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510(k) Data Aggregation

    K Number
    K211097
    Manufacturer
    Date Cleared
    2021-09-22

    (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 Banyan USA Surgical Mask Level 3 is intended to be worn to protect both the patient and healthcare personnel from transfer of microorganism, body fluids, and particulate materials. This face mask are intended for use in infection control practices to reduce potential exposure to blood and body fluids. the face mask is single use, disposable device, provided non-sterile.

    Device Description

    The Banyan USA Surgical Mask is composed of three-layers which are flat-pleated and ultrasonically welded together at the edges of the mask at embossment points. The mask materials consist of an outer layer (polypropylene spunbond, white), filter layer (polypropylene melt-blown, white) and inner layer web (polypropylene thermal-bonded, white (22 GSM Thermal Bond White Material)). Each mask has two ear loops ultrasonically welded onto the sides to secure the users' nose and mouth. The construction also includes a polyethylene wire nosepiece to provide a firm fit over the nose. The mask is a single use, disposable device, provided non-sterile.

    AI/ML Overview

    The provided document is a 510(k) summary for the Banyan USA Surgical Mask Level 3. It details non-clinical laboratory testing performed to demonstrate substantial equivalence to a predicate device, rather than a study with human subjects (clinical study) for an AI/CADe device. Therefore, many of the requested criteria regarding AI device studies are not applicable.

    Here's the information that can be extracted and a clear indication of which points are not applicable:

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

    TestPurposeAcceptance Criteria (ASTM F2100-11 Level 3)Reported Device Performance (Banyan USA Surgical Mask Level 3)Result
    Fluid Resistance (ASTM F1862)Determine synthetic blood penetration resistance160 mmHgPass at 160 mmHgPass
    Particulate Filtration Efficiency (ASTM F2299)Determine bacterial filtration efficiency≥ 98%98.69%Pass
    Bacterial Filtration Efficiency (ASTM F2101)Determine submicron particulate filtration efficiency≥ 98%99.22%Pass
    Differential Pressure (Delta P) (EN 14683:2019)Determine breathing resistance or differential pressure
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