510(k) Report

510(k) · Cleared

Cleared

Medline Powder-Free Light Blue Nitrile Exam Gloves (Tested for Use with Chemotherapy Drugs)

K201390510(k) TraditionalCleared Sep 18, 2020114-day reviewClass I21 CFR 880.6250

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Medline Industires, Inc. · LZC Medical Glove, Specialty

Cleared on Sep 18, 2020 as substantially equivalent to K172525 (Central Medicare Sdn Bhd, 2017) after a 114-day review. Its family tree reaches back 5 generations to 2004. 8 later devices descend from it.

Decided
Sep 18, 2020
Review
114 days
Class
Class I
Product code
LZC
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to K042805 (2004). 6 ancestors in all. 8 later devices descend from it, 6 citing it directly.

  1. Root · 5 generations backK042805 Powder Free Nitrile Patient Examination Gloves, Blue Colored…Perusahaan Getah Asas Sdn. Bhd. · 2004
  2. 4 generations backK081089 Kimberly-Clark Sterling Nitrile & Nitrile-Xtra Powder-Free Exam…Kimberly-Clark Corp. · 2008
  3. 3 generations backK141982 Dermagrip Powder Free Blue Nitrile Patient Examination Gloves…Wrp Asia Pacific Sdn. Bhd. · 2015
  4. 2 generations backK163146 POWDER FREE Blue Nitrile GLOVES, Tested for Use with Chemotherapy…Hebei Hongsen Plastics Technology Co, Ltd. · 2017
  5. 1 generation backK172525 Blue Non Sterile Powder Free Nitrile Examination Gloves Tested for…Central Medicare Sdn Bhd · 2017
  6. This deviceK201390 Medline Powder-Free Light Blue Nitrile Exam Gloves (Tested for Use…Medline Industires, Inc. · 2020
  7. Descendant · cites it directly · 1 of its ownK222898 SafeSource Direct Blue Powder-Free Nitrile Exam GlovesSafesource Direct, LLC · 2022
  8. Descendant · cites it directly · 1 of its ownK211714 Nitrile Exam Gloves, Powder Free,Blue (Tested for Use with…Hengchang (Dongying) Medical Technology Co., Ltd. · 2021
  9. Descendant · 2 generations on · 0 of its ownK250502 SafeSource Direct Blue Powder-Free Nitrile Exam Gloves (AMERI-TUFF…Safesource Direct, LLC · 2025
  10. Descendant · cites it directly · 0 of its ownK222733 Disposable Nitrile Examination Glove (Tested for use with…Inner Mongolia Boming Medical Supplies Co., Ltd. · 2022
  11. Descendant · cites it directly · 0 of its ownK222642 Disposable Nitrile Examination Glove (Tested for use with…Inner Mongolia Cureguard Medical Technology Co., Ltd. · 2022

Showing 5 of 8 descendants. See all descendants

Descendants cleared per year

2021: 32022: 42025: 1
2021high 4 (2022) · low 0 (2023)2026

Most influential descendants

Showing 5 of 8 · See all
  • K222898SafeSource Direct Blue Powder-Free Nitrile Exam GlovesSafesource Direct, LLC · 2022 · cites it directly1descendant
  • K211714Nitrile Exam Gloves, Powder Free,Blue (Tested for Use with Chemotherapy)Hengchang (Dongying) Medical Technology Co., Ltd. · 2021 · cites it directly1descendant
  • K250502SafeSource Direct Blue Powder-Free Nitrile Exam Gloves (AMERI-TUFF Series 4000…Safesource Direct, LLC · 2025 · 2 generations on0descendants
  • K222733Disposable Nitrile Examination Glove (Tested for use with Chemotherapy Drug)Inner Mongolia Boming Medical Supplies Co., Ltd. · 2022 · cites it directly0descendants
  • K222642Disposable Nitrile Examination Glove (Tested for use with Chemotherapy Drug)Inner Mongolia Cureguard Medical Technology Co., Ltd. · 2022 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K042805Powder Free Nitrile Patient Examination Gloves, Blue Colored Non-SterilePerusahaan Getah Asas Sdn. Bhd.2004—
−4K081089Kimberly-Clark Sterling Nitrile & Nitrile-Xtra Powder-Free Exam Gloves with…Kimberly-Clark Corp.2008—
−3K141982Dermagrip Powder Free Blue Nitrile Patient Examination Gloves, Non-Sterile…Wrp Asia Pacific Sdn. Bhd.2015—
−2K163146POWDER FREE Blue Nitrile GLOVES, Tested for Use with Chemotherapy DrugsHebei Hongsen Plastics Technology Co, Ltd.2017—
−1K172525Blue Non Sterile Powder Free Nitrile Examination Gloves Tested for Use with…Central Medicare Sdn Bhd2017—
0 (this device)K201390Medline Powder-Free Light Blue Nitrile Exam Gloves (Tested for Use with…Medline Industires, Inc.2020—
+1K222898SafeSource Direct Blue Powder-Free Nitrile Exam GlovesSafesource Direct, LLC2022—
+1K211714Nitrile Exam Gloves, Powder Free,Blue (Tested for Use with Chemotherapy)Hengchang (Dongying) Medical Technology Co., Ltd.2021—
+2K250502SafeSource Direct Blue Powder-Free Nitrile Exam Gloves (AMERI-TUFF Series…Safesource Direct, LLC2025—
+1K222733Disposable Nitrile Examination Glove (Tested for use with Chemotherapy Drug)Inner Mongolia Boming Medical Supplies Co., Ltd.2022—
+1K222642Disposable Nitrile Examination Glove (Tested for use with Chemotherapy Drug)Inner Mongolia Cureguard Medical Technology Co., Ltd.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202130
202240
202510
FIG. 1 — Lineage of K201390, 2004–2025Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in LZC? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new LZC device

