510(k) Report

510(k) · Cleared

Cleared

Disposable Surgical Face Mask

K202491510(k) TraditionalCleared Jan 6, 2021128-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

Jiangsu Newvalue Medical Products Co., Ltd. · FXX Mask, Surgical

Cleared on Jan 6, 2021 as substantially equivalent to K160269 (San-M Package Co., Ltd., 2016) after a 128-day review. Its family tree reaches back 6 generations to 1987. 4 later devices descend from it.

Decided
Jan 6, 2021
Review
128 days
Class
Class II
Product code
FXX
Recalls
None
Predicates
1

Its longest line of descent runs back 6 generations to K874608 (1987). 8 ancestors in all, the oldest K801036 (1980). 4 later devices descend from it, 1 citing it directly.

  1. Root · 6 generations backK874608 Tecnol Fluid Shield Surgical MaskTecnol New Jersey Wound Care, Inc. · 1987
  2. 5 generations backK955556 Fluid Resistant MaskAmerican Threshold Healthcare · 1996
  3. 4 generations backK082258 Crosstex Isolite and Isofluid Earloop Face Masks and Isofluid…Crosstex International · 2008
  4. 3 generations backK110455 Kimberly-Clark Low Barrier, Astm 2100 Face MasksKimberly-Clark Corp. · 2011
  5. 2 generations backK111402 KC200, Surgical Mask, KC200, Procedure Mask, KC300, Surgicalmask…Kimberly-Clark · 2011
  6. 1 generation backK160269 Surgical Face Masks (Ear loops and Tie-on)San-M Package Co., Ltd. · 2016
  7. This deviceK202491 Disposable Surgical Face MaskJiangsu Newvalue Medical Products Co., Ltd. · 2021
  8. Descendant · cites it directly · 3 of its ownK212293 Surgical Mask (Model: WK1701-02A, WK1701-03A, WK1701-04A)Jiangmen Ningrui Medical Supplies Co., Ltd. · 2021
  9. Descendant · 2 generations on · 0 of its ownK222204 Medical Surgical MaskGuangzhou Zhengkang Medical Equipment Co.,Ltd · 2022
  10. Descendant · 2 generations on · 0 of its ownK221173 Surgical Mask (Model: 0868F, 0866F)Jiangxi Sanhao Medical Instruments Co.,Ltd · 2022
  11. Descendant · 2 generations on · 0 of its ownK220187 Medical Surgical Mask (Model: JM92, JM92B)Guangdong Jia Mei Biological Technology Co.Ltd · 2022

Most influential descendants

Showing 4 of 4 · See all
  • K212293Surgical Mask (Model: WK1701-02A, WK1701-03A, WK1701-04A)Jiangmen Ningrui Medical Supplies Co., Ltd. · 2021 · cites it directly3descendants
  • K222204Medical Surgical MaskGuangzhou Zhengkang Medical Equipment Co.,Ltd · 2022 · 2 generations on0descendants
  • K221173Surgical Mask (Model: 0868F, 0866F)Jiangxi Sanhao Medical Instruments Co.,Ltd · 2022 · 2 generations on0descendants
  • K220187Medical Surgical Mask (Model: JM92, JM92B)Guangdong Jia Mei Biological Technology Co.Ltd · 2022 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K874608Tecnol Fluid Shield Surgical MaskTecnol New Jersey Wound Care, Inc.1987—
−5K955556Fluid Resistant MaskAmerican Threshold Healthcare1996—
−4K082258Crosstex Isolite and Isofluid Earloop Face Masks and Isofluid Fogfree Face…Crosstex International2008—
−3K110455Kimberly-Clark Low Barrier, Astm 2100 Face MasksKimberly-Clark Corp.2011—
−2K111402KC200, Surgical Mask, KC200, Procedure Mask, KC300, Surgicalmask, Fluidshield…Kimberly-Clark2011—
−1K160269Surgical Face Masks (Ear loops and Tie-on)San-M Package Co., Ltd.2016—
0 (this device)K202491Disposable Surgical Face MaskJiangsu Newvalue Medical Products Co., Ltd.2021—
+1K212293Surgical Mask (Model: WK1701-02A, WK1701-03A, WK1701-04A)Jiangmen Ningrui Medical Supplies Co., Ltd.2021—
+2K222204Medical Surgical MaskGuangzhou Zhengkang Medical Equipment Co.,Ltd2022—
+2K221173Surgical Mask (Model: 0868F, 0866F)Jiangxi Sanhao Medical Instruments Co.,Ltd2022—
+2K220187Medical Surgical Mask (Model: JM92, JM92B)Guangdong Jia Mei Biological Technology Co.Ltd2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010
199110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202110
202230
FIG. 1 — Lineage of K202491, 1987–2022Source: 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 FXX? 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 FXX device

  1. #1 K201479 DemeMASKscore 40.2 · 6 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
*K160269Surgical Face Masks (Ear loops and Tie-on)
Summary page 4
…on Name: Surgical Mask Classification Name: Surgical Mask Regulatory Class: II Product Code: FXX III. PREDICATE DEVICE Primary predicate device: Surgical Face Masks (K160269) 1 of 6 pages…
San-M Package Co., Ltd.2016—

Also cleared against K160269: 38 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K212293Surgical Mask (Model: WK1701-02A, WK1701-03A, WK1701-04A)Jiangmen Ningrui Medical Supplies Co., Ltd.20213

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 34 years and passes through 7 companies; a new generation was cleared every 4.9 years on median.
  • 1 of the 8 ancestors has a recall of any class.
  • Of its descendants, K212293 (Jiangmen Ningrui Medical Supplies Co., Ltd., 2021) has gone furthest, with 3 descendants of its own.
  • 38 other devices also cite its predicate K160269.

How does its category compare?

All FXX devices

FXX Mask, Surgical: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · FXX

6in 2025

2007: 22008: 22009: 12010: 72011: 62012: 12013: 32014: 12015: 52016: 52017: 12018: 32019: 42020: 272021: 2182022: 912023: 222024: 152025: 62026 (partial year): 5
2007high 218 (2021) · low 1 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FXX

123in 2025

2010: 144 days median2011: 137 days median2013: 219 days median2015: 298 days median2016: 268 days median2018: 119 days median2019: 124 days median2020: 113 days median2021: 162 days median2022: 113 days median2023: 139 days median2024: 263 days median2025: 123 days median2026 (partial year): 142 days median
2007high 298 (2015) · low 113 (2020)2026

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

Recalls per year · FXX

2in 2024

2019: 22023: 12024: 2
2007high 2 (2019) · low 0 (2007)2026

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

Adverse event reports per year · FXX

11in 2025

2007: 112008: 102009: 32010: 92011: 82012: 222013: 92014: 52015: 142016: 162017: 452018: 212019: 232020: 602021: 672022: 212023: 212024: 212025: 11
2007high 67 (2021) · low 3 (2009)2025

MAUDE reports naming product code FXX, 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
20072—011
20082—010
20091—03
2010714409
2011613708
20121—022
2013321909
20141—05
20155298014
20165268016
20171—045
20183119021
20194124223
202027113060
2021218162067
202291113021
202322139121
202415263221
20256123011
202651420—

What is it indicated for?

The Disposable Surgical Face Masks are intended to be worn to protect both the patient and healthcare personnel from

transfer of microorganisms, body fluids, and particulate material. These face masks are intended for use in infection

control practices to reduce the potential exposure to blood and body fluids. This is a single-use, disposable device,

provided non-sterile.

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. “K202491: Disposable Surgical 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/K202491

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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