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510(k) Data Aggregation

    K Number
    K203200
    Date Cleared
    2021-06-16

    (230 days)

    Product Code
    Regulation Number
    878.4040
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Disposable Medical Surgical Face Mask

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Disposable Medical Surgical Face Mask is indicated as a protective nose and mouth covering for healthcare workers and patients involved in medical and surgical procedures. The masks are indicated in any procedure or situation where there is a risk of exposure to microorganisms and body fluids.

    Device Description

    Disposable Medical Surgical Face Mask is a single-use, three layer, flat-folded mask with ear loops and nose piece. The inner and outer layers are constructed of spun-bond polypropylene and the middle layer is constructed of melt blown polypropylene filter. The mask is held in place over the mouth and nose by two elastic loops welded to the facemask. The elastic loops are not made with natural rubber latex. The nose piece is made of malleable polyethylene with aluminum wire and allows the user to fit the facemask around their nose. Disposable Medical Surgical Face Mask is sold non-sterile and is intended to be a single use, disposable device.

    AI/ML Overview

    The provided document describes the acceptance criteria and the study that proves the performance of a Disposable Medical Surgical Face Mask.

    Here's the breakdown of the requested information:

    1. Table of acceptance criteria and the reported device performance

    ItemStandardAcceptance CriteriaReported Device Performance
    Fluid Resistance PerformanceASTM F1862: Standard Test Method for Resistance of Medical Face Masks to Penetration by Synthetic BloodLevel 3: 160 mm HgAll samples met the predetermined acceptance criteria.
    Bacterial Filtration Efficiency (BFE)ASTM F2100-19: Standard Specification for Performance of Materials Used in Medical Face Masks≥ 98%All samples met the predetermined acceptance criteria.
    Differential Pressure (Delta P)ASTM F2100-19: Standard Specification for Performance of Materials Used in Medical Face Masks
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    K Number
    K202211
    Date Cleared
    2020-12-22

    (138 days)

    Product Code
    Regulation Number
    878.4040
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    Disposable Medical Surgical Face Masks

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Disposable Medical Surgical Face Masks are intended to be worn to protect both the patient 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(s), provided non-sterile.

    Device Description

    The Disposable Medical Surgical Face Masks are composed of mask body, nose clip and ear loop. The body of the mask is composed of three layers: the inner and outer layers are made of spun-bond nonwoven fabric, and the middle layer is made of melt blown non-woven fabric. The nose clip is made of PE and iron wire, ear loop is made of Nylon and Spandex. The size of the disposable surgical mask is 17.5*9.5cm with tolerance±1cm, the length of the ear loop is 18cm. The outer layer of disposable surgical mask will be provided in blue, the inner layer of the disposable surgical mask will be provided in white, and it will be provided with non-sterile and is intended to be single use, disposable devices.

    AI/ML Overview

    The provided document describes the acceptance criteria and study results for Disposable Medical Surgical Face Masks (K202211) manufactured by Guangdong Kaidi Garments Co., Ltd. The study focuses on demonstrating substantial equivalence to a predicate device (K153496) through non-clinical testing.

    Here's the breakdown as requested:

    1. Table of Acceptance Criteria and Reported Device Performance

    ItemAcceptance Criteria (Level 2 Medical Mask)Reported Device Performance (K202211)Result
    Fluid Resistance (ASTM F1862)29 out of 32 Pass at 120 mmHg32 out of 32 per lot pass at 120 mmHg, 3 non-consecutive lots testedPASS
    Particulate Filtration Efficiency (ASTM F2299)≥ 98%Lot 1: 99.68%; Lot 2: 99.56%; Lot 3: 99.81% (3 non-consecutive lots tested)PASS
    Bacterial Filtration Efficiency (ASTM F2101)≥ 98%Lot 1: 99.9%; Lot 2: 99.9%; Lot 3: 99.9% (3 non-consecutive lots tested)PASS
    Differential Pressure (Delta P) (EN 14683 Annex C)
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