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510(k) Data Aggregation

    K Number
    K121069
    Manufacturer
    Date Cleared
    2013-02-11

    (308 days)

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

    3M™ VFlex™Health Care Particulate Respirator and Surgical Mask 1805/1805S is intended to be worn by operating room personnel during surgical procedures to protect both the surgical patient and the operating room personnel from transfer of microorganisms, body fluids, and particulate material.

    Device Description

    The 3M™ VFlex™ Health Care Particulate Respirator and Surgical Mask 1805/1805S is an N95 particulate respirator. Particulate respirators help reduce wearer exposure to certain airborne particles, including those generated by electrocautery, laser surgery and other powered medical instruments. This respirator has a filter efficiency level of at least 95% against particulate aerosols free of oil . As a surgical mask, it is designed to be fluid resistant to splash and spatter of blood and other infectious materials+ and meets > 99% bacterial filtration efficiency (BFE) *. It is cleared to be worn in surgery. It can fit a wide range of face sizes. This respirator contains no components made from natural rubber latex.

    AI/ML Overview

    The provided text is a 510(k) summary for the 3M™ VFlex™ Health Care Particulate Respirator and Surgical Mask, Model 1805/1805S. It describes the device and claims substantial equivalence to a predicate device (3M™ Health Care Particulate Respirator and Surgical Mask, Model 1870) rather than presenting a study to prove a device meets specific acceptance criteria based on novel performance.

    Therefore, the information required for the requested output (acceptance criteria table, sample sizes, expert details, adjudication methods, MRMC studies, standalone studies, ground truth types, and training set information) is not applicable to this document as it details a substantial equivalence claim for regulatory clearance, not a performance study against predefined acceptance criteria for a novel device or AI algorithm.

    The document focuses on comparing the new device's characteristics and performance to those of a previously cleared predicate device to assert that there are "no new questions of safety or effectiveness."

    However, I can extract the comparison table that shows the specifications and performance characteristics of both the subject device and the predicate device, which implicitly defines the "acceptance criteria" in the context of substantial equivalence.

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

    In the context of a 510(k) substantial equivalence claim, the "acceptance criteria" are implied by the performance characteristics of the predicate device. The new device is considered to "meet acceptance criteria" if its performance is substantially equivalent to the predicate device, such that there are no new questions of safety or effectiveness.

    DescriptionPredicate Device (3M™ Health Care Particulate Respirator and Surgical Mask, Model 1870 (K063023))Subject Device (3M™ VFlex™ Health Care Particulate Respirator and Surgical Mask, Model 1805/1805S)
    Intended UseSurgical Mask/RespiratorSurgical Mask/Respirator
    Materials Construction Technology
    Outside cover webMulti-Layer Polypropylene spunbondMulti-Layer Polypropylene spunbond
    Stiffener webPolypropylene spunbondNA
    Filter webPolypropylenePolypropylene
    Inner webPolypropylenePolypropylene
    Nose-ClipAluminumAluminum
    StapleSteelSteel
    HeadbandPolyisoprenePolyisoprene
    Nose foamPolyurethaneNA
    Specifications and Dimensions
    Audit of NaCl Load Test<5.0%<5.0%
    DimensionsSee appendix 1 (not provided in this excerpt)See appendix 2 (not provided in this excerpt)
    Product styleFlat foldFlat fold
    Design Features
    Fluid Resistance (ASTM F1862)Pass @ 160 mmHgPass @ 120 mmHg
    Flammability class 16 CFR Part 1610Class IClass I
    NIOSH CertificateN95 classification 84A-3884N95 classification 84A-5469 for model 1805; 84A-5470 for model 1805S
    Particulate Respirator Efficiency*At least 95% against particulate aerosols free of oil (0.3 micron particles per U.S. 42 CFR 84)At least 95% against particulate aerosols free of oil (0.3 micron particles per U.S. 42 CFR 84)
    Bacterial Filtration Efficiency (BFE)**> 99% (ASTM Standard Test Method for Bacterial Filtration Efficiency F2101)> 99% (ASTM Standard Test Method for Bacterial Filtration Efficiency F2101)

    *This is a common performance standard for all N95 respirators, specified in the description but implied as a meeting criterion for both predicate and subject.
    **This is a common performance standard for surgical masks, specified in the description but implied as a meeting criterion for both predicate and subject.

    Key conclusions from the document:

    • The subject device (3M™ VFlex™ 1805/1805S) is substantially equivalent to the predicate device (3M™ 1870).
    • Both devices are fluid resistant (though at different pressure levels: predicate at 160 mmHg, subject at 120 mmHg), classified as Class I for flammability, and NIOSH certified with N95 filtration efficiency.
    • The differences in materials ("Stiffener web" and "Nose foam" present in predicate but "NA" for subject) and fluid resistance pressure threshold did not raise new questions of safety or effectiveness in the FDA's determination.

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
    Not applicable. This document is a 510(k) summary for substantial equivalence, not a report of a clinical or performance study with a test set of data in the AI/medical device sense. The "tests" mentioned are standard industry tests for mask performance (e.g., NaCl load test, fluid resistance, flammability, NIOSH certification), which are typically done on samples of the manufactured product. Specific sample sizes for these manufacturing quality/performance tests are not detailed in this regulatory summary.

    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)
    Not applicable. No ground truth establishment by experts for a test set is described, as this is not an AI/diagnostic device performance study.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
    Not applicable. No test set requiring expert adjudication is described.

    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 not an AI-assisted diagnostic device.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
    Not applicable. This is a physical medical device (respirator/surgical mask), not an algorithm or AI.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)
    Not applicable. Ground truth, in the context of AI or diagnostic device evaluation, is not relevant here. The "truth" for this device relates to meeting physical and performance specifications for filtration, fluid resistance, and flammability, tested by established laboratory methods.

    8. The sample size for the training set
    Not applicable. No training set is involved as this is not an AI/machine learning device.

    9. How the ground truth for the training set was established
    Not applicable. No training set is involved.

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