K Number
K211249
Device Name
Altor Safety 3-Ply Surgical Mask (Model:62222)
Manufacturer
Date Cleared
2021-07-23

(88 days)

Product Code
Regulation Number
878.4040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Altor Safety 3-Ply Surgical Mask (Model:62222) is intended to be worn to protect both the patient and healthcare professional from transfer of microorganisms, body fluids, and particulate material. The Altor Safety 3-Ply Surgical Mask is intended for use in infection control practices to reduce the potential exposure to blood and body fluids. This is a single use, non-sterile, disposable device.
Device Description
The Altor Safety 3-Ply Surgical Mask is a flat-pleated mask with ear loops and nose piece for fitting and securing the mask to the to the user's face. The mask outward facing layer is blue in color, using color master batch. The product model number of the subject device is : 62222. The ASTM Level of the subject device is ASTM Level 2. The subject device is manufactured with three layers: Outer Layer: Spunbond nonwoven polypropylene, Middle Layer: Melt Blown nonwoven polypropylene, Inner Layer: Spunbond nonwoven polypropylene. The subject device is provided non-sterile and is a single use, disposable device.
More Information

Not Found

No
The device description and performance studies focus on the physical properties and filtration capabilities of a surgical mask, with no mention of AI or ML.

No
The device is a surgical mask intended for infection control by preventing the transfer of microorganisms and body fluids, not for treating a disease or condition.

No
Explanation: The device is a surgical mask intended for protection and infection control, not for diagnosing medical conditions. Its performance metrics relate to filtration and resistance, not diagnostic accuracy.

No

The device description clearly outlines a physical, multi-layered mask made of nonwoven polypropylene with ear loops and a nose piece. The performance studies are bench tests on physical properties, not software validation.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health. They are used outside of the body.
  • Device Function: The Altor Safety 3-Ply Surgical Mask is a physical barrier worn on the face to prevent the transfer of microorganisms, body fluids, and particulate material. It does not analyze any specimens from the body.
  • Intended Use: The intended use clearly states it's for protection and infection control by being worn on the face.
  • Device Description: The description details the physical construction of the mask.
  • Performance Studies: The performance studies focus on the mask's barrier properties (filtration, pressure resistance, penetration resistance, flammability), not on analyzing biological samples.

The information provided clearly describes a medical device used for personal protection and infection control, not an in vitro diagnostic test.

N/A

Intended Use / Indications for Use

The Altor Safety 3-Ply Surgical Mask (Model:62222) is intended to be worn to protect both the patient and healthcare professional from transfer of microorganisms, body fluids, and particulate material. The Altor Safety 3-Ply Surgical Mask is intended for use in infection control practices to reduce the potential exposure to blood and body fluids. This is a single use, non-sterile, disposable device.

Product codes

FXX

Device Description

The Altor Safety 3-Ply Surgical Mask is a flat-pleated mask with ear loops and nose piece for fitting and securing the mask to the to the user's face. The mask outward facing layer is blue in color, using color master batch.
The product model number of the subject device is : 62222
The ASTM Level of the subject device is ASTM Level 2
The subject device is manufactured with three layers:
Outer Layer: Spunbond nonwoven polypropylene
Middle Layer: Melt Blown nonwoven polypropylene
Inner Layer: Spunbond nonwoven polypropylene
The subject device is provided non-sterile and is a single use, disposable device.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Nose and Mouth

Indicated Patient Age Range

Not Found

Intended User / Care Setting

healthcare professional

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Performance bench tests of Altor Safety 3-Ply Surgical Mask have been performed, see Table 3. The results from the performance bench testing demonstrate that Altor Safety 3-Ply Surgical Mask has met the acceptance criteria of the standard

Key Metrics

Bacterial Filtration Efficiency (BFE): Lot 1-99.60% BFE, Lot 2-99.80% BFE, Lot 3-99.75% BFE
Differential Pressure (Delta P): 2.6mmH 2 O/cm 2 (2 lots have an average of 2.7)
Synthetic Blood Penetration Resistance: Lot 1:31 out of 32 pass at 120mmHg, Lot 2:32 out of 32 pass at 120mmHg, Lot 3: 32 out of 32 pass at 120mmHg
Latex Particle Challenge: Lot 1 : ≥99%, Lot 2: ≥99%, Lot 3: ≥99%
Flammability: Class I Flammability Rating

Predicate Device(s)

K202463

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

0

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left, there is a symbol representing the Department of Health & Human Services - USA. To the right of this symbol, there is a blue square with the letters "FDA" in white. Next to the blue square, the words "U.S. FOOD & DRUG ADMINISTRATION" are written in blue.

