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510(k) Data Aggregation

    K Number
    K223823
    Manufacturer
    Date Cleared
    2023-03-27

    (96 days)

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

    This single-use surgical mask EFXPLY3SMSK is intended to be worn to protect both the patient and health care personnel from transfer of microorganisms, body fluids and particulate material. These face intended for use in infection control practices to reduce the potential exposure of blood and body fluids. This is a single use, disposable device, non-sterile.

    Device Description

    The device is a flat pleated type mask the outer layer being blue and the inner layer being white, utilizing ear loops to secure the mask in place, and a nose bridge is also incorporated for a proper fit around the nose. The device number is EFX3PLYSMSK.

    The device is manufactured with three layers, the inner and outer layers are made of spun bond polypropylene, and the middle layer is made of melt-blown polypropylene filter material. The model EFX3PLYSMSK device is held in place over the user's mouth and nose by two elastic ear loops welded to the face mask. The elastic ear loops are made of polypropylene and spandex. The nose bridge contained within the device is placed between the layers of the surgical mask to allow the user to fit the surgical mask properly around their nose. The nose bridge is made up of galvanized with polyethylene.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the Disposable Surgical Face Mask, based on the provided document:

    Acceptance Criteria and Device Performance

    Level 3 Performance

    Test MethodologyAccepted Criteria (Level 3)Reported Device Performance (EFX3PLYSMSK)Result
    Fluid Resistance ASTM F1862160mm Hg.95 of 96 samples passedPass
    Particulate Filtration Efficiency ASTM F2299≥98%99.79% Filtration average efficiency across 96 samplesPass
    Bacterial Filtration Efficiency ASTM F2101-19≥98%99.8% Filtration average efficiency across 96 samplesPass
    Differential Pressure (Delta P) AMST F2100-19
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