← Product Code [LZA](/productcode/LZA) · K232319

# Black Pearl Nitrile Examination Glove (K232319)

_Ug Global Resources Sdn. Bhd. · LZA · Apr 22, 2024 · General Hospital · SESE_

**Canonical URL:** https://fda.innolitics.com/device/K232319

## Device Facts

- **Applicant:** Ug Global Resources Sdn. Bhd.
- **Product Code:** [LZA](/productcode/LZA.md)
- **Decision Date:** Apr 22, 2024
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 880.6250
- **Device Class:** Class 1
- **Review Panel:** General Hospital

## Indications for Use

Black Pearl Nitrile 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.

## Device Story

Black Pearl Nitrile Examination Glove is a single-use, ambidextrous, black-colored nitrile glove with a beaded cuff. It is used in medical settings by clinicians to provide a barrier against contamination between the examiner and the patient. The device is manufactured to meet ASTM D6319-19 standards. It is provided non-sterile and is intended for over-the-counter use. The glove acts as a physical barrier; its use helps reduce the risk of cross-contamination during patient examinations.

## Clinical Evidence

No clinical data. Bench testing only. Performance verified against ASTM D6319-19 (dimensions, physical properties, freedom from holes) and ASTM D6124-06 (residual powder). Biocompatibility testing performed per ISO 10993 standards, including skin irritation (ISO 10993-23), skin sensitization (ISO 10993-10), cytotoxicity (ISO 10993-5), and acute systemic toxicity (ISO 10993-11).

## Technological Characteristics

Material: Nitrile. Form factor: Ambidextrous, beaded cuff, black color. Standards: ASTM D6319-19 (physical/dimensional), ASTM D6124-06 (residual powder). Sterility: Non-sterile. Connectivity: None. Software: None.

## 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

- Non-Sterile, Powder-Free, Nitrile Examination Gloves Blue ([K112012](/device/K112012.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 contains the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in a stacked format.

April 22, 2024

UG Global Resources Sdn. Bhd. Lee Mei Ling General Manager, OA Lot 62 & 63, Lorong Senawang 3/2, Kawasan Perindustrian Senawang, Seremban, Negeri Sembilan 70450 Malaysia

Re: K232319

Trade/Device Name: Black Pearl Nitrile Examination Glove Regulation Number: 21 CFR 880.6250 Regulation Name: Non-Powdered Patient Examination Glove Regulatory Class: Class I, reserved Product Code: LZA Dated: March 12, 2024 Received: March 12, 2024

Dear Lee Mei Ling:

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 (the 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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device"

{1}------------------------------------------------

(https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review. the OS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.

For Bifeng Qian, M.D., Ph.D. Assistant Director DHT4B: Division of Infection Control and Plastic and Reconstructive Surgery Devices 

{2}------------------------------------------------

OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

{3}------------------------------------------------

### Indications for Use

510(k) Number (if known) K232319

Device Name Black Pearl Nitrile Examination Glove

Indications for Use (Describe)

Black Pearl Nitrile 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.

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}------------------------------------------------

### 510(k) SUMMARY

#### K232319

| 1.0 Submitter:      |                                                                                                                        |
|---------------------|------------------------------------------------------------------------------------------------------------------------|
| Name                | : UG Global Resources Sdn Bhd                                                                                          |
| Address             | : Lot 62 & 63 Lorong Senawang 3/2,<br>Kawasan Perindustrian Senawang,<br>70450 Seremban, Negeri Sembilan,<br>Malaysia. |
| Phone No.           | : 606-676 0450                                                                                                         |
| Fax No.             | : 606-679 5694                                                                                                         |
| Contact Person      | : Ms. Lee Mei Ling                                                                                                     |
| Email               | : meiling.lee@unigloves.com.my                                                                                         |
| Date of Preparation | : 19th April 2024                                                                                                      |

#### 2.0 Name of the Device

| Trade Name          | : Black Pearl Nitrile Examination Glove                       |
|---------------------|---------------------------------------------------------------|
| Common Name         | : Non-Sterile, Powder Free, Nitrile Examination Gloves, Black |
| Classification Name | : Non-Powdered Patient Examination Glove (21 CFR 880.6250)    |
| Class               | : Class I                                                     |
| Product Code        | : LZA                                                         |

