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YY/T 0616.1-2016 YY PHARMACEUTICAL INDUSTRY STANDARD OF THE PEOPLE’S REPUBLIC OF CHINA ICS 11.040.01 C 30 Replacing YY/T 0616.1-2007 Medical gloves for single use - Part 1. Requirements and testing for biological evaluation ISSUED ON. JANUARY 26, 2016 IMPLEMENTED ON. JANUARY 01, 2017 Issued by. China Food and Drug Administration Table of Contents Foreword ... 3 Introduction ... 4 1 Scope ... 5 2 Normative references ... 5 3 Terms and definitions ... 5 4 Requirements... 7 5 Test methods ... 9 Annex A (normative) Method for determining water-soluble proteins of natural rubber gloves by improved Lowry analytical method ... 11 Annex B (informative) Immunoassay method for natural rubber latex allergens ... 23 Annex C (informative) Determination of amino acids (AAA) by high performance liquid chromatography (HPLC) ... 28 Bibliography ... 37 Foreword YY/T 0616 “Medical gloves for single use” consists of the following parts. - Part 1. Requirements and testing for biological evaluation; - Part 2. Requirements and testing for shelf life determination. This Part is Part 1 of YY/T0616. This Part was drafted in accordance with the rules given in GB/T 1.1-2009. This Part replaces YY/T 0616-2007 “Medical gloves for single use - Requirements and testing for biological evaluation”. Compared with YY/T 0616- 2007, the main technical changes are as follows. - MODIFY the standard name; - MODIFY and SUPPLEMENT “3 Terms and definitions”; - ADD “4.4 Powder, 4.5 Leachable proteins and 4.6 Labeling"; - MODIFY Annex B Immunoassay method for natural rubber latex allergens; - MODIFY Annex C Determination of amino acids (AAA) by high performance liquid chromatography (HPLC); - DELETE Annex D Terms. Attention is drawn to the possibility that some of the elements of this document may be the subject of patent rights. The drafting authority of this document shall not be held responsible for identifying any or all such patent rights. This Part is under the jurisdiction of China Food and Drug Administration Jinan Medical Device Quality Supervision and Inspection Center. Drafting organizations of this Part. Shandong Medical Device Quality Inspection Center, Beijing Institute of Medical Device Testing, Jiangsu Institute of Medical Device Testing. Main drafters of this Part. Hao Shubin, Liu Bin, Liu Xiaoshuai, Huang Yongfu, Lin Hongsai, Gao Jingxian, Jin Meng. The historical edition of the standard replaced by this Part is as follows. - YY/T 0616-2007. Introduction In recent years, it is often reported that latex products cause adverse reactions to medical personnel and patients due to the presence of latex proteins. The adverse reactions due to residues such as chemicals, lubricants, sterilized residues (ethylene oxide) and pyrogens are also described in scientific bibliographies. Among them, the most commonly reported are adverse reactions caused by natural rubber latex gloves, but gloves made of other polymers can also cause some adverse reactions. GB/T 16886 series of standards specifies the requirements and test methods for biological evaluation of medical devices. However, adverse reactions (such as immediate hypersensitivity reactions) caused by the use of medical gloves are not involved. These adverse reactions are mainly caused by the specific allergens present in the gloves. The factors for these reaction risks are. a) the time and frequency of skin contact with the gloves; b) the mucous membranes and the skin (especially when incomplete) are in direct contact with allergens [Translator note. There is another nick-name in Chinese] and inhalation particles; c) how closely the gloves are applied to the skin during use. FDA believes that the powder in gloves is also a source of danger, which may lead to foreign body reaction and granuloma formation, and may also lead to irritant dermatitis, type IV allergy, etc. It may be used as an airborne carrier for natural latex to cause users allergy. This Part gives the requirements and test methods for the biological safety evaluation of medical gloves, which is taken as a part of the risk analysis process according to YY/T 0316 and GB/T 16886. Medical gloves for single use - Part 1. Requirements and testing for biological evaluation 1 Scope This Part of YY/T 0616 specifies the requirements for the biological safety evaluation of medical gloves for single use, and gives the requirements