Halyard Purple Nitrile* Powder-Free Exam Gloves, Sterile Pairs; Halyard Purple Nitrile* Powder-Free Exam Gloves, Sterile Singles

K243172 · O&M Halyard, Inc. · LZA · Jun 18, 2025 · General Hospital

Device Facts

• Record ID: K243172
• Device Name: Halyard Purple Nitrile* Powder-Free Exam Gloves, Sterile Pairs; Halyard Purple Nitrile* Powder-Free Exam Gloves, Sterile Singles
• Applicant: O&M Halyard, Inc.
• Product Code: LZA · General Hospital
• Decision Date: Jun 18, 2025
• Decision: SESE
• Submission Type: Abbreviated
• Regulation: 21 CFR 880.6250
• Device Class: Class 1

Intended Use

Halyard Purple Nitrile® Powder-Free Exam Gloves, Sterile Pairs or Sterile Singles, Tested for Use with Chemotherapy Drugs, Fentanyl Citrate, Simulated Gastric Acid and Fentanyl in Simulated Gastric Acid are disposable devices intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner.

Device Story

Disposable, 9.5-inch, purple-colored, chlorinated, nitrile, powder-free, textured-fingertip, ambidextrous, sterile patient examination gloves. Used in medical settings by clinicians to prevent cross-contamination between patient and examiner. Provides barrier protection against specific chemotherapy drugs, fentanyl citrate, and simulated gastric acid. Not for use with Carmustine or ThioTEPA. Performance verified via ASTM standards for physical properties, pinhole resistance, and chemical permeation.

Clinical Evidence

Bench testing only. No clinical data. Testing included physical dimensions (ASTM D6319), tensile strength/elongation (ASTM D6319), pinhole resistance (ASTM D5151), residual powder (ASTM D6124), sterility (ANSI/AAMI/ISO 11137), and biocompatibility (ISO 10993-10, 11, 23). Chemotherapy drug permeation tested per ASTM D6978-05.

Technological Characteristics

Material: Nitrile; Form: 9.5-inch, chlorinated, powder-free, textured fingertip, ambidextrous; Sterility: Sterile; Standards: ASTM D6319 (physical properties/dimensions), ASTM D5151 (pinholes), ASTM D6124 (residual powder), ASTM D6978-05 (chemotherapy permeation), ISO 10993 (biocompatibility).

Indications for Use

Indicated for use as a disposable medical examination glove worn on the examiner's hand to prevent contamination between patient and examiner. Tested for use with specific chemotherapy drugs, fentanyl citrate, and simulated gastric acid.

Regulatory Classification

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

• Kimberly-Clark Purple Nitrile XTRA® Sterile Powder-Free Exam Glove (Chemotherapy Glove) - 12 Sterile Pairs (K102032)

Reference Devices

• Halyard Purple Nitrile, Powder-Free Exam Gloves Tested for Use with Chemotherapy Drugs, Fentanyl Citrate, Simulated Gastric Acid and Fentanyl in Simulated Gastric Acid (K213929)

Submission Summary (Full Text)

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FDA U.S. FOOD & DRUG ADMINISTRATION

June 18, 2025

O&M Halyard, Inc.
Caitlin Senter
Director, Global Regulatory Affairs
9120 Lockwood Blvd
Mechanicsville, Virginia 23116

Re: K243172

Trade/Device Name: Halyard Purple Nitrile® Powder-Free Exam Gloves, Sterile Pairs; Halyard Purple Nitrile® Powder-Free Exam Gloves, Sterile Singles
Regulation Number: 21 CFR 880.6250
Regulation Name: Non-powdered patient examination glove
Regulatory Class: Class I, reserved
Product Code: LZA, LZC, OPJ, QDO
Dated: September 30, 2024
Received: May 9, 2025

Dear Caitlin Senter:

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"

U.S. Food & Drug Administration
10903 New Hampshire Avenue
Silver Spring, MD 20993
www.fda.gov

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K243172 - Caitlin Senter
Page 2

(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 QS 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 (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-reporting-combination-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.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/unique-device-identification-system-udi-system.

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-devices/medical-device-safety/medical-device-reporting-mdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medical-devices/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-devices/device-advice-comprehensive-regulatory-assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

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K243172 - Caitlin Senter
Page 3

Sincerely,

ALLAN GUAN -S

For Bifeng Qian, M.D., Ph.D.
Assistant Director
DHT4C: Division of Infection
Control Devices
OHT4: Office of Surgical and
Infection Control Devices
Office of Product Evaluation and Quality
Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration
Indications for Use
Form Approved: OMB No. 0910-0120
Expiration Date: 07/31/2026
See PRA Statement below.

