Procedure Masks: PM4-301 and PM4-304

FDA 510(k) K011789 · Primeline Medical Products, Inc.

Substantially Equivalent

510(k) numberK011789

Submission

Device name
Procedure Masks: PM4-301 and PM4-304
Applicant
Primeline Medical Products, Inc.
Edmonton, Alberta, CA
Received
June 8, 2001
Decision date
June 22, 2001
Decision
Substantially Equivalent (SESE)
Type
Special 510(k)
Summary
510(k) statement available from FDA

Official FDA 510(k) record

Device classification

Product code
FXX – Mask, Surgical
Device class
Class II (moderate risk)
Regulation
21 CFR 878.4040
Specialty
General, Plastic Surgery

Other 510(k)s with product code FXX

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K251967HALYARD* FLUIDSHIELD* 3 Fog-Free Procedure Mask with SO SOFT* Lining and SO SOFT*…FXX · Traditional O&M Halyard, Inc.03/18/2026SE
K252534Surgical Face Mask (Ear mount)FXX · Traditional Zhejiang Hangkang Medical Equipment Co., Ltd.03/03/2026SE
K253398Disposable Surgical Mask (Non-Sterile) (EFX3PLBLKMSK300)FXX · Special Efofex, Inc.02/19/2026SE
K252830Disposable Surgical Face Mask (3P00B, C2900)FXX · Traditional Beatles Medical Supplies (Xiantao) Co., Ltd.01/12/2026SE
K252650Disposable Medical Face MaskFXX · Traditional Makrite Industries, Inc.01/05/2026SE
K243342KP Protective Face MaskFXX · Traditional Kp Trading Co., Ltd.12/22/2025SE
K252941HALYARD* Adult Face Mask with SO SOFT* Lining and SO SOFT* EarloopsFXX · Traditional O&M Halyard, Inc.12/11/2025SE
K252964PRIMED Surgical and Procedure MasksFXX · Traditional Primed Medical Products, Inc.11/04/2025SE
K251902Vitaform Procedural Mask - Blue (Vitaform Blue); Vitaform Procedural Mask with Shield…FXX · Traditional Vitacore Industries, Inc.09/17/2025SE
K250082Procedure mask/Surgical mask/Face maskFXX · Traditional Winner Medical Co., Ltd.06/18/2025SE

More from Winner Medical Co., Ltd.

510(k)DeviceDecision
K023266Primagard Surgical GownsFYA · Traditional 11/08/2002SE
K023117Primagard Surgical GownsKKX · Traditional 11/08/2002SE
K022868Primagard Surgical Equipment DrapesKKX · Traditional 11/08/2002SE
K021864Primagard Nonsterile Femoral Angiography Drapes (Models PM1-0136, PM1-0119, PM1-0142)KKX · Traditional 09/23/2002SE
K021076Primagard Yellow Surgical Mask, Pleated, Tie-On, PM4-307; Primagard Yellow Surgical…FXX · Special 04/16/2002SE
K001951Primed Pleated Tie-Back, Procedure Mask PM4-305, Primed Pleated Ear-Loop, Procedure Mask…FXX · Traditional 09/08/2000SE
K971076Primed Shoe Covers, Primed Head CoversFXP · Traditional 01/13/1998SE
K971075Primed Prime-Plus Cotton Gauze SpongesEFQ · Traditional 06/22/1997SE

Questions and answers

When was Procedure Masks: PM4-301 and PM4-304 cleared by the FDA?

Procedure Masks: PM4-301 and PM4-304 (K011789) received a 510(k) decision of Substantially Equivalent on June 22, 2001, 14 days after the submission was received.

What is the product code of K011789?

The FDA product code is FXX – Mask, Surgical, a Class II (moderate risk) device regulated under 21 CFR 878.4040.