for the labeling and disclosure of information for the test methods used. This Part applies to the biological safety evaluation of medical gloves for single use. 2 Normative references The following referenced documents are indispensable for the application of this document. For dated references, only the edition cited applies. For undated references, the latest edition of the referenced document (including any amendments) applies. GB/T 16886 (all parts) Biological evaluation of medical devices GB/T 21869 Medical gloves - Determination of removable surface powder YY/T 0316 Medical devices - Application of risk management to medical devices (YY/T 0316-2008, ISO 14971.2007, IDT) YY/T 0466.1 Medical devices - Symbols to be used with medical device labels labelling and information to be supplied - Part 1. General requirements (YY/T 0466.1-2009, ISO 15223-1.2007, IDT) Pharmacopoeia of the People’s Republic of China (2010 edition) ISO 7000 Graphical symbols for use on equipment - Index and synopsis 3 Terms and definitions For the purpose of this document, the following terms and definitions apply. 3.1 chemicals Substances that are added or formed during or after any process of the production process. These substances can be detected from the final product. NOTE. These chemicals include lubricant, chemical coating and sterilant. Chemicals are often used during glove processing and some of them are known to cause type IV hypersensitivity. The type, the residual amount and the final form of presence of the chemicals added are uncertain. 3.2 endotoxins Lipopolysaccharide that is derived from the of the outer structure of the Gram- negative bacterial cell membrane. NOTE. Endotoxin is a pyrogen. Endotoxins may come from the raw material of gloves, especially the water used in the process of production, and bacteria contamination caused by manual processing. 3.3 powder Under this test condition, all water-insoluble substances that can be removed by washing with water on the glove surface. [GB/T 21869-2008, definition 3.1] NOTE. Including intentionally added powder and other processing aids or unintentionally randomly present substances, these substances can easily be separated from the surface of gloves. This Part specifies that any glove containing less than or equal to 2 mg of powder is a powder-free glove, and a glove with more than 2 mg of powder is a powdered glove (see 4.4 for requirements). 3.4 process limit The possible maximum value of a confirmed process. 3.5 allergenic proteins Proteins that can cause type I allergic reactions. 3.6 leachable proteins Water-soluble proteins and peptides with different molecular weights that can be leached from the final product. 3.7 pyrogens Substances that make rabbits fever. These substances may also cause the human body to have a fever reaction and other adverse reactions. 4 Requirements 4.1 General Medical gloves for single use shall be evaluated according to GB/T 16886. GB/T 16886.1 describes the general principle of biological evaluation of medical devices and is used to select suitable tests described in other parts. Risk management shall be conducted in accordance with YY/T 0316. 4.2 Chemicals Gloves shall not contain or be coated with talcum powder (magnesium silicate). If technically feasible, it shall avoid using chemicals known to have allergenicity. Whenever feasible, it shall use GB/T 16886.17 to determine the allowable limits for leachable residual chemicals and meet these limits. If infeasible, the residual chemical level shall be “ALARP” [ALARP (As Low As Reasonably Practicable) - See YY/T 0316]. If required, the manufacturer shall indicate the chemicals added during the production process or known in the product, such as accelerators, antioxidants and bactericides, which are known to have adverse health effects based on the existing bibliography. 4.3 Endotoxins If the glove is marked with “low endotoxin content”, the manufacturer shall monitor the endotoxin contamination of the sterile glove according to the test method specified in 5.1. For gloves with such marking, the endotoxin content of each pair of gloves shall not exceed 20 EU. 4.4 Powder For powder-free gloves, the total amount of residual powder determined according to the test method of 5.2 shall not exceed 2 mg per glove. Any glove with a powder content of more than 2 mg is powdered gloves. 