510(k) Number (if known)
K243172

Device Name
Halyard Purple Nitrile* Powder-Free Exam Gloves, Sterile Pairs;
Halyard Purple Nitrile* Powder-Free Exam Gloves, Sterile Singles

Indications for Use (Describe)
The Halyard Purple Nitrile* Powder-Free Exam Gloves, Sterile Pairs or Sterile Singles, Tested for Use with
Chemotherapy Drugs, Fentanyl Citrate, Simulated Gastric Acid and Fentanyl in Simulated Gastric Acid are disposable
devices intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and
examiner.

The following chemotherapy drugs and concentration had NO breakthrough detected up to 240 minutes:

Azacitidine (25 mg/ml)
Bendamustine HCl (5 mg/ml)
Bleomycin Sulfate (15 mg/ml)
Bortezomib (1 mg/ml)
Busulfan (6 mg/ml)
Capecitabine (26 mg/ml)
Carboplatin (10 mg/ml)
Carfilzomib (2 mg/ml)
Cetuximab (2 mg/ml)
Cisplatin (1 mg/ml)
Cladribine (1 mg/ml)
Cyclophosphamide (20 mg/ml)
Cytarabine HCl (100 mg/ml)
Dacarbazine (10 mg/ml)
Dactinomycin (0.5 mg/ml)
Daunorubicin HCl (5 mg/ml)
Decitabine (5 mg/ml)
Docetaxel (10 mg/ml)
Doxorubicin HCl (2 mg/ml)
Epirubicin HCl (2 mg/ml)
Etoposide (20 mg/ml)
Fludarabine Phosphate (25 mg/ml)
Fluorouracil (50 mg/ml)
Fulvestrant (50 mg/ml)
Gemcitabine HCl (38 mg/ml)
Idarubicin HCl (1 mg/ml)
Ifosfamide (50 mg/ml)
Irinotecan HCl (20 mg/ml)
Leuprolide Acetate (5 mg/ml)
Mechlorethamine HCl (1 mg/ml)
Melphalan HCl (5 mg/ml)
Methotrexate (25 mg/ml)
Mitomycin C (0.5 mg/ml)
Mitoxantrone HCl (2 mg/ml)
Oxaliplatin (5 mg/ml)
Paclitaxel (6 mg/ml)
Pemetrexed (25 mg/ml)

FORM FDA 3881 (8/23)
PISC Publishing Services [phone]

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Raltitrexed (0.5 mg/ml)
Rituximab (10 mg/ml)
Temsirolimus (25 mg/ml)
Topotecan HCl (1 mg/ml)
Trisenox (Arsenic Trioxide) (1 mg/ml)
Vinblastine Sulfate (1 mg/ml)
Vincristine (1 mg/ml)
Vinorelbine Tartrate (10 mg/ml)

The following chemotherapy drugs and concentration showed breakthrough detected in less than 100 minutes:
Carmustine (3.3 mg/ml) No breakthrough up to 44.5 minutes.
Thiotepa (10 mg/ml) No breakthrough up to 99.1 minutes.
Warning- Not for use with Carmustine and ThioTEPA

The following hazardous drugs (opioids) and concentration had NO breakthrough detected up to 240 minutes:
Fentanyl Citrate Injection (100 mcg/2 ml)
Simulated Gastric Acid Fluid/Fentanyl Citrate Injection Mix 50/50 Solution

The following hazardous drugs and concentration had NO breakthrough detected up to 240 minutes:
Chloroquine (50 mg/ml)
Cyclosporin A (100 mg/ml)
Cytovene (10 mg/ml)
Retrovir (10 mg/ml)
Triclosan (2 mg/ml)
Zoledronic Acid (0.8 mg/ml)

Type of Use (Select one or both, as applicable)
☐ Prescription Use (Part 21 CFR 801 Subpart D)
☑ Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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FORM FDA 3881 (8/23)
PSC Publishing Services [phone]

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510(k) Summary for K243172

This summary of 510(k) K243172 is being submitted in accordance with 21 CFR 807.92.

