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510(k) Data Aggregation

    K Number
    K102092
    Manufacturer
    Date Cleared
    2010-10-06

    (71 days)

    Product Code
    Regulation Number
    878.4040
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    PRO GEAR N95 PARTICULATE FILTER RESPIRATOR & SURGICAL MASK, REGULAR SIZE MODEL RP CERIES

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Prestige Ameritech N95 Respirator and Surgical Mask RP88020 is a single use non-sterile disposable device intended to be worn in the operating room as well as dental, isolation and other medical procedures to protect both the patient and healthcare personnel from transfer of microorganisms, body fluids, and particulate material.

    Device Description

    The Prestige Ameritech N95 Particulate Filter Respirator & Surgical mask is manufactured using ultrasonic bonding, composed of four layers of materials pouched and pleated to form the Mask. The inner layer is composed of nonwoven, the two middle layers is meltblown polypropylene filter material and the outer layer is spunbond polypropylene. Masks are held in place on wearer with latex free elastic headband and contain a malleable aluminum nosepiece strip. All of the materials used in this device are typical materials commonly used in the construction of Respirator and Surgical Masks and are being used in current legally marketed devices.

    AI/ML Overview

    Here's an analysis of the provided text, focusing on the acceptance criteria and the study used to demonstrate the device meets those criteria:

    1. Table of Acceptance Criteria and Reported Device Performance

    Performance MetricAcceptance Criteria (Internal Standard)Reported Device Performance
    Fluid ResistanceMeets ASTM F1862 requirements (implied by "requirements")Device samples met the ASTM F1862 fluid resistance requirements @160 mmHg.
    Particulate Filtration EfficiencyMeets ASTM F2299 PFE requirements at 0.1 microns (implied)Device samples met the ASTM F2299 PFE requirements at 0.1 microns.
    Bacterial Filtration EfficiencyMeets ASTM F2101 BFE requirements (implied)Device samples met the ASTM F2101 BFE requirements.
    Differential PressureMeets Mil M36954C Delta P requirements (implied)Device samples met the Mil M36954C Delta P requirements.
    Flammability ClassMeets 16CFR 1610 Flammability Class 1 requirements (implied)Device samples met the 16CFR 1610 Flammability Class 1 requirements.
    BiocompatibilityMeets ISO-10993-10-2002 requirements (implied)Device samples met the requirements of ISO-10993-10-2002, "Biological Evaluation of Medical Devices".
    Sodium Chloride (NaCl) PenetrationNIOSH required sodium chloride test at ≤ 5% PenetrationDevice samples met the NIOSH required sodium chloride test at ≤ 5% Penetration.
    Inhalation ResistanceNIOSH inhalation resistance test which shall not exceed 35 mmH2ODevice samples met the requirements of NIOSH inhalation resistance test which shall not exceed 35 mmH2O.
    Exhalation ResistanceNIOSH exhalation resistance test which shall not exceed 25 mmH2ODevice samples met the requirements of NIOSH exhalation resistance test which shall not exceed 25 mmH2O.

    2. Sample Size Used for the Test Set and the Data Provenance

    The document does not explicitly state the numerical sample size used for the test set for each performance metric. It consistently uses the phrase "Subject device samples," which indicates that a representative subset of the manufactured devices was tested for each criterion. The data provenance is not specified (e.g., country of origin). The studies appear to be prospective as they are tests performed on the manufactured device to demonstrate compliance.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and the Qualifications of Those Experts

    This information is not applicable to this type of device and study. The "ground truth" for the performance criteria of a respirator and surgical mask is established by widely accepted international and national standards (e.g., ASTM, NIOSH, ISO, CFR). The tests are objective measurements against these predefined standards, not subjective evaluations by experts to establish a "ground truth."

    4. Adjudication Method for the Test Set

    This information is not applicable. Since the tests are objective measurements against established standards, there is no need for an adjudication method involving experts. The results are quantitative and either meet the standard or they do not.

    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

    This information is not applicable. The device is a physical medical product (respirator/surgical mask), not an AI-powered diagnostic or interpretive tool. Therefore, MRMC studies involving human readers and AI assistance are not relevant.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

    This information is not applicable. The device is a physical product and does not involve any algorithms or AI for standalone performance evaluation.

    7. The Type of Ground Truth Used (expert consensus, pathology, outcomes data, etc.)

    The "ground truth" for each performance criterion is the established test methods and acceptance criteria set forth by recognized standards organizations. For example:

    • Fluid Resistance: ASTM F1862
    • Particulate Filtration Efficiency: ASTM F2299
    • Bacterial Filtration Efficiency: ASTM F2101
    • Differential Pressure: Mil M36954C
    • Flammability: 16CFR 1610
    • Biocompatibility: ISO-10993-10-2002
    • Sodium Chloride Penetration, Inhalation Resistance, Exhalation Resistance: NIOSH standards

    8. The Sample Size for the Training Set

    This information is not applicable. This device is a physical product, not an AI model that requires a training set. The manufacturing process is designed to consistently produce devices that meet the specifications.

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

    This information is not applicable for the same reasons as point 8.

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