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510(k) Data Aggregation

    K Number
    K202905
    Date Cleared
    2021-03-26

    (178 days)

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

    The Disposable Face Mask is 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, provided non-sterile.

    Device Description

    The proposed device, Disposable Face Mask is a three-layer, single-use, flat-pleated mask. The ear loops to secure the mask over the users' mouth and face and includes a nosepiece to provide a firm fit over the nose. The disposable surgical mask is available in four different specifications: 14.5cmx9.5cm and 17.5cmx9.5cm. The device is single use and provided non-sterile.

    AI/ML Overview

    The provided text describes the 510(k) submission for a Disposable Face Mask (K202905) and its equivalence to a predicate device (K160269). However, it does not contain information related to an AI/ML-enabled medical device or a clinical study involving human readers and AI assistance.

    Therefore, I cannot provide the requested information regarding acceptance criteria, study details, sample sizes, ground truth establishment, expert qualifications, adjudication methods, or MRMC studies for an AI device. The document is strictly about the non-clinical testing and comparison of a traditional medical device (face mask) to a predicate device to demonstrate substantial equivalence.

    The document covers:

    • Device: Disposable Face Mask
    • Purpose: To protect against transfer of microorganisms, body fluids, and particulate material.
    • Regulatory Class: Class II, Product Code FXX.
    • Acceptance Criteria/Performance (based on standards for face masks):
      • Fluid Resistance (ASTM F1862)
      • Particulate Filtration Efficiency (ASTM F2299)
      • Bacterial Filtration Efficiency (ASTM F2101)
      • Differential Pressure (EN 14683)
      • Flammability (16 CFR 1610)
      • Biocompatibility (ISO 10993-5 and ISO 10993-10)

    Here's a breakdown of what can be extracted from the document, tailored as much as possible to your request, but highlighting the absence of AI/ML specifics:

    1. Table of Acceptance Criteria and Reported Device Performance

    CriterionAcceptance Criteria (Predicate)Reported Device Performance (Proposed Device K202905)Remark
    Fluid Resistance (ASTM F1862)Level 1 Pass at 80mmHg; Level 2 Pass at 120mmHgLevel 1 Pass at 80mmHg; Level 2 Pass at 120mmHgIdentical
    Particulate Efficiency (ASTM F2299)Pass at 99.6% (implied for Level 1 & 2 for predicate)$\ge 95%$ (Level 1), $\ge 98%$ (Level 2)Similar (Meets Level 2 requirements)
    Bacterial Filtration Efficiency (ASTM F2101)Pass at >98% (implied for Level 1 & 2 for predicate)$\ge 95%$ (Level 1), $\ge 98%$ (Level 2)Similar (Meets Level 2 requirements)
    Differential Pressure (EN 14683)Passed at 2.0 mmH2O/cm² (predicate's Level 1), Passed at 1.6 mmH2O/cm² (predicate's Level 2)$<$ 5.0mm H2O/cm² (Level 1), $<$ 6.0mm H2O/cm² (Level 2)Similar (Meets Level 2 requirements)
    Flammability (16 CFR 1610)Class 1Class 1Identical
    Biocompatibility (Cytotoxicity - ISO 10993-5)No CytotoxicityNo CytotoxicityIdentical
    Biocompatibility (Sensitization - ISO 10993-10)No SensitizationNo SensitizationIdentical
    Biocompatibility (Irritation - ISO 10993-10)No IrritationNo IrritationIdentical

    Note: The 'acceptance criteria' are implicitly derived from the performance of the predicate device and the relevant ASTM/EN standards for medical face masks. The proposed device had to meet or exceed these to demonstrate substantial equivalence.

    Regarding AI/ML specific information (which is not in the document):

    1. Sample size used for the test set and data provenance: Not applicable to this device type or study.
    2. Number of experts used to establish the ground truth and qualifications: Not applicable. Ground truth for a face mask's performance is established through standardized laboratory testing (e.g., measuring filtration efficiency, fluid resistance) against predefined physical criteria, not expert interpretation of AI outputs.
    3. Adjudication method: Not applicable.
    4. Multi-reader multi-case (MRMC) comparative effectiveness study: No, this was not done as it's not an AI-enabled device requiring human-in-the-loop assessment.
    5. Standalone (algorithm only) performance: Not applicable.
    6. Type of ground truth: (expert consensus, pathology, outcomes data, etc.): Ground truth for this device is based on physical and biological laboratory measurements according to established international standards (ASTM, EN, ISO).
    7. Sample size for the training set: Not applicable, as this is not an AI/ML device that requires a training set.
    8. How the ground truth for the training set was established: Not applicable.

    In summary, the provided document details the regulatory clearance of a disposable face mask, focusing on non-clinical performance testing against established standards and comparison to a predicate device, not on the performance of an AI/ML system.

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