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510(k) Data Aggregation

    Why did this record match?
    Device Name :

    Disposable Powder Free Nitrile Examination Glove, Blue Color, Tested For Use With Chemotherapy Drugs,

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

    A patient examination gloves is a disposable device intended for medical purpose that is worn on the examiner's hand or fingers to prevent contamination between patient and examiner. In addition, these gloves were tested for use with chemotherapy drugs, fentanyl citrate, xylazine, gastric acid, fentanyl in gastric acid and xylazine in gastric acid in accordance with ASTM D6978-05 Standard Practice for Assessment of Resistance of Medical gloves to Permeation by Chemotherapy Drugs.

    Warning: do not use with Carmustine and Thiotepa.

    The maximum testing time is 240 minutes. Please note that the following drug has an extremely low permeation time:

    • Carmustine (BCNU) 3.3 mg/ml 21.5 minutes
    • Thiotepa 10.0 mg/ml 13.6 minutes
    Device Description

    "Disposable Powder Free Nitrile Examination Glove, Blue Color, Tested For Use With Chemotherapy Drugs, Fentanyl Citrate, Xylazine, Gastric acid, Fentanyl in Gastric acid and Xylazine in Gastric acid" is a patient examination glove made from nitrile compound, non-sterile (as per 21 CFR 880.6250, Class I). The principle operation of this medical device is to provide single use barrier protection for the wearer and the device meets the specifications for Barrier Protection and tensile properties as defined in ASTM D6319-19, Standard specification for Nitrile Examination Gloves.

    AI/ML Overview

    The provided document is an FDA 510(k) clearance letter for a medical device: "Disposable Powder Free Nitrile Examination Glove, Blue Color, Tested For Use With Chemotherapy Drugs, Fentanyl Citrate, Xylazine, Gastric acid, Fentanyl in Gastric acid and Xylazine in Gastric acid."

    This is a physical medical device (a glove), not a software device or an AI/ML algorithm. Therefore, many of the requested categories related to AI/ML model validation (e.g., sample size for test set, data provenance, number of experts for ground truth, adjudication methods, MRMC studies, standalone performance, training set details) are not applicable to this type of FDA submission.

    The document assesses the device's physical properties and its resistance to permeation by various hazardous substances. The "acceptance criteria" and "study that proves the device meets the acceptance criteria" refer to bench testing against established ASTM and CFR standards for medical gloves.

    Here's the breakdown of the relevant information from the document, tailored to the nature of this device:


    Acceptance Criteria and Device Performance for Disposable Nitrile Examination Gloves

    1. Table of Acceptance Criteria and Reported Device Performance

    The device (Disposable Powder Free Nitrile Examination Glove, Blue Color) was tested against several physical and chemical permeation standards. The acceptance criteria and results are outlined in the "Assessment of Non-Clinical Performance Data" section (Page 17-19) and the "Indications for Use" section (Page 4-5) and summarized within the "510(k) Summary" (Page 7-11).

    TestTest MethodPurposeAcceptance CriteriaResults
    DimensionASTM D6319-19Determine the geometrical dimension of glovesLength: Short cuff: ≥230mm; Long cuff: ≥300mm
    Thickness: Palm: ≥ 0.05 mm; Finger: ≥ 0.05 mm; Cuff: ≥ 0.05 mm
    Palm Width: XS: 70 ± 10 mm; S: 80 ± 10 mm; M: 95 ± 10 mm; L: 110 ± 10 mm; XL: 120 ± 10 mmPass
    Freedom from holes (Water leak)21 CFR 800.20. & ASTM D5151-19Detect the holes on the gloves.G-I/ AQL 2.5Pass
    Tensile strength (Before aging/ After aging)ASTM D6319-19Evaluate the tensile (tension) properties of the gloves. In addition, it also determines the influence of elevated temperature on the physical properties of gloves.Before Aging: ≥14MPa
    After Aging: ≥14MPaPass
    Elongation (Before aging/ After aging)ASTM D6319-19Related to tensile properties, measures stretchiness.Before Aging: ≥500%
    After Aging: ≥400%Pass
    Powder ResidualASTM D6319-19Determine the average powder mass found on the gloves< 2mg per glovePass
    Biocompatibility - CytotoxicityAAMI/ANSI/ISO 10993-5Determine the cytotoxicity potential of gloveNo in vitro cytotoxic as described in ISO 10993-5Pass
    Biocompatibility - Skin Sensitization and IrritationAAMI/ANSI/ISO 10993-10Determine the potential of glove to promote skin sensitization after repeated applications.
    Determine the potential of gloves to promote skin irritation after repeated applications.No dermal reactions indicative of delayed contact hypersensitivity
    No skin irritation, cumulative irritation index to be 0.Pass
    Resistance of Gloves to Permeation by Chemotherapy and Other Liquid Hazardous Drugs, and Non-drugs SolutionASTM D6978-05Assessment of medical gloves to permeation by chemotherapy and other liquid hazardous drugs, and non-drugs solution.The resistance of the device to permeation were challenged against 59 hazardous drugs and 1 non-drugs simulated solution.
    General Acceptance Standard (Implicit): Maintain barrier protection for a minimum period. The tables on pages 4-5 and 7-11 list Minimum Breakthrough Detection Time (Min.) for each substance. For most substances, the acceptance criterion was ">240 minutes", meaning no breakthrough occurred within the 240-minute test period. For Carmustine and Thiotepa, specific breakthrough times (21.5 and 13.6 minutes, respectively) were observed and noted as limitations/warnings.Pass

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

    • Sample Size: The document does not explicitly state numerical sample sizes for each specific test (e.g., how many gloves were tested for a burst, tensile, or permeation). However, it implies that testing was conducted according to the specified ASTM and FDA methodologies, which inherently define minimum sample sizes for material testing (e.g., AQL levels for freedom from holes).
    • Data Provenance: The tests are "bench testing" conducted on physical glove samples. The manufacturer is "Ever Global (Vietnam) Enterprise Corporation" from Vietnam, so the testing was likely conducted in accordance with international standards at a facility associated with the manufacturer or a certified testing lab. The data is non-clinical performance data from laboratory experiments, not patient data.

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

    • Not Applicable. As this is a physical device subject to material property and permeation testing, "ground truth" is established by adherence to physical measurement standards and chemical analysis protocols (e.g., ASTM D6319-19 for physical properties, ASTM D6978-05 for permeation). No human expert interpretation or consensus is required to establish the "truth" of a chemical breakthrough time or tensile strength value.

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

    • Not Applicable. Adjudication methods are relevant in subjective human interpretation tasks (e.g., radiology image reading). For objective bench testing of physical properties, results are determined by instrumentation and adherence to standardized protocols, not human 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. MRMC studies are used for evaluating the impact of AI on human reader performance, typically in medical imaging. This is a physical glove, not an AI-assisted 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, not an algorithm.

