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510(k) Data Aggregation

    K Number
    K160100
    Manufacturer
    Date Cleared
    2016-10-07

    (262 days)

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

    Prestige Ameritech Pediatric/Child’s Face mask

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

    The Prestige Ameritech Pediatric/Child Face Mask is intended to be worn by the patient/Child Facemask is a single use, disposable device, provided non-sterile. The Pediatric/Child Facemask is intended to be worn by the patient (ages 4-12) to cover the nose and mouth to provide a barrier for the respiratory tract for microorganisms and particulate materials. The mask is specifically for use with patients whose age or illness may prevent them from taking necessary precautions where transfer of microorganisms, body fluids, and particulates can occur.

    Device Description

    The Prestige Ameritech Pediatric/Childs Face Mask is manufactured using ultrasonic bonding, composed of three layers of materials and pleated to form the mask. The inner layer is composed of nonwoven, the middle layer is meltblown polypropylene filter material, and the outer layer is cellulose. Decorative patterns are printed with colored inks. Masks are held in place on wearer with knitted polyester/spandex elastic earloop and contain a malleable aluminum nosepiece strip. The Pediatric/Child's Face Mask is appropriately sized to the smaller faces of children across a diverse population. The Pediatric/Child's Face Mask is a single use, disposable device, provided non-sterile with no shelf-life. Storage conditions will not affect device safety of effectiveness. All of the materials used in this device are typical materials commonly used in the construction of Surgical Masks and are being used in current legally marketed devices. This product is not made with natural rubber latex.

    AI/ML Overview

    The provided text describes the acceptance criteria and performance of the Prestige Ameritech Pediatric/Child's Face Mask, comparing it to a predicate device. Here's a breakdown of the requested information:

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

    TestAcceptance Criteria (Predicate Performance)Reported Device Performance (Prestige Ameritech Pediatric/Child's Face Mask)
    Particulate Filtration Efficiency at 0.1 microns, ASTM F229998.5%98%
    Bacterial Filtration Efficiency (BFE), ASTM F210199.6%96.32%
    Differential Pressure, Mil M36954C2.61.74
    Flammability Class, 16 CFR Part 1610Class IClass I
    Biocompatibility (MEM Elution, Repeated Patch Dermal Sensitization, ISO Primary Skin Irritation)Tested under ISO 10993 StandardTested under ISO 10993 Standard
    Anthropometry (adequate coverage for ages 4-12, 24-153 lbs, 3'3"-5'4")Achieved by predicateAchieved
    Total Lead Content Analysis, CPSC-CH-E1002-08Met standardMet acceptance criteria
    Phthalate Analysis (DEHP, DBP, BBP, DINP, DIDP, DnOP, and DnHP), CPSC-CH-C1001-09.3Met standardMet acceptance criteria
    Migration of certain 19 elements, EN 71-3Met standardMet acceptance criteria

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document does not explicitly state the specific sample sizes for each test performed on the Prestige Ameritech Pediatric/Child's Face Mask. It mentions that the anthropometric study sample for determining fit was "representative of the current US population in both gender and racial distribution," implying a prospective study, but exact numbers are not given. The origin of the data is not specified beyond being generated for a U.S. FDA 510(k) submission.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    This document pertains to the performance testing of a physical medical device (a face mask) against established industry standards. There is no mention of "experts" in the context of establishing ground truth for a test set, as the evaluation relies on standardized laboratory testing methods rather than expert interpretation of data like in an AI/imaging study.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    Not applicable. The evaluation is based on objective laboratory test results against predefined standards, not on human interpretation requiring adjudication.

    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

    Not applicable. This is a review of a physical medical device (face mask) and does not involve AI or human "readers."

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    Not applicable. This is a review of a physical medical device (face mask) and does not involve an algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    The "ground truth" for the device's performance is based on the results of standardized laboratory tests conducted according to recognized national and international standards (e.g., ASTM F2101, Mil M36954C, ISO 10993, CPSC, EN 71-3). These standards define the methodology and expected outcomes for measuring properties like filtration efficiency, breathability, flammability, and biocompatibility. For anthropometry, it's based on measurements against a "representative" population sample.

    8. The sample size for the training set

    Not applicable. There is no "training set" as this is a physical device evaluation, not an AI model.

    9. How the ground truth for the training set was established

    Not applicable. There is no "training set" as this is a physical device evaluation, not an AI model.

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