4.5 Leachable proteins The manufacturer shall monitor the process limits of soluble proteins in gloves containing natural rubber latex according to the test method specified in 5.3. It shall retain the test result document. It shall be able to provide test results and test methods used as required. The leachable protein level shall be “As Low As Reasonably Practicable” (ALARP). NOTE. For allergenic proteins, this Part specifies the similar methods for measuring allergens (such as leachable proteins). There is no direct correlation between leachable proteins and allergens. Annex B describes the under- development quantitative testing methods for allergenic proteins. 4.6 Labelling In addition to the relevant symbols given in YY/T 0466.1, the following requirements apply. a) Medical gloves containing natural rubber latex shall have at least the following symbol on the smallest packaging unit, see Figure 1 (symbol 2725 of ISO 7000 gives the general requirements for the application of this symbol); Figure 1 -- Symbol for products containing natural rubber latex b) In addition to the symbol, the label shall also include the following warning statement or equivalent warning statement. “(The product) contains natural rubber latex that may cause allergic reactions (including allergic response),”; c) The label shall prominently give a statement as to whether the glove contains powder; d) Sterile powdered gloves shall be marked with the following or equivalent textual description. “CAUTION. Surface powders shall be aseptically removed prior to surgery to minimize the risk of adverse tissue reactions.”; NOTE 1. This precaution may be given on the inner wrap. e) For any medical glove containing natural rubber latex, the product label shall not contain. - any description that indicates relative safety, such as hypo-allergenicity or low protein; - any unreasonable description of the present allergens; f) The manufacturers shall, if labeled to contain proteins, indicate the process limits determined according to the specifications of 5.3. NOTE 2. It is not allowed to mark that the protein content is below 50 μg/g. Due to variability in the expected manufacturing process and inter-laboratory test results, the nominally low protein content is considered to be unreliable. 5 Test methods 5.1 Endotoxins Unless unresolvable interference occurs in the LAL test, the method shall be selected, confirmed and used according to the bacterial endotoxin test specified in the Chinese Pharmacopoeia (hereinafter referred to as the Chinese Pharmacopoeia). The results are expressed in endotoxin units (EU) containing in each pair of gloves. NOTE 1. When unresolvable interference occurs in the LAL test, the bacterial endotoxin level cannot be accurately measured. The recommended minimum number of test gloves and the testing amount are determined according to the batch. When the batch is less than 30 pairs, the sampling amount is 2 pairs; when the batch is between 30 and 100 pairs, the sampling amount is 3 pairs; when the batch is more than 100 pairs, the sampling amount is 3 %, but the maximum sampling amount is 10 pairs for each batch. The outer surface of each pair of gloves, in such a way that all the outer surfaces of the gloves are in contact with the extraction medium, is leached with 40 mL of endotoxin-free water (the bacterial endotoxin test water specified in the Chinese Pharmacopoeia) at 37 °C to 40 °C for 40 min to 60 min. When necessary, the leachate is centrifuged at 2000 g for 15 min to remove particulates. After centrifugation, remove the liquid components and carry out the endotoxin test immediately. NOTE 2. Other existing accepted endotoxin analysis methods, only have been confirmed and relevant to the baseline method specified in this Part, can also be used for routine quality control. 5.2 Powder It shall use the method described in GB/T 21869 to determine the powder residue. 