510(k) Report

510(k) · Cleared

Cleared

Tyvek Sterilization Pouches with Chevron Seal

K152058510(k) TraditionalCleared Nov 18, 2015117-day reviewClass II21 CFR 880.6850

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

Andersen Sterilizers, Inc. · FRG Wrap, Sterilization

Cleared on Nov 18, 2015 as substantially equivalent to K831425 (Kenpak Converters, Inc., 1983) after a 117-day review. Its family tree reaches back 1 generation to 1983. 2 later devices descend from it.

Decided
Nov 18, 2015
Review
117 days
Class
Class II
Product code
FRG
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K831425 (1983). 2 later devices descend from it, 2 citing it directly.

Descendants, by year cleared 2020: 1 descendant cleared2017: 1 descendant clearedK831425 · MDT Chemitest See-Thru Bag · Kenpak Converters, Inc. · 198319801990200020102020
Descendants, by generation 1 generation forward: 2 descendants K831425 · MDT Chemitest See-Thru Bag · Kenpak Converters, Inc. · 19830
  1. Root · 1 generation backK831425 MDT Chemitest See-Thru BagKenpak Converters, Inc. · 1983
  2. This deviceK152058 Tyvek Sterilization Pouches with Chevron SealAndersen Sterilizers, Inc. · 2015
  3. Descendant · cites it directly · 0 of its ownK200336 Tyvek Sterilization Pouches with Chevron SealAndersen Sterilizers, Inc. · 2020
  4. Descendant · cites it directly · 0 of its ownK170429 Tyvek Sterilization Pouches with Chevron SealAndersen Sterilizers, Inc. · 2017

Most influential descendants

Showing 2 of 2 · See all
  • K200336Tyvek Sterilization Pouches with Chevron SealAndersen Sterilizers, Inc. · 2020 · cites it directly0descendants
  • K170429Tyvek Sterilization Pouches with Chevron SealAndersen Sterilizers, Inc. · 2017 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K831425MDT Chemitest See-Thru BagKenpak Converters, Inc.1983—
0 (this device)K152058Tyvek Sterilization Pouches with Chevron SealAndersen Sterilizers, Inc.2015—
+1K200336Tyvek Sterilization Pouches with Chevron SealAndersen Sterilizers, Inc.2020—
+1K170429Tyvek Sterilization Pouches with Chevron SealAndersen Sterilizers, Inc.2017—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201710
202010
FIG. 1 — Lineage of K152058, 1983–2020Source: 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 FRG? 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 FRG device

  1. #1 K234050 HALYARD® ONE-STEP® Sterilization Wrap…score 15.8 · 7 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
*K831425MDT Chemitest See-Thru Bag
Summary page 5
…FRG 5.5 Predicate Device Device Name Tyvek Sterilization Pouches with Chevron Seal 510(k) number K831425 Manufacturer Amcor Flexibles This 510(k) submission modifies the indications for use of the pred…
Kenpak Converters, Inc.1983—

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K200336Tyvek Sterilization Pouches with Chevron SealAndersen Sterilizers, Inc.20200
K170429Tyvek Sterilization Pouches with Chevron SealAndersen Sterilizers, Inc.20170

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, K200336 (Andersen Sterilizers, Inc., 2020) has gone furthest, with 0 descendants of its own.

How does its category compare?

All FRG devices

FRG Wrap, Sterilization: FDA decisions, review times, recalls and adverse event reports over 20 years. 2015, this device’s year, is highlighted.

FDA decisions per year · FRG

9in 2025

2007: 32008: 22009: 42010: 42011: 62012: 102013: 62014: 82015: 122016: 92017: 92018: 52019: 92020: 52021: 42022: 92023: 92024: 112025: 92026 (partial year): 4
2007high 12 (2015) · low 2 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FRG

151in 2025

2007: 182 days median2009: 171 days median2010: 213 days median2011: 110 days median2012: 133 days median2013: 146 days median2014: 177 days median2015: 196 days median2016: 131 days median2017: 260 days median2018: 150 days median2019: 258 days median2020: 122 days median2021: 170 days median2022: 217 days median2023: 230 days median2024: 182 days median2025: 151 days median2026 (partial year): 247 days median
2007high 260 (2017) · low 110 (2011)2026

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

Recalls per year · FRG

2in 2022

2013: 22017: 292020: 142022: 2
2007high 29 (2017) · low 0 (2007)2026

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

Adverse event reports per year · FRG

18in 2025

2007: 12008: 22009: 22011: 122012: 42013: 52014: 132015: 92016: 202017: 72018: 222019: 102020: 212021: 92022: 42023: 132024: 212025: 18
2007high 22 (2018) · low 0 (2010)2025

MAUDE reports naming product code FRG, 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
2007318201
20082—02
2009417102
2010421300
20116110012
20121013304
2013614625
20148177013
20151219609
20169131020
20179260297
20185150022
20199258010
202051221421
2021417009
2022921724
20239230013
202411182021
20259151018
202642470—

What is it indicated for?

The Tyvek Sterilization Pouches with Chevron Seal are intended to be used to enclose medical devices that are to be sterilized in a single pouch configuration at a healthcare facility. They are used in the 3 hour sterilization cycle at 50°C in the EOGas 4 Ethylene Oxide Gas Sterilizer. Critical process parameters for the cycle are summarized below in Table 1. Table 1. Critical parameters for the 3 hour cycle in the EOGas 4 Ethylene Oxide Gas Sterilizer…

Read the full statement (176 words)

The Tyvek Sterilization Pouches with Chevron Seal are intended to be used to enclose medical devices that are to be sterilized in a single pouch configuration at a healthcare facility. They are used in the 3 hour sterilization cycle at 50°C in the EOGas 4 Ethylene Oxide Gas Sterilizer.

Critical process parameters for the cycle are summarized below in Table 1.

Table 1. Critical parameters for the 3 hour cycle in the EOGas 4 Ethylene Oxide Gas Sterilizer

EO Amount Temperature Relative Humidity EO Exposure Time Total Cycle Time

17.6 g ± 5% 50°C ± 3°C 35-90% 3 hours 3.5 hours

The 3 hour cycle in the EOGas 4 Ethylene Oxide Gas Sterilizer has been validated to sterilize a load of up to 24 lbs of metal surgical instruments or 7 lbs of plastic devices (combined weight of pouched devices and tray).

The product codes for Tyvek Sterilization Pouches are listed in Table 2.

Table 2. Product codes for Tyvek Sterilization Pouches

Product Type Self Seal Heat Seal Tubing

Product Codes TLP-030 TLP-031 TLP-033 TLP-058 TLP-059

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K152058: Tyvek Sterilization Pouches with Chevron Seal.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K152058

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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