K Number
K230121
Date Cleared
2023-05-15

(118 days)

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

A 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.

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

Device Description

Non-Sterile Nitrile Patient Examination Glove is made from synthetic rubber latex. It is single use and powderfree variation of the class I Nitrile Patient Examination Gloves which is coated by on-line polymer with mild on-line chlorination process. These processes modify the surface characteristics and causes it to remain tack-free without the use of any dusting or donning powder. The available sizes are X-Small, Medium, Large and X-Large. The Nitrile Examination Gloves Powder Free (Blue & Black) have been tested for Chemotherapy Drugs and Fentanyl Citrate.

AI/ML Overview

This document describes the testing for Nitrile Examination Gloves, focusing on their resistance to chemotherapy drugs and Fentanyl Citrate. The study assesses the gloves' physical properties, biocompatibility, and chemical permeation alongside the reported device performance.


1. Table of Acceptance Criteria and Reported Device Performance

Chemotherapy and Fentanyl Citrate Permeation (Minimum Breakthrough Detection Time)

Chemotherapy DrugsConcentrationAcceptance Criteria (from ASTM D6978-05 implied by claim of use)Reported Device Performance (Blue Glove)Reported Device Performance (Black Glove)
Carmustine (BCNU)3.3 mg/mlNo specific public acceptance criterion provided but tested22.6 minutes21.8 minutes
Cisplatin1.0 mg/mlNo specific public acceptance criterion provided but tested>240 minutes>240 minutes
Cyclophosphamide (Cytoxan)20.0 mg/mlNo specific public acceptance criterion provided but tested>240 minutes>240 minutes
Dacarbazine10.0 mg/mlNo specific public acceptance criterion provided but tested>240 minutes>240 minutes
Doxorubicin HCl2.0 mg/mlNo specific public acceptance criterion provided but tested>240 minutes>240 minutes
Etoposide20.0 mg/mlNo specific public acceptance criterion provided but tested>240 minutes>240 minutes
Fluorouracil50.0 mg/mlNo specific public acceptance criterion provided but tested>240 minutes>240 minutes
Ifosfamide50.0 mg/mlNo specific public acceptance criterion provided but tested>240 minutes>240 minutes
Mitoxantrone2 mg/mlNo specific public acceptance criterion provided but tested>240 minutes>240 minutes
Paclitaxel6.0 mg/mlNo specific public acceptance criterion provided but tested>240 minutes>240 minutes
Thiotepa10.0 mg/mlNo specific public acceptance criterion provided but tested43.9 minutes17.7 minutes
Vincristine Sulfate1.0 mg/mlNo specific public acceptance criterion provided but tested>240 minutes>240 minutes
Fentanyl Citrate Injection100mcg/2mlNo specific public acceptance criterion provided but tested>240 minutes>240 minutes
WarningAdvised against use if permeation time is too lowCarmustine, Thiotepa warningCarmustine, Thiotepa warning

Physical Properties, Dimensional, and Biocompatibility Testing

TestMethodAcceptance CriteriaReported Device Performance
Freedom From HolesASTM D6319-19, D5151-19Requirement inspection level G-1, AQL 2.5Pass
Dimension (Length, Thickness, Width)ASTM D6319-19Length: min. 220mm, 230mm. Thickness: min. 0.05mm. Width: 70-120mm (based on size)Pass (Meets requirements for various sizes)
Physical Properties (Before Aging)ASTM D6319-19Tensile Strength: 14 MPa min. Ultimate Elongation: 500% min.Pass (Meets 14MPa min, 500% min)
Physical Properties (After Aging)ASTM D6319-19Tensile Strength: 14 MPa min. Ultimate Elongation: 400% min.Pass (Meets 14MPa min, 400% min)
Residual Powder ContentASTM D6319-19, D6124-06Not more than 2 mg per glovePass
Primary Skin Irritation TestISO 10993-10Not a primary skin irritantPass (Did not cause an irritant response)
Skin Sensitization TestISO 10993-10Not a contact sensitizerPass (Did not produce a skin sensitization effect)
In Vitro Cytotoxicity TestISO 10993-5:2009No adverse biological reactionModerate cytotoxicity at 6.0 cm²/mL; No reactivity at 3.0 cm²/mL
Acute Systemic ToxicityISO 10993-11No adverse biological reactionPass (No adverse biological reaction)

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

The document does not explicitly state the sample size (number of gloves) used for the permeation, physical property, or biocompatibility tests.
The data provenance is not explicitly mentioned (e.g., country of origin, retrospective or prospective). However, the tests were conducted according to international standards (e.g., ASTM, ISO), which implies a standardized, prospective testing approach in a laboratory setting. The applicant is based in Malaysia.


