K Number
K250578
Device Name
Nitrile Examination Gloves Powder Free Tested for Use With Chemotherapy Drugs & Fentanyl Citrate (Blue & Black)
Date Cleared
2025-04-01

(33 days)

Product Code
Regulation Number
880.6250
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
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 as 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 powder-free class I Nitrile Patient Examination Gloves which 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, Small, Medium, Large and X-Large. The Nitrile Examination Gloves Powder Free (Blue & Black) have been tested for Chemotherapy Drugs. The subject devices are identical in design and formulation to the predicate gloves of K230121.
More Information

Not Found

No

The device description does not mention any AI, machine learning, or deep neural network components. It describes a physical examination glove.

No.
The device is a patient examination glove, intended to prevent contamination, not to treat or cure a disease or condition.

No

Explanation: The device is a patient examination glove, described as a "disposable device intended for medical purposes that is worn on the examiner's hand or finger to prevent contamination between patient and examiner." Its function is to prevent contamination, not to diagnose a medical condition.

No

The device is a physical medical device (patient examination glove made of synthetic rubber latex), not a software-only medical device. The description details physical properties, testing against chemotherapy drugs and fentanyl, and biocompatibility, all characteristic of a hardware device. There is no mention of software components or functionality.

No.
The device is a patient examination glove, which is a physical barrier for protection and does not involve the in vitro examination of specimens derived from the human body.

N/A

Intended Use / 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.

Table below shows the Summary Test Result for Resistance of Nitrile Powder Free Examination Glove (Blue & Black) to Permeation by Chemotherapy Drugs and Fentanyl Citrate.

Chemotherapy Drugs and Fentanyl CitrateConcentrationMinimum 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
Methotrexate25.0 mg/ml>240 min>240 min
Mitomycin C.0.5 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

Product codes (comma separated list FDA assigned to the subject device)

LZA, LZC, QDO, OPJ

Device Description

Non-Sterile Nitrile Patient Examination Glove is made from synthetic rubber latex. It is single use and powder-free class I Nitrile Patient Examination Gloves which 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, Small, Medium, Large and X-Large. The Nitrile Examination Gloves Powder Free (Blue & Black) have been tested for Chemotherapy Drugs as below:

The subject devices are identical in design and formulation to the predicate gloves of K230121.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Hand or finger

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 based on ASTM D6319-19, ASTM D5151-19, ASTM D6124-06, and ISO 10993-10, ISO 10993-5:2009, ISO 10993-11.
Key results:

  • Freedom From Holes: Passed at AQL 1.5, meeting requirement inspection level G-1, AQL 2.5
  • Dimension: Passed, meeting min. length (220mm for XS, S and 230mm for M, L, XL), min. thickness (0.05mm), and width tolerances.
  • Physical properties: Passed, meeting tensile strength (14MPa min. before and after aging) and ultimate elongation (500% min. before aging, 400% min. after aging).
  • Residual Powder Content: Passed, meeting not more than 2 mg per glove.
  • Biocompatibility:
    • Primary Skin Irritation: Passed, concluded as not a primary skin irritant.
    • Skin Sensitization: Passed, concluded as not a contact sensitizer.
    • In Vitro Cytotoxicity: Showed moderate cytotoxicity reactivity at 6.0 cm²/mL extract concentrations and no reactivity at 3.0 cm²/mL extract concentrations.
    • Acute Systemic Toxicity: Passed, showed no adverse biological reaction.

The subject device was also tested for resistance to permeation by chemotherapy drugs and Fentanyl Citrate as per ASTM D6978-05 (Reapproved 2019). The minimum breakthrough detection times for various drugs were provided in a table, with most showing >240 minutes, except for Carmustine (BCNU) and Thio Tepa, which had significantly lower times (22.6 and 43.9 minutes for blue gloves, 21.8 and 17.7 minutes for black gloves, respectively). A warning was issued not to use the gloves with Carmustine and Thio Tepa due to their extremely low permeation times.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K230121

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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.

FDA 510(k) Clearance Letter - K250578

Page 1

U.S. Food & Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20993
www.fda.gov

Doc ID # 04017.07.05

April 1, 2025

Careglove Global Sdn. Bhd.
Lim Shyan
Managing Director
Lot 17479, Lorong Senawang 3/2, Off Jalan Senawang 3,
Senawang Indsutrial Estate
Seremban, Negeri Sembilan 70450
Malaysia

Re: K250578
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, QDO, OPJ
Dated: February 19, 2025
Received: February 27, 2025

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 (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.

Page 2

K250578 - Lim Shyan Page 2

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 (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-reporting-combination-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-devices/device-advice-comprehensive-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-devices/medical-device-safety/medical-device-reporting-mdr-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/medical-devices/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-devices/device-advice-comprehensive-regulatory-

Page 3

K250578 - Lim Shyan Page 3

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,

Bifeng Qian -S

Bifeng Qian
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

Page 4

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120
Expiration Date: 07/31/2026
See PRA Statement below.

