K Number
K964723
Device Name
RACAL N95 RESIRATOR
Date Cleared
1997-02-07

(74 days)

Product Code
Regulation Number
878.4040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Racal 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 / CDC TB Prevention Guidelines.
Device Description
RACAL N95 RESPIRATOR AND SURGICAL MASK is indicated for respiratory proceetive device. This disposable Surgical mask is a one-piece, light weight half mask with filter material forming the mask. The component includes an inner scrim layer, netting material forming the mask. The component includes an inner scrim layer, netting layer, meltblown protection layer and elastic band. RACAL N95 RESPIRATOR AND SURGICAL MASK is NIOSH approved (Approval #IC-84A-0008) and has a filtration efficiency level of 95% and is effective against particulate aerosols free of oil. RACAL NYS RESPIRATOR AND SURGICAL MASK is available in four sizes, extra small, medium and large, The nose clip and elastic headband ensures effective face to mask seal.
More Information

Not Found

No
The 510(k) summary describes a physical respiratory protection device (N95 mask) and does not mention any software, algorithms, or AI/ML components.

No.
The device description indicates it is a respiratory protective device designed to filter particulates, not to treat a medical condition.

No
This device is a respirator and surgical mask, intended for respiratory protection and to protect healthcare practitioners from blood, body fluids, and particulates. It does not perform any diagnostic function.

No

The device description clearly outlines physical components like filter material, scrim layer, netting layer, meltblown protection layer, elastic band, and nose clip, indicating it is a hardware device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for respiratory protection for healthcare practitioners from blood, body fluids, and particulates, and to meet TB prevention guidelines. This is a protective function, not a diagnostic one.
  • Device Description: The description details a physical mask designed for filtration and sealing to prevent inhalation of airborne particles. It does not describe any components or processes related to analyzing biological samples or providing diagnostic information.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring analytes
    • Providing information for diagnosis, monitoring, or prognosis of a disease or condition.

The device is clearly described as a respiratory protective device and a surgical mask, which falls under a different regulatory category than IVDs.

N/A

Intended Use / Indications for Use

The Racal 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 / CDC TB Prevention Guidelines.

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

Not Found

Device Description

RACAL N95 RESPIRATOR AND SURGICAL MASK is indicated for respiratory proceetive device. This disposable Surgical mask is a one-piece, light weight half mask with filter material forming the mask. The component includes an inner scrim layer, netting material forming the mask. The component includes an inner scrim layer, netting layer, meltblown protection layer and elastic band. RACAL N95 RESPIRATOR AND SURGICAL MASK is NIOSH approved (Approval #IC-84A-0008) and has a filtration efficiency level of 95% and is effective against particulate aerosols free of oil. RACAL NYS RESPIRATOR AND SURGICAL MASK is available in four sizes, extra small, medium and large, The nose clip and elastic headband ensures effective face to mask seal.

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

health care practitioner

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)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K955382, K960778

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 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.

0

RACAL HEALTH & SAFETY INC. PREMARKET SUBMISSION

RACAL N95 RESPIRATOR AND SURCICAL MASK 510(K) K964723

510(k) SUMMARY - KQ 6 4723

3 - 7 1997

RACAL 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.

1 -Submitter of 510(k):

| Company Name: | Racal Health & Safety Inc.
7305 Executive Way
Frederick, Maryland
U.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: RACAL N95 RESPIRATOR AND SURGICAL MASK Common/Usual Name: Masks, Surgical Classification Name: 21 CFR 878.4040 "Surgical Apparel", Class II

3. Legally Marketed Predicate Devices

RACAL N95 RESPIRATOR AND SURGICAL MASK is substantially equivalent to many legally marketed Surgical masks, including those listed in Table I below.

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RACAL HEALTH & SAFETY INC. PREMARKET SUBMISSION

RACAL N95 RESPIRATOR AND SURGICAL MASK 510(K) K964723

510(k) SUMMARY

TABLE 1 COMPARISON OF TECHNOLOGICAL CHARACTERISTICS PREDICATE DEVICES AND DELTA N95 RESPIRATOR AND SURGICAL MASK

ManufacturersRacal Health & Safety3MLouis M Gerson
DeviceRACAL N95
RespiratorsModel 1860 Health Care
RespiratorsIsolair APR Type N95
Respirators
510(k) NumberK964723K955382K960778
Standards MetPerformance
Code of Federal Regulations,
Title 42 Part 84
for N95-class of
Respiratory Protective
Devices
Meets CDC guidelines for
preventing transmission of
Mycobacterium tuberculosisPerformance
Code of Federal Regulations,
Title 42,Part 84
for N95-class of
Respiratory Protective
Devices
Meets CDC guidelines for
preventing transmission of
Mycobacterium tuberculosisPerformance
Code of Federal Regulations
Title 42, Part 84
for N95 - class of
Respiratory Protective
Devices
Meets CDC guidelines for
preventing transmission of
Mycobacterium tuberculosis
NIOSH Approval NumberTC-84A-008TC-84A-006TC-84A-160
Device DescriptionN95 Class particulate
Respirator
Multi-Layer Filtering
media
Fluid resistant barrier
Wire nose clip
Foam nose piece inside
mask
Elastic Headband
Peach coloredN95 Class particulate
Respirator
Multi-Layer Filtering
media
Fluid resistant barrier
Wire nose clip
Foam nose piece inside
mask
Elastic Headband
Blue coloredN95 Class particulate
Respirator
Multi-Layer Filtering
media
Fluid resistant barrier
Wire nose clip
Foam nose piece inside
mask
Elastic Headband
Blue-green colored
Intended UseRespiratory Protection of
Health Care workersRespiratory Protection of
Health Care of workersRespiratory Protection of
Health Care workers

4. Device Description

RACAL N95 RESPIRATOR AND SURGICAL MASK is indicated for respiratory proceetive device. This disposable Surgical mask is a one-piece, light weight half mask with filter material forming the mask. The component includes an inner scrim layer, netting material forming the mask. The component includes an inner scrim layer, netting layer, meltblown protection layer and elastic band. RACAL

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RACAL HEALTH & SAFETY INC. PREMARKET SUBMISSION

RACAL N95 RESPIRATOR AND SURGICAL MASK 510(K) K964723

N95 RESPIRATOR AND SURGICAL MASK is NIOSH approved (Approval #IC-84A-0008) and has a filtration efficiency level of 95% and is effective against particulate aerosols free of oil. RACAL NYS RESPIRATOR AND SURGICAL MASK is available in four sizes, extra small, medium and large, The nose clip and elastic headband ensures effective face to mask seal. Based on the information provided, RACAL N9S RESPIRATOR AND SURGICAL MASK is substantially equivalent to legally marketed predicate devices.

હ. Indications For Use


The Racal 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 / CDC TB Prevention Guidelines.

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