510(k) Report

510(k) · Cleared

Cleared

Vapotherm Model#2000I, 200H

K042245510(k) TraditionalCleared Aug 30, 200411-day reviewClass II21 CFR 868.5450

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

Vapotherm, Inc. · BTT Humidifier, Respiratory Gas, (Direct Patient Interface)

Cleared on Aug 30, 2004 as substantially equivalent to K000401 (Vapotherm, Inc., 2000) and 2 other predicates after an 11-day review. Its family tree reaches back 2 generations to 2000. 6 later devices descend from it.

Decided
Aug 30, 2004
Review
11 days
Class
Class II
Product code
BTT
Recalls
None
Predicates
3

Its longest line of descent runs back 2 generations to K000401 (2000). 4 ancestors in all. 6 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2004: 1 other ancestor2001: 1 other ancestor2007: 2 descendants cleared2020: 1 descendant cleared2008: 1 descendant cleared2011: 1 descendant cleared2026: 1 descendant clearedK000401 · Vapotherm, Model 2000I · Vapotherm, Inc. · 2000K013486 · Vapotherm 2000H · Vapotherm, Inc. · 2003200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 1 other ancestor 1 generation forward: 4 descendants2 generations forward: 2 descendants K013486 · Vapotherm 2000H · Vapotherm, Inc. · 2003K000401 · Vapotherm, Model 2000I · Vapotherm, Inc. · 20000
  1. Root · 2 generations backK000401 Vapotherm, Model 2000IVapotherm, Inc. · 2000
  2. 1 generation backK013486 Vapotherm 2000HVapotherm, Inc. · 2003
  3. This deviceK042245 Vapotherm Model#2000I, 200HVapotherm, Inc. · 2004
  4. Descendant · cites it directly · 2 of its ownK072845 Precision FlowVapotherm, Inc. · 2008 · Recalled
  5. Descendant · 2 generations on · 0 of its ownK254078 HVT 2.0Vapotherm, Inc. · 2026
  6. Descendant · cites it directly · 0 of its ownK193411 O2asis Personal Oxygen HumidifierPerma Pure, LLC · 2020
  7. Descendant · 2 generations on · 0 of its ownK111640 Precision Flow (R) - HelioxVapotherm, Inc. · 2011 · Recalled
  8. Descendant · cites it directly · 0 of its ownK070056 Vapotherm Model# 2000I and 2000HVapotherm, Inc. · 2007

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2007: 22008: 12011: 12020: 12026: 1
2007high 2 (2007) · low 0 (2009)2026

Most influential descendants

Showing 5 of 6 · See all
  • K072845Precision FlowVapotherm, Inc. · 2008 · cites it directly2descendants
  • K254078HVT 2.0Vapotherm, Inc. · 2026 · 2 generations on0descendants
  • K193411O2asis Personal Oxygen HumidifierPerma Pure, LLC · 2020 · cites it directly0descendants
  • K111640Precision Flow (R) - HelioxVapotherm, Inc. · 2011 · 2 generations on0descendants
  • K070056Vapotherm Model# 2000I and 2000HVapotherm, Inc. · 2007 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K000401Vapotherm, Model 2000IVapotherm, Inc.2000—
−1K013486Vapotherm 2000HVapotherm, Inc.2003—
0 (this device)K042245Vapotherm Model#2000I, 200HVapotherm, Inc.2004—
+1K072845Precision FlowVapotherm, Inc.20088
+2K254078HVT 2.0Vapotherm, Inc.2026—
+1K193411O2asis Personal Oxygen HumidifierPerma Pure, LLC2020—
+2K111640Precision Flow (R) - HelioxVapotherm, Inc.20111
+1K070056Vapotherm Model# 2000I and 2000HVapotherm, Inc.2007—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200110
200410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200720
200810
201110
202010
202610
FIG. 1 — Lineage of K042245, 2000–2026Source: 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 BTT? 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 BTT device

  1. #1 K222197 F&P Optiflow Junior 2/2+ Nasal Cannula…score 16.8 · 10 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? (3)