510(k) Number (if known): 250578

Device Name: NITRILE EXAMINATION GLOVES POWDER FREE TESTED FOR USE WITH CHEMOTHERAPY DRUGS & FENTANYL CITRATE (BLUE & 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 as per ASTM D6978-05 (Reapproved 2019) Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.

Table below shows the Summary Test Result for Resistance of Nitrile Powder Free Examination Glove (Blue & Black) to Permeation by Chemotherapy Drugs and Fentanyl Citrate.

Chemotherapy Drugs and Fentanyl CitrateConcentrationMinimum 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
Methotrexate25.0 mg/ml>240 min>240 min
Mitomycin C.0.5 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

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

☐ Prescription Use (Part 21 CFR 801 Subpart D)
☒ Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services
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"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."

FORM FDA 3881 (8/23) Page 1 of 1 PSC Publishing Services (301) 443-6740 EF

Page 5

510(K) SUMMARY

K250578

Applicant Name: CAREGLOVE GLOBAL SDN BHD

Location: Lot 17479, Lorong Senawang 3/2, Off Jalan Senawang 3,
Senawang Indsutrial Estate
Seremban, Negeri Sembilan 70450
Malaysia

Phone No: (60) 6 6782377
Fax No: (60) 6 6785377
Contact Person: Murni Razali
Summary Preparation Date: March 27,2025

Device Information

Trade Name: NITRILE EXAMINATION GLOVES POWDER FREE TESTED FOR USE WITH 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: 21 CFR 880.6250

Predicate Device

Nitrile Examination Gloves Powder Free Tested for Use with Chemotherapy Drugs & Fentanyl Citrate (Blue & Black), 510(K) number K230121 product code LZA, LZC, QDO, OPJ.

Device Description

Non-Sterile Nitrile Patient Examination Glove is made from synthetic rubber latex. It is single use and powder-free class I Nitrile Patient Examination Gloves which 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, Small, Medium, Large and X-Large. The Nitrile Examination Gloves Powder Free (Blue & Black) have been tested for Chemotherapy Drugs as below:

The subject devices are identical in design and formulation to the predicate gloves of K230121.

Page 1 of 6

Page 6

Page 2 of 6

Chemotherapy Drugs and Fentanyl CitrateConcentrationMinimum 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
Methotrexate25.0 mg/ml>240 min>240 min
Mitomycin C.0.5 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.

Table below shows the Summary Test Result for Resistance of Nitrile Powder Free Examination Glove (Blue & Black) to Permeation by Chemotherapy Drugs and Fentanyl Citrate.

Chemotherapy Drugs and Fentanyl CitrateConcentrationMinimum 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
Methotrexate25.0 mg/ml>240 min>240 min
Mitomycin C.0.5 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

Page 7

Page 3 of 6

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.

CharacteristicStandardPredicate Device K230121Subject Device K250578Remarks
Product Code-LZA, LZC, QDO, OPJLZA, LZC, QDO, OPJSame
Intended Use-Intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examinerIntended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examinerSame
Design-Powder Free, Non-Sterile, Ambidextrous, Beaded CuffPowder Free, Non-Sterile, Ambidextrous, Beaded CuffSame
Indications for Use-A patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner. These gloves were tested for use with Chemotherapy Drugs and Fentanyl Citrate as per ASTM D6978-05 Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.A patient examination glove is a disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner. These gloves were tested for use with Chemotherapy Drugs and Fentanyl Citrate as per ASTM D6978-05 Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.Same
Construction-Ambidextrous, Polymer Coated or Chlorinated, Powder Free NitrileAmbidextrous, Polymer Coated or Chlorinated, Powder Free NitrileSame
Color Description-Blue & BlackBlue & BlackSame
Material-NitrileNitrileSame
Single Use-YesYesSame
Packaging-Packed in Dispenser BoxesPacked in Dispenser BoxesSame
Chemo Drugs Claim-12 Chemotherapy Drugs & Fentanyl Citrate claim14 Chemotherapy Drugs & Fentanyl Citrate claimDifferent
Sterility-Non-SterileNon-SterileSame
DimensionASTM D6319-19
Length XS, SMeet 220mm minMeet 220mm minSame
M, L, XLMeet 230mm minMeet 230mm minSame
Thickness (palm), Thickness (finger),Meet 0.05mm min Meet 0.05mm minMeet 0.05mm min Meet 0.05mm minSame
WidthXS: Meet 70 ± 10 mm S: Meet 80 ± 10 mm M: Meet 95 ± 10 mm L: Meet 110 ± 10 mm XL: Meet 120 ± 10 mmXS: Meet 70 ± 10 mm S: Meet 80 ± 10 mm M: Meet 95 ± 10 mm L: Meet 110 ± 10 mm XL: Meet 120 ± 10 mmSame

