MASK SURGICAL

K963568 · The Innovative Approach, Corp. · FXX · Feb 25, 1997 · General, Plastic Surgery

Device Facts

Record IDK963568
Device NameMASK SURGICAL
ApplicantThe Innovative Approach, Corp.
Product CodeFXX · General, Plastic Surgery
Decision DateFeb 25, 1997
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 878.4040
Device ClassClass 2

Indications for Use

The INTENDED MEDICAL USE is to protect the healthcare personnel and patient from transfer of microorganisms, body fluids and particulate material.

Device Story

3-ply non-woven polypropylene face mask; disposable; earloop or tie-on design. Used by healthcare professionals in medical/dental offices, clinics, and hospitals. Provides physical barrier over nostrils and mouth to reduce transfer of microorganisms, body fluids, and particulates between personnel and patients. Passive protective apparel; no active components.

Clinical Evidence

Bench testing only. Synthetic blood penetration resistance: fluid resistant. Bacterial Filtration Efficiency (MIL Spec 36954C): 99.28%. Delta P (MIL Spec 36954C): 2.35. Particle filtration (MIL Spec 36954C): 3 microns. Tear resistance (NFPA 1999): 29.54 lbs. Elongation (ASTM D5034-90): 12.82%. Breaking force (ASTM D5034-90): 23.25 lbs.

Technological Characteristics

Material: non-woven polypropylene. Design: 3-ply, earloop or tie-on. Performance standards: MIL Spec 36954C (filtration/pressure), NFPA 1999 (tear resistance), ASTM D5034-90 (elongation/breaking force). Non-sterile. Disposable.

Indications for Use

Indicated for healthcare professionals in dentist's and doctor's offices, laboratories, clinics, and hospitals to protect against transfer of microorganisms, body fluids, and particulate material.

Regulatory Classification

Identification

Surgical apparel are devices that are intended to be worn by operating room personnel during surgical procedures to protect both the surgical patient and the operating room personnel from transfer of microorganisms, body fluids, and particulate material. Examples include surgical caps, hoods, masks, gowns, operating room shoes and shoe covers, and isolation masks and gowns. Surgical suits and dresses, commonly known as scrub suits, are excluded.

Special Controls

*Classification.* (1) Class II (special controls) for surgical gowns and surgical masks. A surgical N95 respirator or N95 filtering facepiece respirator is not exempt if it is intended to prevent specific diseases or infections, or it is labeled or otherwise represented as filtering surgical smoke or plumes, filtering specific amounts of viruses or bacteria, reducing the amount of and/or killing viruses, bacteria, or fungi, or affecting allergenicity, or it contains coating technologies unrelated to filtration (e.g., to reduce and or kill microorganisms). Surgical N95 respirators and N95 filtering facepiece respirators are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9, and the following conditions for exemption:(i) The user contacting components of the device must be demonstrated to be biocompatible. (ii) Analysis and nonclinical testing must: (A) Characterize flammability and be demonstrated to be appropriate for the intended environment of use; and (B) Demonstrate the ability of the device to resist penetration by fluids, such as blood and body fluids, at a velocity consistent with the intended use of the device. (iii) NIOSH approved under its regulation. (2) Class I (general controls) for surgical apparel other than surgical gowns and surgical masks. The class I device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9.

Predicate Devices

Submission Summary (Full Text)

{0} K963568 January 6, 1997 FEB 25 1997 # 510 (k) Summary | Device Name: | Proprietary or Trade: | TIA Disposables -- 3-Ply Face Mask | | --- | --- | --- | | | Common name: | 3-Ply Mask | | | Classification name: | Surgical Apparel (per 21 CFR 878.4040) | | Labels & Labelings: | This product will be marketed to healthcare professionals at dentist's and doctor's offices, laboratories, clinics and hospitals through its intended use: PROTECTIVE APPAREL. Reference Appendix A and B for product labeling and applicant's advertising material catalog (in draft form pending the results of this submission). | | | Intended Use | The INTENDED MEDICAL USE is to protect the healthcare personnel and patient from transfer of microorganisms, body fluids and particulate material. | | | Substantial Equivalence: | The Innovative Approach, Corp. believes that the above devices are SIMILAR to those in commercial distribution. These face masks are made of non-woven polypropylene and are to be worn as Protective Apparel. Both in their intended uses and/or in their physical characteristics, these items are similar to devices currently marketed by major US companies. Following is the list (by no means exhaustive) but aims at giving enough evidence to show Substantial Equivalence: 1. Instaguard Procedure Face Mask, Baxter 2. Surgine™ Face Mask, Johnson & Johnson | | | Test Results (means and or results) | • Synthetic Blood Penetration Resistance Test: Fluid Resistant • Bacterial Filtration Efficiency (MIL Spec 36954C): 99.28 • Delta P (MIL Spec 36954C): 2.35 • Particle (MIL Spec 36954C): 3 microns • Resistance to tears (NFPA 1999): 29.54 (max. tear resistance in lbs) • Elongation (ASTM D5034-90): 12.82% (strain at maximum) • Breaking Force (ASTM D5034-90): 23.25 (max. force in lbs) | | The Innovative Approach, Corp. P.O. Box 194289, San Juan, P.R. 90919-4289 • Calle Italia No. 422, Hato Rey, P.R. 90917 • Teléfono (787) 274-8654 • Fax (787) 765-8532 {1} | Descriptive Comparison | Predicate | New Device | | --- | --- | --- | | Material Composition | Polypropylene | Polypropylene | | Weave | Non-woven | Non-woven | | Design | Earloop Tie-On | Earloop Tie-On | | Anatomical sites protection | Nostrile and mouth | Nostrile and mouth | | Sterility | Nonsterile | Nonsterile | | Intended use | Protective | Protective Apparel | | Target population | Healthcare professionals | Healthcare professionals | | Use life | Disposable | Disposable | | Where used | Medical & Dental offices | Medical & Dental offices | | Bacterial Filter Efficiency | 98.5 | 98.5 | | Microns | 3.2 | 3 | Sincerely, Elisa N. Pérez President 9
Innolitics

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