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510(k) Data Aggregation

    K Number
    K210445
    Date Cleared
    2021-06-29

    (133 days)

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

    The Nordiwell Medical Face Mask is intended to be worn to protect both patient and healthcare personnel from transfer of microorganisms, body fluids, and particulate matters. These face masks are intended for use in infection control practices to reduce potential exposure to blood and body fluids. This is a single use, disposable device(s) and provided non-sterile.

    Device Description

    The Nordiwell Medical Face Mask has a flat-folded design consisting of three layers that are comprised of an (polypropylene spunbond) inner and outer cover web and (polypropylene melt blown) filter web. The mask has earloops or tie strings to secure the mask over the users' mouth and face and includes a malleable nosepiece to provide a firm fit over the nose. This is a single use, disposable device, provided non-sterile.

    AI/ML Overview

    This document is a 510(k) Premarket Notification for a medical face mask. It does not describe an AI/ML powered medical device, but rather a physical product. Therefore, many of the requested criteria regarding AI/ML model evaluation (e.g., training set, ground truth acquisition, MRMC studies, standalone performance with human-in-the-loop, number of experts for ground truth) are not applicable.

    However, I can extract the acceptance criteria and performance data for this physical medical device from the provided text.

    Here's the information based on the provided document:

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

    Test ItemAcceptance CriteriaReported Device PerformanceStudy Conclusion
    Fluid Resistance Performance (ASTM F1862-17)≥ 29 of 32 pass at 120 mmHg31 of 32 pass at 120 mmHgPass
    Particulate Filtration Efficiency (ASTM F2299-17)≥ 98%99.9%, 32 of 32 passPass
    Bacterial Filtration Efficiency (ASTM F2101-19)≥ 98%99.9%, 32 of 32 passPass
    Differential Pressure (Delta P) (EN 14683:2019, Annex C and ASTM F2100-19)
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