| Date Summary was Prepared | June 18, 2025 |
| --- | --- |
| 510(k) Submitter | O & M Halyard, Inc.
1220 Old Alpharetta Rd., Ste. 320
Alpharetta, GA 30005 |
| Primary Contact for this 510(k) Submission | Caitlin Senter, MS, RAC
Tel: [phone]
Email: [e-mail] |
| Marketed Device Trade Name | Halyard Purple Nitrile® Powder-Free Exam Gloves, Sterile Pairs;
Halyard Purple Nitrile® Powder-Free Exam Gloves, Sterile Singles |
| Device Submission Trade name and Description | Halyard Purple Nitrile® Powder-Free Exam Gloves, Sterile Pairs;
Halyard Purple Nitrile® Powder-Free Exam Gloves, Sterile Singles |
| Device Common Name | Medical Exam Gloves |
| Device Product Code and Classification Name | LZA Class I, 21 CFR §880.6250 Polymer Patient Examination Glove
LZC Class I, 21 CFR §880.6250 Medical Glove, Specialty
OPJ Class I, 21 CFR §880.6250 Medical Gloves with Chemotherapy Labeling Claims - Test For Use with Chemotherapy Drugs
QDO Class I, 21 CFR §880.6250 Fentanyl and Other Opioid Protection Glove |
| Predicate Device | Kimberly-Clark Purple Nitrile XTRA® Sterile Powder-Free Exam Glove (Chemotherapy Glove) - 12 Sterile Pairs (K102032) |
| Reference Devices | Halyard Purple Nitrile, Powder-Free Exam Gloves Tested for Use with Chemotherapy Drugs, Fentanyl Citrate, Simulated Gastric Acid and Fentanyl in Simulated Gastric Acid (K213929) |
| Subject Device Description | The Halyard Purple Nitrile® Powder-Free Exam Gloves, Sterile Pairs or Sterile Singles, Tested for Use with Chemotherapy Drugs, Fentanyl Citrate, Simulated Gastric Acid and Fentanyl in Simulated Gastric Acid are disposable, 9.5" purple-colored, chlorinated, nitrile, powder-free, textured fingertip, ambidextrous, sterile patient examination gloves. |

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Indications for Use

Halyard Purple Nitrile® Powder-Free Exam Gloves, Sterile Pairs or Sterile Singles, Tested for Use with Chemotherapy Drugs, Fentanyl Citrate, Simulated Gastric Acid and Fentanyl in Simulated Gastric Acid are disposable devices intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner.

The following chemotherapy drugs and concentration had NO breakthrough detected up to 240 minutes:

Azacitidine (25 mg/ml)

Bendamustine HCl (5 mg/ml)

Bleomycin Sulfate (15 mg/ml)

Bortezomib (1 mg/ml)

Busulfan (6 mg/ml)

Capecitabine (26 mg/ml)

Carboplatin (10 mg/ml)

Carfilzomib (2 mg/ml)

Cetuximab (2 mg/ml)

Cisplatin (1 mg/ml)

Cladribine (1 mg/ml)

Cyclophosphamide (20 mg/ml)

Cytarabine HCl (100 mg/ml)

Dacarbazine (10 mg/ml)

Dactinomycin (0.5 mg/ml)

Daunorubicin HCl (5 mg/ml)

Decitabine (5 mg/ml)

Docetaxel (10 mg/ml)

Doxorubicin HCl (2 mg/ml)

Epirubicin HCl (2 mg/ml)

Etoposide (20 mg/ml)

Fludarabine Phosphate (25 mg/ml)

Fluorouracil (50 mg/ml)

Fulvestrant (50 mg/ml)

Gemcitabine HCl (38 mg/ml)

Idarubicin HCl (1 mg/ml)

Ifosfamide (50 mg/ml)

Irinotecan HCl (20 mg/ml)

Leuprolide Acetate (5 mg/ml)

Mechlorethamine HCl (1 mg/ml)

Melphalan HCl (5 mg/ml)

Methotrexate (25 mg/ml)

Mitomycin C (0.5 mg/ml)

Mitoxantrone HCl (2 mg/ml)

Oxaliplatin (5 mg/ml)

Paclitaxel (6 mg/ml)

Pemetrexed (25 mg/ml)

Raltitrexed (0.5 mg/ml)

Rituximab (10 mg/ml)

Temsirolimus (25 mg/ml)

Topotecan HCl (1 mg/ml)

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| | Trisenox (Arsenic Trioxide) (1 mg/ml)
Vinblastine Sulfate (1 mg/ml)
Vincristine (1 mg/ml)
Vinorelbine Tartrate (10 mg/ml)

The following chemotherapy drugs and concentration showed breakthrough detected in less than 100 minutes:
Carmustine (3.3 mg/ml) No breakthrough up to 44.5 minutes.
Thiotepa (10 mg/ml) No breakthrough up to 99.1 minutes.
Warning- Not for use with Carmustine and ThioTEPA

The following hazardous drugs (opioids) and concentration had NO breakthrough detected up to 240 minutes:
Fentanyl Citrate Injection (100 mcg/2 ml)
Simulated Gastric Acid Fluid/Fentanyl Citrate Injection Mix 50/50 Solution

