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510(k) Data Aggregation

    K Number
    K210063
    Date Cleared
    2021-02-05

    (25 days)

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

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

    Device Description

    The Freudenberg Surgical Mask is composed of three-layers and is flat-pleated. The Freudenberg Surgical Mask materials consist of an outer cover web (polypropylene spunbond, white), insertion layer (polypropylene, melt-blown, white), and inner cover web (polypropylene spunbond, white). Each mask contains polyester spandex blend ear loops to secure the mask over the user's mouth and nose and includes a polyethylene coated wire nosepiece to provide a firm fit over the nose. This face mask is a single use, disposable device, provided non-sterile. This device is not made with natural rubber latex.

    AI/ML Overview

    This document is a 510(k) Premarket Notification for a Freudenberg Surgical Mask, not an AI/ML medical device. Therefore, the information requested about acceptance criteria and study data for an AI/ML device is not present in this document. This document pertains to the physical and performance characteristics of a surgical mask, compared to a predicate surgical mask.

    However, I can extract the acceptance criteria and performance data for the surgical mask as presented in the document.

    Here's the information about the surgical mask:

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

    The document compares the "Proposed Device (K210063) Freudenberg Surgical Mask" to a "Predicate Device (K182514) SURGICAL FACE MASK" based on several performance metrics. The acceptance criteria for the proposed device are implicitly defined by meeting or exceeding the performance of the predicate device and conforming to relevant ASTM/EN standards, particularly for Level 3 categorization.

    Performance MetricAcceptance Criteria (ASTM/EN Standard or Predicate Performance)Reported Device Performance (Freudenberg Surgical Mask - K210063)
    Fluid ResistancePredicate: 32/32 passed at 120 mmHg - ASTM F1862. Goal: Exceed predicate/meet Level 3 (160 mmHg, AQL 4.0).Three non-sequential lots of 32 (total of 96, AQL 4.0) passed at 160mmHg - ASTM F1862.
    Lot 698002: 31/32 passed
    Lot 697715: 32/32 passed
    Lot 697944: 31/32 passed
    (Comment: "Similar, subject device exceeded fluid resistance of predicate device")
    Bacterial Filtration Efficiency (BFE)Predicate: pass at 99.6% - ASTM F2101. Goal: ≥98% (for Level 3 per ASTM F2100-19)Three non-sequential lots of 32 (total of 96, AQL 4.0) passed at ≥98% - ASTM F2101.
    Lot 698002: 32/32 passed at 99.9%
    Lot 697715: 32/32 passed at 99.9%
    Lot 697944: 32/32 passed at 99.9%
    (Comment: "Similar, both devices meet ASTM F2101")
    Particulate Filtration Efficiency (PFE)Predicate: pass at 99.88% - ASTM F2299. Goal: ≥98% (for Level 3 per ASTM F2100-19)Three non-sequential lots of 32 (total of 96, AQL 4.0) passed at ≥98% - ASTM F2299.
    Lot 698002: 32/32 passed at 99.6±0.1%
    Lot 697715: 32/32 passed at 99.5±0.1%
    Lot 697944: 32/32 passed at 99.7±0.1%
    (Comment: "Similar, both devices meet ASTM F2299")
    Differential Pressure (Delta P)Predicate: pass at 3.0 mmH₂O/cm² - MIL-M036954C. Goal:
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