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510(k) Data Aggregation

    K Number
    K202096
    Manufacturer
    Date Cleared
    2021-02-02

    (188 days)

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

    The Following EcoGuard Surgical Masks are intended to be worn to protect both the patient and healthcare personnel from the transfer of microorganisms, body fluids, and particulate material. These surgical masks are intended for use in infection control practices to reduce the potential exposure to blood and bodily fluid. These surgical masks are single use, disposable devices provided non-sterile.

    3-ply EcoGuard B with Earloop, Model Number: ECO01
    3-ply EcoGuard B with Tie-on, Model Number: ECO02

    Device Description

    The proposed surgical masks are available in two models with three-ply pleated earloop or tie-on (EcoGuard B) masks with ear loops and nose piece. The inner and outer layers are made of spunbond polypropylene, and the middle layer is made of melt blown polypropylene filter. The ear loops or ties are held in place over the users' mouth and nose by two elastic ear loops or four ties welded to the surgical mask. Neither the elastic ear loops, nor ties are made with natural rubber latex. The nose piece in the layers of surgical mask is to allow the user to fit the surgical mask around their nose, which is made of malleable polyethylene wire. The surgical masks are sold nonsterile and are intended to be single use, disposable devices.

    AI/ML Overview

    This document is a 510(k) Premarket Notification summary for a surgical mask (EcoGuard B). It assesses the substantial equivalence of the new device to a legally marketed predicate device. The "acceptance criteria" and "study that proves the device meets the acceptance criteria" in this context refer to non-clinical performance and biocompatibility testing, not clinical studies involving human patients or complex AI algorithm evaluation.

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

    1. A table of acceptance criteria and the reported device performance

    TestPurposeAcceptance Criteria per ASTM F2100-11 Level 3 (AQL = 4.0%)Reported Device Performance (EcoGuard B)Average
    ASTM F1862 Synthetic Blood PenetrationDetermine synthetic blood penetration resistanceLevel III (Pass at 160 mmHg)Pass at 160 mmHg (95/96) (32 samples each from 3 lots)N/A
    ASTM F2101 Bacterial Filtration EfficiencyDetermine the bacterial filtration efficiency≥ 98%Pass (96/96) (32 samples each from 3 lots)99.9%
    ASTM F2299 Particulate Filtration Efficiency at 0.1 micronDetermine submicron particulate filtration efficiency≥ 99%Pass (96/96) (32 samples each from 3 lots)99.8%
    Mil-M-36954C Delta P (Breathing Resistance)Determine breathing resistance or differential pressure
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