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510(k) Data Aggregation

    K Number
    K171378
    Date Cleared
    2017-09-14

    (127 days)

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

    This device is an ambidextrous patient examination glove that is a non-sterile, single use, disposable device intended for medical purposes, worn on the examiner's hand or finger to prevent contamination between patient and examiner. The tested chemotherapy drugs are:

    Carmustine (BCNU) (3.3 mg/ml). Permeation time: Carmustine (BCNU) has extremely low permeation times of 14.7 minutes.

    Cisplatin (1.0 mg/ml). Permeation time: no breakthrough up to 240 minutes
    Cyclophosphamide (Cytoxan) (20.0 mg/ml). Permeation time: no breakthrough up to 240 minutes
    Cytarabine (100 mg/ml). Permeation time: no breakthrough up to 240 minutes
    Dacarbazine (DTIC) (10.0 mg/ml). Permeation time: no breakthrough up to 240 minutes
    Doxorubicin Hydrochloride (2.0 mg/ml). Permeation time: no breakthrough up to 240 minutes
    Etoposide (20.0 mg/ml). Permeation time: no breakthrough up to 240 minutes
    Fluorouracil (50.0 mg/ml). Permeation time: no breakthrough up to 240 minutes
    Ifosfamide (50.0 mg/ml). Permeation time: no breakthrough up to 240 minutes
    Methotrexate (25.0 mg/ml). Permeation time: no breakthrough up to 240 minutes
    Mitomycin C (0.5 mg/ml). Permeation time: no breakthrough up to 240 minutes
    Mitoxantrone (2.0 mg/ml). Permeation time: no breakthrough up to 240 minutes
    Paclitaxel (Taxol) (6.0 mg/ml). Permeation time: no breakthrough up to 240 minutes
    Thiotepa (10.0 mg/ml). Permeation time: Thiotepa has extremely low permeation times of 13.6 minutes
    Vincristine Sulfate (1.0 mg/ml). Permeation time: no Breakthrough up to 240 minutes

    DO NOT USE WITH CARMUSTINE OR THIOTEPA

    Device Description

    The Non-Sterile, Single use, Powder-free Examination glove, Blue, tested for use with Chemotherapy Drugs is provided in blue. It meets all the requirements of ASTM D6319-10. It is a medical glove which is a disposable device intended for medical purpose that is worn on the examiner's hand or finger to prevent contamination between examiner and patient. In addition, these gloves were tested for use with chemotherapy drugs per ASTM D6978-05 Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drug.

    AI/ML Overview

    This document is a 510(k) premarket notification for a medical device, specifically non-sterile examination gloves tested for use with chemotherapy drugs. It is a declaration of substantial equivalence to a predicate device and therefore does not include a study to "prove the device meets acceptance criteria" in the way a clinical trial or algorithm validation study would. Instead, it presents information to demonstrate that the new device shares similar characteristics and performs comparably to a device already legally marketed.

    Here's an analysis based on the information provided, framed to address your request for acceptance criteria and study details where applicable:

    1. Table of Acceptance Criteria and Reported Device Performance

    It's important to note that for this type of device (patient examination gloves), "acceptance criteria" primarily relate to compliance with established industry standards for glove properties and permeation resistance. The document doesn't explicitly state numerical acceptance criteria for all aspects in a centralized table, but rather implies compliance with ASTM standards and compares performance to a predicate device.

    However, we can extract the key performance metrics and their "acceptance" (or rather, "demonstrated") values, particularly for chemotherapy drug permeation resistance.

    CategoryAcceptance Criteria (Implied by Standards & Predicate)Reported Device Performance (Subject Device)
    General Glove StandardsCompliance with ASTM D6319-10 (Standard Specification for Nitrile Examination Gloves for Medical Application)Meets all requirements of ASTM D6319-10.
    Chemotherapy Drug PermeationPermeation resistance as per ASTM D6978-05 (Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs)Carmustine (BCNU) (3.3 mg/ml): Permeation time: 14.7 minutes. Cisplatin (1.0 mg/ml): Permeation time: no breakthrough up to 240 minutes. Cyclophosphamide (Cytoxan) (20.0 mg/ml): Permeation time: no breakthrough up to 240 minutes. Cytarabine (100 mg/ml): Permeation time: no breakthrough up to 240 minutes. Dacarbazine (DTIC) (10.0 mg/ml): Permeation time: no breakthrough up to 240 minutes. Doxorubicin Hydrochloride (2.0 mg/ml): Permeation time: no breakthrough up to 240 minutes. Etoposide (20.0 mg/ml): Permeation time: no breakthrough up to 240 minutes. Fluorouracil (50.0 mg/ml): Permeation time: no breakthrough up to 240 minutes. Ifosfamide (50.0 mg/ml): Permeation time: no breakthrough up to 240 minutes. Methotrexate (25.0 mg/ml): Permeation time: no breakthrough up to 240 minutes. Mitomycin C (0.5 mg/ml): Permeation time: no breakthrough up to 240 minutes. Mitoxantrone (2.0 mg/ml): Permeation time: no breakthrough up to 240 minutes. Paclitaxel (Taxol) (6.0 mg/ml): Permeation time: no breakthrough up to 240 minutes. Thiotepa (10.0 mg/ml): Permeation time: 13.6 minutes. Vincristine Sulfate (1.0 mg/ml): Permeation time: no breakthrough up to 240 minutes. Important Note: Labeling indicates "DO NOT USE WITH CARMUSTINE OR THIOTEPA" due to their extremely low permeation times.
    MaterialNitrileNitrile
    BiocompatibilityNot a primary irritant and not a contact sensitizer.Not a primary irritant and not a contact sensitizer under conditions of the study.