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

Not applicable. This is not a study involving expert readers or ground truth established by medical professionals. The "ground truth" for this device is determined by objective, standardized laboratory measurements (e.g., chemical permeation time, physical properties, biological reactions) as defined by the referenced ASTM and ISO standards.


4. Adjudication Method for the Test Set

Not applicable. There was no human adjudication process involved as the "ground truth" is determined by objective laboratory measurements and adherence to specified test standards.


5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was Done

No, an MRMC comparative effectiveness study was not done. This type of study is relevant for diagnostic devices that involve human interpretation of medical images or data. The device in question is examination gloves, and its performance is evaluated through physical, chemical, and biological testing, not by human readers interpreting cases.


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

Not applicable. This is a medical device (examination gloves), not an AI algorithm. Therefore, the concept of "standalone" performance for an algorithm does not apply. All listed tests are "standalone" in the sense that they assess the intrinsic properties of the glove without human intervention in the measurement process itself, though human technicians conduct and analyze the tests.


7. The Type of Ground Truth Used

The ground truth used for this study is based on:

  • Performance Standards: Defined by international standards such as ASTM D6978-05 (for chemotherapy drug permeation), ASTM D6319-19, ASTM D5151-19, ASTM D6124-06 (for physical properties and hole freedom), and ISO 10993-10, ISO 10993-5:2009, ISO 10993-11 (for biocompatibility).
  • Objective Laboratory Measurements: Direct measurements of breakthrough time, dimensional properties, tensile strength, elongation, residual powder, and biological response to the glove materials.

8. The Sample Size for the Training Set

Not applicable. There is no training set mentioned or implied in this submission, as the device is not an AI/ML algorithm that requires training data.


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

Not applicable, as there is no training set for this device.

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Image /page/0/Picture/0 description: The image contains 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.

May 15, 2023

Careglove Global SDN. BHD. Lim Kwee Shyan Managing Director Lot 17479, Lrg Senawang 3/2, Off JIn Senawang 3 Senawang Ind. Estate Seremban, Negeri Sembilan 70450 Malaysia

Re: K230121

Trade/Device Name: Nitrile Examination Gloves Powder Free Tested For Use With Chemotherapy Drugs & Fentanyl Citrate (Blue & Black) Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I, reserved Product Code: LZA, LZC, ODO, OPJ Dated: April 10, 2023 Received: April 13, 2023

Dear Lim Shyan:

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); 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 medical devices and radiation-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 Quality Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2023 See PRA Statement below.

510(k) Number (if known) K230121

Device Name

NTRILE EXAMINATION GLOVES POWDER FREE TESTED FOR USE WITH CHEMOTHERAPY DRUGS & FENTANYL CITRATE (BLUE)

Indications for Use (Describe)

A 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.

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

Chemotherapy DrugsConcentrationMinimum Breakthrough Detection Time (Minutes)
*Carmustine (BCNU)3.3 mg/ml22.6
Cisplatin1.0 mg/ml>240 min
Cyclophosphamide (Cytoxan)20.0 mg/ml>240 min
Dacarbazine10.0 mg/ml>240 min
Doxorubicin HCl2.0 mg/ml>240 min
Etoposide20.0 mg/ml>240 min
Fluorouracil50.0 mg/ml>240 min
Ifosfamide50.0 mg/ml>240 min
Mitoxantrone2 mg/ml>240 min
Paclitaxel6.0 mg/ml>240 min
*Thiotepa10.0 mg/ml43.9
Vincristine Sulfate1.0 mg/ml>240 min
Fentanyl Citrate Injection100mcg/2ml>240 min

*Please note that following drugs have extremely low permeation times: Carmustine (BCNU) 3.3mg/ml 22.6 minutes Thiotepa 10.0mg/ml 43.9 minutes

Warning: Do not use these gloves with Carmustine or 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.

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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}------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2023 See PRA Statement below.

510(k) Number (if known) K230121

Device Name

NITRILE EXAMINATION GLOVES POWDER FREE TESTED FOR USE WITH CHEMOTHERAPY DRUGS & FENTANYL CITRATE (BLACK)

Indications for Use (Describe)

A 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.

