(65 days)
A device made of synthetic rubber intended to be worn by operating room personnel to protect a surgical wound from contamination and for use handling chemotherapy drugs.
Derma Prene® Powder-Free Synthetic Surgical Gloves (Chemotherapy Use), meet all of the requirements of ASTM D 3577, Type 2.
Derma Prene® Powder-Free Synthetic Surgical Gloves (Chemotherapy Use) meet all the current specifications for ASTM D 3577 Rubber Surgical Gloves.
Derma Prene® Powder-Free Synthetic Surgical Gloves (Chemotherapy Use) are sterile disposable devices intended to be worn by operating room personnel to protect a surgical wound from contamination and for use handling chemotherapy drugs.
Derma Prene® Powder-Free Synthetic Surgical Gloves (Chemotherapy Use) are summarized with the following technological characteristics compared to ASTM or equivalent standards.
Characteristics: Dimensions, Physical Properties, Freedom from holes, Powder-Free, Biocompatability Primary Skin Irritation in Rabbits, Guinea Pig Sensitization
Standard: Meets ASTM D 3577, Meets ASTM D 3577, Type 2, Meets ASTM D 3577, Meets ASTM D 5151, Meets described test in Attachment VI of K980929, Meets ASTM D 6124 Not more than 2 mg residue by mass., Passes, Passes
Here's an analysis of the provided text, focusing on the acceptance criteria and the study used to prove the device meets those criteria:
Device: Derma Prene® Powder-Free Synthetic Surgical Gloves (Chemotherapy Use)
1. Acceptance Criteria and Reported Device Performance
| Characteristic | Acceptance Criteria (Standard) | Reported Device Performance |
|---|---|---|
| Dimensions | ASTM D 3577 | Meets ASTM D 3577 |
| Physical Properties | ASTM D 3577, Type 2 | Meets ASTM D 3577, Type 2 |
| Freedom from holes | ASTM D 3577, ASTM D 5151 | Meets ASTM D 3577, ASTM D 5151 |
| Powder-Free | Described test in Attachment VI of K980929 | Not more than 2 mg residue by mass |
| Biocompatibility | Primary Skin Irritation in Rabbits (Passes) | Passes |
| Biocompatibility | Guinea Pig Sensitization (Passes) | Passes |
2. Sample Size and Data Provenance for the Test Set
- Sample Size: The document does not explicitly state the sample size used for the performance tests. It mentions "performance test data of the non clinical tests," but no specific number of units tested.
- Data Provenance: The document does not specify the country of origin of the data or whether the studies were retrospective or prospective. It implies the studies were conducted by Ansell Perry based on their submission.
3. Number of Experts and Qualifications for Ground Truth Establishment (Test Set)
Not applicable. The ground truth for this device (surgical gloves) is established through adherence to recognized international standards (ASTM) and specific performance tests, not through expert consensus on interpretation.
4. Adjudication Method for the Test Set
Not applicable. As the tests involve objective measurements against established standards (e.g., dimensional checks, physical property tests, hole detection), there is no need for an adjudication method by experts.
5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study
Not applicable. This type of study is typically used for diagnostic devices where human readers interpret images or data. Surgical gloves are a medical device with objective performance criteria.
6. Standalone (Algorithm Only) Performance Study
Not applicable. This device is a physical product (surgical glove), not an algorithm or AI system. Its performance is measured directly through laboratory testing.
7. Type of Ground Truth Used
The ground truth used is primarily established international standards (ASTM) and objective laboratory test results (e.g., measurements for dimensions, tensile strength, elasticity, freedom from holes, powder residue, and biological response in animal models for biocompatibility).
8. Sample Size for the Training Set
Not applicable. This device is not an AI/ML product; therefore, there is no "training set."
9. How the Ground Truth for the Training Set Was Established
Not applicable. As there is no AI/ML component, there's no training set or ground truth establishment in this context.
{0}------------------------------------------------
2/26/99
Ansell Perry
169844558
Derma Prene® Powder-Free Synthetic Surgical Gloves (Chemotherapy Use) Ansell Perry 1875 Harsh Avenue SE Massillon, Ohio 44646 330-833-2811 Telephone: 330-833-6213 Fax:
Checklist Section 21.0
- 510 (k) Summary [1]
- [2] Ansell Perry Inc. 1875 Harsh Avenue SE Massillon, Ohio 44646
| Telephone: | 330-833-2811 |
|---|---|
| Fax: | 330-833-6213 |
Contact: James R. Chatterton Telephone: 330-833-2811 Fax: 330-833-6213
. …
December 23, 1998
- [3] Trade Name: Derma Prenes Powder-Free Synthetic Surgical Gloves (Chemotherapy Use) Common Name: Surgical Gloves Classification Name: Surgeon's Glove
- [4] Derma Prenes Powder-Free Synthetic Surgical Gloves (Chemotherapy Use), meet all of the requirements of ASTM D 3577, Type 2.
