510(k) Report

510(k) · Cleared

Recalled · Class II · 2023

Non-Sterile Surgical Mask

K051291510(k) TraditionalCleared Sep 20, 2005125-day reviewClass II21 CFR 878.4040Recalls 5

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

A.R. Medicom, Inc. · FXX Mask, Surgical

Cleared on Sep 20, 2005 as substantially equivalent to K955513 (United Medical Ent., Inc., 1996) and 1 other predicate after a 125-day review. Its family tree reaches back 4 generations to 1987. 20 later devices descend from it. It has been recalled 5 times.

Decided
Sep 20, 2005
Review
125 days
Class
Class II
Product code
FXX
Recalls
5
Predicates
2

Its longest line of descent runs back 4 generations to K874608 (1987). 7 ancestors in all, the oldest K801036 (1980). 20 later devices descend from it, 7 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1996: 1 other ancestor1980: 1 other ancestor1991: 1 other ancestor2010: 3 descendants cleared2007: 1 descendant cleared2021: 7 descendants cleared2006: 1 descendant cleared2022: 2 descendants cleared2011: 2 descendants cleared2015: 1 descendant cleared2020: 2 descendants cleared2016: 1 descendant clearedK874608 · Tecnol Fluid Shield Surgical Mask · Tecnol New Jersey Wound Care, Inc. · 1987K955556 · Fluid Resistant Mask · American Threshold Healthcare · 1996K012602 · Crosstex Isolite Earloop Face Masks-Blue, Pink, Crosstex Isofluid Earloop Face Masks-Blue, Pink, White, Green. Crosstex · Crosstex Intl. · 2002K040333 · Valumax Surgical Masks (Blue, Pink, Green, Yellow, White and Peach) with or Without Visors, Ties and Earloops · Valumax Intl., Inc. · 200419801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor3 generations back: 1 other ancestor4 generations back: 1 other ancestor 1 generation forward: 7 descendants2 generations forward: 3 descendants3 generations forward: 4 descendants4 generations forward: 5 descendants5 generations forward: 1 descendant K040333 · Valumax Surgical Masks (Blue, Pink, Green, Yellow, White and Peach) with or Without Visors, Ties and Earloops · Valumax Intl., Inc. · 2004K012602 · Crosstex Isolite Earloop Face Masks-Blue, Pink, Crosstex Isofluid Earloop Face Masks-Blue, Pink, White, Green. Crosstex · Crosstex Intl. · 2002K955556 · Fluid Resistant Mask · American Threshold Healthcare · 1996K874608 · Tecnol Fluid Shield Surgical Mask · Tecnol New Jersey Wound Care, Inc. · 19870+5
  1. Root · 4 generations backK874608 Tecnol Fluid Shield Surgical MaskTecnol New Jersey Wound Care, Inc. · 1987
  2. 3 generations backK955556 Fluid Resistant MaskAmerican Threshold Healthcare · 1996
  3. 2 generations backK012602 Crosstex Isolite Earloop Face Masks-Blue, Pink, Crosstex Isofluid…Crosstex Intl. · 2002
  4. 1 generation backK040333 Valumax Surgical Masks (Blue, Pink, Green, Yellow, White and Peach)…Valumax Intl., Inc. · 2004
  5. This deviceK051291 Non-Sterile Surgical MaskA.R. Medicom, Inc. · 2005
  6. Descendant · cites it directly · 9 of its ownK092580 Tidi FacemaskTidi Products,Llc · 2010
  7. Descendant · cites it directly · 6 of its ownK061864 Dukal Surgical Face Mask Tie-on, Model 1530; Ear Loop, Model 1540…Dukal Corp. · 2006
  8. Descendant · 2 generations on · 4 of its ownK111559 Surgical MasksShanghai Neo-Medical Import & Export Co., Ltd. · 2011
  9. Descendant · 3 generations on · 3 of its ownK201137 Asept Surgical Face MaskPfm Medical, Inc. · 2020
  10. Descendant · 2 generations on · 3 of its ownK141875 Pasture 60S Surgical MaskPasture Pharma Pte, Ltd. · 2015

Showing 5 of 20 descendants. See all descendants

Descendants cleared per year

2006: 12007: 12010: 32011: 22015: 12016: 12020: 22021: 72022: 2
2006high 7 (2021) · low 0 (2008)2026

Most influential descendants

Showing 5 of 20 · See all
  • K092580Tidi FacemaskTidi Products,Llc · 2010 · cites it directly9descendants
  • K061864Dukal Surgical Face Mask Tie-on, Model 1530; Ear Loop, Model 1540; with Shield, Model 1560Dukal Corp. · 2006 · cites it directly6descendants
  • K111559Surgical MasksShanghai Neo-Medical Import & Export Co., Ltd. · 2011 · 2 generations on4descendants
  • K201137Asept Surgical Face MaskPfm Medical, Inc. · 2020 · 3 generations on3descendants
  • K141875Pasture 60S Surgical MaskPasture Pharma Pte, Ltd. · 2015 · 2 generations on3descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K874608Tecnol Fluid Shield Surgical MaskTecnol New Jersey Wound Care, Inc.1987—
−3K955556Fluid Resistant MaskAmerican Threshold Healthcare1996—
−2K012602Crosstex Isolite Earloop Face Masks-Blue, Pink, Crosstex Isofluid Earloop Face…Crosstex Intl.2002—
−1K040333Valumax Surgical Masks (Blue, Pink, Green, Yellow, White and Peach) with or…Valumax Intl., Inc.2004—
0 (this device)K051291Non-Sterile Surgical MaskA.R. Medicom, Inc.2005—
+1K092580Tidi FacemaskTidi Products,Llc2010—
+1K061864Dukal Surgical Face Mask Tie-on, Model 1530; Ear Loop, Model 1540; with…Dukal Corp.2006—
+2K111559Surgical MasksShanghai Neo-Medical Import & Export Co., Ltd.2011—
+3K201137Asept Surgical Face MaskPfm Medical, Inc.2020—
+2K141875Pasture 60S Surgical MaskPasture Pharma Pte, Ltd.2015—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010
199110
199610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200610
200710
201030
201120
201510
201610
202020
202170
202220
FIG. 1 — Lineage of K051291, 1987–2022Source: 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.

