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510(k) Data Aggregation

    K Number
    K222181
    Date Cleared
    2023-01-11

    (173 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Iconic medicare sdn bhd

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

    A patient examination glove is a disposable device intended for medical purpose 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 (2019).

    Device Description

    The subject device in this 510(k) Notification is Iconic Blue Nitrile Glove – Tested for use with Chemotherapy Drugs & Fentanyl Citrate, Powder Free & Non sterile Nitrile Examination Glove. The subject device is a patient examination glove made from Nitrile compound (Per 21 CFR 880.6250, class I). The device meets the specifications in ASTM D6319-19 Standard specification for Nitrile Examination Gloves & ASTM D6978-05 (Reapproved 2019) Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs. The available sizes of the subject devices are Small, Medium, Large, X-Large.

    AI/ML Overview

    The provided text describes the acceptance criteria and the study that proves the device (Iconic Blue Nitrile Glove) meets them. Here's a breakdown of the requested information:

    1. Table of Acceptance Criteria and the Reported Device Performance

    CharacteristicAcceptance CriteriaReported Device Performance (Iconic Blue Nitrile Glove)Remarks
    Physical Properties (ASTM D6319-19)
    Freedom from hole - ASTM D5151-19AQL 2.5PassPass
    Dimensions (Width, Length, Thickness)Overall Length: Min 230mm; Width (±10mm): S-80, M-95, L-110, XL-120; Thickness (Palm & Fingertip): Min 0.05 mmOverall Length: 234-244mm; Width: 84.69-119.07mm; Palm Thickness: 0.09-0.1mm; Fingertip Thickness: 0.11-0.12mmPass
    Tensile Strength (Before Aging)14 MPa, min.20.07-21.82 MPaPass
    Ultimate Elongation (Before Aging)500 % min836.57-900.24 %Pass
    Tensile Strength (After Accelerated Aging)14 MPa, min.20.35-23.54 MPaPass
    Ultimate Elongation (After Accelerated Aging)400 % min813.34-878.09 %Pass
    Powder-free Residue - ASTM D6124-06240 min.>240 min.Pass
    Carmustine, 3.3 mg/mlN/A (Predicate: 11.1 min)26.6 min (27.5, 26.6, 26.8)Different from predicate (better performance for subject device), but device labeled with warning for low permeation time.
    Cisplatin, 1 mg/ml>240 min.>240 min.Pass
    Cyclophosphamide, 20 mg/ml>240 min.>240 min.Pass
    Dacarbazine, 10 mg/ml>240 min.>240 min.Pass
    Doxorubicin HCI, 2 mg/ml>240 min.>240 min.Pass
    Etoposide, 20 mg/ml>240 min.>240 min.Pass
    Fluorouracil, 50 mg/ml>240 min.>240 min.Pass
    Methotrexate, 25 mg/ml>240 min.>240 min.Pass
    Mitomycin C, 0.5 mg/ml>240 min.>240 min.Pass
    Mitoxantrone, 2 mg/ml>240 min.>240 min.Pass
    Oxaliplatin, 5 mg/ml>240 min.>240 min.Pass
    Paclitaxel, 6 mg/ml>240 min.>240 min.Pass
    Thiotepa, 10 mg/mlN/A (Predicate: 21.6 min)56.0 min (58.4, 56.5, 56.0)Different from predicate (better performance for subject device), but device labeled with warning for low permeation time.
    Vincristine Sulfate, 1 mg/ml>240 min.>240 min.Pass
    Opioid Drugs Permeation (ASTM D6978-05 (2019))Minimum Breakthrough Detection Time
    Fentanyl Citrate Injection, 100mcg/2ml>240 min.>240 min.Pass

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

    The document does not specify the exact sample size for each test conducted but references standards like ASTM D6319-19 for physical properties, which would imply a specific sampling plan within that standard (e.g., AQL 2.5, AQL 4.0 inspection level S-2). For chemotherapy drug permeation, three specimens were tested for each drug, as indicated by "Minimum Breakthrough Detection Time (Specimen 1,2,3)".

    The data provenance is not explicitly stated in terms of country of origin. The studies are non-clinical (laboratory tests) and are retrospective in the sense that they were performed to demonstrate compliance with existing standards.

