← Product Code [LZA](/productcode/LZA) · K220249 # Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue) (K220249) _Grand Work Plastic Products Co., Ltd. · LZA · May 26, 2022 · General Hospital · SESE_ **Canonical URL:** https://fda-staging.innolitics.com/device/K220249 ## Device Facts - **Applicant:** Grand Work Plastic Products Co., Ltd. - **Product Code:** [LZA](/productcode/LZA.md) - **Decision Date:** May 26, 2022 - **Decision:** SESE - **Submission Type:** Traditional - **Regulation:** 21 CFR 880.6250 - **Device Class:** Class 1 - **Review Panel:** General Hospital ## Indications for Use 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. In addition these gloves were tested for use with Chemotherapy drugs in accordance with ASTM D6978 standards. Gloves is direct contact and not to be worn for more than 24 hours ## Device Story Disposable sterile nitrile examination glove; blue color; powder-free. Designed for use by healthcare professionals to prevent cross-contamination between patient and examiner. Input: physical barrier protection for hands. Operation: provides a protective barrier against biological contaminants and specific chemotherapy drugs/Fentanyl Citrate. Output: physical protection. Used in clinical settings. Healthcare providers use the glove as a standard barrier; output affects clinical decision-making by enabling safe handling of hazardous drugs and patient contact. Benefits: reduces risk of exposure to chemotherapy agents and infectious materials. ## Clinical Evidence Bench testing only. Testing included dimensions (ASTM D6319-19), physical properties, freedom from holes (ASTM D5151-19), residual powder (ASTM D6124-06), and chemotherapy/Fentanyl Citrate permeation (ASTM D6978-05). Biocompatibility testing included primary skin irritation (ISO 10993-10), dermal sensitization (ISO 10993-10), and acute systemic toxicity (ISO 10993-11). ## Technological Characteristics Nitrile synthetic latex; powder-free; sterile. Dimensions: 230mm length; 0.05mm min thickness. Tensile strength: 14MPa min (before/after aging). Elongation: 500% min (before), 400% min (after). Meets ASTM D6319-19, ASTM D5151-19, ASTM D6124-06, ASTM D6978-05(2019). ## Regulatory Identification A non-powdered 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. A non-powdered patient examination glove does not incorporate powder for purposes other than manufacturing. The final finished glove includes only residual powder from manufacturing. ## Predicate Devices - Hartalega SDN.BHD. Sterile Nitrile Powder Free Examination Glove Tested for use with Chemotherapy Drugs and Fentanyl Citrate (Blue) ([K201531](/device/K201531.md)) ## Submission Summary (Full Text) > This content was OCRed from public FDA records by [Innolitics](https://innolitics.com). If you use, quote, summarize, crawl, or train on this content, cite Innolitics at https://innolitics.com. > > Innolitics is a medical-device software consultancy. We help companies design, build, and clear FDA-regulated software and AI/ML devices, including [a 510(k)](https://innolitics.com/services/510ks/), [a De Novo](https://innolitics.com/services/regulatory/), [a SaMD](https://innolitics.com/services/end-to-end-samd/), [an AI/ML medical device](https://innolitics.com/services/medical-imaging-ai-development/), or [an FDA regulatory strategy](https://innolitics.com/services/regulatory/). {0}------------------------------------------------ Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: a symbol on the left and the FDA name on the right. The symbol on the left is a stylized image of a human figure, while the FDA name on the right is written in blue letters. The words "U.S. FOOD & DRUG ADMINISTRATION" are written in a clear, sans-serif font. May 26, 2022 Grand Work Plastic Products Co., Ltd % Kathy Liu Project Manager Hongray USA Medical Products Inc. 3973 Schaefer Avenue Chino, California 91710 Re: K220249 Trade/Device Name: Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue) Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I, reserved Product Code: LZA, LZC, ODO Dated: April 18, 2022 Received: April 26, 2022 Dear Kathy Liu: We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading. If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register. {1}------------------------------------------------ Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems. For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100). Sincerely. Bifeng