510(k) Report

510(k) · Cleared

Recalled · Class II · 2021

Emm Equipment Cover-Polythylene

K101689510(k) TraditionalCleared Sep 20, 201096-day reviewClass II21 CFR 878.4370Recalls 1

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

Exact Medical Manufacturing, Inc. · KKX Drape, Surgical, Antimicrobial

Cleared on Sep 20, 2010 as substantially equivalent to K083234 (Kimberly-Clark Corp., 2009) after a 96-day review. Its family tree reaches back 2 generations to 2008. It has been recalled once.

Decided
Sep 20, 2010
Review
96 days
Class
Class II
Product code
KKX
Recalls
1
Predicates
1

Its longest line of descent runs back 2 generations to K080629 (2008). No later device cites it as a predicate yet.

  1. Root · 2 generations backK080629 Promedical Surgical Drapes, Promedical Surgical Mayo Stand Cover…Promedical Products Co., Ltd. · 2008
  2. 1 generation backK083234 Kimberly-Clark KC100 Surgical Drapes, Model KC 100, Kimberly-Clark…Kimberly-Clark Corp. · 2009 · Recalled
  3. This deviceK101689 Emm Equipment Cover-PolythyleneExact Medical Manufacturing, Inc. · 2010
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K080629Promedical Surgical Drapes, Promedical Surgical Mayo Stand Cover, Band BagsPromedical Products Co., Ltd.2008—
−1K083234Kimberly-Clark KC100 Surgical Drapes, Model KC 100, Kimberly-Clark KC100…Kimberly-Clark Corp.20092
0 (this device)K101689Emm Equipment Cover-PolythyleneExact Medical Manufacturing, Inc.2010—
FIG. 1 — Lineage of K101689, 2008–2010Source: 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
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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
*K083234Kimberly-Clark KC100 Surgical Drapes, Model KC 100, Kimberly-Clark KC100 Surgical…
Summary page 1
…substantially equivalent and meets the same acceptance criteria as the predicate device/gown in K083234. Non-clinical performance testing includes: barrier properties- Le…
Kimberly-Clark Corp.20092

Also cleared against K083234: 3 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)

Recalls of this device

DateClassRecallRoot causeReason
Apr 29, 2021Class IIZ-1907-2021No Marketing ApplicationNo 510k for the product to be used in a natural or surgical opening to the body

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 2 years and passes through 3 companies; a new generation was cleared every 1.5 years on median.
  • 1 of the 2 ancestors has a recall of any class.
  • 3 other devices also cite its predicate K083234.

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?

Exact Medical Manufacturing Equipment Cover - Polyethylene are sterile single use devices made of natural or synthetic materials intended to be used as a protective equipment covering, such as to isolate equipment from microbial and other contamination.

The Exact Medical Manufacturing Equipment Covers-Polyethylene are also sold as bulk non-sterile, single use items, to repackager/relabeler establishments for further packaging and ethylene oxide sterilization.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K101689: Emm Equipment Cover-Polythylene.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K101689

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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