K Number
K214116
Date Cleared
2022-10-11

(285 days)

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

The AAMI4 Isolation Gown is intended to protect health care personnel and patients from the transfer of microorganisms, body fluids and particulate material. Not intended for use in the operating room. The proposed AAMI4 Isolation Gown meets the barrier protection requirements of AAMI Level 4 per ANSI/AAMI PB 70:2012, Liquid Barrier Performance and Classification of Protective Apparel Drapes Intended for Use in Health Care Facilities. The AAMI4 Isolation Gown is a single use, disposable medical device provided non-sterile.

Device Description

The proposed device, AAMI4 Isolation Gown, is intended to protect health care personnel and patients from the transfer of microorganisms, body fluids and particulate material. Not intended for use in the operating room. The proposed device is a single use, disposable medical device provided non-sterile. There is one model of AAMI4 Isolation Gown: 4015T. And the proposed AAMI4 Isolation Gown is available in one product size: U. The barrier protection level for AAMI4 Isolation Gown meets AAMI Level 4. The proposed device consists of five components: 1) Basic Gown, 2) Belt, 3) Cuff, 4) Hook-and-loop Velcro and 5) Seam Sealing Tape. The gown is made of polypropylene and polyethylene laminating. The gown is blue in color.

AI/ML Overview

The provided document is a 510(k) summary for a medical device called "AAMI4 Isolation Gown." This document focuses on demonstrating substantial equivalence to a predicate device through non-clinical testing. It does not describe a study involving human readers or AI assistance. Therefore, information regarding human readers, AI assistance, effect size, standalone algorithm performance, and sample size for training sets is not available in this document.

Here's the information that can be extracted from the provided text:

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

Test MethodologyPurposeAcceptance CriteriaResult
FlammabilityTo evaluate the flammability of the test sample in accordance with 16 CFR Part 1610.Meets Class 1 requirementsClass 1
Hydrostatic pressureTo determine the hydrostatic pressure of the test sample in accordance with AATCC 127: 2017.>50 cmGown sleeve: 188 cmH₂OSleeve seam: 80 cmH₂OBody-sleeve seam: 65 cmH₂OGown body: 199 cmH₂OBelt attachment: 74 cmH₂O
Water impactTo determine the hydrostatic pressure of the test sample in accordance with AATCC 127: 2017. (Note: The purpose description seems to be a typo and should likely refer to water impact.)≤1.0 gGown sleeve: 0gSleeve seam: 0gBody-sleeve seam: 0gGown body: 0gBelt attachment: 0g
Breaking strengthTo evaluate the breaking strength of the test sample in accordance with ASTM D 5034:2009(2017).>20 NMD: Mean 87.3 NCD: Mean 66.7 N
Tearing strengthTo evaluate the tearing strength of the test sample in accordance with ASTM D5587:2015(2019).>20 NMD: Mean 31.6 NCD: Mean 22.9 N
LintingTo evaluate the linting of the test sample in accordance with ISO 9073-10:2003.Log10(particle count) < 4Log10(lint count): Mean 2.5
Seam strengthTo evaluate the seam strength of the test sample in accordance with ASTM D1683/D1683M: 2017(2018).>50 NMean 70.9 N
Viral barrier (resistance to bacteriophage Phi-X174)To evaluate the resistance to bacteriophage penetration in accordance with ASTM F1671/F1671M-13.No bacteriophage penetrationNo bacteriophage penetration
CytotoxicityTo evaluate the cytotoxicity of the test sample in accordance with ISO 10993-5 Third edition 2009-06-01.Viability ≥ 70% of blank; 50% extract viability ≥ 100% extract viability.The viability was ≥70% of the blank. The 50% extract had higher viability than 100% extract. Proposed device was non-cytotoxic.
SensitizationTo evaluate the sensitization of the test sample in accordance with ISO 10993-10 Third Edition 2010-08-01.Non-sensitizingThe proposed device was non-sensitizing.
IrritationTo evaluate the irritation of the test sample in accordance with ISO 10993-10 Third Edition 2010-08-01.Non-irritatingThe proposed device was non-irritating.

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

The document does not specify the exact sample sizes for each test. It refers to "test sample" for each methodology. The tests were performed in accordance with international and US standards. The manufacturer is Hubei Xinxin Non-woven Co., Ltd. from Xiantao, Hubei, China. The data provenance is non-clinical laboratory testing; it does not involve human data, thus the terms "retrospective" or "prospective" are not applicable.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

Not applicable. The ground truth for these non-clinical tests is established by the specified industry and regulatory standards, not by human experts.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

Not applicable. This is a non-clinical performance and biocompatibility study, not a clinical study requiring human adjudication.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

No, an MRMC comparative effectiveness study was not done. This document does not describe studies involving human readers or AI.

