AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Fluidshield* 2 Surgical Mask is intended to be worn to protect both the patient and healthcare personnel from transfer of microorganisms, body fluids, and particulate material. These face masks are intended for use in infection control practices to reduce the potential exposure of the wearer to blood and body fluids. The Fluidshield* 2 Surgical Mask is a single use, disposable device, provided non-sterile.

The Fluidshield* 2 Procedure Mask is intended to be worn to protect both the patient and healthcare personnel from transfer of microorganisms, body fluids, and particulate material. These face masks are intended for use in infection control practices to reduce the potential exposure of the wearer to blood and body fluids. The Fluidshield* 2 Procedure Mask is a single use, disposable device, provided non-sterile.

Device Description

The subject device(s) are ASTM Level 2 Surgical and Procedure Mask(s). Fluidshield* 2 Surgical Mask(s), Fluidshield* 2 Procedure Mask(s) family of products are a four-layer mask, constructed of well-known non-woven materials used in facial protection. The Surgical Masks are provided with ties while the Procedure Masks are provided with earloops and a malleable nosepiece.

The Fluidshield* 2 Surgical Mask(s), Fluidshield* 2 Procedure Mask(s) family will be provided in designs with and without a protective visor. The Fluidshield* 2 Surgical Mask(s), Fluidshield* 2 Procedure Mask(s) family are single use, disposable devices, provided non-sterile.

AI/ML Overview

The provided document is a 510(k) Premarket Notification for medical devices, specifically surgical and procedure masks. It describes non-clinical performance testing to demonstrate substantial equivalence to a predicate device, rather than a study proving the device meets acceptance criteria derived from clinical performance. Therefore, many of the requested items (e.g., sample size for test set, data provenance, number of experts, adjudication method, MRMC study, standalone performance, training set sample size, ground truth for training set) are not applicable or cannot be extracted from this document as it pertains to a different type of evaluation.

However, I can extract information related to the acceptance criteria and reported device performance from the non-clinical testing section.

1. Table of acceptance criteria and the reported device performance:

PurposeTestAcceptance CriteriaReported Device Performance (Result)
Level 2 - Face Mask PerformanceASTM F2100ASTM Level 2Pass
Bacterial Filtration EfficiencyASTM F2101>98%Pass
Particulate Filtration EfficiencyASTM F2299>98%Pass
Differential PressureEN 14683<6.0 mmH2O/cm²Pass
Fluid ResistanceASTM F1862120 mmHgPass
Flammability16 CFR Part 1610Class 1Pass
Biocompatibility (Cytotoxicity)ISO 10993-5Non-cytotoxicPass
Biocompatibility (Sensitization)ISO 10993-10Non-sensitizingPass
Biocompatibility (Irritation)ISO 10993-10Non-irritantPass

2. Sample size used for the test set and the data provenance:

  • Sample size used for the test set: Not specified in the provided document. The document refers to "testing" the proposed device(s) but does not detail the number of units or samples tested for each criteria.
  • Data provenance: Not explicitly stated, but these are non-clinical (laboratory) tests performed on the device by the manufacturer as part of the 510(k) submission process. It's retrospective in the sense that the testing was completed before the submission.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

  • Not applicable. This document describes non-clinical performance testing against established standards, not a study involving expert-established ground truth for a diagnostic device.

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

  • Not applicable. This pertains to expert review for diagnostic studies, not laboratory performance testing of physical characteristics.

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:

  • Not applicable. This is a 510(k) submission for surgical and procedure masks, not an AI-assisted diagnostic device.

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

  • Not applicable. This is a 510(k) submission for surgical and procedure masks, not an algorithm.

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

  • For the non-clinical tests, the "ground truth" is defined by the established international and national standards (e.g., ASTM F2100, ASTM F2101, EN 14683, ISO 10993 series). The device's performance is measured against the quantitative or qualitative criteria set forth in these standards.

8. The sample size for the training set:

  • Not applicable. This document describes material and physical performance testing of a physical device, not a machine learning algorithm that requires a training set.

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

  • Not applicable for the same reason as above.

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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: a symbol on the left and the FDA name and title on the right. The symbol on the left is a stylized representation of a human figure, while the text on the right reads "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue letters.

