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510(k) Data Aggregation

    K Number
    K202615
    Date Cleared
    2020-12-31

    (113 days)

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

    When properly worn, the surgical face masks are intended to patient and healthcare workers from transfer of microorganisms, body fluids and particulate matter. This device is non-sterile and for single use only.

    Device Description

    The Nordiwell Medical Face Masks are composed of 3-layers and are flat-pleated. The mask materials consist of an outer layer (polypropylene spunbond, blue), inner layer (polypropylene spunbond white), filter (polypropylene melt-blown, white) and ear-loops. The mask contains a malleable nosepiece to provide a firm fit over the nose and then to secure the mask over the users' mouth and face. The mask is a single use, provided non-sterile. This device is not made from Natural Rubber Latex. Shelf-life of the device is 2 years.

    AI/ML Overview

    The provided text describes the acceptance criteria and the study conducted for the Nordiwell Medical Face Mask (K202615) to demonstrate substantial equivalence to a predicate device. This is a medical device, specifically a surgical face mask, not an AI/ML powered device. Therefore, many of the requested categories in the prompt, such as those related to AI model performance, expert ground truth, adjudication methods, and training/test sets for AI, are not applicable.

    Here's the information that can be extracted from the provided text, focused on the device's physical and performance characteristics:

    1. Table of Acceptance Criteria and Reported Device Performance

    Device: Nordiwell Medical Face Mask (K202615)

    ItemAcceptance CriteriaReported Device PerformanceResult
    Fluid Resistance Performance (ASTM F1862-17)≥29 of 32 pass at 160 mmHg32 of 32 pass at 160 mmHgPass
    Particulate Filtration Efficiency (ASTM F2299-17)≥ 98%> 99.9%Pass
    Bacterial Filtration Efficiency (ASTM F2101-19)≥ 98%> 99.9%Pass
    Differential Pressure (Delta P) (EN 14683:2019, Annex C and ASTM F2100-19)
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