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510(k) Data Aggregation

    K Number
    K210042
    Date Cleared
    2021-11-17

    (314 days)

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

    K210007

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

    The Disposable 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. The Disposable Surgical Masks are single use, disposable device, provided non-sterile.

    Device Description

    Disposable Surgical 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 (High-density Polyethylene) to provide a firm fit over the nose. There are four models for Disposable Surgical Mask with different colors and sizes. All six models are Ear Loop type in blue or white colors and two sizes including 145mm×90mm and 175×95mm.

    AI/ML Overview

    The provided document is a 510(k) summary for a Disposable Surgical Mask (K210042). It focuses on demonstrating substantial equivalence to a predicate device, rather than proving the device meets acceptance criteria in the context of an AI/ML medical device. The document details performance testing for physical and material properties of the surgical masks.

    Therefore, most of the requested information regarding AI/ML device testing (e.g., sample size for test set, data provenance, number of experts for ground truth, MRMC studies, standalone performance, training set details) is not applicable to this type of device and submission.

    However, I can extract the relevant acceptance criteria and performance data for the Disposable Surgical Mask as presented in the document.

    Here's a breakdown of the available information:

    1. Table of Acceptance Criteria and Reported Device Performance (Non-Clinical/Material Performance):

    This table is directly from the "IX. PERFORMANCE DATA" section of the document. The acceptance criteria and results refer to the physical and barrier performance of the surgical mask material.

    Test MethodologyPurposeAcceptance CriteriaReported Device Performance
    Bacterial Filtration EfficiencyTo determine the bacterial filtration efficiency (BFE)Level 2 ≥ 98%32/32 Passed at ≥99.9%
    Particulate Filtration EfficiencyTo determine the particle filtration efficiency (PFE)Level 2 ≥ 98%32/32 Pass at ≥99.5%
    Differential Pressure (delta-P)To measure breathability/resistance to airflowLevel 2
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