July 23, 2021

Altor Safety LLC % Dallas Thomas Medical Device Regulatory Consultant Thomas Regulatory Resolutions, Inc. 1069 Piccadilly St. Palm Beach Gardens, Florida 33418

Re: K211249

Trade/Device Name: Altor Safety 3-Ply Surgical Mask (Model:62222) Regulation Number: 21 CFR 878.4040 Regulation Name: Surgical Apparel Regulatory Class: Class II Product Code: FXX, Dated: April 21, 2021 Received: April 26, 2021

Dear Dallas Thomas:

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 (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 located 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.

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

1

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 803) for devices or postmarketing safety reporting (21 CFR 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 (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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

Clarence W. Murray, III, PhD Assistant Director DHT4B: Division of Infection Control and Plastic Surgery 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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Indications for Use

510(k) Number (if known) K211249

Device Name Altor Safety 3-Ply Surgical Mask (Model:62222)

Indications for Use (Describe)

The Altor Safety 3-Ply Surgical Mask (Model:62222) is intended to be worn to protect both the patient and healthcare professional from transfer of microorganisms, body fluids, and particulate material. The Altor Safety 3-Ply Surgical Mask is intended for use in infection control practices to reduce the potential exposure to blood and body fluids. This is a single use, non-sterile, disposable device.

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)

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3

Altor Safety 3-Ply Surgical Mask

510(k) Summary K211249

5.1 General Information

23 July 2021 Preparation Date:

Submitter/Holder

Jared Scott

Altor Safety LLC

711 Executive Boulevard Suite C, Valley Cottage, NY, USA 10989

Contact Phone#: +1 845-422-8320

Contact Email:jared.scott(@altorsafety.com

Primary Submission Contact

Dallas L. Thomas, RAC, MHA, MPA, SSYB Medical Device Regulatory Consultant Thomas Regulatory Resolutions, Inc. 1069 Piccadilly St. Palm Beach Gardens, FL 33418 Mobile +1 801 556 6809 Email: dallas@thomasregulatory.com

Regulatory Information 5.2

Subject Device NameAltor Safety 3-Ply Surgical Mask (Model:62222)
Classification NamesSurgical apparel.
Device ClassificationII
Common NameAltor Safety 3-Ply Surgical Mask
FDA Product CodeFXX
CFR References21 CFR 878.4040
Review PanelGeneral Hospital

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Altor Safety 3-Ply Surgical Mask

Identification of Predicate Device 5.3

The predicate device for this submission has been identified as the Disposable Surgical Mask K202463.

5.4 Subject Device Description

The Altor Safety 3-Ply Surgical Mask is a flat-pleated mask with ear loops and nose piece for fitting and securing the mask to the to the user's face. The mask outward facing layer is blue in color, using color master batch.

The product model number of the subject device is : 62222

The ASTM Level of the subject device is ASTM Level 2

The subject device is manufactured with three layers:

Outer Layer: Spunbond nonwoven polypropylene

Middle Layer: Melt Blown nonwoven polypropylene

Inner Layer: Spunbond nonwoven polypropylene

The subject device is provided non-sterile and is a single use, disposable device.

A visual representation of the device can be found in the following figure.

Image /page/4/Picture/14 description: The image shows a close-up of a blue surgical mask. The mask has multiple layers and is folded to create a pleated design. The mask also has white ear loops attached to the sides. The bottom of the image has a green and blue background with the text "Actual product may vary from image".

Figure 1: Altor Safety 3-Ply Surgical Mask Product Image

ર.ર Subject Device Specification

Design specifications:

5

Size/Dimensions: ●

Dimensions-Width3.625in (92 mm)
Dimensions-Length6.75-7.00in (171.45 mm-177.8mm )
  • . Materials of subject device are as listed below.
Outer Layer (Blue)Spunbond nonwoven polypropylene
Middle Layer (White)Melt blown nonwoven polypropylene
Inner Layer (White)Spunbond nonwoven polypropylene
Nose WireVirgin polyethylene plastic, 24 gauge
soft annealed carbon steel, and kraft paper
(nominal basis weight of 25 lbs. /ream)
Ear BandSpandex

ર્ડ.૯ Indications for Use

Per the current proposed product labeling, the indications for use for the Altor Safety 3-Ply Surgical Mask (Model:62222) are quoted as follows:

The Altor Safety 3-Ply Surgical Mask is intended to be worn to protect both the patient and healthcare professional from transfer of microorganisms, body fluids, and particulate material. The Altor Safety 3-Ply Surgical Mask is intended for use in infection control practices to reduce the potential exposure to blood and body fluids. This is a single use, nonsterile, disposable device.

