Search Filters

Search Results

Found 36 results

510(k) Data Aggregation

    K Number
    K232849
    Date Cleared
    2024-05-16

    (245 days)

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

    Halyard Tri-Layer AAMI 3 Isolation Gowns are intended to be worn by healthcare personnel in isolations to provide moderate barrier protection for healthcare personnel and patients from microorganism transfer, body fluids, and particulate matter. The gowns are non-sterile, single use, and meet AAMI PB70:2012 level 3 Liquid Barrier performance requirements. Not intended for use in the operating room.

    Device Description

    The Halyard Tri-Layer AAMI 3 Isolation Gown ("Isolation Gown") is a single use gown, supplied non-sterile. The gowns come in the following sizes: Large, X-Large. These surgical gowns are apparel that are intended to be worn by healthcare professionals to protect from varying levels of fluid contact (low to moderate). These surgical gowns meet the AAMI PB70:2012 Liquid Barrier Performance Classification of Protective Apparel and Drapes Intended for Use in Health Care Facilities, Level 3 Requirements. These Isolation Gowns are manufactured from three-layer full length polypropylene SMS material, with neck tape, elastic cuffs, and waist belt closure systems.

    AI/ML Overview

    The provided document details the non-clinical testing performed on the Halyard Tri-Layer AAMI 3 Isolation Gowns to demonstrate their substantial equivalence to a predicate device.

    1. Table of Acceptance Criteria and Reported Device Performance:

    TestMethodAcceptance CriteriaReported Device Performance
    Spray Impact - Front/Back/Sleeve PanelAATCC 42≤ 1.0gPass
    Spray Impact - Sleeve/Armhole Seam/Shoulder SeamAATCC 42≤ 1.0gPass
    Spray Impact - Front TieAATCC 42≤ 1.0gPass
    Static Decay MDSTM-00180USL 0.5sPass
    Static Decay CDSTM-00180USL 0.5sPass
    ISO L929 MEM Elution CytotoxicityISO 10993-5:2009≤ Grade 2 (mild reactivity)Pass
    ISO Irritation TestISO 10993-10:2010≤ 0.4 Primary Irritation (PII)Pass
    ISO Kligman Maximization TestISO 10993-10:2010Grade < 1Pass
    Grab Strength MDASTM D5034LSL 44N (One-sided 95/95 tolerance limit, K-factor 2.309)Pass
    Grab Strength CDASTM D5034LSL 44N (One-sided 95/95 tolerance limit, K-factor 2.309)Pass
    Tear Strength MDASTM D5733LSL 10N (One-sided 95/95 tolerance limit, K-factor 2.309)Pass
    Tear Strength CDASTM D5733LSL 10N (One-sided 95/95 tolerance limit, K-factor 2.309)Pass
    Hydrostatic Pressure - Front/Back/Sleeve/PanelAATCC 127≥ 50 cmH2OPass
    Hydrostatic Pressure - Sleeve/Armhole Seam/Shoulder SeamAATCC 127≥ 50 cmH2OPass
    Hydrostatic Pressure – Front TieAATCC 127≥ 50 cmH2OPass
    Basis Weight (Baseline Only)ASTM D3776LSL 32.4 USL 39.6 (Two-sided 95/93.5 tolerance limit, K-factor 2.654)Pass
    Flammability MD (Baseline Only)CFR 1610Class 1, ≤3.5sPass
    Flammability CD (Baseline Only)CFR 1610Class 1, ≤3.5sPass
    Seam Strength - Sleeve SeamASTM D1683LSL 30N (One-sided 95/95 tolerance limit, K-factor 2.309)Pass
    Seam Strength - Armhole SeamASTM D1683LSL 30N (One-sided 95/95 tolerance limit, K-factor 2.309)Pass
    Lint Generation - SMSEN ISO 9073-10Log10 (lint count) ≤ 4.0Pass

    2. Sample Sizes Used for the Test Set and Data Provenance:

    The sample sizes for the test sets are indicated for each test in the acceptance criteria table. For example, for Spray Impact (AATCC 42) and Hydrostatic Pressure (AATCC 127), the sample size is n=35 with c=3. For Static Decay (STM-00180), the sample size is n=36 with c=0. For Grab Strength and Tear Strength (ASTM D5034, D5733, D1683), the sample size is n=24 for a one-sided 95/95 tolerance limit. For Flammability (CFR 1610), the sample size is n=49 with c=0. For Lint Generation (EN ISO 9073-10), the sample size is n=30.

    The document does not specify the country of origin of the data or whether the data is retrospective or prospective.

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

    Not applicable. This is a submission for an isolation gown, and the testing involves laboratory measurements against established physical and material standards, not expert clinical evaluation for a diagnostic or AI device.

    4. Adjudication Method for the Test Set:

    Not applicable. The tests are laboratory-based and measure physical properties against defined standards.

    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 not an AI-enabled device.

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

    Not applicable. This is not an AI-enabled device.

    7. The Type of Ground Truth Used:

    The "ground truth" for the performance of the isolation gowns is based on established industry and international standards for protective apparel (e.g., AAMI PB70:2012, AATCC, ASTM, ISO standards). The device's physical and material properties are directly measured and compared against the predefined acceptance criteria within these standards.

    8. The Sample Size for the Training Set:

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

    9. How the Ground Truth for the Training Set Was Established:

    Not applicable. There is no training set as this is not an AI/machine learning algorithm.

    Ask a Question

    Ask a specific question about this device

    K Number
    K230135
    Date Cleared
    2023-10-04

    (259 days)

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

    Copioumed Chemotherapy Isolation Gown is intended to be worn by healthcare personnel to protect health care patients and health care personnel from the transfer of microorganisms, body fluids and particulate. Copioumed Chemotherapy Isolation Gown is non-sterile and for single use only.

    Copioumed Chemotherapy Isolation Gown meets the requirements of an AAMI Level 3 barrier protection for an isolation gown per ANSI/AAMI PB70:2012 Liquid Barrier Performance Classification of Protective Apparel Drapes Intended for Use in Health Care Facilities (ANSI/AAMI PB70).

    Copioumed Chemotherapy Isolation Gown is a disposable device intended to protect health care personal from exposure to chemotherapy drugs during preparation, handling, and administration.

    The Copioumed Chemotherapy Isolation Gown has been evaluated for resistance to permeation of various chemotherapy drugs per ASTM F739-20 "Standard Test Method for Permeation of Liquids and Gases Through Protective Clothing Materials Under Conditions of Continuous Contact." Chemotherapy drug permeation resistance, average standardized breakthrough time in minutes. *:

    Carmustine [3.3 mg/ml] >480
    Cisplatin [1.0 mg/ml] >480
    Cyclophosphamide [20 mg/ml] >480
    Cytarabine Hydrochloride [100 mg/ml] >480
    Dacarbazine [10 mg/ml] >480
    Daunorubicin Hydrochloride [5 mg/ml] >480
    Doxorubicin Hydrochloride [2 mg/ml] > 480
    Etoposide [20 mg/ml] >480
    Fluorouracil [50 mg/ml] >480
    Ifosfamide [50 mg/ml] > 480
    Methotrexate [25 mg/ml] >480
    Mitomycin C [0.5 mg/ml] >480
    Mitoxantrone [2.0 mg/ml] >480
    Paclitaxel [6 mg/ml] >480
    Thiotepa [10 mg/ml] >480
    Vincristine Sulfate [1 mg/ml] >480

    *No permeation was detected at either the minimum detectable permeation or 0.1 ug/cm2/min

    Device Description

    Copioumed Chemotherapy Isolation Gown is a disposable device intended to protect health care personal from exposure to chemotherapy drugs during preparation, handling, and administration. This device is non-sterile and for single use only. Copioumed Chemotherapy Isolation Gown is a Polypropylene Gown laminated with Polyethylene and Knit cuff in three styles: Tie neck closure, Velcro neck closure and Sticker neck closure.

    AI/ML Overview

    This document pertains to the 510(k) premarket notification for the "Copioumed Chemotherapy Isolation Gown," a Class II medical device. The information provided outlines the device's technical specifications, indications for use, and a comparison to predicate and reference devices, supported by non-clinical testing.

    Here's an analysis of the acceptance criteria and study proving the device meets these criteria, as presented in the document:

    1. Table of Acceptance Criteria and Reported Device Performance

    The device's performance is primarily evaluated against recognized standards for protective apparel and chemotherapy drug permeation. The criteria and results are summarized in section "L. SUMMARY OF NON-CLINICAL TESTING" on page 14.

