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510(k) Data Aggregation

    K Number
    K202627
    Date Cleared
    2021-02-03

    (145 days)

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

    The Medical Face Masks are intended to be worn to protect both the patient and healthcare personnel from transfer of microorganisms, body fluids and particulate material. These face masks are 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 Medical Face Masks are Flat Pleated type mask, utilizing Ear Loops way for wearing, and they all have Nose Piece design for fitting the face mask around the nose. The Medical Face Masks are manufactured with three layers. The outer layer is made of spun-bonded polypropylene (PP) non-woven fabric. The middle layer with filtration function is made of melt blown polypropylene (PP) non-woven fabric. The inner layer contact with face is made of spun-bonded polypropylene (PP) non-woven fabric. The Medical Face Masks are single use, disposable device, provided non-sterile.

    AI/ML Overview

    The provided text describes the acceptance criteria and the study conducted for "Medical Face Masks" (K202627).

    Here's the extracted information:

    1. Table of Acceptance Criteria and Reported Device Performance:

      Methodology/StandardPurposeAcceptance CriteriaReported Device Performance
      ASTM F1862M-17Fluid Resistance Performance29 out of 32 pass at 120mmHg29 out of 32 pass at 120mmHg
      ASTM F2299Particulate Filtration Efficiency≥98%Average 99.82% at 0.1μm
      ASTM F2101-19Bacterial Filtration Efficiency≥98%Average 99.78%
      EN 14683:2019 Annex CDifferential Pressure<6mmH2O/cm²Average 3.3 mmH2O/cm²
      16 CFR 1610FlammabilityClass I Non FlammableMeet Class I
      ISO 10993-5In Vitro CytotoxicityDevice is non-cytotoxicDevice is non-cytotoxic
      ISO 10993-10Skin IrritationDevice is non-irritatingDevice is non-irritating
      ISO 10993-10Skin SensitizationDevice is non-sensitizingDevice is non-sensitizing
    2. Sample size used for the test set and the data provenance:

      • Fluid Resistance Performance (ASTM F1862M-17): The test involved 32 samples (29 out of 32 passed).
      • For other performance tests (Particulate Filtration Efficiency, Bacterial Filtration Efficiency, Differential Pressure, Flammability, Biocompatibility), specific sample sizes are not explicitly stated in the provided text.
      • Data Provenance: Not specified, but the device manufacturer is based in China (Guilin HBM Sanitary Protections, Inc). The testing appears to be non-clinical laboratory testing.
    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

      • Not applicable. These are non-clinical performance and material characterization tests, not reliant on expert clinical interpretation or ground truth establishment in the traditional sense of medical image analysis or diagnostic studies.
    4. Adjudication method for the test set:

      • Not applicable. The tests are standardized laboratory procedures with objective measurements.
    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 for a Medical Face Mask, not an AI diagnostic device. No MRMC study was conducted.
    6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done:

      • Not applicable. This is for a Medical Face Mask. The tests performed are standalone performance tests for the physical product.
    7. The type of ground truth used:

      • The "ground truth" for these tests refers to established scientific and regulatory standards (e.g., ASTM, EN, 16 CFR, ISO standards) against which the device's physical properties and performance characteristics are measured. For example, for "Bacterial Filtration Efficiency," the ground truth is the specified bacterial filtration efficiency percentage (≥98%).
    8. The sample size for the training set:

      • Not applicable. This is a medical device (face mask) and not an AI/ML algorithm that requires a training set.
    9. How the ground truth for the training set was established:

      • Not applicable, as there is no training set for this device.
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