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510(k) Data Aggregation

    K Number
    K223235
    Date Cleared
    2022-10-26

    (13 days)

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

    K210388

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

    Nitrile Examination Gloves Powder Free (Tested for use with Chemotherapy Drugs) is a disposable device intended for medical purpose that is worn on the examiner's hand to prevent contamination between patient and examiner. In addition, these gloves were tested for use with chemotherapy drugs in accordance with ASTM D6978-05 (2019) Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs. This is a single-use, powder-free, non-sterile device.

    Device Description

    Nitrile Examination Gloves Powder Free (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 ASTM D6978-05 (2019). They are made from Carboxylated Nitrile. These gloves are blue in color and are powder free. The product is non-sterile, textured, ambidextrous with beaded cuff and single use only. Nitrile Examination Gloves Powder Free (Tested for use with Chemotherapy Drugs) with sizes X-Small, Small, Medium, Large, X-Large and XX-Large are included in the submission.

    AI/ML Overview

    Here's an analysis of the acceptance criteria and the study that proves the device meets them, based on the provided FDA 510(k) summary for "Nitrile Examination Gloves Powder Free (Tested for use with Chemotherapy Drugs)":

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

    Characteristic / Test MethodAcceptance CriteriaReported Device Performance
    Physical Dimensions (ASTM D6319-19)
    LengthX-Small: 220 mm min; Small: 220 mm min; Medium: 230 mm min; Large: 230 mm min; X-Large: 230 mm min; XX-Large: 230 mm minX-Small: 270 mm; Small: 273 mm; Medium: 274 mm; Large: 276 mm; X-Large: 278 mm; XX-Large: 276 mm
    WidthX-Small: 70+/-10 mm; Small: 80+/-10 mm; Medium: 95+/-10 mm; Large: 110+/-10 mm; X-Large: 120+/-10 mm; XX-Large: 130+/-10 mmX-Small: 72 mm; Small: 82 mm; Medium: 97 mm; Large: 103 mm; X-Large: 112 mm; XX-Large: 126 mm
    ThicknessPalm: 0.05 mm min for all sizes; Finger: 0.05 mm min for all sizesPalm: 0.12 mm for all sizes; Finger: 0.14 mm for all sizes
    Physical Properties (ASTM D6319-19)
    Tensile Strength (Before Ageing)14 MPa min for all sizesX-Small: 17.7 MPa; Small: 18.1 MPa; Medium: 18.3 MPa; Large: 18.4 MPa; X-Large: 18.2 MPa; XX-Large: 18.5 MPa
    Tensile Strength (After Ageing)14 MPa min for all sizesX-Small: 16.8 MPa; Small: 17.3 MPa; Medium: 17.2 MPa; Large: 17.6 MPa; X-Large: 17.5 MPa; XX-Large: 17.6 MPa
    Ultimate Elongation (Before Ageing)500% min for all sizesX-Small: 637%; Small: 634%; Medium: 647%; Large: 630%; X-Large: 644%; XX-Large: 644%
    Ultimate Elongation (After Ageing)400% min for all sizesX-Small: 532%; Small: 539%; Medium: 542%; Large: 536%; X-Large: 529%; XX-Large: 533%
    Freedom from Holes (ASTM D5151-19)AQL 2.5Gloves Passes AQL 2.5
    Residual Powder (ASTM D6124-06)$\leq$ 2 mg/gloveX-Small: 0.21 mg/glove; Small: 0.18 mg/glove; Medium: 0.18 mg/glove; Large: 0.19 mg/glove; X-Large: 0.21 mg/glove; XX-Large: 0.20 mg/glove
    Chemotherapy Drug Permeation (ASTM D6978-05 (2019))
    Carboplatin (10mg/ml)> 240 Minutes> 240 Minutes
    Carmustine (3.3mg/ml)Not specified as an acceptance criterion value, but rather a reported breakthrough time leading to a warning. No specific "pass/fail" for this drug against a threshold is listed.15.9 Minutes
    Cisplatin (1mg/ml)> 240 Minutes> 240 Minutes
    Cyclophosphamide (20mg/ml)> 240 Minutes> 240 Minutes
    Cytarabine HCl (100mg/ml)> 240 Minutes> 240 Minutes
    Dacarbazine (10mg/ml)> 240 Minutes> 240 Minutes
    Docetaxel (10mg/ml)> 240 Minutes> 240 Minutes
    Doxorubicin HCl (2mg/ml)> 240 Minutes> 240 Minutes
    Etoposide (20mg/ml)> 240 Minutes> 240 Minutes
    Fluorouracil (50mg/ml)> 240 Minutes> 240 Minutes
    Gemcitabine (38mg/ml)> 240 Minutes> 240 Minutes
    Ifosfamide (50mg/ml)> 240 Minutes> 240 Minutes
    Irinotecan (20mg/ml)> 240 Minutes> 240 Minutes
    Mechlorethamine HCl (1mg/ml)> 240 Minutes> 240 Minutes
    Melphalan (5mg/ml)> 240 Minutes> 240 Minutes
    Methotrexate (25mg/ml)> 240 Minutes> 240 Minutes
    Mitoxantrone (2mg/ml)> 240 Minutes> 240 Minutes
    Paclitaxel (6mg/ml)> 240 Minutes> 240 Minutes
    Thiotepa (10mg/ml)Not specified as an acceptance criterion value, but rather a reported breakthrough time leading to a warning. No specific "pass/fail" for this drug against a threshold is listed.54.2 Minutes
    Biocompatibility (ISO 10993 Series)
    Primary Skin Irritation (ISO 10993-23)Under the condition of study not an irritantUnder the condition of study, not an irritant
    Dermal Sensitization (ISO 10993-10)Under the conditions of the study, not a sensitizerUnder the conditions of the study, not a sensitizer
    In Vitro Cytotoxicity (ISO 10993-5)Under the conditions of the study, non-cytotoxicUnder the conditions of the study, non-cytotoxic
    Acute Systemic Toxicity (ISO 10993-11)Under the conditions of study, the device extracts do not pose a systemic toxicity concernUnder the conditions of the study, the test item did not produce any adverse effect

