K Number
K212120
Device Name
Surgical Masks
Date Cleared
2022-01-28

(205 days)

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

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

XX0009 Ear loop Level: Level 1, Level 2 and Level 3
XX0008 Tie-on Level: Level 1, Level 2 and Level 3
XX0006 Tie-on with shield Level: Level 1, Level 2 and Level 3
XX0005 Ear loop with shield Level: Level 1, Level 2 and Level 3

Device Description

The surgical masks are single use, flat-pleated masks that are provided in blue. The outer and inner layers of the mask are made of spunbond polypropylene. The middle filter is made of one layer of meltblown polypropylene filter. The Surgical Masks are available in four types due to different configurations, including ear loop, tie-on, ear loop with shield and tie-on with shield. Detail configurations of them are presented in Table 1 Surgical Masks Description. The ties are made of spunbond polypropylene and the ear loops are made of spandex. The shield is made of PET. The nose piece is made of iron wire and polypropylene. Users can adjust the nose piece according to the shape of the bridge of the nose, and fix the mask on the bridge of the nose to prevent the mask from falling off. The proposed devices are provided in non-sterile. The proposed devices contain four (4) types of masks: XX0009, XX008, XX0006 and XX0005. Each of these types have three different levels, level 2, and level 3. Therefore, the proposed devices have 12 models in toto, and detailed model information is provided in Table 1.

AI/ML Overview

The provided text is a 510(k) Summary for Surgical Masks (K212120), focusing on demonstrating substantial equivalence to a predicate device (K160269) through non-clinical testing. It does not describe a study involving an AI (Artificial Intelligence) or medical imaging device, nor does it involve a multi-reader multi-case (MRMC) study. Therefore, many of the requested details, such as human reader improvement with AI assistance, ground truth establishment for AI training/test sets, or the number of experts for adjudication, are not applicable to this document.

However, I can extract the relevant information regarding the acceptance criteria and the study that proves the device meets those criteria, specifically for the surgical masks.

Acceptance Criteria and Device Performance for Surgical Masks (Based on Non-Clinical Tests)

1. Table of Acceptance Criteria and Reported Device Performance

The non-clinical tests were conducted to verify that the proposed device met all design specifications. The performance levels (Level 1, Level 2, Level 3) refer to classifications defined by ASTM F2100: 2019 "Standard Specification for Performance of Materials Used in Medical Face Masks."

Test MethodologyPurposeAcceptance CriteriaReported Device Performance
Particulate Filtration Efficiency (PFE)Determines the particle filtration efficiency (PFE) of the test article (ASTM F2299/F2299M-03 (2017))Level 1: ≥95%Level 2: ≥98%Level 3: ≥98%Level 1: Pass at 96.17%Level 2: Pass at 98.95%Level 3: Pass at 99.06%
Bacterial Filtration Efficiency (BFE)Determines the bacterial filtration efficiency (BFE) of the test article using a biological aerosol of Staphylococcus aureus (ASTM F2101: 2019)Level 1: ≥95%Level 2: ≥98%Level 3: ≥98%Level 1: Pass at 96.80%Level 2: Pass at 98.90%Level 3: Pass at 99.04%
Differential PressureMeasures the breathability of the mask (EN 14683:2019+AC: 2019 Annex C)Level 1: <5.0 mmH₂O/cm²Level 2: <6.0 mmH₂O/cm²Level 3: <6.0 mmH₂O/cm²Level 1: Pass at 4.0 mmH₂O/cm²Level 2: Pass at 5.1 mmH₂O/cm²Level 3: Pass at 5.2 mmH₂O/cm²
FlammabilityDetermines the flammability of the mask material (16 CFR Part 1610)Class 1Class 1
Resistance to Penetration by Synthetic BloodEvaluates the effectiveness of the sample from possible exposure to blood and other body fluids (ASTM F1862/F1862M: 2017)Level 1: No penetration at 80 mmHgLevel 2: No penetration at 120 mmHgLevel 3: No penetration at 160 mmHgLevel 1: Pass at 80 mmHgLevel 2: Pass at 120 mmHgLevel 3: Pass at 160 mmHg
CytotoxicityEvaluates the cytotoxicity of the test sample (ISO 10993-5:2009)Viability ≥ 70% of the blank; 50% extract viability ≥ 100% extract viabilityViability ≥ 70% of the blank; 50% extract had higher viability than 100% extract. Proposed device was non-cytotoxic.
SensitizationEvaluates the sensitization potential of the test sample (ISO 10993-10:2010)Non-sensitizingUnder the conditions of the study, the proposed device was non-sensitizing.
IrritationEvaluates the irritation potential of the test sample (ISO 10993-10:2010)Non-irritatingUnder the conditions of the study, the proposed device was non-irritating.