The following hazardous drugs and concentration had NO breakthrough detected up to 240 minutes:
Chloroquine (50 mg/ml)
Cyclosporin A (100 mg/ml)
Cytovene (10 mg/ml)
Retrovir (10 mg/ml)
Triclosan (2 mg/ml)
Zoledronic Acid (0.8 mg/ml) |
| --- | --- |

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| | Subject Device | Predicate Device (K102032) | Reference Device (K213929) | Comparison |
| --- | --- | --- | --- | --- |
| FDA Product Code | LZA, LZC, OPJ, QDO | LZA, LZC | LZA, OPJ, QDO | Similar |
| FDA Classification | Class I | Class I | Class I | Same |
| Regulation Number | 880.6250 | 880.6250 | 880.6250 | Same |
| Common Name | Medical Exam Glove | Medical Exam Glove | Medical Exam Glove | Same |
| Device Trade Name | Halyard Purple Nitrile* Powder-Free Exam Gloves, Sterile Pairs; Halyard Purple Nitrile* Powder-Free Exam Gloves, Sterile Singles | Kimberly-Clark Purple Nitrile XTRA* Sterile Powder-Free Exam Glove (Chemotherapy Glove) - 12 Sterile Pairs | Halyard Purple Nitrile, Powder-Free Exam Gloves Tested for Use with Chemotherapy Drugs, Fentanyl Citrate, Simulated Gastric Acid and Fentanyl in Simulated Gastric Acid | Similar |
| Intended Use/Indications for Use | Halyard Purple Nitrile* Powder-Free Exam Gloves, Sterile Pairs or Sterile Singles, Tested for Use with Chemotherapy Drugs, Fentanyl Citrate, Simulated Gastric Acid and Fentanyl in Simulated Gastric Acid are disposable devices intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner.

The following chemotherapy drugs and concentration had NO breakthrough detected up to 240 minutes:
Azacitidine (25 mg/ml)
Bendamustine HCl (5 mg/ml)
Bleomycin Sulfate (15 mg/ml) | A powder-free 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. In addition, these chemotherapy gloves were tested for use with the following drug concentrations per ASTM D6978-05: The following drugs had NO breakthrough detected up to 240 minutes:
Bleomycin Sulfate (15 mg/ml)
Busulfan (6 mg/ml)
Carboplatin (10 mg/ml)
Cisplatin (1 mg/ml)
Cyclophosphamide (20 mg/ml)
Cytarabine HCl (100 mg/ml)
Dacarbazine (10 mg/ml)
Daunorubicin HCl (5 mg/ml)
Docetaxel (10 mg/ml)
Doxorubicin HCl (Adriamycin) (2 mg/ml) | Halyard Purple Nitrile* Powder-Free Exam Gloves, Tested for Use with Chemotherapy Drugs, Fentanyl Citrate, Simulated Gastric Acid and Fentanyl in Simulated Gastric Acid are disposable devices intended for medical purposes that is worn on the examiner's hand to prevent contamination between patient and examiner.

The following chemotherapy drugs and concentration had NO breakthrough detected up to 240 minutes:
Azacitidine (25 mg/ml) | Similar |

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| | mg/ml)
Bortezomib (1 mg/ml)
Busulfan (6 mg/ml)
Capecitabine (26 mg/ml)
Carboplatin (10 mg/ml)
Carfilzomib (2 mg/ml)
Cetuximab (2 mg/ml)
Cisplatin (1 mg/ml)
Cladribine (1 mg/ml)
Cyclophosphamide (20 mg/ml)
Cytarabine HCl (100 mg/ml)
Dacarbazine (10 mg/ml)
Dactinomycin (0.5 mg/ml)
Daunorubicin HCl (5 mg/ml)
Decitabine (5 mg/ml)
Docetaxel (10 mg/ml)
Doxorubicin HCl (2 mg/ml)
Epirubicin HCl (2 mg/ml)
Etoposide (20 mg/ml)
Fludarabine
Phosphate (25 mg/ml)
Fluorouracil (50 mg/ml)
Fulvestrant (50 mg/ml)
Gemcitabine HCl (38 mg/ml)
Idarubicin HCl (1 mg/ml)
Ifosfamide (50 mg/ml)
Irinotecan HCl (20 mg/ml)
Leuprolide Acetate (5 mg/ml)
Mechlorethamine HCl (1 mg/ml)
Melphalan HCl (5 mg/ml)
Methotrexate (25 mg/ml)
Mitomycin C (0.5 | Ellence (Epirubicin) (2 mg/ml)
Etoposide (20 mg/ml)
Fludarabine (25 mg/ml)
Fluorouracil (adrucil) (50 mg/ml)
Gemcitabine (38.0 mg/ml) | Bendamustine HCl (5 mg/ml)
Bleomycin Sulfate (15 mg/ml)
Bortezomib (1 mg/ml)
Busulfan (6 mg/ml)
Capecitabine (26 mg/ml)
Carboplatin (10 mg/ml)
Carlzomib (2 mg/ml)
Cetuximab (2 mg/ml)
Chloroquine (50 mg/ml)
Cisplatin (1 mg/ml)
Cladribine (1 mg/ml)
Cyclophosphamide (20 mg/ml)
Cyclosporin A (100 mg/ml)
Cytarabine (Cytosine) (100 mg/ml)
Cytovene (Ganciclovir) (10 mg/ml)
Dacarbazine (DTIC) (10 mg/ml)
Dactinomycin (0.5 mg/ml)
Daunorubicin HCl (5 mg/ml)
Decitabine (5 mg/ml)
Docetaxel (10 mg/ml)
Doxorubicin HCl (2 mg/ml)
Epirubicin HCl (Ellence) (2 mg/ml)
Etoposide (Toposar) (20 mg/ml)
Fludarabine (25 mg/ml)
5-Fluorouracil (50 mg/ml)
Fulvestrant (50 mg/ml)
Gemcitabine (38 mg/ml) |
| --- | --- | --- | --- |

