation
Criteria: Under the conditions of the study, not an irritant.
Result: Pass

Test: Biocompatibility: Skin Sensitization ISO 10993-10
Purpose: To demonstrate low potential for skin sensitization
Criteria: Under the conditions of the study, not a sensitizer
Result: Pass

Test: Biocompatibility: Acute Toxicity ISO 10993-11
Purpose: To demonstrate low acute toxicity
Criteria: Under the conditions of the study, no acute toxicity
Result: Pass

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

Not Found

Predicate Device(s)

K151997

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 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)

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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 Registration
Number: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)
Number | Tradename | Product
Code |
|-------------------------------|------------------------------------------------------------------------------------------------------|-----------------|
| K151997 | Nitrile Powder Free Examination Glove Tested for Use with
Chemotherapy Drugs - Violet Blue (VBLU) | LZA |
| Regulation Name | Patient Examination Glove | |
| Trade Name (Proprietary Name) | Nitrile Powder Free Examination Glove Tested for Use with
Chemotherapy Drugs - Violet Blue (VBLU) | |
| Device Class | 1 | |
| Product Code | LZA | |
| Regulation Number | 21 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 Concentration | Minimum 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 |

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:

| Characteristics

and ParametersSubject DevicePredicate Device (K151997)Discussion
Trade NameNitrile Powder Free Examination Glove
Tested for Use with Chemotherapy
Drugs (Blue)Nitrile Powder Free Examination Gloves
Tested for Use with Chemotherapy Drugs
– Violet Blue (VBLU)-
ApplicantHartalega NGC Sdn. Bhd.Hartalega NGC Sdn. Bhd.Same
Product CodeLZA, LZC, OPJLZASimilar
Classification11Same
Regulation
Number21 CFR 880.625021 CFR 880.6250Same

7

Regulation NamePatient Examination GlovePatient Examination GloveSame
Indications for UseA 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.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.Similar
Chemotherapy Drug
and ConcentrationChemotherapy Drug
and Concentration
Minimum Breakthrough
Detection Time
in MinutesMinimum Breakthrough
Detection Time
in 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), 20.0
mg/ml > 240Etoposide (Toposar), 20.0
mg/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 average
breakthrough time of 10.2 minutes with
Carmustine and 30.2 minutes with
Thiotepa.
Bortezomib, 1.0 mg/ml > 240Warning: Do not use with Carmustine and
Thiotepa
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 > 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 | | |
|--------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------|
| Type of use | Over the counter use | Over the counter use | Same |
| Materials | Nitrile | Nitrile | Same |
| Color | Blue | Blue | Same |
| Design | • Single Use
• Non-sterile
• Powder-Free
• Ambidextrous | • Single Use
• Non-sterile
• Powder-Free
• Ambidextrous | Same |
| Sterility | Non-sterile | Non-sterile | Same |
| Freedom from
holes | Meets ASTM D5151-19 and ASTM D6319-
19: AQL 1.5 | Meets ASTM D5151-19 and ASTM D6319-
19: AQL 1.5 | Same |
| Length | Meets ASTM D6319-19:
$\geq$ 230 mm | Meets ASTM D6319-19:
$\geq$ 240 mm | Same |
| Dimensions | Meets ASTM D6319-19: XS - 70 ± 10 mm
S - 80 ± 10 mm
M - 95 ± 10 mm
L - 110 ± 10 mm
XL - 120 ± 10 mm | Meets ASTM D6319-19: XS - 70 ± 10 mm
S - 80 ± 10 mm
M - 95 ± 10 mm
L - 110 ± 10 mm
XL - 120 ± 10 mm | Same |
| Thickness | Meets ASTM D6319-19:
Palm Thickness: Min 0.05 mm Finger
Thickness: Min 0.05 mm | Meets ASTM D6319-19:
Palm Thickness: 0.08 ± 0.01 mm Finger
Thickness: $\geq$ 0.10 mm | Same |
| Physical
Properties | Meets ASTM D6319-19:
Tensile Strength Before Aging: $\geq$ 14 MPa
Tensile Strength After Aging: $\geq$ 14 MPa
Ultimate Elongation Before Aging: $\geq$ 500 %
Ultimate Elongation After Aging: $\geq$ 400 % | Meets ASTM D6319-19:
Tensile Strength Before Aging: $\geq$ 14 MPa
Tensile Strength After Aging: $\geq$ 14 MPa
Ultimate Elongation Before Aging: $\geq$ 500 %
Ultimate Elongation After Aging: $\geq$ 400 % | Same |
| Powder residual | Meets ASTM D6319-19 & ASTM D6124-
06 (2017):
Residual Powder: $\leq$ 2 mg per glove | Meets ASTM D6319-19 & ASTM D6124-06
(2017):
Residual Powder: $\leq$ 2 mg per glove | Same |
| Primary Skin
Irritation ISO
10993-10 | Under the conditions of the study, the
device is not an irritant | Under the conditions of the study, the
device not an irritant | Same |
| Dermal | Under the conditions of the study, the | Under the conditions of the study, the | Same |
| Sensitization
ISO 10993-10 | device is not a sensitizer | device not a sensitizer | |
| Acute Systemic
Toxicity Test ISO
10993-11 (2017) | Under the conditions of this study, the
device showed no evidence of acute
systemic toxicity | Not performed | Different |

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 for
Detection of Holes in Medical
Gloves
ASTM D5151-19To demonstrate glove integrityFreedom from holes
AQL 1.5%Pass
Standard Test Method for Residual
Powder on Medical Gloves
ASTM D6124-06(R17)To demonstrate the gloves are
'powder free'Average less than 2
mg/glovePass
Dimensional Conformance
ASTM D6319To demonstrate appropriate
dimensions for labeled sizesConforms to ASTM D6319
width, thickness, and
length requirements for
XS, S, M, L, and XL
AQL 4%Pass
Tensile Performance
ASTM D6319To demonstrate adequate tensile
propertiesConforms to ASTM D6319
tensile strength of at least
14MPa and ultimate
elongation of at least
500% requirements prior
to aging, and tensile
strength of at least
14MPa and ultimate
strength of at least 400%
after accelerated aging
AQL 4%Pass
Biocompatibility: Skin Irritation
ISO 10993-10To demonstrate low potential for
skin irritationUnder the conditions of
the study, not an irritant.Pass
Biocompatibility: Skin Sensitization
ISO 10993-10To demonstrate low potential for
skin sensitizationUnder the conditions of
the study, not a sensitizerPass
Biocompatibility:
Acute Toxicity
ISO 10993-11To demonstrate low acute
toxicityUnder the conditions of
the study, no acute
toxicityPass

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.