2. Sample Size Used for the Test Set and Data Provenance

The document does not explicitly state the specific sample size (number of masks or material samples) used for each non-clinical test. These tests are typically conducted on a statistically significant number of samples per batch or according to the specific standard's requirements, but the exact count is not detailed in this summary.

The provenance of the data is that these are non-clinical laboratory test results performed to demonstrate compliance with recognized consensus standards (ASTM, ISO, EN, CFR). The tests were performed for a Chinese manufacturer (Hubei Xinxin Non-woven Co., Ltd.) for submission to the U.S. FDA. The data is implicitly prospective testing conducted specifically for this regulatory submission.

3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications of Experts

Not applicable. These are physical and biological performance tests on a device (surgical masks), not image-based diagnostic tests or AI performance evaluations requiring expert radiologists or similar medical professionals for ground truth establishment. The "ground truth" for these tests is defined by the objective measurement results according to the specified standard methods.

4. Adjudication Method for the Test Set

Not applicable. This is not a study that requires human adjudication of subjective data. The results are based on objective, standardized laboratory measurements.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

No, an MRMC comparative effectiveness study was not done. This submission is for surgical masks, not an AI or imaging device that would typically involve a human-in-the-loop diagnostic task.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was done

Not applicable. This is a physical medical device (surgical mask), not a software algorithm.

7. The Type of Ground Truth Used

The "ground truth" for the performance of the surgical masks is established by objective, standardized laboratory measurements performed according to internationally recognized consensus standards (e.g., ASTM, ISO, EN). For biocompatibility, it's the biological response observed based on in-vitro (cytotoxicity) and in-vivo (irritation, sensitization) assays against defined criteria.

8. The Sample Size for the Training Set

Not applicable. This device is not an AI model, and therefore, it does not have a "training set" in the context of machine learning.

9. How the Ground Truth for the Training Set Was Established
Not applicable, as there is no training set for this device.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health and Human Services logo on the left and the FDA logo on the right. The FDA logo is a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

January 28, 2022

Hubei Xinxin Non-woven Co.,Ltd. % Diana Hong General Manager Mid-Link Consulting Co., Ltd P.O. Box 120-119 Shanghai. 200120 China

Re: K212120

Trade/Device Name: Surgical Masks Regulation Number: 21 CFR 878.4040 Regulation Name: Surgical Apparel Regulatory Class: Class II Product Code: FXX Dated: December 20, 2021 Received: December 27, 2021

Dear Diana Hong:

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

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542 of the Act); 21 CFR 1000-1050.

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 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 (QS) 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-

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 medical devices and radiation-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 Ouality Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K212120

Device Name Surgical Masks

Indications for Use (Describe)

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

XX0009 Ear loop Level: Level 1, Level 2 and Level 3 XX0008 Tie-on Level: Level 1, Level 2 and Level 3 XX0006 Tie-on with shield Level: Level 1, Level 2 and Level 3 XX0005 Ear loop with shield Level: Level 1, Level 2 and Level 3

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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510(k) Summary

This 510(k) Summary is being submitted in accordance with requirements of Title 21, CFR Section 807.92.

The assigned 510(k) Number: K212120

    1. Date of Preparation: 01/27/2022
    1. Sponsor Identification

Hubei Xinxin Non-woven Co., Ltd.

Taizihu Industrial Park, Pengchang Town, Xiantao, Hubei, 433018, China

Establishment Registration Number: 3011547453.

