K Number
K243818
Date Cleared
2025-01-08

(27 days)

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

Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs and Fentanyl Citrate (Blue) is a nonsterile 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 and Fentanyl Citrate.

Device Description

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

AI/ML Overview

The provided text is a 510(k) Premarket Notification from the FDA for a medical device: "Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs and Fentanyl Citrate (Blue)".

This document does not describe the acceptance criteria or a study related to an AI/ML powered device. Instead, it details the testing and comparison of a physical medical device (gloves) against a predicate device, focusing on material properties, performance standards (like resistance to permeation by chemotherapy drugs and fentanyl citrate), and biocompatibility.

Therefore, I cannot extract the requested information regarding AI/ML device acceptance criteria or related studies from this document. The questions about sample sizes, expert qualifications, adjudication methods, MRMC studies, standalone performance, ground truth, and training sets are not applicable to the type of device described in this FDA submission.

However, I can extract the acceptance criteria and performance data for the physical device as described:

1. Table of Acceptance Criteria and Reported Device Performance:

The primary performance criterion for the "Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs and Fentanyl Citrate (Blue)" is its resistance to permeation by chemotherapy drugs and fentanyl citrate. The acceptance criterion is a minimum breakthrough detection time for each substance.

Chemotherapy Drug and ConcentrationAcceptance Criteria (Minimum Breakthrough Detection Time in Minutes)Reported Device Performance (Minimum Breakthrough Detection Time in Minutes)
Carmustine, 3.3 mg/mlN/A (Tested to determine time)10.2
Cisplatin, 1.0 mg/mlN/A (Tested to determine time)>240
Cyclophosphamide, 20.0 mg/mlN/A (Tested to determine time)>240
Dacarbazine, 10.0 mg/mlN/A (Tested to determine time)>240
Doxorubicin Hydrochloride, 2.0 mg/mlN/A (Tested to determine time)>240
Etoposide, 20.0 mg/mlN/A (Tested to determine time)>240
Fluorouracil, 50.0 mg/mlN/A (Tested to determine time)>240
Methotrexate, 25.0 mg/mlN/A (Tested to determine time)>240
Mitomycin C, 0.5 mg/mlN/A (Tested to determine time)>240
Paclitaxel, 6.0 mg/mlN/A (Tested to determine time)>240
Thiotepa, 10.0 mg/mlN/A (Tested to determine time)30.2
Vincristine Sulfate, 1.0 mg/mlN/A (Tested to determine time)>240
Bleomycin Sulfate, 15.0 mg/mlN/A (Tested to determine time)>240
Bortezomib, 1.0 mg/mlN/A (Tested to determine time)>240
Busulfan, 6.0 mg/mlN/A (Tested to determine time)>240
Carboplatin, 10.0 mg/mlN/A (Tested to determine time)>240
Chloroquine, 50.0 mg/mlN/A (Tested to determine time)>240
Cyclosporin A, 100.0 mg/mlN/A (Tested to determine time)>240
Cytarabine, 100.0 mg/mlN/A (Tested to determine time)>240
Daunorubicin, 5.0 mg/mlN/A (Tested to determine time)>240
Docetaxel, 10.0 mg/mlN/A (Tested to determine time)>240
Epirubicin, 2.0 mg/mlN/A (Tested to determine time)>240
Fludarabine, 25.0 mg/mlN/A (Tested to determine time)>240
Gemcitabine, 38.0 mg/mlN/A (Tested to determine time)>240
Idarubicin, 1.0 mg/mlN/A (Tested to determine time)>240
Ifosfamide, 50.0 mg/mlN/A (Tested to determine time)>240
Irinotecan, 20.0 mg/mlN/A (Tested to determine time)>240
Mechlorethamine HCI, 1.0 mg/mlN/A (Tested to determine time)>240
Melphalan, 5.0 mg/mlN/A (Tested to determine time)>240
Mitoxantrone, 2.0 mg/mlN/A (Tested to determine time)>240
Oxaliplatin, 2.0 mg/mlN/A (Tested to determine time)>240
Paraplatin, 10.0 mg/mlN/A (Tested to determine time)>240
Retrovir, 10.0 mg/mlN/A (Tested to determine time)>240
Rituximab, 10.0 mg/mlN/A (Tested to determine time)>240
Topotecan, 1.0 mg/mlN/A (Tested to determine time)>240
Trisenox, 1.0 mg/mlN/A (Tested to determine time)>240
Fentanyl Citrate Injection, 100mcg/2mlN/A (Tested to determine time)>240

