510(k) Report

De Novo · Granted

Granted

Precision Flow® HVNI

DEN170001De NovoGranted Apr 10, 2018462-day reviewClass II21 CFR 868.5454

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Vapotherm, Inc. · QAV High Flow/High Velocity Humidified Oxygen Delivery Device

Granted on Apr 10, 2018 as a new device type through De Novo after a 462-day review. 4 later devices descend from it.

Decided
Apr 10, 2018
Review
462 days
Class
Class II
Product code
QAV
Recalls
None

4 later devices descend from it, 2 citing it directly.

Descendants, by year cleared 2022: 1 descendant cleared2023: 1 descendant cleared2024: 1 descendant cleared2025: 1 descendant cleared201620182020202220242026
  1. This deviceDEN170001 Precision Flow® HVNIVapotherm, Inc. · 2018
  2. Descendant · cites it directly · 2 of its ownK221338 F&P Airvo 3Fisher & Paykel Healthcare · 2023 · Recalled
  3. Descendant · 2 generations on · 1 of its ownK233643 F&P Airvo 3 NIV (PT311US)Fisher & Paykel Healthcare, Ltd. · 2024
  4. Descendant · 3 generations on · 0 of its ownK242931 HFT750UMekics Co., Ltd. · 2025
  5. Descendant · cites it directly · 0 of its ownK221318 HVT 2.0Vapotherm, Inc. · 2022

Most influential descendants

Showing 4 of 4 · See all
  • K221338F&P Airvo 3Fisher & Paykel Healthcare · 2023 · cites it directly2descendants
  • K233643F&P Airvo 3 NIV (PT311US)Fisher & Paykel Healthcare, Ltd. · 2024 · 2 generations on1descendant
  • K242931HFT750UMekics Co., Ltd. · 2025 · 3 generations on0descendants
  • K221318HVT 2.0Vapotherm, Inc. · 2022 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)DEN170001Precision Flow® HVNIVapotherm, Inc.2018—
+1K221338F&P Airvo 3Fisher & Paykel Healthcare20231
+2K233643F&P Airvo 3 NIV (PT311US)Fisher & Paykel Healthcare, Ltd.2024—
+3K242931HFT750UMekics Co., Ltd.2025—
+1K221318HVT 2.0Vapotherm, Inc.2022—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202310
202410
202510
FIG. 1 — Lineage of DEN170001, 2018–2025Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA De Novo database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in QAV? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new QAV device

  1. #1 K221338 F&P Airvo 3score 8.1 · 9 generations · no Class I recall
  2. #2 Held for the reportin the report
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Does it have a predicate?

De Novo decisions do not claim a predicate device.

What descends from it? (4)

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K221338F&P Airvo 3Fisher & Paykel Healthcare20232
K221318HVT 2.0Vapotherm, Inc.20220

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K221338 (Fisher & Paykel Healthcare, 2023) has gone furthest, with 2 descendants of its own.

How does its category compare?

All QAV devices

QAV High Flow/High Velocity Humidified Oxygen Delivery Device: FDA decisions, review times, recalls and adverse event reports over 20 years. 2018, this device’s year, is highlighted.

FDA decisions per year · QAV

1in 2023

2018: 12022: 12023: 1
2007high 1 (2018) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QAV

Too few QAV 510(k)s in any year since 2007 to give a median.

Recalls per year · QAV

No recall names QAV since 2007.

Adverse event reports per year · QAV

10in 2025

2020: 12021: 12022: 62023: 32024: 72025: 10
2007high 10 (2025) · low 0 (2007)2025

MAUDE reports naming product code QAV, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20181—00
20190—00
20200—01
20210—01
20221—06
20231—03
20240—07
20250—010
20260—0—

What is it indicated for?

Precision Flow® HVNI is intended for use to add warm moisture to breathing gases from an external source for administration to a neonate/infant, pediatric and adult patients in the hospital and subacute institutions settings. It adds heat and moisture to a blended medical air/ oxygen mixture and assures the integrity of the precise air/oxygen mixture via an integral oxygen analyzer. The flow rates may be from 1 to 40 liters per minute via nasal cannula.…

Read the full statement (126 words)

Precision Flow® HVNI is intended for use to add warm moisture to breathing gases from an external source for administration to a neonate/infant, pediatric and adult patients in the hospital and subacute institutions settings. It adds heat and moisture to a blended medical air/ oxygen mixture and assures the integrity of the precise air/oxygen mixture via an integral oxygen analyzer. The flow rates may be from 1 to 40 liters per minute via nasal cannula.

Precision Flow® HVNI provides high velocity nasal insufflation (HVNI) with simultaneous oxygen delivery to augment breathing of spontaneously breathing patients suffering from respiratory distress and/or hypoxemia in the hospital setting. Precision Flow® HVNI is not intended to provide total ventilatory requirements of the patient and not for use during field transport.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “DEN170001: Precision Flow® HVNI.” Lineage record from FDA De Novo data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/DEN170001

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026