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510(k) Data Aggregation

    K Number
    K210007
    Device Name
    Face Mask
    Date Cleared
    2021-04-23

    (109 days)

    Product Code
    Regulation Number
    878.4040
    Reference & Predicate Devices
    Predicate For
    Why did this record match?
    Reference Devices :

    K202491

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The Face 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. The Face Masks are single use, disposable devices, provided non-sterile.

    Device Description

    Face Mask is composed of three layers and is flat-pleated. The mask materials consist of an outer layer (spun-bond polypropylene), a middle layer, between the outer layer and inner layers (melt-blown polypropylene), and an inner layer (spun-bond polypropylene). Each mask contains ear loops to secure the mask over the users' mouth and face and includes a malleable nose piece (Iron wire covered by polypropylene) to provide a firm fit over the nose.

    There are two models for Face Mask with different colors and sizes.

    For Type A model is in blue, barrier level 2 and size 145mm95mm, ear loop type. For Type B model is in blue, barrier level 2 and size 175mm95mm, ear loop type.

    AI/ML Overview

    The provided text describes the acceptance criteria and performance data for a medical device (Face Mask) in the context of an FDA 510(k) premarket notification. It focuses on demonstrating substantial equivalence to a predicate device, primarily through non-clinical performance testing.

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

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

    TestAcceptance Criteria (Predicate/Reference Device Performance)Reported Device Performance (Subject Device)Remark
    Fluid Resistance (ASTM F1862)32 out of 32 pass at 120mmHg32 out of 32 pass at 120mmHgSame
    Particulate Filtration Efficiency (PFE) (ASTM F2299)Pass at 99.88% (Predicate), >99.8% (Reference)Pass at 99.70%Same (Meets general acceptance for high filtration)
    Bacterial Filtration Efficiency (BFE) (ASTM F2101)Pass at 99.6% (Predicate), $\ge$ 99.8% (Reference)Pass at 99.95%Same (Meets general acceptance for high filtration)
    Differential Pressure (Delta P) (MIL-M-36954C)Pass at 3.0 mmH$_2$O/cm$^2$ (Predicate),
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