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

Chemotherapy DrugsConcentrationMinimum Breakthrough Detection Time (Minutes)
*Carmustine (BCNU)3.3 mg/ml21.8
Cisplatin1.0 mg/ml>240 min
Cyclophosphamide (Cytoxan)20.0 mg/ml>240 min
Dacarbazine10.0 mg/ml>240 min
Doxorubicin HCl2.0 mg/ml>240 min
Etoposide20.0 mg/ml>240 min
Fluorouracil50.0 mg/ml>240 min
Ifosfamide50.0 mg/ml>240 min
Mitoxantrone2 mg/ml>240 min
Paclitaxel6.0 mg/ml>240 min
*Thiotepa10.0 mg/ml17.7
Vincristine Sulfate1.0 mg/ml>240 min
Fentanyl Citrate Injection100mcg/2ml>240 min
  • Please note that following drugs have extremely low permeation times: Carmustine (BCNU) 3.3mg/ml 21.8 minutes Thiotepa 10.0mg/ml 17.7 minutes

Warning: Do not use these gloves 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.

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

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."

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510(K) SUMMARY

K230121

Applicant NameCAREGLOVE GLOBAL SDN BHD
LocationLot 17479, Lorong Senawang 2/3Off Jalan Senawang 3,Senawang Industrial Estate,70450 Seremban,Negeri Sembilan Darul Khusus,Malaysia.
Phone No:(60) 6 6782377Fax No:(60) 6 6785377
Contact Person:Lim Kwee Shyan
Summary Preparation Date:15th May 2023

Device Information

Trade Name:NITRILE EXAMINATION GLOVES POWDER FREE TESTED FOR USEWITH CHEMOTHERAPY DRUGS & FENTANYL CITRATE (BLUE & BLACK)
Common Name:POWDER FREE NITRILE EXAMINATION GLOVES
Classification Name:Non-Powdered Patient Examination Gloves
Product Code:LZA, LZC, QDO, OPJ
Regulation:21CFR:880.6250

Predicate Device

Powder Free Nitrile Patient Examination Gloves, Non-Sterile (Blue) Tested for Use with Chemotherapy Drugs and Fentanyl Citrate, 510(K) number K213408 product code LZA, LZC, QDO.

Device Description

Non-Sterile Nitrile Patient Examination Glove is made from synthetic rubber latex. It is single use and powderfree variation of the class I Nitrile Patient Examination Gloves which is coated by on-line polymer with mild on-line chlorination process. These processes modify the surface characteristics and causes it to remain tack-free without the use of any dusting or donning powder. The available sizes are X-Small, Medium, Large and X-Large. The Nitrile Examination Gloves Powder Free (Blue & Black) have been tested for Chemotherapy Drugs and Fentanyl Citrate as below:

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Chemotherapy DrugsConcentrationMinimum Breakthrough Detection Time (minutes)
BlueBlack
*Carmustine (BCNU)3.3 mg/ml22.621.8
Cisplatin1.0 mg/ml>240 min>240 min
Cyclophosphamide (Cytoxan)20.0 mg/ml>240 min>240 min
Dacarbazine10.0 mg/ml>240 min>240 min
Doxorubicin HCL2.0 mg/ml>240 min>240 min
Etoposide20.0 mg/ml>240 min>240 min
Fluorouracil50.0 mg/ml>240 min>240 min
Ifosfamide50.0 mg/ml>240 min>240 min
Mitoxantrone2 mg/ml>240 min>240 min
Paclitaxel6.0 mg/ml>240 min>240 min
*Thio Tepa10.0 mg/ml43.917.7
Vincristine Sulfate1.0 mg/ml>240 min>240 min
Fentanyl Citrate100mcg/2ml>240 min>240 min
*Please note that following drugs have extremely low permeation times:
  1. Carmustine (BCNU)

  2. Thio Tepa

Warning: Do not use with Carmustine and Thiotepa

Indications for Use

A 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.

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

Chemotherapy DrugsConcentrationMinimum Breakthrough Detection Time (minutes)
BlueBlack
*Carmustine (BCNU)3.3 mg/ml22.621.8
Cisplatin1.0 mg/ml>240 min>240 min
Cyclophosphamide (Cytoxan)20.0 mg/ml>240 min>240 min
Dacarbazine10.0 mg/ml>240 min>240 min
Doxorubicin HCL2.0 mg/ml>240 min>240 min
Etoposide20.0 mg/ml>240 min>240 min
Fluorouracil50.0 mg/ml>240 min>240 min
Ifosfamide50.0 mg/ml>240 min>240 min
Mitoxantrone2 mg/ml>240 min>240 min
Paclitaxel6.0 mg/ml>240 min>240 min
*Thio Tepa10.0 mg/ml43.917.7
Vincristine Sulfate1.0 mg/ml>240 min>240 min
Fentanyl Citrate100mcg/2ml>240 min>240 min
*Please note that following drugs have extremely low permeation times:

rugs have extremely low permeation times: owing ul

  1. Carmustine (BCNU)

  2. Thio Tepa

Warning: Do not use with Carmustine and Thiotepa

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

Summary of The Technological Characteristic

The Nitrile Examination Gloves Powder Free – Blue & Black, are summarized with the following technological characteristic compared to ASTM D6319 or equivalent standards.

