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510(k) Data Aggregation

    K Number
    K202565
    Date Cleared
    2020-12-02

    (89 days)

    Product Code
    Regulation Number
    880.2800
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Serim Research Corporation

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

    When properly worn, the surgical face masks are intended to patient and healthcare workers from transfer of microorganisms, body fluids and airborne particles. This device is non-sterile and for single use only.

    Device Description

    The surgical face mask is a non-sterile, single use, three-layer, flat, pleated style with ear loops and a nose piece. The outer and inner layers are spunbond polypropylene, and the middle layer consists of melt-blown polypropylene filter. Each mask is secured to the face with ear loops with a nosepiece to conform the mask to the shape of the nose.

    AI/ML Overview

    This document describes the validation of a surgical face mask. As such, the concept of "AI assistance for human readers" or "ground truth established by experts with many years of experience" is not applicable in the context of device performance testing for such simple medical devices. The evaluations are based on standardized physical and biological tests against established criteria.

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

    1. Table of Acceptance Criteria and Reported Device Performance

    TestAcceptance CriteriaReported Device Performance
    Fluid Resistance (ASTM F1862)29 out of 32 pass at 120 mm Hg31 out of 32 pass at 80 mm Hg
    30 out of 32 pass at 120 mm Hg
    Particulate Filtration Efficiency (ASTM F2299)≥ 98%98.8%
    Bacterial Filtration Efficiency (ASTM F2101)≥ 98%> 99.9%
    Differential Pressure (MIL- M-36954C)
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    K Number
    K192445
    Date Cleared
    2020-04-02

    (209 days)

    Product Code
    Regulation Number
    880.2800
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Serim Research Corporation

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

    The QwikCheck™ Chemical Indicator is a chemical indicator for use in determining whether the concentration of peracetic acid, the active ingredient in CS Medical's TD-12 Solution, is above or below the manufacturer's established Minimum Recommended Concentration (MRC) of 1750 ppm.

    Device Description

    The device is a qualitative, single use, reagent chemical indicator made up of a 0.20-inch square indicator pad that has been chemically treated to detect peracetic acid above or below the Minimum Recommended Concentration. The indicator pad is affixed to one end of a 3.25 inch by 0.20-inch white opaque plastic handle.

    AI/ML Overview

    The QwikCheck™ Chemical Indicator is a qualitative chemical indicator designed to determine if the concentration of peracetic acid (PAA) in CS Medical's TD-12 Solution is above or below the Minimum Recommended Concentration (MRC) of 1750 ppm.

    Here's an analysis based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    StudyAcceptance CriteriaReported Device Performance
    Dynamic RangeNegative response at concentrations at or below MRC, positive responses at higher concentrations.100% FAIL results at and below the MRC and PASS results above the MRC.
    Instructions for Use ValidationNegative response at concentrations at or below MRC, positive responses at higher concentrations.Acceptable performance with an immediate dip/removal from solution time, a 5 ± 1 second side blot time, a time to blot of ≤ 1 second, and a 30 ± 5 second read time. 100% FAIL results at and below the MRC and PASS results above the MRC.
    Closed Bottle Shelf-Life StabilityMet specifications after storage of labeled shelf life of 12 months (unopened).Acceptable performance out to a minimum 15 months shelf-life from ambient room temperature up to 32°C, with data collection ongoing. 100% FAIL results at and below the MRC and PASS results above the MRC. A conservative 12-month shelf-life is claimed.
    Open Bottle Use-Life StabilityMet specification for 3 months (opened).Acceptable performance out to a minimum 5 months open bottle use-life, with data collection ongoing. 100% FAIL results at and below the MRC and PASS results above the MRC. A conservative 3-month open bottle use-life is claimed.
    Comparative Sensitivity and SpecificityComparative sensitivity and specificity of 1 (implicitly 100% agreement with predicate).Comparative sensitivity of 100% and comparative specificity of 100% was found for both devices (QwikCheck and predicate). There was 100% overall agreement with values for prepared samples in both cases.
    Analytic Specificity - BioburdenNegative response at concentrations at or below MRC, positive responses at higher concentrations (when challenged with bioburden).100% FAIL results at and below the MRC and PASS results above the MRC even with the presence of fetal bovine serum (bioburden).
    Analytic Specificity – Other Disinfectants100% FAIL results for all conditions tested when exposed to other disinfectants (i.e., not reacting to other disinfectants).100% FAIL results for all conditions tested when exposed to hydrogen peroxide and sodium hypochlorite, indicating no false positives due to other disinfectants.

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

    The document does not explicitly state the specific sample sizes used for each test set within the "Summary of Non-Clinical Performance Data." It indicates that the performance was evaluated "in a range of concentrations below, at, and above the MRC" and that "data collection [is] ongoing" for stability studies. The provenance of the data is not specified (e.g., country of origin). The studies are non-clinical, meaning they were conducted in a laboratory setting. The data appears to be prospective in nature, as tests were performed to evaluate the device's performance under various conditions.

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

    The document does not mention the use of human experts to establish ground truth for the test set. Given that this is a chemical indicator designed for objective colorimetric assessment of peracetic acid concentration, the ground truth would likely be established through precise chemical analytical methods (e.g., spectrophotometry, titration) to determine the exact PAA concentration in the prepared solutions.

    4. Adjudication Method for the Test Set

    No adjudication method for the test set is mentioned, as human interpretation and multi-reader review are not applicable to the evaluation of a chemical indicator. The device's output (color change indicating PASS/FAIL) is compared directly against the known chemical concentration.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

    No. An MRMC comparative effectiveness study was not done. This type of study is typically used for diagnostic imaging or other human-interpreted medical devices where the variability of human perception is a factor. The QwikCheck Chemical Indicator is a passive device with a direct chemical reaction indicating a result.

    6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done

    Yes, the studies conducted are standalone evaluations of the chemical indicator's performance. The "device performance" refers to the indicator's ability to accurately change color (PASS/FAIL) in response to specific PAA concentrations, without human intervention in determining the PAA concentration itself (which is the ground truth from chemical analysis). The "read time" and "blot time" mentioned in the Instructions for Use Validation refer to user interaction, but the core performance being validated is the chemical reaction of the indicator.

    7. The Type of Ground Truth Used

    The ground truth used for performance evaluation is based on known chemical concentrations of peracetic acid in TD-12 Solution. These concentrations are precisely prepared "below, at, and above the MRC" (1750 ppm). For example, a solution known to be below 1750 ppm should result in a "FAIL" indication, and a solution known to be above 1750 ppm should result in a "PASS" indication.

    8. The Sample Size for the Training Set

    The document does not specify a "training set" or "sample size for the training set." Chemical indicators are typically developed through chemical formulation and optimization, rather than machine learning algorithms that require distinct training sets. The studies described are performance validation studies, not training exercises.

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

    Since there is no mention of a training set for an algorithm, the concept of establishing ground truth for a training set is not applicable here. The ground truth for validating the device's accuracy would have been established through analytical chemistry methods to create solutions with verified concentrations of peracetic acid.

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