    No.StandardsPurposeCriteriaResults
    1.AATCC 42To demonstrate resistance to penetration of sprayed water≤1.0 gPass
    2.AATCC 127To demonstrate resistance to penetration of pressurized water≥50 cm H2OPass
    3.ANSI/AAMI PB70:2012 AAMI Level 3To demonstrate adequate liquid barrier performanceLevel 3Pass
    4.ASTM F739-20 (For specified chemotherapy drugs)To demonstrate resistance to penetration of chemotherapy drugs≥480 minutes (for each listed drug)Pass
    5.ASTM D3776/D3776M-17To determine the mass of the fabricInformative (This standard does not have a pass/fail criterion; it's for characterization)Pass (meaning the test was conducted)
    6.ASTM D5034 - 9 2017To demonstrate adequate tensile strength of the material≥30 NPass
    7.ASTM 1683-17 (2018)To demonstrate adequate seam strength≥30 NPass
    8.ASTM D5587-15 (2019)To demonstrate adequate tear strength of the material≥10 NPass
    9.NWSP 160.1To determine the linting propertiesInformativePass (meaning the test was conducted)
    10.ISO 9073-10:2003To determine linting propertiesInformativePass (meaning the test was conducted)
    11.16 CFR 1610Standard for the Flammability for Clothing TextilesClass 1Pass
    12.ISO 10993-5:2009To assess the potential cytotoxicity of the gownUnder the conditions of the testing, non-cytotoxicPass
    13ISO 10993-10:2021To assess the sensitization potential of the gownUnder the conditions of the testing, not a sensitizerPass
    14ISO 10993-23:2021To assess the irritation potential of the gownUnder the conditions of the testing, not an irritantPass

    Chemotherapy Drug Permeation Resistance (detailed from page 3, 6, and 8):
    The device was evaluated for resistance to permeation based on ASTM F739-20. The acceptance criterion for each drug was a breakthrough time of >480 minutes, with "No permeation was detected at either the minimum detectable permeation or 0.1 µg/cm²/min." The device met this criterion for all 16 listed chemotherapy drugs:

    • Carmustine [3.3 mg/ml]: >480 min
    • Cisplatin [1.0 mg/ml]: >480 min
    • Cyclophosphamide [20 mg/ml]: >480 min
    • Cytarabine Hydrochloride [100 mg/ml]: >480 min
    • Dacarbazine [10 mg/ml]: >480 min
    • Daunorubicin Hydrochloride [5 mg/ml]: >480 min
    • Doxorubicin Hydrochloride [2 mg/ml]: >480 min
    • Etoposide [20 mg/ml]: >480 min
    • Fluorouracil [50 mg/ml]: >480 min
    • Ifosfamide [50 mg/ml]: >480 min
    • Methotrexate [25 mg/ml]: >480 min
    • Mitomycin C [0.5 mg/ml]: >480 min
    • Mitoxantrone [2.0 mg/ml]: >480 min
    • Paclitaxel [6 mg/ml]: >480 min
    • Thiotepa [10 mg/ml]: >480 min
    • Vincristine Sulfate [1 mg/ml]: >480 min

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

    The document does not specify the exact sample sizes (e.g., number of gowns or material samples) used for each specific non-clinical test. It only states that the tests were performed "under the test conditions" for biocompatibility and that results for physical tests (e.g., breaking strength, tearing strength) are given as means and standard deviations, implying multiple samples were tested.

    The data provenance is from non-clinical laboratory testing. The document does not explicitly state the country of origin of the data or whether it was retrospective or prospective, beyond acknowledging that these are test results supporting a 510(k) submission. Given it's a 510(k) submission to the US FDA from a Taiwanese company (Copioumed International Inc.), the testing would have been conducted to meet US regulatory requirements, likely in certified labs.

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

    This submission is for a physical medical device (isolation gown) and relies entirely on non-clinical laboratory testing against recognized industry standards (ASTM, AAMI, ISO, AATCC, CFR). Therefore:

    • No human experts were used to establish ground truth in the context of clinical interpretation (e.g., radiologists for imaging data).
    • The "ground truth" is defined by the numerical criteria outlined in the referenced performance standards. The qualifications of the personnel conducting these laboratory tests would be that they are trained and competent in performing the specific standard tests in accredited laboratories. The document does not provide details on these personnel.

    4. Adjudication Method for the Test Set

    Not applicable. Since the evaluation is based on non-clinical, objective laboratory tests with defined quantitative pass/fail criteria, there is no team of experts adjudicating results in the way one would for clinical data or imaging interpretations. The tests yield objective measurements that are compared against a pre-defined standard's requirements.

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

    No. This is a 510(k) submission for an isolation gown, not a software or AI-assisted diagnostic tool. MRMC studies are not relevant for this type of device.

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

    Yes, in a sense. The "performance" of this device is its physical and chemical barrier properties and material strength. These are assessed in laboratory settings without human intervention in the loop beyond the initial setup and analysis of the test apparatus. The tests are designed to measure the inherent properties of the gown material and construction.

    7. The Type of Ground Truth Used

    The ground truth used for this device's performance evaluation is based on defined quantitative and qualitative criteria set by recognized consensus standards (e.g., AAMI PB70:2012 for liquid barrier performance, ASTM F739-20 for chemotherapy drug permeation, various ASTM standards for material strength, and ISO 10993 for biocompatibility). These standards specify the methodology and acceptance criteria for demonstrating the device's protective capabilities.

    8. The Sample Size for the Training Set

    Not applicable. This device is an isolation gown, not an AI/ML-based device that requires a training set. The evaluation is based on physical and chemical testing of the final product.

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

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

    Ask a Question

    Ask a specific question about this device

    K Number
    K223467
    Date Cleared
    2023-02-10

    (85 days)

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

    Disposable Isolation Gowns are intended to protect health care patients and health care personnel from the transfer of microorganisms, body fluids and particulate material. Not intended for use in the operating room. This Disposable Isolation Gowns meets the requirements of AAMI Level 3 barrier protection for a surgical gown per ANSI/AAMI PB70:2012 Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities (AAMI PB70). The Disposable Isolation Gowns are single use, disposable medical devices; provided non-sterile.

    Device Description

    Disposable Isolation Gown is designed for the medical personnel using in medical environment, not intended for use in the operating room. The employed material is a polypropylene and polyethylene (PP+PE) compound non-woven fabric. The color of the gown is blue. The gown has long sleeves with cuffs and neck fasten belts. There are seam tapes above the sleeves and where the sleeves meet the body. The seam tape is ethylene-vinyl acetate (EVA). The material of cuff is polyester and it is elastic.

    The body and sleeve of the Disposable Isolation Gowns are constructed from a blue PP+PE compound non-woven fabric and have been tested according to AAMI PB70:2012 and meet AAMI Level 3 barrier level protection for a Disposable Isolation Gown. The Disposable Isolation Gown is a single use, disposable medical device.

    AI/ML Overview

    Here's a summary of the acceptance criteria and the study proving the device meets them, based on the provided FDA 510(k) summary:

    Device: Disposable Isolation Gown (K223467)