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

    This section is not applicable. The evaluations are based on standardized laboratory tests (e.g., ASTM, ISO standards) rather than expert interpretation of medical images or patient data. The "ground truth" is determined by measurements against predefined quantitative criteria and methodologies outlined in these standards.

    4. Adjudication method for the test set

    This section is not applicable as the tests are objective, quantitative measurements against established standards. There is no subjective interpretation requiring 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

    This section is not applicable. The device is a medical glove, not an AI-assisted diagnostic tool or an imaging system. Therefore, MRMC studies are not relevant to its evaluation.

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

    This section is not applicable. The device is a physical product (a glove), not an algorithm or software. Its performance is evaluated through material and chemical resistance tests.

    7. The type of ground truth used

    The ground truth used for these studies is based on standardized, objective measures and methodologies defined by established industry and regulatory standards, including:

    • ASTM D6319-19: Standard Specification for Nitrile Examination Gloves for Medical Application (for physical properties like dimensions, tensile strength, elongation).
    • ASTM D5151-19: Standard for Freedom from hole (pinholes).
    • ASTM D6124-06: Standard for Residual Powder.
    • ASTM D6978-05 (Reapproved 2019): Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs (for chemical breakthrough times).
    • ISO 10993-5 (Biological evaluation of medical devices - Part 5): Tests for in vitro cytotoxicity.
    • ISO 10993-10 (Biological evaluation of medical devices - Part 10): Tests for irritation and skin sensitization.
    • ISO 10993-11 (Biological evaluation of medical devices - Part 11): Tests for systemic toxicity.

    The "ground truth" is the result of these specific test procedures and direct measurements, not expert consensus, pathology, or outcomes data in a clinical sense.

    8. The sample size for the training set

    This section is not applicable. The device is a physical product, not a machine learning model, so there is no training set in the context of AI or algorithms.

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

    This section is not applicable for the reasons stated above (not an AI/ML device).

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    K Number
    K221648
    Date Cleared
    2022-08-25

    (79 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Iconic medicare sdn bhd

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

    This non-powdered 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.

    Device Description

    The subject device in this 510(k) Notification is Iconic Latex Glove - Powder Free Latex Examination Glove. The subject device is a patient examination glove made from Latex compound, Natural White color, powder free and non-sterile (Per 21 CFR 880.6250 - class I). The device meets the specifications in ASTM D3578-19 Standard specification for Rubber Examination Gloves. The available sizes of the subject devices are Small, Medium, Large, X-Larqe.

    AI/ML Overview

    The information provided describes the acceptance criteria and the study conducted for the Iconic Latex Glove, a non-powdered patient examination glove.

    Here's a breakdown of the requested information:

