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510(k) Data Aggregation

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    Device Name :

    Powder Free Nitrile Patient Examination Gloves, Blue Colored, Non Sterile, Low Dermatitis Potential.

    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 and Fentanyl Citrate using ASTM D6978-05.

    Device Description

    Powder Free Nitrile Patient Examination Gloves, Blue Colored, Non Sterile, Low Dermatitis Potential. Tested for Use with Chemotherapy Drugs and Fentanyl Citrate Are Class I Patient Examination Gloves and Specialty Chemotherapy Gloves. They are ambidextrous and come in different sizes - Extra Small, Small, Medium, Large, Extra Large and XXL.

    Gloves meet the specification of ASTM D6319-19 and have been tested for resistance to permeation by chemotherapy drugs and Fentanyl Citrate as per ASTM D6978-05. The gloves are single use, disposable, and provided non-sterile.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and the studies that prove the device meets them, based on the provided text:

    Acceptance Criteria and Device Performance

    The device in question is "Powder Free Nitrile Patient Examination Gloves, Blue Colored, Non Sterile, Low Dermatitis Potential. Tested for Use with Chemotherapy Drugs and Fentanyl Citrate" (K242533).

    Non-Clinical Performance Data

    MethodologyTest PerformedAcceptance CriteriaReported Device Performance
    ASTM D6319-19Physical Dimensions (Length)Min 220mm for size XS, S; Min 230mm for size M-XXLPass
    ASTM D6319-19Physical Dimensions (Palm Width)XS: 70±10mm; S: 80±10mm; M: 95±10mm; L:110±10mm; XL: 120±10mm; XXL: 130±10mmPass
    ASTM D6319-19Physical Dimensions (Thickness)Finger: 0.05mm (min); Palm: 0.05mm (min)Pass
    ASTM D6319-19, ASTM D412-16Physical Properties (Tensile Strength & Elongation)Tensile Strength (Min 14 MPa); Elongation (Before Aging 500% min and after aging 400% min)Pass
    ASTM D6319-19, ASTM D5151-19Water leak testAQL 2.5 (ISO 2859-1)Pass
    ASTM D6319-19, ASTM D6124-06Powder ResidueMax 2mg/glovePass
    ASTM D6978-05Permeation by Chemotherapy DrugsAs specified in the table for each drug (e.g., >240 minutes for most, with specific lower values for Carmustine and Thiotepa, explicitly stating "Do not use" for these).Pass (as per specific BDTs)
    ISO 10993-5:2009CytotoxicityNo cytotoxicity reactivity (Note: The device states it is cytotoxic but this concern was addressed by acute systemic toxicity testing.)The test article scored '4' at 24, 48, and 72 ± 4 hours and is considered cytotoxic under the conditions of this test. Cytotoxicity concern was addressed by acute systemic toxicity testing.
    ISO 10993-10:2010Irritation and Skin SensitizationNo skin sensitization and Skin irritationUnder the conditions of this study, there were no evidence of sensitization and irritation.
    ISO 10993-11:2017Acute systemic toxicity studyNo adverse biological reactionUnder the conditions of this study, there was no evidence of acute systemic toxicity.

    Clinical Performance Data

    TestAcceptance CriteriaReported Device Performance
    Modified DRAIZE-95 Test to Evaluate Low Dermatitis Potential of Medical GlovesDemonstrate a reduced potential for sensitizing users to chemical additives.Under the conditions of this clinical trial, the subject device demonstrated reduced potential for sensitizing users to chemical additives.

    Study Information

    Due to the nature of the device (patient examination gloves) and the provided documentation, several sections of your request are not directly applicable or explicitly detailed. This document is a 510(k) summary for a Class I medical device, which typically relies more on performance testing against established standards and equivalence to predicates rather than complex clinical trials like those for novel therapeutic devices.

    Here's what can be extracted from the document:

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

      • Permeation Tests (ASTM D6978-05): The document does not specify the exact sample size used for the permeation tests for each chemical. The standard ASTM D6978-05 typically outlines the number of replicates required (e.g., three specimens).
      • Biocompatibility Tests (ISO 10993 series): Similarly, the sample sizes for these tests are not explicitly stated in the summary but would be specified by the respective ISO standards.
      • Clinical Test (Modified DRAIZE-95 Test): A 305-subject study was completed. The country of origin and whether it was retrospective or prospective is not specified, but such a test is typically prospective to evaluate a new or modified device.
      • Data Provenance: The document generally refers to testing "under the conditions of this study," without specifying the country of origin for non-clinical tests. The manufacturer is based in China.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

      • For the non-clinical tests (physical properties, chemical permeation, biocompatibility), the "ground truth" is established by the standardized methods themselves (ASTM and ISO standards) and objective measurements by qualified laboratory personnel. The number of "experts" and their specific qualifications beyond standard lab certifications are not typically detailed in these summaries.
      • For the clinical test on dermatitis potential, the "ground truth" is derived from the subjects' reactions as evaluated by the study investigators. The qualifications of these investigators are not provided.
    3. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

      • For the non-clinical tests, adjudication methods like 2+1 or 3+1 are not applicable. Results are based on objective measurements against defined criteria.
      • For the clinical test (Modified DRAIZE-95), the document does not specify an adjudication method. Clinical studies of this nature usually involve clinical investigators observing and documenting reactions, and a statistical analysis of the aggregate results.
    4. 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 physical product (gloves), not an AI-powered diagnostic or assistive tool. Therefore, MRMC studies and AI assistance metrics are irrelevant.
    5. 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.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

      • Physical and Chemical Tests: The ground truth is based on the objective measurements of the glove's properties (dimensions, strength, elongation, watertightness, powder residue) and breakthrough detection times for chemicals, all conducted according to recognized ASTM and ISO standards.
      • Biocompatibility Tests: Ground truth is determined by the biological response observed in in vitro (cytotoxicity) or in vivo (irritation, sensitization, acute systemic toxicity) models as interpreted against the acceptance criteria of the ISO 10993 standards.
      • Dermatitis Potential Clinical Test: The ground truth is the observed clinical reactions of human subjects to the device, evaluated against criteria for allergic contact sensitization.
    7. The sample size for the training set:

      • Not applicable. This pertains to an algorithm or machine learning model. This device is a physical product.
    8. How the ground truth for the training set was established:

      • Not applicable. As above, this is for an algorithm or machine learning model.
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    Device Name :

    Nitrile Patient Examination Gloves with Hyaluronic Acid Blue Colored and Tested for Use with Chemotherapy

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

    A 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 glove was tested for use with Chemotherapy Drugs and Fentanyl Citrate as per ASTM D6978-05 Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.

    Tested chemotherapy drugs are as follows:

    Test Chemotherapy drug & ConcentrationAverage Breakthrough Detection Time (Minutes)
    Carmustine (BCNU)(3.3 mg/ml)12.1 min.
    Cyclophosphamide (Cytoxan) (20.0 mg/ml)>240 min.
    Doxorubicin Hydrichloride (2.0mg/)>240 min.
    Etoposide (Toposar) (20.0mg/ml)>240 min.
    Fluorouracil (50.0mg/ml)>240 min.
    Methotrexate (25.0 mg/ml)>240 min.
    Paclitaxel (Taxol) (6.0 mg/ml)>240 min.
    Thiotepa(10.0 mg/ml)10.1 min.
    Vincristine Sulfate(1.0 mg/ml)>240 min.
    Cisplatin(1.0 mg/ml)>240 min.
    Dacarbazine(10 mg/ml)>240 min.
    Mitomycin C(0.5 mg/ml)>240 min.