- Derma Prene® Powder-Free Synthetic Surgical Gloves (Chemotherapy Use) meet all the current [ર] specifications for ASTM D 3577 Rubber Surgical Gloves.
- Derma Prene® Powder-Free Synthetic Surgical Gloves (Chemotherapy Use) are sterile િશ disposable devices intended to be worn by operating room personnel to protect a surgical wound from contamination and for use handling chemotherapy drugs.
- [7] Derma Prene® Powder-Free Synthetic Surgical Gloves (Chemotherapy Use) are summarized with the following technological characteristics compared to ASTM or equivalent standards.
| Characteristics | Standard |
|---|---|
| Dimensions | Meets ASTM D 3577 |
| Physical Properties | Meets ASTM D 3577, Type 2 |
Ansell Healthcare Products Inc. • 1875 Harsh Ave. S.E. • Massillon, Ohio 44646 • U.S.A. http://www.ansell.com Telephone: 330-833-2811 • Toll Free: 800-321-9752 (USA only) • Fax: 330-833-5991
{1}------------------------------------------------
Derma Prene® Powder-Free Synthetic Surgical Gloves (Chemotherapy Use) Ansell Perry 1875 Harsh Avenue SE Massillon, Ohio 44646 Telephone: 330-833-2811 330-833-6213 Fax:
Freedom from holes
Meets ASTM D 3577 Meets ASTM D 5151
Powder-Free Meets described test in Attachment VI of K980929 Biocompatability Primary Skin Irritation in Rabbits Guinea Pig Sensitization
Meets ASTM D 6124 Not more than 2 mg residue by mass.
Passes Passes
- The performance test data of the non clinical tests are as mentioned immediately above. [8]
- [a] Clinical data is not needed for medical gloves or for most devices cleared by the 510(k) process.
- [10] It is concluded that Derma Prenes Powder-Free Synthetic Surgical Gloves (Chemotherapy Use) are as safe, as effective, and perform as well as the glove performance standards referenced in Section 7 above and therefore meet:
ASTM listed standards, FDA hole requirements, and labeling claims for the product.
- [11] This summary will include any other information reasonably deemed necessary by The FDA.
{2}------------------------------------------------
Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
FEB 2 6 1999
Mr. James R. Chatterton Vice President Regulatory Affairs/Technical Ansell Perry, Incorporated 1875 Harsh Avenue S.E. Massillon, Ohio 44646-7199
K984558 Re: Derma Prene Powder-Free Neoprene Synthetic Trade Name: Surgical Gloves (Chemotherapy Use) Requlatory Class: I Product Code: RGO December 23, 1998 Dated: December 23, 1998 Received:
Dear Mr. Chatterton:
We have reviewed your Section 510(k) notification of intent to market the device referenced above and we 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). You may, therefore, market the device, subject to the general controls provisions of the Act. 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.
If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical General regulation (21 CFR Part 820) and that, Devices: through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory In addition, FDA may publish further announcements action. concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531
{3}------------------------------------------------
Page 2 - Mr. Chatterton
through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.
This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. .The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4692. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address
"http://www.fda.gov/cdrh/dsma/dsmamain.html".
Sincerely yours,
Timothy A. Ulatowski
Directo Division of Dental, Infection Control, and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{4}------------------------------------------------
3.0 Indications for Use Statement:
INDICATIONS FOR USE
| Applicant: | Ansell Perry |
|---|---|
| 510(K) Number (if known): | K984558 |
| Device Name: | Derma Prene® Powder-Free Neoprene Synthetic Surgical Gloves (Chemotherapy Use) |
Indications For Use:
A device made of synthetic rubber intended to be worn by operating A device made of synthetic rubbit interest to
room personnel to protect a surgical wound from contamination and for use handling chemotherapy drugs.
(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH Office of Device Evaluation (ODE)
(Division Sign-Off) Division of Dental, Infection Control, and General Hospital Devices 510(k) Number
Over-The-Counter
Prescription Use Per 21 CFR 801.109 OR
§ 878.4460 Non-powdered surgeon's glove.
(a)
Identification. A non-powdered surgeon's glove is a device intended to be worn on the hands of operating room personnel to protect a surgical wound from contamination. A non-powdered surgeon's 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).