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510(k) Data Aggregation

    K Number
    K210518
    Date Cleared
    2021-06-14

    (111 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 Surgical Face Mask is intended for single use by operation room personnel and other general healthcare workers to protect both patients and healthcare workers against transfer of microorganisms, blood and body fluids, and particulate materials.

    Device Description

    The proposed device, Surgical Face Mask is a three-layer, single-use, flat-pleated mask. The mask body is made of 25g/m² PP non-woven cloth. The mask contains tie strings or ear loops to secure the mask over the users' mouth and face and includes a nosepiece to provide a firm fit over the nose. Ear loops are made of Nylon and Spandex, and tie strings are made of 25g/m² PP non-woven cloth. The nose clip which is made of high-density polyethylene and Galvanized wire. The device is provided in sterile.

    AI/ML Overview

    This document is a 510(k) Premarket Notification for a Surgical Face Mask. The request asks for details about acceptance criteria and a study proving the device meets those criteria, typically found in AI/ML medical device submissions. However, this document is for a physical medical device (a surgical face mask), not an AI/ML device. Therefore, many of the requested categories (like number of experts for ground truth, MRMC studies, training set details, etc.) are not applicable and are not present in the provided text.

    This document focuses on the performance of the surgical face mask based on established ASTM and ISO standards for biocompatibility and barrier protection.

    Here's a breakdown of the available information based on your request, with a clear indication of what is not applicable for this type of device submission:

    1. Table of Acceptance Criteria and Reported Device Performance

    The document provides two tables: "Table 1 Summary of Biocompatibility Test Results" and "Table 2 Summary of Performance Testing".

    Table 1: Summary of Biocompatibility Test Results

    Test/PurposeTest Method/StandardAcceptance CriteriaResult
    In Vitro Cytotoxicity TestISO 10993-5: 2009Reduction of cell viability shall be not more than 30%.Passed: No Cytotoxicity Observed
    Skin Sensitization TestISO 10993-10: 2010The skin reactions grades shall be less than 1.Passed: No Skin Sensitization Observed
    Skin Irritation TestISO 10993-10: 2010The irritation response category shall be slight or less.Passed: No Skin Irritation Observed

    Table 2: Summary of Performance Testing (for Level 2 Mask - as per ASTM F2100-19)

    Performance Test/PurposeTest StandardAcceptance CriteriaTest Results (Lot #1)Test Results (Lot #2)Test Results (Lot #3)
    Bacterial FiltrationASTM F2101-2019Level 2: >98%MIN: 98.99% AVG: 99.53%MIN: 98.46% AVG: 99.10%MIN: 98.36% AVG: 99.2%
    Differential PressureEN 14683 Annex CLevel 2: 98%MIN: 98.99% AVG: 99.58%MIN: 98.30% AVG: 99.25%MIN: 98.45% AVG: 99.11%
    Resistance to PenetrationASTM F1862/F1862M-17Level 2: 120 mmHgPass at 120 mmHgPass at 120 mmHgPass at 120 mmHg
    Seal strength of immediate packageASTM F88/F88M-15Seal strength >= 2N/15mmMIN: 2.2 AVG: 3.04MIN: 3.2 AVG: 3.54MIN: 2.2 AVG: 2.9
    Seal leak of immediate packageASTM F1929-15No apparent solution channel through the whole seal edge in the whole seal areaNoNoNo
    EO ECH ResidueISO 10993-7:2008EO residue
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