    Please note that the following drugs have extremely low permeation times: Carmustine (BCNU): 12.1 minutes and Thiotepa:10.1 minutes.

    Warning: Do not use with Carmustine or Thiotepa

    Fentanyl Citrate & ConcentrationMinimum Breakthrough Detection Times
    Fentanyl Citrate Injection(100 mcg/2ml)>240 min.
    Device Description

    The Nitrile Patient Examination Gloves with Hyaluronic Acid Blue Colored and Tested for Use with Chemotherapy Drugs and Fentanyl citrate. Aka Synguard C+ Nitrile Exam Gloves are non-sterile, single use only, disposable, powder free examination gloves. The glove is made of nitrile butadiene rubber. Chlorination is applied to the inner surface of the glove to make donning easy. Characteristic:

    • Ambidextrous with beaded cuff and straight fingers
    • Finger-textured,
    • Blue colored
    • Containing Hyaluronic Acid coating.
    • Six (6) sizes extra-small, small, medium, large, extra-large and XXL.
    • Tested against chemotherapy drugs and fentanyl citrate.

    The gloves are designed to meets the specifications of ASTM D6319-19, Standard Specification for Nitrile Examination Gloves for Medical Application.

    AI/ML Overview

    The provided document is a 510(k) summary for a medical device (nitrile patient examination gloves with hyaluronic acid) and details the performance testing against established standards.

    Here's a breakdown of the acceptance criteria and study information, based on the provided text:

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

    The document includes a "Technological Characteristics Comparison Table" (pages 7-9) that serves this purpose. It compares the applicant's device to a predicate device (K200671). The "Acceptance Criteria" column effectively outlines the criteria, and the "Anhui Intco Medical Products Co., Ltd. Nitrile Patient Examination Gloves..." column shows the reported device performance.

    CharacteristicsAcceptance Criteria (from predicate/standards)Reported Device Performance (Anhui Intco Medical Products Co., Ltd.)Comparison Conclusions
    Product CodeLZA, LZC, OPJ, QDOLZA, LZC, OPJ, QDO(Implicitly "Same")
    Intended useA 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 glove was tested for use with Chemotherapy Drugs as per ASTM D6978-05.A 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 glove was tested for use with Chemotherapy Drugs and Fentanyl Citrate as per ASTM D6978-05 Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.Same
    Material usedNitrileNitrileIdentical
    ColorBlueBlueSame
    Single useSingle UseYesSame
    Non SterileNon SterileNon SterileSame
    Other(Implicit: Additives related to coating)Hyaluronic Acid coated on the donning surfaceDifferent(1)
    DimensionsOverall Length (mm): For XS, S, Min 220mm; For M,L,XL,XXL Min 230mm. Width (± 10mm): XS=70mm, S=80mm, M=95mm, L=110mm, XL=120mm, XXL=130mm. Thickness at Palm (mm) Min: 0.05mm. Thickness at Finger Tip (mm) Min: 0.05mm.Complies with ASTM D6319-19: X Small 70±10, Small 80 ±10, Medium 95±10, Large 110 ±10, X large 120 ±10, XX Large 130 ±10. Thickness: Palm - 0.05mm min., Finger - 0.05 mm min.Similar
    Physical propertiesBefore Ageing: Tensile Strength (MPa) = 14min, Ultimate Elongation (%) = 500min. After Aging: Tensile Strength (MPa) = 14min, Ultimate Elongation (%) = 400min.Meets ASTM D6319-19: Tensile Strength: Before Aging 14 MPa, min. After Aging 14 MPa, min. Elongation: Before Aging 500% min. After Aging 400% min.Meets the criteria
    Freedom from pinholesAQL 2.5, Inspection Level G-1In accordance with ASTM D6319-19 and ASTM D5151-19, G-1, AQL 2.5Meets the criteria
    Residual PowderLess than 2mg per glove ASTM D 6124-06Average powder residue 240 min.
    1. Doxorubicin Hydrochloride (2.0mg/), Breakthrough time: >240 min.
    2. Etoposide (Toposar) (20.0mg/ml), Breakthrough time: >240 min.
    3. Fluorouracil (50.0mg/ml), Breakthrough time:>240 min.
    4. Methotrexate (25.0 mg/ml), Breakthrough time: >240 min.
    5. Paclitaxel (Taxol) (6.0 mg/ml), Breakthrough time: >240 min.
    6. Thiotepa, Breakthrough time: 10.1 min.
    7. Vincristine Sulfate (1.0 mg/ml), Breakthrough time:>240 min.
    8. Cisplatin (1.0 mg/ml), Breakthrough time:>240 min.
    9. Dacarbazine (10 mg/ml), Breakthrough time:>240 min.
    10. Mitomycin C (0.5 mg/ml), Breakthrough time:>240 min.
    11. Fentanyl Citrate Injection (100 mcg/2ml), Breakthrough time:>240 min. | Similar |

    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 in the non-clinical tests (e.g., how many gloves were tested for pinholes, how many animals were used for biocompatibility testing). However, it refers to industry standards like ASTM and ISO, which typically define appropriate sample sizes for such tests.

    • Provenance: The tests were performed in accordance with international standards (ASTM, ISO). The manufacturing company is Anhui Intco Medical Products Co., Ltd. located in Anhui, China. The testing itself is presented as non-clinical testing to demonstrate performance against these standards. The testing format suggests a retrospective evaluation against pre-defined performance criteria.

    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):

    This information is not applicable as the document describes performance testing of physical characteristics of gloves against codified standards (ASTM, ISO), not an AI device or a diagnostic device requiring expert interpretation of results to establish ground truth. The "ground truth" here is the pass/fail criteria defined by the standards.

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

    This is not applicable as the document describes performance testing of physical characteristics against codified standards. There is no subjective adjudication process for the test results.

    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 is not applicable. The device is a medical glove, not an AI-assisted diagnostic tool.

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

    This is not applicable. The device is a medical glove, not an algorithm.

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

    The "ground truth" for the performance tests conducted (e.g., tensile strength, pinholes, chemical permeation, biocompatibility) is established by industry standards and test methods (ASTM D6319-19, ASTM D5151-19, ASTM D6124-06, ASTM D6978-05, ISO 10993 series). These standards define the acceptable range or threshold for a given characteristic to be considered compliant.

    8. The sample size for the training set:

    This is not applicable. The device is a medical glove, not an AI model that requires a training set.

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

    This is not applicable.

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    Device Name :

    Powder Free Nitrile Patient Examination Gloves, Blue Colored, Non Sterile, Tested for Use with Chemotherapy

    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 and Fentanyl Citrate using ASTM D6978-05(2019)

    Device Description

    Powder Free Nitrile Patient Examination Gloves, Blue Colored, Non Sterile, Tested for Use with Chemotherapy Drugs and Fentanyl Citrate 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 D6319-19 and have been tested for resistance to permeation by chemotherapy drugs and Fentanyl Citrate as per ASTM D6978-05(2019). The gloves are single use, disposable, and provided non-sterile.