Additional Acceptance Criteria and Performance Data (already met by similar predicate device or physical properties):

CharacteristicAcceptance CriteriaReported Device Performance
Freedom from holesAQL 1.5% (Meets ASTM D5151-19 and ASTM D6319-19)Pass
Residual PowderAverage < 2 mg/glove (Meets ASTM D6319-19 & ASTM D6124-06 (2017))Pass
Dimensional ConformanceConforms to ASTM D6319 width, thickness, and length requirements for XS, S, M, L, and XL; AQL 4%Pass
Tensile PerformanceTensile Strength Before Aging: $\ge$ 14 MPa; Ultimate Elongation Before Aging: $\ge$ 500 %; Tensile Strength After Aging: $\ge$ 14 MPa; Ultimate Elongation After Aging: $\ge$ 400 % (Meets ASTM D6319-19); AQL 4%Pass
Biocompatibility: Skin IrritationNot an irritant (Under the conditions of the study, per ISO 10993-10)Pass
Biocompatibility: Skin SensitizationNot a sensitizer (Under the conditions of the study, per ISO 10993-10)Pass
Biocompatibility: Acute ToxicityNo acute toxicity (Under the conditions of the study, per ISO 10993-11)Pass

2. Sample size used for the test set and the data provenance:

The document mentions that "Fentanyl citrate permeation testing was performed on the subject glove using the ASTM D6978 method." While it confirms the test was done, it does not specify the sample size for the test set used for the permeation testing.
The data provenance is from Malaysia, where the manufacturer (Hartalega NGC Sdn. Bhd.) is located. The study appears to be prospective testing conducted specifically for this 510(k) submission.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

This is not applicable as the "ground truth" for this device is established through physical and chemical testing against industry standards (ASTM D6978, D6319, D5151, D6124, ISO 10993) rather than expert consensus on medical images or diagnoses.

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

Not applicable, as this involves standardized physical and chemical laboratory testing, not human expert adjudication.

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 a medical glove, not an AI/ML-powered device.

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

Not applicable. This is a medical glove, not an AI/ML-powered device.

7. The type of ground truth used:

The ground truth is established through standardized laboratory testing protocols (ASTM D6978-05, D6319-19, D5151-19, D6124-06(R17), ISO 10993-10, ISO 10993-11) and the measured chemical permeation times and physical properties of the gloves.

8. The sample size for the training set:

Not applicable. This is a medical glove, not an AI/ML-powered device. There is no concept of a "training set" in this context.

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

Not applicable. There is no training set for this type of device.

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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, with the letters "FDA" in a blue square. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

January 8, 2025

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

Re: K243818

Trade/Device Name: Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs and Fentanyl Citrate (Blue) 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: November 29, 2024 Received: December 12, 2024

Dear Nurul Aisyah 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 (the 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 available 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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Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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-regulatory

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assistance/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,

Image /page/2/Picture/3 description: The image shows the text "Allan Guan -S" in a large, sans-serif font. The text is black and is set against a white background. There is a faint, light blue watermark in the background, but it does not obscure the text. The text is horizontally oriented and centered.

For Bifeng Qian, M.D., Ph.D. Assistant Director DHT4C: Division of Infection Control 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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Indications for Use

510(k) Number (if known) K243818

Device Name

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

Indications for Use (Describe)

Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs and Fentanyl Citrate (Blue) is a nonsterile 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 and Fentanyl Citrate.

