# K221173: Surgical Mask (Model: 0868F, 0866F)

- Pathway: 510(k) (Traditional)
- Applicant: Jiangxi Sanhao Medical Instruments Co.,Ltd
- Decided: Jul 6, 2022 after 72 days
- Product code: FXX (Mask, Surgical)
- Device class: 2
- Regulation: 21 CFR 878.4040
- Recalls of this device: none
- Data: FDA decisions to Oct 25, 2026; recalls to Oct 12, 2026

## Lineage
Longest line of descent: 10 generations back to K874608 (1987). 15 ancestors in all.
No later device cites it as a predicate yet.
0 of 16 devices in its family (counting itself) have a Class I recall.

## Predicates on the family tree (from the FDA summary)
- K212293: Surgical Mask (Model: WK1701-02A, WK1701-03A, WK1701-04A), Jiangmen Ningrui Medical Supplies Co., Ltd. (2021) Summary page 5.
- K211552: Surgical mask, Shandong Shengquan New Materials Co., Ltd. (2021) Summary page 5.

## Indications for use
The Surgical Mask is intended to be worn to protect both the patient and healthcare personnel from transfer of microorganisms, body fluids, and particulate material. The Surgical Mask is 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.

Source page: https://510kreport.com/device/K221173
Methodology: https://510kreport.com/methodology