    AI/ML Overview

    The provided document describes the acceptance criteria and performance of "Powder Free Nitrile Patient Examination Gloves, Blue Colored, Non Sterile, Tested for Use with Chemotherapy Drugs and Fentanyl Citrate." It is important to note that this is a 510(k) summary for a medical device (gloves), not an AI/algorithm-driven device. Therefore, many of the requested fields related to AI clinical studies, such as sample sizes for AI test sets, number of experts, adjudication methods, MRMC studies, standalone algorithm performance, and training set details, are not applicable.

    The studies described are non-clinical performance tests for the gloves themselves, not an AI system.

    Here's a breakdown of the requested information based on the provided text:

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

    Test PerformedAcceptance CriteriaReported Device Performance
    Physical Dimensions - Length (ASTM D6319-19)Min 220mm for size XS, S; Min 230mm for size M-XXLPass
    Physical Dimensions - Palm Width (ASTM D6319-19)XS: 70±10 mm; S: 80±10 mm; M: 95±10 mm; L: 110±10 mm; XL: 120±10 mm; XXL: 130±10 mmPass
    Physical Dimensions - Thickness (ASTM D6319-19)Finger: 0.05mm (min); Palm: 0.05mm (min)Pass
    Physical Properties (ASTM D6319-19, ASTM D412-16(2021))Tensile Strength (Min 14 MPa); Elongation (Before Aging 500% min and After Accelerated Aging 400% min)Pass
    Water Leak Test (ASTM D6319-19, ASTM D5151-19)AQL 2.5 (ISO 2859-1)Pass
    Powder Residue (ASTM D6319-19, ASTM D6124-06 (2017))Max 2mg/glovePass
    Permeation by Chemotherapy Drugs (ASTM D6978-05 (2019))Refer to the detailed table (reproduced below)Pass
    Irritation and Skin Sensitization (ISO 10993-10:2010)Is non-sensitization and non-irritationIs non-sensitization and Non-irritation
    Cytotoxicity (ISO 10993-5:2009)Cytotoxicity reactivityshowed potential toxicity to L929 cells (Note: addressed by acute systemic toxicity testing)
    Acute Systemic Toxicity Study (ISO 10993-11:2017)Subject showed no adverse biological reactionno evidence of acute systemic toxicity

    Detailed Chemotherapy Drug Permeation and Fentanyl Citrate Comparison Claim (Subject device K232266 performance):

    Tested Chemotherapy Drug and ConcentrationMinimum Breakthrough Detection Time (BDT) in Minutes
    Bleomycin Sulfate 15mg/ml (15000 ppm)>240
    Busulfan 6mg/ml (6,000 ppm)>240
    Carboplatin 10mg/ml (10,000 ppm)>240
    Carmustine (BCNU) 3.3 mg/ml (3,300 ppm)22.8
    Chloroquine 50mg/ml (50,000ppm)>240
    Cisplatin 1mg/ml (1,000 ppm)>240
    Cyclophosphamide 20mg/ml (20,000 ppm)>240
    Cyclosporin 100 mg/ml (100,000 ppm)>240
    Cytarabine HCL, 100 mg/ml (100,000 ppm)>240
    Dacarbazine 10 mg/ml (10,000 ppm)>240
    Daunorubicin HCL, 5 mg/ml (5,000 ppm)>240
    Docetaxel, 10 mg/ml (10,000 ppm)>240
    Doxorubicin HCL, 2 mg/ml (2,000 ppm)>240
    Epirubicin HCL, 2 mg/ml (2,000 ppm)>240
    Etoposide, 20 mg/ml (20,000 ppm)>240
    Fludarabine, 25 mg/ml (25,000 ppm)>240
    Fluorouracil, 50mg/ml (50,000ppm)>240
    Gemcitabine, 38mg/ml (38,000ppm)>240
    Idarubicin HCL, 1mg/ml (1,000ppm)>240
    Ifosfamide, 50mg/ml (50,000ppm)>240
    Irinotecan, 20mg/ml (20,000ppm)>240
    Mechlorethamine HCI, 1mg/ml (1,000ppm)>240
    Melphalan, 5mg/ml (5,000ppm)>240
    Methotrexate, 25mg/ml (25,000ppm)>240
    Mitomycin C, 0.5mg/ml (500ppm)>240
    Mitoxantrone HCL, 2mg/ml (2,000ppm)>240
    Oxaliplatin, 5mg/ml (5,000ppm)>240
    Paclitaxel, 6mg/ml (6,000ppm)>240
    Paraplatin, 10mg/ml (10,000ppm)>240
    Retrovir, 10mg/ml (10,000ppm)>240
    Rituximab, 10mg/ml (10,000ppm)>240
    Thiotepa, 10mg/ml (10,000ppm)46.9
    Topotecan, 1mg/ml (1,000ppm)>240
    Trisenox, 1mg/ml (1,000ppm)>240
    Velcade, 1mg/ml (1,000ppm)>240
    Vincristine Sulfate, 1mg/ml (1,000ppm)>240
    Fentanyl Citrate Injection (100 mcg/2ml)>240

    Warning: Do not use with Carmustine (22.8 minutes) and Thiotepa (46.9 minutes).


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

    The document does not specify general "sample sizes" for the test set in terms of medical images or patient data. Instead, it refers to standardized testing methodologies for physical and chemical properties of gloves. For instance, ASTM D5151 for water leak test would involve a certain number of gloves per batch as per AQL (Acceptable Quality Limit) standards, but the specific quantity is not stated in this summary. The data provenance is generally implied to be from laboratory testing conforming to the cited ASTM and ISO standards. The country of origin of the device manufacturer is China. These are prospective tests performed on the manufactured product.

    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. This is not an AI or diagnostic device that requires expert ground truth for interpretation of medical images or patient data. The "ground truth" for the device's performance is established by the specified pass/fail criteria of the ASTM and ISO standards for glove manufacturing and material properties. The tests are laboratory-based and measure physical/chemical attributes.

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

    Not applicable. Adjudication methods are relevant for human interpretation of data, typically in diagnostic or screening studies, not for the physical and chemical testing of medical gloves.

    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 device.

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

    Not applicable. This is not an AI device.

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

    The "ground truth" for this device is based on standardized test methods and predetermined acceptance criteria defined by international and national standards organizations such as ASTM and ISO. These standards dictate acceptable physical dimensions, mechanical properties, chemical permeation resistance, and biological safety (e.g., irritation, sensitization, systemic toxicity) for medical examination gloves. For instance, for chemotherapy drug permeation, the "ground truth" is the measured breakthrough detection time according to ASTM D6978-05(2019).

    8. The sample size for the training set

    Not applicable. This is not an AI device, so there is no "training set."

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

    Not applicable. As this is not an AI device, there is no "training set" or ground truth established in that context.

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    K Number
    K222103
    Date Cleared
    2023-08-24

    (402 days)

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

    Nitrile Patient Examination Gloves, Powder Free, Pink Color

    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 upon the examiner's hands or fingers to prevent contamination between patient and examiner.

    Device Description

    The subject device in this 510(k) Notification is Nitrile Patient Examination Gloves, Powder Free, Pink Color. The subject device is a patient examination glove made from nitrile compound, pink color, powder free and non-sterile (Per 21 CFR 880.6250, class I). These gloves are pink in color and are powder free. The gloves are ambidextrous single use disposable devices that come in six sizes (XS, S, M, L, XL and XXL).

    AI/ML Overview

    The provided text describes the acceptance criteria and the study results for the "Nitrile Patient Examination Gloves, Powder Free, Pink Color" manufactured by Shandong YINGHONG Medical Products Co., Ltd.

