(74 days)
The Delta N95 Respirator and Surgical Mask will be used for the health care practitioner from blood and body fluids and particulates and to meet the NIOSH / CIX' TB Prevention Guidelines.
DELTA N95 RESPIRATOR AND SURGICAL MASK is indicated for respiratory protective device. This disposable Surgicul mask is a one-piece, light weight half mask with filter material forming the mask. The component includes an inner serim hayer, netting material forming the mask. The component includes an inner scrim layer, netting layer, meltblown protection layer, outer scrim layer and clastic band. DELTA N95 RESPIRATOR AND SURGICAL MASK is NIOSH approved (Approval #TC-84A-0003) and has a filtration efficiency level of 95% and is effective against particulate acrosols free of oil. DELTA N95 RESPIRATOR AND SURGICAL MASK is available in four sizes, extra small, small, medium and large. The nose clip and elustic headband ensures effective face to mask seal.
The provided text describes a medical device (DELTA N95 RESPIRATOR AND SURGICAL MASK) and compares it to predicate devices. However, it does not contain information about acceptance criteria, a specific study proving the device meets these criteria, or any details related to AI/algorithm performance (standalone or with human readers).
The document is a 510(k) summary for a premarket submission of a physical medical device (an N95 respirator and surgical mask), focusing on demonstrating substantial equivalence to existing devices. Therefore, a significant portion of the requested information cannot be extracted from the provided text.
Based on the information available, here's what can be provided:
1. A table of acceptance criteria and the reported device performance
The acceptance criteria for this device are those defined by the Code of Federal Regulations, Title 42, Part 84 for N95-class of Respiratory Protective Devices, and meeting CDC guidelines for preventing transmission of Mycobacterium tuberculosis.
| Acceptance Criteria / Standard Met | Reported Device Performance (DELTA N95 RESPIRATOR AND SURGICAL MASK) |
|---|---|
| Code of Federal Regulations, Title 42, Part 84 for N95-class of Respiratory Protective Devices | Meets the standard. NIOSH Approved (Approval #TC-84A-0003). Has a filtration efficiency level of 95% against particulate aerosols free of oil. |
| CDC guidelines for preventing transmission of Mycobacterium tuberculosis | Meets the guidelines. |
| (Implicit) Substantial equivalence to predicate devices (3M Model 1860, Louis M Gerson Isolair APR Type N95) | Demonstrated through comparison of technological characteristics. |
2. Sample size used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)
This information is not provided in the document. The submission focuses on product specifications and comparison to predicates, not specific test data results for a particular sample size.
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)
This information is not provided in the document. This type of detail is not typically included in a 510(k) summary for a physical respiratory protection device unless specific clinical studies requiring expert evaluation were conducted and reported.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
This information is not provided in the document.
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, a multi-reader multi-case (MRMC) comparative effectiveness study was not done as this is a physical medical device (respirator/mask), not an AI/software device designed to assist human readers. Thus, there is no discussion of human readers or AI assistance.
6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done
No, a standalone algorithm performance study was not done as this is a physical medical device (respirator/mask), not an AI/software device.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)
For this type of device, the "ground truth" would be established by standardized laboratory testing methods to measure filtration efficiency, fit, and other performance characteristics as defined by NIOSH (42 CFR Part 84) and potentially fluid resistance (as it is also a surgical mask). It's not based on expert consensus, pathology, or outcomes data in the typical sense for diagnostic/screening devices.
8. The sample size for the training set
This information is not applicable and not provided. This device is a physical product, not a machine learning model that requires a "training set."
9. How the ground truth for the training set was established
This information is not applicable and not provided. As explained above, it's not a machine learning model.
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RACAL HEALTH & SAFETY INC. PREMARKET SUBMISSION
DELTA N95 RESPIRATOR AND SURGICAL MASK 510(K) K964722
510(k) SUMMARY - K964122
FEB - 7 1997
DELTA N95 RESPIRATOR & SURGICAL MASK
January 29, 1997
This summary is provided in accordance with the Safe Medical Devices Act of 1990 (SMDA). The information provided in the 510(k), Premarket Notification, was in accordance with 21 CFR 807.87.
