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510(k) Data Aggregation

    K Number
    K150729
    Date Cleared
    2015-12-29

    (284 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 SpectraShield 9500 Surgical Mask is a single use, disposable, surgical mask, tested for continuous use up to 8 hours, embedded with a zeolite carrier containing a silver-copper agent on the outer layer and is not an antimicrobial drug. SpectraShield 9500 kills 99.99% of test bacteria after one hour of contact with the surface of the respirator, and inactivates 99.99% of test influenza viruses after 5 minutes of contact with the surface of the mask. In vitro (laboratory) tests have demonstrated 99.99% kill on the surface of the respirator when tested in vitro against single isolates of the following test bacteria: Streptococus pyogenes, MRSA (Methicillin Resistant Staphylococcus aureus), and Haemophilus influenzae, under tested contact conditions.

    In vitro tests have demonstrated 99.99% inactivation on the surface of the mask when tested against the following seasonal, pandemic, avian, swine influenza viruses: Influenza A subtypes: H1N1 (A/ California/04/2009, A/Brisbane/59/2007, A/Wisconsin/10/1998, A/Puerto Rico/8/1934), H3N2 (A/Wisconsin/67/2005, A/Brisbane/10/2007, A/Hong Kong/8/1968, A/Victoria/3/75), H2N2 ( A/2/Japan/305/1957); Avian Flu (bird flu) subtypes: Avian Influenza A (H5N1), Avian Influenza A (H9N2), Swine Flu subtype: H1N1 (A/Swine/1976/1931), Equine Flu subtypes: H3N8 (A/Equine/2/Miami/1963), Influenza B strains: B/Florida/4/2006, B/Brisbane/60/2008, B/ Lee/40.

    No clinical studies have been conducted comparing the ability of an untreated surgical mask and the SpectraShield model 9500 surgical mask to protect the wearer from infection, and the antibacterial/anti-influenza virus treatment cannot affect pathogens that are inhaled around the edges of the respirator.

    The SpectraShield 9500 Surgical Mask is a single use device, intended for occupational use to protect against microorganisms, body fluids, and particulate material.

    Device Description

    The SpectraShield model 9500 Surgical Mask is a molded shape surgical mask composed of 4 layers of material, molded to form the mask. A 2-ply meltblown polypropylene middle layer is sandwiched by inner and outer layers of 100% polyester nonwoven fabric. The inner and outside layers of polyester nonwoven fabric include fibers that have been embedded with an antibacterial/antiviral agent to provide antibacterial and antiviral performance. The mask has 2 elastic straps (not made with natural latex) and an aluminum nose strip.

    AI/ML Overview

    The provided document is a 510(k) Summary for the SpectraShield Model 9500 Surgical Mask, describing its characteristics and comparing it to predicate devices to demonstrate substantial equivalence. It does not describe an AI medical device. Therefore, it is not possible to answer the request by extracting information about acceptance criteria for an AI device.

    However, I can extract the acceptance criteria and performance data for the surgical mask as presented in the document, which are based on standard tests for such devices.

    Here's the information regarding the SpectraShield Model 9500 Surgical Mask, formatted as requested for an "AI device," but adapted to fit the context of a physical medical device (surgical mask):

    1. Table of Acceptance Criteria and Reported Device Performance

    Test/CharacteristicAcceptance Criteria (Predicate Equivalent or Standard)Reported Device Performance (SpectraShield Model 9500 Surgical Mask)
    Fluid Resistance ASTM F1862Fluid resistant @ 160mm HgPass: Fluid Resistant @ 160mm Hg
    Particulate Filtration ASTM F2299>99.9% (Predicate: 99.87% at 0.1 microns)Pass: 99.87% at 0.1 microns
    Differential Pressure Mil M36954C4.9mm H20/cm2 (Predicate: 4.3mm H20/cm2)Pass: 4.3mm H20/cm2
    Bacterial Filtration ASTM F2101>99.9% (Predicate: 99.9%)Pass: 99.9%
    Flammability 16CFR 1610Class 1Class 1
    Cytotoxicity ISO 10993-10USP reactivity score = < 2Pass: USP reactivity score = < 2
    Primary skin irritation ISO10993-10PSI Score = 0, Non-irritantPass: PSI Score = 0, Non-irritant
    Repeated Patch Dermal Sensitization ISO 10993-100% incidence sensitization response "0" severityPass: 0% incidence sensitization response "0" severity
    Systemic Toxicity ISO 10993-11No mortality or evidence of systemic toxicityPass: No mortality or evidence of systemic toxicity
    Physico-chemical USPTest results met the USP limitsPass: Test results met the USP limits
    Gas off TestingWithin safe inhalation levelsTotal antibacterial/antiviral particles within safe inhalation levels
    Leach off testingWithin safe orally ingestible levelsTotal leachable antibacterial/antiviral particles within safe orally ingestible levels
    Bacterial Reduction (S. pyogenes, H. influenzae, MRSA) (T₀ Inoculums >10⁶, 1 hr contact)≥ 99.99% kill (implied >4 log₁₀ reduction)S. pyogenes: >4.40 log₁₀ reduction; H. influenzae: >6.20 log₁₀ reduction; MRSA: >4.83 log₁₀ reduction
    Bacterial Reduction after 12 hrs perspiration (S. pyogenes, H. influenzae, MRSA) (T₀ Inoculums >10⁶, 1 hr contact)≥ 99.99% kill (implied >4 log₁₀ reduction)S. pyogenes: >4.25 log₁₀ reduction; H. influenzae: >4.18 log₁₀ reduction; MRSA: >4.11 log₁₀ reduction
    Viral Reduction (16 strains of Influenza A & B viruses, 5 min contact)99.99% (>4.0 log₁₀) reduction99.99% (>4.0 log₁₀) reduction
    Repeat Virus Challenge (H1N1, H5N1 after 4 & 8 hrs wear, 5 min contact)99.99% (>4.0 log₁₀) reduction99.99% (>4.0 log₁₀) reduction

    2. Sample size used for the test set and the data provenance

    The document does not specify exact sample sizes for each test. However, it indicates that the tests performed are in vitro (laboratory) tests. Data provenance is not explicitly stated beyond "in vitro (laboratory) tests," implying laboratory settings and not human clinical data or geographical origin. The study is a pre-market notification (510k) using performance data to demonstrate substantial equivalence to predicate devices, not a clinical study on patient outcomes.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    This is not applicable as the tests described are in vitro laboratory tests measuring physical and microbiological properties of the mask, not evaluations requiring expert interpretation of medical images or patient data to establish ground truth.

    4. Adjudication method for the test set

    This is not applicable as the tests are objective laboratory measurements, not subjective evaluations 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

    This is not applicable. The device is a surgical mask, not an AI diagnostic or assistive tool.

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

    This is not applicable. The device is a surgical mask, not an AI algorithm. The performance data presented are for the mask itself in laboratory settings.

    7. The type of ground truth used

    For the physical and biological tests (fluid resistance, filtration, pressure, flammability, cytotoxicity, skin irritation, systemic toxicity, physico-chemical, gas/leach-off), the "ground truth" is defined by the objective measurement adhering to established ASTM, Mil, CFR, ISO, and USP standards.

    For bacterial and viral reduction, the "ground truth" is the quantitative reduction in viable microorganisms as measured in the in vitro laboratory tests.

    8. The sample size for the training set

    This is not applicable. The device is a physical product (surgical mask), not an AI model that requires a training set.

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

    This is not applicable, as there is no AI training set involved. The product's characteristics are inherent to its design and manufacturing.

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