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510(k) Data Aggregation

    K Number
    K203524
    Device Name
    Surgical Masks
    Date Cleared
    2021-02-25

    (86 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 Surgical 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, provided non-sterile.

    Device Description

    The Surgical Masks are single use, three-layer, flat-pleated masks with ear loops and nose clip. The inner and outer layers of the mask are made of spunbond polypropylene, and the middle layer is made of meltblown polypropylene filter. The ear loops are held in place over the users' mouth and nose by two elastic ear loops welded to the mask by ultrasound. The ear loops are made of polyester and spandex. The nose clip is made of polyethylene and galvanized iron wire. Users can adjust the nose clip according to the shape of the bridge of the nose, and fix the mask on the bridge of the nose to prevent the mask from falling off. The size of the proposed device is 17.5cm×9.5cm. The proposed device is a Level 2 mask based on ASTM F2100-2019. The Surgical Masks are blue and provided non-sterile.

    AI/ML Overview

    This document describes the performance testing for the Bain Medical Equipment (Guangzhou) Co., Ltd. Surgical Masks (K203524).

    1. Table of Acceptance Criteria and Reported Device Performance

    Name of the Test / Methodology / StandardPurposeAcceptance CriteriaResults
    Resistance to Penetration by Synthetic Blood (ASTM F1862/F1862M-17)To evaluate the effectiveness of the test sample from possible exposure to blood and other body fluids.No penetration at 120 mmHgPass at 120mmHg
    Bacterial Filtration Efficiency (ASTM F2101-2019)To determine the bacterial filtration efficiency (BFE) of medical face mask materials, using a biological aerosol of Staphylococcus aureus.≥98%Average 99.9%
    Particulate Filtration Efficiency (ASTM F2299/F2299M-03 (2017))To determine the Particle Filtration Efficiency of materials used in medical face masks to penetration by particulates using latex spheres.≥98%Average 98.8%
    Differential Pressure (EN 14683:2019)To determine the differential pressure.<6.0 mm H2O/cm²Average 4.5 mm H2O/cm²
    Flammability (16 CFR 1610)To evaluate the flammability of the test sample.Class IClass I

    2. Sample Size Used for the Test Set and Data Provenance

    The document does not explicitly state the specific sample size used for each test. However, it indicates that the tests were performed in accordance with recognized international standards (ASTM, EN, CFR), which typically specify sample sizes for such evaluations. The data provenance is from non-clinical testing conducted by Bain Medical Equipment (Guangzhou) Co., Ltd., as part of their 510(k) submission to the FDA. The country of origin for the data is implicitly China, where Bain Medical Equipment (Guangzhou) Co., Ltd. is located. It is retrospective in the sense that the testing was performed and the results are being reported for regulatory submission.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    Not applicable. This report details non-clinical laboratory performance testing of a medical device (surgical masks), not a diagnostic or AI-based device requiring human expert consensus for ground truth. The "ground truth" for these tests is established by the specified methodology and measurement against the defined acceptance criteria in the respective standards.

    4. Adjudication Method for the Test Set

    Not applicable, as this is laboratory performance testing against established standards, not a clinical study involving human assessment or adjudication of outcomes.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was Done

    No, a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was not done. This submission is for a medical device (surgical masks) which is evaluated through non-clinical performance testing against established standards, not through clinical comparative effectiveness studies with human readers or AI assistance.

    6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) was Done

    Not applicable. This is not an AI/algorithm-based device.

    7. The Type of Ground Truth Used

    The ground truth for this device's performance is based on objective measurements and defined acceptance criteria outlined in specific industry standards and regulations (e.g., ASTM F1862, ASTM F2101, ASTM F2299, EN 14683, 16 CFR 1610). These standards dictate the methodology and expected outcomes for each performance characteristic of a surgical mask.

    8. The Sample Size for the Training Set

    Not applicable. This is not an AI/machine learning device that requires a training set.

    9. How the Ground Truth for the Training Set was Established

    Not applicable. This is not an AI/machine learning device.

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