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510(k) Data Aggregation

    K Number
    K211165
    Date Cleared
    2021-11-09

    (204 days)

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

    The "MEDICAL FACE MASKS " is intended to be worn to protect and healthcare personnel from the transfer of microorganisms, body fluids and particulate material. The 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 nonsterile.

    Device Description

    The "MEDICAL FACE MASKS" is single use, white color, without face shield, Flat Pleated type, utilizing elastic ear loops for wearing, and it has a Nose Piece design for fitting the facemask around the nose. The surgical face masks are manufactured with three layers. The inner and outer layers are made of Spunbond fabric (Polypropylene), and the middle filter layer is made of a meltblown fabric (Polypropylene). The subject device is held in place over the user's mouth and nose by two ear loops welded to the facemask. The elastic ear loop is made of Polyester and Spandex. The nose piece contained in masks is in the layers of the facemask to allow the user to fit the facemask around their nose, which is made of polyethylene. The "MEDICAL FACE MASKS" is sold non-sterile and are intended to be single-use, disposable devices. This product contains no components made with natural rubber latex.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the "MEDICAL FACE MASKS, Model Name: MY020003" based on the provided FDA 510(k) summary:

    1. Table of Acceptance Criteria and Reported Device Performance

    Test ItemTest MethodAcceptance CriteriaReported Device Performance
    Performance Tests:
    Bacterial Filtration Efficiency (BFE)ASTM F2101-19≥98%32 pass / 32 tested Accepted
    Particulate Filtration Efficiency (PFE)ASTM F2299-03 (2017)≥98%32 pass / 32 tested Accepted
    Differential Pressure (ΔP)EN 14683:2019+AC (2019)(E), Annex C<6.0 mm H₂O/cm²32 pass / 32 tested Accepted
    Synthetic Blood Penetration ResistanceASTM F1862M-17120 mmHg32 pass / 32 tested Accepted
    Flammability16 CFR Part 1610 (As Amendment In 2008)(A) There are no burn times; or(B) There is only one burn time and it is equal to or greater than 3.5 seconds; or(C) The average burn time of two or more specimens is equal to or greater than 3.5 seconds.Class 1 (indicating it meets the criteria for low flammability)
    Biocompatibility Tests:
    In Vitro CytotoxicityISO 10993-5:2009Cell viability reduced to <70% of the blank indicates cytotoxic potential. The 50% extract of the test article should have at least the same or a higher viability than the 100% extract.Under the conditions of the test, the test article was found to be non-cytotoxic.
    Skin SensitizationISO 10993-10:2010Magnusson and Kligman grades of 1 or greater in the test group generally indicate sensitization, provided grades of less than 1 are seen in control animals. If grades of 1 or greater are noted in control animals, then the reactions of test animals which exceed the most severe reaction in control animals are presumed to be due to sensitization.Under the conditions of the test, the test article was found to be non-sensitizing.
    Skin IrritationISO 10993-10:2010 (using New Zealand white Rabbits)Calculated based on erythema and edema grades at 24h, 48h, and 72h observations.Under the conditions of the test, the test article was found to be non-irritating (implied, as it states "non-" and the criteria leads to this conclusion. The table cuts off the full result, but based on the overall conclusion, it passed).

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

    • Sample Size for Performance Tests: For BFE, PFE, Differential Pressure, and Synthetic Blood Penetration Resistance, the reported sample size is 32 samples (indicated by "32pass/32tested"). For Flammability, the number of specimens is not explicitly stated but implied to be sufficient for 16 CFR Part 1610 testing (which typically involves multiple specimens).
    • Sample Size for Biocompatibility Tests: The documentation does not specify the exact number of L-929 cells for cytotoxicity, guinea pigs for skin sensitization, or New Zealand white Rabbits for skin irritation. It describes the test methods from the ISO standards, which define typical sample sizes.
    • Data Provenance: The document does not explicitly state the country of origin of the data or whether it was retrospective or prospective. However, given that it is a 510(k) submission for a Chinese manufacturer (Huizhou Jie Bai Purification Co.,Ltd. in Huizhou, Guangdong, China), it can be inferred that the testing was likely conducted in China, often by contract research organizations (CROs) that adhere to international standards. These tests are part of a regulatory submission, so they are inherently prospective for the purpose of demonstrating device safety and effectiveness.

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

    This section is not applicable to this type of device and study. The "Medical Face Masks" is a physical product, and its performance and biocompatibility are evaluated through standardized laboratory tests (e.g., ASTM, EN, ISO standards), not through expert consensus on diagnostic interpretations. The "ground truth" for these tests is the objective measurement of physical and biological properties against defined standards.

    4. Adjudication Method (e.g. 2+1, 3+1, none) for the Test Set

    This is not applicable. Adjudication methods like 2+1 or 3+1 are typically used in studies involving human interpretation (e.g., radiology studies) where an agreement between multiple readers is required to establish a ground truth when a definitive external standard (like pathology) is unavailable. For medical device performance testing, the results are objectively measured according to the specified test methods.

    5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    This is not applicable. This submission details the performance and biocompatibility of a medical face mask, which is a physical barrier device. It does not involve any AI components, human readers, or diagnostic interpretation, therefore, an MRMC comparative effectiveness study is not relevant.

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

    This is not applicable. As stated, the device is a medical face mask, not an algorithm or AI-powered system.

    7. The Type of Ground Truth Used (expert consensus, pathology, outcomes data, etc.)

    The "ground truth" for the performance and biocompatibility of this device is established by objective measurements and observations against pre-defined scientific and regulatory standards. For example:

    • Performance: Measured values (e.g., BFE %, PFE %, ΔP, blood penetration resistance) are compared directly to the numerical acceptance criteria specified in the ASTM and EN standards. Flammability is observed and categorized based on burn times.
    • Biocompatibility: Cell viability, skin reactions (erythema, edema), and sensitization responses are observed and categorized according to the methodologies and criteria outlined in the ISO 10993 standards and then compared to the acceptance criteria to determine "non-cytotoxic," "non-sensitizing," and "non-irritating."

    8. The Sample Size for the Training Set

    This is not applicable. The device is not an AI algorithm or a trainable system. Therefore, there is no "training set."

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

    This is not applicable because there is no training set.

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