  1. #1 K243959 Powder Free Nitrile Examination Gloves…score 9.5 · 3 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K172525Blue Non Sterile Powder Free Nitrile Examination Gloves Tested for Use with Chemotherapy…
Summary page 4
…Regulatory Class: I Regulation Number: 21 CFR 880.6250 Predicate Device Blue Non Sterile Powder Free Nitrile Examination Gloves Tested for Use with Chemotherapy Drugs – K172525 Page 1 of 7 Medline Industries, Inc.…
Central Medicare Sdn Bhd2017—

Also cleared against K172525: 4 other devices →

What descends from it? (8)

6 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K222898SafeSource Direct Blue Powder-Free Nitrile Exam GlovesSafesource Direct, LLC20221
K211714Nitrile Exam Gloves, Powder Free,Blue (Tested for Use with Chemotherapy)Hengchang (Dongying) Medical Technology Co., Ltd.20211
K222733Disposable Nitrile Examination Glove (Tested for use with Chemotherapy Drug)Inner Mongolia Boming Medical Supplies Co., Ltd.20220
K222642Disposable Nitrile Examination Glove (Tested for use with Chemotherapy Drug)Inner Mongolia Cureguard Medical Technology Co., Ltd.20220
K212834Disposable Nitrile Medical Examination Glove (Tested for Use with Chemotherapy Drugs)Siyang Threeguard Medical Supplies Co., Ltd.20210
K211608Disposable Nitrile Medical Examination Glove (Tested for Use with Chemotherapy Drugs)Jiangsu Cureguard Glove Co., Ltd.20210

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 16 years and passes through 6 companies; a new generation was cleared every 2.8 years on median.
  • None of the 6 ancestors has a recall.
  • Of its descendants, K222898 (Safesource Direct, LLC, 2022) has gone furthest, with 1 descendant of its own.
  • 4 other devices also cite its predicate K172525.

How does its category compare?

All LZC devices

LZC Medical Glove, Specialty: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, this device’s year, is highlighted.

FDA decisions per year · LZC

1in 2025

2007: 12008: 32009: 52010: 52012: 42015: 12016: 32017: 62018: 62019: 72020: 32021: 32022: 72025: 12026 (partial year): 1
2007high 7 (2019) · low 0 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LZC

85in 2022

2008: 166 days median2009: 253 days median2010: 68 days median2012: 149 days median2016: 258 days median2017: 121 days median2018: 105 days median2019: 200 days median2020: 167 days median2021: 94 days median2022: 85 days median
2007high 258 (2016) · low 68 (2010)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · LZC

1in 2021

2008: 12011: 42021: 12026 (partial year): 1
2007high 4 (2011) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · LZC

10in 2025

2009: 12011: 12012: 12013: 12014: 32016: 52017: 72018: 62019: 82020: 12021: 22022: 22023: 12024: 162025: 10
2007high 16 (2024) · low 0 (2007)2025

MAUDE reports naming product code LZC, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20071—00
2008316610
2009525301
201056800
20110—41
2012414901
20130—01
20140—03
20151—00
2016325805
2017612107
2018610506
2019720008
2020316701
202139412
202278502
20230—01
20240—016
20251—010
20261—1—

What is it indicated for?

A patient examination glove is a disposable device intended for medical purposes that is worn on the examiner’s hands to prevent contamination between patient and examiner. These gloves were tested for use with chemotherapy drugs, as per ASTM D6978-05 (Reapproved 2019) Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs. Carmustine (BCNU) 3.3 mg/ml 25.3 Minutes Cisplatin 1.0 mg/ml ≥ 240 Minutes Cyclophosphamide…

Read the full statement (173 words)

A patient examination glove is a disposable device intended for medical purposes that is worn on the examiner’s hands to prevent contamination between patient and examiner. These gloves were tested for use with chemotherapy drugs, as per ASTM D6978-05 (Reapproved 2019) Standard Practice for Assessment of Medical Gloves to Permeation by Chemotherapy Drugs.

Carmustine (BCNU) 3.3 mg/ml 25.3 Minutes

Cisplatin 1.0 mg/ml ≥ 240 Minutes

Cyclophosphamide (Cytoxan) 20.0 mg/ml ≥ 240 Minutes

Dacarbazine (DTIC) 10.0 mg/ml ≥ 240 Minutes

Doxorubicin Hydrochloride 2.0 mg/ml ≥ 240 Minutes

Etoposide (Toposar) 20.0 mg/ml ≥ 240 Minutes

Fluorouracil 50.0 mg/ml 0.5 mg/ml ≥ 240 Minutes

Methotrexate 25 mg/ml ≥ 240 Minutes

Mitomycin C 0.5 mg/ml ≥ 240 Minutes

Paclitaxel (Taxol) 6.0 mg/ml ≥ 240 Minutes

Thio-Tepa 10.0 mg/ml 43.7 Minutes

Vincristine Sulfate (Oncovin) 1.0 mg/ml ≥ 240 Minutes

Please note that the following drugs have low permeation times:

Carmustine (BCNU) 3.3 mg/ml 25.3 Minutes

Thio-Tepa 10.0 mg/ml 43.7 Minutes

Caution: Testing showed an average breakthrough time of 43.7 minutes with Thio-Tepa

WARNING: Do not use with Carmustine

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K201390: Medline Powder-Free Light Blue Nitrile Exam Gloves (Tested for Use with Chemotherapy Drugs).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K201390

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026