510(k) Report

510(k) · Cleared

Cleared

Perio Protect Tray

K031809510(k) TraditionalCleared Jan 23, 2004225-day reviewClass I21 CFR 872.6870

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Perio Protect, LLC · KMT Tray, Fluoride, Disposable

Cleared on Jan 23, 2004 as substantially equivalent to K811154 (Hoyt Laboratories, 1981) after a 225-day review. Its family tree reaches back 1 generation to 1981.

Decided
Jan 23, 2004
Review
225 days
Class
Class I
Product code
KMT
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K811154 (1981). No later device cites it as a predicate yet.

K811154 · Hoyt Econo-Tray · Hoyt Laboratories · 1981198019851990199520002005
K811154 · Hoyt Econo-Tray · Hoyt Laboratories · 19810
  1. Root · 1 generation backK811154 Hoyt Econo-TrayHoyt Laboratories · 1981
  2. This deviceK031809 Perio Protect TrayPerio Protect, LLC · 2004
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K811154Hoyt Econo-TrayHoyt Laboratories1981—
0 (this device)K031809Perio Protect TrayPerio Protect, LLC2004—
FIG. 1 — Lineage of K031809, 1981–2004Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

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  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K811154Hoyt Econo-Tray
Summary page 2
…in place are a part of the practice of dentistry, and are to be determined by the clinician. 5. PREDICATE DEVICE Hoyt Laboratories Disposable Fluoride Tray - K 811154 Such products are now Class I Exempt per 21 C.F.R § 872.6870 (2002) Sub…
Hoyt Laboratories1981—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Its one ancestor has no recall.

How does its category compare?

All KMT devices

KMT Tray, Fluoride, Disposable: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · KMT

FDA has decided no KMT device since 2007.

Median 510(k) review, days · KMT

Too few KMT 510(k)s in any year since 2007 to give a median.

Recalls per year · KMT

No recall names KMT since 2007.

Adverse event reports per year · KMT

1in 2014

2014: 1
2007high 1 (2014) · low 0 (2007)2025

MAUDE reports naming product code KMT, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—01
20150—00
20160—00
20170—00
20180—00
20190—00
20200—00
20210—00
20220—00
20230—00
20240—00
20250—00
20260—0—

What is it indicated for?

The Perio Protect Tray is intended to be used to place solutions of the clinician's choice into gingival crevices or periodontal pockets. The design of the Perio Protect Tray permits placement of solutions deeper into the crevice/pocket than is possible with traditional fluoride trays.

The choice of solution, the frequency of use, and the time the tray is to be in place are a part of the practice of dentistry, and are to be determined by the clinician.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K031809: Perio Protect Tray.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K031809

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026