These gloves were tested for use with chemotherapy drugs and fentanyl citrate as per ASTM 06978-05 (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/ml10.2
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/ml30.2
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, 1.0 mg/ml>240
Retrovir, 10.0 mg/ml>240
Rituximab, 10.0 mg/ml>240
Topotecan, 1.0 mg/ml>240

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

Trisenox, 1.0 mg/ml> 240
Fentanyl Citrate and ConcentrationMinimum Breakthrough Detection Time in Minutes
Fentanyl Citrate Injection, 100mcg/2ml>240

Caution: Testing showed a minimum 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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K243818

SPECIAL 510(k) SUMMARY

FOR

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

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

SUBMISSION APPLICANT

Date Prepared: January 6, 2025
Name: Hartalega NGC Sdn. Bhd.
Address: No. 1, Persiaran Tanjung,Kawasan Perindustrian Tanjung43900 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

DEVICE IDENTIFICATION

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

PREDICATE DEVICE INFORMATION

510(k) Number:K222225
Manufacturer:Hartalega NGC Sdn. Bhd.
Trade Name (Proprietary Name):Nitrile Powder Free Examination Glove Tested for Use withChemotherapy Drugs (Blue)
Device Class:1
Product Code:LZA, LZC

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

DESCRIPTION OF THE DEVICE:

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

DEVICE MODIFICATION:

The proposed modification to the predicate device is the inclusion of the subject device has been tested for use with fentanyl citrate in addition to its existing claim of use with chemotherapy drugs. The proposed device (physically identical to the predicate device) was tested for use with fentanyl citrate as per ASTM D6978. There are no differences with these two gloves in materials, manufacturing process and compliance with ASTM D6319 performance specifications.

INDICATIONS FOR USE:

Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs and Fentanyl Citrate (Blue) is a nonsterile 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 and Fentanyl Citrate.

The gloves were tested for use with chemotherapy drugs and fentanyl citrate 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 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

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

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
Trisenox, 1.0 mg/ml> 240

Caution: Testing showed a minimum breakthrough time of 10.2 minutes with Carmustine and 30.2 minutes with Thiotepa.

Warning: Do not use with Carmustine and Thiotepa

Fentanyl Citrate and ConcentrationMinimum Breakthrough Detection Time in Minutes
Fentanyl Citrate Injection, 100 mcg/2ml> 240

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

Characteristicsand ParametersSubject DevicePredicate Device(K222225)Discussion
Trade NameNitrile Powder Free Examination GloveTested for Use with Chemotherapy Drugsand Fentanyl Citrate (Blue)Nitrile Powder Free Examination GloveTested for Use with Chemotherapy Drugs(Blue)Similar
ApplicantHartalega NGC Sdn. Bhd.Hartalega NGC Sdn. Bhd.Same
Product CodeLZA, LZC, QDO, OPJLZA, LZCSimilar
Classification11Same
RegulationNumber21 CFR 880.625021 CFR 880.6250Same
RegulationNamePatient Examination GlovePatient Examination GloveSame
Indications forUseA non-sterile disposable device intended formedical purpose that is worn on theexaminer's hand to prevent contaminationbetween patient and examiner. It is also testedto be used against Chemotherapy Drugs andFentanyl Citrate.A non-sterile disposable device intended formedical purpose that is worn on theexaminer's hand to prevent contaminationbetween patient and examiner. It is also testedto be used against Chemotherapy Drugs.Similar
The gloves were tested for use withchemotherapy drugs and Fentanyl Citrate asper ASTM D6978-05 (Reapproved 2019)Standard Practice for AssessmentofThe gloves were tested for use withchemotherapy drugs as per ASTM D6978-05(Reapproved 2019) Standard Practice forAssessment of Resistance of Medical Gloves

TECHNOLOGICAL CHARACTERISTICS COMPARISON TABLE:

