510(k) Report

510(k) · Cleared

Cleared

Premium Plus Disposable Barrier Sleeve

K163447510(k) TraditionalCleared Jun 20, 2017194-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

Premium Plus International Limited · PEM Dental Barriers And Sleeves

Cleared on Jun 20, 2017 as substantially equivalent to K151123 (Pac-Dent International, Inc., 2016) after a 194-day review. Its family tree reaches back 2 generations to 2014. 1 later device descends from it.

Decided
Jun 20, 2017
Review
194 days
Class
Class II
Product code
PEM
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K132953 (2014). 1 later device descends from it, 1 citing it directly.

Descendants, by year cleared 2019: 1 descendant clearedK132953 · Tidisheild · Tidi Products,Llc · 2014K151123 · Pac-Dent Barrier Sleeve, Cover-It (TM) Barrier Film · Pac-Dent International, Inc. · 20162010201520202025
Descendants, by generation 1 generation forward: 1 descendant K151123 · Pac-Dent Barrier Sleeve, Cover-It (TM) Barrier Film · Pac-Dent International, Inc. · 2016K132953 · Tidisheild · Tidi Products,Llc · 20140
  1. Root · 2 generations backK132953 TidisheildTidi Products,Llc · 2014
  2. 1 generation backK151123 Pac-Dent Barrier Sleeve, Cover-It (TM) Barrier FilmPac-Dent International, Inc. · 2016
  3. This deviceK163447 Premium Plus Disposable Barrier SleevePremium Plus International Limited · 2017
  4. Descendant · cites it directly · 0 of its ownK190949 ScanX Barrier EnvelopesAir Techniques, Inc. · 2019

Most influential descendants

Showing 1 of 1 · See all
  • K190949ScanX Barrier EnvelopesAir Techniques, Inc. · 2019 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K132953TidisheildTidi Products,Llc2014—
−1K151123Pac-Dent Barrier Sleeve, Cover-It (TM) Barrier FilmPac-Dent International, Inc.2016—
0 (this device)K163447Premium Plus Disposable Barrier SleevePremium Plus International Limited2017—
+1K190949ScanX Barrier EnvelopesAir Techniques, Inc.2019—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201910
FIG. 1 — Lineage of K163447, 2014–2019Source: 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
*K151123Pac-Dent Barrier Sleeve, Cover-It (TM) Barrier Film
Summary page 4
…s Ⅱ Regulation Number: 21 CFR 878.4370 Product Code: PEM Predicate Device to Premium Plus Disposable Barrier Sleeves: Trade Name: Pac-Dent Barrier Sleeve 510(k) Number: K151123 Manufactured by: Pac-Dent International, Inc. Device Description: Premium Plus Disposable Barrier Sleeves are made of polyethyle…
Pac-Dent International, Inc.2016—

Also cleared against K151123: 3 other devices →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K190949ScanX Barrier EnvelopesAir Techniques, 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 3 years and passes through 3 companies; a new generation was cleared every 2.0 years on median.
  • None of the 2 ancestors has a recall.
  • Of its descendants, K190949 (Air Techniques, Inc., 2019) has gone furthest, with 0 descendants of its own.
  • 3 other devices also cite its predicate K151123.

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. 2017, 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?

Premium Plus Disposable Barrier Sleeve is intended to be used as a disposable barrier for dental instruments and equipment. This device is non-sterile and intended for single patient use only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K163447: Premium Plus Disposable Barrier Sleeve.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K163447

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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