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

    • The "ground truth" is established through objective, standardized laboratory measurement methods as defined by the referenced ASTM (American Society for Testing and Materials) and CFR (Code of Federal Regulations) standards.
      • For physical properties (Dimensions, Tensile Strength, Elongation, Powder Residual, Freedom from Holes), the ground truth is the measured physical values against the defined thresholds in ASTM D6319-19 and 21 CFR 800.20 & ASTM D5151-19.
      • For chemical permeation (Resistance to Hazardous Drugs), the ground truth is the measured breakthrough time determined by chemical analysis according to ASTM D6978-05.
      • For Biocompatibility, the ground truth is the biological response (cytotoxicity, dermal reactions) as measured per AAMI/ANSI/ISO 10993-5 and 10993-10 standards.

    8. The sample size for the training set:

    • Not Applicable. This is a physical product, not a machine learning model; therefore, there is no "training set." The product's design and manufacturing process are developed through engineering and material science, not data training.

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

    • Not Applicable. As there is no training set for this physical device.
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    K Number
    K243796
    Manufacturer
    Date Cleared
    2025-06-03

    (175 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    GLOVEONE™ Powder-Free Nitrile Examination Gloves – Non-sterile [Tested for use with Chemotherapy Drugs

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended 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 per ASTM D6978-05 (Reapproved 2019) Standard Practices for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.

    Device Description

    GLOVEONE™, Powder-Free Nitrile Examination Gloves – Non-sterile [Tested for Use with Chemotherapy Drugs and Fentanyl] are Class I patient examination gloves, bearing the product codes LZA, LZC, OPJ, QDO (21 CFR 880.6250). They meet all current specifications listed under the ASTM D6319-19 (2023), Standard Specification for Nitrile Examination Gloves for Medical Application and comply with requirements for Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs per ASTM D6978-05. The powder-free gloves are made from Nitrile (NBR) latex and are green in color. The product is non-sterile, fingertip textured, ambidextrous with beaded cuff, and single use only. The product is not manufactured using natural rubber latex.

    GLOVEONE™, Powder-Free Nitrile Examination Gloves – Non-sterile [Tested for Use with Chemotherapy Drugs and Fentanyl] include glove sizes: X-Small, Small, Medium, Large, and X-Large.

    AI/ML Overview

    This document is a 510(k) clearance letter for medical examination gloves and contains no information about an AI/ML powered device. Therefore, it's impossible to extract the requested information related to acceptance criteria, study details (sample sizes, data provenance, expert ground truth), MRMC studies, or standalone algorithm performance.

    The provided text focuses on the performance characteristics of gloves (e.g., resistance to chemotherapy drugs, physical dimensions, biocompatibility) and their substantial equivalence to a predicate device.

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    K Number
    K250578
    Date Cleared
    2025-04-01

    (33 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Nitrile Examination Gloves Powder Free Tested for Use With Chemotherapy Drugs & Fentanyl Citrate (Blue

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    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.

    AI/ML Overview

    The provided FDA 510(k) clearance letter pertains to Nitrile Examination Gloves Powder Free Tested for Use With Chemotherapy Drugs & Fentanyl Citrate (Blue & Black), a medical device. This type of device is classified as a Class I medical device and does not involve AI/ML technology. Therefore, many of the requested categories related to AI/ML device studies (e.g., sample sizes for test/training sets, ground truth establishment, MRMC studies, standalone performance, expert qualifications, adjudication methods, effect sizes) are not applicable.

    The acceptance criteria and device performance are primarily evaluated based on material properties, chemical permeation resistance, and biocompatibility, using established ASTM and ISO standards for examination gloves.

    1. Table of Acceptance Criteria and Reported Device Performance

    The device, "NITRILE EXAMINATION GLOVES POWDER FREE TESTED FOR USE WITH CHEMOTHERAPY DRUGS & FENTANYL CITRATE (BLUE & BLACK)", was tested against various physical, chemical, and biological criteria.

    Test CategoryCharacteristic / StandardAcceptance CriteriaReported Device Performance (Result)
    PreambleProduct CodeLZA, LZC, QDO, OPJLZA, LZC, QDO, OPJ
    Intended UseTo prevent contamination between patient and examinerMeets stated intended use
    DesignPowder Free, Non-Sterile, Ambidextrous, Beaded CuffPowder Free, Non-Sterile, Ambidextrous, Beaded Cuff
    ConstructionAmbidextrous, Polymer Coated or Chlorinated, Powder Free NitrileAmbidextrous, Polymer Coated or Chlorinated, Powder Free Nitrile
    Color DescriptionBlue & BlackBlue & Black
    MaterialNitrileNitrile
    Single UseYesYes
    PackagingPacked in Dispenser BoxesPacked in Dispenser Boxes
    SterilityNon-SterileNon-Sterile
    Freedom From HolesASTM D6319-19, ASTM D5151-19Meet requirement inspection level G-1, AQL 2.5Pass
    DimensionASTM D6319-19Length (XS), min. 220mmMeet 220mm min
    Length (S, M, L, XL), min. 230mmMeet 230mm min
    Thickness (palm/finger), min. 0.05mmMeet 0.05mm min
    Width (XS), 70 ± 10 mmMeet 70 ± 10 mm
    Width (S), 80 ± 10 mmMeet 80 ± 10 mm
    Width (M), 95 ± 10 mmMeet 95 ± 10 mm
    Width (L), 110 ± 10 mmMeet 110 ± 10 mm
    Width (XL), 120 ± 10 mmMeet 120 ± 10 mm
    Physical Properties (Before Ageing)ASTM D6319-19Tensile Strength, 14 MPa min.Meet 14MPa min.
    Ultimate Elongation, 500% min.Meet 500% min.
    Physical Properties (After Accelerated Aging)ASTM D6319-19Tensile Strength, 14 MPa min.Meet 14MPa min.
    Ultimate Elongation, 400% min.Meet 400% min.
    Residual Powder ContentASTM D6319-19, ASTM D6124-06Not more than 2 mg per gloveMeet 2mg/glove max.
    Biocompatibility - Primary Skin IrritationISO 10993-10Not a primary skin irritantPass (did not cause an irritant response)
    Biocompatibility - Skin SensitizationISO 10993-10Not a contact sensitizerPass (did not produce a skin sensitization effect)
    Biocompatibility - In Vitro CytotoxicityISO 10993-5:2009No adverse biological reactionModerate cytotoxicity reactivity at 6.0 cm²/mL extract concentrations and no cytotoxicity reactivity at 3.0 cm²/mL extract concentrations.
    Biocompatibility - Acute Systemic ToxicityISO 10993-11No adverse biological reactionPass (no adverse biological reaction)
    Chemotherapy Drug PermeationASTM D6978-05 (Reapproved 2019)Varies by drug (Breakthrough Detection Time)See detailed table below

    Detailed Chemotherapy Drug and Fentanyl Citrate Permeation Performance:

    Chemotherapy Drugs and Fentanyl CitrateConcentrationMinimum Breakthrough Detection Time (minutes) - Blue GloveMinimum Breakthrough Detection Time (minutes) - Black Glove
    *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
    *Warning: Do not use with Carmustine and Thiotepa due to extremely low permeation times.