Chemotherapy Drugand ConcentrationMinimumBreakthroughDetection Time inMinutesChemotherapy Drugand ConcentrationMinimumBreakthroughDetection Time inMinutes
Carmustine, 3.3 mg/ml10.2Carmustine, 3.3 mg/ml10.2
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/ml30.2Thiotepa, 10.0 mg/ml30.2
Vincristine Sulfate, 1.0mg/ml> 240Vincristine Sulfate, 1.0mg/ml> 240
Bleomycin Sulfate, 15.0mg/ml> 240Bleomycin Sulfate, 15.0mg/ml> 240
Bortezomib, 1.0 mg/ml> 240Bortezomib, 1.0 mg/ml> 240
Busulfan, 6.0 mg/ml> 240Busulfan, 6.0 mg/ml> 240
Carboplatin, 10.0 mg/ml> 240Carboplatin, 10.0 mg/ml> 240
Chloroquine, 50.0 mg/ml> 240Chloroquine, 50.0 mg/ml> 240
Cyclosporin A, 100.0 mg/ml> 240Cyclosporin A, 100.0 mg/ml> 240
Cytarabine, 100.0 mg/ml> 240Cytarabine, 100.0 mg/ml> 240
Daunorubicin, 5.0 mg/ml> 240Daunorubicin, 5.0 mg/ml> 240
Docetaxel, 10.0 mg/ml> 240Docetaxel, 10.0 mg/ml> 240
Epirubicin, 2.0 mg/ml> 240Epirubicin, 2.0 mg/ml> 240
Fludarabine, 25.0 mg/ml> 240Fludarabine, 25.0 mg/ml> 240
Gemcitabine, 38.0 mg/ml> 240Gemcitabine, 38.0 mg/ml> 240
Idarubicin, 1.0 mg/ml> 240Idarubicin, 1.0 mg/ml> 240
Ifosfamide, 50.0 mg/ml> 240Ifosfamide, 50.0 mg/ml> 240
Irinotecan, 20.0 mg/ml> 240Irinotecan, 20.0 mg/ml> 240
Mechlorethamine HCl, 1.0mg/ml> 240Mechlorethamine HCl, 1.0mg/ml> 240
Melphalan, 5.0 mg/ml> 240Melphalan, 5.0 mg/ml> 240
Mitoxantrone, 2.0 mg/ml> 240Mitoxantrone, 2.0 mg/ml> 240
Oxaliplatin, 2.0 mg/ml> 240Oxaliplatin, 2.0 mg/ml> 240
Paraplatin, 10.0 mg/ml> 240Paraplatin, 10.0 mg/ml> 240

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

Characteristicsand ParametersSubject DevicePredicate Device(K222225)Discussion
Rituximab, 10.0 mg/mlTopotecan, 1.0 mg/mlTrisenox, 1.0 mg/ml> 240> 240> 240Rituximab, 10.0 mg/mlTopotecan, 1.0 mg/mlTrisenox, 1.0 mg/ml> 240> 240> 240
Caution: Testing showed a minimumbreakthrough time of 10.2 minutes withCarmustine and 30.2 minutes with Thiotepa.Warning: Do not use with Carmustine andThiotepaCaution: Testing showed an averagebreakthrough time of 10.2 minutes withCarmustine and 30.2 minutes with Thiotepa.Warning: Do not use with Carmustine andThiotepa
Fentanyl Citrate andConcentrationFentanyl Citrate, 100.0mcg/2mlMinimumBreakthroughDetection Time inMinutes> 240N/AFentanyl Citratewas tested onsubject device:Different
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:$\ge$ 230 mmMeets ASTM D6319-19:$\ge$ 230 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 mmFinger Thickness: Min 0.05 mmMeets ASTM D6319-19:Palm Thickness: Min 0.05 mmFinger Thickness: Min 0.05 mmSame
PhysicalPropertiesMeets ASTM D6319-19:Tensile Strength Before Aging: $\ge$ 14 MPaTensile Strength After Aging: $\ge$ 14 MPaUltimate Elongation Before Aging: $\ge$ 500 %Ultimate Elongation After Aging: $\ge$ 400 %Meets ASTM D6319-19:Tensile Strength Before Aging: $\ge$ 14 MPaTensile Strength After Aging: $\ge$ 14 MPaUltimate Elongation Before Aging: $\ge$ 500 %Ultimate Elongation After Aging: $\ge$ 400 %Same
Powder residualMeets ASTM D6319-19 &ASTM D6124-06 (2017):Residual Powder: $\le$ 2 mg per gloveMeets ASTM D6319-19 &ASTM D6124-06 (2017):Residual Powder: $\le$ 2 mg per gloveSame
Primary SkinIrritationISO 10993-10Under the conditions of the study, the deviceis not an irritantUnder the conditions of the study, the deviceis not an irritantSame
DermalSensitizationISO 10993-10Under the conditions of the study, the deviceis not a sensitizerUnder the conditions of the study, the deviceis not a sensitizerSame