Please note that the above indication is slightly reworded compared to the already cleared indications for the predicate Disposable Surgical Mask K202463 and updated accordingly per current FDA Guidance. The indications for use statement also provides further clarification that is complementary to the cleared predicate indications for use.

Technological Characteristics Comparison 5.7

Below is a summary table of the technological characteristics comparison between the subject and predicate devices.

6

Device CharacteristicProposed Subject DevicePrimary Predicate DeviceComparison Analysis: Identical / Same / Similar /
Product NameAltor Safety 3 Ply Surgical MaskDisposable Surgical MaskDifferent
ManufacturerAltor SafetyUnisources Group LLCDifferent
FDA Product CodeFXXFXXIdentical
CFR Reference878.4040878.4040Identical
Device ClassIIIIIdentical
510(k) referenceK211249K202463Different
Implanted DeviceNoNoIdentical
Intended UseThe Altor Safety 3-Ply Surgical Mask is intended to be worn to protect both the patient and healthcare professional from transfer of microorganisms, body fluids, and particulate material. The Altor Safety 3-Ply Surgical Mask is intended for use in infection control practices to reduce the potential exposure to blood and body fluids. This is a single use, non-sterile, disposable device.The Disposable Surgical Mask, FILTECH M201 is intended to be worn to protect both the patient and health care personnel from transfer of microorganisms, body fluids and particulate material. The Disposable Surgical Mask is 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-sterileSame
Device
CharacteristicProposed Subject
DevicePrimary Predicate
DeviceComparison Analysis:
Identical / Same /
Similar /
Indications for
use statementThe Altor Safety 3-Ply
Surgical Mask is intended
to be worn to protect both
the patient and healthcare
professional from transfer
of microorganisms, body
fluids, and particulate
material. The Altor
Safety 3-Ply Surgical
Mask is intended for use
in infection control
practices to reduce the
potential exposure to
blood and body fluids.
This is a single use, non-
sterile, disposable device.The Disposable Surgical
Mask, FILTECH M201 is
intended to be worn to
protect both the patient
and health care personnel
from transfer of
microorganisms, body
fluids and particulate
material. The disposable
surgical mask is 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.Same
Device Generic
Raw MaterialsOuter Facing Layer:
Spunbond nonwoven
polypropylene
Middle Layer: Melt
Blown nonwoven
polypropylene filter
Inner facing layer:
Spunbond nonwoven
polypropylene
Ear loop: SpandexOuter Facing Layer:
Spunbond polypropylene
Middle Layer: Melt
Blown polypropylene
filter
Inner facing layer:
Spunbond polypropylene
Ear loop: SpandexSimilar
ASTM LevelLevel 2Level 2Same
Color (outward
facing Layer)BlueBlueSimilar
Color (middle
Layer)WhiteNot-publicly AvailableDifferent
Color (inward
facing Layer)WhiteNot-publicly AvailableDifferent
Device
CharacteristicProposed Subject
DevicePrimary Predicate
DeviceComparison Analysis:
Identical / Same /
Similar /
Colorant(s)Submitted Independently
to FDA by supplier as
this was considered
proprietary information.Not-publicly AvailableDifferent
Patient
Anatomical Site
for Use of DeviceNose and MouthNose and MouthIdentical
Mode of
OperationProtective MaskProtective MaskIdentical
Reusable or
Single UseSingle UseSingle UseIdentical
Sold Sterile or
Non-SterileNon-SterileNon-SterileIdentical
Prescription
StatusOTCOTCIdentical
Fluid Resistance
Performance
ASTM F1862-13Lot 1:31 out of 32 pass at
120mmHg
Lot 2:32 out of 32 pass at
120mmHg
Lot 3: 32 out of 32 pass at
120mmHg32 out of 32 pass at
120mmHgSimilar
Particulate
Filtration
Efficiency ASTM
F2299Lot 1 : ≥99%
Lot 2: ≥99%
Lot 3: ≥99%≥98%Similar
Bacterial
Filtration
Efficiency ASTM
F2101Lot 1: 99.60%
Lot 2: 99.80%
Lot 3: 99.75%99.60%Similar
Differential
Pressure (Delta P)
EN 146832.6mmH $2$ O/cm $2$ (2 lots have an average of 2.7)5.5mmH $2$ O/cm $2$Similar
Flammability 16
CFR 1610Class 1Class 1Identical
CytotoxicityUnder the conditions of
the study, the proposed
device extract wasUnder the conditions of
the study, the proposed
device extract wasSimilar
Device
CharacteristicProposed Subject
DevicePrimary Predicate
DeviceComparison Analysis:
Identical / Same /
Similar /
determined to be non-
cytotoxic.determined to be non-
cytotoxic.
IrritationUnder the conditions of
the study, the proposed
device non-polar and
polar extracts were
determined to be non-
irritating.Under the conditions of
the study, the proposed
device non-polar and
polar extracts were
determined to be non-
irritating.Similar
SensitizationUnder the conditions of
the study, the proposed
device non-polar and
polar extracts were
determined to be non-
sensitizing.Under the conditions of
the study, the proposed
device non-polar and
polar extracts were
determined to be non-
sensitizing.Similar
Dimensions-
Width3.625in (92 mm)95mm±5mmSimilar
Dimensions-
Length6.75-7.00in (171.45 mm-
177.8mm )175mm±5mmSimilar
ASTM F2100
LevelLevel 2Level 2Identical