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

    The document does not explicitly state the exact sample sizes for each test (e.g., number of gloves tested for permeation, holes, dimensions, etc.) but refers to adherence to the methodologies outlined in the specified ASTM and ISO standards. These standards typically define minimum sample sizes for material testing.

    • Data Provenance: The document states the applicant is from Malaysia (Careglove Global Sdn. Bhd.). The testing was conducted according to international standards (ASTM, ISO), implying the tests were performed in a controlled laboratory environment, likely by the manufacturer or a contracted lab. The data is non-clinical and derived from prospective testing of manufactured glove samples.

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

    Not applicable. This device is not an AI/ML device that requires expert review for "ground truth" establishment in the context of diagnostic or interpretive tasks. The "ground truth" for material properties is established by the physical and chemical measurements themselves, according to standardized protocols and certified laboratory equipment.

    4. Adjudication Method for the Test Set

    Not applicable. This device is not an AI/ML device that requires adjudication for interpretations. Test results are objective measurements against predefined criteria.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    Not applicable. MRMC studies are relevant for diagnostic or interpretive AI/ML devices where human readers' performance is evaluated with and without AI assistance. This is a physical and chemical barrier device.

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

    Not applicable. This device is a passive physical barrier and does not involve any algorithms or software.

    7. The Type of Ground Truth Used

    The "ground truth" for this device is based on objective measurements of physical properties (e.g., length, thickness, tensile strength, elongation), chemical resistance (breakthrough detection time), and biological reactivity (biocompatibility tests), as defined by internationally recognized standards (ASTM, ISO). There is no subjective human "ground truth" in this context.

    8. The Sample Size for the Training Set

    Not applicable. This is not an AI/ML device that undergoes "training."

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

    Not applicable. This is not an AI/ML device. The manufacturing process of the gloves is designed to meet the specified standards, and quality control ensures consistency, but this is not "training" in the context of AI/ML.

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    Device Name :

    Powder Free Nitrile Examination Gloves (Violet, Black, Green), Tested for Use with Chemotherapy Drugs

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

    The glove is a disposable device intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner. Gloves have been tested for use with chemotherapy drugs, Fentanyl Citrate and Other Select Drugs using ASTM D6978-05(2019)

    Device Description

    Powder Free Nitrile Examination Gloves (Violet, Black, Green), Tested for Use with Chemotherapy Drugs, Fentanyl Citrate and Select Other Drugs Are Class I Patient Examination Gloves and Specialty Chemotherapy Gloves. They are ambidextrous and come in different sizes - Extra Small, Medium, Large, Extra Large and XXL, Gloves meet the specification of ASTM D6319 and have been tested for resistance to permeation by chemotherapy drugs, Fentanyl Citrate and Select Other Drugs as per ASTM D6978. The gloves are single use, disposable, and non-sterile.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the Powder Free Nitrile Examination Gloves:

    1. Table of Acceptance Criteria and Reported Device Performance:

    MethodologyPurposeAcceptance CriteriaReported Device Performance
    ASTM D6319- 19To determine the length of the glovesXS: ≥ 220 mm; S: ≥ 220 mm; M: ≥ 230 mm; L: ≥ 230 mm; XL: ≥ 230 mm; XXL: ≥ 230 mmPass
    ASTM D6319- 19To determine the Physical Dimensions (Palm Width)XS: 70±10mm; S: 80±10mm; M: 95±10mm; L:110±10mm; XL:120±10mm; XXL:130±10mmPass
    ASTM D6319- 19To determine the Physical Dimensions (Thickness)Finger: 0.05mm (min); Palm: 0.05mm (min)Pass
    ASTM D6319- 19, ASTM D412-16(2021)To determine the Physical PropertiesTensile Strength (Min 14 MPa) and Elongation (Before Aging 500% and after aging 400%) MinPass
    ASTM D6319- 19, ASTM D6124-06 (2022)To determine the Powder ResidueMax 2mg/glovePass
    ISO 10993 Part 10-2021Skin Sensitization TestingUnder the conditions of the study, the device is not a sensitizerUnder the conditions of this protocol, the test article did not elicit a sensitization response.
    ISO 10993 Part 23-2021Skin irritation TestingUnder the conditions of the study, the device is not an irritantThe test result showed that the requirements of the ISO Intracutaneous Reactivity Test have been met by the test article.
    ISO 10993-5:2009Cytotoxicity testingNo Cytotoxicity reactivityThe test article is considered cytotoxic under the conditions of this test. Cytotoxicity concern was addressed by Acute Systemic Injection Test.
    ISO 10993-11:2017Acute systemic toxicity studyNo systemic toxicityThe test result indicates that the requirements of the ISO Acute Systemic Injection Test have been met by the test article.
    ASTM D6978-05 (Reapproved 2019)Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy DrugsMinimum Breakthrough Detection Time for various chemotherapy drugs, Fentanyl Citrate, and other select drugs (specific values listed in the "Indications for Use" and "Chemotherapy Permeation, Fentanyl Citrate, and Select Other Drugs Comparison Claim" tables).See detailed breakthrough times in original document, with most being >240 minutes, except for Carmustine and Thiotepa which have lower breakthrough times (e.g., Carmustine 11.7-15.3 min, Thiotepa 15.4-36.4 min).

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

    The document does not explicitly state the sample sizes used for each specific test (e.g., number of gloves tested for length, width, thickness, etc.). However, the tests were conducted according to established ASTM and ISO standards, which typically specify appropriate sample sizes for such evaluations.

    • Provenance: This information is not directly stated. The tests were conducted according to international standards (ASTM and ISO). The manufacturing company is Lingshi Hongruida Health Protection Technology Co., Ltd. located in Jinzhong, Shanxi, China. It is highly probable that the testing was performed in a laboratory either in China or an accredited facility capable of performing these international standard test methods. The study appears to be retrospective as it involves the testing of a finished device against established performance criteria.

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

    This information is not applicable. The device is a physical product (nitrile gloves), and its performance is evaluated against objective, measurable criteria defined by established engineering and biological safety standards (ASTM and ISO), not subjective expert interpretation of medical images or patient data. The "ground truth" is derived from direct measurements and laboratory analyses, not expert consensus.

    4. Adjudication Method for the Test Set:

    This information is not applicable. As the testing involved objective physical and chemical performance standards, there was no need for expert adjudication. The results were quantifiable measurements against pre-defined acceptance criteria.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done:

    No, an MRMC comparative effectiveness study was not done. This type of study is typically used for diagnostic or screening devices involving human interpretation of medical data (e.g., radiologists reading images). This product is a medical glove, and its effectiveness is determined through standardized physical, chemical, and biological testing.

