K Number
K202714
Date Cleared
2021-06-11

(268 days)

Product Code
Regulation Number
878.4040
Panel
HO
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Medical Face Mask is intended to be worn to protect both the patient and healthcare personnel from transfer of microorganisms, body fluids and particulate material. These face masks are intended for use in infection control practices to reduce the potential exposure to blood and body fluids. This is a single use, disposable device(s), provided non-sterile.

Device Description

The Medical Face Masks are single use, three-layer, flat-pleated style with ear loops and nose piece. The Medical Face Masks are manufactured with three layers, the inner and outer layers are made of spun-bond polypropylene, and the middle layer is made of melt blown polypropylene filter. The ear loops are held in place over the users' mouth and nose by two elastic ear loops welded to the facemask. The elastic ear loops are not made with natural rubber latex. The nose piece in the layers of facemask is to allow the user to fit the facemask around their nose, which is made of Galvanized iron wire+ Polyethylene(PE). The medical face masks will be provided in blue. The medical face masks are sold non-sterile and are intended to be single use, disposable devices.

AI/ML Overview

The provided document is a 510(k) Premarket Notification for a Medical Face Mask, not an AI/ML medical device. Therefore, the information requested about acceptance criteria and study proving an AI/ML device meets them (including sample sizes, expert qualifications, adjudication methods, MRMC studies, standalone performance, ground truth establishment, and training set details) is not applicable and cannot be extracted from this document.

The document describes the non-clinical performance testing of a physical medical device (face mask) to demonstrate its substantial equivalence to a predicate device, focusing on material properties, fluid resistance, filtration efficiency, differential pressure, flammability, and biocompatibility.

Here's the relevant information that can be extracted, pertaining to the physical medical face mask, structured to highlight the difference from an AI/ML device study:

1. A table of acceptance criteria and the reported device performance:

ItemAcceptance CriteriaReported Device Performance (Result)Conclusion
Fluid Resistance Performance (ASTM F1862)≥ 29 Out of 32 pass at 120 mmHg (16.0 kPa)32 Out of 32 pass at 120 mmHg(16.0 kPa)Pass
Particulate Filtration Efficiency (ASTM F2299)≥ 98%99.7%Pass
Bacterial Filtration Efficiency (ASTM F2101)≥ 98%98.7%Pass
Differential Pressure (Delta P) MILM-36954C

§ 878.4040 Surgical apparel.

(a)
Identification. Surgical apparel are devices that are intended to be worn by operating room personnel during surgical procedures to protect both the surgical patient and the operating room personnel from transfer of microorganisms, body fluids, and particulate material. Examples include surgical caps, hoods, masks, gowns, operating room shoes and shoe covers, and isolation masks and gowns. Surgical suits and dresses, commonly known as scrub suits, are excluded.(b)
Classification. (1) Class II (special controls) for surgical gowns and surgical masks. A surgical N95 respirator or N95 filtering facepiece respirator is not exempt if it is intended to prevent specific diseases or infections, or it is labeled or otherwise represented as filtering surgical smoke or plumes, filtering specific amounts of viruses or bacteria, reducing the amount of and/or killing viruses, bacteria, or fungi, or affecting allergenicity, or it contains coating technologies unrelated to filtration (e.g., to reduce and or kill microorganisms). Surgical N95 respirators and N95 filtering facepiece respirators are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9, and the following conditions for exemption:(i) The user contacting components of the device must be demonstrated to be biocompatible.
(ii) Analysis and nonclinical testing must:
(A) Characterize flammability and be demonstrated to be appropriate for the intended environment of use; and
(B) Demonstrate the ability of the device to resist penetration by fluids, such as blood and body fluids, at a velocity consistent with the intended use of the device.
(iii) NIOSH approved under its regulation.
(2) Class I (general controls) for surgical apparel other than surgical gowns and surgical masks. The class I device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9.