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

Not applicable. This document describes the testing of a physical medical device (an isolation gown), not an algorithm.

7. The type of ground truth used (expert concensus, pathology, outcomes data, etc)

The ground truth for the performance tests (Flammability, Hydrostatic pressure, Water impact, Breaking strength, Tearing strength, Linting, Seam strength, Viral barrier) is defined by the technical specifications and requirements within the referenced industry standards (e.g., 16 CFR Part 1610, AATCC 127, ASTM D5034, ISO 9073-10, ASTM D1683/D1683M, ASTM D5587, ASTM F1671/F1671M-13).

The ground truth for the biocompatibility tests (Cytotoxicity, Sensitization, Irritation) is defined by the requirements and methodologies within the ISO 10993 series of standards (ISO 10993-5, ISO 10993-10).

8. The sample size for the training set

Not applicable. This document describes the testing of a physical medical device, not a machine learning algorithm that requires a training set.

9. How the ground truth for the training set was established

Not applicable. There is no training set for a physical medical device.

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

October 11, 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: K214116

Trade/Device Name: AAMI4 Isolation Gown Regulation Number: 21 CFR 878.4040 Regulation Name: Surgical Apparel Regulatory Class: Class II Product Code: FYC Dated: September 8, 2022 Received: September 13, 2022

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.

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

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 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 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.

Bifeng Oian M.D. Ph.D. 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) K214116

Device Name AAMI4 Isolation Gown

Indications for Use (Describe)

The AAMI4 Isolation Gown is intended to protect health care personnel and patients from the transfer of microorganisms, body fluids and particulate material. Not intended for use in the operating room. The proposed AAMI4 Isolation Gown meets the barrier protection requirements of AAMI Level 4 per ANSI/AAMI PB 70:2012, Liquid Barrier Performance and Classification of Protective Apparel Drapes Intended for Use in Health Care Facilities. The AAMI4 Isolation Gown is a single use, disposable medical device provided non-sterile.

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: _K214116

    1. Date of Preparation: 10/08/2022
    1. Sponsor Identification

Hubei Xinxin Non-woven Co., Ltd. Taizihu Industrial Park, Pengchang Town, Xiantao, Hubei,433018, China

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: AAMI4 Isolation Gown Common Name: Surgical Isolation Gown

Regulatory Information

Classification Name: Surgical Isolation Gown Classification: II Product Code: FYC Regulation Number: 21 CFR 878.4040 Review Panel: General Hospital;

Indications for Use:

The AAMI4 Isolation Gown is intended to protect health care personnel and patients from the transfer of microorganisms, body fluids and particulate material. Not intended for use in the operating room. The proposed AAMI4 Isolation Gown meets the barrier protection requirements of AAMI Level 4 per ANSI/AAMI PB 70:2012, Liquid Barrier Performance and Classification of Protective Apparel Drapes Intended for Use in Health Care Facilities. The AAMI4 Isolation Gown a single use, disposable medical device provided non-sterile.

Device Description:

The proposed device, AAMI4 Isolation Gown, is intended to protect health care personnel and patients from the transfer of microorganisms, body fluids and particulate material. Not intended for use in the operating room. The proposed device is a single use, disposable medical device provided non-sterile.

There is one model of AAMI4 Isolation Gown: 4015T. And the proposed AAMI4 Isolation Gown is available in one product size: U. The barrier protection level for AAMI4 Isolation Gown meets AAMI Level 4. The proposed device consists of five components: 1) Basic Gown, 2) Belt, 3) Cuff, 4) Hook-and-loop Velcro and 5) Seam Sealing Tape. The gown is made of polypropylene and polyethylene laminating. The gown is blue in color.

