510(k) Report

510(k) · Cleared

Cleared

Prestige Ameritech Pediatric/Child’s Face mask

K160100510(k) TraditionalCleared Oct 7, 2016262-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

Prestige Ameritech · OXZ Pediatric/Child Facemask

Cleared on Oct 7, 2016 as substantially equivalent to K113340 (Kimberly-Clark, 2012) after a 262-day review. Its family tree reaches back 6 generations to 1997. 4 later devices descend from it.

Decided
Oct 7, 2016
Review
262 days
Class
Class II
Product code
OXZ
Recalls
None
Predicates
1

Its longest line of descent runs back 6 generations to K970835 (1997). 11 ancestors in all, the oldest K801036 (1980). 4 later devices descend from it, 3 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 ancestor2019: 1 descendant cleared2022: 2 descendants 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) K103150 · Kimberly-Clark Child/Pediatric Face Mask · Kimberly-Clark · 2011K113340 · Kimberly-Clark Child's Facemask · Kimberly-Clark · 201219801990200020102020
  1. Root · 6 generations backK970835 Face Mask, Surgical Mask, Non-SterileTucker & Associates · 1997
  2. 5 generations backK022256 Surgical Face Mask - Colors: White, Yellow, Pink, Blue, and GreenTucker & Associates · 2004
  3. 4 generations backK060776 Surgical Face MaskHong YA Non-Woven Products Co., Ltd. · 2006
  4. 3 generations backK061716 Prestige Ameritech Face MaskPrestige Ameritech · 2006
  5. 2 generations backK103150 Kimberly-Clark Child/Pediatric Face MaskKimberly-Clark · 2011
  6. 1 generation backK113340 Kimberly-Clark Child's FacemaskKimberly-Clark · 2012
  7. This deviceK160100 Prestige Ameritech Pediatric/Child’s Face maskPrestige Ameritech · 2016
  8. Descendant · cites it directly · 1 of its ownK210321 Dukal Corporation Level 1 Pediatric Face MaskDukal Corporation · 2022
  9. Descendant · cites it directly · 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
  11. Descendant · cites it directly · 0 of its ownK190308 Medicom SafeMask Sofskin Pediatric Procedure Earloop Face Masks…Amd Medicom, Inc. · 2019

Most influential descendants

Showing 4 of 4 · See all
  • K210321Dukal Corporation Level 1 Pediatric Face MaskDukal Corporation · 2022 · cites it directly1descendant
  • K221753Kangbeier Child Surgical MaskXinxiang Kangbeier Medical Technology Co., Ltd. · 2023 · cites it directly0descendants
  • K213427PRIMED Pediatric FacemaskPrimed Medical Products, Inc. · 2022 · 2 generations on0descendants
  • K190308Medicom SafeMask Sofskin Pediatric Procedure Earloop Face Masks (ASTM Level 1), Medicom…Amd Medicom, Inc. · 2019 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K970835Face Mask, Surgical Mask, Non-SterileTucker & Associates1997—
−5K022256Surgical Face Mask - Colors: White, Yellow, Pink, Blue, and GreenTucker & Associates2004—
−4K060776Surgical Face MaskHong YA Non-Woven Products Co., Ltd.2006—
−3K061716Prestige Ameritech Face MaskPrestige Ameritech2006—
−2K103150Kimberly-Clark Child/Pediatric Face MaskKimberly-Clark2011—
−1K113340Kimberly-Clark Child's FacemaskKimberly-Clark2012—
0 (this device)K160100Prestige Ameritech Pediatric/Child’s Face maskPrestige Ameritech2016—
+1K210321Dukal Corporation Level 1 Pediatric Face MaskDukal Corporation2022—
+1K221753Kangbeier Child Surgical MaskXinxiang Kangbeier Medical Technology Co., Ltd.2023—
+2K213427PRIMED Pediatric FacemaskPrimed Medical Products, Inc.2022—
+1K190308Medicom SafeMask Sofskin Pediatric Procedure Earloop Face Masks (ASTM Level…Amd Medicom, Inc.2019—

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
201910
202220
202310
FIG. 1 — Lineage of K160100, 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
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
*K113340Kimberly-Clark Child's Facemask
Summary page 5
…mon Mask, Surgical Name: Device Product OXZ, Class II Codes and Mask, Surgical (21 CFR 878.4040) Classification Names: Predicate Devices: K113340 Kimberly-Clark Pediatric/Child face mask(s) Device Description: The Prestige Ameritech Pediatric/Childs Face Mask is…
Kimberly-Clark2012—

Also cleared against K113340: 1 other device →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K210321Dukal Corporation Level 1 Pediatric Face MaskDukal Corporation20221
K221753Kangbeier Child Surgical MaskXinxiang Kangbeier Medical Technology Co., Ltd.20230
K190308Medicom SafeMask Sofskin Pediatric Procedure Earloop Face Masks (ASTM Level 1), Medicom…Amd Medicom, Inc.20190

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 19 years and passes through 4 companies; a new generation was cleared every 4.4 years on median.
  • 1 of the 11 ancestors has a recall of any class.
  • Of its descendants, K210321 (Dukal Corporation, 2022) has gone furthest, with 1 descendant of its own.
  • 1 other device also cites its predicate K113340.

How does its category compare?

All OXZ devices

OXZ Pediatric/Child Facemask: FDA decisions, review times, recalls and adverse event reports over 20 years. 2016, 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 Prestige Ameritech Pediatric/Child Face Mask is intended to be worn by the patient/child. The Pediatric/Child Facemask is a single use, disposable device, provided non-sterile. The Pediatric/Child Facemask is intended to be worn by the patient (ages 4-12) to cover the nose and mouth to provide a barrier for the respiratory tract for microorganisms and particulate materials. The mask is specifically for use with patients whose age or illness may prevent them from taking necessary precautions in situations where transfer of microorganisms, body fluids, and particulates can occur.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K160100: Prestige Ameritech Pediatric/Child’s 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/K160100

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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