510(k) Report

510(k) · Cleared

Cleared

Kimberly-Clark Child/Pediatric Face Mask

K103150510(k) TraditionalCleared Sep 23, 2011332-day reviewClass II21 CFR 878.4040

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

Kimberly-Clark · OXZ Pediatric/Child Facemask

Cleared on Sep 23, 2011 as substantially equivalent to K061716 (Prestige Ameritech, 2006) and 2 other predicates after a 332-day review. Its family tree reaches back 4 generations to 1997. 6 later devices descend from it.

Decided
Sep 23, 2011
Review
332 days
Class
Class II
Product code
OXZ
Recalls
None
Predicates
3

Its longest line of descent runs back 4 generations to K970835 (1997). 9 ancestors in all, the oldest K801036 (1980). 6 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2008: 1 other ancestor1996: 1 other ancestor1980: 1 other ancestor1991: 1 other ancestor1987: 1 other ancestor2012: 1 descendant cleared2022: 2 descendants cleared2016: 1 descendant cleared2019: 1 descendant cleared2023: 1 descendant clearedK970835 · Face Mask, Surgical Mask, Non-Sterile · Tucker & Associates · 1997K022256 · Surgical Face Mask - Colors: White, Yellow, Pink, Blue, and Green · Tucker & Associates · 2004×2: 2 generations cleared close together, K060776 (2006), K061716 (2006) 19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors3 generations back: 2 other ancestors 1 generation forward: 1 descendant2 generations forward: 2 descendants3 generations forward: 3 descendants K061716 · Prestige Ameritech Face Mask · Prestige Ameritech · 2006K060776 · Surgical Face Mask · Hong YA Non-Woven Products Co., Ltd. · 2006K022256 · Surgical Face Mask - Colors: White, Yellow, Pink, Blue, and Green · Tucker & Associates · 2004K970835 · Face Mask, Surgical Mask, Non-Sterile · Tucker & Associates · 19970
  1. Root · 4 generations backK970835 Face Mask, Surgical Mask, Non-SterileTucker & Associates · 1997
  2. 3 generations backK022256 Surgical Face Mask - Colors: White, Yellow, Pink, Blue, and GreenTucker & Associates · 2004
  3. 2 generations backK060776 Surgical Face MaskHong YA Non-Woven Products Co., Ltd. · 2006
  4. 1 generation backK061716 Prestige Ameritech Face MaskPrestige Ameritech · 2006
  5. This deviceK103150 Kimberly-Clark Child/Pediatric Face MaskKimberly-Clark · 2011
  6. Descendant · cites it directly · 5 of its ownK113340 Kimberly-Clark Child's FacemaskKimberly-Clark · 2012
  7. Descendant · 2 generations on · 4 of its ownK160100 Prestige Ameritech Pediatric/Child’s Face maskPrestige Ameritech · 2016
  8. Descendant · 3 generations on · 1 of its ownK210321 Dukal Corporation Level 1 Pediatric Face MaskDukal Corporation · 2022
  9. Descendant · 3 generations on · 0 of its ownK221753 Kangbeier Child Surgical MaskXinxiang Kangbeier Medical Technology Co., Ltd. · 2023
  10. Descendant · 2 generations on · 0 of its ownK213427 PRIMED Pediatric FacemaskPrimed Medical Products, Inc. · 2022

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2012: 12016: 12019: 12022: 22023: 1
2012high 2 (2022) · low 0 (2013)2026