#### 3.0 Identification of the Predicate Devices that equivalency is claimed:

| Primary Predicate   | : K112012, Non-Sterile, Powder-Free, Nitrile Examination Gloves Blue |
|---------------------|----------------------------------------------------------------------|
| Company             | : UG Healthcare (USA) Inc.                                           |
| 510(k)              | : K112012                                                            |
| Classification Name | : Non-Powdered Patient Examination Glove (21 CFR 880.6250)           |
| Class               | : Class I                                                            |
| Product Code        | : LZA                                                                |

#### 4.0 Description of the Device:

Black Pearl Nitrile Examination Glove is a single use examination glove, intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner. The nitrile glove is an ambidextrous, beaded cuff and black in colour. It meets the performance requirements in accordance with ASTM D6319-19 Standard Specification for Nitrile Examination Gloves for Medical Application.

{5}------------------------------------------------

#### 5.0 Intended Use of the Device

Black Pearl Nitrile 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.

#### 6.0 Comparison of Technological Characteristics Between the Subject Device and Predicate Device:

The Black Pearl Nitrile Examination Glove and predicate device are summarized with the following technological characteristics. Both gloves are made with nitrile and meets ASTM D6319-19 - Standard Specification for Nitrile Examination Gloves for Medical Application or equivalent standards.

The device has similar technological characteristics with the predicate device in terms of product code, intended use, indications for use, device material, additive, direction for use, construction, sterility, acceptance criteria, physical properties, biocompatibility test, residual powder test and freedom from holes. The technological characteristics differences between both devices are colour and dimensions. However, both colour pigment are with same intended use (colourant for nitrile products) and both dimensions are within ASTM D6319-19 standard. The comparison analysis is presented in the table below:

