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510(k) Data Aggregation

    K Number
    K063013
    Manufacturer
    Date Cleared
    2006-12-01

    (60 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 Pleats Plus ™ 1054 and 1054S N95 Respirators and Surgical Masks are intended for single use by operating room personnel and other health care workers to protect both the patients and the health care workers from transfer of microorganisms, blood and body fluids, and airborne particulate materials. This includes use as a procedure mask, isolation mask or dental face mask. This device also meets CDC Guidelines for TB Exposure Control.

    Device Description

    These masks are pleated, 3-ply masks, with a center layer of polypropylene meltblown material sandwiched by inner and outer layers of nonwoven material. The mask has 2 braided synthetic elastic headbands and a flexible wire tie nosepiece that allows the respirator to form to the bridge of the wearers nose. No fiberglass media is used in this product.

    AI/ML Overview

    The Abbreviated 510(K) for Aearo Company Pleats Plus™ 1054 and 1054S Surgical N95 Respirators (K063013) describes the acceptance criteria and the studies performed to demonstrate that the device meets these criteria.

    1. Table of Acceptance Criteria and Reported Device Performance

    Performance CharacteristicsTest MethodAcceptance Criteria / Predicate Device ResultsReported Device Performance (Pleats Plus 1054 and 1054S)
    Fluid Resistance PerformanceASTM 1862-00a @ 120mmHg29 of 32 to pass / PASSPASS
    Flammability Class21 CFR part 58Flame spread must be within upper and lower control limits / No flame spread on 10 of 10 samples, meets Class INo flame spread on 10 of 10 samples, meets Class I
    Filter EfficiencyNIOSH, 42CFR Part 84≥95% Efficient / Average 99.11% efficient of 20 samplesAverage 98.45% efficient for 20 samples
    Breathing ResistanceNIOSH 42CFR Part 84≤35.0 mm H2O @ 85 lpm / average 3.5 mm H2O @ 85 lpm for 3 samplesAverage 1.1 mm H2O @ 85 lpm for 3 samples
    Biocompatibility: CytotoxicityISO-10993-1, Agar overlay methodScore of 2 or less / Score of 0Score of 0
    Biocompatibility: SensitizationISO 10993-10:2002 (study based on)No visible change, Score of 0Score of 0
    Biocompatibility: Primary Skin IrritationISO 10993-10:2002 (rabbits)Negligible, Score of 0Score of 0
    Bacterial Filtration Efficiency (BFE)ASTM F2101-01 (Staphylococcus aureus)(Not specified as acceptance criteria in table, but reported as an additional test)Greater than 99.9% on all samples tested

    2. Sample Sizes Used for Each Test and Data Provenance

    Test / Performance CharacteristicSample Size UsedData Provenance / Testing Body
    Fluid Resistance Performance32 samples (implied from "29 of 32 to pass")Not explicitly stated, likely Nelson Laboratories (common for such tests)
    Flammability Class10 samplesNelson Laboratories
    Filter Efficiency20 samplesNIOSH (for certification), specific lab not stated for comparative
    Breathing Resistance3 samplesNIOSH (for certification), specific lab not stated for comparative
    Biocompatibility: CytotoxicityNot specifiedNelson Laboratories
    Biocompatibility: SensitizationNot specifiedAppTec Laboratory Services (rabbits)
    Biocompatibility: Primary Skin IrritationNot specifiedAppTec Laboratory Services (rabbits)
    Bacterial Filtration Efficiency (BFE)Not specifiedNelson Laboratories

    The data provenance is from laboratory testing (e.g., Nelson Laboratories, AppTec Laboratory Services, NIOSH certification). These are prospective tests performed specifically for device evaluation. The country of origin for the manufacturing facility is Handan Hengyong Protective & Clean Products Co., LTD. Jiankang East Street Yongnian County High-Tech Development Area Hebei province, P.R. China, however, the testing laboratories are US-based (Nelson Labs and AppTec).

    3. Number of Experts and Qualifications for Establishing Ground Truth

    This document describes the testing of a physical medical device (N95 respirator) against established performance standards and methods. It does not involve a "ground truth" expert consensus in the same way a diagnostic imaging AI algorithm would. Instead, the "ground truth" is defined by:

    • Standardized test methods: ASTM 1862-00a, 21 CFR part 58, NIOSH 42CFR Part 84, ISO-10993-1, ASTM F2101-01.
    • Regulatory bodies and accredited laboratories: NIOSH approval TC-84A-4320, Nelson Laboratories, AppTec Laboratory Services.

    Therefore, the concept of "number of experts used to establish ground truth" with specific qualifications (like radiologists) is not applicable here. The "experts" are the scientists and technicians in the accredited labs performing the standardized tests according to the protocols set by regulatory bodies.

    4. Adjudication Method for the Test Set

    The concept of an adjudication method (like 2+1, 3+1) is typically relevant for studies where human interpretation or consensus is required (e.g., medical image reading). For the physical testing of the N95 respirator, the results are quantitative and objective measurements against predefined acceptance criteria. Therefore, no adjudication method as described is applicable or performed in this context. The results are reported directly from the laboratory tests.

    5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study

    No, a multi-reader multi-case (MRMC) comparative effectiveness study was not done. This type of study is relevant for evaluating the impact of AI algorithms on human reader performance, typically in diagnostic tasks. This submission is for a physical device (N95 respirator), not an AI-powered diagnostic tool.

    6. Standalone (Algorithm Only Without Human-in-the-Loop Performance) Study

    No, this question is not applicable as the device is a physical N95 respirator, not an algorithm or software. Therefore, there is no "standalone algorithm" performance to report.

    7. Type of Ground Truth Used

    For this device, the "ground truth" is based on:

    • Standardized physical and chemical test results: Objective measurements demonstrating performance against established industry standards and regulatory requirements (e.g., ASTM, NIOSH, ISO, CFR).
    • Predicate device comparison: The device's performance is also compared against a legally marketed predicate device (Pleats Plus 1050), establishing substantial equivalence based on meeting similar performance characteristics.

    8. Sample Size for the Training Set

    This question is not applicable as the device is a physical N95 respirator, not a machine learning algorithm that requires a training set.

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

    This question is not applicable as the device is a physical N95 respirator and does not use a training set in the context of machine learning.

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