Page 8

Page 4 of 6

CharacteristicStandardPredicate Device K230121Subject Device K250578Remarks
Physical Properties
(Before Ageing)ASTM D6319-19
i) Tensile Strength (MPa)Meet 14MPa min.Meet 14MPa min.Same
ii) Ultimate Elongation (%)Meet 500% minMeet 500% min
(After Aging)
i) Tensile Strength (MPa)Meets 14MPa minMeets 14MPa minSame
ii) Ultimate Elongation (%)Meet 400% min.Meet 400% min.
Water Leak Test, 1000 ml
Before Aging, AQLASTM D6319-19 ASTM D5151-19Passes at AQL 1.5Passes at AQL 1.5Same
Powder Free Residue
Powder Free Residue, mg/gloveASTM D6319-19 ASTM D6124-06Meet 2mg/glove max.Meet 2mg/glove maxSame
Biocompatibility Test
i) Primary Skin Irritation TestISO 10993-10Passes Conclusion: Under the conditions of this study the test material did not cause an irritant responsePasses Conclusion: Under the conditions of this study the test material did not cause an irritant responseSame
ii) Skin Sensitization TestISO 10993-10Passes Conclusion: Under the conditions of this study, the test material did not produce a skin sensitization effectPasses Conclusion: Under the conditions of this study, the test material did not produce a skin sensitization effectSame
iii) In Vitro Cytotoxicity TestISO 10993-5:2009Conclusion: Under condition of this study, test material exhibited moderate cytotoxicity reactivity at 6.0 cm2/mL extract concentrations and no cytotoxicity reactivity at the 3.0 cm2/mL extract concentrations of the test.Conclusion: Under condition of this study, test material exhibited moderate cytotoxicity reactivity at 6.0 cm2/mL extract concentrations and no cytotoxicity reactivity at the 3.0 cm2/mL extract concentrations of the test.Same
Iv) Acute Systemic ToxicityISO 10993-11Conclusion: Under condition. of this study, the test material showed no adverse biological reaction after administration of the sample's extract on the rats during the period of the study.Conclusion: Under condition. of this study, the test material showed no adverse biological reaction after administration of the sample's extract on the rats during the period of the study.Same

Page 9

Page 5 of 6

Test Results for Resistance of Medical Gloves to Permeation by Chemotherapy Drugs (ASTM D6978-05):

Chemotherapy Drug and Fentanyl CitrateConcentrationMinimum Breakthrough Detection Time (minutes)Remark
Proposed DevicePredicate Device
BlueBlackBlueBlack
*Carmustine (BCNU)3.3 mg/ml22.621.822.621.8Same
Cisplatin1.0 mg/ml>240 min>240 min>240 min>240 minSame
Cyclophosphamide (Cytoxan)20.0 mg/ml>240 min>240 min>240 min>240 minSame
Dacarbazine10.0 mg/ml>240 min>240 min>240 min>240 minSame
Doxorubicin HCL2.0 mg/ml>240 min>240 min>240 min>240 minSame
Etoposide20.0 mg/ml>240 min>240 min>240 min>240 minSame
Fluorouracil50.0 mg/ml>240 min>240 min>240 min>240 minSame
Ifosfamide50.0 mg/ml>240 min>240 min>240 min>240 minSame
Mitoxantrone2 mg/ml>240 min>240 min>240 min>240 minSame
Paclitaxel6.0 mg/ml>240 min>240 min>240 min>240 minSame
*Thio Tepa10.0 mg/ml43.917.743.917.7Same
Vincristine Sulfate1.0 mg/ml>240 min>240 min>240 min>240 minSame
Methotrexate25.0 mg/ml>240 min>240 minNot TestedNot TestedDifferent
Mitomycin C.0.5 mg/ml>240 min>240 minNot TestedNot TestedDifferent
Fentanyl Citrate100mcg/2ml>240 min>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)Same

Page 10

Page 6 of 6

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 From HolesASTM D6319-19 ASTM D5151-19Meet requirement inspection level G-1, AQL 2.5Pass
DimensionASTM D6319-19Pass
Physical propertiesASTM D6319-19Pass
SizeXSmallSmallMediumLargeXLarge
Length, min. mm220230
Thickness, min. mm0.05
Width, ± 10 mm708095110120
Before AgingAfter Accelerated Aging
Tensile StrengthUltimate ElongationTensile StrengthUltimate Elongation
14 MPa min.500% min.14 MPa min.400 % min.
Residual Powder ContentASTM D6319-19 ASTM D6124-06Not more than 2 mg per glovePass
Biocompatibility
i) Primary Skin IrritationISO 10993-10Not a primary skin irritantPass
ii) Skin SensitizationISO 10993-10Not a contact sensitizerPass
iii) In Vitro CytotoxicityISO 10993-5:2009No adverse biological reactionModerate cytotoxicity reactivity at 6.0 cm²/mL and no reactivity at 3.0 cm²/mL extract concentrations
iv) Acute SystemicISO 10993-11No adverse biological reactionPass

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 K230121, Nitrile Examination Gloves Powder Free Tested for Use with Chemotherapy Drugs & Fentanyl Citrate (Blue & Black).