    Here's the breakdown of the requested information:

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

    Test Method (Purpose)Acceptance CriteriaReported Device Performance (Results)
    Dimensions (length, width, thickness) (ASTM D6319-19) - To evaluate the physical dimension of the gloveLength: 220 mm min (XS, S); 230 mm min (M, L, XL, XXL)Pass (240 mm min)
    Width (mm): XS: 70±10; S: 80±10; M: 95±10; L: 110±10; XL: 120±10; XXL: 130±10Pass (XS: average 78.4mm; S: average 86.2mm; M: average 97.4mm; L: average 108.7mm; XL: average 115.5mm; XXL: average 123.5mm)
    Thickness(mm): Palm: Minimum 0.05; Finger: Minimum 0.05Pass (Palm - 0.056mm min.; Finger - 0.082mm min)
    Physical properties (ASTM D6319-19) - To evaluate the tensile strength and ultimate elongation before and after agingBefore Aging: Tensile Strength: 14 MPa, min.; Elongation: 500%, min.
    After Aging: Tensile Strength: 14 MPa, min.; Elongation: 400%, min.Pass (Before Aging: Tensile Strength: 20.6MPa, min.; Elongation: 531%, min.
    After Aging: Tensile Strength: 21.9MPa, min.; Elongation: 416%, min.)
    Freedom from holes (ASTM D5151-19) - To detect holes in the glovesIn accordance with ASTM D6319-19 and ASTM D5151-19, G-1, AQL 2.5 (Implicit in "Similar" comparison to predicate)(The specific result for this test is not explicitly stated in the table provided for the subject device, but the comparison table indicates "Similar" to the predicate which met these standards)
    Residual Powder (ASTM D6124-06) - To detect the powder residue in the glove
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    Device Name :

    Powder Free Nitrile Patient Examination Glove, Blue Colored, Non-sterile, Low Dermatitis Potential.

    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 as per ASTM D6978-05 (Reapproved 2019) Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.

    Device Description

    Powder Free Nitrile Patient Examination Glove, Blue Colored, Non-Sterile, Low Dermatitis Potential. Tested for Use with Chemotherapy Drugs and Fentanyl Citrate.

    AI/ML Overview

    This document describes the acceptance criteria and performance study for the Powder Free Nitrile Patient Examination Glove.

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria for this device, particularly for its resistance to chemotherapy drugs and Fentanyl Citrate, are defined by the "Minimum Breakthrough Detection Time in Minutes" as specified in the ASTM D6978-05 (Reapproved 2019) standard. The reported device performance is indicated by the measured breakthrough times against various substances.

    Chemotherapy Drug and ConcentrationAcceptance Criteria (Minimum Breakthrough Detection Time in Minutes)Reported Device Performance (Minimum Breakthrough Detection Time in Minutes)
    Bendamustine HCI (Treanda) (5 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05. A "pass" would typically be >240 minutes for standard chemotherapy glove claims.>240
    Bleomycin Sulfate (15 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Busulfan (6 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Carboplatin (10 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Carfilzomib (2 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Carmustine (BCNU) (3.3 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.26.2
    Cetuximab (Erbitux) (2 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Cisplatin (1 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Cladribine (1 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Cyclosporin A (100 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Cyclophosphamide (Cytoxan) (20 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Cytarabine (100 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Cytovene (Ganciclovir) (10 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Dacarbazine (DTIC) (10 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Daunorubicin HCI (5 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Decitabine (5 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Docetaxel (Taxotere) (20 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Doxorubicin Hydrochloride (2 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Epirubicin HCI (Ellence) (2 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Etoposide (20 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Fludarabine (25 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Fluorouracil (50 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Gemcitabine (38 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Idarubicin HCI (1 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Ifosfamide (50 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Irinotecan (20 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Mechlorethamine HCI (1 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Melphalan (5 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Methotrexate (25 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Mitomycin C (0.5 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Mitoxantrone (2 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Oxaliplatin (5 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Paclitaxel (Taxol) (6 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Pemetrexed (25 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Raltitrexed (0.5 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Retrovir (Zidovudine) (10 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Rituximab (10 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Thiotepa (10 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.59.1
    Topotecan (1 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Trisenox (Arsenic Trioxide) (1 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Velcade (Bortezomib) (1 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Vidaza (Azacytidine) (25 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Vinblastine (1 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Vincristine Sulfate (1 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Vinorelbine (10 mg/ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Zoledronic Acid (1 mg/25ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Fentanyl Citrate Injection (100 mcg/2ml)Not explicitly stated as a minimum, but tested to ASTM D6978-05.>240
    Simulated Gastric Acid FluidNot explicitly stated as a minimum, but tested to ASTM D6978-05.>240

    Note: For Carmustine (BCNU) and Thiotepa, the reported times (26.2 and 59.1 minutes respectively) are below the ">240" observed for most other drugs. This results in explicit warnings not to use with Carmustine (BCNU) and caution when using with Thiotepa due to low permeation times.

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

    The document does not explicitly state the sample size (number of gloves or individual tests) used for the permeation test for each chemical. It only provides the resulting "Minimum Breakthrough Detection Time in Minutes."

    The data provenance is not specified in terms of country of origin. The study appears to be a prospective test specifically designed to evaluate the performance of these gloves against the listed chemicals, rather than a retrospective analysis of existing data.

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

    This type of study (chemical permeation test as per ASTM D6978-05) does not involve human experts establishing "ground truth" in the way that image interpretation or diagnostic studies do. The "ground truth" is the objective measurement of chemical breakthrough time, determined in a laboratory setting according to a standardized protocol (ASTM D6978-05). Therefore, there are no medical experts (e.g., radiologists) involved in establishing this particular ground truth.

    4. Adjudication Method for the Test Set

    Not applicable. As noted above, this is a laboratory-based chemical permeation test, not a subjective assessment requiring adjudication among experts. The results are objective measurements based on the ASTM D6978-05 standard.

    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 a study involving human readers or AI. It is a chemical resistance test for a medical device (gloves).

    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 study. It is a physical performance test of a medical device.

    7. The Type of Ground Truth Used

    The ground truth used is objective laboratory measurement based on a standardized protocol, specifically "Assessment of Medical Gloves to Permeation by Chemotherapy Drugs" as per ASTM D6978-05 (Reapproved 2019). The outcome is a quantified "Minimum Breakthrough Detection Time in Minutes."

    8. The Sample Size for the Training Set

    Not applicable. This is not an AI/machine learning study, so there is no concept of a "training set."

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

    Not applicable. As there is no training set for this type of physical performance study, no ground truth was established for it.

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    K Number
    K222527
    Date Cleared
    2022-12-14

    (114 days)

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

    Nitrile Patient Examination Glove

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

    The Nitrile Patient Examination Glove is a non-sterile disposable device intended for medical purposes that is worn on the examiner's hands or finger to prevent contamination between patient and examiner.

    Device Description

    The subject device is powder free nitrile examination gloves. The subject device is blue. The subject device is non-sterile.

    AI/ML Overview

    This document describes the performance testing for a medical device: "Nitrile Patient Examination Glove" (K222527). The tests demonstrate that the device meets established acceptance criteria, primarily through non-clinical performance testing.