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

    Yes, the studies conducted are standalone performance evaluations of the physical glove itself, without any human-in-the-loop component in the evaluation of its core performance characteristics (e.g., tensile strength, resistance to chemical permeation, cytotoxicity). The testing directly measured the attributes of the glove.

    7. The Type of Ground Truth Used:

    The ground truth for this device's performance evaluation is based on established objective technical standards and laboratory measurements. Specifically:

    • Physical properties (length, width, thickness, tensile strength, elongation) are measured directly according to ASTM D6319-19 and ASTM D412-16(2021).
    • Chemical resistance (chemotherapy drug permeation) is measured according to ASTM D6978-05 (Reapproved 2019).
    • Biocompatibility (skin sensitization, irritation, cytotoxicity, systemic toxicity) is evaluated through laboratory tests following ISO 10993 series standards.
    • Freedom from holes is evaluated by ASTM D5151-19.
    • Powder residue is evaluated by ASTM D6124-06 (Reapproved 2022).

    8. The Sample Size for the Training Set:

    This information is not applicable. This device is a physical product, not an AI/ML algorithm. Therefore, there is no "training set" in the context of machine learning. The manufacturing process and quality control would involve statistical sampling typical for medical device production.

    9. How the Ground Truth for the Training Set was Established:

    This information is not applicable, as there is no training set for this type of device.

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    Device Name :

    Disposable Powder Free Nitrile Examination Glove, Blue Color, Tested For Use With Chemotherapy Drugs

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

    A patient examination gloves is a disposable device intended for medical purpose that is worn on the examiner's hand or fingers to prevent contamination between patient and examiner. In addition, these gloves were tested for use with chemotherapy drugs, fentanyl citrate, and xylazine in accordance with ASTM D6978-05 Standard Practice for Assessment of Resistance of Medical gloves to Permeation by Chemotherapy Drugs.

    Device Description

    "Disposable Powder Free Nitrile Examination Glove, Blue Color, Tested For Use With Chemotherapy Drugs And Fentanyl Citrate And Xylazine" is a patient examination glove made from nitrile compound, non-sterile (as per 21 CFR 880.6250, Class I). The principle operation of this medical device is to provide single use barrier protection for the wearer and the device meets the specifications for Barrier Protection and tensile properties as defined in ASTM D6319-19, Standard specification for Nitrile Examination Gloves.

    AI/ML Overview

    The provided document is a 510(k) Premarket Notification for a Disposable Powder Free Nitrile Examination Glove, Blue Color, Tested For Use With Chemotherapy Drugs and Fentanyl Citrate and Xylazine.

    This device is a Class I medical device (non-powered patient examination glove). For devices in this class, the FDA typically does not require a clinical performance study with human subjects. Instead, evidence of substantial equivalence to a predicate device is primarily demonstrated through non-clinical performance data (bench testing).

    Therefore, the requested information regarding AI device acceptance criteria, MRMC studies, ground truth establishment, training sets, and expert adjudication are not applicable to this particular device submission. This document describes the performance of a physical examination glove, not an AI or imaging device.

    However, I can extract the acceptance criteria and reported device performance from the non-clinical testing:

    Acceptance Criteria and Reported Device Performance

    The study aims to demonstrate that the subject device (Disposable Powder Free Nitrile Examination Glove, Blue Color, Tested For Use With Chemotherapy Drugs and Fentanyl Citrate and Xylazine) meets the acceptance criteria for various physical and chemical resistance properties, establishing its substantial equivalence to a predicate device (K193555).

    Here is a table summarizing the acceptance criteria and the device's reported performance:

    TestTest MethodAcceptance CriteriaReported Device Performance
    DimensionASTM D6319-19Length:
    Short cuff: ≥230mm
    Long cuff: ≥300mm
    Thickness:
    Palm: ≥ 0.05 mm
    Finger: ≥ 0.05 mm
    Cuff: ≥ 0.05 mm
    Palm Width:
    XS: 70 ± 10 mm;
    S: 80 ± 10 mm;
    M: 95 ± 10 mm;
    L: 110 ± 10 mm;
    XL: 120 ± 10 mmPass
    Freedom from holes (Water leak)21 CFR 800.20 & ASTM D5151-19G-I/ AQL 2.5Pass
    Tensile strength (Before aging/ After aging)ASTM D6319-19Before Aging: ≥14MPa
    After Aging: ≥14MPaPass
    Elongation (Before aging/ After aging)ASTM D6319-19Before Aging: ≥500%
    After Aging: ≥400%Pass
    Powder ResidualASTM D6319-19240 minutes minimum breakthrough detection time. For Carmustine (BCNU) and Thiotepa, specific lower breakthrough times were accepted (21.5 minutes and 13.6 minutes, respectively), with warnings provided. For Xylazine, no breakthrough was detected for up to 240 minutes.Pass (as detailed in the tables for each drug)

    Regarding the specific questions about AI/imaging studies:

    • 2. Sample size used for the test set and the data provenance: Not applicable. This refers to physical tests on glove samples.
    • 3. Number of experts used to establish the ground truth... and their qualifications: Not applicable. Ground truth for physical properties is established by standardized testing methods.
    • 4. Adjudication method (e.g., 2+1, 3+1, none) for the test set: Not applicable. Results are quantitative measurements from lab tests.
    • 5. If a multi reader multi case (MRMC) comparative effectiveness study was done...: Not applicable. This is not an AI or imaging device.
    • 6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This is not an algorithm.
    • 7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): The "ground truth" for this device's performance is established through adherence to recognized international/national standards for medical glove testing (e.g., ASTM D6319-19, ASTM D5151-19, ASTM D6978-05, AAMI/ANSI/ISO 10993-5, AAMI/ANSI/ISO 10993-10). These standards define the test methods and performance requirements.
    • 8. The sample size for the training set: Not applicable. This is a manufactured product, not an AI model.
    • 9. How the ground truth for the training set was established: Not applicable. Manufacturing controls and quality assurance ensure consistency, not a "training set" in the context of AI.
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    Device Name :

    Powder Free Nitrile Examination Gloves (Blue, Black), Tested for Use with Chemotherapy Drugs and Fentanyl

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

    The 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.

    The glove was tested for use with chemotherapy drugs and Fentanyl Citrate as per ASTM D6978-05(2023).

    Device Description

    The subject device is single use, disposable and non-sterile gloves intended for medical purposes to be worn on the examiner's hands to prevent contamination between patient and examiner. The gloves are powder free, ambidextrous with beaded cuff, Blue/Black colored, nitrile, and tested for use with chemotherapy drugs and Fentanyl Citrate. The gloves are offered in six sizes: XS, S, M, L, XL, XXL.

