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510(k) Data Aggregation

    K Number
    K210445
    Date Cleared
    2021-06-29

    (133 days)

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

    The Nordiwell Medical Face Mask is intended to be worn to protect both patient and healthcare personnel from transfer of microorganisms, body fluids, and particulate matters. These face masks are intended for use in infection control practices to reduce potential exposure to blood and body fluids. This is a single use, disposable device(s) and provided non-sterile.

    Device Description

    The Nordiwell Medical Face Mask has a flat-folded design consisting of three layers that are comprised of an (polypropylene spunbond) inner and outer cover web and (polypropylene melt blown) filter web. The mask has earloops or tie strings to secure the mask over the users' mouth and face and includes a malleable nosepiece to provide a firm fit over the nose. This is a single use, disposable device, provided non-sterile.

    AI/ML Overview

    This document is a 510(k) Premarket Notification for a medical face mask. It does not describe an AI/ML powered medical device, but rather a physical product. Therefore, many of the requested criteria regarding AI/ML model evaluation (e.g., training set, ground truth acquisition, MRMC studies, standalone performance with human-in-the-loop, number of experts for ground truth) are not applicable.

    However, I can extract the acceptance criteria and performance data for this physical medical device from the provided text.

    Here's the information based on the provided document:

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

    Test ItemAcceptance CriteriaReported Device PerformanceStudy Conclusion
    Fluid Resistance Performance (ASTM F1862-17)≥ 29 of 32 pass at 120 mmHg31 of 32 pass at 120 mmHgPass
    Particulate Filtration Efficiency (ASTM F2299-17)≥ 98%99.9%, 32 of 32 passPass
    Bacterial Filtration Efficiency (ASTM F2101-19)≥ 98%99.9%, 32 of 32 passPass
    Differential Pressure (Delta P) (EN 14683:2019, Annex C and ASTM F2100-19)
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    K Number
    K210181
    Date Cleared
    2021-03-09

    (46 days)

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

    When properly worn, the surgical face masks are intended to patient and healthcare workers from transfer of microorganisms, body fluids and particulate matter. This device is non-sterile and for single use only.

    Device Description

    The Nordiwell Surgical Face Masks are composed of 3-layers and are flat-pleated. The mask materials consist of an outer layer (polypropylene spunbond, blue), inner layer (polypropylene spunbond white), filter (polypropylene melt-blown, white) and ties (polypropylene spunbond white). The mask contains a malleable nosepiece which is centrally positioned between the opposed side edges along the top edge of the mask. The nosepiece is a stable anchor in the vicinity of the nose and readily bent to conform to contours of a person's face. Thus the nosepiece can provide a firm fit over the nose and then to secure the mask over the users' mouth and face. The mask is a single use, provided non-sterile. This device is not made with natural rubber latex and Shelf-life of the device is 2 years. The subject of this submission is a design change to the ear-loop in the Nordiwell Medical Face Mask(K202615). The ear-loop of the Nordiwell Medical Face Mask(K202615) is changed to tie in the subject device.

    AI/ML Overview

    This document describes the acceptance criteria and supporting study for the Nordiwell Surgical Face Mask (K210181), which is a surgical face mask.

    1. Table of Acceptance Criteria and Reported Device Performance

    The device is evaluated against the ASTM F2100 Level 3 standard for surgical face masks.

    Performance CharacteristicAcceptance Criteria (ASTM F2100 Level 3)Reported Device Performance
    Fluid Resistance160 mmHg32 of 32 pass at 160 mmHg
    Particulate Filtration Efficiency (PFE)≥ 98% at 0.1 micron> 99.9%
    Bacterial Filtration Efficiency (BFE)≥ 98%≥ 98%
    Differential Pressure (Delta P)**
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    K Number
    K202615
    Date Cleared
    2020-12-31

    (113 days)

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

    When properly worn, the surgical face masks are intended to patient and healthcare workers from transfer of microorganisms, body fluids and particulate matter. This device is non-sterile and for single use only.

    Device Description

    The Nordiwell Medical Face Masks are composed of 3-layers and are flat-pleated. The mask materials consist of an outer layer (polypropylene spunbond, blue), inner layer (polypropylene spunbond white), filter (polypropylene melt-blown, white) and ear-loops. The mask contains a malleable nosepiece to provide a firm fit over the nose and then to secure the mask over the users' mouth and face. The mask is a single use, provided non-sterile. This device is not made from Natural Rubber Latex. Shelf-life of the device is 2 years.

    AI/ML Overview

    The provided text describes the acceptance criteria and the study conducted for the Nordiwell Medical Face Mask (K202615) to demonstrate substantial equivalence to a predicate device. This is a medical device, specifically a surgical face mask, not an AI/ML powered device. Therefore, many of the requested categories in the prompt, such as those related to AI model performance, expert ground truth, adjudication methods, and training/test sets for AI, are not applicable.

    Here's the information that can be extracted from the provided text, focused on the device's physical and performance characteristics:

    1. Table of Acceptance Criteria and Reported Device Performance

    Device: Nordiwell Medical Face Mask (K202615)

    ItemAcceptance CriteriaReported Device PerformanceResult
    Fluid Resistance Performance (ASTM F1862-17)≥29 of 32 pass at 160 mmHg32 of 32 pass at 160 mmHgPass
    Particulate Filtration Efficiency (ASTM F2299-17)≥ 98%> 99.9%Pass
    Bacterial Filtration Efficiency (ASTM F2101-19)≥ 98%> 99.9%Pass
    Differential Pressure (Delta P) (EN 14683:2019, Annex C and ASTM F2100-19)
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