Contact Person: Nicole Jin Position: QA Manager Tel: +86-728-2618155 Email: nicole jin@xtxfsl.com

    1. Designated Submission Correspondent
      Ms. Diana Hong (Primary Contact Person) Ms. Jinlei Tang (Alternative Contact Person)

Mid-Link Consulting Co., Ltd.

P.O. Box 120-119, Shanghai, 200120, China

Tel: +86-21-22815850, Fax: 360-925-3199 Email: info@mid-link.net

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4. Identification of Proposed Device

Trade Name: Surgical Masks Common Name: Surgical Face Mask

Regulatory Information Classification Name: Mask, Surgical Classification: II; Product Code: FXX; Regulation Number: 21CFR 878.4040 Review Panel: General Hospital

Indication for use:

The surgical masks are intended to be worn to protect both the patient and healthcare personnel from transfer of microorganisms, body fluids, and particulate material. These 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, provided non-sterile.

XX0009 Ear loop Level: Level 1, Level 2 and Level 3 XX0008 Tie-on Level: Level 1, Level 2 and Level 3 XX0006 Tie-on with shield Level: Level 1, Level 2 and Level 3 XX0005 Ear loop with shield Level: Level 1, Level 2 and Level 3

Device Description:

The surgical masks are single use, flat-pleated masks that are provided in blue. The outer and inner layers of the mask are made of spunbond polypropylene. The middle filter is made of one layer of meltblown polypropylene filter. The Surgical Masks are available in four types due to different configurations, including ear loop, tie-on, ear loop with shield and tie-on with shield. Detail configurations of them are presented in Table 1 Surgical Masks Description. The ties are made of spunbond polypropylene and the ear loops are made of spandex. The shield is made of PET. The nose piece is made of iron wire and polypropylene. Users can adjust the nose piece according to the shape of the bridge of the nose, and fix the mask on the bridge of the nose to prevent the mask from falling off. The proposed devices are provided in non-sterile. The proposed devices contain four (4) types of masks: XX0009, XX008, XX0006 and XX0005. Each of these types have three different levels, level 2, and level 3. Therefore, the proposed devices have 12 models in toto, and detailed model information is provided in Table 1.

Product ModelEar loopTie-onShieldASTM F2100 Level
XX0009NANALevel 1, Level 2 and Level 3
XX0008NANALevel 1, Level 2 and Level 3

Table 1. Surgical Masks Description

Page 2 of 8

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XX0006NALevel 1, Level 2 and Level 3
XX0005NALevel 1, Level 2 and Level 3
  • ર. Identification of Predicate Device
    510(k) Number: K160269 Product Name: Surgical Face Masks (Ear loops and Tie-on)

  • Summary of Technological characteristics 6.

ITEMProposed Device K212120Predicate Device K160269Remark
Product CodeFXXFXXSame
RegulationNo.21 CFR 878.404021 CFR 878.4040Same
ClassIIIISame
Indication forUseThe surgical masks are intended to be wornto protect both the patient and healthcarepersonnel from transfer of microorganisms,body fluids, and particulate material. Thesemasks are intended for use in infectioncontrol practices to reduce the potentialexposure to blood and body fluids. This is asingle-use,disposabledevice, providednon-sterile.XX0009 Ear loop Level: Level 1, Level 2and Level 3XX0008 Tie-on Level: Level 1, Level 2 andLevel 3XX0006 Tie-on with shield Level: Level 1,Level 2 and Level 3XX0005 Ear loop with shield Level: Level 1,Level 2 and Level 3The surgical face masks are intended to beworn to protect both the patient andhealthcare personnel from transfer ofmicroorganisms, body fluids, andparticulate material. These face masks areintended for use in infection controlpractices to reduce the potential exposure toblood and body fluids. This is a single-use,disposable device, provided non-sterile.Same
Mask styleFlat-pleatedFlat-pleatedSame
ConfigurationsEar loop;Tie-on;Ear loop with shield;Tie-on with shieldEar loop;Tie-on;Ear loop with visor;Tie-on with visorSame
ColorBlueBlue, WhiteDifferent
DimensionMask:Length: 90±3mm;Different

