510(k) Report

510(k) · Cleared

Cleared

Pac-Dent Barrier Sleeve, Cover-It (TM) Barrier Film

K151123510(k) TraditionalCleared Mar 3, 2016310-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

Pac-Dent International, Inc. · PEM Dental Barriers And Sleeves

Cleared on Mar 3, 2016 as substantially equivalent to K132953 (Tidi Products,Llc, 2014) after a 310-day review. Its family tree reaches back 1 generation to 2014. 9 later devices descend from it.

Decided
Mar 3, 2016
Review
310 days
Class
Class II
Product code
PEM
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K132953 (2014). 9 later devices descend from it, 4 citing it directly.

Descendants, by year cleared 2019: 3 descendants cleared2017: 1 descendant cleared2020: 1 descendant cleared2025: 2 descendants cleared2024: 1 descendant cleared2026: 1 descendant clearedReference device: K962288 · Cover-All, Drape-IT-All, Chair Sleve, X-Ray Sleeve, Headrest Cover · Pinnacle Products, Inc. · 1997 · recalledK132953 · Tidisheild · Tidi Products,Llc · 20142010201520202025
Descendants, by generation 1 generation forward: 4 descendants2 generations forward: 4 descendants3 generations forward: 1 descendant K132953 · Tidisheild · Tidi Products,Llc · 20140
  1. Root · 1 generation backK132953 TidisheildTidi Products,Llc · 2014
  2. This deviceK151123 Pac-Dent Barrier Sleeve, Cover-It (TM) Barrier FilmPac-Dent International, Inc. · 2016
  3. Descendant · cites it directly · 4 of its ownK190484 BH Medical Dental Barrier Sleeves and Barrier FilmBh Medical Products Co., Ltd. · 2019
  4. Descendant · 2 generations on · 2 of its ownK233918 Dental Barrier and SleevesYongqing Huaguan Dental Instruments Factory · 2024
  5. Descendant · 2 generations on · 1 of its ownK250606 Dental Barrier and SleevesYueying Medical Instruments (Langfang) Co., Ltd. · 2025
  6. Descendant · cites it directly · 1 of its ownK163447 Premium Plus Disposable Barrier SleevePremium Plus International Limited · 2017
  7. Descendant · 3 generations on · 0 of its ownK262073 Hygienic Protective Bite Cover (2207-010-50)Dürr Dental SE · 2026

Showing 5 of 9 descendants. See all descendants

Descendants cleared per year

2017: 12019: 32020: 12024: 12025: 22026: 1
2017high 3 (2019) · low 0 (2018)2026

Most influential descendants

Showing 5 of 9 · See all
  • K190484BH Medical Dental Barrier Sleeves and Barrier FilmBh Medical Products Co., Ltd. · 2019 · cites it directly4descendants
  • K233918Dental Barrier and SleevesYongqing Huaguan Dental Instruments Factory · 2024 · 2 generations on2descendants
  • K250606Dental Barrier and SleevesYueying Medical Instruments (Langfang) Co., Ltd. · 2025 · 2 generations on1descendant
  • K163447Premium Plus Disposable Barrier SleevePremium Plus International Limited · 2017 · cites it directly1descendant
  • K262073Hygienic Protective Bite Cover (2207-010-50)Dürr Dental SE · 2026 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K132953TidisheildTidi Products,Llc2014—
0 (this device)K151123Pac-Dent Barrier Sleeve, Cover-It (TM) Barrier FilmPac-Dent International, Inc.2016—
+1K190484BH Medical Dental Barrier Sleeves and Barrier FilmBh Medical Products Co., Ltd.2019—
+2K233918Dental Barrier and SleevesYongqing Huaguan Dental Instruments Factory2024—
+2K250606Dental Barrier and SleevesYueying Medical Instruments (Langfang) Co., Ltd.2025—
+1K163447Premium Plus Disposable Barrier SleevePremium Plus International Limited2017—
+3K262073Hygienic Protective Bite Cover (2207-010-50)Dürr Dental SE2026—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201710
201930
202010
202410
202520
202610
FIG. 1 — Lineage of K151123, 2014–2026Source: 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 PEM? 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 PEM device

  1. #1 K250606 Dental Barrier and Sleevesscore 13.3 · 4 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? (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
*K132953Tidisheild
Summary page 5
…uct Code: PEM Classification Name: Surgical drape and drape accessories per 21 CFR 878.4370 Predicate Device Primary predicate device: TiDiShield Curing Light Sleeve - K132953 Reference Device: Cover-All, Chair Sleeve, Drape-it-All, Tray Sleeve, related products - K962288 Description of Device…
Tidi Products,Llc2014—
†K962288Cover-All, Drape-IT-All, Chair Sleve, X-Ray Sleeve, Headrest CoverPinnacle Products, Inc.19973

Also cleared against K132953: 2 other devices →

What descends from it? (9)

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

NumberDeviceApplicantDecidedDescendants
K190484BH Medical Dental Barrier Sleeves and Barrier FilmBh Medical Products Co., Ltd.20194
K163447Premium Plus Disposable Barrier SleevePremium Plus International Limited20171
K201604Plasdent Disposable Barrier Sleeves and Barrier FilmPlasdent Corporation20200
K183263UNiPACK Barrier Sleeve and Barrier Film and UNiGLIDE Barrier EnvelopeUnipack Medical Corporation20190

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.
  • Of its descendants, K190484 (Bh Medical Products Co., Ltd., 2019) has gone furthest, with 4 descendants of its own.
  • 2 other devices also cite its predicate K132953.

How does its category compare?

