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510(k) Data Aggregation

    K Number
    K212471
    Date Cleared
    2021-11-04

    (90 days)

    Product Code
    Regulation Number
    878.4040
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Haian Medigauze Co., Ltd

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The medical face mask is intended to be worn to protect both the patient and healthcare personnel from transfer of microorganisms, body fluids, and particulate materials in infection control practices to reduce the potential exposure to blood and body fluids. It is for single-use and provided non-sterile.

    Device Description

    The medical face mask is designed and manufactured by Haian Medigauze Co., Ltd . It is non-sterile and for single use. The medical face mask is manufactured with three-layers, the inner and outer layers are made of polypropylene, and the middle layer is made of melt blown polypropylene. The elastic ear loop of proposed device is made of spandex and nylon, not made with natural rubber latex. The nose piece contained in the proposed device, which is made from steel wire, allows the user to fitthe face mask around their nose. The product is level 1 according to ASTM F2100-19.

    AI/ML Overview

    This document describes the premarket notification (510(k)) for a Medical Face Mask, focusing on its substantial equivalence to a legally marketed predicate device. The information provided is for a physical medical device (a face mask) and not an AI/ML-driven device. Therefore, many of the requested details about AI model performance, training sets, ground truth establishment by experts, adjudication, and MRMC studies are not applicable to this document.

    However, I can extract and present the acceptance criteria and the study results for this specific medical device.

    Device: Medical Face Mask (K212471)
    Predicate Device: Surgical Face Masks (Ear loops and Tie-on) (K160269)

    1. Acceptance Criteria and Reported Device Performance

    The acceptance criteria are "Pass" for all tests, with specific quantitative thresholds where applicable. The reported device performance is that all tests met these criteria.

    ItemTest MethodsAcceptance CriteriaReported Performance
    FlammabilityASTM F2100-19, 16 CFR Part 1610-2008Class 1Pass
    Bacterial Filtration Efficiency (BFE)ASTM F2100-2019 9.1, ASTM F2101-2019≥95%Pass
    Differential PressureASTM F2100-19 9.2
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