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510(k) Data Aggregation

    K Number
    K221027
    Date Cleared
    2022-08-12

    (128 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 Isolation Gowns are intended to protect health care patients and health care personnel from the transfer of microorganisms, body fluids and particulate material. Not intended for use in the operating room. In addition, The Isolation Gowns meet the requirements of an AAMI Level 3 barrier protection for an isolation gown per ANSI/AAMI PB70:2012 Liquid Barrier Performance and Classification of Protective Apparel and Drapes Intended for Use in Health Care Facilities (ANSI/AAMI PB70). The Isolation Gowns are a single use, disposable medical non-sterile.

    Device Description

    The Isolation Gown is a surgical isolation gown with moderate barrier protection identified by Regulation 21 CFR 878.4040 under FDA product code, FYC. The Isolation Gown is offered in two colors (yellow and blue) and each color is offered in five sizes (S, M, L, XL and XXL) for a total of ten models. Each model is constructed of a SMS nonwoven material (spunbond +meltblown + spunbond nonwovens) and has been tested according to ANSI/AAMI PB70:2012 Liquid Barrier Performance and Classification of Protective Apparel and Drapes Intended for Use in Health Care Facilities and meets AAMI Level 3. The Isolation Gown is a single use, disposable medical device that will be provided in a variety of non-sterile packaging configurations.

    AI/ML Overview

    The provided text describes the acceptance criteria and the results of non-clinical tests for an Isolation Gown. This is a medical device, specifically protective apparel, and not an AI/ML device. Therefore, the questions related to AI/ML device studies, such as sample size for test/training sets, data provenance, number of experts for ground truth, adjudication methods, MRMC studies, standalone performance, and ground truth types, are not applicable to this document.

    Here's the relevant information based on the provided text for the Isolation Gown (S, M, L, XL, XXL (Yellow, Blue)):

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

    Test ItemTest StandardAcceptance Criteria for Level 3 BarrierResult of Yellow Isolation Gown XXLResult of Blue Isolation Gown XXL
    Water Resistance: Hydrostatic Pressure TestAATCC 127-2018e≥50 cmH2O per standard ANSI/AAMI PB70:2012 for level 3PassedPassed
    Water Resistance: Impact Penetration TestAATCC 42-2017≤1.0g AQL: 4% Level 3 per standard ANSI/AAMI PB70:2012 for level 3PassedPassed
    Breaking Strength and ElongationASTM D 5034-2009 (2017)≥30N(7lbf)PassedPassed
    Tearing StrengthASTM D 5587-2015≥10N (2.3 lbf)PassedPassed
    Seam StrengthASTM D1683/D1683M-2017 (2018)≥30N (7lbf)PassedPassed
    Lint and other particles generation in the dry stateISO 9073-10:2003Reported DataTotal linting: Avg 187; Coeff of linting: Avg 2.3Total linting: Avg 584; Coeff of linting: Avg 2.8
    Thermal and Evaporative ResistanceASTM F 1868-2017Reported DataEvaporative resistance: 0.00217Evaporative resistance: 0.00198
    Flammability Test16 CFR Part 1610Class IPassedPassed
    Mass Per Unit AreaISO 9073-1:1989Reported Data39.5640.62
    Biocompatibility: CytotoxicityISO 10993-5Non-cytotoxicNon-cytotoxicNon-cytotoxic
    Biocompatibility: SensitizationISO 10993-10Non-sensitizingNon-sensitizingNon-sensitizing
    Biocompatibility: IrritationISO 10993-10Negligibly irritatingNegligibly irritatingNegligibly irritating

    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
    The document does not explicitly state the sample sizes for each specific test but indicates that tests were performed on "Yellow Isolation Gown XXL" and "Blue Isolation Gown XXL". The tests are non-clinical, related to material properties of the gown. Data provenance (country of origin, retrospective/prospective) is not provided as this is an evaluation of a physical medical device, not a data-driven model.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)
    Not applicable. This is a physical medical device (isolation gown), not an AI/ML device relying on expert interpretation for ground truth. Ground truth is established by physical and chemical testing standards.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
    Not applicable. This is a physical medical device, not an AI/ML device requiring adjudication of results.

