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510(k) Data Aggregation

    K Number
    K250502
    Date Cleared
    2025-03-19

    (27 days)

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

    SafeSource Direct Blue Powder-Free Nitrile Exam Gloves (AMERI-TUFF Series 4000, AMERI-TOUCH Series 5000

    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 hands to prevent contamination between patient and examiner. These gloves were tested for use with chemotherapy drugs, as per ASTM D6978-05 (Reapproved 2019) Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.

    Device Description

    The SafeSource Direct Blue Powder-Free Nitrile Exam Gloves are a patient examination glove that is a disposable device intended for medical purposes that is worn on the examiner's hands to prevent contamination between patient and examiner. These gloves were tested for use with chemotherapy drugs. The purpose of this submission is to add two additional sizes (AMERI-TUFF Series 4000 XS and XXL) and additional series (AMERI-TOUCH Series 5000 XS through XXL) of SafeSource Direct Blue Powder-Free Nitrile Exam Glove

    AI/ML Overview

    This document is a 510(k) Summary for a medical device (SafeSource Direct Blue Powder-Free Nitrile Exam Gloves) seeking FDA clearance. The document focuses on demonstrating substantial equivalence to a predicate device, primarily through non-clinical performance data (i.e., laboratory testing). It does not involve a study of an AI-powered device or a human-in-the-loop performance study.

    Therefore, many of the requested elements related to AI/MRMC studies, expert ground truth adjudication, and training/test set details for AI models are not applicable to this document. I will focus on the acceptance criteria and the study that proves the device meets those criteria, as detailed in the provided text.

    Here's a breakdown based on the information provided in the document:

    1. Table of Acceptance Criteria and Reported Device Performance

    The device under review includes two series of gloves: AMERI-TUFF Series 4000 and AMERI-TOUCH Series 5000. Not all tests explicitly differentiate between the series in the summary table, but chemotherapy permeation times are distinct.

    Test MethodPurposeAcceptance CriteriaReported Device Performance
    ASTM D6319Physical Dimensions TestLength (mm):
    XS/S: ≥ 220
    M/L/XL/XXL: ≥ 230

    Width (mm):
    XS: 70 ± 10
    S: 80 ± 10
    M: 95 ± 10
    L: 110 ± 10
    XL: 120 ± 10
    XXL: 130 ± 10

    Thickness (mm):
    Finger: ≥ 0.05
    Palm: ≥ 0.05 | Length (mm):
    XS/S: ≥ 220 / Pass
    M/L/XL/XXL: ≥ 230 / Pass

    Width (mm):
    XS: 70 ± 10 / Pass
    S: 80 ± 10 / Pass
    M: 95 ± 10 / Pass
    L: 110 ± 10 / Pass
    XL: 120 ± 10 / Pass
    XXL: 130 ± 10 / Pass

    Thickness (mm):
    Finger: 0.05 / Pass
    Palm: 0.05 / Pass |
    | ASTM D5151 | Watertightness Test for Detection of Holes | Meet the requirements of ASTM D5151 AQL 2.5 | Complies with ASTM D6319-19 and ASTM D5151-06 (Though the table specifically lists "Complies with ASTM D6319-19 and ASTM D5151-06", the stated acceptance criteria for D5151 is AQL 2.5, implying the result also meets this). |
    | ASTM D6124 | Powder Content | Meet the requirements of ASTM D6124

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    K Number
    K222898
    Date Cleared
    2022-11-07

    (45 days)

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

    SafeSource Direct Blue Powder-Free Nitrile Exam Gloves

    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 hands to prevent contamination between patient and examiner. These gloves were tested for use with chemotherapy drugs, as per ASTM D6978-05 (Reapproved 2019) Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.

    Carmustine (BCNU) 3.3 mg/ml 35.8 Minutes
    Cisplatin 1.0 mg/ml ≥ 240 Minutes
    Cyclophosphamide (Cytoxan) 20.0 mg/ml ≥ 240 Minutes
    Dacarbazine (DTIC) 10.0 mg/ml ≥ 240 Minutes
    Doxorubicin Hydrochloride 2.0 mg/ml ≥ 240 Minutes
    Etoposide (Toposar) 20.0 mg/ml ≥ 240 Minutes
    Fluorouracil 50.0 mg/ml 0.5 mg/ml ≥ 240 Minutes
    Methotrexate 25 mg/ml ≥ 240 Minutes
    Mitomycin C 0.5 mg/ml ≥ 240 Minutes
    Paclitaxel (Taxol) 6.0 mg/ml ≥ 240 Minutes
    Thio-Tepa 10.0 mg/ml 87.0 Minutes
    Vincristine Sulfate (Oncovin) 1.0 mg/ml ≥ 240 Minutes

    Please note that the following drugs have low permeation times:
    Carmustine (BCNU) 3.3 mg/ml 35.8 Minutes
    Thio-Tepa 10.0 mg/ml 87.0 Minutes
    Not recommended for use with these drugs.

    Device Description

    The SafeSource Direct Blue Powder-Free Nitrile Exam Gloves are a patient examination glove that is a non-sterile, single use, disposable device intended for medical purposes that is worn on the examiner's hands to prevent contamination between patient and examiner. These gloves were tested for use with chemotherapy drugs. These gloves are made of synthetic copolymer of acrylonitrile and butadiene (NBR rubber) with a blue dye. The gloves are available in small, medium, large, and extra-large.

    AI/ML Overview

    The provided document is a 510(k) Premarket Notification for SafeSource Direct Blue Powder-Free Nitrile Exam Gloves. It details the acceptance criteria and performance data for this medical device, which is a non-powdered patient examination glove.

    Here's an analysis of the requested information based on the provided text:

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

    Test MethodPurposeAcceptance CriteriaReported Device Performance
    ASTM D6319Physical Dimensions TestLength (mm): S: ≥ 220, M/L/XL: ≥ 230
    Width (mm): S: 80 ± 10, M: 95 ± 10, L: 110 ± 10, XL: 120 ± 10
    Thickness (mm): Finger: ≥ 0.05, Palm: ≥ 0.05Length (mm): S: ≥ 220 / Pass, M/L/XL: ≥ 230 / Pass
    Width (mm): S: 82 – 85 / Pass, M: 95 – 97 / Pass, L: 103 – 107 / Pass, XL: 110 – 116 / Pass
    Thickness (mm): Finger: 0.13 – 0.17 / Pass, Palm: 0.09 – 0.11 / Pass
    ASTM D5151Watertightness Test for Detection of HolesMeet the requirements of ASTM D5151 AQL 2.5S: 1/125 / Pass, M: 2/125 / Pass, L: 2/125 / Pass, XL: 4/125 / Pass
    ASTM D6124Powder ContentMeet the requirements of ASTM D6124
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