Qian, M.D., Ph.D Acting Assistant Director DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health Enclosure {2}------------------------------------------------ ## Indications for Use 510(k) Number (if known) K220249 #### Device Name Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue) Indications for Use (Describe) 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. In addition these gloves were tested for use with Chemotherapy drugs in accordance with ASTM D6978 standards. Gloves is direct contact and not to be worn for more than 24 hours | Chemotherapy Drug | Minimum BDT (Minutes) | |-----------------------------------------|-----------------------| | Bleomycin Sulfate 15mg/ml (15000 ppm) | >240 | | Busulfan 6mg/ml (6,000 ppm) | >240 | | Carboplatin 10mg/ml (10,000 ppm) | >240 | | Carmustine 3.3 mg/ml (3,300 ppm) | 22.4 | | 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 HCL, 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) | 46.3 | | 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 | {3}------------------------------------------------ * Please note that the following drugs have extremely low permeation times: Carmustine: 22.4 minutes, Thiotepa: 46.3 minutes WARNING: DO NOT USE WITH CARMUSTINE WARNING: DO NOT USE WITH THIOTEPA | Fentanyl Citrate and Concentration | |------------------------------------------| | Fentanyl Citrate Injection (100 mcg/2ml) | Minimum Breakthrough Detection Time in Minutes >240 Type of Use (Select one or both, as applicable) Prescription Use (Part 21 CFR 801 Subpart D) X Over-The-Counter Use (21 CFR 801 Subpart C) ### CONTINUE ON A SEPARATE PAGE IF NEEDED. This section applies only to requirements of the Paperwork Reduction Act of 1995. ## *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.* The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: > Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." {4}------------------------------------------------ Donggao Industrial Zone, Zanhuang, Hebei, 050000, China Product: Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue) ### 510(K) SUMMARY This summary of 510(K) safety and effectiveness information is being submitted in accordance with requirements of 21 CFR §807.92. The assigned 510(K) number is: K220249 Date Prepared: April 18, 2022 #### 1. Owner's Identification: Mrs. Wu Yuli Grand Work Plastic Products Co., Ltd. Donggao Industrial Zone, Zanhuang, Hebei, 050000, China Tel: 86-311-66179668 Contact: Ms. Kathy Liu, Project Manager Address: 3973 Schaefer Ave., Chino, CA 91710 Tel: 909-590-1611 #### 2. Name of the Device: Trade Name: Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue) Common Name: Exam Gloves Classification Name: Patient Examination Glove Classification Regulation: 880.6250 Classification Panel: 880 General Hospital and Personal Use Product Code: LZA, LZC and QDO Device Class: Class I #### 3. Predicate Device Information: Hartalega SDN.BHD. Sterile Nitrile Powder Free Examination Glove Tested for use with Chemotherapy Drugs and Fentanyl Citrate (Blue) (K201531) #### 4. Device Description: The subject device is Sterile Nitrile Powder Free Examination Gloves Tested for Use with Chemotherapy Drugs And Fentanyl Citrate (Blue). The subject device is a patient examination glove made from nitrile latex compound, blue color, powder free and sterile (Per 21 CFR 880.6250, class I). The device is direct contact and not to be worn for more than 24 hours. The device meets all the specifications in ASTM D6319-19, Standard specification for Nitrile Examination Gloves. Additionally, the gloves have been tested for biocompatibility per 10993-11 and permeability to chemotherapy drugs and Fentanyl Citrate per ASTM D6978-05(2019). #### 5. Indications for Use: A patient examination glove is disposable device intended for medical purpose that is worn on the examiner's hand or finger to prevent contamination between patient and examiner. In addition, these gloves were tested for use with chemotherapy drugs & Fentany] Citrate and provides protection against following chemotherapy drugs and the minimum breakthrough time are listed as follows. | Chemotherapy Drug | Minimum BDT (Minutes) | |---------------------------------------|-----------------------| | Bleomycin Sulfate 15mg/ml (15000 ppm) | >240 | | Busulfan 6mg/ml (6,000 ppm) | >240 | | Carboplatin 10mg/ml (10,000 ppm) | >240 | {5}------------------------------------------------ Donggao Industrial Zone, Zanhuang, Hebei, 050000, China Product: Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue) | Carmustine 3.3 mg/ml (3,300 ppm) | 22.4 | |------------------------------------------|------| | 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 HCL, 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) | 46.3 | | 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 | * Please note that the following drugs have extremely low permeation times: Carmustine: 22.4 minutes, Thiotepa: 46.3 minutes WARNING: DO NOT USE WITH CARMUSTINE WARNING: DO NOT USE WITH THIOTEPA ### 6. Specification for Nitrile Gloves: | Items | Acceptance Criteria | Results | |------------|---------------------|---------------| | Length | Minimum 230mm | All size ≥230 | | Palm Width | XS: 70±10mm | 76-78mm | | | S: 80±10mm | 86-88 mm | | | M:95±10mm | 96 -98mm | | | L:110±10mm | 106-108 mm | | | XL: 120±10mm | 116-118 mm | {6}------------------------------------------------ Donggao Industrial Zone, Zanhuang, Hebei, 050000, China Product: Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue) | | XXL: $130\pm10$ mm | 126-128 mm | |----------------------------------------------|-----------------------|------------------------------------| | Thickness | Palm: 0.05mm (min) | 0.07-0.08mm | | | Finger: 0.05mm (min) | 0.09-0.11mm | | Tensile Strength, Before Aging | 14MPa, min | 15.7-20.6 MPa | | Tensile Strength, After Accelerated Aging | 14MPa, min | 15.5-19.5 MPa | | Ultimate Elongation, Before Aging | 500%, min | 500-550% | | Ultimate Elongation, After Accelerated Aging | 400%, min | 410-510% | | Freedom from holes | G-I, AQL 2.5 | Meet and above AQL2.5 requirements | | Powder-Content | $\leq$ 2 mg per glove | $\leq$ 2 mg, meet requirements | Gloves meet all the specification listed in ASTM D 6319-19. ### 7. Comparison of Subject Device and Predicate Device: | Characteristics | Subject Device | Predicate Device | Remark | |---------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------| | | K220249 | K201531 | | | Trade Name | Sterile Powder Free Nitrile
Examination Gloves (Blue), Tested
for Use with Chemotherapy Drugs | Nitrile Examination Gloves
Sterile Tested for Use with
Chemotherapy Drugs claim, White | Similar | | Product Code | LZA, LZC and QDO | LZA, LZC and QDO | Same | | Regulation Number | 21 CFR 880.6250 | 21 CFR 880.6250 | Same | | Class | I | I | Same | | Indications for Use | Subject device is a disposable device
intended for medical purpose that is
worn on the examiner's hand or
finger to prevent contamination
between patient and examiner. The
device is for over-the-counter use. | Predicate device is a disposable device
intended for medical purpose that is worn
on the examiner's hand or finger to
prevent contamination between patient and
examiner. The device is for over-the-
counter use. | Same | | Description | Sterile Examination glove made of
Nitrile and color Blue and tested
with chemotherapy Drugs | Sterile Examination glove made of Nitrile
and color White and tested with
chemotherapy Drugs | Same | | Design Feature | Ambidextrous | Ambidextrous | Same | | Material use | Nitrile Synthetic Latex | Nitrile Synthetic Latex | Same | | Color | Blue | Blue | Same | | Sterility ISO 11737-2
EN ISO 11137-2 | Sterility | Sterility | Same | | Single used | Single used | Single used | Same | | Non Sterile or Sterile | Sterile | Sterile | Same | | 10993-10:2010 Skin Irritation
Study | Under the conditions of the
study, not an irritant | Under the conditions of the study, not
an irritant | Same | | 10993-10:2010 Maximization
Sensitization Study | Under the conditions of the
study, not a sensitizer | Under the conditions of the study, not a
sensitizer | Same | | 10993-5:2009 In Vitro | Under the conditions of this study, | Under the conditions of this study, the | Same | {7}------------------------------------------------ Donggao Industrial Zone, Zanhuang, Hebei, 050000, China Product: Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue) | Cytotoxicity Test | the test article extract showed potential toxicity to L929 cells.