5. Identification of Predicate Device

510(k) Number: K190306 Product Name: AMD Ritmed AssureWear™ VersaGown

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6. Summary of Technological characteristics

ItemProposed Device K214116Predicate Device K190306Remark
Product CodeFYCFYCSame
Regulation No.21CFR 878.404021CFR 878.4040Same
ClassIIIISame
Indications for UseThe AAMI4 Isolation Gown is intended to protect health care personnel and patients from the transfer of microorganisms, body fluids and particulate material. Not intended for use in the operating room. The proposed AAMI4 Isolation Gown meets the barrier protection requirements of AAMI Level 4 per ANSI/AAMI PB 70:2012, Liquid Barrier Performance and Classification of Protective Apparel Drapes Intended for Use in Health Care Facilities. The AAMI4 Isolation Gown a single use, disposable medical device provided non-sterile.AMD Ritmed AssureWear™ VersaGown is intended to be worn by healthcare personnel to protect health care patients and health care personnel from the transfer of microorganisms, body fluids and particulate material. AMD Ritmed AssureWear™ VersaGown meets the requirements of an AAMI Level 3 barrier protection for an isolation gown per ANSI/AAMI PB70:2012 Liquid Barrier Performance Classification of Protective Apparel Drapes Intended for Use in Health Care Facilities (ANSI/AAMI PB70). AMD Ritmed AssureWear™ VersaGown is a single use, non-sterile disposable medical device and not intended for use in operating rooms. The medical device will be available in 18 models in large and X-large sizes.Similar
DesignTape, Neck closure, Belt tie, Elastic cuffsThumb loop, Elastic cuffs, Extended cuff (Thumb loop), Flexneck™, Tie (neck), Straight sleeve, Inclined sleeve, Blue belt tie, Reinforced seamsSimilar
UseSingle use; disposableSingle use; disposableSame
ColorBlueBlueSame
LabelingConform with 21CFR Part 801Conform with 21CFR Part 801Same
Table 1 General Comparison
ItemProposed Device K214116Predicate Device K190306Remark
Weight persquare (g)43 g/m²39.97 ± 1.61 g/m²(1.17 oz/yd² ± 0.05)Different
SizeUniversal (U)Large and X-largeDifferent
FlammabilityClass IClass ISame
HydrostaticpressureGown sleeve: 188 cmH₂OSleeve seam: 80 cmH₂OBody-sleeve seam: 65 cmH₂OGown body: 199 cmH₂OBelt attachment: 74 cmH₂OChest: 109.34 ± 0.34 cmH₂OSleeve seams: 110.67 ± 3.84 cmH₂OBelt attachments: 104 ± 5.19 cmH₂OBody/sleeve/belt mean: 108 ± 3.1 cmH₂ODifferent
Water impactGown sleeve: 0gSleeve seam: 0gBody-sleeve seam: 0gGown body: 0gBelt attachment: 0gChest: <0.1 gSleeve seams: <0.1 gBelt attachments: <0.1 gBody/sleeve/belt mean: <0.1 gDifferent
BreakingstrengthMD: Mean 87.3 NCD: Mean 66.7 NMD: 18.17 ± 0.31 lbf (80.67 ± 1.38 N)CD: 11.78 ± 0.33 lbf (52.30 ± 1.47 N)Different
TearingstrengthMD: Mean 31.6 NCD: Mean 22.9 NMD: 11.01 ± 0.64 lbf (48.88 ± 2.84N)CD: 5.30 ± 0.35 lbf (23.53 ± 1.55 N)Different
LintingLog10(lint count): Mean 2.5Particulate size range(µm): 1 to 25Outside: Total linting >0.3: 2.07; >0.5: 1.97Index for Particulate Matter (IPM): 1.50Inside: Total linting >0.3: 2.16; >0.5: 2.00Index for Particulate Matter (IPM): 1.35Different
Seam strengthMean 70.9 N/Different
Barrierprotection levelLevel 4 per AAMI PB 70Level 3 per AAMI PB 70Different
Viral barrier(resistance tobacteriophagePhi-X174)Pass/Different
MaterialPolypropylene and polyethylenelaminatingPP SMS non-woven + PESame
Biocompatibility
CytotoxicityUnder the condition of theUnder the condition of the study, notSame
study, not cytotoxiccytotoxic
IrritationUnder the condition of the study, not an irritant.Under the condition of the study, not an irritant.Same
SensitizationUnder the condition of the study, not a sensitizer.Under the condition of the study, not a sensitizer.Same
SterilizationNon-sterileNon-sterileSame

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Table 2 Safety and Effectiveness Comparison

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Similar - Indications for Use

The indications for use of the proposed device and predicate device are not exactly the same, the main difference is that the proposed device is a level 4 isolation gown, while the predicate device is a level 3 isolation gown. However, the biocompatibility test for proposed device was performed and the results showed no adverse effect. And the performance testing for proposed device was also performed and the results demonstrated that the proposed AAMI4 Isolation Gown can meet the barrier protection level 4 requirement. Therefore, these differences will not affectiveness of the proposed device.

