510(k) Report

510(k) · Cleared

Cleared

Boussignac/Vygon Endotracheal Tube, Model 6501.25/30/35 and 6502.70/75/80

K040657510(k) TraditionalCleared Jun 10, 200490-day reviewClass II21 CFR 868.5730

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

Vygon SA · BTR Tube, Tracheal (W/Wo Connector)

Cleared on Jun 10, 2004 as substantially equivalent to K802505 (National Catheter Co. Div. Mallinckrodt, 1981) and 1 other predicate after a 90-day review. Its family tree reaches back 1 generation to 1981. 1 later device descends from it.

Decided
Jun 10, 2004
Review
90 days
Class
Class II
Product code
BTR
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K802505 (1981). 2 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1996: 1 other ancestor2022: 1 descendant clearedK802505 · Double Lumen Tracheal Tube · National Catheter Co. Div. Mallinckrodt · 198119801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 1 descendant K802505 · Double Lumen Tracheal Tube · National Catheter Co. Div. Mallinckrodt · 19810
  1. Root · 1 generation backK802505 Double Lumen Tracheal TubeNational Catheter Co. Div. Mallinckrodt · 1981
  2. This deviceK040657 Boussignac/Vygon Endotracheal Tube, Model 6501.25/30/35 and…Vygon SA · 2004
  3. Descendant · cites it directly · 0 of its ownK211543 Wei Nasal Jet TubeWell Lead Medical Co., Ltd. · 2022

Most influential descendants

Showing 1 of 1 · See all
  • K211543Wei Nasal Jet TubeWell Lead Medical Co., Ltd. · 2022 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K802505Double Lumen Tracheal TubeNational Catheter Co. Div. Mallinckrodt1981—
0 (this device)K040657Boussignac/Vygon Endotracheal Tube, Model 6501.25/30/35 and 6502.70/75/80Vygon SA2004—
+1K211543Wei Nasal Jet TubeWell Lead Medical Co., Ltd.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
FIG. 1 — Lineage of K040657, 1981–2022Source: 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 510(k) 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 BTR? 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 BTR device

  1. #1 K251794 Tenax® Laser Resistant Endotracheal Tubescore 12.6 · 3 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (2)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K802505Double Lumen Tracheal Tube
Summary page 1
…Tracheal Tube The subject device is substantially equivalent to the Mallickrodt Hi-Lo®~Jet (K802505). and the Vygon's Double Lumen Tracheal Tube (K960795).…
National Catheter Co. Div. Mallinckrodt1981—
*K960795Vygon Double Lumen Endotracheal Tube
Summary page 1
…acheal Tube The subject device is substantially equivalent to the Mallickrodt Hi-Lo®~Jet (K802505). and the Vygon's Double Lumen Tracheal Tube (K960795). Page - 47 - === Page…
Vygon Corp.1996—

Also cleared against K802505: 1 other device →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K211543Wei Nasal Jet TubeWell Lead Medical Co., Ltd.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?

  • None of the 2 ancestors has a recall.
  • Of its descendants, K211543 (Well Lead Medical Co., Ltd., 2022) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K802505.

How does its category compare?

All BTR devices

BTR Tube, Tracheal (W/Wo Connector): FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · BTR

7in 2025

2007: 12008: 72009: 72010: 32011: 22012: 52013: 12014: 32015: 32016: 12017: 22018: 52019: 52020: 32021: 12022: 12023: 12024: 12025: 72026 (partial year): 2
2007high 7 (2008) · low 1 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · BTR

258in 2025

2008: 61 days median2009: 135 days median2010: 179 days median2012: 261 days median2014: 308 days median2015: 262 days median2018: 242 days median2019: 211 days median2020: 246 days median2025: 258 days median
2007high 308 (2014) · low 61 (2008)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · BTR

3in 2022

2007: 22009: 212014: 20, 19 Class I2016: 12020: 1, 1 Class I2021: 22022: 32026 (partial year): 1
2007high 21 (2009) · low 0 (2008)2026

Class I (20 since 2007) Class II/III not classified

Adverse event reports per year · BTR

1,799in 2025

2007: 1362008: 1692009: 1552010: 3352011: 4222012: 5112013: 8072014: 9852015: 1,0162016: 8362017: 8122018: 9772019: 1,3792020: 1,0702021: 1,3292022: 1,1322023: 1,3302024: 1,6782025: 1,799
2007high 1,799 (2025) · low 136 (2007)2025

MAUDE reports naming product code BTR, 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
20071—2136
20087610169
2009713521155
201031790335
20112—0422
201252610511
20131—0807
2014330820 (19)985
2015326201,016
20161—1836
20172—0812
201852420977
2019521101,379
202032461 (1)1,070
20211—21,329
20221—31,132
20231—01,330
20241—01,678
2025725801,799
20262—1—

What is it indicated for?

The Boussignac/Vygon Endotracheal Tube is indicated for airway management. The insufflation canals permit the delivery of intermittent jet ventilation and the administration of oxygen during tracheobronchial suctioning procedures. They also provide a supplemental means for administering oxygen during bronchoscopies. In these ventilatory modes, the main lumen serves as a channel for the elimination of expired gases. When the insufflation port is capped…

Read the full statement (133 words)

The Boussignac/Vygon Endotracheal Tube is indicated for airway management. The insufflation canals permit the delivery of intermittent jet ventilation and the administration of oxygen during tracheobronchial suctioning procedures. They also provide a supplemental means for administering oxygen during bronchoscopies. In these ventilatory modes, the main lumen serves as a channel for the elimination of expired gases. When the insufflation port is capped, the Boussignac/Vygon Endotracheal Tube can function as a standard tracheal tube with ventilation occurring through the main lumen. The Boussignac/Vygon Endotracheal Tube is intended for oral/nasal intubation.

The monitoring/irrigation lumens may be used for monitoring airway pressure, for irrigation of a patient's tracheobronchial tree, to aid in the removal of accumulated secretions, for sampling tracheal gases, for anesthetizing the trachea, or for introducing suitable medication in accordance with standard medical practice.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K040657: Boussignac/Vygon Endotracheal Tube, Model 6501.25/30/35 and 6502.70/75/80.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K040657

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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