AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The glove is a disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner. Gloves have been tested for use with chemotherapy drugs and Fentanyl Citrate using ASTM D6978-05(2019)

Device Description

Powder Free Nitrile Patient Examination Gloves, Blue Colored, Non Sterile, Tested for Use with Chemotherapy Drugs and Fentanyl Citrate Are Class I Patient Examination Gloves and Specialty Chemotherapy Gloves. They are ambidextrous and come in different sizes - Extra Small, Medium, Large, Extra Large and XXL. Gloves meet the specification of ASTM D6319-19 and have been tested for resistance to permeation by chemotherapy drugs and Fentanyl Citrate as per ASTM D6978-05(2019). The gloves are single use, disposable, and provided non-sterile.

AI/ML Overview

The provided document describes the acceptance criteria and performance of "Powder Free Nitrile Patient Examination Gloves, Blue Colored, Non Sterile, Tested for Use with Chemotherapy Drugs and Fentanyl Citrate." It is important to note that this is a 510(k) summary for a medical device (gloves), not an AI/algorithm-driven device. Therefore, many of the requested fields related to AI clinical studies, such as sample sizes for AI test sets, number of experts, adjudication methods, MRMC studies, standalone algorithm performance, and training set details, are not applicable.

The studies described are non-clinical performance tests for the gloves themselves, not an AI system.

Here's a breakdown of the requested information based on the provided text:

1. A table of acceptance criteria and the reported device performance

Test PerformedAcceptance CriteriaReported Device Performance
Physical Dimensions - Length (ASTM D6319-19)Min 220mm for size XS, S; Min 230mm for size M-XXLPass
Physical Dimensions - Palm Width (ASTM D6319-19)XS: 70±10 mm; S: 80±10 mm; M: 95±10 mm; L: 110±10 mm; XL: 120±10 mm; XXL: 130±10 mmPass
Physical Dimensions - Thickness (ASTM D6319-19)Finger: 0.05mm (min); Palm: 0.05mm (min)Pass
Physical Properties (ASTM D6319-19, ASTM D412-16(2021))Tensile Strength (Min 14 MPa); Elongation (Before Aging 500% min and After Accelerated Aging 400% min)Pass
Water Leak Test (ASTM D6319-19, ASTM D5151-19)AQL 2.5 (ISO 2859-1)Pass
Powder Residue (ASTM D6319-19, ASTM D6124-06 (2017))Max 2mg/glovePass
Permeation by Chemotherapy Drugs (ASTM D6978-05 (2019))Refer to the detailed table (reproduced below)Pass
Irritation and Skin Sensitization (ISO 10993-10:2010)Is non-sensitization and non-irritationIs non-sensitization and Non-irritation
Cytotoxicity (ISO 10993-5:2009)Cytotoxicity reactivityshowed potential toxicity to L929 cells (Note: addressed by acute systemic toxicity testing)
Acute Systemic Toxicity Study (ISO 10993-11:2017)Subject showed no adverse biological reactionno evidence of acute systemic toxicity

Detailed Chemotherapy Drug Permeation and Fentanyl Citrate Comparison Claim (Subject device K232266 performance):

Tested Chemotherapy Drug and ConcentrationMinimum Breakthrough Detection Time (BDT) in Minutes
Bleomycin Sulfate 15mg/ml (15000 ppm)>240
Busulfan 6mg/ml (6,000 ppm)>240
Carboplatin 10mg/ml (10,000 ppm)>240
Carmustine (BCNU) 3.3 mg/ml (3,300 ppm)22.8
Chloroquine 50mg/ml (50,000ppm)>240
Cisplatin 1mg/ml (1,000 ppm)>240
Cyclophosphamide 20mg/ml (20,000 ppm)>240
Cyclosporin 100 mg/ml (100,000 ppm)>240
Cytarabine HCL, 100 mg/ml (100,000 ppm)>240
Dacarbazine 10 mg/ml (10,000 ppm)>240
Daunorubicin HCL, 5 mg/ml (5,000 ppm)>240
Docetaxel, 10 mg/ml (10,000 ppm)>240
Doxorubicin HCL, 2 mg/ml (2,000 ppm)>240
Epirubicin HCL, 2 mg/ml (2,000 ppm)>240
Etoposide, 20 mg/ml (20,000 ppm)>240
Fludarabine, 25 mg/ml (25,000 ppm)>240
Fluorouracil, 50mg/ml (50,000ppm)>240
Gemcitabine, 38mg/ml (38,000ppm)>240
Idarubicin HCL, 1mg/ml (1,000ppm)>240
Ifosfamide, 50mg/ml (50,000ppm)>240
Irinotecan, 20mg/ml (20,000ppm)>240
Mechlorethamine HCI, 1mg/ml (1,000ppm)>240
Melphalan, 5mg/ml (5,000ppm)>240
Methotrexate, 25mg/ml (25,000ppm)>240
Mitomycin C, 0.5mg/ml (500ppm)>240
Mitoxantrone HCL, 2mg/ml (2,000ppm)>240
Oxaliplatin, 5mg/ml (5,000ppm)>240
Paclitaxel, 6mg/ml (6,000ppm)>240
Paraplatin, 10mg/ml (10,000ppm)>240
Retrovir, 10mg/ml (10,000ppm)>240
Rituximab, 10mg/ml (10,000ppm)>240
Thiotepa, 10mg/ml (10,000ppm)46.9
Topotecan, 1mg/ml (1,000ppm)>240
Trisenox, 1mg/ml (1,000ppm)>240
Velcade, 1mg/ml (1,000ppm)>240
Vincristine Sulfate, 1mg/ml (1,000ppm)>240
Fentanyl Citrate Injection (100 mcg/2ml)>240

Warning: Do not use with Carmustine (22.8 minutes) and Thiotepa (46.9 minutes).


2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

The document does not specify general "sample sizes" for the test set in terms of medical images or patient data. Instead, it refers to standardized testing methodologies for physical and chemical properties of gloves. For instance, ASTM D5151 for water leak test would involve a certain number of gloves per batch as per AQL (Acceptable Quality Limit) standards, but the specific quantity is not stated in this summary. The data provenance is generally implied to be from laboratory testing conforming to the cited ASTM and ISO standards. The country of origin of the device manufacturer is China. These are prospective tests performed on the manufactured product.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

Not applicable. This is not an AI or diagnostic device that requires expert ground truth for interpretation of medical images or patient data. The "ground truth" for the device's performance is established by the specified pass/fail criteria of the ASTM and ISO standards for glove manufacturing and material properties. The tests are laboratory-based and measure physical/chemical attributes.

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

Not applicable. Adjudication methods are relevant for human interpretation of data, typically in diagnostic or screening studies, not for the physical and chemical testing of medical gloves.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

Not applicable. This is not an AI device.

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

Not applicable. This is not an AI device.

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

The "ground truth" for this device is based on standardized test methods and predetermined acceptance criteria defined by international and national standards organizations such as ASTM and ISO. These standards dictate acceptable physical dimensions, mechanical properties, chemical permeation resistance, and biological safety (e.g., irritation, sensitization, systemic toxicity) for medical examination gloves. For instance, for chemotherapy drug permeation, the "ground truth" is the measured breakthrough detection time according to ASTM D6978-05(2019).

8. The sample size for the training set

Not applicable. This is not an AI device, so there is no "training set."

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

Not applicable. As this is not an AI device, there is no "training set" or ground truth established in that context.

§ 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.