Similar - Design

The design of the proposed device and predicate device are not exactly the same. The proposed device does not have the Thumb loop and Flexneck™ patented design compared to the predicate device. However, this does not affect the intended use. In addition, the performance testing results demonstrated that the proposed AAMI4 Isolation Gown can meet the barrier protection level 4 required by PB70. Therefore, these differences will not affect the safety and effectiveness of the proposed device.

Different - Weight per square

The weight per square of the proposed device is different from the predicate device. The weight per of the proposed device is 43 g/m², and the predicate device is 39.97 g/m². However, the difference in the weight per square will not affect the intended use. In addition, the performance testing results demonstrate that the proposed isolation gown can meet the barrier protection level 4 requirement as required by PB70. Therefore, this difference will not affect the safety and effectiveness of the proposed device.

Different - Size

The size for the proposed device is different from the predicate device. The proposed device is available in one size universal (U), while the predicate device is available in sizes large and X-large. However, the difference in the size will not affect the device performance. This difference will not affect the safety and effectiveness of the proposed device.

Different - Hydrostatic pressure

The hydrostatic pressure for the proposed device is different from the predicate device. However, the hydrostatic pressure results demonstrate that the proposed device meets the barrier protection level 4

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requirement, i.e., at least 50cmH2O, as required by PB70. Therefore, this difference will not affect the safety and effectiveness of the proposed device.

Different - Water impact

The water impact for the proposed device is different from the predicate device. However, the water impact test was conducted on the proposed device and the results demonstrate that the proposed device meets the barrier protection level 4 requirement, i.e., no more than 1.0g, as required by PB70. Therefore, this difference will not affect the safety and effectiveness of the proposed device.

Different - Breaking strength

The breaking strength for the proposed device is different from the predicate device. Breaking strength is one of the indicators to evaluate the ability of the isolation gown to withstand destructive force. The higher the breaking strength value, the stronger the ability to withstand destructive force. The MD and CD breaking strength of the proposed device are higher than the predicate device. Therefore, this difference will not affect the safety and effectiveness of the proposed device.

Different - Tearing strength

The tearing strength for the proposed device is different from the predicate device. The CD tearing strength of the proposed device is similar to the predicate device, while the MD tearing strength of the proposed device is smaller than the predicate device. However, the CD and MD tearing strength of the proposed device meets ASTM F2407-20's requirement of greater than 10N. Therefore, this difference will not affect the safety and effectiveness of the proposed device.

Different - Linting

The water linting for the proposed device is different from the predicate device. However, the linting test was conducted on the proposed device and the testing results demonstrate that the proposed device can meet the requirements of log10<4. Therefore, this difference will not affect the safety and effectiveness of the proposed device.

Different - Seam strength

The seam strength was conducted on the proposed device and the testing results demonstrate that the seam strength of the proposed device meets ASTM F2407-20's requirement of greater than 30N. Therefore, this difference will not affect the safety and effectiveness of the proposed device.

Different - Barrier protection level

The barrier protection level for the proposed device is different from the predicate device. The barier protection level for the proposed device is level 4, while the barrier protection level for the predicate device is level 3. However, the performance testing results demonstrate that the proposed device can meet the barrier protection level 4 required by PB70. Therefore, this difference will not affect the safety and effectiveness of the proposed device.

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Different - Viral barrier (resistance to bacteriophage Phi-X174)

The viral barrier was conducted on the proposed device and the testing results demonstrate that the proposed device can prevent virus penetration, which meets the barrier protection level 4 requirement as required by PB70. Therefore, this difference will not affect the safety and effectiveness of the proposed device.

    1. Summary of Non-Clinical Tests
      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 demonstrate that the proposed device complies with the following standards:
  • 16 CFR Part 1610 Standard for the Flammability of Clothing Textiles; >

  • AATCC 127: 2018 Water Resistance: Hydrostatic Pressure Test;

  • AATCC 42: 2017 Water Resistance: Impact Penetration Test;

  • ISO 9073-10: 2003 Textiles-Test Methods for Nonwovens-Part 10: Lint and Other Particles Generation in the Dry State;

  • ASTM D1683/D1683M: 2017(2018) Standard Test Method for Failure in Sewn Seams of Woven Fabrics;

  • ASTM D5587: 2015(2019) Standard Test Method for Tearing Strength of Fabrics by Trapezoid Procedure;

  • ASTM D5034: 2009(2017) Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test):

