Chrysalis Intelligence · Product Codes · QPC

QPC · Gown, Non-Sterile, Non-Isolation, Intended To Provide Moderate Or High Barrier Protection

General, Plastic Surgery · 10 clearances · 8 unique sponsors

Device class
Class II
Regulation 878.4040
Total clearances
10
2021-12-15 → 2026-09-11
Last 12 months
3
Unique sponsors
8
Definition

What is Gown, Non-Sterile, Non-Isolation, Intended To Provide Moderate Or High Barrier Protection

A non-sterile, non-isolation gown intended to be worn by healthcare personnel to provide moderate or high barrier protection in non-sterile and non patient isolation situations. Gowns with antimicrobial/antiviral agents or claims are excluded.
Medical specialty
General, Plastic Surgery
Review panel
HO
Regulation number
878.4040
Implant
N
Life-sustain / support
N
GMP exempt
N
Third-party review
N
Trend

Clearance volume by quarter

Players

Top sponsors in this product code

Sponsor Clearances Last 12 mo Most recent
PolyConversions, Inc. 3 2 2026-08-11
Dukal Corporation 1 0 2022-03-30
Kenpax International Limited 1 0 2023-08-08
Dong Nai Garment Corporation (Donagamex) 1 0 2021-12-17
Medline Industries, LP 1 0 2024-03-05
PRIMED Medical Products, Inc. 1 1 2026-09-11
Azac Group 1 0 2025-01-13
Cadillac Products, Inc. 1 0 2021-12-15
Reimbursement

Likely billing codes (AI-inferred · verify with billing)

Healthcare providers using this device would typically bill under these HCPCS Level II (alphanumeric) or CPT (5-digit) codes. Mapping inferred from device function by Claude Haiku; official descriptions pulled from the CMS HCPCS April 2026 quarterly file where available. Always verify with billing/coding teams before relying on these.

CodeTypeDescriptionConfidenceRationale
A4390 HCPCS Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each ✓ CMS-verified description High Gown, isolation; standard HCPCS code for protective gowns including non-sterile barrier protection gowns
A6403 HCPCS Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing ✓ CMS-verified description Medium Protective barrier gown/apron; alternative supply code for protective gowning
Pulse

Most recent 510(k) clearances

DateK-numberSponsorDevice
2026-09-11 K262007 PRIMED Medical Products, Inc. PRIMED AAMI Level 3 Open Back Gowns
2026-08-11 K261115 PolyConversions, Inc. VR® Personal Protective Level 4 Gown (VR Gowns)
2025-12-16 K252940 PolyConversions, Inc. VR® Personal Protective Level 3 Gown (VR Gowns)
2025-01-13 K242689 Azac Group AAMI Level 4 Protective; Gown
2024-03-05 K233526 Medline Industries, LP Medline Open-back Level 3 Protective Gown
2023-08-11 K230384 PolyConversions, Inc. PolyWear® Personal Protective Level 3 Gown
2023-08-08 K222128 Kenpax International Limited Protective Gown AAMI Level 4
2022-03-30 K212464 Dukal Corporation Dukal Corporation AAMI Level 4 Open-Back Protective Gown
2021-12-17 K203821 Dong Nai Garment Corporation (Donagamex) Donagamex Blue Performance Protective Gown
2021-12-15 K210405 Cadillac Products, Inc. ProTEC-USA EZDoff Gown