5.3 Leachable proteins The method for determining leachable proteins shall use the improved Lowry method given in Annex A or the method confirmed by the improved Lowry method. NOTE 1. The immunoassay method for proteins in Annex B has not been confirmed by the improved Lowry method, but it can be correlated with clinical response data. NOTE 2. Annex C gives examples of a confirmed analytical method. Test report The test report shall include at least the following information. - number of this Part; - glove type and production batch number; - name and address of the manufacturer or the supplier and laboratory (if different); - test date; - a description of the test method used; - test results. Annex A (normative) Method for determining water-soluble proteins of natural rubber gloves by improved Lowry analytical method A.1 Scope This method is used to determine the mass of water-soluble proteins in medical gloves made of natural rubber. This method has been confirmed in the synergy test carried out between laboratories. The minimum detection limit of this method is approximately 10 μg per gram of glove (i.e. 2 μg protein per mL of extract), which depends on the weight of the glove. Chemicals such as surfactants, catalysts and antioxidants that are added to natural rubber during the production process of gloves can interfere with the color development process. Some substances may reduce color development, while some may increase color development. If errors occur due to interference in the test, it may use any confirmed amino acid analytical method (such as the method given in Annex C). NOTE. Persons using this method shall be familiar with the general laboratory procedures. This method does not involve safety issues. If the method of use involves such issues, the user is responsible for establishing corresponding safety and health regulations and ensuring that they are consistent with the requirements of the national regulations. A.2 Principle Water-soluble proteins are soaked in a kind of buffer solution, then add sodium deoxycholate, precipitate and concentrate with acid and separate from water- soluble substances (that may interfere with the test). The precipitated protein is re-dissolved in the base and colorimetrically quantified using the improved Lowry method. The principle of the analysis is basing on the characteristics that protein reacts with copper and Folin reagents in alkaline medium to form blue, use spectrophotometer to measure in the wavelength range of 600 nm to 750 nm. A.3 Reagents A.3.1 General The test water shall be double distilled water or water of the same quality, all reagents shall be analytical regents. A.3.2 Leaching media A.3.2.1 N-tris-[Hydroxymethyl]-methyl-2-amioethanesulfonic acid (TES), N- tris(hydroxymethyl)methyl 2-aminoethane sulfonic acid (TES), hemisodium-salt. A.3.2.2 Leaching buffer solution, 0.1 mol/L. DISSOLVE 24 g of TES (A.3.2.1) in water and DILUTE to 1 L. Any equivalent buffer system that maintains the pH of the glove leaching solution at 7.4 ± 0.2 can be used. NOTE. Prepare a sufficient amount of glove leaching solution (A.6.2), protein standard solution (A.6.3.2) and blank solution. A.3.2.3 Staining solution, sodium salt solution of bromophenol blue. DISSOLVE 100 mg of bromophenol blue with water and DILUTE to 1 L. Prepare fresh solution every 4 weeks. A.3.3 Lowry protein analysis kit NOTE. The kit can be prepared using current chemicals [1], or kits can be purchased. The method in this Part is confirming with kits1). A.3.3.1 Reagent A, copper reagent (alkaline tartrate or copper citrate solution). A.3.3.2 Reagent B, diluted Folin reagent. A.3.4 Sodium hydroxide solution [c(NaOH) = 0.1 mol//L]. A.3.5 Sodium deoxycholate (DOC) DISSOLVE 0.15 g of sodium deoxycholate with water and DILUTE to 100 mL. The solution could not be used over 4 weeks after it was prepared. A.3.6 Trichloroacetic acid (TCA) 4.4 mol/L aqueous solution, which is prepared by dissolving 72 g of TCA in water and diluting to 100 mL. A.3.7 Phosphotungstic acid (PTA) DISSOLVE 72 g PTA with water and DILUTE to 100 mL. The solution could not be used over 4 weeks after it was prepared. A.3.8 Ovalbumin 1) The Lowry Micro DC Protein Assay Kit (Cat. No. 500-0116) is available from the BioRad Laboratory at 2000 Alfred Nobel Drive, Hercules, CA 9456547, USA. This information is only for the convenience of users of this Part and does not imply endorsement of this product. Extracted from lyophilized eggs2), no salt. A.4 Instruments A.4.1 Synthetic gloves, no powder. A.4.2 Centrifuge, with the centrifugal force can reach at least 6000 g. A.4.3 Centrifuge tube, 30 mL or 50 mL polypropylene tube. The protein binding capacity of the tube shall not exceed 10 μg per tube. Do not use glassware because the surface absorbs proteins. NOTE. A.5 gives a method to determine the protein binding capacity. A.4.4 Filter membrane, disposable, with pore size of 0.22 μm, and the protein binding capacity of each filter