| Characteristic<br>and<br>parameters | Non-Sterile, Powder<br>Free, Nitrile<br>Examination Gloves<br>Blue<br>UG Healthcare (USA)<br>Inc. K112012<br>(Predicate)                                                                                                             | Black Pearl Nitrile<br>Examination Glove<br>(K232319)                                                                                                                                     | Comparison<br>Analysis                               |      |
|-------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------|------|
| Product Code                        | LZA                                                                                                                                                                                                                                  | LZA                                                                                                                                                                                       | Same                                                 |      |
| Intended use                        | A patient examination<br>glove is a disposable<br>device intended for<br>medical purposes that is<br>worn on the examiner's<br>hand or finger to prevent<br>contamination between<br>the patient and the<br>examiner.                | Black Pearl Nitrile is a<br>disposable device,<br>intended for medical<br>purposes that is worn on<br>the examiner's hand to<br>prevent contamination<br>between patient and<br>examiner. | Same                                                 |      |
| Indications for<br>Use              | Non-Sterile, Powder<br>Free, Nitrile Examination<br>Gloves Blue is a<br>disposable device<br>intended for medical<br>purposes that is worn on<br>the examiner's hand to<br>prevent contamination<br>between patient and<br>examiner. | Black Pearl Nitrile is a<br>disposable device,<br>intended for medical<br>purposes that is worn on<br>the examiner's hand to<br>prevent contamination<br>between patient and<br>examiner. | Same                                                 |      |
| Device Material                     | Nitrile                                                                                                                                                                                                                              | Nitrile                                                                                                                                                                                   | Same                                                 |      |
| Colour                              | Blue                                                                                                                                                                                                                                 | Black                                                                                                                                                                                     | Different                                            |      |
|                                     | (Colourant for nitrile<br>products)                                                                                                                                                                                                  | (Colourant for nitrile<br>products)                                                                                                                                                       |                                                      |      |
| Additives                           | No flavour additive                                                                                                                                                                                                                  | No flavour additive                                                                                                                                                                       | Same                                                 |      |
| Direction for Use                   | Single Use Only                                                                                                                                                                                                                      | Single Use Only                                                                                                                                                                           | Same                                                 |      |
| Construction                        | Ambidextrous                                                                                                                                                                                                                         | Ambidextrous                                                                                                                                                                              | Same                                                 |      |
| Sterility                           | Non-sterile                                                                                                                                                                                                                          | Non-sterile                                                                                                                                                                               | Same                                                 |      |
| Acceptance<br>Criteria              | ASTM D6319-10                                                                                                                                                                                                                        | ASTM D6319-19                                                                                                                                                                             | Same                                                 |      |
| Device Tolerance & Specifications:  |                                                                                                                                                                                                                                      |                                                                                                                                                                                           |                                                      |      |
| Dimensions                          | Meets ASTM D6319-10<br>Thickness at Finger -<br>min. 0.05mm<br>Thickness at Palm -<br>min. 0.05mm                                                                                                                                    | Meets ASTM D6319-19<br>Thickness at Finger -<br>min. 0.05mm<br>Thickness at Palm -<br>min. 0.05mm                                                                                         | Different                                            |      |
|                                     | Overall Length -<br>240mm minimum                                                                                                                                                                                                    | Length -<br>Size XS - min. 220mm<br>Size S - min. 220mm<br>Size M - min. 230mm<br>Size L - min. 230mm<br>Size XL - min. 230mm                                                             |                                                      |      |
|                                     | Width -<br>Size M - 95mm                                                                                                                                                                                                             | Width -<br>Size XS - 70±10mm<br>Size S - 80±10mm<br>Size M - 95±10mm<br>Size L - 110±10mm<br>Size XL - 120±10mm                                                                           |                                                      |      |
