510(k) Report

510(k) · Cleared

Cleared

Imc Surgical Drape

K100991510(k) TraditionalCleared Oct 5, 2010179-day reviewClass II21 CFR 878.4370

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

International Medsurg Connection · KKX Drape, Surgical, Antimicrobial

Cleared on Oct 5, 2010 as substantially equivalent to K031287 (3M Company, 2003) and 1 other predicate after a 179-day review. Its family tree reaches back 1 generation to 2001.

Decided
Oct 5, 2010
Review
179 days
Class
Class II
Product code
KKX
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K003755 (2001). 2 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2003: 1 other ancestorK003755 · Medline Blockade or Resistat Surgical Gowns and Surggical Drapes · Medline Industries, Inc. · 20012000200220042006200820102012
Other ancestors, by generation 1 generation back: 1 other ancestor K003755 · Medline Blockade or Resistat Surgical Gowns and Surggical Drapes · Medline Industries, Inc. · 20010
  1. Root · 1 generation backK003755 Medline Blockade or Resistat Surgical Gowns and Surggical DrapesMedline Industries, Inc. · 2001
  2. This deviceK100991 Imc Surgical DrapeInternational Medsurg Connection · 2010
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K003755Medline Blockade or Resistat Surgical Gowns and Surggical DrapesMedline Industries, Inc.2001—
0 (this device)K100991Imc Surgical DrapeInternational Medsurg Connection2010—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200310
FIG. 1 — Lineage of K100991, 2001–2010Source: 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 KKX? 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 KKX device

  1. #1 K222578 3M™ Ioban™ CHG Chlorhexidine Gluconate Incise…score 5.7 · 2 generations · no Class I recall
  2. #2 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
*K031287Steri-Drape Surgical Drapes
Summary page 1
…9-9927 1e-mail: peterkim intlmedsurg.com Date Prepared: June 7, 2010 Predicate Devices: *3M Steri-DrapeTM (K03 1287) Medline (K003755) Device Name(s): IMC Surgical Drape Classification Panel: General and P…
3M Company2003—
*K003755Medline Blockade or Resistat Surgical Gowns and Surggical Drapes
Summary page 1
…intlmedsurg.com Date Prepared: June 7, 2010 Predicate Devices: *3M Steri-DrapeTM (K03 1287) Medline (K003755) Device Name(s): IMC Surgical Drape Classification Panel: General and Plastic Surgery Legally Marketed Device Under Which S…
Medline Industries, Inc.2001—

Also cleared against K031287: 6 other devices →

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?

  • None of the 2 ancestors has a recall.
  • 6 other devices also cite its predicate K031287.

How does its category compare?

All KKX devices

KKX Drape, Surgical, Antimicrobial: FDA decisions, review times, recalls and adverse event reports over 20 years. 2010, this device’s year, is highlighted.

FDA decisions per year · KKX

2in 2023

2007: 42008: 52009: 52010: 82011: 42012: 22013: 32014: 62015: 22017: 12020: 12021: 12023: 2
2007high 8 (2010) · low 0 (2016)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KKX

182in 2014

2007: 181 days median2008: 164 days median2009: 114 days median2010: 107 days median2011: 147 days median2013: 227 days median2014: 182 days median
2007high 227 (2013) · low 107 (2010)2026

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

Recalls per year · KKX

2in 2024

2007: 12010: 12011: 12012: 12013: 72014: 7, 7 Class I2016: 42024: 22026 (partial year): 2
2007high 7 (2013) · low 0 (2008)2026

Class I (7 since 2007) Class II/III not classified

Adverse event reports per year · KKX

24in 2025

2007: 242008: 242009: 272010: 252011: 572012: 402013: 632014: 282015: 332016: 562017: 302018: 322019: 412020: 162021: 412022: 192023: 322024: 192025: 24
2007high 63 (2013) · low 16 (2020)2025

MAUDE reports naming product code KKX, 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
20074181124
20085164024
20095114027
20108107125
20114147157
20122—140
20133227763
201461827 (7)28
20152—033
20160—456
20171—030
20180—032
20190—041
20201—016
20211—041
20220—019
20232—032
20240—219
20250—024
20260—2—

What is it indicated for?

These devices are intended to be used as protective coverings used to isolate incision sites and protect against contamination during surgical procedures with the additional feature of a finger cot which is latex-free rubber. This submission includes drapes that will be sold both sterile and non-sterile. Non-sterile drapes are to be sold to OEMs for EO sterilization according to ANSIIAMMIIISO 1 13 5. Sterile drapes are to be sold directly to users after…

Read the full statement (111 words)

These devices are intended to be used as protective coverings used to isolate incision sites and protect against contamination during surgical procedures with the additional feature of a finger cot which is latex-free rubber. This submission includes drapes that will be sold both sterile and non-sterile.

Non-sterile drapes are to be sold to OEMs for EO sterilization according to ANSIIAMMIIISO 1 13 5. Sterile drapes are to be sold directly to users after EO sterilization validation to ANSIIAMMIIISO 11135

Catalog Number Description

31 -0051 Bladder Suspension Drape

31 -0051 NS Bladder Suspension Drape

61-0091 GYN Procedure Drape

61-0091 NS G YN Procedure Drape

81-0011 TUR Procedure Drape

8i-0011iNS TUR Procedure Drape

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K100991: Imc Surgical Drape.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K100991

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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