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

    Characteristics / Test MethodologyAcceptance Criteria (from Section 4.0 and 7.0)Reported Device Performance (Average Results from Section 8.0)Final Results (from Section 8.0)
    Product CodeLYYLYYsame
    Intended UseA powder-free patient examination glove, disposable, for medical purposes, worn on examiner's hand to prevent contamination between patient and examiner. For over-the-counter use.This powder-free 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. The device is for over-the-counter use.same
    Material UsedLatex - Natural RubberLatex - Natural Rubbersame
    ColorN/A (Predicate: Natural White)Natural Whitesame
    SterilitySterile/Non-sterileNon sterile- (Not explicitly "same", but matches expectation)
    Single UseSingle useSingle usesame
    Freedom from pinholes (ASTM D5151-19)AQL 2.5 Inspection Level G-1Pass (across all sizes)Pass
    Overall Length (ASTM D3578-19)Min 230mmSmall: 230.8mm, Medium: 240.5mm, Large: 237.5mm, X-Large: 236.8mmPass
    Width (ASTM D3578-19)Small - 80mm (±10mm); Medium - 95mm (±10mm); Large - 110mm (±10mm); X-Large - 120mm (±10mm) (Note: Table in 4.0 has typo for Large - 110 vs table in 7.0/8.0 as 111)Small: 83mm, Medium: 96mm, Large: 108.4mm, X-Large: 118.7mmPass
    Thickness at Palm (ASTM D3578-19)Min 0.05 mm (from Section 4.0) Min: 0.08 mm (from Section 7.0/8.0)0.14mm (Small), 0.13mm (Medium), 0.12mm (Large), 0.14mm (X-Large)Pass
    Thickness at Fingertip (ASTM D3578-19)Min 0.05 mm (from Section 4.0) Min: 0.08 mm (from Section 7.0/8.0)0.10mm (Small), 0.10mm (Medium), 0.09mm (Large), 0.14mm (X-Large)Pass
    Physical Properties Before Aging (ASTM D3578-19)Tensile Strength = 18 MPa, min.; Ultimate Elongation = 650 % minTensile Strength: 20.8 (S), 23.4 (M), 21.4 (L), 20.7 (XL); Ultimate Elongation: 1018.7 (S), 878.9 (M), 1127.9 (L), 1097.6 (XL)Pass
    Stress at 500% Elongation (Before Aging)N/A (Standard specifies min tensile and ultimate elongation)3.3 (S), 3.9 (M), 3.7 (L), 3.3 (XL)Pass
    Physical Properties After Accelerated Aging (ASTM D3578-19)Tensile Strength = 14 MPa, min.; Ultimate Elongation = 500 % minTensile Strength: 15.3 (S), 17.3 (M), 16.9 (L), 17.4 (XL); Ultimate Elongation: 856.4 (S), 890.8 (M), 1077.3 (L), 956.8 (XL)Pass
    Residual Powder (ASTM D6124-06)
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    K Number
    K212182
    Date Cleared
    2021-12-11

    (151 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Iconic Medicare Sdn Bhd

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

    This non-powdered 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.

    Device Description

    The subject device in this 510(k) Notification is Iconic Nitrile Glove - Powder Free Nitrile Examination Glove. The subject device is a patient examination glove made from Nitrile compound, Blue color, powder free and non-sterile (Per 21 CFR 880.6250, class I). The device meets the specifications in ASTM D6319-19 Standard specification for Nitrile Examination Gloves. The available sizes of the subject devices are Small, Medium, Large, X-Large.

    AI/ML Overview

    The provided text describes the acceptance criteria and the results of a study for the "Iconic Nitrile Glove," a non-powdered patient examination glove.

    Here's the breakdown of the requested information:

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

    Characteristics/Test MethodologyPurposeAcceptance CriteriaReported Device Performance (Average Results)Final Status
    Freedom from hole - ASTM D5151-19Freedom from holeAQL 2.5Non sterile (for all sizes: Small, Medium, Large, X-Large)Pass
    DimensionsOverall Length (mm)Min 230mmSmall: 234.9, Medium: 246, Large: 236.5, X-Large: 241.0Pass
    DimensionsWidth (±10mm)Small - 80, Medium- 95, Large-110, X-large-120Small: 84.7, Medium: 97.4, Large: 106.4, X-Large: 114.6Pass
    DimensionsThickness at PalmMin: 0.05 mmSmall: 0.10, Medium: 0.06, Large: 0.08, X-Large: 0.09Pass
    DimensionsThickness at FingertipMin: 0.05 mmSmall: 0.12, Medium: 0.10, Large: 0.13, X-Large: 0.13Pass
    ASTM D6319-19 (Before Aging)Physical properties before aging - Tensile Strength14 MPa, min.Small: 21.2, Medium: 25, Large: 18.9, X-Large: 18.4Pass
    ASTM D6319-19 (Before Aging)Physical properties before aging - Ultimate Elongation500 % minSmall: 896.3, Medium: 893.8, Large: 919.7, X-Large: 930.9Pass
    ASTM D6319-19 (After Accelerated Aging)Physical properties after accelerated aging - Tensile Strength14 MPa, min.Small: 23.5, Medium: 26.8, Large: 22.2, X-Large: 19.3Pass
    ASTM D6319-19 (After Accelerated Aging)Physical properties after accelerated aging - Ultimate Elongation400 % minSmall: 879.2, Medium: 787.9, Large: 855.3, X-Large: 858.6Pass
    Powder-free Residue - ASTM D6124-06Powder-free Residue
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