| Physical<br>Properties              | Meets ASTM D6319-10:<br>Tensile Strength:                                                                                                                                                                                            | Meets ASTM D6319-19:<br>Tensile Strength:                                                                                                                                                 | Same                                                 |      |
|                                     | Before<br>Aging                                                                                                                                                                                                                      | Before<br>Aging                                                                                                                                                                           |                                                      |      |
|                                     | After<br>Aging                                                                                                                                                                                                                       | After<br>Aging                                                                                                                                                                            |                                                      |      |
|                                     | Min. 14<br>MPa                                                                                                                                                                                                                       | Min. 14<br>MPa                                                                                                                                                                            |                                                      |      |
|                                     | Ultimate Elongation:                                                                                                                                                                                                                 | Ultimate Elongation:                                                                                                                                                                      |                                                      |      |
|                                     | Before<br>Aging                                                                                                                                                                                                                      | Before<br>Aging                                                                                                                                                                           |                                                      |      |
|                                     | After<br>Aging                                                                                                                                                                                                                       | After<br>Aging                                                                                                                                                                            |                                                      |      |
|                                     | min.<br>500%                                                                                                                                                                                                                         | min.<br>500%                                                                                                                                                                              |                                                      |      |
|                                     | min.<br>400%                                                                                                                                                                                                                         | min.<br>400%                                                                                                                                                                              |                                                      |      |
|                                     |                                                                                                                                                                                                                                      |                                                                                                                                                                                           |                                                      |      |
| Biocompatibility<br>Test            |                                                                                                                                                                                                                                      |                                                                                                                                                                                           |                                                      |      |
|                                     | a. Skin<br>Sensitization<br>Tests                                                                                                                                                                                                    | Non-sensitizer under the<br>conditions of the study.                                                                                                                                      | Non-sensitizer under the<br>conditions of the study. | Same |
| b. Irritation Tests                 | Non-irritant under the conditions of the study.                                                                                                                                                                                      | Non-irritant under the conditions of the study.                                                                                                                                           | Same                                                 |      |
| c. Cytotoxicity Test                | Nil                                                                                                                                                                                                                                  | Cytotoxic in undiluted (100%), 1:2 (50%), 1:4 (25%) and 1:8 dilution (12.5%). Non-cytotoxic to L-929 cells in 1:16 (6.25%) and 1:32 dilution (3.125%)                                     | No test reports were submitted for predicate device  |      |
| d. Acute Systemic Toxicity          | Nil                                                                                                                                                                                                                                  | Did not induce any acute systemic toxicity in swiss albino mice under the conditions of the study.                                                                                        | No test reports were submitted for predicate device  |      |
| Residual Powder Test                | Meets ASTM D6124-06: ≤ 2 mg/ glove                                                                                                                                                                                                   | Meets ASTM D6124-06: ≤ 2 mg/ glove                                                                                                                                                        | Same                                                 |      |
| Freedom from Holes                  | Meets ASTM D6319-10 Standard requirements                                                                                                                                                                                            | Meets ASTM D6319-19 Standard requirements                                                                                                                                                 | Same                                                 |      |

