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510(k) Data Aggregation

    K Number
    K210391
    Date Cleared
    2021-07-22

    (162 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 Single-use medical face mask is intended to be worn to protect 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, provided nonsterile.

    Device Description

    The Single-use medical face mask is flat pleated style mask, utilizing ear loops way for wearing, and they all has nose clip design for fitting the face mask around the nose. The proposed device(s) are manufactured with three layers, the inner and outer facing layers are made of spunbonded non-woven, and the middle layer is made of melt-blown non-woven the model of proposed device, ear loops, is held in place over the users' mouth and nose by two elastic ear loops welded to the face mask. The elastic ear loops are not made with natural rubber latex. The nose clip contained in the proposed device(s) is in the layers of face mask to allow the user to fit the mask around their nose, which is made of PE coated Tin-plate wire. The proposed device(s) are sold non-sterile and are intended to be single use, disposable device.

    AI/ML Overview

    The provided document describes the FDA 510(k) clearance for a "Single-use medical face mask" (Model: HD0969). The submission focuses on demonstrating substantial equivalence to a predicate device through non-clinical performance testing.

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

    1. Table of Acceptance Criteria and Reported Device Performance

    The device is evaluated against the ASTM F2100 Level 3 standard for medical face masks.

    Test MethodologyPurposeAcceptance Criteria for Level 3Reported Device Performance (Test Results)Meets Criteria?
    Fluid Resistance Performance (mmHg)In order to verify whether the subject equipment meets the performance requirements of ASTM F2100 level 3.Pass at 160mmHgPASS (Average of 3 batch numbers: 160mmHg)Yes
    Particulate Filtration Efficiency (%)In order to verify whether the subject equipment meets the performance requirements of ASTM F2100 level 3.≥ 98%PASS (Average of 3 batch numbers: 98.79%)Yes
    Bacterial Filtration Efficiency (%)In order to verify whether the subject equipment meets the performance requirements of ASTM F2100 level 3.≥ 98%PASS (Average of 3 batch numbers: 99.87%)Yes
    Differential Pressure (mmH2O/cm²)In order to verify whether the subject equipment meets the performance requirements of ASTM F2100 level 3.
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