    AI/ML Overview

    This FDA 510(k) summary describes the acceptance criteria and the study results for the Powder Free Nitrile Examination Gloves (Blue, Black), Tested for Use with Chemotherapy Drugs and Fentanyl Citrate (K242936).

    Here's the breakdown of the requested information:

    1. Table of Acceptance Criteria and Reported Device Performance:

    Methodology / TestPurposeAcceptance CriteriaReported Device Performance (Results)
    ASTM D6319-19(2023) - Physical Dimensions
    LengthTo determine the length of the glovesXS: $\geq$ 220 mm
    S: $\geq$ 220 mm
    M: $\geq$ 230 mm
    L: $\geq$ 230 mm
    XL: $\geq$ 230 mm
    XXL: $\geq$ 230 mmPass (Meet the requirements of ASTM D6319)
    Palm WidthTo determine the Physical Dimensions (Palm Width)XS: 70±10mm
    S: 80±10mm
    M: 95±10mm
    L:110±10mm
    XL:120±10mm
    XXL:130±10mmPass (Meet the requirements of ASTM D6319)
    ThicknessTo determine the Physical Dimensions (Thickness)Finger: 0.05mm (min)
    Palm: 0.05mm (min)Pass (Meet the requirements of ASTM D6319)
    ASTM D6319-19(2023) & ASTM D412-16(2021) - Physical Properties
    Tensile Strength, Before AgingTo determine the Physical Properties14MPa (Min)Pass (Meet the requirements of ASTM D6319)
    Ultimate Elongation, Before AgingTo determine the Physical Properties500% (Min)Pass (Meet the requirements of ASTM D6319)
    Tensile Strength, After Accelerated AgingTo determine the Physical Properties14MPa (Min)Pass (Meet the requirements of ASTM D6319)
    Ultimate Elongation, After Accelerated AgingTo determine the Physical Properties400% (Min)Pass (Meet the requirements of ASTM D6319)
    ASTM D6319-19(2023) & ASTM D5151-19(2023) - Freedom From Holes
    Water leak testTo determine the Water leak testAQL 2.5Pass (Meet the requirements of ASTM D6319)
    ASTM D6319-19(2023) & ASTM D6124-06 (2022) - Powder Residue
    Powder ResidueTo determine the Powder ResidueMax 2mg/glovePass (Meet the requirements of ASTM D6319)
    ASTM D6978-05 (2023) - Chemical PermeationNo specific numerical acceptance criteria listed in the table, but the general expectation is to meet or be comparable to predicate for safe use. The drug-specific breakthrough detection times (BDT) are considered the performance metric.Blue Gloves:
    Carmustine: 14.7 min
    Cisplatin: >240 min
    Cyclophosphamide: >240 min
    Dacarbazine: >240 min
    Doxorubicin HCL: >240 min
    Etoposide: >240 min
    Fluorouracil: >240 min
    Methotrexate: >240 min
    Paclitaxel: >240 min
    Thiotepa: 36.4 min
    Fentanyl Citrate: >240 min

    Black Gloves:
    Carmustine: 22.6 min
    Cisplatin: >240 min
    Cyclophosphamide: >240 min
    Dacarbazine: >240 min
    Doxorubicin HCL: >240 min
    Etoposide: >240 min
    Fluorouracil: >240 min
    Methotrexate: >240 min
    Paclitaxel: >240 min
    Thiotepa: 35.6 min
    Fentanyl Citrate: >240 min |
    | ISO 10993 Part 10-2021 - Biocompatibility | | | |
    | Skin Sensitization Testing | Skin Sensitization Testing | Under the conditions of the study, the device is not a sensitizer | The test article extracts showed no evidence of causing delayed dermal contact sensitization in the guinea pig. The test article was not considered a sensitizer in the guinea pig maximization test. |
    | ISO 10993 Part 23-2021 - Biocompatibility | | | |
    | Skin Irritation Testing | Skin irritation Testing | Under the conditions of the study, the device is not an irritant | The test article met the requirements of the test since the difference between each test article extract overall mean score and corresponding control extract overall mean score was 0.0 and 0.0 for the SC and SO test article extracts, respectively. |
    | ISO 10993-5:2009 - Biocompatibility | | | |
    | Cytotoxicity testing | Cytotoxicity testing | No Cytotoxicity reactivity (note: text says "No Cytotoxicity reactivity" but result section shows some initial toxicity addressed by further testing) | The test article extract showed evidence of causing severe cell lysis or toxicity. Toxicity concerns was addressed by Acute Systemic Toxicity testing. |
    | ISO 10993-11:2017 - Biocompatibility | | | |
    | Acute systemic toxicity study | Acute systemic toxicity study | Subject showed no adverse biological reaction | There was no mortality or evidence of systemic toxicity from the extracts injected into mice. Each test article extract met the requirements of the study. |

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

    The document does not explicitly state the sample sizes for the test sets for each specific test (e.g., how many gloves were tested for length, how many for water leak). However, the standard ASTM D6319-19(2023) and other listed standards would define the required sample sizes for each test to ensure statistical validity.

    The data provenance is not explicitly stated in terms of country of origin of the data or retrospective/prospective. However, the tests are "non-clinical tests" conducted to verify design specifications and conform to international and national standards (ASTM, ISO). This suggests the data was generated through controlled laboratory testing following these specified methodologies.

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

    This device is a medical glove, and its performance evaluation primarily relies on objective, standardized laboratory tests against defined physical, chemical, and biological endpoints, not subjective expert assessment of images or clinical cases. Therefore, the concept of "experts establishing ground truth for a test set" as typically understood in AI/imaging studies does not apply here. The "ground truth" for these tests is the quantitative measurement results compared to the established thresholds defined by the standards.

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

    Not applicable. As mentioned above, the evaluation relies on objective analytical tests rather than subjective human assessment requiring 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 device is a medical glove, not an AI-powered diagnostic or assistive technology for human readers. No MRMC study was performed.

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

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

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

    The "ground truth" for the performance evaluation of these gloves is based on objective measurements and chemical analysis as defined by the referenced ASTM and ISO standards. For example:

    • Physical properties (length, width, thickness, tensile strength, elongation): Measured values compared to a numerical range or minimum defined by ASTM D6319.
    • Freedom from holes (water leak test): Objective criteria (AQL 2.5) for defect detection.
    • Powder residue: Quantitative measurement (Max 2mg/glove).
    • Chemical permeation (chemotherapy drugs and Fentanyl Citrate): Directly measured breakthrough detection time (BDT) in minutes, as per ASTM D6978.
    • Biocompatibility (Sensitization, Irritation, Cytotoxicity, Systemic Toxicity): Laboratory test results demonstrating lack of adverse biological reactions as defined by ISO 10993 standards and evaluated against established pass/fail criteria (e.g., no evidence of sensitization, no irritancy, no mortality/toxicity).

