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510(k) Data Aggregation

    K Number
    K210321
    Manufacturer
    Date Cleared
    2022-03-29

    (418 days)

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

    The Dukal Level 1 Pediatric Face Masks are intended to be worn by the patient/child to cover the nose and mouth to provide a barrier for the respiratory tract from microorganisms, body fluids, and particulate material. Recommended ages are 4-12. The face mask is specifically for use with patients whose age or illness may prevent them from taking necessary precautions in situations where transfer of microorganisms, body fluids, and particulates can occur. The face masks are recommended for use in a healthcare setting with appropriate adult supervision. The Dukal Level 1 Pediatric Face Masks are single use, disposable devices that are provided non-sterile.

    Device Description

    Pediatric face masks are intended to be worn by the patient/child to cover the nose and mouth to provide a barrier for the respiratory tract from microorganisms, body fluids, and particulate material. The mask is available in the following product sizes: Regular Size (14.5x9cm) and Extra Small Size (12.5x8cm). The Dukal Level 1 Pediatric Face Mask (both sizes) are composed of three layers of materials and pleated to form the mask. The inner layer is composed of Polypropylene (Spunbond), the middle layer is Polypropylene (Meltblown) filter material, and the outer layer is polypropylene (Spunbond). The masks (both sizes) are held in place on wearer with knitted polyester/spandex elastic ear loop and contain a malleable aluminum nosepiece strip. The masks (both sizes) have decorative patterns, printed with colored inks.

    AI/ML Overview

    This document describes the performance testing for the Dukal Level 1 Pediatric Face Mask. The device is a medical face mask and the acceptance criteria and performance are based on established standards for such devices.

    Here's the breakdown of the acceptance criteria and the study that proves the device meets them:

    1. Table of Acceptance Criteria and Reported Device Performance

    The device performance is compared to the requirements specified by various test standards, primarily ASTM F2100-19 Level 1 requirements for medical face masks.

    Test ItemTest Standard MethodsTest RequirementsSubject Device Dukal Level 1 Pediatric Face Masks (meets ASTM F2100-19 Level 1 requirements)Remark
    Bacterial Filtration Efficiency Performance (BFE) (%)ASTM F2101≥95%>99%Meets requirement
    Particulate Filtration Efficiency Performance (PFE) (%)ASTM F2299≥95%>99%Meets requirement
    Differential Pressure (Delta-P) (mm H2O/cm²)EN 14683<5.0≤3.1mmH2O/cm²Meets requirement
    Fluid Resistance Performance (mmHg)ASTM F186280 mmHgPassed at 80 mmHgMeets requirement
    Flammability16 CFR part 1610Class I No Flame SpreadClass I No Flame SpreadMeets requirement
    BiocompatibilityISO 10993-5, ISO 10993-10- Under the conditions of the study, the device does not show cytotoxicity potential.- Under the conditions of the study, the irritation response category of the device is classified as Negligible.- Under the conditions of the study, the device shows no significant evidence of causing skin sensitization.- Under the conditions of the study, the device did not show cytotoxicity potential.- Under the conditions of the study, the irritation response category of the device was classified as Negligible.- Under the conditions of the study, the device showed no significant evidence of causing skin sensitization.Meets requirement
    Mechanical Hazards (Small parts, sharp edges, and sharp points)ASTM F963-17 (sec. 4.6, 4.7, and 4.9), 16 CFR Part 1500, 16 CFR Part 1501Pass under requirements for CPSIA Section 106 ASTM F963-17 Mechanical Hazards: under As received, Normal Use, Impact, Torque, and Tension conditionsPassMeets requirement
    Total Lead Content AnalysisCPSC-CH-E1002-08.3 & CPSC-CH-E1001-08.3Each accessible component shall not contain more than 100 ppm of lead in children's products.PassMeets requirement
    Phthalate AnalysisCPSC-CH-C1001-09.4Children's toy or child care article does not contain phthalate concentrations of more than 0.1 percent (1000 ppm) in plasticized components.PassMeets requirement
    Safety of Toys – Migration of certain elementsEN 71-3The migration of elements from toy materials shall not exceed the limits for restricted elements.PassMeets requirement

    2. Sample Size Used for the Test Set and Data Provenance

    The document does not explicitly state the sample sizes used for each specific test (e.g., number of masks tested for BFE). However, the testing conducted is standard for medical devices and typically follows the sample size requirements prescribed by the referenced ASTM, ISO, EN, and CFR standards.

    The data provenance is from non-clinical testing conducted according to recognized international and US standards. The data is prospective in the sense that the tests were performed specifically for this device to assess its performance against predefined criteria. The location of the testing is not specified, but these are generally conducted by certified third-party laboratories.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications

    This submission is for a medical face mask, and "ground truth" as typically defined for AI/ML models (e.g., expert consensus on medical images) is not applicable here. The "ground truth" for the test set is established by the specified performance requirements of the referenced international and national standards (ASTM, ISO, EN, CFR). These standards are developed by committees of experts in relevant fields (materials science, microbiology, toxicology, engineering, etc.).

    4. Adjudication Method for the Test Set

    Not applicable. The tests are laboratory-based and yield quantitative results against pre-defined thresholds. There is no human interpretation or adjudication in the traditional sense of medical image analysis for AI/ML.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

    No. An MRMC study is relevant for evaluating the impact of AI on human reader performance in diagnostic tasks, typically involving medical imaging. This submission concerns a physical medical device (face mask) and its material properties and safety, not an AI/ML diagnostic algorithm.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was done

    Yes, in a conceptual sense. The performance tests reported are for the device itself ("algorithm only" performance in a metaphorical sense), independent of human use or interpretation during the test. The tests measure the intrinsic properties of the mask.

    7. The Type of Ground Truth Used

    The ground truth used is the performance specifications and safety limits defined by established industry and regulatory standards (e.g., ASTM F2100-19 for masks, ISO 10993 for biocompatibility, etc.). These standards are based on scientific evidence and consensus among experts to ensure the safety and efficacy of medical devices.

    8. The Sample Size for the Training Set

    Not applicable. This is not an AI/ML device that requires a training set. The device is a physical product whose performance is assessed through laboratory testing.

    9. How the Ground Truth for the Training Set was Established

    Not applicable, as this is not an AI/ML device.

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