    1. A table of acceptance criteria and the reported device performance:

    Test NamePurposeAcceptance CriteriaReported Device Performance
    Seam strength (sleeve seam)To evaluate the strength of the sleeve seam≥30N per standard F2407-20 for level 3Pass
    Tensile strength (Media Direction & Cross Direction)To evaluate the tensile strength of the test sample≥30N per standard F2407-20 for level 3Pass
    Tear strength (Media Direction & Cross Direction)To evaluate the tear resistance of the test sample≥10NPass
    Hydrostatic pressure test (front, sleeve, sleeve seam, shoulder seam, back)To evaluate the hydrostatic barrier property of the gown≥50cmH2O AQL: 4% (32 of 32 samples pass each location)Pass
    Lint and other particles generation in the dry state (material)To evaluate the linting resistance of the test sampleCritical area≤4.0; Less critical area≤ 4.0Pass
    Lint and other particles generation in the dry state (sleeve seam)To evaluate the linting resistance in the dry state of the sleeve seamCritical area≤4.0; Less critical area≤ 4.0Pass
    2-year accelerated aging (AAMI PB70:2012 - AATCC 42 Water impact & AATCC 127 Hydrostatic pressure)To demonstrate performance stability throughout the shelf lifeMeets all AAMI PB70 performance requirements; AATCC 42 ≤ 1.0 g; AATCC 127 ≥ 50 cm H2OPass
    2-year accelerated aging (ASTM F3352 - Tensile strength, Tear strength, Seam Strength, Lint generation)To demonstrate performance stability throughout the shelf life (additional parameters)ASTM D5034 ≥ 30 N (Machine direction and cross direction); ASTM D5733 ≥ 10 N (Machine direction and cross direction); ASTM D1683 ≥ 30 N; ISO 9037-10 Coef. of linting ≤ 4.0Pass
    FlammabilityTo evaluate the flame resistance of the test sampleClass IPass
    Water impact resistance (front, sleeve, sleeve seam, shoulder seam, back)To evaluate the water impact barrier property of the gown≤1.0g AQL: 4% (32 of 32 samples pass each location); Level 3 per standard ANSI/AAMI PB70:2012Pass
    Cytotoxic potentialTo evaluate the cytotoxic potential of the gownUnder the conditions of the study, the device is not cytotoxicPass
    IrritationTo evaluate the irritation property of the gownUnder the conditions of the study, the device is not an irritantPass
    SensitizationTo evaluate the sensitization property of the gownUnder the conditions of the study, the device is not a sensitizerPass

    2. Sample size used for the test set and the data provenance:

    • Sample Size:
      • For Hydrostatic pressure test and Water impact resistance, the acceptance criteria state "32 of 32 samples pass each location." This implies a sample size of 32 for these specific tests.
      • Specific sample sizes for other non-clinical tests (e.g., seam strength, tensile strength, tear strength, lint generation, flammability, biocompatibility) are not explicitly stated in this document beyond the general "sample" or "test sample." However, these types of tests typically involve testing multiple units or specimens to ensure reproducibility and statistical validity according to the referenced standards.
    • Data Provenance: The document does not explicitly state the country of origin or whether the studies were retrospective or prospective. Given that the manufacturer is based in China, it is highly probable that the testing was conducted there. All tests described are non-clinical tests, which are typically conducted in a controlled laboratory setting (i.e., not on human subjects), and thus the retrospective/prospective distinction is not applicable in the same way it would be for a clinical trial.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

    • This information is not applicable as the studies are entirely non-clinical (laboratory-based performance and material property testing). There are no human experts establishing a "ground truth" for diagnostic or clinical interpretation. The "ground truth" for these tests comes from adherence to established international and national standards (e.g., ASTM, ISO, AAMI, AATCC, CPSC CFR) for material properties and barrier performance.

    4. Adjudication method for the test set:

    • This information is not applicable. Adjudication methods like 2+1 or 3+1 are used in studies involving human interpretation (e.g., image reading) where there might be disagreement among experts. Since these are non-clinical, objective laboratory tests against pre-defined numerical or qualitative criteria, there is no need for expert adjudication.

    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:

    • No, an MRMC comparative effectiveness study was not conducted. This device is a disposable isolation gown, and the submission focuses on its physical and barrier properties, not on an AI-assisted diagnostic or interpretive tool that would involve human readers.

    6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:

    • No, a standalone algorithm-only performance study was not conducted. This device is manufactured personal protective equipment (PPE), not software or an AI algorithm. The performance evaluation is based on material and product testing against established engineering and safety standards.

    7. The type of ground truth used:

    • The "ground truth" for these non-clinical tests is based on established testing standards and regulatory requirements. This includes:
      • Material properties: Tensile strength, tear strength, seam strength, lint generation, flammability, all measured against specific ASTM and ISO standards with predefined passing criteria.
      • Barrier performance: Hydrostatic pressure and water impact resistance, measured against AAMI PB70:2012 (Level 3) and AATCC standards.
      • Biocompatibility: Cytotoxicity, irritation, and sensitization, measured against ISO 10993 standards with "not cytotoxic," "not an irritant," and "not a sensitizer" as the ground truth.
      • Shelf-life stability: Demonstrated by meeting all performance requirements after accelerated aging, with the original acceptance criteria serving as the ground truth for stability.

    8. The sample size for the training set:

    • This information is not applicable as the device is a physical product (disposable isolation gown), not a machine learning model. Therefore, there is no "training set" in the context of AI or algorithms.

    9. How the ground truth for the training set was established:

    • This information is not applicable for the reason stated above.
    Ask a Question

    Ask a specific question about this device

    K Number
    K223304
    Date Cleared
    2023-02-08

    (104 days)

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

    Disposable Isolation Gowns are intended to protect health care patients and health care personnel from the transfer of microorganisms, body fluids and particulate material. Not intended for use in the operating room. This Disposable Isolation Gowns meet the requirements of AAMI Level 3 barrier protection for a surgical isolation gown per ANSI/AAMI PB70:2012 Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities (AAMI PB70). The Disposable Isolation Gowns are single use, disposable medical devices, provided non-sterile.

    Device Description

    Disposable Isolation Gowns are designed for the medical personnel using in medical environment, not intended for use in the operating room. The employed material is Polypropylene(PP) non-woven with polyethylene(PE) lamination. It is a kind of Non- Reinforced isolation gown. The sleeve and body of the Disposable Isolation Gowns are constructed from a blue PP&PE (non-woven fabric, PE lamination) and have been tested according to AAMI PB70:2012 and meet AAMI Level 3 barrier level protection for a surgical isolation gown. The Disposable Isolation Gowns are single use, disposable medical device that will be provided in a variety of non-sterile packaging configurations with 6 sizes, S,M,L,XL,XXL,and XXXL.

    AI/ML Overview

    The provided text describes the acceptance criteria and performance data for a medical device, specifically Disposable Isolation Gowns. However, it is not an AI/ML powered medical device. Therefore, the requested information pertaining to AI/ML model performance, such as sample sizes for test sets, data provenance, expert consensus for ground truth, MRMC studies, or training set details, is not applicable to this document.

    The document focuses on demonstrating the substantial equivalence of the proposed isolation gowns to a legally marketed predicate device based on their physical properties, barrier performance, and biocompatibility.

    Here's the relevant information that can be extracted, presented in the requested format where applicable:

    Acceptance Criteria and Reported Device Performance for Disposable Isolation Gowns

    1. Table of Acceptance Criteria and Reported Device Performance

    Test ItemStandard / Acceptance CriteriaReported Device Performance
    Physical Performance Tests
    Seam strength$\ge$ 30N (7lbf) per standard F2407-20Pass
    Breaking strength$\ge$ 30N (7lbf) per standard F2407-20Pass (Mean Result MD: 85.6N, CD: 77.3 N)
    Tear strength (N)$\ge$ 20NPass (Mean Result MD: 29.9N, CD: 18.43N)
    Lint and other particle generation in dry stateCritical area $\le$ 4.0, Less critical area $\le$ 4.0Pass
    FlammabilityClass I per 16 CFR Part 1610Pass
    Liquid Barrier Performance Tests (AAMI Level 3)
    Water proof property (material, seam)$\le$ 1.0g AQL: 4%, Level 3 per standard ANSI/AAMI PB70:2012 (AATCC42-2017)Pass
    Static hydrostatic resistance$\ge$ 50 cmH2O per standard ANSI/AAMI PB70:2012 (AATCC 127-2018)Pass
    Biocompatibility Endpoints Assessment
    CytotoxicityNon-CytotoxicPASS
    IrritationNon-IrritatingPASS
    SensitizationNon-SensitizingPASS

    Points 2-9 are not applicable as this is not an AI/ML medical device submission.

    • 2. Sample size used for the test set and the data provenance: Not applicable. The tests are for physical and biological properties of the gowns, not an AI/ML model. The testing is based on standard methods for material properties. The provenance is internal testing by the manufacturer (Xiamen Probtain Medical Technology Co., Ltd. in China).
    • 3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. Ground truth for physical and biological tests is defined by established international standards (ISO, ASTM, AATCC, CPSC).
    • 4. Adjudication method for the test set: Not applicable. Results are quantitative measurements against defined criteria.
    • 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 not an AI/ML device.
    • 6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done: Not applicable. This is not an AI/ML device.
    • 7. The type of ground truth used: For physical and barrier performance, the "ground truth" is defined by the acceptance criteria specified in the referenced industry standards (e.g., AAMI PB70:2012, ASTM, ISO, AATCC, CPSC 16 CFR). For biocompatibility, it's the biological response observed under standardized test conditions (e.g., non-cytotoxic, non-irritating, non-sensitizing).
    • 8. The sample size for the training set: Not applicable. This is not an AI/ML device.
    • 9. How the ground truth for the training set was established: Not applicable. This is not an AI/ML device.