CharacteristicStandardSubject DeviceK230121Predicate DeviceK213408Remarks
Product Code-LZA, LZC, QDO, OPJLZA, LZC, QDOSame
Intended Use-Intended for medicalpurposes that is worn on theexaminer's hand to preventcontamination betweenpatient and examinerIntended for medicalpurposes that is worn on theexaminer's hand to preventcontamination betweenpatient and examinerSame
Design-Powder Free, Non-Sterile,Ambidextrous, Beaded CuffPowder Free, Non-Sterile,Ambidextrous, Beaded CuffSame
Indications forUse-A patient examination gloveis a disposable deviceintended for medicalpurposes that is worn on theexaminer's hand to preventcontamination betweenpatient and examiner.These gloves were tested foruse with ChemotherapyDrugs and Fentanyl Citrateas per ASTM D6978-05Standard Practice forAssessment of MedicalGloves to Permeation byChemotherapy Drugs.A patient examination gloveis a disposable deviceintended for medicalpurposes that is worn on theexaminer's hand to preventcontamination betweenpatient and examiner.These gloves were tested foruse with ChemotherapyDrugs and Fentanyl Citrateas per ASTM D6978-05Standard Practice forAssessment of MedicalGloves to Permeation byChemotherapy Drugs.Same
Construction-Ambidextrous, PolymerCoated or Chlorinated,Powder Free NitrileAmbidextrous, PolymerCoated or Chlorinated,Powder Free NitrileSame
Color Description-Blue & BlackBlueDifferent
Material-NitrileNitrileSimilar
Single Use-YesYesSame
Packaging-Packed in Dispenser BoxesPacked in Dispenser BoxesSame
Chemo DrugsClaim-Chemo Drugs & FentanylCitrate claimChemo Drugs & FentanylCitrate claimSame
Sterility-Non-SterileNon-SterileSame
Dimension
LengthXS, S,M, L, XLASTM D6319-19Meet 220mm minMeet 230mm minMinimum 240mmSimilar
Thickness (palm),Thickness (finger),Meet 0.05mm minMeet 0.05mm min0.06 - 0.09mm0.07 - 0.10mmSimilar
WidthXS: Meet $70 \pm 10$ mmS: Meet $80 \pm 10$ mmM: Meet $95 \pm 10$ mmL: Meet $110 \pm 10$ mmXL: Meet $120 \pm 10$ mm70 - 75 mm80 - 86 mm93 - 97 mm102 - 106 mm114 - 116 mmSimilar
CharacteristicStandardSubject DeviceK230121Predicate DeviceK213408Remarks
Physical Properties
(Before Ageing)i) Tensile Strength(MPa)ii) UltimateElongation (%)ASTM D6319-19Meet 14MPa min.Meet 500% minMeet 14MPa min.Meet 500% minSimilar
(After Aging)i) Tensile Strength(MPa)ii) UltimateElongation (%)Water Leak Test,1000 mlASTM D6319-19Meets 14MPa minMeet 400% min.Meets 14MPa minMeet 400% min.Similar
Before Aging, AQLASTM D6319-19ASTM D5151-19Passes at AQL 1.5Passes at AQL 1.5Similar
Powder FreeResidueASTM D6319-19ASTM D6124-06Meet 2mg/glove max.Meet 2mg/glove maxSimilar
Powder FreeResidue, mg/glove
BiocompatibilityTest
i) Primary SkinIrritation TestISO 10993-10PassesConclusion: Under theconditions of this study thetest material did not cause anirritant responsePasses (Not a primary skinirritant)There was no erythema oroedema noted on test siteafter (1±0.1), (24±2), (48±2)and (72±2) hours. The primaryIrritation Index (PII) was "0".Also, no mortality after 72hours. The gloves areconsidered negligible.Similar
ii)Skin SensitizationTestISO 10993-10PassesConclusion: Under theconditions of this study, thetest material did not produce askin sensitization effectPasses (Not a contactsensitizer)There was no positive allergicreaction observed during thechallenge phase (at 0, 24hours and 48 hours) inanimals treated with the testmaterial and negative control.Conclusion: Under theconditions of this study, thetest material did not produce askin sensitization effect.Similar
iii) In VitroCytotoxicity TestISO 10993-5:2009Conclusion: Under conditionof this study, test materialexhibited moderatecytotoxicity reactivity at 6.0cm²/mL extract concentrationsand no cytotoxicity reactivityat the 3.0 cm²/mL extractconcentrations of the test.Exhibit severe cytotoxicityreactivity at 100%, 50%, and25% extract concentration. Nocytotoxicity reactivity at12.5%, 6.25% and 3.125%extract concentrations.Similar
iv) Acute SystemicToxicityISO 10993-11Conclusion: Under condition.of this study, the test materialshowed no adverse biologicalreaction after administration ofthe sample's extract on thePasses (no adverse biologicalreaction) No mortality wasobserved (72±2) hours.Similar
CharacteristicStandardSubject DeviceK230121Predicate DeviceK213408Remarks
rats during the period of thestudy.