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| | mg/ml) Mitoxantrone HCl (2 mg/ml) Oxaliplatin (5 mg/ml) Paclitaxel (6 mg/ml) Pemetrexed (25 mg/ml) Raltitrexed (0.5 mg/ml) Rituximab (10 mg/ml) Temsirolimus (25 mg/ml) Topotecan HCl (1 mg/ml) Trisenox (Arsenic Trioxide) (1 mg/ml) Vinblastine Sulfate (1 mg/ml) Vincristine (1 mg/ml) Vinorelbine Tartrate (10 mg/ml) The following chemotherapy drugs and concentration showed breakthrough detected in less than 100 minutes: Carmustine (3.3 mg/ml) No breakthrough up to 44.5 minutes. Thiotepa (10 mg/ml) No breakthrough up to 99.1 minutes. Warning- Not for use with Carmustine and ThioTEPA The following hazardous drugs (opioids) and concentration had NO breakthrough detected up to 240 minutes: Fentanyl Citrate Injection (100 mcg/2 ml) Simulated Gastric Acid | Idarubicin (1 mg/ml) Ifosfamide (50 mg/ml) Irinotecan HCl (20 mg/ml) Leuprolide Acetate Salt (5 mg/ml) Mechlorethamine HCl (1 mg/ml) Melphalan (5 mg/ml) Methotrexate (25 mg/ml) Mitomycin C (0.5 mg/ml) Mitoxantrone (2 mg/ml) Oxaliplatin (5 mg/ml) Paclitaxel (6 mg/ml) Pemetrexed (25 mg/ml) Raltitrexed (0.5 mg/ml) Retrovir (10 mg/ml) Rituximab (10 mg/ml) Temsirolimus (25 mg/ml) Topotecan HCl (1 mg/ml) Triclosan (2 mg/ml) Trisenox (1 mg/ml) Vinblastine Sulfate (1 mg/ml) Vincristine (1 mg/ml) Vinorelbine (10 mg/ml) Zoledronic Acid (0.8 mg/ml) The following chemotherapy drugs and concentration showed breakthrough detected in less than 90 minutes: Carmustine (3.3 mg/ml) No breakthrough up to |
| --- | --- | --- |

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| | Fluid/Fentanyl Citrate Injection Mix 50/50 Solution

The following hazardous drugs and concentration had NO breakthrough detected up to 240 minutes:
Chloroquine (50 mg/ml)
Cyclosporin A (100 mg/ml)
Cytovene (10 mg/ml)
Retrovir (10 mg/ml)
Triclosan (2 mg/ml)
Zoledronic Acid (0.8 mg/ml) | | 55.3 minutes.
Thiotepa (10 mg/ml)
No breakthrough up to 78.8 minutes.

