510(k) Report

510(k) · Cleared

Cleared

Twinguard with Capnograph Accessory

K080527510(k) TraditionalCleared Oct 31, 2008248-day reviewClass II21 CFR 868.1400

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

Trawax Pty Limited · CCK Analyzer, Gas, Carbon-Dioxide, Gaseous-Phase

Cleared on Oct 31, 2008 as substantially equivalent to K914978 (Stantex Pty, Ltd., 1992) and 2 other predicates after a 248-day review. Its family tree reaches back 2 generations to 1990. 2 later devices descend from it.

Decided
Oct 31, 2008
Review
248 days
Class
Class II
Product code
CCK
Recalls
None
Predicates
3

Its longest line of descent runs back 2 generations to K896691 (1990). 8 ancestors in all. 2 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 1 other ancestor1992: 2 other ancestors1996: 1 other ancestor1993: 2 other ancestors2014: 1 descendant cleared2024: 1 descendant clearedK896691 · Bite Block · Endoscopix · 1990K042665 · Smart Bitebloc · Oridion Medical 1987, Ltd. · 2004 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 4 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant K042665 · Smart Bitebloc · Oridion Medical 1987, Ltd. · 2004 · recalledK896691 · Bite Block · Endoscopix · 19900
  1. Root · 2 generations backK896691 Bite BlockEndoscopix · 1990
  2. 1 generation backK042665 Smart BiteblocOridion Medical 1987, Ltd. · 2004 · Recalled
  3. This deviceK080527 Twinguard with Capnograph AccessoryTrawax Pty Limited · 2008
  4. Descendant · cites it directly · 1 of its ownK140473 DualguardFlexicare Medical, Ltd. · 2014
  5. Descendant · 2 generations on · 0 of its ownK240937 AIM (N/A)Inventeur, LLC · 2024

Most influential descendants

Showing 2 of 2 · See all
  • K140473DualguardFlexicare Medical, Ltd. · 2014 · cites it directly1descendant
  • K240937AIM (N/A)Inventeur, LLC · 2024 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K896691Bite BlockEndoscopix1990—
−1K042665Smart BiteblocOridion Medical 1987, Ltd.20042
0 (this device)K080527Twinguard with Capnograph AccessoryTrawax Pty Limited2008—
+1K140473DualguardFlexicare Medical, Ltd.2014—
+2K240937AIM (N/A)Inventeur, LLC2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199220
199320
199610
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201410
202410
FIG. 1 — Lineage of K080527, 1990–2024Source: 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 CCK? 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 CCK device

  1. #1 K253030 Capnostream™35 Portable Respiratory Monitor…score 15.8 · 16 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
*K914978Oxyguard
Summary page 1
…nGuard with Capnograph Accessory is substantially equivalence to the following devices: Stantex Pty Ltd's Oxyguard endoscopic bite block, 5 10O(k) K914978 Hudson Respiratory Care's nasal oxygen cannula, 5 10O(k) KOlI 1125 Oridion Medical's Smart BiteBIoc TM, 5 1…
Stantex Pty, Ltd.1992—
*K011125Nasal Cannula, with and Without Supply Tubing, and Other Similar Nasal Cannula…Hudson Respiratory Care, Inc.2001—
*K042665Smart Bitebloc
Summary page 1
…copic bite block, 5 10O(k) K914978 Hudson Respiratory Care's nasal oxygen cannula, 5 10O(k) KOlI 1125 Oridion Medical's Smart BiteBIoc TM, 5 10O(k) K042665 Traditional 510(k) 24 February 2008 === Pag…
Oridion Medical 1987, Ltd.20042

Also cleared against K914978: 1 other device →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K140473DualguardFlexicare Medical, Ltd.20141

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 18 years and passes through 3 companies; a new generation was cleared every 14.8 years on median.
  • 1 of the 8 ancestors has a recall of any class.
  • Of its descendants, K140473 (Flexicare Medical, Ltd., 2014) has gone furthest, with 1 descendant of its own.
  • 1 other device also cites its predicate K914978.

How does its category compare?

All CCK devices

CCK Analyzer, Gas, Carbon-Dioxide, Gaseous-Phase: FDA decisions, review times, recalls and adverse event reports over 20 years. 2008, this device’s year, is highlighted.

FDA decisions per year · CCK

3in 2025

2007: 52008: 32009: 32010: 32011: 22012: 72013: 42014: 92015: 52016: 22017: 52018: 62019: 72020: 42021: 42022: 32023: 42024: 32025: 32026 (partial year): 3
2007high 9 (2014) · low 2 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · CCK

169in 2025

2007: 56 days median2008: 248 days median2009: 101 days median2010: 125 days median2012: 150 days median2013: 132 days median2014: 166 days median2015: 105 days median2017: 134 days median2018: 296 days median2019: 261 days median2020: 188 days median2021: 227 days median2022: 226 days median2023: 555 days median2024: 592 days median2025: 169 days median2026 (partial year): 224 days median
2007high 592 (2024) · low 56 (2007)2026

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

Recalls per year · CCK

1in 2022

2008: 12009: 192010: 42011: 142012: 32013: 2, 1 Class I2015: 12018: 52019: 7, 7 Class I2020: 12022: 1
2007high 19 (2009) · low 0 (2007)2026

Class I (8 since 2007) Class II/III not classified

Adverse event reports per year · CCK

1,259in 2025

2007: 72008: 202009: 212010: 122011: 182012: 132013: 282014: 512015: 1142016: 882017: 582018: 632019: 1412020: 2,3022021: 2,2722022: 2,4752023: 1,6372024: 1,2162025: 1,259
2007high 2,475 (2022) · low 7 (2007)2025

MAUDE reports naming product code CCK, 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
200755607
20083248120
200931011921
20103125412
20112—1418
20127150313
201341322 (1)28
20149166051
201551051114
20162—088
20175134058
20186296563
201972617 (7)141
2020418812,302
2021422702,272
2022322612,475
2023455501,637
2024359201,216
2025316901,259
202632240—

What is it indicated for?

TwinGuard ®, a nasal oxygen cannula and bite block, is used during endoscopy procedures to administer continuous oxygen to the nose and mouth. After endoscopy the bite block is removed, leaving the cannula in place during recovery, to continue delivering oxygen to the nose and mouth. In addition, the TwinGuard ® contains an optional accessory which collects samples of the patient's breathing at the nose and mouth to measure CO 2 with a capnograph during endoscopy procedures. It is intended for adult patients.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K080527: Twinguard with Capnograph Accessory.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K080527

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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