membrane does not exceed 10 μg. NOTE. A.5 gives a method to determine the protein binding capacity. A.4.5 Syringe, disposable, 20 mL, made of polyethylene or polypropylene material. A.4.6 Micro test tube, 2 mL, made of polypropylene material. A.4.7 Quartz cuvette, with light path length of 1cm. A.4.8 ELISA plate, 96 wells, flat bottom, made of polystyrene material, or disposable plate well (A.4.9). A.4.9 Disposable plate well, 1.5 mL semi-micro type, with light path of length 1 cm, made of polystyrene material. A.4.10 Microplate reader, with wavelength range of 600 nm ~ 750 nm. A.4.11 Spectrophotometer, with wavelength range of 230 nm ~ 750 nm. A.4.12 Vortex mixer. A.4.13 Micropipette, with disposable polypropylene tip. A.4.14 Fixture, used in the leaching process to seal gloves to prevent water leakage. It is recommended to use a foam-rubber-lined aluminum fixture (see Figure A.1) or a 170 mm long hemodialysis plastic fixture. 2) The ovalbumin is prepared by fractionation and repeated crystallization of ammonium sulfate at pH 4.5 using ammonium sulfate. For example, Sigma A5503, chicken protein, grade V, is available from Sigmar Chemical Co. P.O. Box 14506, St Louis, MO 63178, USA. This information is provided for users of this section only and does not imply endorsement of this product. Dimensions in millimeters Key. 1 - outer glove (glove 1); 2 - inner glove (glove 2); 3 - leaching buffer solution; 4 - dyeing solution; 5 - glove fixture. Figure A.1 -- Glove leaching A.4.15 Oscillator. A.5 Determination of protein binding capacity A.5.1 General It is recommended to use disposable polypropylene devices (polypropylene is considered to have low protein binding capacity). Before using a new batch of centrifuge tubes or filters, the following method shall be used to check the protein binding capacity. The test shall be conducted within 1 d. A.5.2 Protein adsorption capacity of centrifuge tubes A.5.2.1 ADD 30 mL of standard solution containing 10 μg/mL ovalbumin in a centrifuge tube (A.4.3). The standard solution is prepared by diluting the protein stock solution (A.6.3.1) with leaching buffer solution (A.3.2.2). A.5.2.2 PIPETTE two portions of 10 mL ovalbumin solution (A.5.2.1) into two new centrifuge tubes, OSCILLATE the two tubes on the oscillator (A.4.15). Make sure that all surfaces of the tubes are infiltrated with the solution. After standing for 30 min, TRANSFER the solution in the two tubes to the other two tubes for oscillation. REPEAT this procedure until each 10 mL of solution infiltrates 5 tubes. STORE the remaining test solution. A.5.2.3 USE the methods given in A.6.4 to A.6.6 to respectively determine the protein concentration in the standard solution and the two test solutions, MEASURE each three times. A.5.2.4 CALCULATE the average binding capacity of ovalbumin per tube according to equation (A.1). where. O - the amount of ovalbumin bound in each test tube, in micrograms (μg); R - the average value of three measurements of the ovalbumin content in the standard solution, in micrograms per milliliter (μg/mL); T - the average value of the ovalbumin content in the test solution after passing through the test tube (i.e. average value of six measurements), in micrograms per milliliter (μg/mL). The amount of ovalbumin bound in each test tube (O) shall be less than 10 μg. Otherwise, these tubes are not suitable for measurement. A.5.3 Determination of protein adsorption capacity of filters A.5.3.1 ADD 30 mL of standard solution containing 10 μg/mL ovalbumin in a centrifuge tube (A.4.3). The standard solution is prepared by diluting the protein stock solution (A.6.3.1) with leaching buffer solution (A.3.2.2). A.5.3.2 PREPARE two stacks of filter membranes (A.4.4), five pieces for each stack. USE each stack to filter 10 mL of standard solution into a centrifuge tube (A.4.3). A.5.3.3 USE the methods given in A.6.4 to A.6.6 to respectively determine the protein concentration in the standard solution and the two test solutions, MEASURE each three times. A.5.3.4 CALCULATE the average binding capacity of ovalbumin per tube according to equation (A.2). where. O - the amount of ovalbumin bound in each test tube, in micrograms (μg); R - the average value of three measurements of the ovalbumin content in the standard solution, in micrograms per milliliter (μg/mL); T - the average value of the ovalbumin content in the test solution after passing through