Warning- Not for use with Carmustine and ThioTEPA

No breakthrough was detected up to 240 minutes for Fentanyl Citrate Injection (100 mcg/2 ml) and Simulated Gastric Acid Fluid/Fentanyl Citrate Injection Mix 50/50 Solution | |
| --- | --- | --- | --- | --- |
| Technological Characteristics | Colored, 9.5 inch, chlorinated, nitrile, powder-free, textured fingertip, ambidextrous, sterile patient examination glove | Colored, 9.5 inch, chlorinated, nitrile, powder-free, textured fingertip, ambidextrous, sterile patient examination glove | Colored, 9.5 inch, chlorinated, nitrile, powder-free, textured fingertips, ambidextrous, non-sterile patient examination glove | Similar |
| Sizes of gloves | S, M, L | S, M, L | XS, S, M, L, XL | Similar |
| Color | Purple | Purple | Purple | Similar |

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| Texture | Textured fingertips | Textured fingertips | Textured fingertips | Same |
| --- | --- | --- | --- | --- |
| Sterility | Sterile | Sterile | Non-Sterile | Similar |
| Biocompatibility | Based on ISO 10993, Part 11 Biological Evaluation of Medical Devices – Test for systemic toxicity, the test article was considered non-toxic. Meets the acceptance criteria. | Based ISO 10993 Biological Evaluation of Medical devices – Test for systemic toxicity, the test article was considered non-toxic. Meets the acceptance criteria. | Based ISO 10993 Biological Evaluation of Medical devices – Test for systemic toxicity, the test article was considered non-toxic. Meets the acceptance criteria. | Same |
| | Based on ISO 10993, Part 23- Biological Evaluation of Medical Devices – Test for irritation, the test article was considered non-irritant. Meets the acceptance criteria. | Based on ISO 10993, Part 10- Biological Evaluation of Medical Devices – Test for irritation, the test article was considered non-irritant. Meets the acceptance criteria. | Based on ISO 10993, Part 10- Biological Evaluation of Medical Devices – Test for irritation, the test article was considered non-irritant. Meets the acceptance criteria. | |
| | Based on ISO 10993, Part 10 - Biological Evaluation of Medical Devices – Test for skin sensitization, the test article was considered a non-sensitizer. Meets the acceptance criteria. | Based on ISO 10993, Part 10 - Biological Evaluation of Medical Devices – Test for skin sensitization, the test article was considered non-sensitizer. Meets the acceptance criteria. | Based on ISO 10993, Part 10 - Biological Evaluation of Medical Devices – Test for skin sensitization, the test article was considered non-sensitizer. Meets the acceptance criteria. | |
| Standard | Subject Device | Predicate Device (K102032) | Reference Device (K213929) | Comparison |
| --- | --- | --- | --- | --- |
| ASTM D6978-05 Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs | The following chemotherapy drugs and concentration had NO breakthrough detected up to 240 minutes: Azacitidine (25 mg/ml) | These chemotherapy gloves were tested for use with the following drug concentrations per ASTM D6978-05: The following drugs had NO breakthrough detected up to 240 minutes: Bleomycin Sulfate (15 | The following chemotherapy drugs and concentration had NO breakthrough detected up to 240 minutes: Azacitidine (25 | Similar |
| | | mg/ml) (15) | mg/ml) (15) | |

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| | Bendamustine HCl (5 mg/ml) | mg/ml) | mg/ml) |
| --- | --- | --- | --- |
| | Bleomycin Sulfate (15 mg/ml) | Busulfan (6 mg/ml) | Bendamustine HCl (5 mg/ml) |
| | Bortezomib (1 mg/ml) | Carboplatin (10 mg/ml) | Bleomycin Sulfate (15 mg/ml) |
| | Busulfan (6 mg/ml) | Cisplatin (1 mg/ml) | Bortezomib (1 mg/ml) |
| | Capecitabine (26 mg/ml) | Cyclophosphamide (20 mg/ml) | Busulfan (6 mg/ml) |
| | Carboplatin (10 mg/ml) | Cytarabine HCl (100 mg/ml) | Capecitabine (26 mg/ml) |
| | Carfilzomib (2 mg/ml) | Dacarbazine (10 mg/ml) | Carboplatin (10 mg/ml) |
| | Cetuximab (2 mg/ml) | Daunorubicin HCl (5 mg/ml) | Carlzomib (2 mg/ml) |
| | Cistuximab (2 mg/ml) | Docetaxel (10 mg/ml) | Cetuximab (2 mg/ml) |
| | Cilatribine (1 mg/ml) | Doxorubicin HCl (Adriamycin) (2 mg/ml) | Chloroquine (50 mg/ml) |
| | Cyclophosphamide (20 mg/ml) | Elience (Epirubicin) (2 mg/ml) | Cisplatin (1 mg/ml) |
| | Cytarabine HCl (100 mg/ml) | Etoposide (20 mg/ml) | Cladribine (1 mg/ml) |
| | Dacarbazine (10 mg/ml) | Fludarabine (25 mg/ml) | Cyclophosphamide (20 mg/ml) |
| | Dactinomycin (0.5 mg/ml) | Fluorouracil (adrucil) (50 mg/ml) | Cyclosporin A (100 mg/ml) |
| | Daunorubicin HCl (5 mg/ml) | Gemcitabine (38.0 mg/ml) | Cytarabine (Cytosine) (100 mg/ml) |
| | Decitabine (5 mg/ml) | | Cytovene (Ganciclovir) (10 mg/ml) |
| | Docetaxel (10 mg/ml) | | Dacarbazine (DTIC) (10 mg/ml) |
| | Doxorubicin HCl (2 mg/ml) | | Dactinomycin (0.5 mg/ml) |
| | Epirubicin HCl (2 mg/ml) | | Daunorubicin HCl (5 mg/ml) |
| | Etoposide (20 mg/ml) | | Decitabine (5 mg/ml) |
| | Fludarabine | | Docetaxel (10 mg/ml) |
| | Phosphate (25 mg/ml) | | Doxorubicin HCl (2 mg/ml) |
| | Fluorouracil (50 mg/ml) | | Epirubicin HCl (Ellence) (2 mg/ml) |
| | Fulvestrant (50 mg/ml) | | Etoposide (Toposar) (20 mg/ml) |
| | Gemcitabine HCl (38 mg/ml) | | Fludarabine (25 mg/ml) |
| | Idarubicin HCl (1 mg/ml) | | 5-Fluorouracil (50 mg/ml) |
| | Ifosfamide (50 mg/ml) | | Fulvestrant (50 mg/ml) |
| | Irinotecan HCl (20 mg/ml) | | Gemcitabine (38 |
| | Leuprolide Acetate (5 mg/ml) | | |
| | Mechlorethamine HCl (1 mg/ml) | | |
| | Melphalan HCl (5 mg/ml) | | |

