K Number
K232797
Device Name
Hygenix
Date Cleared
2023-12-11

(90 days)

Product Code
Regulation Number
878.4040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Hygenix is intended to be worn to protect both the patient and health care personnel from transfer of microorganisms. body fluids and particulate material. These face intended for use in infection control practices to reduce the potential exposure to blood and body fluids. This device is disposable, non-sterile and for single use only.
Device Description
The Hygenix is a 3 Ply flat- pleated and Disposable surgical mask. The inner and outer layers are made of spun-bond polypropylene, and the middle layer is made of melt blown polypropylene filter. The nose wire contained in the proposed device is in the layers of face mask to allow the user to fit the face mask around their nose, which is made of PC coated Aluminium wire. The model ear loop is held in place over the user's mouth and nose by two elastic ear loops welded to the facemask. The ear loops are made of Polyester and Spandex. The dimensions of the Mask are: length- 175 ± 5 mm and width- 95 ± 5 mm. These masks are single-use, disposable devices, provided non-sterile.
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 technology. The sections specifically looking for mentions of AI, DNN, or ML are marked as "Not Found".

No.
The device is described as a surgical mask intended for infection control to protect against microorganisms and body fluids, not to provide therapy or treat a medical condition.

No.
The device is a surgical mask intended to protect against the transfer of microorganisms and fluids, not to diagnose a medical condition.

No

The device description clearly outlines a physical surgical mask made of various materials (polypropylene, aluminum wire, polyester, spandex) and includes performance studies related to material properties and filtration, indicating it is a hardware device.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to detect diseases, conditions, or infections. These tests are performed outside of the body.
  • Hygenix Function: The Hygenix is a surgical mask. Its intended use is to be worn on the face to create a physical barrier and filter airborne particles, protecting both the wearer and others from the transfer of microorganisms and fluids. This is a physical barrier device used on the body, not a test performed on a sample from the body.
  • Intended Use/Indications for Use: The description clearly states its purpose is for "protection... from transfer of microorganisms, body fluids and particulate material" and "to reduce the potential exposure to blood and body fluids." This aligns with the function of a protective barrier, not a diagnostic test.
  • Device Description: The description details the physical construction of a mask (layers, nose wire, ear loops), not the components of a diagnostic test kit or instrument.
  • Performance Studies: The performance studies listed (Fluid resistance, Bacterial filtration efficiency, Particulate filtration efficiency, Differential pressure, Flammability, Biocompatibility) are all relevant to the performance and safety of a physical barrier mask, not a diagnostic test.

Therefore, based on the provided information, the Hygenix is a surgical mask and does not fit the definition of an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Hygenix is intended to be worn to protect both the patient and health care personnel from transfer of microorganisms. body fluids and particulate material. These face intended for use in infection control practices to reduce the potential exposure to blood and body fluids. This device is disposable, non-sterile and for single use only.

Product codes (comma separated list FDA assigned to the subject device)

FXX

Device Description

The Hygenix is a 3 Ply flat- pleated and Disposable surgical mask. The inner and outer layers are made of spun-bond polypropylene, and the middle layer is made of melt blown polypropylene filter. The nose wire contained in the proposed device is in the layers of face mask to allow the user to fit the face mask around their nose, which is made of PC coated Aluminium wire.

The model ear loop is held in place over the user's mouth and nose by two elastic ear loops welded to the facemask. The ear loops are made of Polyester and Spandex.

The dimensions of the Mask are: length- 175 ± 5 mm and width- 95 ± 5 mm. These masks are single-use, disposable devices, provided non-sterile.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Hygenix is subjected to the following performance tests according to the requirements provided in the guidance Surgical Masks - Premarket Notification [510(k)] Submissions: Fluid resistance, Bacterial filtration efficiency, Particulate filtration efficiency, Differential pressure, Flammability.
Key results based on test summary:
Fluid resistance: Pass at 160 mmHg
Particulate Filtration Efficiency (PFE): >98% Pass
Bacterial Filtration Efficiency (BFE): > 98% Pass
Differential pressure (ΔP):

§ 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.

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December 11, 2023

Shenzhen Hygenix Industrial Co., Ltd % Jerry Doane US Agent FDAbasics 5815 SW 11th Court Rd Ocala, Florida 34473

Re: K232797

Trade/Device Name: Hygenix Regulation Number: 21 CFR 878.4040 Regulation Name: Surgical Apparel Regulatory Class: Class II Product Code: FXX Dated: August 21, 2023 Received: September 12, 2023

Dear Jerry Doane:

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 (the 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 available 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.

1

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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

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

Allan Guan -S

For Bifeng Qian, M.D., Ph.D. Assistant Director

2

DHT4B: Division of Infection Control and Plastic and Reconstructive 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) K232797

Device Name Hygenix

Indications for Use (Describe)

The Hygenix is intended to be worn to protect both the patient and health care personnel from transfer of microorganisms. body fluids and particulate material. These face intended for use in infection control practices to reduce the potential exposure to blood and body fluids. This device is disposable, non-sterile and for single use only.