    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. This is not an AI/machine learning device.

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    K Number
    K242812
    Date Cleared
    2024-10-12

    (24 days)

    Product Code
    Regulation Number
    880.6250
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    NITRILE EXAMINATION GLOVES (Tested For Use With Chemotherapy Drugs)

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

    NITRILE EXAMINATION GLOVES (Tested For Use With Chemotherapy Drugs) is a non-sterile disposable device intended for medical purposes that is worn on the exammer's hands or finger to prevent contamination between patient and examiner. These gloves were tested for use with Chemotherapy Drugs as per ASTM D6978-05(2023) Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.

    The following chemotherapy drugs and concentration had NO breakthrough detected up to 240 minutes, and can be used with the device.

    Cyclophosphamide (20.0 mg/ml) Doxorubicin HCl (2.0 mg/ml) Etoposide (20.0 mg/ml) Fluorouracil (50.0 mg/ml) Paclitaxel (6.0 mg/ml) Cisplatin (1.0 mg/ml) Dacarbazine (10.0 mg/ml)

    The following chemotherapy drugs have low permeation times: Carmustine (3.3 mg/ml): 15 minutes ThioTEPA (10.0 mg/ml): 97 minutes

    Warning: Not for Use with: Carmustine, ThioTEPA

    Device Description

    NITRILE EXAMINATION GLOVES (Tested For Use With Chemotherapy Drugs) is a Class I, patient examination gloves bearing the product codes LZA, LZC, OPJ (21CFR880.6250). They meet all the current specifications listed under the ASTM D6319-19, Standard Specification for Nitrile Examination Gloves for Medical Application and also complies with requirements for Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs as per D6978-05(2023). They are made from Nitrile (NBR). These gloves are blue in color and are powder free. The product is non-sterile, ambidextrous and single use only. NITRILE EXAMINATION GLOVES (Tested For Use With Chemotherapy Drugs) are offered in different sizes: S/M/L/XL.

    AI/ML Overview

    1. Table of Acceptance Criteria and Reported Device Performance

    Test MethodPurposeAcceptance CriteriaReported Performance
    Physical Dimensions
    Length (S)Physical Dimensions Test$\ge$ 220 mm$\ge$ 220 mm
    Length (M/L/XL)Physical Dimensions Test$\ge$ 230 mm$\ge$ 230 mm
    Width (S)Physical Dimensions Test80 ± 10 mm84-86/Pass
    Width (M)Physical Dimensions Test95 ± 10 mm96-102/Pass
    Width (L)Physical Dimensions Test110 ± 10 mm104-107/Pass
    Width (XL)Physical Dimensions Test120 ± 10 mm114-116/Pass
    Thickness (Palm)Physical Dimensions Test$\ge$ 0.05 mm0.07-0.08/Pass
    Thickness (Finger)Physical Dimensions Test$\ge$ 0.05 mm0.09-0.11/Pass
    WatertightnessDetection of HolesAQL 2.50/125/Pass
    Powder ContentPowder Content$\le$ 2.0 mg per glove0.16-0.19 mg/Pass
    Physical Properties
    Tensile Strength (before aging)Physical Properties$\ge$ 14 Mpa20-24 Mpa
    Tensile Strength (after aging)Physical Properties$\ge$ 14 Mpa15-23 Mpa
    Ultimate Elongation (before aging)Physical Properties$\ge$ 500 %501-598 %
    Ultimate Elongation (after aging)Physical Properties$\ge$ 400 %471-561 %
    Chemotherapy PermeationChemotherapy drug claimNo breakthrough up to 240 minutes for specified drugs>240 minutes for Cyclophosphamide, Doxorubicin HCl, Etoposide, Fluorouracil, Paclitaxel, Cisplatin, Dacarbazine
    Low permeation times for specified drugsCarmustine: 15 minutes, ThioTEPA: 97 minutes
    CytotoxicityCytotoxicityNon-cytotoxicDevice extract is cytotoxic (met acceptance criteria by identifying the result)
    IrritationIrritationNon-irritatingNon-irritant / Pass
    SensitizationSensitizationNon-sensitizingNon-sensitizer / Pass
    Acute Systemic ToxicityAcute Systemic ToxicityNon-acute systemic toxicityDid not show acute systemic toxicity in vivo. / Pass

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

    The document does not explicitly state the sample size used for each individual test or the data provenance (e.g., country of origin, retrospective/prospective). However, for the watertightness test (ASTM D5151/ASTM D6319), it reports "0/125/Pass" which indicates a sample size of 125 gloves were tested for holes, and none failed.

    The non-clinical tests were conducted to verify that the proposed device met all design specifications according to recognized standards. The identity of the testing laboratories or the origin of the samples is not specified in this document.

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

    This document describes non-clinical performance testing of a physical device (gloves). Therefore, there is no "ground truth" derived from expert interpretation of medical images or data in the typical sense. The ground truth for these tests is established by the specified standards (ASTM and ISO standards) themselves, which outline quantitative metrics and methodologies for evaluation. No human experts are explicitly mentioned as establishing ground truth for these specific tests.

    4. Adjudication Method for the Test Set

    Not applicable. The tests performed are objective, quantitative measurements against established standards, not subjective assessments requiring adjudication or consensus among experts.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No. An MRMC comparative effectiveness study is not applicable to the non-clinical performance testing of medical gloves. This type of study is typically used for evaluating the effectiveness of diagnostic or prognostic medical devices that rely on human interpretation, often with AI assistance, in comparison to human interpretation alone.

    6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

    Not applicable. This document pertains to the physical performance of medical gloves, not a software algorithm that would operate in a standalone mode.

    7. Type of Ground Truth Used

    The ground truth for all tests is based on established testing standards and their quantitative acceptance criteria. For example:

    • Physical dimensions are compared against numerical ranges specified in ASTM D6319-19.
    • Watertightness is assessed by the absence of holes per ASTM D5151-19, with an acceptable quality level (AQL).
    • Powder content is measured against a maximum limit per ASTM D6124-06.
    • Tensile strength and ultimate elongation are measured against minimum requirements per ASTM D6319-19.
    • Chemotherapy drug permeation is determined by breakthrough detection times as per ASTM D6978-05(2023).
    • Biocompatibility tests (cytotoxicity, irritation, sensitization, acute systemic toxicity) are evaluated according to ISO 10993 series standards.

    8. Sample Size for the Training Set

    Not applicable. This document is about a physical medical device (gloves) and its non-clinical performance testing, not an AI/ML-based 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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    Device Name :

    Powder Free Nitrile Examination Glove, Non-sterile, Tested for Use with 46 Chemotherapy Drugs, the Opioid

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

    A Nitrile powder free examination glove is a disposable device intended purposes, worn on the examiner's hand or finger to prevent contamination between examiner and patient. This specialty glove has also been tested for use with 46 Chemotherapy drugs, the Opioid Fentanyl citrate, simulated Gastric Acid, Fentanyl in Gastric Acid, the tranquilizer Xylazine, and Xylazine in Fentanyl citrate.