    In summary: The provided document is a 510(k) submission for a non-AI/ML medical device (disposable isolation gowns). The "study" proving the device meets acceptance criteria consists of a battery of non-clinical, laboratory-based tests of the product's physical, barrier, and biocompatibility properties, demonstrating compliance with recognized standards. The concept of an "AI/ML model" and associated metrics (training/test sets, human readers, ground truth creation for AI) does not apply to this submission.

    Ask a Question

    Ask a specific question about this device

    K Number
    K223411
    Date Cleared
    2023-01-04

    (56 days)

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

    Disposable Isolation Gowns are intended to protect health care patients and health care personnel from the transfer of microorganisms, body fluids and particulate material. Not intended for use in the operating room. This Disposable Isolation Gown meets the requirements of AAMI Level 3 barrier protection for a surgical isolation gown per ANSI/AAMI PB70:2012 Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities (AAMI PB70). The Disposable Isolation Gowns are single use, disposable medical devices, provided sterile.

    Device Description

    Disposable Isolation Gowns are designed for the medical personnel use in medical environment, not intended for use in the operating room. The employed material is Polypropylene(PP) non-woven with polyethylene(PE) lamination. It is a kind of Non- Reinforced isolation gown. The Disposable Isolation Gowns are constructed from a blue PP&PE (non-woven fabric, PE lamination) and have been tested according to AAMI PB70:2012 and meet AAMI Level 3 barrier level protection for a surgical isolation gown. The Disposable Isolation Gowns are blue color, sterilized by ethylene oxide gas , single use, disposable medical device that will be provided in a variety of sterile packaging configurations with 6 sizes, S,M,L,XL,XXL,and XXXL

    AI/ML Overview

    The provided document describes the acceptance criteria and the results of non-clinical tests for the "Disposable Isolation Gowns" (K223411) from Xiamen Probtain Medical Technology Co., Ltd.

    Here's the requested information:

    1. A table of acceptance criteria and the reported device performance

    Test ItemTest StandardAcceptance CriteriaReported Device Performance (Result)
    Seam strengthASTM D1683M-17 Standard Test Method for Failure in Sewn Seams of Woven Fabrics.≥30N (7lbf) per standard F2407-20 for level 3PASS (89.86 N, average from 10 samples)
    Breaking strengthASTM D5034-09 (2017) Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test)≥30N (7lbf) per standard F2407-20 for level 3PASS (MD: 90.92 N, CD: 77.06 N, average from 10 samples)
    Tear strength (N)ASTM D5587-15, Standard Test Method for Tearing Strength of Fabrics by Trapezoid Procedure≥10NPASS (MD: 31.89 N, CD: 19.2 N, average from 10 samples)
    Lint and other generation in the dry stateISO 9073-10: 2003 Textiles - Test Methods for Nonwovens - Part 10: Lint and Other Particles Generation in the Dry StateLog10(particle count) < 4PASS (1.8, average from 10 samples)
    FlammabilityCPSC 16 CFR Part 1610-2008, Standard for the Flammability of clothing textilesClass IPASS (Class I)
    Water Penetration ResistanceAATCC 42-2013, Impact Penetration Test≤1.0g AQL: 4% Level 3 per standard ANSI/AAMI PB70:2012 for level 3PASS (≤1.0g)
    Static hydrostatic resistanceAATCC 127-2014, Water Resistance: Hydrostatic Pressure Test≥50 cmH2O per standard ANSI/AAMI PB70:2012 for level 3PASS (≥50 cmH2O)
    EO and ECH sterilization residualISO 10993-7:2008 Ethylene oxide sterilization residualsEO ≤ 4mg/d, ECH ≤ 9mg/dPASS (EO ≤ 4mg/d, ECH ≤ 9mg/d)
    Biocompatibility: CytotoxicityISO 10993-5: 2009 Biological Evaluation of Medical Devices -- Part 5: Tests For In Vitro Cytotoxicity (The test was performed under the conditions of the study, the device extract was not cytotoxic.)Non-CytotoxicPASS (Under the conditions of the study, the device is non-cytotoxic.)
    Biocompatibility: IrritationISO 10993-10: 2010 Biological Evaluation of Medical Devices - Part 10: Tests For Irritation And Skin Sensitization (The test was performed under the conditions of the study, the non-polar and polar device extracts were not found to be an irritant.)Non-IrritatingPASS (Under the conditions of the study, the device is non-irritating.)
    Biocompatibility: SensitizationISO 10993-10: 2010 Biological Evaluation of Medical Devices - Part 10: Tests For Irritation And Skin Sensitization (Under conditions of the study, the non-polar and polar device extracts were not found to be a sensitizer.)Non-SensitizingPASS (Under the conditions of the study, the device is non-sensitizing.)

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    • Sample Size for Mechanical/Physical Tests: For most mechanical and physical tests (Seam strength, Breaking strength, Tear strength, Lint and other generation), the results are reported as an "Average result from 10 samples."
    • Sample Size for Biocompatibility Tests: Not explicitly stated but generally follows ISO 10993 standards which define sample sizes.
    • Data Provenance: The tests were conducted to verify that the proposed device met design specifications. The document does not specify the country of origin of the testing data beyond listing the applicant's address in Xiamen, Fujian, China. The studies are non-clinical (laboratory-based performance and safety tests), not related to patient data, so "retrospective or prospective" does not apply in the typical sense.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    This product is a medical device (isolation gown), not an AI/imaging device requiring expert interpretation for ground truth. The "ground truth" for these tests is established by adherence to recognized international and national standards (e.g., AAMI, ASTM, ISO, CPSC). The experts involved would be laboratory technicians and engineers who are qualified to perform these specific standard tests, but their specific number or qualifications are not detailed in this submission as it's not relevant for this type of device.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    Adjudication methods like 2+1 or 3+1 are typically for clinical studies or studies involving human readers/interpreters. This document describes non-clinical laboratory testing of a physical product against established performance standards. Therefore, an adjudication method is not applicable and not mentioned.

    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

    No, an MRMC comparative effectiveness study was not done. This device is a disposable isolation gown, not an AI-powered diagnostic or assistive technology that would involve human readers or AI assistance.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    No, a standalone algorithm-only performance study was not done. This is not an algorithmic device. The "standalone" performance here refers to the physical gown's performance against defined standards.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    The "ground truth" for the device's performance is defined by the acceptance criteria specified in recognized industry standards (e.g., AAMI PB70:2012, ASTM D1683M-17, ISO 10993). Therefore, it's a standards-based ground truth.

    8. The sample size for the training set

    This is a physical medical device (isolation gown) undergoing non-clinical performance and biological safety testing, not a machine learning model. Therefore, there is no "training set" in the context of AI or algorithms.

    9. How the ground truth for the training set was established

    As explained in point 8, there is no training set for this type of device.

    Ask a Question

    Ask a specific question about this device

    K Number
    K212717
    Manufacturer
    Date Cleared
    2022-11-30

    (460 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 Paneffort AAMI Level 3 Isolation Gowns are intended to be worn by healthcare personnel in isolations to provide moderate barrier protection for health care personnel and patients from the transfer of microorganisms, body fluids, and particulate material. Paneffort AAM Level 3 Isolation Gowns meet the requirements of level 3 Liquid Barrier Performance as per AAMI PB70:2012 and are provided non-sterile and are single use only.

    Device Description

    The Paneffort AAMI Level 3 Isolation Gown is a surgical isolation gown with moderate barrier protection identified by Regulation 21 CFR 878.4040 under FDA product code FYC. The Paneffort AAMI Level 3 Isolation Gown is a single use, disposable medical device provided non-sterile. Paneffort AAMI Level 3 Isolation Gown is offered in one color (blue) and six different sizes of Small, Medium, Regular/Large, X-Large, 2X-Large, and 3X-Large. Each model is constructed of a nonwoven Spunbond-Meltblown-Spunbond (SMS) material that is tested according to ANSI/AAMI PB70:2012 Liquid Barrier and Performance Classification of Protective Apparel and Surgical Drapes Intended for Use in Health Care Facilities and meets AAMI Level 3.