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

    Acceptance Criteria (Standard)Reported Device Performance (Results)
    Biocompatibility - Skin Sensitization (ISO 10993-10:2010)Grades less than 1, otherwise sensitization.
    Biocompatibility - Skin Irritation (ISO 10993-10:2010)If the primary irritation index is 0-0.4, the response category is Negligible. 0.5-1.9 means slight, 2-4.9 means moderate, 5-8 means severe.
    Biocompatibility - Cytotoxicity (ISO 10993-5:2009)Viability reduced to
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    K Number
    K221747
    Date Cleared
    2022-12-01

    (168 days)

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

    Nitrile Patient Examination Gloves Tested For Use With Chemotherapy Drugs

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

    The nitrile examination glove is intended to be worn on the examiner's hand to prevent contamination between patient and examiner. This is a single-use, powder-free, non-sterile device.

    These gloves were tested for use with chemotherapy drugs per ASTM D6978-05 (2019)Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs. Tested chemotherapy drugs are as follows: Carboplatin, 10 mg/ml >240 min. Carmustine (BCNU), 3.3 mg/ml 27.5 min Cisplatin, 1.0 mg/ml >240 min Cyclophosphamide (Cytoxan), 20.0 mg/ml >240 min Doxorubicin HCI, 2.0 mg/ml >240 min Etoposide, 20.0 mg/ml >240 min Fluorouracil, 50.0 mg/ml >240 min Paclitaxel, 6.0 mg/ml >240 min Thio Tepa, 10.0 mg/ml 88.2 min

    Please note that the following drugs have low permeation times: Carmustine (BCNU) 3.3 mg/ml 27.5 Minutes, Thio Tepa 10.0 mg/ml 88.2 Minutes.

    Warning: Please do not use with Carmustine and Thio Tepa.

    Device Description

    The proposed device (Mode: NG101) is powder free nitrile examination gloves, provided as non-sterile and disposable device. The proposed devices are blue color and there are five sizes, include XS (6.5"), S (7"), M (8"), L (8.5"), XL (9") for optional. The examination glove is smooth surface with textured fingertips and a rolled rim at the cuff edge. This is a single-use, powder-free, non-sterile device.

    The gloves are designed and manufactured in accordance with the ASTM D6319-10 standard and are tested for use with chemotherapy drugs per ASTM D6978-05 (Reapproved 2019)

    AI/ML Overview

    The document describes the non-clinical testing performed to demonstrate that the Nitrile Patient Examination Gloves (K221747) meet their acceptance criteria and are substantially equivalent to a predicate device (K211220).

    1. Table of Acceptance Criteria and Reported Device Performance:

    Test MethodologyPurposeAcceptance CriteriaReported Device Performance
    ASTM D6319-19Physical DimensionThe actual measured dimension of the gloves shall meet the stated tolerance specified in Table 2 of ASTM D6319-19.Meet the requirement
    ASTM D6319-19Determination of Physical PropertiesBefore and after accelerated aging, the gloves shall conform to the physical requirements in Table 3 of ASTM 6319-19 (Tensile Strength: Before Aging ≥ 14 MPa, After Aging ≥ 14 MPa. Elongation: Before Aging 500%, After Aging 400%).Meet the requirement
    ASTM D5151-19Water Leak Test for Detection of HolesThe gloves shall be free from hole when tested in accordance with the method given in ASTM D5151-19, AQL = 2.5.Meet the requirement
    ASTM D6124-06(2017)Residual Powder Content TestThe powder residue content shall be not more than 2mg per glove.Meet the requirement
    ISO 10993-5: 2009In Vitro CytotoxicityThe MEM test extract shows no cytotoxic potential to L929 mouse fibroblast cells.Meet the requirement
    ISO 10993-10: 2010Skin SensitizationThe test article extracts show no evidence of causing delayed dermal contact sensitization in the guinea pig.Meet the requirement
    ISO 10993-10: 2010Skin IrritationThere is no erythema and no edema observed on the skin of the animals treated with the test extracts.Meet the requirement
    ASTM D6978-05 (Chemotherapy Drugs)Chemotherapy Drugs (Permeation Breakthrough Time)Carboplatin, 10 mg/ml >240 min.
    Carmustine (BCNU), 3.3 mg/ml 27.5 min
    Cisplatin, 1.0 mg/ml >240 min
    Cyclophosphamide (Cytoxan), 20.0 mg/ml >240 min
    Doxorubicin HCl, 2.0 mg/ml >240 min
    Etoposide, 20.0 mg/ml >240 min
    Fluorouracil, 50.0 mg/ml >240 min
    Paclitaxel, 6.0 mg/ml >240 min
    Thio Tepa, 10.0 mg/ml 88.2 minExcept for Carmustine and Thio Tepa, acceptance criteria were met.

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

    The document does not explicitly state the sample sizes for each specific test within the non-clinical testing. It generally refers to "Final finished product" as the tested sample. The data provenance is not specified, but it can be inferred that the testing was conducted by or on behalf of the manufacturer, Fitone Latex Products Co., Ltd. Guangdong, which is based in China. The nature of the tests (physical, chemical, and biocompatibility) suggests these were laboratory-based tests on manufactured product samples. The document does not indicate if the data is retrospective or prospective, though it is standard practice for such tests to be prospective assessments of newly manufactured products.

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

    This information is not applicable as the tests described are non-clinical, objective measurements against established ASTM and ISO standards for material properties and performance. There is no human interpretation or expert ground truth establishment for these types of tests (e.g., measuring glove dimensions, tensile strength, or chemical permeation).

    4. Adjudication method for the test set:

    This information is not applicable for the same reason as point 3. Adjudication methods are typically used in studies involving human interpretation or subjective assessments.

    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 information is not applicable. The submission is for a medical glove, not an AI-powered diagnostic device. Therefore, no MRMC study or AI assistance comparison was conducted.

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

    This information is not applicable as the device is not an algorithm or AI-based system.

    7. The type of ground truth used:

    The "ground truth" for the non-clinical tests is based on established industry standards and specifications:

    • ASTM D6319-19 (Standard Specification for Nitrile Examination Gloves for Medical Application)
    • ASTM D5151-19 (Test Method for Detection of Holes in Medical Gloves)
    • ASTM D6124-06(2017) (Test Method for Residual Powder on Medical Gloves)
    • ASTM D573-04(2019) (Test Method for Rubber-Deterioration in an Air Oven)
    • ISO 10993-5: 2009 (Biological Evaluation Of Medical Devices -- Part 5: Tests For In Vitro Cytotoxicity)
    • ISO 10993-10: 2010 (Biological Evaluation Of Medical Devices Part 10: Tests For Irritation And Skin Sensitization)
    • ASTM D6978-05 (Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs)

    These standards define the acceptance criteria (e.g., minimum tensile strength, maximum residual powder, breakthrough times for chemotherapy drugs).

    8. The sample size for the training set:

    This information is not applicable as there is no training set for a medical glove. These are physical products tested against predetermined specifications.

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

    This information is not applicable as there is no training set.

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    K Number
    K222534
    Date Cleared
    2022-11-23

    (93 days)

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

    Nitrile Patient Examination Glove

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

    The Nitrile Patient Examination Glove is a non-sterile disposable device intended for medical purposes that is worn on the examiner's hands or finger to prevent contamination between patient and examiner.

    Device Description

    The subject device is powder free nitrile examination gloves. The subject device is blue. The subject device is non-sterile.

    AI/ML Overview

    The provided text describes the acceptance criteria and performance of a Nitrile Patient Examination Glove, not an AI-powered medical device. Therefore, the questions related to AI device performance metrics, such as ground truth, expert consensus, MRMC studies, and training/test sets, are not applicable in this context.