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

    The document does not explicitly state the specific sample sizes used for each test. For many of the physical and chemical property tests (e.g., dimensions, tensile strength, freedom from holes, residual powder, chemotherapy drug permeation), the relevant ASTM standards (e.g., ASTM D6319-19, ASTM D5151-19, ASTM D6124-06, ASTM D6978-05) would specify the required statistical sampling plans, but the summary document only provides the results.

    Similarly, for biocompatibility tests (ISO 10993 series), the number of animals or cell cultures used is not detailed in this summary, but the standards themselves outline the required protocols.

    The data provenance is not explicitly stated in terms of country of origin of the data or whether it was retrospective or prospective. Given that these are bench and lab tests for a premarket notification, it's highly probable that the tests were conducted prospectively by the manufacturer or a contracted testing laboratory to demonstrate compliance with the referenced standards.

    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 and not provided since the studies performed are bench testing and biocompatibility testing against established international standards (ASTM and ISO). These types of tests do not typically involve human experts establishing a "ground truth" through interpretation, as would be the case for an AI diagnostic device. Instead, the "ground truth" is defined by the objective measurement parameters and criteria specified in the standard test methods themselves.

    4. Adjudication method for the test set

    Not applicable. As noted above, these are objective bench and lab tests against predefined specifications in standards. There is no subjective interpretation requiring an adjudication method like 2+1 or 3+1. The results are quantitative measurements or direct observations (e.g., passes/fails AQL).

    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 diagnostic device. Therefore, no MRMC study involving human readers or AI assistance was conducted or would be relevant.

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

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

    7. The type of ground truth used

    The "ground truth" for the performance evaluation of these nitrile examination gloves are the acceptance criteria defined by the relevant ASTM and ISO standards. These standards provide:

    • Specific measurable thresholds (e.g., minimum length, minimum tensile strength, maximum residual powder).
    • Defined test methods and methodologies (e.g., how to measure breakthrough time for chemotherapy drugs, how to assess irritation or sensitization).
    • Statistical sampling plans (e.g., AQL for freedom from holes).

    Compliance with these pre-defined, objective criteria from the standards constitutes the "ground truth" for the device's performance.

    8. The sample size for the training set

    Not applicable. This is a physical device (medical glove), not an AI model. Therefore, there is no "training set."

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

    Not applicable, as there is no training set for a physical medical device.

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