510(k) Report

510(k) · Cleared

Recalled · Class II · 2014

Dynarex CPR Shield with One Way Valve and Barrier Filter, Model 4921

K052743510(k) TraditionalCleared Dec 22, 200583-day reviewClass II21 CFR 868.5870Recalls 1

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

Dynarex Corp. · CBP Valve, Non-Rebreathing

Cleared on Dec 22, 2005 as substantially equivalent to K945177 (Eagle Health Supplies, 1994) after an 83-day review. Its family tree reaches back 1 generation to 1994. It has been recalled once.

Decided
Dec 22, 2005
Review
83 days
Class
Class II
Product code
CBP
Recalls
1
Predicates
1

Its longest line of descent runs back 1 generation to K945177 (1994). No later device cites it as a predicate yet.

K945177 · 4-O2 JR. (CPR Mouth Barrier) · Eagle Health Supplies · 19941990199520002005
K945177 · 4-O2 JR. (CPR Mouth Barrier) · Eagle Health Supplies · 19940
  1. Root · 1 generation backK945177 4-O2 JR. (CPR Mouth Barrier)Eagle Health Supplies · 1994
  2. This deviceK052743 Dynarex CPR Shield with One Way Valve and Barrier Filter, Model 4921Dynarex Corp. · 2005
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K9451774-O2 JR. (CPR Mouth Barrier)Eagle Health Supplies1994—
0 (this device)K052743Dynarex CPR Shield with One Way Valve and Barrier Filter, Model 4921Dynarex Corp.2005—
FIG. 1 — Lineage of K052743, 1994–2005Source: 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? (1)

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
*K9451774-O2 JR. (CPR Mouth Barrier)
Summary page 1
…Div. of Anesthesiology, (21 CIFR 868.5870) Class 11 Predicate Device 4-02 Jr. (CPR Mouth Barrier), Eagle Health Supplies 51 0(k) #: K945177 Device Description/ Dynarex CPR Shield with One Way Valve and Barrier Filter, Comparison Model 4921 Intended…
Eagle Health Supplies1994—

What descends from it?

No later submission names this one as a predicate yet.

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

Recalls of this device

DateClassRecallRoot causeReason
Jul 2, 2014Class IIZ-2117-2014Employee error"THIS SIDE UP" is on the wrong side of the product. This error poses a potential health hazard if the wrong labeling is followed by caregivers.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Its one ancestor has no recall.

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?

This device is used as a physical barrier for mouth to mouth resuscitation

The use of this device does not guarantee complete protection from disease transmission.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K052743: Dynarex CPR Shield with One Way Valve and Barrier Filter, Model 4921.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K052743

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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