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510(k) Data Aggregation

    K Number
    K210679
    Date Cleared
    2022-01-18

    (316 days)

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

    When properly worn, the medical face masks are intended to protect both patient and healthcare workers from transfer of microorganisms, body fluids and particulate materials. This device is non sterile and for single use only.

    Device Description

    The medical face masks are single use, 3 layers, flat-pleated style with ear loops and nose piece. The outer layer and inner facing layer of face mask consist of spun-bond polypropylene, and the middle layer consists of melt blown polypropylene filter. Each mask contains ear loops to secure the mask over the user's face and mouth with nose piece to firmly fit over the nose.

    AI/ML Overview

    The provided text describes the regulatory clearance for a Medical Face Mask (K210679) and details the non-clinical tests performed to demonstrate its substantial equivalence to a predicate device (K200847). This is a submission for a physical medical device, not an AI/ML-driven device, so many of the requested elements for AI/ML studies are not applicable.

    Here's a breakdown of the information that is available and a note on the missing information, tailored to the AI/ML context of your request:

    Acceptance Criteria and Reported Device Performance

    The device is a medical face mask, and its performance is evaluated against established standards for materials used in such masks.

    Test MethodologyPurposeAcceptance CriteriaReported Device Performance (K2106679)Result
    Fluid Resistance Performance (ASTM F1862)Evaluate resistance to penetration by synthetic blood.29 Out of 32 pass at 120 mmHgLot 1: 32 Out of 32 pass at 120 mmHgLot 2: 32 Out of 32 pass at 120 mmHgLot 3: 32 Out of 32 pass at 120 mmHgPass
    Particulate Filtration Efficiency (ASTM F2299)Measure initial particulate filtration efficiency using monodispersed aerosols (0.1µm latex spheres).≥ 98%Lot 1: 98.9%Lot 2: 98.9%Lot 3: 98.7%Pass
    Bacterial Filtration Efficiency (BFE) (ASTM F2101)Determine bacterial filtration efficiency using a biological aerosol of Staphylococcus Aureus.≥ 98%Lot 1: 99.9%Lot 2: 99.9%Lot 3: 99.9%Pass
    Flammability (16 CFR 1610)Determine flammability characteristics.Class 1Lot 1: Class 1Lot 2: Class 1Lot 3: Class 1Pass
    Differential Pressure (Delta P) (EN 14683:2019)Measure differential pressure between the inside and outside of the mask.< 6.0 mmH2O/cm²Lot 1: 3.0 mmH2O/cm²Lot 2: 3.1 mmH2O/cm²Lot 3: 3.3 mmH2O/cm²Pass
    Cytotoxicity (ISO 10993-5)Determine biological reactivity of mammalian cell culture (mouse fibroblast L929cells).Non-cytotoxicNon-cytotoxicPass
    Irritation (ISO 10993-10)Evaluate potential skin irritation from extract on rabbit skin.Non-irritatingNon-IrritatingPass
    Sensitization (ISO 10993-10)Evaluate potential for extracts to cause skin sensitization in guinea pig.Non-sensitizingNon-sensitizingPass

    Information Relevant to AI/ML Studies (and why it's mostly absent):

    This document describes the regulatory clearance for a physical medical face mask, not an AI/ML powered device. Therefore, information points 2 through 9, which are specifically relevant to the evaluation of AI/ML algorithms, are not applicable and are consequently missing from this submission.

    1. Sample size used for the test set and data provenance: Not applicable. Performance is evaluated on physical samples/lots of the mask material against defined standards. The data provenance is laboratory testing conducted according to specified ASTM, CFR, EN, and ISO standards. The country of origin of the device manufacturer is China.
    2. Number of experts used to establish ground truth & qualifications: Not applicable. Ground truth for the physical properties of the mask (e.g., filtration efficiency, fluid resistance) is established by standardized laboratory testing methods, not by expert consensus readings of medical images.
    3. Adjudication method for the test set: Not applicable. Performance is measured objectively through lab tests.
    4. Multi-Reader Multi-Case (MRMC) comparative effectiveness study: Not applicable. This type of study involves human readers interpreting medical images, optionally with AI assistance. The device is a physical mask.
    5. Standalone (algorithm only without human-in-the-loop performance): Not applicable. There is no algorithm.
    6. Type of ground truth used: Ground truth is defined by the objective measurements and pass/fail criteria outlined in the relevant ASTM, CFR, EN, and ISO standards for physical properties and biocompatibility.
    7. Sample size for the training set: Not applicable. This is not an AI/ML device requiring a training set.
    8. How the ground truth for the training set was established: Not applicable.

    Conclusion:

    The provided document details the testing and acceptance criteria for a physical medical device (face mask). It successfully demonstrates that the device meets the specified performance criteria through a series of standardized laboratory tests for filtration, fluid resistance, flammability, breathability, and biocompatibility. The framework of questions you've provided is designed for AI/ML devices, hence much of the requested information (e.g., expert readers, adjudication, training data) is not present in this submission.

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