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510(k) Data Aggregation

    K Number
    K955557
    Date Cleared
    1996-04-25

    (142 days)

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

    This product is intended for use in infection control practices to minimize contamination caused by exhaled microorganisms and reduce the potential exposure of the wearer to blood and body fluids.

    Device Description

    The Fluid Resistant Eyeshield Masks are constructed of a light weight spunbonded polyolefin or cellulosic outer facing, a meltblown polyolefin filter media, and a light weight spunbonded polyolefin or cellulosic inner facing. The three layers of the mask body are collated and sonically welded around the edges to enclose the filter media. The bodies have either light weight polyolefin or cellulosic nonwoven material sonically welded or otherwise attached to both sides of the body (ties on the surgeons tie masks) or polyolefin/elastic earloops sonically welded or otherwise attached to both sides of the body. The masks have a malleable aluminum wire encapsulated in the facing to form the mask to fit the nose. An optical quality eyeshield is attached to the mask by ultrasonic welding.

    AI/ML Overview

    This 510(k) summary describes a Fluid Resistant Eyeshield Mask and its equivalence to existing predicate devices. The "acceptance criteria" here refers to the performance standards that demonstrate the new device is as safe and effective as the predicate devices. The "study" refers to the testing conducted to show this equivalence.

    Here's the breakdown of the requested information:

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are implied by the comparison to predicate devices and the performance of those devices. The document does not explicitly state numerical "acceptance criteria" but rather presents test results for both the new device and a predicate device (Tecnol Fluid Resistant Mask) to show similar or better performance. The 3M predicate device is only listed, not elaborated on in the test results.

    Performance MetricImplied Acceptance Criteria (Based on Tecnol Predicate)American Threshold Device Performance
    Water Resistance (Impact Penetration Test)≤ 49.33% average blotter weight increase (Tecnol, Study 1)2.64% (Study 1), 9.15% (Study 2)
    ≤ 2.99% average blotter weight increase (Tecnol, Study 2)
    Differential Pressure (Breathability)Average around 1.99 - 2.68 (Tecnol, Study 1 & 2)2.19 (Study 1), 2.54 (Study 2)
    Latex Particle Challenge (Filtration Efficiency)No explicit numbers for Tecnol are given for particle challenge, but the claim "filter particles at an average efficiency of greater than 95% when tested at both 1.0 micron and 0.1 micron particle sizes" from the device description implies this is the target.Polyolefin Inner Facing:
    • 1.0 micron: 99.3%
    • 0.1 micron: 98.4%
      Cellulosic Inner Facing:
    • 1.0 micron: 99.2%
    • 0.1 micron: 99.2% |

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

    The document does not explicitly state the sample size used for each specific test (e.g., how many masks were tested for water resistance, differential pressure, or particle challenge).

    The data provenance is from Nelson Laboratories SOPs, which suggests these were laboratory-based tests. There is no information provided about the country of origin of the data or whether it was retrospective or prospective in the context of clinical use. These are material science tests, not clinical studies.

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

    N/A. This is a medical device focused on material properties and physical performance, not diagnostic accuracy where expert ground truth establishment is typically required. The "ground truth" for these tests comes from standardized laboratory procedures and instrument readings.

    4. Adjudication Method for the Test Set

    N/A. Adjudication methods like 2+1 or 3+1 are typically used in clinical studies involving human interpretation or subjective assessments. These tests are objective, quantitative laboratory measurements.

    5. If a Multi Reader Multi Case (MRMC) Comparative Effectiveness Study Was Done

    No. This is not an imaging or diagnostic device that would typically involve a multi-reader multi-case study. The evaluation focuses on the physical performance of the mask.

    6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done

    N/A. This is not an algorithm or AI-driven device.

    7. The Type of Ground Truth Used

    The "ground truth" for these tests is the quantitative measurement obtained through standardized laboratory procedures:

    • Water Resistance: Measured by the percentage increase in blotter weight after water exposure.
    • Differential Pressure: Measured pressure drop across the material.
    • Latex Particle Challenge: Measured filtration efficiency of particles at specified micron sizes.

    8. The Sample Size for the Training Set

    N/A. There is no "training set" in the context of material performance testing for this type of device.

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

    N/A. No training set is applicable.

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