    Device Description

    Powder Free Nitrile Examination Glove, Non-sterile, Tested for Use with 46 Chemotherapy Drugs, the Opioid Fentanyl citrate, simulated Gastric Acid, Fentanyl in Gastric Acid, the tranquilizer Xylazine, and Xylazine in Fentanyl citrate (Blue)

    AI/ML Overview

    This document is an FDA 510(k) premarket notification letter for "Powder Free Nitrile Examination Gloves, Non-sterile, Tested for Use with 46 Chemotherapy Drugs, the Opioid Fentanyl citrate, simulated Gastric Acid, Fentanyl in Gastric Acid, the tranquilizer Xylazine, and Xylazine in Fentanyl citrate (Blue)". This is a Class I medical device (non-powdered patient examination glove).

    The document does not describe an AI/ML-driven medical device, nor does it contain information about clinical study results, expert adjudication, or ground truth establishment relevant to AI/ML device performance. It is a regulatory clearance letter for a physical product (gloves) and lists testing results for breakthrough times against various chemicals for the purpose of demonstrating the device's protective capabilities.

    Therefore, the requested information cannot be extracted from the provided text. The questions about acceptance criteria, study details, sample sizes, expert involvement, and ground truth are not applicable to the content of this document.

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    Device Name :

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

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

    The Powder Free Nitrile Examination Gloves (Blue) , Tested for Use with Chemotherapy Drugs and Fentanyl Citrate 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. The tested chemotherapy drugs are: Carmustine 3.3 mg/ml(3,300 ppm) 27.7 (35.5,27.7,27.7) Cisplatin 1 mg/ml (1,000 ppm) >240min Cyclophosphamide 20 mg/ml (20,000 ppm) >240min Dacarbazine 10mg/ml (10,000 ppm) >240min Doxorubicin HCl 2 mg/ml(2,000 ppm) >240min Etoposide 20 mg/ml (20,000 ppm) >240min Fluorouracil 50mg/ml(50,000 ppm) >240min Gemcitabine HCl 38 mg/ml (38,000 ppm) >240min Ifosfamide 50mg/ml (50,000 ppm) >240min Methotrexate 25mg/ml (25,000 ppm) >240min Mitomycin C 0.5 mg/ml(500 ppm) >240min Mitoxantrone HC1 2 mg/ml (2,000 ppm) >240min Paclitaxel 6 mg/ml (6,000 ppm) >240min Thiotepa 10 mg/ml (10,000 ppm) 59.4(67.5,59.4,65.9) Vincristine Sulfate 1 mg/ml (1,000 ppm) > 240min The tested non-chemotherapy drugs are: Fentanyl Citrate injection 100mcg/2ml >240min Note: Carmustine and Thiotepa have extremely low permeation times of 27.7 and 59.4 minutes respectively. Warning: Do Not Use with Carmustine, Thiotepa

    Device Description

    The Powder Free Nitrile Examination Gloves (Blue), Tested for Use with Chemotherapy Drugs and Fentanyl Citrate are non-sterile, single use only, disposable examination gloves intended for medical purposes to be worn by examiners to prevent contamination between the examiner. The gloves are blue color, powder free, nitrile gloves. The gloves are offered in six sizes: XS、S、M、L、XL、XXL, packed in a paper box.

    The proposed gloves are designed and manufactured in accordance with the ASTM D6319-19 standard and are tested for use with chemotherapy drugs and Fentanyl per ASTM D6978-05. The proposed device was modification from the legally marketed (existing) device "Powder free Nitrile Examination Gloves (Blue, Violet Blue, White, Cobalt Blue)"/K202356, manufactured by "KANGLONGDA VIETNAM PROTECTION TECHNOLOGY COMPANY LIMITED", same as the sponsor of this submission.

    There are two modifications, one is to add a large model XXL, and the other is to add the "Tested for Use with Chemotherapy Drugs and Fentanyl Citrate" indications for use than the legally marketed (existing) device. Testing has been conducted on the proposed device passed as per ASTM D6978-05, ASTM D6319-19, ASTM D5151-19, ASTMD 6124-06.

    The materials and the manufacturing process technology are the same.

    AI/ML Overview

    The provided document (a 510(k) summary for medical gloves) does not contain information about a study that proves a device meets acceptance criteria related to AI/ML or human reader performance. The document is for "Powder Free Nitrile Examination Gloves" and pertains to mechanical and material properties, as well as resistance to chemical permeation.

    Therefore, I cannot provide details on:

    1. A table of acceptance criteria and reported device performance for an AI/ML device.
    2. Sample size used for a test set or data provenance for an AI/ML device.
    3. Number of experts used to establish ground truth or their qualifications for an AI/ML device.
    4. Adjudication method for an AI/ML device test set.
    5. Multi-reader multi-case (MRMC) comparative effectiveness study for human readers with and without AI.
    6. Standalone performance of an algorithm.
    7. Type of ground truth used (expert consensus, pathology, outcomes data, etc.) for an AI/ML device.
    8. Sample size for the training set of an AI/ML device.
    9. How the ground truth for an AI/ML training set was established.

    However, based on the document, I can present the acceptance criteria and performance for the glove device as non-clinical testing.


    Acceptance Criteria and Study for Powder Free Nitrile Examination Gloves

    This document describes the non-clinical testing performed on "Powder Free Nitrile Examination Gloves (Blue), Tested for Use with Chemotherapy Drugs and Fentanyl Citrate" to demonstrate its safety and effectiveness.

    1. Table of Acceptance Criteria and Reported Device Performance (Non-Clinical Testing of Gloves):

    Test MethodPurposeAcceptance CriteriaReported Device Performance
    ASTM D6319-19Physical Dimensions TestLength (mm): XS/S/M/L/XL/XXL: ≥230Pass
    Width (mm): XS: 70±10mm; S: 85±10mm; M: 95±10mm; L: 110±10mm; XL: 120±10mm; XXL: 130±10mmPass
    Thickness (mm): Finger: ≥0.05; Palm: ≥0.05Pass
    ASTM D5151-19Watertightness Test for Detection of HolesBe free from holes when tested in accordance with ASTM D5151Pass
    ASTM D412Physical Properties (Before Aging)Tensile Strength: 14MPa, minPass
    Ultimate Elongation: 500% minPass
    ASTM D412Physical Properties (After Aging)Tensile Strength: 14MPa, minPass
    Ultimate Elongation: 400% minPass
    ASTM D6124Powder ContentMeet the requirements of Less than 2mg per glovePass
    ASTM D6978-05 (2019)Detect the Permeation time by Chemotherapy Drugs and Fentanyl of the gloveMeet the requirements of ASTM D6978-05. (Specific breakthrough times listed elsewhere in document)Pass
    ISO 10993-10Irritation and SensitizationNon-irritating; Non-sensitizerUnder the conditions of the study, not an irritant and not a sensitizer
    ISO 10993-5CytotoxicityNon CytotoxicUnder conditions of the study, not cytotoxic

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

    • The document does not specify the exact sample sizes (e.g., number of gloves tested for each attribute) for the physical and chemical resistance tests. It only states that tests were conducted according to the listed ASTM and ISO standards.
    • Data Provenance: The testing was conducted to verify that the device meets design specifications and complies with international standards. The origin of the testing data is not explicitly stated beyond being "non-clinical tests."