    This document is a 510(k) Premarket Notification for a Class I medical device (nitrile examination glove), which establishes substantial equivalence to a predicate device based on physical and performance characteristics, and biocompatibility.

    Here's a breakdown of the relevant information provided:

    1. Acceptance Criteria and Reported Device Performance

    The acceptance criteria are primarily based on established ASTM and ISO standards for medical gloves. The reported device performance is compared against these standards and the predicate device.

    Test / CharacteristicAcceptance Criteria (Standard Reference)Reported Device Performance
    Biocompatibility
    Irritation (ISO 10993-10:2010)Primary Irritation Index: 0-0.4 (Negligible)Primary irritation index is 0. Response categorized as negligible. All animals survived with no abnormal signs.
    Sensitization (ISO 10993-10:2010)Grades less than 1 (no sensitization)All grades are 0. Not a sensitizer under study conditions.
    Cytotoxicity (ISO 10993-5:2009)Viability (viab.%) of 100% extract ≥ 70% of blank (no cytotoxic potential)Viab.% of 100% test article extract is 70.9%. No potential toxicity to L-929 in MTT method.
    Physical Properties
    Residual Powder (ASTM D6124-06)
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    Why did this record match?
    Device Name :

    Nitrile Patient Examination Gloves Blue Tested For Use With Chemotherapy Drugs, Nitrile Patient Examination
    Gloves Blue Violet Tested For Use With Chemotherapy Drugs, Nitrile Patient Examination Gloves Black

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

    The nitrile examination glove is intended to be worn on the hands of examination between patient and examiner. This is a single-use, powder-free, non-sterile device.

    The Nitrile Patient Examination Gloves Blue Colored were tested for use with chemotherapy drugs per ASTM D6978-05 (Reapproved 2019) Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs. The tested chemotherapy drug are as follows:

    Bleomycin Sulfate 15 mg/ml >240 min. Busulfan 6 mg/ml >240 min. Carboplatin 10 mg/ml >240 min. Carmustine (BCNU) 3.3 mg/ml 17.2 min. Cisplatin 1.0 mg/ml >240 min. Cyclophosphamide (Cytoxan) 20.0 mg/ml >240 min. Cytarabine HCI 100 mg/ml >240 min. Dacarbazine (DTIC)10.0 mg/ml >240 min. Daunorubicin 5 mg/mL >240 min. Docetaxel 10.0 mg/ml >240 min Doxorubicin HCI 2.0 mg/ml >240 min. Epirubicin HCI 2.0 mg/ml >240 min. Etoposide (Toposar) 20.0 mg/ml >240 min. Fludarabine 25.0 mg/ml >240 min. Fluorouracil 50.0 mg/ml >240 min. Gemcitabine 38 mg/ml>240 min. Idarubicin 1 mg/ml >240 min. Ifosfamide 50.0 mg/ml >240 min. Irinotecan 20.0 mg/ml >240 min. Mechlorethamine HCI 1.0 mg/ml>240 min. Melphalan 5 mg/ml >240 min. Methotrexate 25 mg/ml >240 min. Mitromvcin C. 0.5 mg/ml >240 Mitoxantrone 2.0 mg/ml >240 min. Paclitaxel (Taxol) 6.0 mg/ml >240 min. Rituximab 10.0 mg/ml >240 min. Thiotepa 10.0 mg/ml 13.9min. Trisenox 1.0 mg/ml >240 min. Vincristine Sulfate 1.0 mg/ml >240 min. Fentanyl Citrate 100mcg/2ml >240 minutes

    Warning: Do not use with Carmustine and Thiotepa.

    The Nitrile Patient Examination Gloves Blue Violet Colored were tested for use with chemotherapy drugs per ASTM D6978-05 (Reapproved 2019) Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.

    The tested chemotherapy drug are as follows: Bleomycin Sulfate 15 mg/ml >240 min. Busulfan 6 mg/ml >240 min. Carboplatin 10 mg/ml >240 min. Carmustine (BCNU) 3.3 mg/ml 65.3 min. Cisplatin 1.0 mg/ml >240 min. Cyclophosphamide (Cytoxan) 20.0 mg/ml >240 min. Cytarabine HCI 100 mg/ml >240 min. Dacarbazine (DTIC)10.0 mg/ml >240 min. Daunorubicin 5 mg/mL >240 min. Docetaxel 10.0 mg/ml >240 min Doxorubicin HCI 2.0 mg/ml >240 min. Epirubicin HCl 2.0 mg/ml >240 min. Etoposide (Toposar) 20.0 mg/ml >240 min. Fludarabine 25.0 mg/ml >240 min. Fluorouracil 50.0 mg/ml >240 min. Gemcitabine 38 mg/ml>240 min. Idarubicin 1 mg/ml >240 min. Ifosfamide 50.0 mg/ml >240 min. Irinotecan 20.0 mg/ml >240 min. Mechlorethamine HCI 1.0 mg/ml>240 min. Melphalan 5 mg/ml >240 min. Methotrexate 25 mg/ml >240 min. Mitromvcin C. 0.5 mg/ml >240 Mitoxantrone 2.0 mg/ml >240 min. Paclitaxel (Taxol) 6.0 mg/ml >240 min. Rituximab 10.0 mg/ml >240 min. Thiotepa 10.0 mg/ml 58.3min. Trisenox 1.0 mg/ml >240 min. Vincristine Sulfate 1.0 mg/ml >240 min. Fentanyl Citrate 100mcg/2ml >240 minutes

    Warning: Do not use with Carmustine and Thiotepa.

    The Nitrile Patient Examination Gloves Black Colored were tested for use with chemotherapy drugs per ASTM D6978-05 (Reapproved 2019) Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.

    The tested chemotherapy drug are as follows: Carmustine (BCNU) 3.3 mg/ml 49.2 min. Cisplatin 1.0 mq/ml >240 min. Cyclophosphamide (Cytoxan) 20.0 mg/ml >240 min. Dacarbazine (DTIC)10.0 mg/ml >240 min. Doxorubicin HCI 2.0 mg/ml >240 min. Etoposide (Toposar) 20.0 mg/ml >240 min. Fluorouracil 50.0 mg/ml >240 min. Fentanyl Citrate 100mcg/2ml >240 minutes Paclitaxel (Taxol) 6.0 mg/ml >240 min. Thiotepa 10.0 mg/ml 87.1min.

    Warning: Do not use with Carmustine and Thiotepa.

    Device Description

    Powder-Free Nitrile Examination Gloves (Tested for Use with Chemotherapy Drugs) are non-sterile, single use, disposable gloves intended for medical purposes to be worn on the hands of examiners to prevent contamination between a patient and an examiner. The gloves are offered in six sizes, extra-small, medium, large, extralarge, extra-extra-large. Three colors are available for all size, includes blue, blue violet and black.

    The gloves are designed and manufactured in accordance with the ASTM D6319-10 standard and are tested for use with chemotherapy drugs per ASTM D6978-05 (Reapproved 2019).

    AI/ML Overview

    This document describes the premarket notification (510(k)) for Nitrile Patient Examination Gloves, with specific testing for chemotherapy drug permeation. Based on the provided text, the "device" is a physical product (gloves) and not an AI/software device, therefore many of the requested criteria (MRMC study, AI assistance, ground truth establishment, training set, etc.) are not applicable.

