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510(k) Data Aggregation

    K Number
    K210101
    Manufacturer
    Date Cleared
    2022-01-26

    (377 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 Armbrust American made Surgical Mask, model AA-US-SURGICAL-01 is intended to be worn by adults to protect both the patient and healthcare personnel from transfer of microorganisms, body fluids and particulate material within a professional healthcare environment. These surgical 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(s), provided non-sterile. For adult use.

    Device Description

    The USA-Made Surgical Mask, model number AA-US-SURGICAL-01, is an adult sized surgical mask with earloops that is designed to cover the user's nose and mouth and provides a physical barrier to fluids and particulate materials. The USA-Made Surgical Mask is composed of threelayers and features flat pleats. The three layers are comprised of a blue in color fluid resistant polypropylene spunbond (outer layer), electrostatically charged polypropylene meltblown layer for filtration (middle layer), and an additional fluid resistant polypropylene spunbond (inner layer). A malleable nose wire is used in the top of the mask to achieve a proper fit for individuals. The USA-Made Surgical Mask is a single use, disposable device that is provided non-sterile. The surgical mask conforms to ASTM F2100-19, providing a level 3 barrier.

    AI/ML Overview

    The provided document is a 510(k) summary for a surgical mask (Armbrust American Made Surgical Mask, model AA-US-SURGICAL-01). It outlines the device's technical specifications and performance testing results to demonstrate substantial equivalence to a predicate device, rather than a study proving an AI/ML medical device meets acceptance criteria.

    Therefore, many of the requested details about acceptance criteria and study design for an AI/ML clinical study (e.g., sample size for test set, data provenance, number of experts, adjudication methods, MRMC studies, standalone performance, training set details) are not applicable to this document. This document describes the physical and performance characteristics of a surgical mask, not the performance of an algorithm.

    However, I can extract the acceptance criteria and performance data for the surgical mask based on the provided tables.

    Acceptance Criteria and Device Performance (Surgical Mask)

    Item TestedTest MethodPurposeAcceptance CriteriaReported Device Performance
    AA-US-SURGICAL-01ASTM F1862Fluid Resistance to Synthetic Blood160 mmHgNo penetration at 160 mmHg
    AA-US-SURGICAL-01ASTM F2299Particulate Filtration Efficiency>98%Average 99.48%
    AA-US-SURGICAL-01ASTM F2101Bacterial Filtration Efficiency>98%Average 99.4%
    AA-US-SURGICAL-01ASTM F2100Differential Pressure
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