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Summary of Non-Clinical Testing

Following is a table showing the actual measured parameters of the gloves (e.g length, thickness, physical properties, etc.) as compared to ASTM, EN and ISO. All data meets the standard reference requirement.

TestMethodAcceptance CriteriaResult
Freedom FromHolesASTMD6319-19ASTMD5151-19Meet requirement inspection level G-1, AQL 2.5Pass
DimensionASTMD6319-19SizePass
XSmall
Small
Medium
Large
XLarge
Length, min. mm220
230
Thickness, min. mm0.05
Width, ± 10 mm70
80
95
110
120
PhysicalpropertiesASTMD6319-19Pass
Before Aging
After Accelerated Aging
TensileStrength
UltimateElongation
TensileStrength
UltimateElongation
14 MPa min.500% min.
14 MPa min.400 % min.
ResidualPowder ContentASTMD6319-19ASTMD6124-06Not more than 2 mg per glovePass
Biocompatibility
i) Primary SkinIrritationISO 10993-10Not a primary skin irritantPass
ii) SkinSensitizationISO 10993-10Not a contact sensitizerPass
iii) In VitroCytotoxicityISO 10993-5:2009No adverse biological reactionModerate cytotoxicityreactivity at 6.0 cm²/mLand no reactivity at 3.0cm²/mL extractconcentrations
iv) AcuteSystemicToxicityISO 10993-11No adverse biological reactionPass
ChemotherapyDrugConcentrationMinimum Breakthrough Detection Time(minutes)Remark

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Proposed DevicePredicate Device
BlueBlackBlue
*Carmustine (BCNU)3.3 mg/ml22.621.822.5Different
Cisplatin1.0 mg/ml>240 min>240 min>240 minSame
Cyclophosphamide(Cytoxan)20.0 mg/ml>240 min>240 min>240 minSame
Dacarbazine10.0 mg/ml>240 min>240 min>240 minSame
Doxorubicin HCL2.0 mg/ml>240 min>240 min>240 minSame
Etoposide20.0 mg/ml>240 min>240 min>240 minSame
Fluorouracil50.0 mg/ml>240 min>240 min>240 minSame
Ifosfamide50.0 mg/ml>240 min>240 min>240 minSame
Mitoxantrone2 mg/ml>240 min>240 min>240 minSame
Paclitaxel6.0 mg/ml>240 min>240 min>240 minSame
*Thio Tepa10.0 mg/ml43.917.736.1Different
Vincristine Sulfate1.0 mg/ml>240 min>240 min>240 minSame
Fentanyl Citrate100mcg/2ml>240 min>240 min>240 minSame
WarningPlease note that following drugs have extremely low permeation times:1. Carmustine (BCNU) (3.3 mg/ml) 2. Thio Tepa (10 mg/ml)*Please note that following drugs have extremely low permeation times:1. Carmustine (BCNU) (3.3 mg/ml)2. Thio Tepa (10 mg/ml)Similar

Summary of Clinical Testing

Not applicable.

CONCLUSIONS

The conclusions drawn from the non-clinical tests demonstrate that the subject device is as safe, as effective, and performs as well as or better than the legally marketed predicate device, K213408, Powder Free Nitrile Patient Examination Gloves, Non-Sterile (Blue) Tested for Use with Chemotherapy Drugs and Fentanyl Citrate.

§ 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.