{6}------------------------------------------------

#### Traditional 510(k) Premarket Notification

Trade name: Black Pearl Nitrile Examination Glove

Trade name: Black Pearl Nitrile Examination Glove
Common name: Non-Sterile, Powder Free, Nitrile Examination Gloves, Black

{7}------------------------------------------------

{8}------------------------------------------------

#### 7.0 Summary of Non-Clinical Testing

The performance test data of non-clinical tests meets ASTM D6319-19 and ASTM D6124 -06 (Reapproved 2017) standards requirements.

| Test<br>Performed                       | Device Description/<br>Sample Size                                                                                                                                                                                                                                                                                                                                                                    | Test Method/Applicable<br>Standard | Purpose of<br>Testing                                             | Gloves<br>Size                                                                                      | Acceptance Criteria |                                                                                                     | Results                                                                                                         |                                                                                                  | Status                                                                                                         |        |
|-----------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------|-------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------|---------------------|-----------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------|--------|
| Test Title:<br>Dimensions               | Gloves sampled from<br>the finished product and<br>identified as<br>Non-Sterile,<br>Powder Free,<br>Nitrile<br>Examination<br>Gloves, Black.<br>The inspection<br>level is S-2<br>and the<br>acceptable<br>quality level<br>(AQL) is 4.0.<br>The lot size for<br>this sampling<br>is 35,001 to<br>150,000.<br>Therefore, 13<br>pieces of<br>gloves from<br>each size were<br>used for the<br>testing. | ASTM D6319-19                      | To measure<br>the length,<br>width, and<br>thickness of<br>gloves | XS                                                                                                  | Length              | Min. 220mm                                                                                          | Min. 242mm                                                                                                      |                                                                                                  | Pass                                                                                                           |        |
|                                         |                                                                                                                                                                                                                                                                                                                                                                                                       |                                    |                                                                   |                                                                                                     | Width               | 70mm ±10mm                                                                                          | 77mm to 80mm                                                                                                    |                                                                                                  | Pass                                                                                                           |        |
|                                         |                                                                                                                                                                                                                                                                                                                                                                                                       |                                    |                                                                   |                                                                                                     | Thickness           | Palm - Min. 0.05mm<br>Finger - Min. 0.05mm                                                          | Palm - Min. 0.06mm<br>Finger - Min. 0.08mm                                                                      |                                                                                                  | Pass                                                                                                           |        |
|                                         |                                                                                                                                                                                                                                                                                                                                                                                                       |                                    |                                                                   | S                                                                                                   | Length              | Min. 220mm                                                                                          | Min. 244mm                                                                                                      |                                                                                                  | Pass                                                                                                           |        |
|                                         |                                                                                                                                                                                                                                                                                                                                                                                                       |                                    |                                                                   |                                                                                                     | Width               | 80mm ±10mm                                                                                          | 83mm to 86mm                                                                                                    |                                                                                                  | Pass                                                                                                           |        |
|                                         |                                                                                                                                                                                                                                                                                                                                                                                                       |                                    |                                                                   |                                                                                                     | Thickness           | Palm - Min. 0.05mm<br>Finger - Min. 0.05mm                                                          | Palm - Min. 0.06mm<br>Finger - Min. 0.08mm                                                                      |                                                                                                  | Pass                                                                                                           |        |
|                                         |                                                                                                                                                                                                                                                                                                                                                                                                       |                                    |                                                                   | M                                                                                                   | Length              | Min. 230mm                                                                                          | Min. 241mm                                                                                                      |                                                                                                  | Pass                                                                                                           |        |
|                                         |                                                                                                                                                                                                                                                                                                                                                                                                       |                                    |                                                                   |                                                                                                     | Width               | 95mm ±10mm                                                                                          | 96mm to 98mm                                                                                                    |                                                                                                  | Pass                                                                                                           |        |