    Here's the breakdown of the acceptance criteria and the study proving the device meets them, based entirely on the provided text:


    Acceptance Criteria and Reported Device Performance

    1. Table of Acceptance Criteria and Reported Device Performance:

    Test MethodologyPurposeAcceptance CriteriaResults
    ASTM D6319 (Physical Dimensions)Physical Dimensions TestLength:
    Extra-Small: ≥ 220mm
    Small: ≥ 220mm
    Medium: ≥ 230mm
    Large: ≥ 230mm
    Extra-Large: ≥ 230mm
    Extra-Extra-Large: ≥ 230mm

    Width:
    Extra-Small: 70±10mm
    Small: 80±10mm
    Medium: 95±10mm
    Large: 110±10mm
    Extra-Large: 120±10mm
    Extra-Extra-Large: ≥120mm

    Thickness (mm):
    Finger: ≥0.05
    Palm: ≥0.08 | Pass |
    | ASTM D6319 (Physical Properties) | Physical Properties (Tensile Strength & Elongation) | Before Aging:
    Tensile Strength: ≥14MPa
    Ultimate Elongation: ≥500%

    After Aging:
    Tensile Strength: ≥14MPa
    Ultimate Elongation: ≥500% | Pass |
    | ASTM D5151 | Freedom from pinholes | Meet the requirements of ASTM D5151 Test for AQL 2.5 | Pass |
    | ASTM D6124 | Powder Residue | Meet the requirements of ASTM D6124 240 min.

    • Busulfan 6 mg/ml: >240 min.
    • Carboplatin 10 mg/ml: >240 min.
    • Carmustine (BCNU) 3.3 mg/ml: 17.2 min.
    • Cisplatin 1.0 mg/ml: >240 min.
    • Cyclophosphamide (Cytoxan) 20.0 mg/ml: >240 min.
    • Cytarabine HCI 100 mg/ml: >240 min.
    • Dacarbazine (DTIC)10.0 mg/ml: >240 min.
    • Daunorubicin 5 mg/mL: >240 min.
    • Docetaxel 10.0 mg/ml: >240 min
    • Doxorubicin HCI 2.0 mg/ml: >240 min.
    • Epirubicin HCI 2.0 mg/ml: >240 min.
    • Etoposide (Toposar) 20.0 mg/ml: >240 min.
    • Fludarabine 25.0 mg/ml: >240 min.
    • Fluorouracil 50.0 mg/ml: >240 min.
    • Gemcitabine 38 mg/ml: >240 min.
    • Idarubicin 1 mg/ml: >240 min.
    • Ifosfamide 50.0 mg/ml: >240 min.
    • Irinotecan 20.0 mg/ml: >240 min.
    • Mechlorethamine HCI 1.0 mg/ml: >240 min.
    • Melphalan 5 mg/ml: >240 min.
    • Methotrexate 25 mg/ml: >240 min.
    • Mitomycin C. 0.5 mg/ml: >240
    • Mitoxantrone 2.0 mg/ml: >240 min.
    • Paclitaxel (Taxol) 6.0 mg/ml: >240 min.
    • Rituximab 10.0 mg/ml: >240 min.
    • Thiotepa 10.0 mg/ml: 13.9 min.
    • Trisenox 1.0 mg/ml: >240 min.
    • Vincristine Sulfate 1.0 mg/ml: >240 min.
    • Fentanyl Citrate 100mcg/2ml: >240 minutes
      Warning: Do not use with Carmustine and Thiotepa.

    Nitrile Patient Examination Gloves Blue Violet (Tested Drugs & Permeation Time):

    • Bleomycin Sulfate 15 mg/ml: >240 min.
    • Busulfan 6 mg/ml: >240 min.
    • Carboplatin 10 mg/ml: >240 min.
    • Carmustine (BCNU) 3.3 mg/ml: 65.3 min.
    • Cisplatin 1.0 mg/ml: >240 min.
    • Cyclophosphamide (Cytoxan) 20.0 mg/ml: >240 min.
    • Cytarabine HCI 100 mg/ml: >240 min.
    • Dacarbazine (DTIC)10.0 mg/ml: >240 min.
    • Daunorubicin 5 mg/mL: >240 min.
    • Docetaxel 10.0 mg/ml: >240 min
    • Doxorubicin HCI 2.0 mg/ml: >240 min.
    • Epirubicin HCl 2.0 mg/ml: >240 min.
    • Etoposide (Toposar) 20.0 mg/ml: >240 min.
    • Fludarabine 25.0 mg/ml: >240 min.
    • Fluorouracil 50.0 mg/ml: >240 min.
    • Gemcitabine 38 mg/ml: >240 min.
    • Idarubicin 1 mg/ml: >240 min.
    • Ifosfamide 50.0 mg/ml: >240 min.
    • Irinotecan 20.0 mg/ml: >240 min.
    • Mechlorethamine HCI 1.0 mg/ml: >240 min.
    • Melphalan 5 mg/ml: >240 min.
    • Methotrexate 25 mg/ml: >240 min.
    • Mitomycin C. 0.5 mg/ml: >240
    • Mitoxantrone 2.0 mg/ml: >240 min.
    • Paclitaxel (Taxol) 6.0 mg/ml: >240 min.
    • Rituximab 10.0 mg/ml: >240 min.
    • Thiotepa 10.0 mg/ml: 58.3 min.
    • Trisenox 1.0 mg/ml: >240 min.
    • Vincristine Sulfate 1.0 mg/ml: >240 min.
    • Fentanyl Citrate 100mcg/2ml: >240 minutes
      Warning: Do not use with Carmustine and Thiotepa.

    Nitrile Patient Examination Gloves Black (Tested Drugs & Permeation Time):

    • Carmustine (BCNU) 3.3 mg/ml: 49.2 min.
    • Cisplatin 1.0 mg/ml: >240 min.
    • Cyclophosphamide (Cytoxan) 20.0 mg/ml: >240 min.
    • Dacarbazine (DTIC)10.0 mg/ml: >240 min.
    • Doxorubicin HCI 2.0 mg/ml: >240 min.
    • Etoposide (Toposar) 20.0 mg/ml: >240 min.
    • Fluorouracil 50.0 mg/ml: >240 min.
    • Fentanyl Citrate 100mcg/2ml: >240 minutes
    • Paclitaxel (Taxol) 6.0 mg/ml: >240 min.
    • Thiotepa 10.0 mg/ml: 87.1 min.
      Warning: Do not use with Carmustine and Thiotepa. | The permeation resistance was tested and the break-through times for each listed chemotherapy drug are reported as the "Results" for each glove colored variation. The tables within the document (pages 8-10, and 12-14) explicitly list these times. The general acceptance criterion for these types of tests is generally that the glove provides a minimum specified protection time (e.g., >240 minutes for many drugs, unless a shorter warning is given), and these results are directly reported. The "Pass" in the summary table (page 18) indicates overall compliance with the standard for specific tests. |

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

    • Sample Size: The document does not specify the exact sample size (number of gloves) used for each individual test (e.g., how many gloves were tested for permeation by each drug). It generally refers to "tests" being performed.
    • Data Provenance: The tests were conducted according to established ASTM and ISO standards for medical devices. The manufacturer is "Guang Dong Kingfa Sci. & Tech.Co., Ltd." in China. The data itself is from laboratory testing, not from patient data. The studies are non-clinical (in-vitro, physical/chemical tests).