the test tube (i.e. average value of six measurements), in micrograms per milliliter (μg/mL). The amount of ovalbumin bound in each test tube (O) shall be less than 10 μg. Otherwise, these tubes are not suitable for measurement. A.6 Procedure A.6.1 General The procedure includes glove leaching, followed by purification and concentration of the leaching solution with a factor of 5. USE the standard protein solution concentrated in the same manner to make the calibration curve. According to the calibration curve, determine the protein content in the leaching solution. The leaching procedure used is to take two gloves, one leaching the inside and the other one leaching the outside simultaneously. This allows the leaching volume to be as small as 25 mL, and because the leaching buffer solution only comes in contact with the glove, protein loss caused by contact with the container surface is avoided. NOTE. Other leaching procedures can also be used as long as they are confirmed with reference to this method. Interlaboratory comparison tests conducted in selected laboratories in Europe and the United States showed that the determination result by cutting gloves into pieces and then leaching them in TES buffer solution at pH 7.4 at 25 °C for 2 h according to ASTM D5712 is equivalent to this method. A.6.2 Leaching procedure A.6.2.1 Wear synthetic gloves (A.4.1) to operate glove samples for leaching. TAKE 8 glove samples of the same size and the same batch and divide them into 4 pairs. If the gloves are divided into right-handed and left-handed, select 4 right-handed samples, 4 left-handed samples, and divide them into two pairs of right-handed gloves and two pairs of left-handed gloves. First SELECT a glove form each pair of gloves, MARK at (200 ± 10) mm from the tip of the middle finger to the wrist, WEIGH it (m1), accurate to 0.1 g. Then INSERT the other glove in each pair of gloves into the marked glove to make it completely fit, as shown in Figure A.1 a). NOTE. The method of inserting one glove into the other is not very important for the test, but its operation shall be as simple as possible. To do this, first insert a round bar into the thumb and the little finger of the inner glove to insert them into the corresponding fingers of the outer glove, and insert the other three fingers with the round bar. A.6.2.2 FILL enough staining solution (A.3.2.3) into the five fingers of the inner glove. Between the inner and outer gloves, INJECT 25 mL of the leaching buffer solution (A.3.2.2) at the temperature of (25 ± 5) °C. For larger gloves, the volume of added buffer solution may be increased to 50 mL. VENT most of the air bubbles, and SEAL with a clamp (A.4.14) at the 20 cm mark as shown in Figure A.1 b) to seal the liquid. A.6.2.3 PLACE the gloves on an oscillator (A.4.15) and OSCILLATE at (25 ± 5) °C for (120 ± 5) min. A.6.2.4 REMOVE the clamp and carefully SEPARATE the gloves. Be careful not to contaminate the leachate with the staining solution. If the leachate is blue, it shall be discarded and re-leach with new gloves. A.6.2.5 TRANSFER the leachate to the centrifuge tube (A.4.3), CENTRIFUGATE for 15 min at 2000 g, or FILTER with disposable filter membrane (A.4.4), or use both methods, to make the leachate clear. The prepared clear liquid may be refrigerated at 2 °C ~ 8 °C and determined within 48 h, and may also be frozen below -18 °C before analysis, for not more than two months. A.6.2.6 CUT the wrist of the outer glove at 20 cm above the immersed outer glove, WIPE the surface liquid with absorbent paper, DRY at room temperature, WEIGH (m2), to the nearest 0.1 g. CALCULATE the mass of the leaching part of the glove. A.6.3 Protein standard solution A.6.3.1 Protein stock solution DISSOLVE 25 mg of ovalbumin in 25 mL of leaching buffer solution (A.3.2.2) to prepare the ovalbumin solution with a nominal concentration of 1 mg/mL. FILTER with 0.22 μm filter membrane (A.4.4), USE a UV spectrophotometer to measure the absorbance with a quartz cell (A.4.7) at 280 nm, CALCULATE the actual ovalbumin concentration. Absorbance divided by 0.7153) is the actual concentration (mg/mL). The solution may be kept stable for 2 d under refrigeration conditions, and may be kept stable for two months at below -18 °C. To thaw, it needs to be heated at 45 °C for 15 min. A.6.3.2 Protein standard solution USE leaching buffer solution (A.3.2.2) to dilute the stock solut...... ......