|                                         |                                                                                                                                                                                                                                                                                                                                                                                                       |                                    |                                                                   |                                                                                                     | Thickness           | Palm - Min. 0.05mm<br>Finger - Min. 0.05mm                                                          | Palm - Min. 0.06mm<br>Finger - Min. 0.08mm                                                                      |                                                                                                  | Pass                                                                                                           |        |
|                                         |                                                                                                                                                                                                                                                                                                                                                                                                       |                                    |                                                                   | L                                                                                                   | Length              | Min. 230mm                                                                                          | Min. 240mm                                                                                                      |                                                                                                  | Pass                                                                                                           |        |
|                                         |                                                                                                                                                                                                                                                                                                                                                                                                       |                                    |                                                                   |                                                                                                     | Width               | 110mm ±10mm                                                                                         | 107mm to 110mm                                                                                                  |                                                                                                  | Pass                                                                                                           |        |
|                                         |                                                                                                                                                                                                                                                                                                                                                                                                       |                                    |                                                                   |                                                                                                     | Thickness           | Palm - Min. 0.05mm<br>Finger - Min. 0.05mm                                                          | Palm - Min. 0.06mm<br>Finger - Min. 0.09mm                                                                      |                                                                                                  | Pass                                                                                                           |        |
|                                         |                                                                                                                                                                                                                                                                                                                                                                                                       |                                    |                                                                   | XL                                                                                                  | Length              | Min. 230mm                                                                                          | Min. 241mm                                                                                                      |                                                                                                  | Pass                                                                                                           |        |
|                                         |                                                                                                                                                                                                                                                                                                                                                                                                       |                                    |                                                                   |                                                                                                     | Width               | 120mm ±10mm                                                                                         | 119mm to 124mm                                                                                                  |                                                                                                  | Pass                                                                                                           |        |
|                                         |                                                                                                                                                                                                                                                                                                                                                                                                       |                                    |                                                                   |                                                                                                     | Thickness           | Palm - Min. 0.05mm<br>Finger - Min. 0.05mm                                                          | Palm - Min. 0.06mm<br>Finger - Min. 0.09mm                                                                      |                                                                                                  | Pass                                                                                                           |        |
| Test<br>Performed                       | Device Description/<br>Sample Size                                                                                                                                                                                                                                                                                                                                                                    |                                    | Test Method/Applicable<br>Standard                                | Purpose of<br>Testing                                                                               |                     | Acceptance Criteria                                                                                 |                                                                                                                 | Results                                                                                          |                                                                                                                | Status |
| Test Title:<br>Freedom<br>From<br>Holes | Gloves sampled from the<br>finished product and<br>identified as Non-Sterile,<br>Powder Free, Nitrile<br>Examination Gloves,<br>Black.<br>The inspection level is G-<br>1 and the acceptable<br>quality level (AQL) is 2.5.<br>The lot size for this<br>sampling is 35,001 to<br>150,000. Therefore, 200<br>pieces of M-size gloves<br>were used for the testing.                                     |                                    | ASTM D6319-19                                                     | To detect holes<br>that leak water<br>and thereby<br>compromise the<br>usefulness of the<br>gloves. |                     | Sample size: 200 pcs<br>Inspection level: G-I<br>AQL: 2.5<br>Accept: 10 pieces<br>Reject: 11 pieces |                                                                                                                 | During the test, 2 pieces were<br>found with holes.                                              |                                                                                                                | Pass   |
| Test Title:<br>Physical<br>Properties   | Gloves sampled from the<br>finished product and<br>identified as Non-Sterile,<br>Powder Free, Nitrile<br>Examination Gloves,<br>Black. The inspection<br>level is S-2 and the<br>acceptable quality level<br>(AQL) is 4.0. The lot size<br>for this sampling is 35,001<br>to 150,000. Therefore, 13<br>pieces of M-size gloves<br>were used for the testing.                                          |                                    | ASTM D6319-19                                                     | To evaluate the<br>physical property<br>characteristics of<br>gloves.                               |                     | Before<br>Aging<br>Tensile<br>Strength:<br>Min. 14<br>MPa<br>Ultimate<br>Elongation:<br>Min. 500%   | After<br>Accelerated<br>Aging<br>Tensile<br>Strength:<br>Min. 14<br>MPa<br>Ultimate<br>Elongation:<br>Min. 400% | Before Aging<br>Tensile<br>Strength:<br>Min. 18.2<br>MPa<br>Ultimate<br>Elongation:<br>Min. 500% | After<br>Accelerated<br>Aging<br>Tensile<br>Strength: Min.<br>17.4 MPa<br>Ultimate<br>Elongation:<br>Min. 400% | Pass   |