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| | Methotrexate (25 mg/ml)
Mitomycin C (0.5 mg/ml)
Mitoxantrone HCl (2 mg/ml)
Oxaliplatin (5 mg/ml)
Paclitaxel (6 mg/ml)
Pemetrexed (25 mg/ml)
Raltitrexed (0.5 mg/ml)
Rituximab (10 mg/ml)
Temsirolimus (25 mg/ml)
Topotecan HCl (1 mg/ml)
Trisenox (Arsenic Trioxide) (1 mg/ml)
Vinblastine Sulfate (1 mg/ml)
Vincristine (1 mg/ml)
Vinorelbine Tartrate (10 mg/ml)

The following chemotherapy drugs and concentration showed breakthrough detected in less than 100 minutes:
Carmustine (3.3 mg/ml) No breakthrough up to 44.5 minutes.
Thiotepa (10 mg/ml) No breakthrough up to 99.1 minutes.
Warning- Not for use with Carmustine and ThioTEPA

The following hazardous drugs and concentration had NO breakthrough detected up to 240 minutes:
Chloroquine (50 mg/ml)
Cyclosporin A (100 | mg/ml)
Idarubicin (1 mg/ml)
Ifosfamide (50 mg/ml)
Irinotecan HCl (20 mg/ml)
Leuprolide Acetate Salt (5 mg/ml)
Mechlorethamine HCl (1 mg/ml)
Melphalan (5 mg/ml)
Methotrexate (25 mg/ml)
Mitomycin C (0.5 mg/ml)
Mitoxantrone (2 mg/ml)
Oxaliplatin (5 mg/ml)
Paclitaxel (6 mg/ml)
Pemetrexed (25 mg/ml)
Raltitrexed (0.5 mg/ml)
Retrovir (10 mg/ml)
Rituximab (10 mg/ml)
Temsirolimus (25 mg/ml)
Topotecan HCl (1 mg/ml)
Triclosan (2 mg/ml)
Trisenox (1 mg/ml)
Vinblastine Sulfate (1 mg/ml)
Vincristine (1 mg/ml)
Vinorelbine (10 mg/ml)
Zoledronic Acid (0.8 mg/ml)

The following chemotherapy drugs and concentration showed breakthrough detected in less than 90 minutes:
Carmustine (3.3 mg/ml) No |
| --- | --- | --- |

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| | mg/ml)
Cytovene (10 mg/ml)
Retrovir (10 mg/ml)
Triclosan (2 mg/ml)
Zoledronic Acid (0.8 mg/ml) | | breakthrough up to 55.3 minutes.
Thiotepa (10 mg/ml)
No breakthrough up to 78.8 minutes.