    2. Sample Size Used for the Test Set and Data Provenance

    This document describes a medical device, which is a physical product (gloves). The "test set" in this context refers to the samples of gloves subjected to various physical and chemical tests, not a dataset for an AI algorithm.

    • Sample Size: Not explicitly stated as a single number. However, the use of standards like ASTM D6319-10, ASTM D6978-05, ASTM D5151-06, ISO 2859-1 (for sampling procedures), ASTM D412-16, ASTM D3767-03, and ASTM D573-04 implies that samples were chosen and tested in accordance with the methodologies prescribed by these standards, which define specific sample sizes for their respective tests (e.g., number of gloves for permeation, tensile strength, barrier integrity, etc.).
    • Data Provenance: The document states the device is manufactured by "SEMPERIT INVESTMENTS ASIA PTE. LTD." located in Singapore and mentions "Made in Malaysia" on the labeling. The testing was conducted to international (ISO) and U.S. (ASTM) standards. This indicates the testing was likely conducted in an approved laboratory, possibly in Malaysia or another location accredited to perform these tests to the specified standards. The data is prospective in the sense that the new device was specifically manufactured and tested to demonstrate its properties.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    This question is not applicable to this type of device submission. There isn't "ground truth" established by human experts in the context of diagnostic imaging or clinical assessment. The "truth" here is determined by objective, measurable physical and chemical properties as defined by the ASTM and ISO standards for examination gloves and their resistance to chemicals.

    4. Adjudication Method for the Test Set

    Not applicable. Physical and chemical tests typically follow predefined protocols. The results are quantitative measurements or qualitative observations reported by the testing laboratory, not subject to human adjudication in the way medical diagnoses are.

    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/software device. There are no "human readers" to compare performance with or without AI assistance.

    6. If a Standalone (i.e. algorithm only without human-in-the-loop performance) Was Done

    Not applicable. This is not an algorithm or AI device.

    7. The Type of Ground Truth Used (expert consensus, pathology, outcomes data, etc.)

    The "ground truth" for this device relies on:

    • Defined Standards: Compliance with physical, mechanical, and chemical resistance properties as outlined in the referenced ASTM and ISO standards (e.g., ASTM D6319-10 for general glove properties, ASTM D6978-05 for chemotherapy drug permeation).
    • Objective Measurement: Permeation times for chemotherapy drugs are determined through laboratory testing using established scientific methods, typically involving detection of the drug on the "inside" surface of the glove material after a certain exposure time. Similar objective measurements are used for tensile strength, barrier integrity, dimensions, etc.

    8. The Sample Size for the Training Set

    Not applicable. This is not an AI/machine learning device that requires a training set.

    9. How the Ground Truth for the Training Set Was Established

    Not applicable, as there is no training set for this device.

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    K Number
    K160781
    Date Cleared
    2017-05-02

    (406 days)

    Product Code
    Regulation Number
    878.4460
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Sterile Powder Free Synthetic Rubber Gloves is a single use disposable device intended to be worn by operating room personnel to protect a surgical wound from contamination.

    Device Description

    Sempermed Syntegra IR is a sterile powder-free surgeon glove. It is a disposable device made of synthetic polyisoprene rubber inside coated with synthetic material to ease donning the glove. This glove is intended to be worn on hands, usually in surgical settings, to provide a barrier against potentially infectious materials and other contaminants.

    AI/ML Overview

    The document describes the acceptance criteria and performance of the "Sempermed Syntegra IR, Sterile Powder Free Synthetic Rubber Surgeons Gloves." The device is a surgical glove, and its performance is evaluated against ASTM standards and ISO standards for biocompatibility.