June 14, 2024

Owens & Minor (O&M) Halyard, Inc. Angela Bunn Sr. Director, Global Regulatory Affairs 9120 Lockwood Blvd Mechanicsville, Virginia 23116

Re: K232812

Trade/Device Name: Fluidshield* 2 Fog-Free Surgical Mask (62113); Fluidshield* 2 Fog-Free Surgical Mask with Wraparound Visor (62114); Fluidshield* 2 Procedure Mask with SO SOFT* Earloops (62115); Fluidshield* 2 Procedure Mask with SO SOFT* Earloops and WrapAround Visor (62116) Regulation Number: 21 CFR 878.4040 Regulation Name: Surgical Apparel Regulatory Class: Class II Product Code: FXX Dated: May 9, 2024 Received: May 9, 2024

Dear Angela Bunn:

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.

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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,

Image /page/1/Picture/7 description: The image shows the text "Allan Guan-S" in a large, sans-serif font. The text is black and is set against a white background. There is a faint, light blue watermark in the background that is partially obscured by the text.

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

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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) K232812

Device Name

Fluidshield * 2 Fog-Free Surgical Mask (62113)

Fluidshield * 2 Fog-Free Surgical Mask with Wraparound Visor (62114)

Fluidshield * 2 Procedure Mask with SO SOFT* Earloops (62115)

Fluidshield * 2 Procedure Mask with SO SOFT* Earloops and WrapAround Visor (62116)

Indications for Use (Describe)

The Fluidshield* 2 Surgical Mask is intended to be worn to protect 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 of the wearer to blood and body fluids. The Fluidshield* 2 Surgical Mask is a single use, disposable device, provided non-sterile.

The Fluidshield* 2 Procedure Mask is intended to be worn to protect both the patient and healthcare persomel 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 of the wearer to blood and body fluids. The Fluidshield* 2 Procedure Mask is a single use, disposable device, provided non-sterile.

Type of Use (Select one or both, as applicable)
-------------------------------------------------

Prescription Use (Part 21 CFR 801 Subpart D)

x Dver-The-Counter Use (21 CFR 801 Subpart C)

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Image /page/4/Picture/0 description: The image shows the Owens & Minor logo, which consists of the letters "OM" in a stylized font, with the words "Owens & Minor" to the right of the letters. The letters "OM" are in a dark red color, while the words "Owens & Minor" are in a light gray color. Below the logo, the text "510(k) Summary K232812" is written in a bold font.

Date Summarywas PreparedJune 14, 2024
510(k) SubmitterO & M Halyard, Inc.1 Edison DriveAlpharetta, GA 30005
Primary Contact forthis 510(k) SubmissionAngela L. Bunn, RACTel: 470-347-7147Email: angela.bunn@owens-minor.com
Marketed CommonNameSurgical Mask and Procedure Mask
Device Submission TradeName and DescriptionFluidshield * 2 Fog-Free Surgical Mask (62113)Fluidshield * 2 Fog-Free Surgical Mask with Wraparound Visor(62114)Fluidshield * 2 Procedure Mask with SO SOFT* Earloops,(62115)Fluidshield* 2 Procedure Mask with SO SOFT* Earloops andWrapAround Visor (62116)
Device Common NameSurgical Mask and Procedure Mask
Device Product Codeand Classification NameFXX Class II, 21 CFR §878.4040 Surgical Apparel
Predicate DeviceKC 200 Fluidshield* Surgical Masks and Procedure Masks andKC 300 Fluidshield* Surgical Masks and Procedure Masks(K111402)
Subject DeviceDescriptionThe subject device(s) are ASTM Level 2 Surgical andProcedure Mask(s). Fluidshield* 2 Surgical Mask(s),Fluidshield* 2 Procedure Mask(s) family of products are a four-layer mask, constructed of well-known non-woven
materials used in facial protection. The Surgical Masks areprovided with ties while the Procedure Masks are provided withearloops and a malleable nosepiece.The Fluidshield* 2 Surgical Mask(s), Fluidshield* 2 ProcedureMask(s) family will be provided in designs with and without aprotective visor. The Fluidshield* 2 Surgical Mask(s),Fluidshield* 2 Procedure Mask(s) family are single use,disposable devices, provided non-sterile.
Indications for UseThe Fluidshield* 2 Surgical Mask is intended to be worn to protectboth the patient and healthcare personnel from transfer ofmicroorganisms, body fluids, and particulate material. Theseface masks are intended for use in infection control practices toreduce the potential exposure of the wearer to blood and bodyfluids. The Fluidshield* 2 Surgical Mask is a single use,disposable device, provided non-sterile.The Fluidshield* 2 Procedure Mask is intended to be worn toprotect both the patient and healthcare personnel from transfer ofmicroorganisms, body fluids, and particulate material. Theseface masks are intended for use in infection control practices toreduce the potential exposure of the wearer to blood and bodyfluids. The Fluidshield* 2 Procedure Mask is a single use,disposable device, provided non-sterile.