{9}------------------------------------------------

| Test<br>Performed                         | Device Description/<br>Sample Size                                                                                                                      | Test<br>Method/Applicable<br>Standard | Purpose of<br>Testing                                                                               | Acceptance Criteria | Results       | Status |
|-------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------|-----------------------------------------------------------------------------------------------------|---------------------|---------------|--------|
| Test Title:<br>Powder-<br>free<br>Residue | 5 pieces of gloves were<br>sampled from the finished<br>product and identified as<br>Non-Sterile, Powder Free,<br>Nitrile Examination Gloves,<br>Black. | ASTM D6124-06<br>(Reapproved 2017)    | To determine<br>the amount of<br>residual<br>powder and<br>non-powder<br>solids found<br>on gloves. | ≤ 2.0mg/ glove      | 0.70mg/ glove | Pass   |

| Test Performed                                                         | Purpose of Testing                                                                                                                                                                   | Device Description                                                                                                                                                                                                                                                                                                                                                                | Test Method                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              | Results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        | Conclusion                                                                                                                                                                                                                                                                                                           |
|------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Test title: Skin<br>Irritation Test in<br>New Zealand<br>White Rabbits | To determine the<br>skin irritation<br>potential of the Non-<br>Sterile, Powder<br>Free, Nitrile<br>Examination Gloves,<br>Black in New<br>Zealand White<br>rabbits.                 | Non-Sterile, Powder<br>Free, Nitrile<br>Examination Gloves.<br>Black is a non-sterile<br>glove, intended for<br>medical purpose that<br>is worn on the<br>examiners hand to<br>prevent<br>contamination<br>between patient and<br>examiner. It is a<br>surface device which<br>comes in contact<br>with skin. The<br>duration of contact is<br>less than or equal to<br>24 hours. | The test item that was cut and used<br>for extraction was extracted using<br>physiological saline (polar solvent)<br>and cottonseed oil (non-polar solvent)<br>at 37 ± 1 °C for 72 h and 20 min<br>under sterile conditions. Solvent<br>controls were also subjected to the<br>similar extraction conditions.<br>The test item extracts (0.5 mL) was<br>loaded on the absorbent gauze and<br>placed topically on the fur clipped<br>area of six rabbits (3 animals each for<br>polar and non-polar extracts). The<br>patches were loosely held in contact<br>with the skin by semi-occlusive<br>dressing with means of non-irritant<br>adhesive tape for 24 h. The test sites<br>were marked with non-irritant<br>permanent ink.<br>Animals were observed for three<br>consecutive days for morbidity.<br>mortality, skin reactions and<br>abnormal clinical signs and<br>symptoms following the patch<br>removal. The skin reactions were<br>visually scored according to ISO<br>10993-23:2021(E) at 24, 48 and 72 h.                                                                                                                                                                                                                                                                                                   | No mortality or morbidity was<br>observed in the experimental<br>animals. A gradual increase in<br>body weight was observed in all<br>the animals at the end of the<br>experiment. No signs of clinical<br>toxicity or overt toxicity was<br>observed in any of the animals.<br>Hence, gross pathology and<br>histopathology was not<br>performed. No local skin<br>irritation was observed at the<br>test site in any of the animals<br>and the primary irritation index<br>obtained was '0'. | Based upon the<br>results obtained in<br>this study and in<br>line with ISO<br>10993-<br>23:2021(E), the<br>given test item.<br>Non-Sterile.<br>Powder Free,<br>Nitrile<br>Examination<br>Gloves, Black, is<br>considered as<br>non-irritant under<br>the conditions of<br>the present study.                        |
| Test Performed                                                         | Purpose of Testing                                                                                                                                                                   | Device Description                                                                                                                                                                                                                                                                                                                                                                | Test Method                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              | Results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        | Conclusion                                                                                                                                                                                                                                                                                                           |
| Test title: Skin<br>Sensitization Test<br>in Guinea Pigs               | To determine the<br>skin sensitization<br>potential of the Non-<br>Sterile, Powder<br>Free, Nitrile<br>Examination Gloves,<br>Black using guinea<br>pig maximization test<br>(GPMT). | Non-Sterile, Powder<br>Free, Nitrile<br>Examination Gloves<br>Black is a non-sterile<br>glove, intended for<br>medical purpose that<br>is worn on the<br>examiners hand to<br>prevent<br>contamination<br>between patient and<br>examiner. It is a<br>surface device which<br>comes in contact<br>with skin. The<br>duration of contact is<br>less than or equal to<br>24 hours.  | The test item that was cut and used<br>for extraction was extracted in<br>physiological saline (polar solvent)<br>and cottonseed oil (non-polar solvent)<br>at 37 ± 1 °C for 72 ± 2 h (Intradermal<br>induction - 72 h and 10 min, Topical<br>induction - 72 h and 05 min,<br>Challenge phase - 72 h and 10 min)<br>under sterile conditions. Solvent<br>controls were subjected to similar<br>extraction conditions.<br>Animals were divided into four<br>groups; G1 - five guinea pigs for polar<br>solvent control, G2 - ten guinea pigs<br>for polar test item extract, G3 - five<br>guinea pigs for non-polar solvent<br>control and G4 - ten guinea pigs for<br>non-polar test item extract. The fur<br>over the treatment sites was clipped<br>and shaved on the day of treatment,<br>prior to dosing on all the animals.<br>Induction of sensitization was a two-<br>stage procedure with intradermal<br>injections on day 0 (with Freund's<br>complete adjuvant (FCA), solvent<br>controls and extracts), followed by a<br>topical patch exposure on day 7 for<br>48 h.<br>On day 21, challenge patches were<br>applied for 24 h. Skin reaction<br>grading was performed using<br>Magnusson and Kligman scale at 24h<br>and 48 h, after removing the<br>challenge patches according to ISO<br>10993-10:2010(E). | No mortality or morbidity were<br>observed in any of the animals<br>used in this study. A gradual<br>increase in body weight was<br>observed in all the animals at<br>the end of the experiment. No<br>skin sensitization reactions were<br>observed in both control and test<br>sites of all the animals.<br>Therefore, no gross and<br>histopathological examination<br>were conducted.                                                                                                      | Based upon the<br>results obtained in<br>this study and in<br>line with ISO<br>10993-<br>10:2010(E), the<br>given test item,<br>Non-Sterile,<br>Powder Free,<br>Nitrile<br>Examination<br>Gloves, Black, is<br>considered as<br>non-sensitizer to<br>Guinea Pigs<br>under the<br>conditions of the<br>present study. |

