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U.S. Department of Health and Human Services

510(k) Premarket Notification
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Device Classification Name Mask, Surgical
510(k) Number K213920
Device Name Kangbeier Surgical Mask (Model: KBR-1001)
Applicant
Xinxiang Kangbeier Medical Technology Co., Ltd.
East Mancun Industrial District
Changyuan,  CN 48105
Applicant Contact Shaoju Tian
Correspondent
Regulatory Technology Services, LLC
1000 Westgate Dr. Suite #510k
Saint Paul,  MN  55114
Correspondent Contact Prithul Bom
Regulation Number878.4040
Classification Product Code
FXX  
Date Received12/15/2021
Decision Date 01/16/2022
Decision Substantially Equivalent (SESE)
Regulation Medical Specialty General & Plastic Surgery
510k Review Panel General Hospital
Summary Summary
Type Traditional
Reviewed by Third Party Yes
Combination Product No
Predetermined Change
Control Plan Authorized		 No
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