YY/T 0616-2007 Medical gloves for single use.Requirements and testing for biological evaluation ICS 11.140.01 C30 People's Republic of China pharmaceutical industry standards Disposable medical gloves Biological evaluation requirements and tests (EN455-3.2000, MOD) Posted 2007-07-02 2008-03-01 implementation State Food and Drug Administration issued Table of Contents Preface Ⅰ Introduction Ⅱ 1 Scope 1 2 Normative references 1 3 Terms and definitions 4 requires 2 5 Test Method 2 6 3 test report Methods Appendix A (normative) Determination of natural rubber gloves with water-soluble proteins modified Lowry assay 4 Annex B (informative) medical gloves can be eluted protein and immunological determination of 10 allergens Annex C (informative) high performance liquid chromatography (HPLC) Determination of amino acids (AAA) 12 Annex D (informative) 16 terms References 17 Foreword The Standard is a modified EN455-3.2000 "Medical gloves for single use - Part 3. Requirements and test biological evaluation", and EN455-3.2000 no technical difference, only the European pharmacopoeia standards and references to relevant standards and our pharmacopoeia. Appendix A of this standard is a normative appendix, Appendix B, Appendix C and Appendix D are informative appendices. This standard by the National Standardization Technical Committee on Biological evaluation of medical devices and focal points. This standard was drafted. Shandong Medical Devices Product Quality Inspection Center. The main drafters of this standard. Qin Dongli, Huangjing Chun by Shaohua, Wu Ping. introduction In recent years, often reported latex products because it contains latex proteins enable health care workers and patients have adverse reactions due to chemicals Adverse reaction mass, lubricants, sterile residue (ethylene oxide), pyrogenic etc. resulting residue is also described in the scientific literature. among them Most natural rubber latex gloves are reported adverse reactions, but gloves made of other polymers may also cause some adverse reactions. GB/T 16886 standard gives guidelines concerning the biological evaluation of medical devices, and includes specific tests and other security related regulations Fan test program. This standard does not involve the use of medical gloves produced by all adverse reactions (such as immediate hypersensitivity), in the presence of specific glove These allergens can cause adverse reactions, the factors leading to these reactions are. a) long-term, high-frequency wearing gloves; b) skin and mucous membranes directly with the allergen (known as allergens) in contact, particularly contact with allergens under the skin and mucous membrane damage case Or respirable particulates; c) perennial gloves, gloves sticking close skin. The standard of medical gloves are given to evaluate the biological test methods for safety, as YY/T 0316 a risk management process section. The standard does not specify acceptable levels of latex proteins and chemical substances, since the safety evaluation factors in this field (such as over Allergen identification, sensitization threshold and process control, etc.) is not very clear. With the continuous improvement of its cognition, it is expected that the standard will be Amendments. Further determine these allergens and test methods for control is still under investigation. Disposable medical gloves Biological evaluation requirements and tests 1 Scope This standard specifies the use of disposable medical gloves biological safety evaluation requirements given labeling and packaging requirements as well as gloves The information on the test method used. The standard also includes a method for the immunological test Summary proteins and allergens can be measured by the dissolution. 2 Normative references The following documents contain provisions which, through reference in this standard and become the standard terms. For dated references, subsequent Amendments (not including errata content) or revisions do not apply to this standard, however, encourage the parties to the agreement are based on research Whether the latest versions of these documents. For undated reference documents, the latest versions apply to this standard. GB/T 16886.1 Biological evaluation of medical devices - Part 1. Evaluation and testing (GB/T 16886.1-2001, ISO 10993-1.1997, IDT) GB/T 16886.5 Biological evaluation of medical devices - Part 5. In vitro cytotoxicity test (GB/T 16886.5-2003, ISO 10993-5.1999, IDT) GB/T 16886.7 Biological evaluation of medical devices - Part 7. Ethylene oxide sterilization residuals (GB/T 16886.7-2001, ISO 10993-7.1995, IDT) GB/T 16886.10 Biological evaluation of medical devices - Part 10. irritation and delayed-type hypersensitivity test (GB/T 16886.10-2005, ISO 10993-10.2002, IDT) GB/T 16886.12 Biological evaluation of medical devices - Part 12. Sample preparation and reference materials (GB/T 16886.12-2005, ISO 10993-12.2002, IDT) YY/T 0316 Medical Devices Risk Management for Medical Device Applications (YY/T 0316-2003, ISO 14971-1.2000, IDT) People's Republic of China Pharmacopoeia (2005 edition) 3 Terms and Definitions The following terms and definitions apply to this standard. 3.1 Add any process or formed during the manufacturing process or storage of substances, including lubricants, coatings and chemical sterilization agents, these substances It can be detected from the final product. 3.2 LPS derived from Gram-negative bacteria outer membrane structure. NOTE. endotoxin from raw materials, production processes and manual process water disposal bacterial contamination. 3.3 Eluted from the final product in different molecular weight water-soluble proteins and peptides. NOTE. The main protein from natural rubber latex. Denaturation and degradation, water immersion may add protein and other proteins occur in the production process I propose proteins can cause allergic type. ......