  • ISO 10993-5: 2009 Biological Evaluation of Medical Devices-Part 5: Tests for in Vitro Cytotoxicity;

  • ISO 10993-10: 2010 Biological Evaluation of Medical Devices-Part 10: Tests for Irritation and Skin Sensitization:

  • A ISO 10993-1: 2018 Biological evaluation of medical devices -- Part 1: Evaluation and testing within a risk management process

  • ASTM F1671/F1671M-13 Standard Test Method for Resistance of Materials Used in Protective Clothing to Penetration by Blood-Borne Pathogens Using Phi-X174 Bacteriophage Penetration as a Test System:

TestMethodologyPurposeAcceptanceCriteriaResult
FlammabilityThe test was performed inaccordance with 16 CFR Part 1610Standard for the Flammability ofMeets Class 1requirementsClass 1
Clothing Textiles to evaluate theflammability of the test sample.
HydrostaticpressureThe test was performed inaccordance with AATCC 127: 2017Water Resistance: HydrostaticPressure Test to determine thehydrostatic pressure of the testsample.>50 cmGown sleeve: 188 cmH2OSleeve seam: 80 cmH2OBody-sleeve seam: 65 cmH2OGown body: 199 cmH2OBelt attachment: 74 cmH2O
Water impactThe test was performed inaccordance with AATCC 127: 2017Water Resistance: HydrostaticPressure Test to determine thehydrostatic pressure of the testsample.≤1.0 gGown sleeve: 0gSleeve seam: 0gBody-sleeve seam: 0gGown body: 0gBelt attachment: 0g
BreakingstrengthThe test was performed inaccordance with ASTM D5034:2009(2017) Standard TestMethod for Breaking Strength andElongation of Textile Fabrics (GrabTest) to evaluate the breakingstrength of the test sample.>20 NMD: Mean 87.3 NCD: Mean 66.7 N
TearingstrengthThe test was performed inaccordance with ASTMD5587:2015(2019) Standard TestMethod for Tearing Strength ofFabrics by Trapezoid Procedure toevaluate the tearing strength of thetest sample.>20 NMD: Mean 31.6 NCD: Mean 22.9 N
LintingThe test was performed inaccordance with ISO 9073-10:2003Textiles-Test Methods forNonwovens-Pat 10: Lint and OtherParticles Generation in the DryState to evaluate the linting of thetest sample.Log10(particlecount) < 4Log10(lint count): Mean 2.5
Seam strengthThe test was performed inaccordance with ASTMD1683/D1683M: 2017(2018)Standard Test Method for Failure inSewn Seams of Woven Fabrics to>50 NMean 70.9 N
evaluate the seam strength of the test sample.
Viral barrier(resistance tobacteriophagePhi-X174)The test was performed in accordance with ASTM F1671/F1671M-13 Standard TestMethod for Resistance of MaterialsUsed in Protective Clothing toPenetration by Blood-BornePathogens Using Phi-X174Bacteriophage Penetration as a TestSystem evaluate the resistance tobacteriophage penetrationNobacteriophagepenetrationNo bacteriophage penetration

Table 3 Summary of Performance Testing

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Table 4 Summary of Biocompatibility Testing
TestMethodologyPurposeAcceptance CriteriaResult
CytotoxicityperformedThe testwasinaccordance with ISO 10993-5Thirdedition2009-06-01Biological evaluation of medicaldevices - 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 ofthe test sample shouldhave at least the same ora higher viability thanthe 100% extract.The viability was ≥70%of the blank. And the50% extract of the testsample had a higherviability than the 100%Underextract.theconditions of the study,the proposed devicewas non-cytotoxic.
SensitizationThe test was performedinaccordance with ISO 10993-10ThirdEdition2010-08-01Biological evaluation of medicaldevices - Part 10: Tests forirritation and skin sensitizationto evaluate the sensitization ofthe test sample.Non-sensitizingUnder the conditions ofthe study, the proposeddevicewasnon-sensitizing.
IrritationThe test was performedinaccordance with ISO 10993-10ThirdEdition2010-08-01Biological evaluation of medicaldevices - Part 10: Tests forirritation and skin sensitizationto evaluate the irritation of theNon-irritatingUnder the conditions ofthe study, the proposeddevicewasnon-irritating.

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test sample.
--------------------

8. Clinical Test Conclusion

No clinical study is included in this submission.

    1. Conclusion
      The conclusions drawn from the nonclinical tests demonstrate that the proposed device is as safe, as effective, and perform as well as or better than the legally marketed predicate device K190306.

§ 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.