Planning a device in FXX? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new FXX device

  1. #1 K201479 DemeMASKscore 40.2 · 6 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (2)

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
*K955513Surgical Mask (Non-Sterile)
Summary page 1
…ASTM 2100-04 Refer to Appendix B for a list of applicable standards 5.4 Predicate Devices, 1. Surgical Mask (non-sterile), K9555 13 510(k) Number 2. Valumax Surgical Masks (Blue, Pink, Green, Yellow) K0…
United Medical Ent., Inc.1996—
*K040333Valumax Surgical Masks (Blue, Pink, Green, Yellow, White and Peach) with or Without…
Summary page 1
…1. Surgical Mask (non-sterile), K9555 13 510(k) Number 2. Valumax Surgical Masks (Blue, Pink, Green, Yellow) K040333 5.5 Intended Use: The mnedical/surgical masks listed below are indicated a…
Valumax Intl., Inc.2004—

What descends from it? (20)

See all 20

7 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K092580Tidi FacemaskTidi Products,Llc20109
K061864Dukal Surgical Face Mask Tie-on, Model 1530; Ear Loop, Model 1540; with Shield, Model 1560Dukal Corp.20066
K212273Cross Protection ResQ300 Plus Surgical Face MaskCross Protection (M) Sdn Bhd20220
K203425Surgical MaskBdc Dental Corporation, Ltd.20210
K110027Surgical Face Mask; Surgical Face MaskAngeline Group, Ltd.20110
K100800Tidi FacemaskTidi Products,Llc20100
K070407Dukal Surgical Face Mask Tie, Ear Loop, with Shield Yellow & White; Anti Fog Tie, Loop…Dukal Corp.20070

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

Recalls of this device

DateClassRecallRoot causeReason
Dec 21, 2023Class IIZ-1148-2024Under Investigation by firmLevel 3 masks were produced on alternate non-validated production equipment that were not included as part of the initial qualification of the products.
Dec 21, 2023Class IIZ-1146-2024Under Investigation by firmLevel 3 masks were produced on alternate non-validated production equipment that were not included as part of the initial qualification of the products.
Dec 21, 2023Class IIZ-1147-2024Under Investigation by firmLevel 3 masks were produced on alternate non-validated production equipment that were not included as part of the initial qualification of the products.
Oct 11, 2019Class IIZ-0494-2020Under Investigation by firmDue to an error on the packaging line, some level 2 masks may have been packed in some level 3 mask boxes. The two masks are visually indistinguishable, causing the risk of using a mask with a lower protection level than intended.
Oct 11, 2019Class IIZ-0495-2020Under Investigation by firmDue to an error on the packaging line, some level 2 masks may have been packed in some level 3 mask boxes. The two masks are visually indistinguishable, causing the risk of using a mask with a lower protection level than intended.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 18 years and passes through 5 companies; a new generation was cleared every 5.7 years on median.
  • 1 of the 7 ancestors has a recall of any class.
  • Of its descendants, K092580 (Tidi Products,Llc, 2010) has gone furthest, with 9 descendants of its own.

How does its category compare?

All FXX devices

FXX Mask, Surgical: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · FXX

6in 2025

2007: 22008: 22009: 12010: 72011: 62012: 12013: 32014: 12015: 52016: 52017: 12018: 32019: 42020: 272021: 2182022: 912023: 222024: 152025: 62026 (partial year): 5
2007high 218 (2021) · low 1 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FXX

123in 2025

2010: 144 days median2011: 137 days median2013: 219 days median2015: 298 days median2016: 268 days median2018: 119 days median2019: 124 days median2020: 113 days median2021: 162 days median2022: 113 days median2023: 139 days median2024: 263 days median2025: 123 days median2026 (partial year): 142 days median
2007high 298 (2015) · low 113 (2020)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · FXX

2in 2024

2019: 22023: 12024: 2
2007high 2 (2019) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · FXX

11in 2025

2007: 112008: 102009: 32010: 92011: 82012: 222013: 92014: 52015: 142016: 162017: 452018: 212019: 232020: 602021: 672022: 212023: 212024: 212025: 11
2007high 67 (2021) · low 3 (2009)2025

MAUDE reports naming product code FXX, 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
20072—011
20082—010
20091—03
2010714409
2011613708
20121—022
2013321909
20141—05
20155298014
20165268016
20171—045
20183119021
20194124223
202027113060
2021218162067
202291113021
202322139121
202415263221
20256123011
202651420—

What is it indicated for?

The medical/surgical masks listed below are indicated as a protective nose and mouth covering for health care workers and patients involved in medical and surgical procedures. The masks are indicated in any procedure or situation where there is a risk of microorganism, body fluid, and particulate aerosol transfer.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K051291: Non-Sterile Surgical Mask.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K051291

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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