Cytotoxicity concern was addressed by acute systematic toxicity testing. | test article extract showed potential toxicity to L929 cells.
Cytotoxicity concern was addressed by acute systematic toxicity testing. | | |---------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------|------| | ISO 10993 Part 11
Acute Systemic Toxicity Test | Under the conditions of this study, there was no evidence of systemic toxicity. | Under the condition of this study, Nitrile Examination glove, sterile shows no adverse biological reaction | Same | | Technological
Characteristics | Subject Device
K220249 | Predicate Device
K201531 | Remark | |-------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|-----------| | Length | Minimum 230mm | Minimum 230mm | Same | | Palm Width (size) (mm) | | | | | XS | 70±10 | 70±10 | Same | | S | 80±10 | 80±10 | Same | | M | 95±10 | 95±10 | Same | | L | 110±10 | 110±10 | Same | | XL | 120±10 | 120±10 | Same | | XXL | 130±10 | / | Different | | Thickness(mm) | | | | | Finger | Minimum 0.05 | Minimum 0.05 | Same | | Palm | Minimum 0.05 | Minimum 0.05 | Same | | Tensile Strength, Before Aging | 14MPa, min | 14MPa, min | Same | | Ultimate Elongation,
Before Aging | 500%, min | 500%, min | Same | | Tensile Strength, After
Accelerated Aging | 14MPa, min | 14MPa, min | Same | | Ultimate Elongation, After
Accelerated Aging | 400%, min | 400%, min | Same | | Freedom from holes | In accordance with ASTM D
5151-19, following ASTM
D6319- 19, G-I, AQL 2.5 | In accordance with ASTM D
5151-19, following ASTM
D6319- 19, G-I, AQL 2.5 | Same | | Residual Powder | <2 mg per glove | <2 mg per glove | Same | Dimensions and Performance Comparison Table: ## Chemotherapy Permeation Comparison Claim: | Tested Chemotherapy Drug and
Concentration | Minimum BDT (Minutes) | | Remark | |-----------------------------------------------|-----------------------|----------------|-----------| | | Predicate Device | Subject Device | | | Bleomycin Sulfate 15mg/ml (15000 ppm) | / | >240 | Different | | Busulfan 6mg/ml (6,000 ppm) | / | >240 | Different | | Carboplatin 10mg/ml (10,000 ppm) | / | >240 | Different | | Carmustine 3.3 mg/ml (3,300 ppm) | 26.3 | 22.4 | Similar | {8}------------------------------------------------ Donggao Industrial Zone, Zanhuang, Hebei, 050000, China Product: Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue) | Chloroquine 50mg/ml (50,000ppm) | / | >240 | Different | |------------------------------------------|------|------|-----------| | Cisplatin 1mg/ml (1,000 ppm) | >240 | >240 | Same | | Cyclophosphamide 20mg/ml (20,000 ppm) | >240 | >240 | Same | | Cyclosporin 100 mg/ml (100,000 ppm) | / | >240 | Different | | Cytarabine HCL, 100 mg/ml (100,000 ppm) | / | >240 | Different | | Dacarbazine 10 mg/ml (10,000 ppm) | >240 | >240 | Same | | Daunorubicin HCL, 5 mg/ml (5,000 ppm) | / | >240 | Different | | Docetaxel HCL, 10 mg/ml (10,000 ppm) | / | >240 | Different | | Doxorubicin HCL, 2 mg/ml (2,000 ppm) | >240 | >240 | Same | | Epirubicin HCL, 2 mg/ml (2,000 ppm) | / | >240 | Different | | Etoposide, 20 mg/ml (20,000 ppm) | >240 | >240 | Same | | Fludarabine, 25 mg/ml (25,000 ppm) | / | >240 | Different | | Fluorouracil, 50mg/ml (50,000ppm) | >240 | >240 | Same | | Gemcitabine, 38mg/ml (38,000ppm) | / | >240 | Different | | Idarubicin HCL, 1mg/ml (1,000ppm) | / | >240 | Different | | Ifosfamide, 50mg/ml (50,000ppm) | / | >240 | Different | | Irinotecan, 20mg/ml (20,000ppm) | / | >240 | Different | | Mechlorethamine HCI, 1mg/ml (1,000ppm) | / | >240 | Different | | Melphalan, 5mg/ml (5,000ppm) | / | >240 | Different | | Methotrexate, 25mg/ml (25,000ppm) | >240 | >240 | Same | | Mitomycin C, 0.5mg/ml (500ppm) | >240 | >240 | Same | | Mitoxantrone HCL, 2mg/ml (2,000ppm) | / | >240 | Different | | Oxaliplatin, 5mg/ml (5,000ppm) | / | >240 | Different | | Paclitaxel, 6mg/ml (6,000ppm) | >240 | >240 | Same | | Paraplatin, 10mg/ml (10,000ppm) | / | >240 | Different | | Retrovir, 10mg/ml (10,000ppm) | / | >240 | Different | | Rituximab, 10mg/ml (10,000ppm) | / | >240 | Different | | Thiotepa, 10mg/ml (10,000ppm) | 97.1 | 46.3 | Similar | | Topotecan, 1mg/ml (1,000ppm) | / | >240 | Different | | Trisenox, 1mg/ml (1,000ppm) | / | >240 | Different | | Velcade, 1mg/ml (1,000ppm) | / | >240 | Different | | Vincristine Sulfate, 1mg/ml (1,000ppm) | >240 | >240 | Same | | Fentanyl Citrate Injection (100 mcg/2ml) | >240 | >240 | Same | ## 8 Summary of Non-Clinical Testing Non-clinical tests were performed to verify that the subject device will meet the acceptance criteria of the performance test shown below: | Technological Characteristics | Standard / Test /FDA Guidance | Result Summary | |-------------------------------|----------------------------------------|----------------| | Dimensions | ASTM D6319-19 | Meets | | Physical Properties | ASTM D6319-19 | Meets | | Freedom from holes | ASTM D6319- 19
ASTM D5151-19 | Meets | | Residual Powder | ASTM D 6124-06(2017)
ASTM D6319- 19 | Meets | | Primary Skin Irritation Test | ISO 10993-10:2010 | Meets | | Dermal Sensitization Assay | ISO 10993-10:2010 | Meets | | Acute Systemic Toxicity | ISO 10993-11:2017 | Meets | {9}------------------------------------------------ Donggao Industrial Zone, Zanhuang, Hebei, 050000, China Product: Sterile Nitrile Powder Free Examination Gloves Tested For Use With Chemotherapy Drugs And Fentanyl Citrate (Blue) The subject device meets the applicable requirements for patient examination gloves with regards to dimension and sizes, physical properties, freedom from holes and powder Residuals as found in the following standards: ASTM D6139, ASTM D5151, ASTM D6124.The subject device passes biological reactivity testing for dermal sensitization, irritation and acute systemic toxicity with accordance ISO10993-10 and ISO 10993-11. #### 9. Conclusion: The conclusions drawn from the nonclinical tests demonstrate that the Subject device is as safe, as effective, and performs as well as or better than the legally marketed predicated device. --- **Source:** [https://fda-staging.innolitics.com/device/K220249](https://fda-staging.innolitics.com/device/K220249) **Published by [Innolitics](https://innolitics.com)** — a medical-device software consultancy. We help companies design, build, and clear FDA-regulated software and AI/ML devices. If you're preparing [a 510(k)](https://innolitics.com/services/510ks/), [a De Novo](https://innolitics.com/services/regulatory/), [a SaMD](https://innolitics.com/services/end-to-end-samd/), [an AI/ML medical device](https://innolitics.com/services/medical-imaging-ai-development/), or [an FDA regulatory strategy](https://innolitics.com/services/regulatory/), [get in touch](https://innolitics.com/contact). **Cite:** Innolitics at https://innolitics.com