510(k) Report

510(k) · Cleared

Cleared

Pocket Size Resuscitator/Model: M16201R and M16201A

K042727510(k) TraditionalCleared Mar 18, 2005168-day reviewClass II21 CFR 868.5870

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

Foremount Ent. Co., Ltd. · CBP Valve, Non-Rebreathing

Cleared on Mar 18, 2005 after a 168-day review. The FDA summary names no predicate by number. 6 later devices descend from it.

Decided
Mar 18, 2005
Review
168 days
Class
Class II
Product code
CBP
Recalls
None
Predicates
0

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

Descendants, by year cleared 2010: 1 descendant cleared2008: 1 descendant cleared2015: 1 descendant cleared2011: 2 descendants cleared2017: 1 descendant cleared20052010201520202025
  1. This deviceK042727 Pocket Size Resuscitator/Model: M16201R and M16201AForemount Ent. Co., Ltd. · 2005
  2. Descendant · cites it directly · 5 of its ownK081516 Medsource CPR Mask with & Without Oxygen PortMedsource International, LLC · 2008
  3. Descendant · 2 generations on · 2 of its ownK112126 Genuine First Aid CPR MaskGenuine First Aid, LLC · 2011
  4. Descendant · 2 generations on · 1 of its ownK142764 KYOLING CPR Mask with Oxygen Port and Without Oxygen PortHangzhou Jinlin Medical Appliances Co., Ltd. · 2015
  5. Descendant · 3 generations on · 0 of its ownK171961 Compower CPR Mask With Oxygen Port, Compower CPR Mask Without Oxygen…Xiamen Compower Medical Tech. Co., Ltd. · 2017
  6. Descendant · 2 generations on · 0 of its ownK102299 CPR Face MaskGenuine First Aid, LLC · 2011

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2008: 12010: 12011: 22015: 12017: 1
2008high 2 (2011) · low 0 (2009)2026

Most influential descendants

Showing 5 of 6 · See all
  • K081516Medsource CPR Mask with & Without Oxygen PortMedsource International, LLC · 2008 · cites it directly5descendants
  • K112126Genuine First Aid CPR MaskGenuine First Aid, LLC · 2011 · 2 generations on2descendants
  • K142764KYOLING CPR Mask with Oxygen Port and Without Oxygen PortHangzhou Jinlin Medical Appliances Co., Ltd. · 2015 · 2 generations on1descendant
  • K171961Compower CPR Mask With Oxygen Port, Compower CPR Mask Without Oxygen Port, Compower…Xiamen Compower Medical Tech. Co., Ltd. · 2017 · 3 generations on0descendants
  • K102299CPR Face MaskGenuine First Aid, LLC · 2011 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K042727Pocket Size Resuscitator/Model: M16201R and M16201AForemount Ent. Co., Ltd.2005—
+1K081516Medsource CPR Mask with & Without Oxygen PortMedsource International, LLC2008—
+2K112126Genuine First Aid CPR MaskGenuine First Aid, LLC2011—
+2K142764KYOLING CPR Mask with Oxygen Port and Without Oxygen PortHangzhou Jinlin Medical Appliances Co., Ltd.2015—
+3K171961Compower CPR Mask With Oxygen Port, Compower CPR Mask Without Oxygen Port…Xiamen Compower Medical Tech. Co., Ltd.2017—
+2K102299CPR Face MaskGenuine First Aid, LLC2011—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200810
201010
201120
201510
201710
FIG. 1 — Lineage of K042727, 2005–2017Source: 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 CBP? 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 CBP device

  1. #1 K241366 QualityFlow O2 Series (QualityFLOW O2)…score 8.3 · 1 generation · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against?

The FDA summary names no predicate by number.

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K081516Medsource CPR Mask with & Without Oxygen PortMedsource International, LLC20085
K083418CPR MaskFirstar Healthcare Co., Ltd.20100

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, K081516 (Medsource International, LLC, 2008) has gone furthest, with 5 descendants of its own.

How does its category compare?

All CBP devices

CBP Valve, Non-Rebreathing: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · CBP

2in 2024

2008: 12009: 12010: 22011: 32014: 12015: 22016: 12017: 12019: 12020: 12021: 12024: 2
2007high 3 (2011) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · CBP

129in 2011

2011: 129 days median
2007high 129 (2011)2026

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

Recalls per year · CBP

No recall names CBP since 2007.

Adverse event reports per year · CBP

1in 2021

2007: 12008: 12009: 62010: 32011: 22012: 12013: 22014: 112017: 12019: 12021: 1
2007high 11 (2014) · low 0 (2015)2025

MAUDE reports naming product code CBP, 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—01
20081—01
20091—06
20102—03
2011312902
20120—01
20130—02
20141—011
20152—00
20161—00
20171—01
20180—00
20191—01
20201—00
20211—01
20220—00
20230—00
20242—00
20250—00
20260—0—

What is it indicated for?

The Foremount Pocket Size Resuscitator / Model M16201R is indicated for use of mouth to mask ventilation via the ventilation mask with non-rebreathing valve for adult and child whose weight exceeds 10kg. The resuscitator with oxygen port is for prescription use.

The Foremount Pocket Size Resuscitator / Model M16201A is indicated for use of adult mouth to mask ventilation via the ventilation mask with non-rebreathing valve for and child whose weight exceeds 10kg. The resuscitator without oxygen port is for over-the-counter use.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K042727: Pocket Size Resuscitator/Model: M16201R and M16201A.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K042727

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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