510(k) Report

510(k) · Cleared

Cleared

Nxstage Dialysate Preparation Module, Model NX0269

K043436510(k) TraditionalCleared Mar 17, 200594-day reviewClass II21 CFR 876.5820

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

Nxstage Medical, Inc. · FKR Subsystem, Proportioning

Cleared on Mar 17, 2005 as substantially equivalent to K010131 (Aksys, Ltd., 2002) and 2 other predicates after a 94-day review. Its family tree reaches back 2 generations to 1994. 5 later devices descend from it.

Decided
Mar 17, 2005
Review
94 days
Class
Class II
Product code
FKR
Recalls
None
Predicates
3

Its longest line of descent runs back 2 generations to K921456 (1994). 15 ancestors in all, the oldest K770691 (1977). 5 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2002: 1 other ancestor1981: 2 other ancestors1997: 1 other ancestor1994: 1 other ancestor1990: 1 other ancestor1989: 2 other ancestors1988: 2 other ancestors1987: 1 other ancestor1984: 1 other ancestor1977: 1 other ancestor2008: 2 descendants cleared2006: 1 descendant cleared2011: 1 descendant cleared2014: 1 descendant clearedK921456 · Fresenius 3008/FDS-08 Dialysate Delivery System · Fresenius USA, Inc. · 1994 · recalledK994267 · Fresenius 2008K · Fresenius Medical Care · 2000 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 11 other ancestors 1 generation forward: 2 descendants2 generations forward: 1 descendant3 generations forward: 1 descendant4 generations forward: 1 descendant K994267 · Fresenius 2008K · Fresenius Medical Care · 2000 · recalledK921456 · Fresenius 3008/FDS-08 Dialysate Delivery System · Fresenius USA, Inc. · 1994 · recalled0
  1. Root · 2 generations backK921456 Fresenius 3008/FDS-08 Dialysate Delivery SystemFresenius USA, Inc. · 1994 · Recalled
  2. 1 generation backK994267 Fresenius 2008KFresenius Medical Care · 2000 · Recalled
  3. This deviceK043436 Nxstage Dialysate Preparation Module, Model NX0269Nxstage Medical, Inc. · 2005
  4. Descendant · cites it directly · 3 of its ownK060296 Nxstage Dialysate Preparation ModuleNxstage Medical, Inc. · 2006
  5. Descendant · 2 generations on · 2 of its ownK080919 Nxstage Pureflow SLNxstage Medical, Inc. · 2008 · Recalled
  6. Descendant · 3 generations on · 1 of its ownK111174 Nxstage Pureflow SLNxstage Medical, Inc. · 2011 · Recalled
  7. Descendant · 4 generations on · 0 of its ownK140571 Nxstage Pureflow SLNxstage Medical, Inc. · 2014 · Recalled
  8. Descendant · cites it directly · 0 of its ownK081043 Leak Detection Sensor and Tray Accessory KitNxstage Medical, Inc. · 2008

Most influential descendants

Showing 5 of 5 · See all
  • K060296Nxstage Dialysate Preparation ModuleNxstage Medical, Inc. · 2006 · cites it directly3descendants
  • K080919Nxstage Pureflow SLNxstage Medical, Inc. · 2008 · 2 generations on2descendants
  • K111174Nxstage Pureflow SLNxstage Medical, Inc. · 2011 · 3 generations on1descendant
  • K140571Nxstage Pureflow SLNxstage Medical, Inc. · 2014 · 4 generations on0descendants
  • K081043Leak Detection Sensor and Tray Accessory KitNxstage Medical, Inc. · 2008 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K921456Fresenius 3008/FDS-08 Dialysate Delivery SystemFresenius USA, Inc.19943
−1K994267Fresenius 2008KFresenius Medical Care20005
0 (this device)K043436Nxstage Dialysate Preparation Module, Model NX0269Nxstage Medical, Inc.2005—
+1K060296Nxstage Dialysate Preparation ModuleNxstage Medical, Inc.2006—
+2K080919Nxstage Pureflow SLNxstage Medical, Inc.20081
+3K111174Nxstage Pureflow SLNxstage Medical, Inc.20119
+4K140571Nxstage Pureflow SLNxstage Medical, Inc.20149
+1K081043Leak Detection Sensor and Tray Accessory KitNxstage Medical, Inc.2008—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197710
198120
198410
198710
198820
198920
199010
199410
199710
200210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200610
200820
201110
201410
FIG. 1 — Lineage of K043436, 1994–2014Source: 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 FKR? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
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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
*K010131PHD Personal Hemodialysis Instrument-1M101, PHD Water Pre-Treatment Kit-1W605,PHD Hard…
Summary page 1
…e NxStage Dialysate Prep Module is substantially equivalent to the following legally marketed predicate devices previously cleared by FDA: • Aksys PHD System, K010131 (cleared on 03/26/02) • Fresenius 2008K Hemodialysis System, K994267 (cleared on 03/16/00) • Gambro Bicarbonate Mod…
Aksys, Ltd.20021
*K994267Fresenius 2008K
Summary page 1
…legally marketed predicate devices previously cleared by FDA: • Aksys PHD System, K010131 (cleared on 03/26/02) • Fresenius 2008K Hemodialysis System, K994267 (cleared on 03/16/00) • Gambro Bicarbonate Module BCM-10, K810127 (cleared on 02/25/81) Traditional 510(k) Confidentia…
Fresenius Medical Care20005
*K810127Gambro Bicarbonate Module, BCM-10
Summary page 1
…Aksys PHD System, K010131 (cleared on 03/26/02) • Fresenius 2008K Hemodialysis System, K994267 (cleared on 03/16/00) • Gambro Bicarbonate Module BCM-10, K810127 (cleared on 02/25/81) Traditional 510(k) Confidential…
Gambro, Inc.1981—

Also cleared against K010131: 4 other devices →

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K060296Nxstage Dialysate Preparation ModuleNxstage Medical, Inc.20063
K081043Leak Detection Sensor and Tray Accessory KitNxstage Medical, Inc.20080

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 11 years and passes through 3 companies; a new generation was cleared every 5.9 years on median.
  • 3 of the 15 ancestors have a recall of any class.
  • Of its descendants, K060296 (Nxstage Medical, Inc., 2006) has gone furthest, with 3 descendants of its own.
  • 4 other devices also cite its predicate K010131.

How does its category compare?

All FKR devices

FKR Subsystem, Proportioning: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · FKR

1in 2014

2008: 12011: 12014: 1
2007high 1 (2008) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FKR

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

Recalls per year · FKR

1in 2018

2011: 12018: 1
2007high 1 (2011) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · FKR

4in 2025

2014: 12017: 22018: 22019: 32022: 32023: 22025: 4
2007high 4 (2025) · low 0 (2007)2025

MAUDE reports naming product code FKR, 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
20081—00
20090—00
20100—00
20111—10
20120—00
20130—00
20141—01
20150—00
20160—00
20170—02
20180—12
20190—03
20200—00
20210—00
20220—03
20230—02
20240—00
20250—04
20260—0—

What is it indicated for?

The NxStage Dialysate Preparation Module is an optional accessory to the NxStage System One that prepares dialysate for use during hemodialysis, as prescribed by the physician.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K043436: Nxstage Dialysate Preparation Module, Model NX0269.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K043436

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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