Table 1.Technological Characteristics Comparison Table

7

8

9

Sterilization and Shelf Life 5.8

Sterilization and Shelf Life are not applicable to the Altor Safety 3-Ply Surgical Mask subject device. The device is provided non-sterile and there is no claimed shelf life.

5.9 Biocompatibility

Biocompatibility tests of Altor Safety 3-Ply Surgical Mask have been performed on

10

representative finished, sterilized devices as outlined in Table 2.

Table 2. Biocompatibility Summary & Standards Applied

| Test Method/

StandardPurposeAcceptance CriteriaResults
ISO 10993-5:2009CytotoxicityFor the test to be valid, the reagent control and
the negative control must have had a reactivity
of none (grade 0) and the positive control must
have been a grade 3 or 4. Percent rounding and
percent cells without intracytoplasmic granules
are not evaluated in the event of 100% lysis.
The test article met the requirements of the test
if the biological response was less than or equal
to grade 2 (mild). The test would have been
repeated if the controls did not perform as
anticipated.No cytotoxicity or cell
lysis was noted in any of
the test wells. No pH
shift was observed at 48
hours. The reagent
control, negative control
and the positive control
performed as anticipated.
ISO 10993-10:2010SensitizationThe responses from the challenge phase were
compared within the test animal group and
between test and control conditions. In the
final analysis of data, consideration was given
to the overall pattern, intensity, duration and
character of reactions of the test as compared
to the control conditions. The control
conditions are (1) the control vehicle on the
test animals, (2) the test on the control
animals, and (3) the control vehicle on the
control animals. Statistical manipulation of
data was not applicable to this study. Grades
of 1 or greater observed in the test group
generally indicated sensitization, provided
that grades of less than 1 were observed on
the control animals. If grades of 1 or greater
were noted on control animals, then the
reactions of test animals that exceeded the
most severe control reaction were considered
to be due to sensitization.Unless otherwise
indicated, all animals
were observed with the
expected dermal
reactions
associated with
intradermal injection of
FCA and were clinically
normal throughout the
study.
No evidence of
sensitization was
observed.
ISO 10993-10:2010SensitizationThe responses from the challenge phase were
compared within the test animal group and
between test and control conditions. In the final
analysis of data, consideration was given to the
overall pattern, intensity, duration and character of reactions
of reactions of the test as compared to the
control conditions. The control conditions are
(1) the control vehicle on the test animals, (2)
the test on the control animals, and (3) the
control vehicle on the control animals.
Statistical manipulation of data was not
applicable to this study. Grades of 1 or greater
observed in the test group generally indicated
sensitization, provided that grades of less than 1
were observed on the control animals. If grades
of 1 or greater were noted on control animals,Unless otherwise
indicated, all animals
were observed with the
expected dermal
reactions
associated with
intradermal injection of
FCA and were clinically
normal throughout the
study.
No evidence of
sensitization was
observed.