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
*K000401Vapotherm, Model 2000I
Summary page 1
…Respiratory Gas (Direct Patient Interface) Device: Vapotherm' TM 2000h and 2000i Predicate Devices: VapothermT M 2000h, K000401, and 2000i - K013486 Caradyne Guardian - K040862 IDevice Description: The Vapotherm 20…
Vapotherm, Inc.2000—
*K013486Vapotherm 2000H
Summary page 1
…ect Patient Interface) Device: Vapotherm' TM 2000h and 2000i Predicate Devices: VapothermT M 2000h, K000401, and 2000i - K013486 Caradyne Guardian - K040862 IDevice Description: The Vapotherm 2000i and Vapotherm 200…
Vapotherm, Inc.2003—
*K040862Guardian Neonate Cpap/Humidification System
Summary page 1
…therm' TM 2000h and 2000i Predicate Devices: VapothermT M 2000h, K000401, and 2000i - K013486 Caradyne Guardian - K040862 IDevice Description: The Vapotherm 2000i and Vapotherm 2000h are identical and share the concept of humidification by tran…
Caradyne, Ltd.20042

Also cleared against K000401: 4 other devices →

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K072845Precision FlowVapotherm, Inc.20082
K193411O2asis Personal Oxygen HumidifierPerma Pure, LLC20200
K070056Vapotherm Model# 2000I and 2000HVapotherm, Inc.20070
K070107Pari Hydrate GPari Innovative Manufacturers, Inc.20070

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?

  • The line of descent spans 4 years and passes through 1 company; a new generation was cleared every 2.8 years on median.
  • 1 of the 4 ancestors has a recall of any class.
  • Of its descendants, K072845 (Vapotherm, Inc., 2008) has gone furthest, with 2 descendants of its own.
  • 4 other devices also cite its predicate K000401.

How does its category compare?

All BTT devices

BTT Humidifier, Respiratory Gas, (Direct Patient Interface): FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · BTT

4in 2025

2007: 62008: 42009: 12010: 42011: 32012: 22013: 62014: 72015: 12016: 32017: 32018: 22019: 12020: 22021: 22022: 32023: 72024: 72025: 42026 (partial year): 4
2007high 7 (2014) · low 1 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · BTT

104in 2025

2007: 73 days median2008: 199 days median2010: 113 days median2011: 116 days median2013: 171 days median2014: 231 days median2016: 157 days median2017: 303 days median2022: 290 days median2023: 258 days median2024: 219 days median2025: 104 days median2026 (partial year): 184 days median
2007high 303 (2017) · low 73 (2007)2026

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

Recalls per year · BTT

1in 2025

2007: 12008: 12010: 22011: 12014: 5, 4 Class I2025: 12026 (partial year): 1
2007high 5 (2014) · low 0 (2009)2026

Class I (4 since 2007) Class II/III not classified

Adverse event reports per year · BTT

1,743in 2025

2007: 3652008: 4562009: 5582010: 5622011: 6652012: 5832013: 7182014: 7182015: 6702016: 1,0942017: 1,0072018: 9182019: 8942020: 1,1882021: 1,5102022: 7492023: 7162024: 5012025: 1,743
2007high 1,743 (2025) · low 365 (2007)2025

MAUDE reports naming product code BTT, 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
20076731365
200841991456
20091—0558
201041132562
201131161665
20122—0583
201361710718
201472315 (4)718
20151—0670
2016315701,094
2017330301,007
20182—0918
20191—0894
20202—01,188
20212—01,510
202232900749
202372580716
202472190501
2025410411,743
202641841—

What is it indicated for?

The Vapotherm 2000h and 2000i are designed to add moisture to and to warm breathing gases for administration to patients, including neonates/infant, pediatrics, and adults. The flow rates may be from 1 to 40 liters per minute via nasal cannula.

Environments of use - Home, Hospital, Sub-acute Institutions

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K042245: Vapotherm Model#2000I, 200H.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K042245

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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