Cleared Traditional

K160100 - Prestige Ameritech Pediatric/Child’s Face mask (FDA 510(k) Clearance)

Class II General Hospital device cleared through predicate-based substantial equivalence - typically does not require clinical trials.

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Oct 2016
Decision
262d
Days
Class 2
Risk

K160100 is an FDA 510(k) clearance for the Prestige Ameritech Pediatric/Child’s Face mask. Classified as Pediatric/child Facemask (product code OXZ), Class II - Special Controls.

Submitted by Prestige Ameritech (North Richland Hills, US). The FDA issued a Cleared decision on October 7, 2016 after a review of 262 days - an extended review cycle.

This device falls under the General Hospital FDA review panel, regulated under 21 CFR 878.4040 - the FDA general hospital device framework. The Traditional 510(k) pathway establishes clearance through substantial equivalence to a legally marketed predicate device, without requiring clinical trial data.

Device pattern: Standard predicate-based submission. Standard predicate reliance. This clearance follows a standard predicate-based equivalence path within the General Hospital review framework, consistent with the majority of Class II 510(k) submissions.

View all Prestige Ameritech devices

Submission Details

510(k) Number K160100 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received January 19, 2016
Decision Date October 07, 2016
Days to Decision 262 days
Submission Type Traditional
Review Panel General Hospital (HO)
Summary Summary PDF
Third-party Review No - reviewed directly by FDA
Regulatory Context
Review time vs. panel average
134d slower than avg
Panel avg: 128d · This submission: 262d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

Device Classification

Product Code OXZ Pediatric/child Facemask
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 878.4040
Definition A Pediatric/child Facemask Is Intended To Be Worn By The Patient/child To Provide Protection For The Respiratory Tract. It Is A Single Use, Disposable Device That Is Provided Non-sterile. The Facemask Is Recommended For Use In A Healthcare Setting With Appropriate Adult Supervision.
What this classification means

Class II devices require demonstration of substantial equivalence to a legally marketed predicate device. This pathway does not require clinical trials - it relies on engineering equivalence and performance data. Most General Hospital devices follow this clearance model.

Regulatory Peers - OXZ Pediatric/child Facemask

All 8
Devices cleared under the same product code (OXZ) and FDA review panel - the closest regulatory comparables to K160100.
Kangbeier Child Surgical Mask
K221753 · Xinxiang Kangbeier Medical Technology Co., Ltd. · Dec 2023
PRIMED Pediatric Facemask
K213427 · Primed Medical Products, Inc. · Nov 2022
Dukal Corporation Level 1 Pediatric Face Mask
K210321 · Dukal Corporation · Mar 2022
Child Face Mask
K201514 · Shandong Shengquan New Material Co., Ltd. · Oct 2021
The iMask Child's Face Mask
K202831 · Pac-Dent, Inc. · Aug 2021