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Image /page/5/Picture/0 description: The image contains the logo for Owens & Minor. The logo features a stylized "OM" in a dark red color, with the words "Owens & Minor" in a gray serif font to the right of the symbol. The logo is clean and professional, suggesting a well-established company.

Technological Characteristics Comparison Table
Subject DevicePredicate Device(K111402)KC 300 and KC 200Face MasksComparison
FDA Product CodeFXXFXXSame
FDA ClassificationClass IIClass IISame
Regulation Number21 CFR 878.404021 CFR 878.4040Same
Common NameSurgical MaskSurgical MaskSame

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Image /page/6/Picture/0 description: The image shows the logo for Owens & Minor, a healthcare logistics company. The logo consists of a stylized "OM" in a dark red color, with the words "Owens & Minor" in a light gray color to the right of the "OM" symbol. The "OM" symbol is made up of several horizontal lines, creating a modern and abstract design. The overall design is clean and professional, reflecting the company's focus on healthcare and logistics.

Device Trade NameFluidshield * 2 Fog-FreeSurgical Mask (62113)KC200 Procedure MaskSimilar
Fluidshield * 2 Fog-FreeSurgical Mask withWraparound Visor (62114)KC200 Procedure Mask,fog-free with visor
Fluidshield * 2 ProcedureMask with SO SOFT*Earloops, (62115)KC200 Surgical Mask,fog-free
Fluidshield* 2 ProcedureMask with SO SOFT*Earloops and WrapAroundVisor (62116)KC200 Surgical Mask,fog-free with visor
KC300 Procedure Mask,Fluidshield*, fog-free
KC300 Procedure Mask,Fluidshield*, fog-free withvisor
KC300 Surgical Mask,Fluidshield*, fog-free
KC300 Surgical Mask,Fluidshield*, fog-free withvisor
Intended UseThe Fluidshield* 2 SurgicalMask is intended to be wornto protect both the patientand healthcare personnelfrom transfer ofmicroorganisms, bodyfluids, and particulatematerial. These face masksare intended for use ininfection control practices toreduce the potentialexposure of the wearer toblood and body fluids. TheFluidshield* 2 SurgicalMask is a single use,The Kimberly-Clark,KC200 and KC300 FaceMask(s) are intended to.beworn to protect both thepatient and healthcarepersonnel from transfer ofmicroorganisms, bodyfluids, and particulatematerial. These face masksare intended for use ininfection control practicesto reduce the potentialexposure of the wearer toblood and body fluids. TheKimberly-Clark, KC200SameThissubmissioncovers the KC300 and KC200 BlueSurgical orProcedureMasks.
device, provided non-sterile.The Fluidshield* 2Procedure Mask is intendedto be worn to protect boththe patient and healthcarepersonnel from transfer ofmicroorganisms, bodyfluids, and particulatematerial. These face masksare intended for use ininfection control practices toreduce the potentialexposure of the wearer toblood and body fluids. TheFluidshield* 2 ProcedureMask is a single use,disposable device, providednon-sterile.and KC300 face mask(s) isa single use, disposabledevice(s), provided non-sterile.
Materials of Construction for Surgical Mask Family (Codes 62113 and 62114)

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Image /page/7/Picture/0 description: The image shows the logo for Owens & Minor. The logo consists of the letters "OM" in a stylized font, with the "O" made up of horizontal lines. To the right of the letters is the text "Owens & Minor" in a serif font. The "OM" is in a dark red color, while the "Owens & Minor" text is in gray.

StructureMaterial of Layer forK232812Material cleared underK111402Same or Different
Code 62113 Materials of Construction
Outer LayerPolyester CelluloseSpunbond polypropylene(or) Polyester CelluloseSame
2nd LayerSpunbond polypropyleneSpunbond polypropyleneSame
Media FilterMeltblown polypropyleneMeltblown polypropyleneSame
Inner LayerPolyester CellulosePolyester CelluloseSame
Top BindingSpunbond polypropyleneSpunbond polypropylene,Polyester spunlaceSame
Lower BindingSpunbond polypropyleneSpunbond polypropylene,Polyester spunlaceSame
Ties (Surgical)Spunbond polypropylenePolyester spunlaceDifferent
FoamPolyester/PolyesterSpunlace laminatePolyester/PolyesterSpunlace laminateSame
FoamPolyesterPolyesterSame
Nose WireAluminumAluminumSame
Code 62114 Materials of Construction
Outer LayerPolyester CelluloseSpunbond polypropylene(or) Polyester CelluloseSame
2nd LayerSpunbond polypropyleneSpunbond polypropyleneSame
Media FilterMeltblown polypropyleneMeltblown polypropyleneSame
Inner LayerPolyester CellulosePolyester CelluloseSame
Top BindingSpunbond polypropyleneSpunbond polypropylene(or) Polyester spunlaceSame
Lower BindingPolyester spunlaceSpunbond polypropylene(or) Polyester spunlaceSame
Ties (Surgical)Polyester spunlacePolyester spunlaceSame
FoamPolyesterPolyester/PolyesterSame