Table 1. Comparison of Surgical Masks

Page 3 of 8

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Length: 175±5mm;Width: 175±5mm;
Width: 95±5mm;Or
Nose piece:Length:90±3mm;
Length:115mm±10mm;Width: 180±5mm
Ear loop:
Natural length: 165±10mm;
Stretched length: 420±10mm;
Ties:
Length: 400±10mm;
Shield:
Length: 295±5mm;
Width: 122±5mm
SterilityNon-SterileNon-SterileSame
UseSingle Use, DisposableSingle Use, DisposableSame
ASTM F2100LevelLevel 1Level 2Level 3Level 1Level 2Level 3Same
ParticulatefiltrationefficiencyPass at96.17%Pass at98.95%Pass at99.06%Pass at99.6%Pass at99.6%Pass at99.7%Different
BacterialfiltrationefficiencyPass at96.80%Pass at98.90%Pass at99.04%Pass at >98%Pass at >98%Pass at >99%Different
DifferentialpressurePass at 4.0mmH2O/cm²Pass at 5.1mmH2O/cm²Pass at 5.2mmH2O/cm²Pass at 2.0mmH2O/cm²Pass at 1.6mmH2O/cm²Pass at 2.5mmH2O/cm²Different
FlammabilityClass 1Class 1Class 1Class 1Class 1Class 1Same
FluidresistancePass at80 mmHgPass at 120mmHgPass at 160mmHgPass at80 mmHgPass at 120mmHgPass at 160mmHgSame
Label/LabelingComplied with 21 CFR part 801Complied with 21 CFR part 801Same
Patient Contacting Material
Outer facinglayerSpunbond PolypropylenePolypropylene
Middle layerMeltblown Polypropylene FilterMeltblown Polypropylene Filter;Spunbond Polypropylene Filter
Inner facinglayerSpunbond PolypropylenePolypropyleneDifferent
Nose pieceIron wire and PolypropylenePolyethylene coated steel wire
Ear loopSpandexPolyester, PolyurethaneSide tapes:
Polyester spunbond (ear loops mask only)
TiesSpunbond PolypropylenePolypropylenespunbondorpolyester

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spunbond
ShieldPETPolyester
Biocompatibility
CytotoxicityUnder the conditions of the study, the proposed device was non-cytotoxic.Under the conditions of the study, the subject device was non-cytotoxic.
IrritationUnder the conditions of the study, the proposed device was non-irritating.Under the conditions of the study, the subject device was non-irritating.Same
SensitizationUnder the conditions of the study, the proposed device was non-sensitizing.Under the conditions of the study, the subject device was non-sensitizing.

Different - Color

The proposed device is blue and the predicate device is provided in two colors, the proposed device can be covered by the predicate device.

Different - Dimension

The dimension for the proposed device is different from the predicate device.

Different - Particulate filtration efficiency

The test result for particulate filtration efficiency for the proposed device is different from the predicate device.

Different - Bacterial filtration efficiency

The test result for bacterial filtration efficiency for the proposed device is different from the predicate device.

Different - Differential pressure

The test result and reference standard of differential pressure for the proposed device is different from predicate device.

Different - Patient Contacting Material

The patient contacting material for the proposed device is different from the predicate device.

    1. Non-Clinical Test Conclusion

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Non clinical tests were conducted to verify that the proposed device met all design specifications as was same/similar to the predicate device. The test results demonstrated that the proposed device complies with the following standards:

  • 16 CFR Part 1610 Standard for the Flammability of Clothing Textiles; >
  • ASTM F1862/F1862M-17 Standard Test Method for Resistance of Medical Face Masks to Penetration by Synthetic Blood (Horizontal Projection of Fixed Volume at a Known Velocity)

  • ASTM F2299/F2299M-03 (2017) Standard Test Method for Determining the Initial Efficiency of Material Used in medical Face Masks to Penetration by Particulates using Latex Spheres

  • ASTM F2101: 2019 Standard Test Method for Evaluating the Bacterial Filtration Efficiency (BFE) of Medical Face Mask Materials, Using a Biological Aerosol of Staphylococcus aureus

  • ASTM F2100: 2019 Standard Specification for Performance of Materials Used in Medical Face Masks