All PEM devices

PEM Dental Barriers And Sleeves: FDA decisions, review times, recalls and adverse event reports over 20 years. 2016, this device’s year, is highlighted.

FDA decisions per year · PEM

2in 2025

2014: 12016: 22017: 12019: 42020: 12021: 12022: 12024: 22025: 22026 (partial year): 2
2007high 4 (2019) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PEM

163in 2019

2019: 163 days median
2007high 163 (2019)2026

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

Recalls per year · PEM

No recall names PEM since 2007.

Adverse event reports per year · PEM

No MAUDE report names PEM since 2007.

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
20141—00
20150—00
20162—00
20171—00
20180—00
2019416300
20201—00
20211—00
20221—00
20230—00
20242—00
20252—00
20262—0—

What is it indicated for?

Pac-Dent Barrier Sleeve and Cover-It Barrier Film are intended to be used as a barrier to cover dental instruments. This device is non-sterile and is intended for single patient use only. Item# Model Designed for 101 B tray sleeves Dental instrument tray (size B) 101A A tray sleeves Dental instrument tray (size A) 102 Headrest cover Dental chair headrest, 11"X9 1/2" 103 Headrest cover Dental chair headrest, jumbo, 14"X9 1/2" 104 F tray sleeves Dental…

Read the full statement (489 words)

Pac-Dent Barrier Sleeve and Cover-It Barrier Film are intended to be used as a barrier to cover dental instruments. This device is non-sterile and is intended for single patient use only.

Item# Model Designed for

101 B tray sleeves Dental instrument tray (size B)

101A A tray sleeves Dental instrument tray (size A)

102 Headrest cover Dental chair headrest, 11"X9 1/2"

103 Headrest cover Dental chair headrest, jumbo, 14"X9 1/2"

104 F tray sleeves Dental instrument tray (size F)

109 X-Ray sleeves X-Ray head, universal, 15"X26"

110 Universal X-Ray sleeves X-Ray head, universal, extra-long, 23"X31"

111 Full chair sleeves Dental chair, universal, 29"X80"

111SG S&G full chair sleeves Dental chair, Slip and Grip, 48"X56"

112 Half chair sleeves Half dental chair, universal, 27 1/2"X24"

100 Syringe sleeve w. opening, clear Air/water syringe HVE, universal

100B Syringe sleeve w. opening, blue Air/water syringe HVE, universal

100L Digital sensor sleeve Digital X-Ray sensor, universal, large, 1 5/8"X8"

100S Digital sensor sleeve Digital X-Ray sensor, universal, small, 1 3/8"X8"

103HP High-speed handpiece sleeves Dental high-speed handpiece, universal

104HP Low-speed handpiece sleeves Dental low-speed handpiece, universal

106 “T” handle sleeves T-style light handles, universal

190LED Sleeves for L.E. Demetron Dental curing light (L.E. Demetron)

D250 LED Curing light sleeves for Demi Dental curing light (Demi)

S121 Keyboard sleeves Computer keyboard, universal, 22"X14"

S122 Keyboard sleeves Computer keyboard, large, 19"X26"

S123 LCD & Keyboard sleeves Computer screen and keyboard, universal

S124 Laptop sleeves Laptop, universal

LCH500 Low-speed contra-angle handpiece sleeves w/paper backing Dental low-speed contra-angle handpiece, universal

LLH500 Low-speed long handpiece sleeves w/paper backing Dental low-speed long handpiece, universal

CM500 Optical PC mouse barriers Computer mouse, universal

AWP400 Syringe sleeve W/paper backing Air/water syringe, universal

DX-405 X-ray sensor sheaths, Gender,XDR® Size 1 Digital X-Ray sensor (Gender,XDR® Size 1)

DX-406 X-ray sensor sheaths, Gender,XDR® Size 2 Digital X-Ray sensor (Gender,XDR® Size 2)

DX-819 X-ray sensor sheaths, Suni/Lightyear Digital X-Ray sensor (Suni/Lightyear)

DX-824 X-ray sensor sheaths, Schick/Dr.Suni Plus Digital X-Ray sensor (Schick/Dr.Suni Plus)

DX-825 X-ray sensor sheaths, Schick/Dr.Suni Plus Digital X-Ray sensor (Schick/Dr.Suni Plus)

DX-890 X-ray sensor sheaths, Sirona Size 2 Digital X-Ray sensor (Sirona Size 2)

DX-904 X-ray sensor sheaths, Sirona Size 1 Digital X-Ray sensor (Sirona Size 1)

DX-977 X-ray sensor sheaths, Kodak 6100 Size 0 Digital X-Ray sensor (Kodak 6100 Size 0)

DX-978 X-ray sensor sheaths, Kodak 6100 Size 1 Digital X-Ray sensor (Kodak 6100 Size 1)

DX-979 X-ray sensor sheaths, Kodak 6100 Size 2 Digital X-Ray sensor (Kodak 6100 Size 2)

DX-999 X-ray sensor sheaths, Dexis Digital X-Ray sensor (Dexis)

PIC250 Complete iCure curing light sleeves Dental curing light (iCure)

CS250 Complete curing light sleeves Dental curing light, universal

P3720 Tube sleeves(2”) Dental unit tubing (2”)

P3740 Tube sleeves(4”) Dental unit tubing (4”)

P4550 Curing Light Handle Sleeves Curing light handle, universal

C101 Cover It Barrier film, clear Surface area that might be touched during procedure, 4"X6"

C101B Cover It Barrier film, blue Surface area that might be touched during procedure, 4"X6"

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K151123: Pac-Dent Barrier Sleeve, Cover-It (TM) Barrier Film.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K151123

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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