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510(k) Data Aggregation

    K Number
    K210487
    Date Cleared
    2021-03-16

    (25 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 Disposable 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 subject device is a Blue color and Flat Pleated type mask, utilizing the Ear Loops for wearing, and has Nose Piece design for fitting the facemask around the nose. The subject device is manufactured with three layers, the inner and outer layers are made of spunbond polypropylene, and the middle layer is made of melt blown polypropylene filters. The subject device is held in place over the users' mouth and nose by two elastic ear loops welded to the facemask. The elastic ear loops are not made with natural rubber latex. The nose piece contained in the subject device is in the layers of facemask to allow the user to fit the facemask around their nose, which is made of metal core plastic (aluminum metal core inside of polypropylene). The subject device is sold non-sterile and is intended to be single use, disposable device.

    AI/ML Overview

    The provided document describes the performance of a MIPLNI YK-244 Disposable Surgical Mask based on non-clinical performance testing. It does not contain information about a study proving that an AI device meets acceptance criteria. Therefore, most of the requested information regarding AI device studies cannot be extracted from this document.

    However, I can provide the acceptance criteria and reported device performance for the surgical mask.

    1. Table of Acceptance Criteria and Reported Device Performance (for the surgical mask):

    Test ItemStandardsAcceptance CriteriaReported Device Performance (Results)
    Dimensions-Mask Layer: Length: 17.5cm±0.5cm, Width: 9.5cm±0.5cmPass
    Nose Piece: 3mm x 105 mm x 0.5mmPass
    Ear loop: 2.8mm in diameter, 195mm in lengthPass
    ASTM F2100 LevelASTM F2100-19Level 3Pass
    Fluid Resistance PerformanceASTM F186232 out of 32 pass at 160 mmHgPass
    LOT #YKWK20201108: 32/32 at 160 mmHg
    LOT #YKWK20201111: 32/32 at 160 mmHg
    LOT #YKWK20201120: 32/32 at 160 mmHg
    Particulate Filtration Efficiency (PFE)ASTM F2299≥ 98%Pass
    LOT #YKWK20201108: 32/32 99.9% ±0.1%
    LOT #YKWK20201111: 32/32 99.9% ±0.1%
    LOT #YKWK20201120: 32/32 99.9% ±0.1%
    Bacterial Filtration Efficiency (BFE)ASTM F2101≥ 98%Pass
    LOT #YKWK20201108: 32/32 99.9%
    LOT #YKWK20201111: 32/32 99.9%
    LOT #YKWK20201120: 32/32 99.9%
    Differential Pressure (Delta P)EN 14683:2019+AC:2019 Annex C
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