Most influential descendants

Showing 5 of 6 · See all
  • K113340Kimberly-Clark Child's FacemaskKimberly-Clark · 2012 · cites it directly5descendants
  • K160100Prestige Ameritech Pediatric/Child’s Face maskPrestige Ameritech · 2016 · 2 generations on4descendants
  • K210321Dukal Corporation Level 1 Pediatric Face MaskDukal Corporation · 2022 · 3 generations on1descendant
  • K221753Kangbeier Child Surgical MaskXinxiang Kangbeier Medical Technology Co., Ltd. · 2023 · 3 generations on0descendants
  • K213427PRIMED Pediatric FacemaskPrimed Medical Products, Inc. · 2022 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K970835Face Mask, Surgical Mask, Non-SterileTucker & Associates1997—
−3K022256Surgical Face Mask - Colors: White, Yellow, Pink, Blue, and GreenTucker & Associates2004—
−2K060776Surgical Face MaskHong YA Non-Woven Products Co., Ltd.2006—
−1K061716Prestige Ameritech Face MaskPrestige Ameritech2006—
0 (this device)K103150Kimberly-Clark Child/Pediatric Face MaskKimberly-Clark2011—
+1K113340Kimberly-Clark Child's FacemaskKimberly-Clark2012—
+2K160100Prestige Ameritech Pediatric/Child’s Face maskPrestige Ameritech2016—
+3K210321Dukal Corporation Level 1 Pediatric Face MaskDukal Corporation2022—
+3K221753Kangbeier Child Surgical MaskXinxiang Kangbeier Medical Technology Co., Ltd.2023—
+2K213427PRIMED Pediatric FacemaskPrimed Medical Products, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010
198710
199110
199610
200810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201210
201610
201910
202220
202310
FIG. 1 — Lineage of K103150, 1997–2023Source: 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 OXZ? 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 OXZ device

  1. #1 K221753 Kangbeier Child Surgical Maskscore 8.3 · 7 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (3)

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
*K061716Prestige Ameritech Face Mask
Summary page 2
…-3 Safety of Toys- Part 3: Migration of Certain Elements All testing conducted on the Pediatric/Child Face Mask met acceptance criteria. Predicate Devices: K061716 Prestige Ameritech Face Mask K082258 CrossTex® Surgical Masks K060776 Hong Va Surgical Face Mask The Kimberly…
Prestige Ameritech2006—
*K082258Crosstex Isolite and Isofluid Earloop Face Masks and Isofluid Fogfree Face Masks with…
Summary page 2
…ation of Certain Elements All testing conducted on the Pediatric/Child Face Mask met acceptance criteria. Predicate Devices: K061716 Prestige Ameritech Face Mask K082258 CrossTex® Surgical Masks K060776 Hong Va Surgical Face Mask The Kimberly-Clark Pediatric/ Child Facemask is compara…
Crosstex International2008—
*K060776Surgical Face Mask
Summary page 2
…conducted on the Pediatric/Child Face Mask met acceptance criteria. Predicate Devices: K061716 Prestige Ameritech Face Mask K082258 CrossTex® Surgical Masks K060776 Hong Va Surgical Face Mask The Kimberly-Clark Pediatric/ Child Facemask is comparable to the predicate devices cited in t…
Hong YA Non-Woven Products Co., Ltd.2006—

Also cleared against K061716: 4 other devices →

What descends from it? (6)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K113340Kimberly-Clark Child's FacemaskKimberly-Clark20125

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?

  • The line of descent spans 14 years and passes through 4 companies; a new generation was cleared every 5.1 years on median.
  • 1 of the 9 ancestors has a recall of any class.
  • Of its descendants, K113340 (Kimberly-Clark, 2012) has gone furthest, with 5 descendants of its own.
  • 4 other devices also cite its predicate K061716.

How does its category compare?

All OXZ devices

OXZ Pediatric/Child Facemask: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

FDA decisions per year · OXZ

1in 2023

2011: 12012: 12016: 12019: 12021: 22022: 22023: 1
2007high 2 (2021) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OXZ

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

Recalls per year · OXZ

No recall names OXZ since 2007.

Adverse event reports per year · OXZ

1in 2023

2023: 1
2007high 1 (2023) · low 0 (2007)2025

MAUDE reports naming product code OXZ, 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
20111—00
20121—00
20130—00
20140—00
20150—00
20161—00
20170—00
20180—00
20191—00
20200—00
20212—00
20222—00
20231—01
20240—00
20250—00
20260—0—

What is it indicated for?

The Kimberly-Clark Pediatric/ Child Facemask, is intended to be worn by the patient/child (recommended ages 5-12) to provide protection for the respiratory tract. It is a single use, disposable device that is provided non-sterile. This Face Mask is recommended for use in a healthcare setting with appropriate adult supervision.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K103150: Kimberly-Clark Child/Pediatric Face Mask.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K103150

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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