11

|--|

| Test Method/

StandardPurposeAcceptance CriteriaResults
the most severe control reaction were
considered to be due to sensitization.
ISO 10993-10:2010IrritationThe erythema and edema site scores for the test
article and control extracts for each animal at
each scoring interval were calculated by adding
the erythema and edema scores together. The
mean score of each individual animal (test and
control) was calculated by totaling all of the
individual site scores for each animal and
dividing by 15 (3 scoring time points x 5 test or
control sites). The overall mean for each test
article extract and control extract was
calculated by adding the mean score for all
three animals together and dividing by 3. The
difference between the overall mean score of
the test article extract and corresponding
control extract was calculated by subtracting
the overall mean score for the control extract
from the overall mean score for the test article
extract. If the overall mean score of the test
article extract was less than the overall mean
score of the corresponding control extract, 0.0
was reported. The requirements of the test were
met if the difference between the test extract
overall mean score and corresponding control
overall mean score was 1.0 or less.All animals appeared
normal throughout the
study.
All injection sites
appeared normal
immediately following
injection.
ISO 10993-10:2010IrritationNo statistical analysis of the data will be
performed. All erythema grades and edema
grades (24, 48 and 72 hours) will be calculated
separately for each test and control for each
individual animal. The score of a test article or
control on each individual animal will be
calculated by dividing each of the totals by 15
(3 scoring time points x 5 sites). The overall
mean will be determined for each test and
control by adding the scores for the 3 animals
and dividing by 3. The difference between the
overall mean score of the test article extracts
and corresponding control extracts will be
calculated by subtracting the overall mean score
for the control from the overall mean score for
the test article extract. If the overall mean score
of the test article extracts is less than the overall
mean score of the corresponding control
extracts, 0.0 will be recorded for the overall
mean difference between test and control. If at
any observation period the average reaction to
the test article extract is questionably greater
than the average reaction to the control, the test
will be repeated using three additional rabbits.
The requirements of the test are met if the
difference between the test article extractAll animals appeared
normal throughout the
study.
All injection sites
appeared normal
immediately following
injection.

12

Altor Safety 3-Ply Surgical Mask

| Test Method/

StandardPurposeAcceptance CriteriaResults
overall mean score and the corresponding
control overall mean score is 1.0 or less.
Ischemia or necrosis present at the majority of
the test sites of all animals for any scoring
interval will be considered as significant
regardless of the calculated result. The test
article may fail if either of these findings are
observed at the majority of the test sites of all
animals. If the SC control sites on any animal
exhibits a score 22, or if the SO control sites
exhibits a score 23, the rabbit will be replaced
exhibiting the reaction. The replacement animal
will be injected with the appropriate test article
extract and control using fresh preparations.

5.10 Performance Testing - Bench

Performance bench tests of Altor Safety 3-Ply Surgical Mask have been performed, see Table 3. The results from the performance bench testing demonstrate that Altor Safety 3-Ply Surgical Mask has met the acceptance criteria of the standard

| Test Method /

StandardPurposeAcceptance CriteriaResults
Bacterial Filtration
Efficiency (BFE) ASTM
F2101-19Bacterial FiltrationAs per Bacterial Filtration
Efficiency (BFE) ASTM F2101-19Lot 1-99.60% BFE
Lot 2-99.80% BFE
Lot 3-99.75% BFE
Differential Pressure (Delta
P) EN 14683:2019BreathabilityAs per Differential Pressure (Delta P) EN
14683:20192.6mmH 2 O/cm 2 (2
lots have an average of
2.7)
Synthetic Blood
Penetration Resistance
ASTM F1862 ISO 22609Fluid ResistanceAs Per Synthetic Blood Penetration Resistance
ASTM F1862 ISO 22609Lot 1:31 out of 32 pass
at 120mmHg
Lot 2:32 out of 32 pass
at 120mmHg
Lot 3: 32
out of 32 pass at 120mmHg

Table 3. Performance Testing Summary And Standards Applied

13

| Test Method /

StandardPurposeAcceptance CriteriaResults
pass at
120mmHg
Latex Particle Challenge
ASTM F2299Penetration by ParticulatesAs Per Latex Particle Challenge ASTM F2299Lot 1 : ≥99%
Lot 2: ≥99%
Lot 3: ≥99%
Flammability of Clothing
Textiles per 16 CFR Part
1610FlammabilityAs Per Flammability of Clothing Textiles per 16
CFR Part 1610Class I Flammability
Rating

Altor Safety 3-Ply Surgical Mask

5.11 Conclusion

The conclusions drawn from the nonclinical tests demonstrate that the Altor Safety 3-Ply Surgical Mask is as safe, as effective, and performs as well as or better than the legally marketed device