BASIC DATA
Standard ID YY/T 0616.1-2016 (YY/T0616.1-2016)
Description (Translated English) Medical gloves for single use -- Part 1: Requirements and testing for biological evaluation
Sector / Industry Medical Device & Pharmaceutical Industry Standard (Recommended)
Classification of Chinese Standard C30
Classification of International Standard 11.140.01
Word Count Estimation 27,265
Date of Issue 2016-01-26
Date of Implementation 2017-01-01
Older Standard (superseded by this standard) YY/T 0616-2007
Quoted Standard GB/T 16886.1; GB/T 16886.2; GB/T 16886.3; GB/T 16886.4; GB/T 16886.5; GB/T 16886.6; GB/T 16886.7; GB/T 16886.9; GB/T 16886.10; GB/T 16886.11; GB/T 16886.12; GB/T 16886.13; GB/T 16886.14; GB/T 16886.15; GB/T 16886.16; GB/T 16886.17; GB/T 16886.18; GB/T 168
Drafting Organization Shandong Province, medical equipment product quality inspection center, Beijing Medical Device Testing Institute, Jiangsu Province, medical equipment testing
Administrative Organization State Food and Drug Administration Jinan Medical Device Quality Supervision and Inspection Center
Regulation (derived from) China Food and Drug Administration Bulletin 2016 No.25
Issuing agency(ies) State Administration of Food and Drug Administration
Summary This standard specifies the requirements for the use of medical gloves for biologic safety evaluation at one time, and gives the information required for labeling and published test methods. This standard applies to the use of medical gloves biology safety evaluation.

BASIC DATA
Standard ID YY/T 0616-2007 (YY/T0616-2007)
Description (Translated English) Medical gloves for single use. Requirements and testing for biological evaluation
Sector / Industry Medical Device & Pharmaceutical Industry Standard (Recommended)
Classification of Chinese Standard C30
Classification of International Standard 11.140.01
Word Count Estimation 23,239
Date of Issue 2007-07-02
Date of Implementation 2008-03-01
Quoted Standard GB/T 16686.1; GB/T 16886.5; GB/T 16886.7; GB/T 16886.10; GB/T 16886.12; YY/T 0316
Adopted Standard EN 455-3-2000, MOD
Drafting Organization Shandong Province Quality Inspection Center of Medical Devices
Administrative Organization National Standardization Technical Committee of Biological Evaluation of Medical Devices
Regulation (derived from) Chinese industry standard filing Notice 2007 No. 9 (No. 93 overall)
Proposing organization National Medical Device Biology Evaluation Standardization Technical Committee
Issuing agency(ies) State Food and Drug Administration
Summary This standard specifies the use of disposable medical gloves biological safety evaluation requirements, marking and gloves given packaging requirements and test methods used in the information. This standard is also included for the dissolution of proteins and allergens can be measured by immunological tests Methods.