    The Paneffort AAMI Level 3 Isolation Gown consists of one critical zone throughout the entire gown including seams, but excluding cuffs, hems, and bindings as per AAMI PB70:2012. It is a protective tape sealed gown along with other design features like tieneck, elastic cuffs, and belt tie, that meets AAMI PB70 Level 3 barrier performance for protective apparel.

    AI/ML Overview

    This document describes the non-clinical testing performed on the Paneffort AAMI Level 3 Isolation Gown to demonstrate its substantial equivalence to a predicate device.

    Here's an analysis of the provided information:

    1. Table of Acceptance Criteria and Reported Device Performance:

    S.No.Test PerformedAcceptance CriteriaReported Device PerformanceConclusion
    1.Bursting Strength≥ 40 kPa (≥5.80 psi)The test meets the Acceptance CriteriaThe test meets the Acceptance Criteria
    2.Basis Weight≥35 g/m²The test meets the Acceptance CriteriaThe test meets the Acceptance Criteria
    3.Linting TestCo-coefficient of Linting ≤4.2The test meets the Acceptance CriteriaThe test meets the Acceptance Criteria
    4.Air Permeability≥15 ft³/min/ft²The test meets the Acceptance CriteriaThe test meets the Acceptance Criteria
    5.Water Resistance: Hydrostatic Pressure≥ 50cm H₂O (Ac: 3, Re: 4); AQL: 4% (Level 3 ANSI/AAMI PB70:2012)Lot 1: 3 out of 32 samples failed. Lot 2: 3 out of 32 samples failed. Lot 3: 2 out of 32 samples failed. Despite these failures, the overall conclusion states: "The test meets the Acceptance Criteria."The test meets the Acceptance Criteria
    6.Water Resistance: Impact Penetration≤1.0g (Ac: 3, Re: 4); AQL: 4% (Level 3 ANSI/AAMI PB70:2012)The test meets the Acceptance CriteriaThe test meets the Acceptance Criteria
    7.Tensile Strength/Breaking Strength≥30N (≥7 lbf)The test meets the Acceptance CriteriaThe test meets the Acceptance Criteria
    8.Tearing Strength≥10N (≥2.3 lbf)The test meets the Acceptance CriteriaThe test meets the Acceptance Criteria
    9.Seam Strength≥30N (≥7 lbf)The test meets the Acceptance CriteriaThe test meets the Acceptance Criteria
    10.FlammabilityClass I. Textile exhibiting normal flammability.The test meets the Acceptance CriteriaThe test meets the Acceptance Criteria
    11.Water Vapour resistance0,0-1,0 kPa.m²/W (This appears to be a range, but typically there would be a specific limit or target for water vapor resistance for PPE)The test meets the Acceptance CriteriaThe test meets the Acceptance Criteria
    Biocompatibility: In Vitro CytotoxicityNon-cytotoxicUnder the conditions of the study, the device is non-cytotoxic.The test meets the Acceptance Criteria
    Biocompatibility: Skin IrritationNot an irritantUnder the conditions of the study, not an irritant.The test meets the Acceptance Criteria
    Biocompatibility: Skin SensitizationNot a sensitizerUnder the conditions of the study, not a sensitizer.The test meets the Acceptance Criteria

    Note on Water Resistance (Hydrostatic Pressure): The reported performance shows individual sample failures within each lot (3 out of 32 in Lot 1, 3 out of 32 in Lot 2, and 2 out of 32 in Lot 3). However, the "Conclusion" column for this test still states "The test meets the Acceptance Criteria." This implies that the passing condition is based on an Allowable Quality Level (AQL) or a specific sampling plan where a certain number of defects are permitted within the sample size while still meeting the overall acceptance criteria (Ac: 3, Re: 4; AQL: 4%).

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

    • Sample Sizes:
      • Bursting Strength, Basis Weight, Linting Test, Air Permeability, Tensile Strength/Breaking Strength, Tearing Strength, Seam Strength, Flammability, Water Vapour resistance: 32 samples each from 3 different lots (total 96 samples per test).
      • Water Resistance: Hydrostatic Pressure and Impact Penetration: Lot 1: 74 pieces; Lot 2: 72 pieces; Lot 3: 72 pieces (total 218 pieces across 3 lots for each test).
    • Data Provenance: The document does not explicitly state the country of origin for the testing data. However, the manufacturer is Paneffort (Cambodia) Garment Co. Ltd., and the specification developer is Paneffort, LLC (USA). The testing standards are international (ASTM, AATCC, ISO, CFR), suggesting tests were conducted in reputable labs, but the specific location of the test facilities is not provided. The data is retrospective, as it was collected to support a 510(k) submission for a device that has already been manufactured and tested.

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

    • Not Applicable. This study is a non-clinical performance testing of a physical medical device (isolation gown) against established engineering and material science standards. It does not involve human interpretation of data or diagnostic tasks where expert ground truth would be required. The "ground truth" here is objective measurement against specified criteria.

    4. Adjudication Method for the Test Set:

    • Not Applicable. As no expert review or human interpretation for diagnosis is involved, there is no adjudication method in the traditional sense. The pass/fail criteria are defined by the testing standards and AQLs.

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

    • No. An MRMC study is relevant for diagnostic devices that involve human interpretation (e.g., radiologists reading images). This submission is for a physical medical device (isolation gown) and does not involve human readers or diagnostic cases.

    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. It is a physical product. The performance reported is that of the gown itself, as tested in a lab environment.

    7. The Type of Ground Truth Used:

    • The "ground truth" for this device's performance is based on established industry and regulatory standards for protective apparel. This includes:
      • ANSI/AAMI PB70:2012 Liquid Barrier Performance Classification of Protective Apparel and Surgical Drapes Intended for Use in Health Care Facilities (specifically Level 3).
      • Various ASTM, AATCC, ISO, and CFR standards for material properties and flammability.
      • ISO 10993 for biocompatibility.
    • The tests generate objective, measurable data that is compared directly to the numerical acceptance criteria defined in these standards.

    8. The Sample Size for the Training Set:

    • Not Applicable. This device does not use machine learning or AI, and therefore does not have a "training set." The performance is inherent to its physical design and materials, verified through non-clinical testing.

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

    • Not Applicable. As there is no training set, this question is not relevant.
    Ask a Question

    Ask a specific question about this device

    K Number
    K210414
    Date Cleared
    2022-10-21

    (617 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 CoverU Disposable Gown with Tape AAMI Level 4 Isolation Gown (Model number: IL4036YKTP-L4) is intended to provide barrier protection and protect healthcare personnel and patients from the transfer of microorganisms, body fluids and particulate material. CoverU Disposable Gown with Tape meets the requirements of AAMI Level 4 barrier protection for a surgical isolation gown per ANSI/ AAMI PB70:2012 Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities. Not intended for use in the operating room. CoverU Disposable Gown with Tapes is a single use, disposable medical device provided non-sterile.

    The CoverU Disposable Gown with Tape - Chemo Gown (Model number IL-4036YKTP-CM) is intended to provide barrier protection and protect healthcare personnel and patients from the transfer of microorganisms, body fluids and particulate material. CoverU Disposable Gown with Tape meets the requirements of AAMI Level 4 barrier protection for a surgical isolation gown per ANSI/ AAMI PB70:2012 Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities. Not intended for use in the operating room. CoverU Disposable Gown with Tapes is a single use, disposable medical device provided non-sterile. The gowns have been evaluated for resistance to permeation of various chemotherapy drugs per ASTM F739-12, Standard Test Method for Permeation of Liquids and Gases Through Protective Clothing Materials Under Conditions of Continuous Contact. Chemotherapy drug permeation resistance, average standardized breakthrough time in minutes *:

    Carmustine [3.3 mg/ml] >480 Cisplatin [1.0 mg/ml] >480 Cyclophosphamide [20 mg/ml] >480 Cytarabine Hydrochloride [100 mg/ml] >480 Dacarbazine [10 mg/ml] >480 Daunorubicin Hydrochloride [5 mg/ml] >480 Doxorubicin Hydrochloride [2 mg/ml] > 480 Etopside [20 mg/ml] >480 Fluorouracil [50 mg/ml] >480 lfosfamide [50 mg/ml] > 480 Methotrexate [25 mg/ml] >480 Mitomycin C [0.5 mg/ml] >480 Mitoxantrone [2.0 mg/ml] >480 Paclitaxel [6 mg/ml] >480 Thiotepa [10 mg/ml] >480 Vincristine Sulfate [1 mg/ml] >480 Docetaxel [10mg/ml] >480 Oxaliplatin [5mg/ml] >480 Leucovorin [10mg/ml] >480

    *No permeation was detected at either the minimum detectable permeation or 0.1 ug/cm2/min

    Device Description

    The CoverU Disposable Gown with Tape is constructed of PPSB Coated PE materials with the color in yellow. It is sealed the seam by Adheresive tape provide protection from liquid borne. The sleeves of the gown have knit cuffs sewn onto the end of the sleeve at the user's wrists to keep the sleeves in place on the wearer. Tie at the neck and waist for secure protection AAMI level 4 standard provides high performance on hydrostatic pressure and fluids impact.