Type of Use (Select one or both, as applicable)
-------------------------------------------------
☐ Registration (Part 41 CFR 229 Subpart B)☑ One-Time Correction (49 CFR 229 Subpart C)
------------------------------------------------------------------------------------------

| | 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 (K232797)

[AS REQUIRED BY 21CFR807.92]

I. APPLICANT INFORMATION

Submitter's NameShenzhen Hygenix Industrial Co., Ltd
Submitter's Address3rd Floor, Building A3, Fang Xing Technology Park,
Longgang District, Shenzhen, China, 518100
Name of Contact PersonJia Du
DesignationGeneral Manager
Division Name of Contact PersonQuality Management
Contact Number+86-755-89788050
Contact E-mailEva.du@adurochina.com
Date of Summary Prepared07/Nov/2023

II. DEVICE DETAILS

Device Trade NameHygenix
Device Common Name3 Ply Disposable Mask
Model(s)Ear Loop
Device Classification nameMask, Surgical
Regulation Number21 CFR 878.4040
Device ClassClass II
Product CodeFXX

III. PREDICATE DEVICE DETAILS

Device Trade NameDisposable Medical Face Mask (ear loop)
Device Manufacturer NameXiantao Topmed Nonwoven Protective Products Co., Ltd.

5

Model(s)Ear Loop
510(k) NumberK221196
Regulation Number21 CFR 878.4040
Device ClassClass II
Product CodeFXX

DEVICE DESCRIPTION IV.

The Hygenix is a 3 Ply flat- pleated and Disposable surgical mask. The inner and outer layers are made of spun-bond polypropylene, and the middle layer is made of melt blown polypropylene filter. The nose wire contained in the proposed device is in the layers of face mask to allow the user to fit the face mask around their nose, which is made of PC coated Aluminium wire.

The model ear loop is held in place over the user's mouth and nose by two elastic ear loops welded to the facemask. The ear loops are made of Polyester and Spandex.

The dimensions of the Mask are: length- 175 ± 5 mm and width- 95 ± 5 mm. These masks are single-use, disposable devices, provided non-sterile.

V. INDICATIONS FOR USE

The Hygenix is intended to be worn to protect both the patient and health care 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 device is disposable, non-sterile and for single use only.

COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE VI. DEVICE

SI. NoFeatures comparedProposed DevicePredicate DeviceResult
General Information
1.510(k) NumberK232797K221196-
2.ManufacturerShenzhen Hygenix Industrial
Co., LtdXiantao Topmed Nonwoven
Protective Products Co., Ltd.-
3.Common Name3 Ply Disposable MaskDisposable Medical Face Mask
(ear loop)Same
SI.
NoFeatures
comparedProposed DevicePredicate DeviceResult
4.Classification NameMask, SurgicalMask, SurgicalSame
5.Classification and
Regulation numberClass II, 21 CFR 878.4040Class II, 21 CFR 878.4040Same
6.Product CodeFXXFXXSame
7.Indications For UseThe Hygenix is intended to be
worn to protect both the patient
and health care 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 device is
disposable, non-sterile and for
single use only.The Disposable Medical Face
Masks are 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.Same
8.Model specifications3 ply flat-pleated masks with
ear loopsEar loop, Flat pleated,3 layersSame
Materials
9.Outer layerSpun bond Polypropylene
(SBPP)Spun bond PolypropyleneSame
10.Filter layerMelt Blown Polypropylene
(MBPP)Melt Blown PolypropyleneSame
11.Inner layerSpun bond Polypropylene
(SBPP)Spun bond PolypropyleneSame
12.Nose wirePC coated Aluminium wireGalvanized iron wire coated by
PESimilar
13.Ear loopPolyester and SpandexPolyester + SpandexSame
14.Mask colorBlueBlueSame
15.DimensionsLength- 175 ± 5 mm
Width- 95 ± 5 mmLength- 175 ± 5 mm
Width- 95 ± 5 mmSame
SI.
NoFeatures
comparedProposed DevicePredicate DeviceResult
16.OTC UseYesYesSame
17.SterilityNon-sterileNon-sterileSame
18ReusabilitySingle useSingle useSame
19ASTM F2100 LevelLevel 3Level 3Same
Non-Clinical Testing
20.Fluid resistancePass at 160 mmHgPass at 160 mmHgSame
21.FlammabilityClass 1Class 1Same
22.Particulate Filtration
Efficiency (PFE)≥ 98%≥ 98%Same
23.Bacterial Filtration
Efficiency (BFE)≥ 98%≥ 98%Same
24.Differential pressure
( $Δ$ Ρ)98%
Pass
3.Bacterial Filtration
Efficiency (BFE)ASTM F2101-19≥ 98%> 98%
Pass
4.Differential pressure (ΔP)EN 14683 (Annex C):
2019