    5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
    Not applicable. This is a physical medical device, not an AI/ML device.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
    Not applicable. This is a physical medical device, not an AI/ML device.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
    The ground truth is based on established international and national standards for performance and safety of protective apparel and medical devices. Specifically:

    • ANSI/AAMI PB70:2012 Liquid Barrier Performance and Classification of Protective Apparel and Drapes Intended For Use In Health Care Facilities (for liquid barrier performance)
    • AATCC 127-2018e (Water Resistance: Hydrostatic Pressure Test)
    • AATCC 42-2017 (Water Resistance: Impact Penetration Test)
    • ASTM D 5034-2009 (2017) (Breaking Strength and Elongation)
    • ASTM D 5587-2015 (Tearing Strength)
    • ASTM D1683/D1683M-2017 (2018) (Seam Strength)
    • ISO 9073-10:2003 (Lint and other particles generation)
    • ASTM F 1868-2017 (Thermal and Evaporative Resistance)
    • 16 CFR Part 1610 (Flammability Test)
    • ISO 9073-1:1989 (Mass Per Unit Area)
    • ISO 10993-1:2018, ISO 10993-5, ISO 10993-10 (Biocompatibility)

    8. The sample size for the training set
    Not applicable. This is a physical medical device, not an AI/ML device that requires a training set.

    9. How the ground truth for the training set was established
    Not applicable. This is a physical medical device, not an AI/ML device that requires a training set with established ground truth.

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    K Number
    K212504
    Date Cleared
    2021-11-07

    (90 days)

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

    The Isolation Gown AAMI Level 3 is intended to protect health care personnel from the transfer of microorganisms, body fluids and particulate material. Not intended for use in the operating room. In addition, the Isolation Gown meets the requirements of an AAMI Level 3 barrier protection for an isolation gown per ANSI/AAMI PB70:2012 Liquid Barrier Performance and Classification of Protective Apparel Drapes Intended for Use in Health Care Facilities(ANSI/AAMI PB70). The Isolation Gown is single use, disposable medical device provided non-sterile.

    Device Description

    Not Found

    AI/ML Overview

    The provided text is related to the FDA 510(k) clearance for an "Isolation Gown AAMI Level 3" and primarily concerns regulatory approval. It does not describe a study involving a device with AI or software components that would typically have acceptance criteria presented in the requested format.

    Therefore, I cannot fulfill the request to describe the acceptance criteria and study proving the device meets them, as the provided text pertains to a physical medical device (an isolation gown) and its regulatory clearance based on AAMI Level 3 barrier protection standards, not a software-driven device.

    The information I can extract directly related to performance and standards is:

    Acceptance Criteria for the Isolation Gown AAMI Level 3:

    Acceptance CriteriaReported Device Performance
    Meets the requirements of an AAMI Level 3 barrier protection for an isolation gown per ANSI/AAMI PB70:2012 Liquid Barrier Performance and Classification of Protective Apparel Drapes Intended for Use in Health Care Facilities (ANSI/AAMI PB70).The device is stated to "meet the requirements of an AAMI Level 3 barrier protection". Specific test results (e.g., impact penetration, hydrostatic pressure according to AAMI PB70) are not detailed in this document but are implied to be satisfactory for clearance.

    The provided document does NOT contain information regarding:

    • Sample size used for the test set or data provenance.
    • Number of experts used to establish ground truth or their qualifications.
    • Adjudication method.
    • MRMC comparative effectiveness study or human reader improvement with AI.
    • Standalone algorithm performance.
    • Type of ground truth used (beyond implying compliance with AAMI PB70 standards, which often involve laboratory testing for physical properties).
    • Sample size for the training set.
    • How ground truth for the training set was established.

    This is because the cleared device is a physical barrier product, not an AI/software as a medical device (SaMD). The assessment for such devices typically involves laboratory testing against established standards (like AAMI PB70) rather than clinical studies with human readers or AI algorithms.

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    K Number
    K960999
    Device Name
    ISOLATION GOWN
    Date Cleared
    1996-12-30

    (293 days)

    Product Code
    Regulation Number
    878.4040
    Reference & Predicate Devices
    N/A
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use
    Device Description
    AI/ML Overview
    Ask a Question

    Ask a specific question about this device

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