    Here's a breakdown of your requested information:

    1. Table of Acceptance Criteria and Reported Device Performance:

    CharacteristicStandard / Acceptance CriteriaReported Device Performance (Sempermed Syntegra IR)
    DimensionsASTM 3577-09Meets standard requirements
    Physical PropertiesASTM 3577-09Meets standard requirements
    ThicknessASTM 3577-09Meets standard requirements
    Tear Strength (min 0.10mm)$\leq$ 0.10 mmMin 0.10 mm
    Physical Properties Before Aging:ASTM D3577Meets
    - Tensile Strength$\geq$ 17 MPa17 MPa min
    - Ultimate Elongation650 % min650% min
    - Stress at 500% Elongation$\leq$ 7.0 MPa7.0 MPa
    Physical Properties After Aging:ASTM D3577Meets
    - Tensile Strength$\geq$ 12 MPa12 MPa min
    - Ultimate Elongation490 % min490 % min
    Powder FreeASTM D6124-06: Requirements of $\leq$ 2 mg/glove for Powder-Free designation per ASTM D3577Meets; Requirements of $\leq$ 2 mg/glove for Powder-Free designation per ASTM D3577
    Sterile-Sterile
    Biocompatibility:
    - Primary Skin IrritationISO 10993-10:2002/Amd 1:2006(E) Biological evaluation of medical devices – Part 10: Tests for irritation and delayed-type hypersensitivity – Amendment 1:2006-07-15Pass; Under the conditions of the studies, the device is non-irritating
    - Dermal SensitizationISO 10993-10:2002/Amd 1:2006(E) Biological evaluation of medical devices – Part 10: Tests for irritation and delayed-type hypersensitivity – Amendment 1:2006-07-15Pass; Under the conditions of the studies, the device is a non-sensitizer
    WatertightASTM D 5151: Passes ASTM D3577 when tested in accordance with ASTM 5151 Inspection Level 1, AQL 1.5Pass; Passes ASTM D3577 when tested in accordance with ASTM 5151 Inspection Level 1, AQL 1.5
    Intended UseA surgeon's glove is a device made of natural or synthetic rubber intended to be worn by operating room personnel to protect a surgical wound from contamination.The Sterile Powder Free Synthetic Rubber Gloves is a single use disposable device intended to be worn by operating room personnel to protect a surgical wound from contamination.
    Material-Synthetic Rubber
    Innercoating-Synthetic
    Color-Crème (Similar to Predicate's Natural White)
    Texture-Textured (Micro-rough)
    Size-5½, 6, 6½, 7, 7½, 8, 8½, and 9

    Detailed Study Information:

    The provided document is a 510(k) Premarket Notification summary for a medical device (surgical gloves). It focuses on demonstrating substantial equivalence to a previously cleared predicate device, rather than a clinical study proving device effectiveness in a diagnostic or treatment context. Therefore, many of the questions regarding clinical study design (sample size for test/training sets, experts, MRMC, etc.) are not applicable to this type of submission.

    Here's what can be inferred from the document:

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

    • Not Applicable in the traditional sense of a diagnostic/AI test set. The "test set" here refers to samples of the manufactured gloves used for physical and biocompatibility testing. The document does not specify the sample sizes for these tests, but they would be governed by the respective ASTM and ISO standard methodologies (e.g., AQL for watertight testing).
    • Data Provenance: Not specified, but the manufacturing company is Semperit Investment Asia Pte. Ltd. (Singapore), and the standards applied are international (ASTM, ISO). The tests would likely be conducted by the manufacturer or a certified testing laboratory.

    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. For physical and biocompatibility testing of surgical gloves, "ground truth" is established by adherence to standardized measurement and analytical protocols defined by ASTM and ISO organizations, not by expert consensus in the diagnostic sense.

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

    • Not Applicable. Adjudication methods are typically for subjective assessments or when there's disagreement among human readers/experts. These tests involve objective measurements and chemical/biological assays.

    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 physical device (surgical glove), not an AI diagnostic tool.

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

    • Not Applicable. This is a physical device (surgical glove), not an algorithm.

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

    • The "ground truth" for the performance claims about the surgical glove is established by adherence to objective, standardized measurements and biological assays as defined by the referenced ASTM and ISO standards (e.g., tensile strength, elongation, powder content, skin irritation, sensitization, watertightness).

    8. The sample size for the training set

    • Not Applicable. This is not an AI/machine learning device that requires a training set.

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

    • Not Applicable. As above, no training set for an AI model.

    In summary: The document demonstrates that the "Sempermed Syntegra IR, Sterile Powder Free Synthetic Rubber Surgeons Gloves" meets established performance standards for surgical gloves, primarily by demonstrating its physical characteristics and biocompatibility conform to ASTM and ISO specifications. The evaluation is focused on non-clinical performance data to show substantial equivalence to a legally marketed predicate device, rather than a clinical comparative study or an AI algorithm validation.

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