    The CoverU Disposable Gown with Tape is sold in one size, non-sterile and is intended to be a single use, disposable device, and does NOT contain any drugs or biologics and not made with natural rubber latex. The two gown models are exact the same gowns, except the chemo-drug labeling claim. one is intended to protect workers from high fluid level (blood body fluids etc.) and blood borne pathogen, and the other is intended to protect healthcare personnel from exposure to chemotherapy drugs during preparation, handling, and administration. Ten (10) pieces of CoverU Disposable Gown with Tape are packaged in a plastic bag and ten bags are outer packaging with a paper carton box. These gowns are offered in a universal size.

    AI/ML Overview

    The provided document is a 510(k) premarket notification for a medical device, specifically a disposable gown. The acceptance criteria and the proof of meeting those criteria are detailed in the non-clinical performance testing section.

    Here's the breakdown of the information requested, based on the provided document:

    1. A table of acceptance criteria and the reported device performance

    Test PerformedPurposeTest Method/Standard FollowedAcceptance CriteriaTest Result
    Hydrostatic PressureTo determine the hydrostatic pressure of the test sample.ATCC 127/AAMI Standard PB70 Level 4>50 cm H2OPass
    Water ImpactTo determine the Water impact of the test sample.ATCC 42/AAMI Standard PB70 Level 4<1.0 gPass
    Resistance of Materials to Penetration by ViralTo measure blood-borne pathogens using a surrogate microbe under conditions of continuous liquid contact.ASTM F1671/F1671M-13/ANSI/AAMI Standard PB70 Level 4Penetration Does Not AppearPass
    Basic WeightTo determine the Basic weight of the test article.ASTM D3776 / D3776M (2020)Avg. 40 g/m2 ±5%Pass
    Grab Tensile StrengthTo evaluate the breaking strength of the test sample by test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test).ASTM D5034-09(2017) /ASTM D5034-09(2017)Tensile strength >=7 lbf (>=30N)Pass
    Seam StrengthTo evaluate the seam strength of the test sample by the method of Failure in Sewn Seams of Woven Fabrics.ASTM D1683 / D1683M - 17(2018)Seam Strength in critical zone >=7 lbf (>=30N)Pass
    Trapezoid Test Tear StrengthTo evaluate the tearing strength of the test sample.ASTM D5733-99/ASTM D5733-99Seam Strength in critical zone >=10N (>=2.3 lbf)Pass
    FlammabilityTo evaluate the flammability of the test sample in accordance with 16 CFR Part 1610 Standard for the Flammability of Clothing Textiles.16 CFR Part 1610/ASTM F2407-06(2013) e1, Section 6.3 flame spreadClass 1 does not IgnitePass
    Resistance to Linting of Nonwoven Fabrics (Dry)To evaluate the linting of the test sample by the method of Nonwovens-Pat 10: Lint and Other Particles Generation in the Dry State.EN ISO 9073-10:2004/EN 13795-1:2019Requirement Coefficient of linting <=4.0Pass
    Resistance to permeation of chemotherapy drugs testTo measure the absorbance of test chemicals, which permeated through the specimens into the collection medium.ASTM F739-12Results showed no average standardized breakthrough for up to 480 minutes for claimed 15 drugsPass
    CytotoxicityTo evaluate the cytotoxicity of the test sample.ISO10993-5The averaged result concluded that the "Disposable Isolation Gown" extract did not induce cytotoxic to L929 cells.Pass
    IrritationTo evaluate the irritation of the test sample.ISO10993-10No erythema and no edema were observed on the skin of the rabbits. Furthermore, the PII values were 0.Pass
    SensitizationTo evaluate the sensitization of the test sample.ISO10993-10The submitted sample under the conditions of this study, the test article extract showed no evidence of causing delayed dermal contact sensitization in the guinea pig.Pass

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document describes non-clinical performance testing of the device itself (materials, barrier properties, etc.). It does not refer to a "test set" in the context of clinical data or AI model evaluation. The tests performed are laboratory-based and measure physical and chemical properties of the gown.

    • Sample size: The document does not explicitly state the number of individual gown samples or material specimens tested for each criterion. It mentions "Avg. 40 g/m2 ±5%" for Basic Weight, which implies an average was taken from multiple measurements, but the N is not provided. For biocompatibility tests (cytotoxicity, irritation, sensitization), typical sample sizes are small (e.g., a few rabbits or cell culture replicates), but they are not specified here.
    • Data provenance: The testing was non-clinical (laboratory-based). The applicant company is MEDTECS (TAIWAN) CORP., suggesting the testing may have been conducted there or by a contracted lab. The document does not specify the country of origin of the testing data, nor does it refer to retrospective or prospective data as it's not a clinical study.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    This question is not applicable. The product is a physical medical device (gowns), not an AI/software device that requires expert-established ground truth from medical images or patient data. The "ground truth" for these tests is defined by established international standards (ASTM, AATCC, ISO, ANSI/AAMI, CPSC).

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    This question is not applicable. Adjudication methods like 2+1 or 3+1 are used in clinical studies, particularly for establishing ground truth for diagnostic accuracy, often in imaging or pathology. These are not relevant to the physical and chemical performance testing of medical gowns.

    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

    This question is not applicable. The device is a medical gown, not an AI-assisted diagnostic tool. No MRMC study was conducted or is relevant.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

    This question is not applicable. The device is a medical gown, not an algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.)

    The "ground truth" for the performance of this device is based on established national and international consensus standards for barrier protection, material properties, flammability, and biocompatibility of protective apparel (e.g., ANSI/AAMI PB70:2012, ASTM F1671/F1671M-13, ISO 10993 series, etc.). These standards define the test methods and the acceptable performance thresholds.

    8. The sample size for the training set

    This question is not applicable. There is no AI model or "training set" for this device.

    9. How the ground truth for the training set was established

    This question is not applicable. There is no AI model or "training set" for this device.

    Ask a Question

    Ask a specific question about this device

    K Number
    K214116
    Date Cleared
    2022-10-11

    (285 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 AAMI4 Isolation Gown is intended to protect health care personnel and patients from the transfer of microorganisms, body fluids and particulate material. Not intended for use in the operating room. The proposed AAMI4 Isolation Gown meets the barrier protection requirements of AAMI Level 4 per ANSI/AAMI PB 70:2012, Liquid Barrier Performance and Classification of Protective Apparel Drapes Intended for Use in Health Care Facilities. The AAMI4 Isolation Gown is a single use, disposable medical device provided non-sterile.

    Device Description

    The proposed device, AAMI4 Isolation Gown, is intended to protect health care personnel and patients from the transfer of microorganisms, body fluids and particulate material. Not intended for use in the operating room. The proposed device is a single use, disposable medical device provided non-sterile. There is one model of AAMI4 Isolation Gown: 4015T. And the proposed AAMI4 Isolation Gown is available in one product size: U. The barrier protection level for AAMI4 Isolation Gown meets AAMI Level 4. The proposed device consists of five components: 1) Basic Gown, 2) Belt, 3) Cuff, 4) Hook-and-loop Velcro and 5) Seam Sealing Tape. The gown is made of polypropylene and polyethylene laminating. The gown is blue in color.

    AI/ML Overview

    The provided document is a 510(k) summary for a medical device called "AAMI4 Isolation Gown." This document focuses on demonstrating substantial equivalence to a predicate device through non-clinical testing. It does not describe a study involving human readers or AI assistance. Therefore, information regarding human readers, AI assistance, effect size, standalone algorithm performance, and sample size for training sets is not available in this document.

