510(k) Report

510(k) · Cleared

Cleared

JS Dental Lab Mouth Guard

K210011510(k) TraditionalCleared Jul 16, 2021193-day reviewClass U

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

Ampower Dental Laboratories, LLC · MQC Mouthguard, Prescription

Cleared on Jul 16, 2021 as substantially equivalent to K121365 (Glidewell Laboratories-Sleep Devices Group, 2012) after a 193-day review. Its family tree reaches back 3 generations to 1989. 2 later devices descend from it.

Decided
Jul 16, 2021
Review
193 days
Class
Class U
Product code
MQC
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to K882303 (1989). 9 ancestors in all. 2 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2006: 1 other ancestor2003: 1 other ancestor2001: 1 other ancestor1998: 2 other ancestors2024: 1 descendant cleared2025: 1 descendant clearedReference device: K200125 · Thermoforming Sheet Materials · Erkodent Erich Kopp GmbH · 2020K882303 · H&M Anti-Snoring Device · Hays & Meade, Inc. · 1989K014079 · DR. Hays Bite Guard · Inventive Resources, Inc. · 2002K121365 · Thermoformed Mouthguards · Glidewell Laboratories-Sleep Devices Group · 20121990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 2 other ancestors3 generations back: 4 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant K121365 · Thermoformed Mouthguards · Glidewell Laboratories-Sleep Devices Group · 2012K014079 · DR. Hays Bite Guard · Inventive Resources, Inc. · 2002K882303 · H&M Anti-Snoring Device · Hays & Meade, Inc. · 19890
  1. Root · 3 generations backK882303 H&M Anti-Snoring DeviceHays & Meade, Inc. · 1989
  2. 2 generations backK014079 DR. Hays Bite GuardInventive Resources, Inc. · 2002
  3. 1 generation backK121365 Thermoformed MouthguardsGlidewell Laboratories-Sleep Devices Group · 2012
  4. This deviceK210011 JS Dental Lab Mouth GuardAmpower Dental Laboratories, LLC · 2021
  5. Descendant · cites it directly · 1 of its ownK241369 LIJIA Night GuardLijia, LLC · 2024
  6. Descendant · 2 generations on · 0 of its ownK243516 Remi Custom Night GuardGrindguard, Inc. · 2025

Most influential descendants

Showing 2 of 2 · See all
  • K241369LIJIA Night GuardLijia, LLC · 2024 · cites it directly1descendant
  • K243516Remi Custom Night GuardGrindguard, Inc. · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K882303H&M Anti-Snoring DeviceHays & Meade, Inc.1989—
−2K014079DR. Hays Bite GuardInventive Resources, Inc.2002—
−1K121365Thermoformed MouthguardsGlidewell Laboratories-Sleep Devices Group2012—
0 (this device)K210011JS Dental Lab Mouth GuardAmpower Dental Laboratories, LLC2021—
+1K241369LIJIA Night GuardLijia, LLC2024—
+2K243516Remi Custom Night GuardGrindguard, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199820
200110
200310
200610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
202510
FIG. 1 — Lineage of K210011, 1989–2025Source: 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 MQC? 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 MQC device

  1. #1 K203000 KeyPrint KeySplint Hardscore 15.3 · 5 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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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
*K121365Thermoformed Mouthguards
Summary page 4
…Product 510(k) Number Priority Glidewell Primary Thermoformed K121365 Laboratories - Mouthguards/Nightguar Sleep Devices…
Glidewell Laboratories-Sleep Devices Group2012—
†K200125Thermoforming Sheet MaterialsErkodent Erich Kopp GmbH2020—

Also cleared against K121365: 1 other device →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K241369LIJIA Night GuardLijia, LLC20241

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 32 years and passes through 4 companies; a new generation was cleared every 10.7 years on median.
  • None of the 9 ancestors has a recall.
  • Of its descendants, K241369 (Lijia, LLC, 2024) has gone furthest, with 1 descendant of its own.
  • 1 other device also cites its predicate K121365.

How does its category compare?

All MQC devices

MQC Mouthguard, Prescription: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · MQC

4in 2025

2007: 42009: 22010: 12011: 42012: 22013: 12014: 12015: 32017: 22019: 52020: 42021: 72022: 52023: 62024: 82025: 42026 (partial year): 2
2007high 8 (2024) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MQC

185in 2025

2007: 79 days median2011: 194 days median2015: 234 days median2019: 286 days median2020: 204 days median2021: 158 days median2022: 120 days median2023: 230 days median2024: 249 days median2025: 185 days median
2007high 286 (2019) · low 79 (2007)2026

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

Recalls per year · MQC

1in 2023

2023: 1
2007high 1 (2023) · low 0 (2007)2026

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

Adverse event reports per year · MQC

7in 2025

2007: 92008: 62009: 32010: 52011: 22013: 62014: 22015: 52016: 92017: 72018: 712019: 622020: 462021: 1112022: 1372023: 622024: 82025: 7
2007high 137 (2022) · low 0 (2012)2025

MAUDE reports naming product code MQC, 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
200747909
20080—06
20092—03
20101—05
2011419402
20122—00
20131—06
20141—02
2015323405
20160—09
20172—07
20180—071
20195286062
20204204046
202171580111
202251200137
20236230162
2024824908
2025418507
20262—0—

What is it indicated for?

The JS Dental Lab Mouth Guard is intended for protection against bruxism and teeth grinding. They create a barrier between the upper and lower dentition to protect the patient's overall occlusion.

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. “K210011: JS Dental Lab Mouth Guard.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K210011

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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