Warning- Not for use with Carmustine and ThioTEPA | |
| --- | --- | --- | --- | --- |
| ASTM D6978-05
Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs | The following hazardous drugs (opioids) and concentration had NO breakthrough detected up to 240 minutes:
Fentanyl Citrate Injection (100 mcg/2 ml)
Simulated Gastric Acid Fluid/Fentanyl Citrate Injection Mix 50/50 Solution | Not Previously Tested | No breakthrough was detected up to 240 minutes for Fentanyl Citrate Injection (100 mcg/2 ml) and Simulated Gastric Acid Fluid/Fentanyl Citrate Injection Mix 50/50 Solution | Different |
| ASTM D5151-06
Standard Test Method for Detection of Holes in Medical Gloves | Testing of the subject device shows it meets the 2.5% AQL requirement in the standards for leakage. The device meets the acceptance criteria of the standard. | Testing of the predicate device shows it meets the 2.5% AQL requirement in the standards for leakage. The device meets the acceptance criteria of the standard. | Testing of the reference device shows it meets the 2.5% AQL requirement in the standards for leakage. The device meets the acceptance criteria of the standard. | Same |
| --- | --- | --- | --- | --- |
| ASTM D6124-06
Standard Test Method for Residual Powder on Medical Gloves | Residual powder on the subject device is an average of 0.4 mg/glove within the powder-free limit of < 2 mg maximum powder per glove and meets the acceptance criteria | Residual powder on the predicate device is an average of 0.4 mg/glove within the powder-free limit of < 2 mg maximum powder per glove and meets the acceptance criteria | Residual powder on the reference device is an average of 0.4 mg/glove within the powder-free limit of < 2 mg maximum powder per glove and meets the acceptance criteria | Same |

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SUMMARY OF NON-CLINICAL TESTING

| | meets the acceptance criteria for powder-free. | for powder-free | for powder-free. | |
| --- | --- | --- | --- | --- |
| ASTM D6319-10 Standard Specification for Nitrile Examination Gloves for Medical Applications | The physical dimensions of the subject device are within the limits of the standard and the physical properties of the subject device met the requirements for tensile strength before and after aging. The subject device also met the requirement for elongation before and after aging. | The physical dimensions of the predicate device are within the limits of the standard and the physical properties of the predicate device met the requirements for tensile strength before and after aging. The predicate device also met the requirement for elongation before and after aging. | The physical dimensions of the reference device are within the limits of the standard and the physical properties of the predicate device met the requirements for tensile strength before and after aging. The predicate device also met the requirement for elongation before and after aging. | Same |
| Brief description of non-clinical tests: | Test | Standard | Acceptance Criteria | Results |
| --- | --- | --- | --- | --- |
| | Dimensions | ASTM D 6319 | | Meets requirements |
| | | Length | ≥230 mm | |
| | | Palm Width Size | Small: 70 - 90 mm
Med: 85-105 mm
Large: 100 - 120 mm | |
| | | Finger thickness
Palm thickness
Cuff thickness | ≥0.05 mm
≥0.05 mm
≥0.05 mm | |

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| | Physical Properties | ASTM D 6319 | AQL 4.0
Before Aging
Tensile Strength: ≥14 MPa
Ultimate elongation: ≥500%
After Aging
Tensile Strength: ≥14 MPa
Ultimate elongation: ≥400% | Meets requirements |
| --- | --- | --- | --- | --- |
| | Freedom from Pinholes | ASTM D 6319
ASTM D 5151 | AQL 2.5%
No leakage | Meets requirements |
| | Sterility | ANSI/AAMI/ISO 11137 | 10-6 | 10-6 |
| | Powder Free | ASTM D 6124
ASTM D 6319 | ≤2 mg / glove | Meets requirements |
| | Test for irritation | ISO 10993, Part 23 | Grade 1 | Under the conditions of the study, the device is not an irritant. |
| | Test for acute systemic toxicity | ISO 10993, Part 11 | No animals treated with test extracts exhibit greater reaction than control animals. | Under the conditions of the study, no evidence of acute systemic toxicity. |
| | Test for skin sensitization | ISO 10993, Part 10 | Grade < 1.0 | Under the conditions of the study, the device is not a sensitizer. |
| Standard Practice for Assessment of Resistance of Medical Gloves to Permeation by Chemotherapy Drugs | ASTM D6978-05 | No breakthrough for up to 240 minutes | 51 Drugs tested showed minimum breakthrough detection time up to 240 minutes
Carmustine 3.3mg/ml
minimum breakthrough detection time is 44.5 minutes | |

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| | | | | Thiotepa 10mg/ml minimum breakthrough detection time is 99.1 minutes. |
| --- | --- | --- | --- | --- |
| Conclusion: | The conclusions drawn from the nonclinical tests demonstrate that the subject devices (Halyard Purple Nitrile® Powder-Free Exam Gloves, Sterile Pairs or Sterile Singles) are as safe, as effective, and performs as well as the legally marketed devices cleared under K102032. |
| --- | --- |