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510(k) Data Aggregation

    K Number
    K202387
    Date Cleared
    2021-04-23

    (245 days)

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

    Disposable Surgical Face Mask is intended to be worn to protect both patients and healthcare personnel from transfer of microorganisms, blood and body fluids, and particulates material. These face masks are intended for use in infection control practices to reduce the potential exposure to blood and body fluids. The face mask is single use, disposable devices provide non-sterile.

    Device Description

    The subject device is a three-layer and flat-pleated mask. The mask materials consist of non-woven/ outer layer (polypropylene spunbond), melt blown/ filter layer (polypropylene melt-blown) and non-woven/ inner layer (polypropylene spunbond). Each mask contains the ear loops to secure the mask over the users' mouth and face and includes a malleable nose piece to provide a firm fit over the nose.

    The subject device is a single-use, disposable device, provided non-sterile.

    AI/ML Overview

    This document is a 510(k) summary for a Disposable Surgical Face Mask. The information provided is primarily focused on the non-clinical performance and biocompatibility testing of the device to demonstrate substantial equivalence to previously cleared predicate devices.

    Here's a breakdown of the requested information based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance:

    Performance CharacteristicsAcceptance CriteriaReported Device Performance
    Fluid Resistance Performance (mmHg)Claimed at 160 mm HgPASS (at 160 mm Hg)
    Particulate Filtration Efficiency Performance (%)≥ 98%PASS
    Bacterial Filtration Efficiency Performance (%)≥ 98%PASS
    Differential Pressure (Delta-P) (mm H2O/cm²)
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