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Characteristicsand ParametersSubject DevicePredicate Device(K222225)Discussion
Acute SystemicToxicity TestISO 10993-11Under the conditions of this study, thedevice showed no evidence of acutesystemic toxicityUnder the conditions of this study, thedevice showed no evidence of acutesystemic toxicitySame

The subject device and the predicate device are identical. However, the subject device has been tested for use with both chemotherapy drugs and fentanyl citrate, whereas the predicate device has only been tested for use with chemotherapy drugs.

SUMMARY OF NON-CLINICAL TESTING:

The subject device and the predicate device share intended use, identical material and identical manufacturing, and therefore share the same chemotherapy drug permeation testing, biocompatibility characteristics and compliance with ASTM D6319. Fentanyl citrate permeation testing was performed on the subject glove using the ASTM D6978 method

Testing PerformedPurposeCriteriaResult
ASTM D6978Standard Practice forAssessment of Resistance ofMedical Gloves toPermeation byChemotherapy DrugsDemonstrate barrier properties ofgloves to permeation of FentanylCitrate solutionN/ANo breakthrough detected during 240minute test duration

The following testing was previously performed on the physically-identical predicate device.

TestPurposeCriteriaResult
Standard Test Method forDetection of Holes in MedicalGlovesASTM D5151-19To demonstrate glove integrityFreedom from holesAQL 1.5%Pass
Standard Test Method forResidual Powder on MedicalGlovesASTM D6124-06(R17)To demonstrate the gloves are 'powderfree'Average less than 2 mg/glovePass
Dimensional ConformanceASTM D6319To demonstrate appropriate dimensionsfor labeled sizesConforms to ASTM D6319width, thickness, and lengthrequirements for XS, S, M, L,and XLAQL 4%Pass
Tensile PerformanceASTM D6319To demonstrate adequate tensilepropertiesConforms to ASTM D6319tensile strength of at least14MPa and ultimate elongationof at least 500% requirementsprior to aging, and tensilestrength of at least 14MPa andultimate strength of at least400% after accelerated agingAQL 4%Pass
Biocompatibility: SkinIrritationISO 10993-10To demonstrate low potential for skinirritationUnder the conditions of thestudy, not an irritant.Pass
Biocompatibility: SkinSensitizationISO 10993-10To demonstrate low potential for skinsensitizationUnder the conditions of thestudy, not a sensitizerPass
Biocompatibility:Acute ToxicityISO 10993-11To demonstrate low acute toxicityUnder the conditions of thestudy, no acute toxicity.Pass

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CLINICAL PERFORMANCE DATA:

Not applicable.

CONCLUSION:

The conclusions drawn from the non-clinical testing demonstrates that the subject device, Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs and Fentanyl Citrate (Blue), is as safe, as effective, and performs as well as or better than the legally marketed predicate device, Nitrile Powder Free Examination Glove Tested for Use with Chemotherapy Drugs (Blue) K222225.

§ 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.