儿. Submitter of 510(k):
| Company Name: | Racal Health & Safety Inc.7305 Executive WayFrederick, MarylandU.S.A. 21704-8368 |
|---|---|
| Contact Person (U.S.A.) | Mr. J. Randall Hoggle |
| Telephone: | (301)695-8200 |
| Fax: | (301)695-4413 |
| Contact Person (Canada) | John Campbell |
| Telephone: | (613)345-0111 |
| Fax | (613)345-2639 |
| Name of Device | |
| Trade/Proprietary Name: | DELTA N95 RESPIRATOR AND SURGICAL MASK |
| Common/Usual Name: | Masks, Surgical |
| Classification Name: | 21 CFR 878.4040 "Surgical Apparel", Class II |
3. Legally Marketed Predicute Devices
DELTA N95 RESPIRATOR AND SURGICAL MASK is substantially equivalent to many legally marketed Surgical masks, including those listed in Table 1 below.
CONFIDENTIAL
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RACAL HEALTH & SAFETY INC. PREMARKET SUBMISSION
DELTA N95 RESPIRATOR AND SURGICAL MASK 510(K) K964722
PREMARKET SUBMISS
510(k) SUMMARY
TABLE I COMPARISON OF TECHNOLOGICAL CHARACTERISTICS PREDICATE DEVICES AND DELTA N95 RESPIRATOR AND SURGICAL MASK
| Manufacturers | Racal Health & Safety | 3M | Louis M Gerson |
|---|---|---|---|
| Device | DELTA N95Respirators | Model 1860 Health CareRespirators | Isolair APR Type N95Respirators |
| 510(k) Number | K964722 | K955382 | K960778 |
| Standards Met | PerformanceCode of Federal Regulations,Title 42 Part 84for N95-class ofRespiratory ProtectiveDevicesMeets CDC guidelines forpreventing transmission ofMycobacterium tuberculosis | PerformanceCode of Federal Regulations,Title 42,Part 84for N95-class ofRespiratory ProtectiveDevicesMeets CDC guidelines forpreventing transmission ofMycobacterium tuberculosis | PerformanceCode of Federal Regulations,Title 42, Part 84for N95 - class ofRespiratory ProtectiveDevicesMeets CDC guidelines forpreventing transmission ofMycobacterium tuberculosis |
| NIOSH Approval Number | TC-84A-003 | TC-84A-006 | TC-84A-160 |
| Device Description | N95 Class particulateRespiratorMulti-Layer FilteringmediaFluid resistant barrierWire nose clipFoam nose piece insidemaskElastic HeadbandMint colored | N95 Class particulateRespiratorMulti-Layer FilteringmediaFluid resistant barrierWire nose clipFoam nose piece insidemaskElastic HeadbandBlue colored | N95 Class particulateRespiratorMulti-Layer FilteringmediaFluid resistant barrierWire nose clipFoam nose piece insidemaskElastic HeadbandBlue-green colored |
| Intended Use | Respiratory Protection ofHealth Care workers | Respiratory Protection ofHealth Care of workers | Respiratory Protection ofHealth Care workers |
র্ণ : Device Description
DELTA N95 RESPIRATOR AND SURGICAL MASK is indicated for respiratory protective device. This disposable Surgicul mask is a one-piece, light weight half mask with filter material forming the mask. The component includes an inner serim hayer, netting material forming the mask. The component includes an inner scrim layer, netting layer, meltblown protection layer, outer scrim layer and clastic band. DELTA
CONFIDENTIAL
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PAGE
RACAL HEALTH & SAFETY INC. PREMARKET SUBMISSION
DELTA N95 RESPIRATOR AND SURGICAL MASK 510(K) K964722
N95 RESPIRATOR AND SURGICAL MASK is NIOSH approved (Approval #TC-84A-0003) and has a filtration efficiency level of 95% and is effective against particulate acrosols free of oil. DELTA N95 RESPIRATOR AND SURGICAL MASK is available in four sizes, extra small, small, medium and large. The nose clip and elustic headband ensures effective face to mask seal. Based on the information provided, DELTA N95 RESPIRATOR AND SURGICAL MASK is substantially equivalent to legally marketed predicate devices.
ട. Indications For Use
The Delta N95 Respirator and Surgical Mask will be used for the health care practitioner from blood and body fluids and particulates and to meet the NIOSH / CIX' TB Prevention Guidelines.
Page 3 of 3
§ 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.