    Here's the information that can be extracted from the provided text:

    1. A table of acceptance criteria and the reported device performance

    Test MethodologyPurposeAcceptance CriteriaResult
    FlammabilityTo evaluate the flammability of the test sample in accordance with 16 CFR Part 1610.Meets Class 1 requirementsClass 1
    Hydrostatic pressureTo determine the hydrostatic pressure of the test sample in accordance with AATCC 127: 2017.>50 cmGown sleeve: 188 cmH₂OSleeve seam: 80 cmH₂OBody-sleeve seam: 65 cmH₂OGown body: 199 cmH₂OBelt attachment: 74 cmH₂O
    Water impactTo determine the hydrostatic pressure of the test sample in accordance with AATCC 127: 2017. (Note: The purpose description seems to be a typo and should likely refer to water impact.)≤1.0 gGown sleeve: 0gSleeve seam: 0gBody-sleeve seam: 0gGown body: 0gBelt attachment: 0g
    Breaking strengthTo evaluate the breaking strength of the test sample in accordance with ASTM D 5034:2009(2017).>20 NMD: Mean 87.3 NCD: Mean 66.7 N
    Tearing strengthTo evaluate the tearing strength of the test sample in accordance with ASTM D5587:2015(2019).>20 NMD: Mean 31.6 NCD: Mean 22.9 N
    LintingTo evaluate the linting of the test sample in accordance with ISO 9073-10:2003.Log10(particle count) < 4Log10(lint count): Mean 2.5
    Seam strengthTo evaluate the seam strength of the test sample in accordance with ASTM D1683/D1683M: 2017(2018).>50 NMean 70.9 N
    Viral barrier (resistance to bacteriophage Phi-X174)To evaluate the resistance to bacteriophage penetration in accordance with ASTM F1671/F1671M-13.No bacteriophage penetrationNo bacteriophage penetration
    CytotoxicityTo evaluate the cytotoxicity of the test sample in accordance with ISO 10993-5 Third edition 2009-06-01.Viability ≥ 70% of blank; 50% extract viability ≥ 100% extract viability.The viability was ≥70% of the blank. The 50% extract had higher viability than 100% extract. Proposed device was non-cytotoxic.
    SensitizationTo evaluate the sensitization of the test sample in accordance with ISO 10993-10 Third Edition 2010-08-01.Non-sensitizingThe proposed device was non-sensitizing.
    IrritationTo evaluate the irritation of the test sample in accordance with ISO 10993-10 Third Edition 2010-08-01.Non-irritatingThe proposed device was non-irritating.

    2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

    The document does not specify the exact sample sizes for each test. It refers to "test sample" for each methodology. The tests were performed in accordance with international and US standards. The manufacturer is Hubei Xinxin Non-woven Co., Ltd. from Xiantao, Hubei, China. The data provenance is non-clinical laboratory testing; it does not involve human data, thus the terms "retrospective" or "prospective" are not applicable.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

    Not applicable. The ground truth for these non-clinical tests is established by the specified industry and regulatory standards, not by human experts.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

    Not applicable. This is a non-clinical performance and biocompatibility study, not a clinical study requiring human adjudication.

    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

    No, an MRMC comparative effectiveness study was not done. This document does not describe studies involving human readers or AI.

    6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

    Not applicable. This document describes the testing of a physical medical device (an isolation gown), not an algorithm.

    7. The type of ground truth used (expert concensus, pathology, outcomes data, etc)

    The ground truth for the performance tests (Flammability, Hydrostatic pressure, Water impact, Breaking strength, Tearing strength, Linting, Seam strength, Viral barrier) is defined by the technical specifications and requirements within the referenced industry standards (e.g., 16 CFR Part 1610, AATCC 127, ASTM D5034, ISO 9073-10, ASTM D1683/D1683M, ASTM D5587, ASTM F1671/F1671M-13).

    The ground truth for the biocompatibility tests (Cytotoxicity, Sensitization, Irritation) is defined by the requirements and methodologies within the ISO 10993 series of standards (ISO 10993-5, ISO 10993-10).

    8. The sample size for the training set

    Not applicable. This document describes the testing of a physical medical device, not a machine learning algorithm that requires a training set.

    9. How the ground truth for the training set was established

    Not applicable. There is no training set for a physical medical device.

    Ask a Question

    Ask a specific question about this device

    K Number
    K221027
    Date Cleared
    2022-08-12

    (128 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 Isolation Gowns are intended to protect health care patients and health care personnel from the transfer of microorganisms, body fluids and particulate material. Not intended for use in the operating room. In addition, The Isolation Gowns meet the requirements of an AAMI Level 3 barrier protection for an isolation gown per ANSI/AAMI PB70:2012 Liquid Barrier Performance and Classification of Protective Apparel and Drapes Intended for Use in Health Care Facilities (ANSI/AAMI PB70). The Isolation Gowns are a single use, disposable medical non-sterile.

    Device Description

    The Isolation Gown is a surgical isolation gown with moderate barrier protection identified by Regulation 21 CFR 878.4040 under FDA product code, FYC. The Isolation Gown is offered in two colors (yellow and blue) and each color is offered in five sizes (S, M, L, XL and XXL) for a total of ten models. Each model is constructed of a SMS nonwoven material (spunbond +meltblown + spunbond nonwovens) and has been tested according to ANSI/AAMI PB70:2012 Liquid Barrier Performance and Classification of Protective Apparel and Drapes Intended for Use in Health Care Facilities and meets AAMI Level 3. The Isolation Gown is a single use, disposable medical device that will be provided in a variety of non-sterile packaging configurations.

    AI/ML Overview

    The provided text describes the acceptance criteria and the results of non-clinical tests for an Isolation Gown. This is a medical device, specifically protective apparel, and not an AI/ML device. Therefore, the questions related to AI/ML device studies, such as sample size for test/training sets, data provenance, number of experts for ground truth, adjudication methods, MRMC studies, standalone performance, and ground truth types, are not applicable to this document.

    Here's the relevant information based on the provided text for the Isolation Gown (S, M, L, XL, XXL (Yellow, Blue)):

    1. A table of acceptance criteria and the reported device performance

    Test ItemTest StandardAcceptance Criteria for Level 3 BarrierResult of Yellow Isolation Gown XXLResult of Blue Isolation Gown XXL
    Water Resistance: Hydrostatic Pressure TestAATCC 127-2018e≥50 cmH2O per standard ANSI/AAMI PB70:2012 for level 3PassedPassed
    Water Resistance: Impact Penetration TestAATCC 42-2017≤1.0g AQL: 4% Level 3 per standard ANSI/AAMI PB70:2012 for level 3PassedPassed
    Breaking Strength and ElongationASTM D 5034-2009 (2017)≥30N(7lbf)PassedPassed
    Tearing StrengthASTM D 5587-2015≥10N (2.3 lbf)PassedPassed
    Seam StrengthASTM D1683/D1683M-2017 (2018)≥30N (7lbf)PassedPassed
    Lint and other particles generation in the dry stateISO 9073-10:2003Reported DataTotal linting: Avg 187; Coeff of linting: Avg 2.3Total linting: Avg 584; Coeff of linting: Avg 2.8
    Thermal and Evaporative ResistanceASTM F 1868-2017Reported DataEvaporative resistance: 0.00217Evaporative resistance: 0.00198
    Flammability Test16 CFR Part 1610Class IPassedPassed
    Mass Per Unit AreaISO 9073-1:1989Reported Data39.5640.62
    Biocompatibility: CytotoxicityISO 10993-5Non-cytotoxicNon-cytotoxicNon-cytotoxic
    Biocompatibility: SensitizationISO 10993-10Non-sensitizingNon-sensitizingNon-sensitizing
    Biocompatibility: IrritationISO 10993-10Negligibly irritatingNegligibly irritatingNegligibly irritating

    2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
    The document does not explicitly state the sample sizes for each specific test but indicates that tests were performed on "Yellow Isolation Gown XXL" and "Blue Isolation Gown XXL". The tests are non-clinical, related to material properties of the gown. Data provenance (country of origin, retrospective/prospective) is not provided as this is an evaluation of a physical medical device, not a data-driven model.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)
    Not applicable. This is a physical medical device (isolation gown), not an AI/ML device relying on expert interpretation for ground truth. Ground truth is established by physical and chemical testing standards.

    4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
    Not applicable. This is a physical medical device, not an AI/ML device requiring adjudication of results.

    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 a physical medical device, not an AI/ML device.

