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510(k) Data Aggregation

    K Number
    K222999
    Device Name
    Surgical Gown
    Date Cleared
    2023-06-16

    (261 days)

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

    Hubei Woozon Healthcare Co.,Ltd.

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

    Surgical Gowns are intended to be worn by operating room personnel during surgical procedures to protect the surgical patient and operating room personnel from the transfer of microorganisms, body fluids and particulate material. This surgical gown meets the requrements of AAMI Level 3 barrier protection for a surgical gown per ANSI/AAMI PB70:2012 Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities (AAMI PB70). The Surgical Gowns are single use, disposable medical devices; provided non-sterile. Before the use, the Surgical Gowns must be sterilized by EO sterilization based on ISO 11135:2014.

    Device Description

    The Surgical Gown is composed of collar, body, sleeve and tie, in a blue color, offered in sizes S, M, L, XL and XXL. The neck and waist are laced, the sleeves are made of polyester elastic closure by sewing, and the rest are made of heat sealing. It has been tested according to AAMI PB70:2012 and meet AAMI Level 3 barrier level protection for a surgical gown.

    AI/ML Overview

    Here's a summary of the acceptance criteria and the study that proves the device meets them, based on the provided text:

    Device: Surgical Gown (K222999)

    1. Table of Acceptance Criteria and Reported Device Performance:

    Test MethodologyPurposeAcceptance CriteriaReported Device Performance
    AATCC 42Impact PenetrationLevel 3, ≤1.0g
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    K Number
    K222483
    Date Cleared
    2023-01-04

    (140 days)

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

    Hubei Woozon Healthcare Co.,Ltd.

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

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

    Device Description

    The Surgical Face Mask is single use, three-layer, flat-pleated style with ear loops and nose piece. The Surgical 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 filter. The ear loops are held in place over the users' mouth and nose by two elastic ear loops welded to the facemask. The elastic ear loops are not made with natural rubber latex. The nose piece in the layers of facemask is to allow the user to fit the facemask around their nose, which is made of Galvanized iron wire. The Surgical Face Mask will be provided in blue. The Surgical Face Mask is sold as non-sterile and are intended to be single use, disposable devices.

    AI/ML Overview

    The provided document describes the acceptance criteria and performance of a Surgical Face Mask (K222483), not an AI-powered diagnostic device. Therefore, the questions related to AI/algorithm performance (such as MRMC studies, standalone performance, training set details, ground truth for training data, expert qualifications, and adjudication methods for specific diagnoses) are not applicable to this submission.

    However, I can extract and present the acceptance criteria and study results for this medical device based on the non-clinical tests performed.

    1. Table of Acceptance Criteria and Reported Device Performance

    ItemPurposeAcceptance CriteriaReported Device Performance
    Synthetic Blood Penetration (ASTM F1862)Demonstrate resistance to liquid penetrationLevel 1: 29 samples out of 32 pass (AQL 4%) at 80mmHgPass: 32 out of 32 pass at 80 mmHg (3 lots)
    Level 2: 29 samples out of 32 pass (AQL 4%) at 120mmHgPass: 32 out of 32 pass at 120 mmHg (3 lots)
    Level 3: 29 samples out of 32 pass (AQL 4%) at 160mmHgPass: 32 out of 32 pass at 160 mmHg (3 lots)
    Particulate Filtration Efficiency (ASTM F2299)Demonstrate particulate filtrationLevel 1: ≥95%Pass: Average 98.24%
    Level 2: ≥98%Pass: Average 98.75%
    Level 3: ≥98%Pass: Average 99.67%
    Bacterial Filtration Efficiency (ASTM F2101)Demonstrate bacterial filtrationLevel 1: ≥95%Pass: Average 99.18%
    Level 2: ≥98%Pass: Average 99.20%
    Level 3: ≥98%Pass: Average 99.21%
    Differential Pressure (Delta P) (EN 14683 Annex C)Demonstrate breathabilityLevel 1: ≤ 5.0 mmH2O/cm² (ASTM F2100 implies this for Level 1, though not explicitly stated in table against EN 14683)Pass: Average 3.75 mmH2O/cm²
    Level 2: ≤ 6.0 mmH2O/cm²Pass: Average 4.25 mmH2O/cm²
    Flammability (16 CFR 1610)Demonstrate flame resistanceClass I PassPass: Class I
    Cytotoxicity (ISO 10993-5)Demonstrate cytotoxic biocompatibilityUnder the conditions of the study, the device is non-cytotoxic.Pass: Under the conditions of the study, the device is non-cytotoxic.
    Skin Irritation (ISO 10993-10)Demonstrate non-irritabilityUnder the conditions of the study, the device is non-irritating.Pass: Under the conditions of the study, the device is non-irritating.
    Skin Sensitization (ISO 10993-10)Demonstrate non-sensitizationUnder the conditions of the study, the device is non-sensitizing.Pass: Under the conditions of the study, the device is non-sensitizing.

    2. Sample Size Used for the Test Set and Data Provenance

    • Synthetic Blood Penetration: "32 samples out of 32 pass" and "3 lots" are mentioned. This suggests at least 32 samples per lot were tested, across 3 lots.
    • Other performance tests (Particulate Filtration Efficiency, Bacterial Filtration Efficiency, Differential Pressure): The sample size for these specific tests is not explicitly stated, but averages are provided, indicating multiple samples were tested for each.
    • Biocompatibility (Cytotoxicity, Skin Irritation, Skin Sensitization): The sample size is not explicitly stated.
    • Data Provenance: Not specified, but generally, such tests are conducted by certified testing laboratories commissioned by the manufacturer, Hubei Woozon Healthcare Co.,Ltd., located in China. These are non-clinical in vitro/in vivo tests on the device materials, not clinical data from patients.

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications of Those Experts

    This information is not applicable as the document pertains to the performance testing of a physical medical device (surgical face mask) against established industry standards. There is no diagnostic algorithm or ground truth to be established by experts in the context of this submission. The "ground truth" here is adherence to specified technical standards (e.g., minimum filtration efficiency, maximum differential pressure).

    4. Adjudication Method for the Test Set

    This is not applicable for the reasons stated above. Test results are determined by objective measurements per standard protocols.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done, and its effect size

    This is not applicable. This submission concerns a physical medical device, not an AI-powered diagnostic tool requiring human-in-the-loop performance evaluation.

    6. If a Standalone (i.e. algorithm only without human-in-the-loop performance) was done

    This is not applicable. There is no algorithm for this device.

    7. The Type of Ground Truth Used

    The "ground truth" for this medical device's performance is defined by established international and national standards (e.g., ASTM F2100, ASTM F1862, ASTM F2101, ASTM F2299, ISO 10993 series, EN 14683 Annex C, 16 CFR 1610). The device is tested against these predefined criteria, and its performance is measured directly against those benchmark values.

    8. The Sample Size for the Training Set

    This is not applicable. There is no "training set" in the context of a physical medical device undergoing performance testing.

    9. How the Ground Truth for the Training Set was Established

    This is not applicable for the reasons stated above.

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