{10}------------------------------------------------

| Test Performed                                                         | Purpose of Testing                                                                                                                 | Device Description                                                                                                                                                                                                                                                                                                                                                                         | Test Method                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               | Results                                                                                                                                                                                                                                                                                                                                                           | Conclusion                                                                                                                                                                                                                                                                                                                                                                                                                                                                          |
|------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Test title: Test for<br>in vitro<br>Cytotoxicity                       | To evaluate the in<br>vitro cytotoxic<br>potential of the test<br>item in L-929 mouse<br>fibroblasts cells<br>using elution method | Non-Sterile, Powder<br>Free, Nitrile<br>Examination Gloves,<br>Black is a non-sterile<br>glove, intended for<br>medical purpose that<br>is worn on the<br>examiners hand to<br>prevent<br>contamination<br>between patient and<br>examiner. According<br>to ISO 10993-<br>1:2018,<br>this is classified as a<br>surface device<br>contacting skin, for<br>≤ 24 hours (limited<br>exposure) | The test item (both inner and outer<br>surfaces) was cut and extracted at a<br>ratio of 6 cm2 per mL in extraction<br>medium at 37 ± 1 °C for 24 ± 2 h.<br>Test item was extracted in 12 mL of<br>extraction medium at 37 ± 1 °C for 24<br>h and 15 minutes under aseptic<br>condition. Negative control (both<br>sides) was extracted in 7 mL of<br>extraction medium at 37 ± 1 °C for 24<br>h and 15 minutes. Positive control<br>(both sides) was extracted in 7 mL of<br>extraction medium at 37 ± 1 °C for 24<br>h and 15 minutes. Vehicle control<br>(MEM 05) was also subjected to the<br>same extraction condition.<br>Exponentially growing L-929 mouse<br>fibroblasts cells were seeded in 96-<br>well plate at 1 x 104 cells per well.<br>After 24 h, 1x MEM supplemented<br>with 10% heat inactivated foetal<br>bovine serum and 1%<br>penicillin/streptomycin solution<br>(complete growth medium) was<br>removed and replaced with a series<br>of six different dilution of the test item<br>extract ((Undiluted (100%), 1:2<br>dilution (50%), 1:4 dilution (25%), 1:8<br>dilution (12.5%), 1:16 dilution (6.25%)<br>and 1:32 dilution (3.125%)), medium<br>blank, vehicle, positive and negative<br>control extract. The cell cultures<br>were then incubated at 37 ± 1°C for<br>24 h with 5% CO2. After incubation,<br>the cells were subjected to qualitative<br>measurements viz., cytotoxicity was<br>graded based on the morphology of<br>the cells. | The cultures treated with the test<br>item extract at undiluted (neat<br>extract) (100%), 1:2<br>dilution (50%), 1:4 dilution<br>(25%), 1:8 dilution (12.5%)<br>showed complete destruction<br>of the cell layers (grade 4).<br>However, at dilutions 1:16<br>dilution (6.25%) and 1:32<br>dilution (3.125%) did not show<br>any cytotoxic response (grade<br>0). | Based upon the<br>results obtained in<br>this study and in<br>line with ISO<br>10993-5:2009, it<br>is concluded that<br>the given test<br>item, Non-Sterile,<br>Powder Free,<br>Nitrile<br>Examination<br>Gloves, Black is<br>considered as<br>cytotoxic in<br>undiluted (neat<br>extract) (100%),<br>1:2 dilution (50%)<br>1:4 dilution (25%)<br>and<br>1:8 dilution<br>(12.5%). Non-<br>cytotoxic to L-929<br>cells in 1:16<br>dilution (6.25%)<br>and 1:32<br>dilution (3.125%). |
| Test Performed                                                         | Purpose of Testing                                                                                                                 | Device Description                                                                                                                                                                                                                                                                                                                                                                         | Test Method                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               | Results                                                                                                                                                                                                                                                                                                                                                           | Conclusion                                                                                                                                                                                                                                                                                                                                                                                                                                                                          |
| Test title: Acute<br>Systemic Toxicity<br>Test in Swiss<br>Albino Mice | To determine the<br>acute systemic<br>toxicity potential of<br>the test item in<br>Swiss albino mice.                              | Non-Sterile, Powder<br>Free, Nitrile<br>Examination Gloves,<br>Black is a non-sterile<br>glove, intended for<br>medical purpose that                                                                                                                                                                                                                                                       | The test item that was cut and used<br>for extraction was extracted at a ratio<br>of 6 cm2/mL of polar solvent<br>(physiological saline) as well as non-<br>polar solvent (cottonseed oil) at 37 ±<br>1 °C for 72 h and 18 minutes. Solvent…

---

**Source:** [https://fda.innolitics.com/device/K232319](https://fda.innolitics.com/device/K232319)

**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