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

    • Not Applicable. This is a physical device (medical gloves) and not an AI/software device that requires expert human interpretation or consensus for ground truth establishment. The "ground truth" here is the measured performance of the glove against established physical and chemical standards (e.g., tensile strength, pinhole presence, chemical permeation time).

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

    • Not Applicable. As this is not an AI/software device involving human-in-the-loop decisions or human interpretive tasks, no adjudication method for ground truth was used.

    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, not an AI/software system for medical image analysis or diagnosis.

    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. The device's performance is standalone in that its properties (e.g., permeation resistance) are directly measured.

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

    • The "ground truth" for these tests is defined by adherence to published international standards (ASTM D6319, ASTM D5151, ASTM D6124, ISO 10993-10, ISO 10993-11, and particularly ASTM D6978-05 for chemotherapy drug permeation). For the chemotherapy drug permeation specifically, the ground truth is the experimentally determined breakthrough time of the specific chemicals through the glove material under controlled laboratory conditions, as specified by the standard.

    8. The sample size for the training set:

    • Not Applicable. This is a physical device; there is no 'training set' in the machine learning sense. The manufacturing process and quality control would involve internal testing, but this is not referred to as a "training set" in the context of typical AI/ML device submissions.

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

    • Not Applicable. As there is no training set for an AI/ML model, this point does not apply.
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    K Number
    K220697
    Date Cleared
    2022-09-15

    (190 days)

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

    Nitrile Patient Examination Gloves, Powder Free

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

    Nitrile Patient Examination Gloves, Powder Free, are intended for medical purposes that are worn on the examiners' hands to prevent contamination between patient and examiner.

    Device Description

    The Nitrile Patient Examination Gloves, Powder Free are non-sterile, single use only, disposable, and powder free examination gloves. The glove is made of synthetic nitrile latex compound. The device is ambidextrous and can be worn on either the left or right hand. The device meets ASTM D 6319 - Standard specification for Nitrile Examination Gloves for Medical Application.

    AI/ML Overview

    This document is a 510(k) Premarket Notification for Nitrile Patient Examination Gloves, Powder Free. It demonstrates the substantial equivalence of the proposed device to a legally marketed predicate device (Primus Nitrile Examination Gloves, K143477).

    Here's the breakdown of the acceptance criteria and study information:

    1. Table of Acceptance Criteria and Reported Device Performance

    Device: Nitrile Patient Examination Gloves, Powder Free (Lalan Rubbers (Pvt) Ltd)

    CharacteristicAcceptance Criteria (Predicate Device / ASTM D6319)Reported Device Performance (Nitrile Patient Examination Gloves, Powder Free)
    Physical Characteristics:ASTM D6319 requirementsMeets ASTM D6319 requirements
    LengthMinimum 230mmMinimum 240mm
    Palm width (XS)$70 \pm 10$$\leq 80$
    Palm width (S)$80 \pm 10$$85 \pm 5$
    Palm width (M)$95 \pm 10$$95 \pm 5$
    Palm width (L)$110 \pm 10$$105 \pm 5$
    Palm width (XL)$120 \pm 10$$\geq 110$
    Thickness (Finger)Minimum 0.05mm$0.09 \pm 0.01$mm
    Thickness (Palm)Minimum 0.05mm$0.07 \pm 0.01$mm
    Thickness (Cuff)Not explicitly defined (implied by ASTM)$0.05 \pm 0.01$mm
    Physical Properties:ASTM D6319 requirements for tensile strength and ultimate elongationMeets ASTM D6319 requirements
    Tensile Strength (Before Aging)Minimum 14 MPaMinimum 14 MPa
    Tensile Strength (After Aging)Minimum 14 MPaMinimum 14 MPa
    Ultimate Elongation (Before Aging)Minimum 500%Minimum 500%
    Ultimate Elongation (After Aging)Minimum 400%Minimum 400%
    Freedom from holes:ASTM D6319 requirements of GI, AQL 2.5Meets ASTM D6319 and ASTM D5151 requirements of AQL 2.5
    Powder Residual:ASTM D6319 requirements; Not more than 2.0mg/gloveMeets applicable requirement for powder free; $\leq$ 2 mg per glove
    Biocompatibility:ASTM and ISO standards-
    Skin Irritation TestNot an irritant (Under predicate study conditions)Under the conditions of the study, not an irritant (ISO10993-23:2021)
    Skin Sensitization TestNot a sensitizer (Under predicate study conditions)Under the conditions of the study, not a sensitizer (ISO 10993-10:2010)
    In Vitro CytotoxicityNot explicitly stated for predicateDiluted concentrations 12.5% and 6.25% are not cytotoxic. Undiluted extract (100%), diluted concentrations 50% & 25% are cytotoxic. (ISO 10993-5:2009)
    Acute Systemic ToxicityNot explicitly stated for predicateUnder the conditions of the study, no evidence of systemic toxicity (ISO 10993-11: 2017)
    Shelf Life3 years3 years (EN, 455-4:2009)

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

    The document specifies that non-clinical tests were conducted to verify that the proposed subject device met all design specifications. The sample sizes for each specific test (e.g., number of gloves for physical testing, number of samples for biocompatibility) are not explicitly provided in this summary document. However, the tests are performed according to recognized international standards (ASTM and ISO), which typically specify appropriate sample sizes and methodologies.

    The "data provenance" (country of origin, retrospective/prospective) is not detailed for the test samples, but the tests were performed by Lalan Rubbers (Pvt) Ltd in Sri Lanka, which is the manufacturer. The tests are prospective in nature, as they involve testing newly manufactured devices against established standards.

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

    This device (Nitrile Patient Examination Gloves) does not involve expert interpretation or clinical diagnosis that would require human "ground truth" establishment in the typical sense of AI/clinical decision support systems. The "ground truth" here is objective measurement against established physical and chemical standards (ASTM D6319, ISO 10993 series). Therefore, there were no "experts" establishing a subjective ground truth for a test set in this context. The acceptance criteria are quantitative and based on published standards.

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

    Not applicable. As noted above, the "ground truth" is objective measurement against established physical and chemical standards. There is no subjective interpretation 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-assisted diagnostic or clinical decision support system that involves human readers interpreting cases.

    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. The tests performed are for the physical, chemical, and biological properties of the glove itself.

    7. The type of ground truth used

    The ground truth used for this device's performance evaluation against acceptance criteria is objective measurement against recognized international standards and specifications. Specifically:

    • Physical and Dimensional Properties: ASTM D6319 (Standard Specification for Nitrile Examination Gloves for Medical Application)
    • Freedom from holes: ASTM D6319 and ASTM D5151 (Standard Test Method for Detection of Holes in Medical Gloves)
    • Powder Residual: ASTM D6319 and ASTM D6124 (Standard Test Method for Residual Powder on Medical Gloves)
    • Biocompatibility: ISO 10993-10, ISO 10993-23, ISO 10993-11, ISO 10993-5 (Biological evaluation of medical devices for irritation, sensitization, systemic toxicity, and cytotoxicity)
    • Shelf Life: EN 455-4:2009 (Medical gloves for single use Part 4: Requirements and testing for shelf life determination)

    8. The sample size for the training set

    Not applicable. This product is not an AI/machine learning model, so there is no concept of a "training set" in this context. The design and manufacturing process for the gloves are developed based on general engineering and material science principles, and then verified through the non-clinical tests mentioned.

    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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