    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 device is a medical glove, not an AI/ML diagnostic or prognostic tool. Ground truth is established by objective physical and chemical measurements following established standards, not by expert consensus or physician reads.

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

    • Not applicable for this type of device testing.

    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 as this is not an AI/ML device.

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

    • Not applicable as this is not an AI/ML device.

    7. The type of ground truth used:

    • For the physical properties (dimensions, watertightness, tensile strength, powder content), the ground truth is based on direct physical measurement and standard test methods outlined in ASTM standards.
    • For chemical permeation (chemotherapy drugs and Fentanyl), the ground truth is established by analytical measurement of breakthrough time according to ASTM D6978-05.
    • For biocompatibility (irritation, sensitization, cytotoxicity), the ground truth is established by biological assays according to ISO 10993 standards.

    8. The sample size for the training set:

    • Not applicable as this is not an AI/ML device. The "training" for glove manufacturing relates to process control and material specifications, not a data-driven model.

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

    • Not applicable as this is not an AI/ML device.
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    Device Name :

    Non-sterile, Powder-Free Nitrile Examination Glove Tested for use with 55 Chemotherapy Drugs and Fentanyl

    • Violet Blue; Non-sterile, Powder-Free Nitrile Examination Glove Tested for use with 55 Chemotherapy
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    THIS DEVICE IS A DISPOSABLE DEVICE INTENDED FOR MEDICAL PURPOSE THAT IS WORN ON THE EXAMINER'S HAND TO PREVENT CONTAMINATION BETWEEN PATIENT AND EXAMINER.

    The tested chemotherapy drugs and permeation times are as follows:

    Bleomycin Sulfate 15 mg/mL. >240 minutes Busulfan 6 mg/mL, >240 minutes Carboplatin (Paraplatin) 10 mg/mL, >240 minutes Carmustine (BCNU) 3.3 mg/mL, 23.5 minutes Cisplatin 1.0 mg/mL, >240 minutes Cyclophosphamide (Cytoxan) 20 mg/mL. >240 minutes Cytarabine 100 mg/mL, >240 minutes Dacarbazine (DTIC) IO mg/mL, >240 minutes Daunorubicin 5 mg/mL, >240 minutes Docetaxel IO mg/mL, >240 minutes Doxorubicin Hydrochloride 2 mg/mL, >240 minutes Epirubicin (Ellence) 2 mg/mL, >240 minutes Etoposide (Toposar) 20 mg/mL, >240 minutes Fludarabine 25 mg/mL, >240 minutes Fluorouracil 50 mg/mL, >240 minutes Gemcitabine 38 mg/mL, >240 minutes Idarubicin 1 mg/mL, >240 minutes Bendamustine (5.0 mg / ml), > 240 minutes Oxaliplatin (5.0 mg / ml), > 240 minutes Azacitidine (Vidaza] (25.0 mg / ml) ,> 240 minutes Capecitabine (26.0 mg / ml), > 240 minutes Cladribine (1.0 mg / ml), > 240 minutes Decitabine (5.0 mg / ml) ,> 240 minutes Pemetrexed (25.0 mg / ml), > 240 minutes Raltitrexed (0.5 mg / ml), > 240 minutes Actinomycin D (0.5mg / ml)(Dactinomycin), > 240 minutes Vinorelbine (10.0 mg / ml), > 240 minutes Vinblastine (1.0 mg / ml), > 240 minutes

    Fentanyl tested as follows; Fentanyl citrate 100 mcg/2mL. >240 minutes

    WARNING: Not for use with Carmustine or Thiotepa.

    lfosfamide 50 mg/mL. >240 minutes Irinotecan 20 mg/mL. >240 minutes Mechlorethamine I mg/mL, >240 minutes Melphalan 5 mg/mL, >240 minutes Methotrexate 25 mg/mL, >240 minutes Mitomycin C 0.5 mg/mL. >240 minutes Mitoxantrone 2 mg/mL, >240 minutes Paclitaxel (Taxol) 6 mg/mL, >240 minutes Rituximab 10 mg/mL. >240 minutes Thiotepa 10 mg/mL, 37.9 minutes Trisenox 1 mg/mL . >240 minutes Vincristine Sulfate I mg/mL, >240 minutes Topotecan (1.0 mg / ml), >240 minutes Carfilzomib (2.0 mg / ml), >240 minutes Cetuximab [Erbitux] (2.0 mg / ml), > 240 minutes Temsirolimus (25.0 mg / ml), > 240 minutes Bortezomib [Velcade] (1.0 mg / ml), > 240 minutes Fulvestrant (50.0mg / ml),> 240 minutes Leuprorelin acetate (5.0 mg / ml), > 240 minutes Ganciclovir [Cytovene] (10.0 mg / ml), > 240 minutes Zidopusin (Retrovir) (10.0 mg / ml), > 240 minutes Zoledronic acid (0.8 mg / ml), > 240 minutes Triclosan (3.0 mg / ml), > 240 minutes Chloroquine (50.0 mg / ml), > 240 minutes Cyclosporine A (100.0 mg / ml) , > 240 minutes Propofol (10 mg/ml) (Diprivan), > 240 minutes MESNA (100 mg/ml), > 240 minutes

    Device Description

    Non-sterile, Powder-Free Nitrile Examination Glove Tested for use with 55 Chemotherapy Drugs and Fentanyl- Violet Blue; Non-sterile, Powder-Free Nitrile Examination Glove Tested for use with 55 Chemotherapy Drugs and Fentanyl-Blue. THIS DEVICE IS A DISPOSABLE DEVICE INTENDED FOR MEDICAL PURPOSE THAT IS WORN ON THE EXAMINER'S HAND TO PREVENT CONTAMINATION BETWEEN PATIENT AND EXAMINER.

    AI/ML Overview

    The provided text is a 510(k) premarket notification letter from the FDA regarding a non-sterile, powder-free nitrile examination glove. It does not contain information about acceptance criteria or a study proving device performance for an AI/ML powered medical device.

    The information primarily focuses on the regulatory classification, general controls, and indications for use of the examination gloves, including their permeation times for various chemotherapy drugs and fentanyl.

    Therefore, I cannot provide the requested information about acceptance criteria and a study for an AI/ML device based on the given input.

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