    6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
    Not applicable. This is a physical medical device, not an AI/ML device.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
    The ground truth is based on established international and national standards for performance and safety of protective apparel and medical devices. Specifically:

    • ANSI/AAMI PB70:2012 Liquid Barrier Performance and Classification of Protective Apparel and Drapes Intended For Use In Health Care Facilities (for liquid barrier performance)
    • AATCC 127-2018e (Water Resistance: Hydrostatic Pressure Test)
    • AATCC 42-2017 (Water Resistance: Impact Penetration Test)
    • ASTM D 5034-2009 (2017) (Breaking Strength and Elongation)
    • ASTM D 5587-2015 (Tearing Strength)
    • ASTM D1683/D1683M-2017 (2018) (Seam Strength)
    • ISO 9073-10:2003 (Lint and other particles generation)
    • ASTM F 1868-2017 (Thermal and Evaporative Resistance)
    • 16 CFR Part 1610 (Flammability Test)
    • ISO 9073-1:1989 (Mass Per Unit Area)
    • ISO 10993-1:2018, ISO 10993-5, ISO 10993-10 (Biocompatibility)

    8. The sample size for the training set
    Not applicable. This is a physical medical device, not an AI/ML device that requires a training set.

    9. How the ground truth for the training set was established
    Not applicable. This is a physical medical device, not an AI/ML device that requires a training set with established ground truth.

    Ask a Question

    Ask a specific question about this device

    K Number
    K220528
    Date Cleared
    2022-06-10

    (106 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 Isolation Cover Gown is intended to protect health care persomel from the transfer of microorganisms, body fluids and particulate material. Not intended for use in the operating room. In addition, the Surgical Isolation Cover Gown meets the requirements of an AAMI Level 3 barrier protection for an isolation gown per ANSI/A AMI PB70:2012 Liquid Barrier Performance and Classification of Protective Apparel Drapes Intended for Use in Health Care Facilities (ANSI/AAMI PB70). The Surgical Isolation Cover Gown is a single use, disposable medical device provided non-sterile.

    Device Description

    The proposed device is intended to protect health care patients and health care personnel from the transfer of microorganisms, body fluids and particulate material. Not intended for use in the operating room. The proposed device is a single use, disposable medical device provided non-sterile. The proposed device is available in nine sizes, including XS, S, M, L, XL, 2XL, 3XL, 4XL, 5XL. The barrier protection level for Surgical Isolation Cover Gown meets AAMI Level 3. The proposed device is provided in yellow.

    AI/ML Overview

    The provided document is a 510(k) premarket notification for a medical device, specifically a "Surgical Isolation Cover Gown." This type of submission focuses on demonstrating substantial equivalence to a legally marketed predicate device, rather than proving novel clinical effectiveness or diagnostic accuracy for an AI/ML powered device.

    Therefore, the information typically requested for AI/ML device studies (such as sample sizes for test/training sets, expert ground truth establishment, MRMC studies, standalone algorithm performance, and effect sizes) is not applicable to this document. This document details the physical and biological performance characteristics of a protective garment.

    However, I can extract the acceptance criteria and reported device performance from the provided tables, as well as information about the testing methodology for this type of medical device.

    1. Table of Acceptance Criteria and Reported Device Performance

    Test MethodologyPurposeAcceptance CriteriaReported Device Performance
    FlammabilityEvaluate the flammability of the test sample in accordance with 16 CFR Part 1610 Standard for the Flammability of Clothing Textiles.Meets Class 1 requirementsClass 1
    Hydrostatic PressureDetermine the hydrostatic pressure of the test sample in accordance with AATCC 127: 2017 Water Resistance: Hydrostatic Pressure Test.>50 cm H2OMean = 70.63 cm H2O (Max = 72.33 cm H2O, Min = 68.88 cm H2O)
    Water ImpactDetermine the water impact of the test sample in accordance with AATCC 127: 2017 Water Resistance: Hydrostatic Pressure Test.≤1.0 gMean = 0.58 g (Max = 0.69 g, Min = 0.49 g)
    Breaking StrengthEvaluate the breaking strength of the test sample in accordance with ASTM D 5034:2009(2017) Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test).>20 NMD: Mean = 74.82 N (Max = 79.64 N, Min = 70.43 N) CD: Mean = 49.35 N (Max = 55.18 N, Min = 40.96 N)
    Tearing StrengthEvaluate the tearing strength of the test sample in accordance with ASTM D5587:2015(2019) Standard Test Method for Tearing Strength of Fabrics by Trapezoid Procedure.>20 NMD: Mean = 62.92 N (Max = 69.72 N, Min = 62.01 N) CD: Mean = 32.57 N (Max = 34.99 N, Min = 30.05 N)
    LintingEvaluate the linting of the test sample in accordance with ISO 9073-10:2003 Textiles-Test Methods for Nonwovens-Part 10: Lint and Other Particles Generation in the Dry State.Log10(particle count) < 4Side A: Log10(lint count): Mean 3.4 Side B: Log10(lint count): Mean 3.4
    Seam StrengthEvaluate the seam strength of the test sample in accordance with ASTM D1683/D1683M: 2017(2018) Standard Test Method for Failure in Sewn Seams of Woven Fabrics.>50 NMean = 102.92 N (Max = 109.98 N, Min = 95.37 N)
    Air PermeabilityEvaluate the air permeability of the test sample in accordance with ASTM D737: 2018 Standard Test Method for Air Permeability of Textile Fabrics.>30 ft³/min/ft²Mean 35.4 ft³/min/ft²
    CytotoxicityEvaluate the cytotoxicity of the test sample in accordance with ISO 10993-5:2009.Viability $\ge$ 70% of the blank. 50% extract should have $\ge$ 100% extract viability.Viability $\ge$ 70% of the blank. 50% extract had higher viability than 100% extract. Non-cytotoxic.
    SensitizationEvaluate the sensitization of the test sample in accordance with ISO 10993-10:2010.Non-sensitizingNon-sensitizing.
    IrritationEvaluate the irritation of the test sample in accordance with ISO 10993-10:2010.Non-irritatingNon-irritating.
    Barrier Protection Level-Level 3 per AAMI PB 70Level 3 per AAMI PB 70

    Study Proving Device Meets Acceptance Criteria:

    The study proving the device meets the acceptance criteria is a series of non-clinical performance tests conducted according to recognized international and national standards.

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

    • Sample Size: The document does not explicitly state the number of individual garments or test specimens used for each particular test (e.g., how many samples were used to calculate the mean Hydrostatic Pressure). However, standard testing protocols for these types of materials and products typically involve multiple specimens to ensure representative results.
    • Data Provenance: The device manufacturer is "Wuhan Dymex Healthcare Co., Ltd." in Wuhan, China. The tests are reported to have been performed in accordance with international (ISO, AATCC) and national (ASTM, 16 CFR) standards. The nature of these tests (material properties) suggests they are prospective tests performed on manufactured samples.

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

    • Not Applicable. This is a physical and biological performance testing of a medical device (a gown), not an AI/ML device that generates diagnostic outputs requiring expert interpretation or ground truth labeling (e.g., for images or clinical data). The "ground truth" for these tests comes from the physical/chemical measurements themselves against defined standards.

    4. Adjudication Method for the Test Set:

    • Not Applicable. As per point 3, there's no need for expert adjudication in these types of performance tests. The results are quantitative measurements against predefined physical/chemical standards.

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

    • No. This is not an AI/ML or diagnostic imaging device. MRMC studies are used to evaluate the impact of a new technology (e.g., AI assistance) on human reader performance, which is not relevant for a surgical isolation gown.

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

    • Not Applicable. This is not an algorithm or software device. The "standalone" performance here refers to the gown's inherent physical and biological barrier properties, which were measured directly through the non-clinical tests.

    7. The Type of Ground Truth Used:

    • For physical properties (e.g., hydrostatic pressure, breaking strength, linting), the "ground truth" is established by direct measurement of the material and product characteristics against the specifications outlined in the referenced standards (e.g., ANSI/AAMI PB70, ASTM, AATCC, ISO).
    • For biocompatibility (cytotoxicity, sensitization, irritation), the "ground truth" is established through laboratory testing against the criteria specified in ISO 10993 (e.g., cell viability percentages, absence of specific reactions).

    8. The Sample Size for the Training Set:

    • Not Applicable. There is no "training set" as this is not an AI/ML device that requires machine learning model training.

    9. How the Ground Truth for the Training Set Was Established:

    • Not Applicable. As per point 8, there is no training set for this type of medical device submission.
    Ask a Question

    Ask a specific question about this device

    Page 1 of 4