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510(k) Data Aggregation

    K Number
    K210218
    Date Cleared
    2021-05-07

    (100 days)

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

    The "SURGICAL MASK" is intended to be worn to protect both the patient and healthcare personnel from the transfer of microorganisms, body fluids and particulate material. The "SURGICAL MASK" is intended for use in infection control practices to reduce the potential exposure to blood and body fluids. This is a single use, disposable device(s), provided non-sterile.

    Device Description

    The "SURGICAL MASK" is single use, blue color, without face shield, Flat Pleated type, utilizing elastic ear loops for wearing, and it has a Nose Piece design for fitting the facemask around the nose. The "SURGICAL MASK" is manufactured with three layers. The inner and outer layers are made of Non-woven fabric (Polypropylene), and the middle filter layer is made of a melt blown fabric (Polypropylene). The subject device is held in place over the user's mouth and nose by two ear loops welded to the facemask. The elastic ear loop is made of Polyester and Spandex. The nose piece contained in masks is in the layers of the facemask to allow the user to fit the facemask around their nose, which is made of iron strip and polypropylene. The "SURGICAL MASK" is sold non-sterile and are intended to be single-use, disposable devices. This product contains no components made with natural rubber latex.

    AI/ML Overview

    The document provided describes the acceptance criteria and performance of a SURGICAL MASK, Model Name: C015. This is a medical device and not an AI/ML powered device, therefore many of the points in your request are not applicable.

    Here's the breakdown of the information available:

    1. Table of Acceptance Criteria and Reported Device Performance

    Test ItemTest MethodAcceptance CriteriaReported Performance
    Performance:
    Bacterial Filtration Efficiency (BFE)ASTM F2101-19≥98%32 pass / 32 tested, Accepted
    Particulate Filtration Efficiency (PFE)ASTM F2299-03 (2017)≥98%32 pass / 32 tested, Accepted
    Differential PressureEN 14683:2019+AC (2019)(E), Annex C
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