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Image /page/8/Picture/0 description: The image shows the logo for Owens & Minor. The logo consists of the letters "OM" in a stylized font, with the word "Owens" above the word "Minor" to the right of the letters. The letters "OM" are in a dark red color, while the words "Owens" and "Minor" are in a gray color.

VisorPolyester FilmSpunlace laminateSame
Nose WireAluminumAluminumSame
Materials of Construction for Procedure Mask Family (Codes 62115, 62116)
StructureMaterial of Layer forK232812Material cleared underK111402Same or Different
Code 62115 Materials of Construction
Outer LayerPolyester CelluloseSpunbond polypropylene(or) Polyester CelluloseSame
2nd LayerSpunbond polypropyleneSpunbond polypropyleneSame
Media FilterMeltblown polypropyleneMeltblown polypropyleneSame
Inner LayerPolyester CellulosePolyester CelluloseSame
Top BindingPolyester spunlacePolyester spunlaceSame
Lower BindingPolyester spunlacePolyester spunlaceSame
Earloops (Procedure)Polyester lycraPolyester lycraSame
Nose WireAluminumAluminumSame
Code 62116 Materials of Construction
Outer LayerPolyester CelluloseSpunbond polypropylene(or) Polyester CelluloseSame
2nd LayerSpunbond polypropyleneSpunbond polypropyleneSame
Media FilterMeltblown polypropyleneMeltblown polypropyleneSame
Inner LayerPolyester CellulosePolyester CelluloseSame
Top BindingPolypropylene spunbondPolyester spunlaceDifferent
Lower BindingPolyester spunlacePolyester spunlaceSame
Earloops (Procedure)Polyester lycraPolyester lycraSame
FoamPolyester foam/polyesterspunlace laminatePolyester foam/polyesterspunlace laminateSame
VisorPolyester FilmPolyester FilmSame
Nose WireAluminumAluminumSame
Design Attributes for Surgical Masks
# of Layers4-layer4-layerSame
ColorBlue with Orange PrintBlue with Orange PrintSame
Ties (Surgical)YesYesSame
VisorSome designs contain avisorSome designs contain avisorSame
Nose WireEnclosedEnclosedSame
Design Attributes for Procedure Masks
# of Layers4-layer4-layerSame
ColorBlueBlueSame
Earloops (Procedure)YesYesSame
VisorSome designs contain avisorSome designs contain avisorSame
Performance Data/Product Claims
Fluid Resistance Level22 and 3Same
EN 14683YesNoDifferent

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Image /page/9/Picture/0 description: The image shows the Owens & Minor logo above a table. The table has two rows and two columns. The first row indicates "Single Use Device" and "Yes", while the second row indicates "Sterility" and "Non-Sterile".

Single Use DeviceYesYesSame
SterilityNon-SterileNon-SterileSame

Non-Clinical Performance Testing Standards

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

PurposeTestAcceptance CriteriaResult
Level 2 - Face Mask PerformanceASTM F2100ASTM Level 2Pass
Bacterial Filtration EfficiencyASTM F2101>98%Pass
Particulate Filtration EfficiencyASTM F2299>98%Pass
Differential PressureEN 14683<6.0 mmH2O/cm2Pass
Fluid ResistanceASTM F1862120 mmHgPass
Flammability16 CFR Part 1610Class 1Pass
BiocompatibilityISO 10993
CytotoxicityISO 10993-5Non-cytotoxicPass
SensitizationISO 10993-10Non-sensitizingPass
IrritationISO 10993-10Non-irritantPass

Summary of Clinical Performance Testing:

Not applicable

Conclusion:

The conclusions drawn from the nonclinical tests demonstrate that the Fluidshield* 2 Surgical Mask(s), and Fluidshield* 2 Procedure Mask(s) are as safe, as effective and perform as well as or better than the legally marketed KC200 and KC300 Face Masks (K111402).

§ 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.