  • EN 14683: 2019, Annex C, Medical face masks- Requirements and test methods

  • ISO 10993-5:2009 Biological evaluation of medical device- Part 5: Tests for in vitro cytotoxicity

  • ISO 10993-10:2010 Biological evaluation of medical device- Part 10: Tests for irritaion and skin sensitization

  • A ISO 10993-1:2018 Biological evaluation of medical devices - Part 1 Evaluation and testing within a risk management process.
Test MethodologyPurposeAcceptance CriteriaResult
ParticulateFiltration EfficiencyThe test was performed in accordancewith ASTM F2299/F2299M-03 (2017)Standard Test Method for Determiningthe Initial Efficiency of Material Usedin medical Face Masks to Penetrationby Particulates using Latex Spheres todetermine the particle filtrationefficiency (PFE) of the test article.Level 1: ≥95%Pass at 96.17%
Level 2: ≥98%Pass at 98.95%
Level 3: ≥98%Pass at 99.06%
Bacterial FiltrationEfficiencyThe test was performed in accordancewith ASTM F2101: 2019 Standard TestMethod for Evaluating the BacterialFiltration Efficiency (BFE) of MedicalFace Mask Materials, Using aBiological Aerosol of Staphylococcusaureus to determine the bacterialfiltration efficiency (BFE) of the testarticle.Level 1: ≥95%Pass at 96.80%
Level 2: ≥98%Pass at 98.90%
Level 3: ≥98%Pass at 99.04%
DifferentialPressureThe test was performed in accordancewith EN 14683:2019+AC: 2019 Annex$<5.0{\text{ mmH}}_2{\text{O/cm}}^2$Pass at 4.0 mmH2O/cm²
C Medical face masks - Requirementsand test methods.
<6.0 mmH2O/cm²Pass at 5.1 mmH2O/cm²
<6.0 mmH2O/cm²Pass at 5.2 mmH2O/cm²
FlammabilityThe test was performed in accordancewith 16 CFR Part 1610 Standard forthe Flammability of Clothing Textiles.Class 1Class 1
The test was performed in accordancewith ASTM F1862/F1862M: 2017Standard Test Method for ResistanceLevel 1: No penetration at 80 mmHgLevel 1: Pass at 80 mmHg
ResistancetoPenetrationbySynthetic bloodof Medical Face Masks to Penetrationby Synthetic Blood (HorizontalProjection of Fixed Volume at aKnown Velocity) to evaluate theLevel 2: No penetration at 120 mmHgLevel 2: Pass at 120 mmHg
effectiveness of the test sample frompossible exposure to blood and otherbody fluids.Level 3: No penetration at 160 mmHgLevel 3: Pass at 160 mmHg
CytotoxicityThe test was performed in accordancewith ISO 10993-5 Third edition2009-06-01 Biological evaluation ofmedical devices - Part 5: Tests for invitro cytotoxicity to evaluate thecytotoxicity of the test sample.The viability should be $≥$ 70%of the blank. And the 50%extract of the test sampleshould have at least the sameor a higher viability than the100% extract.The viability was$≥$ 70% of the blank.And the 50% extractof the test samplehad a higher viabilitythan the 100%extract.Under the conditionsof the study, theproposed device wasnon-cytotoxic.
SensitizationThe test was performed in accordancewith ISO 10993-10 Third Edition2010-08-01 Biological evaluation ofmedical devices - Part 10: Tests forirritation and skin sensitization toevaluate the sensitization of the testsample.Non-sensitizingUnder the conditionsof the study, theproposed device wasnon-sensitizing.
IrritationThe test was performed in accordancewith ISO 10993-10 Third Edition2010-08-01 Biological evaluation ofmedical devices - Part 10: Tests forirritation and skin sensitization toNon-irritatingUnder the conditionsof the study, theproposed device wasnon-irritating.

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evaluate the irritation of the testsample.
--------------------------------------------------

8. Clinical Test Conclusion

No clinical study is included in this submission.

9. Conclusion

The conclusion drawn from the non-clinical tests demonstrates that the surgical masks is as safe, as effective, and performs as well as or better than the legally marketed predicate device cleared under K160269.

§ 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.