510(k) Report

510(k) · Cleared

Recalled · Class II · 2018

CAPNOSTREAM20 with Integrated Pulmonary Index

K082268510(k) TraditionalCleared Feb 6, 2009179-day reviewClass II21 CFR 870.2700Recalls 9

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

Oridion Capnography, Inc. · DQA Oximeter

Cleared on Feb 6, 2009 as substantially equivalent to K072295 (Oridion Capnography, Inc., 2007) after a 179-day review. Its family tree reaches back 10 generations to 1997. 2 of the 207 devices in its family, counting itself, have a Class I recall. 170 later devices descend from it. It has been recalled 9 times.

Decided
Feb 6, 2009
Review
179 days
Class
Class II
Product code
DQA
Recalls
9
Predicates
1

Its longest line of descent runs back 10 generations to K962603 (1997). 36 ancestors in all, the oldest K893221 (1990). 170 later devices descend from it, 3 citing it directly. 2 of the 207 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2005: 1 other ancestor2004: 1 other ancestor2002: 1 other ancestor2003: 1 other ancestor2000: 1 other ancestor1999: 3 other ancestors1995: 4 other ancestors1990: 2 other ancestors1998: 4 other ancestors1997: 2 other ancestors, 1 with a Class I recall11996: 2 other ancestors1991: 2 other ancestors1993: 1 other ancestor1992: 1 other ancestor2013: 5 descendants cleared2010: 2 descendants cleared2009: 1 descendant cleared2012: 6 descendants cleared2021: 7 descendants cleared2014: 12 descendants cleared, 1 with a Class I recall12019: 15 descendants cleared2015: 8 descendants cleared2011: 4 descendants cleared2016: 7 descendants cleared2018: 10 descendants cleared2025: 14 descendants cleared2017: 8 descendants cleared2020: 11 descendants cleared2022: 18 descendants cleared2024: 16 descendants cleared2026: 13 descendants cleared2023: 13 descendants clearedK962603 · Masimo Set MS-1 Pulse Oximeter & the Lnop Series of Sensors & Cables · Masimo Corp. · 1997K973887 · Masimo Set MS-1P Pulse Oximeter and the Lnop Series of Sensors and Cables · Masimo Corp. · 1998K982255 · Model 2000 Pulse Oximeter · Ivy Biomedical Systems, Inc. · 1998K991823 · N-395 Pulse Oximeter, Model N-395 · Nellcor Puritan Bennett, Inc. · 1999×2: 2 generations cleared close together, K012891 (2002), K021090 (2002) K033048 · Cas 740 Series Monitor, Models 740-1, 740M-1, 740-2MS, 740M-2MS, 740-2NL, 740M-2NL, 740-2NN, 740M-2NN, 740-3MS, 740M-3MS · Cas Medical Systems, Inc. · 2004 · recalledK050844 · 750C Series Monitor, Models 750C-2MS, 750CM-2MS, 750C-NNL, 750CM-2NL, 750C-3MS, 750CM-3MS, 750C-3NL, 750CM-3NL · Cas Medical Systems, Inc. · 2005K060065 · CAPNOSTREAM20 Two Parameter Bedside Monitor & CAPNOSTREAM10 One Parameter Bedside Monitor · Oridion Capnography, Inc. · 2006 · recalledK072295 · Capnostream 20 with A2 Adaptive Averaging Software · Oridion Capnography, Inc. · 20071990200020102020
Other ancestors, by generationDescendants, by generation 3 generations back: 3 other ancestors4 generations back: 9 other ancestors5 generations back: 7 other ancestors, 1 with a Class I recall16 generations back: 5 other ancestors7 generations back: 2 other ancestors 1 generation forward: 3 descendants2 generations forward: 13 descendants3 generations forward: 18 descendants4 generations forward: 22 descendants, 1 with a Class I recall15 generations forward: 32 descendants6 generations forward: 19 descendants7 generations forward: 23 descendants8 generations forward: 25 descendants9 generations forward: 15 descendants K072295 · Capnostream 20 with A2 Adaptive Averaging Software · Oridion Capnography, Inc. · 2007K060065 · CAPNOSTREAM20 Two Parameter Bedside Monitor & CAPNOSTREAM10 One Parameter Bedside Monitor · Oridion Capnography, Inc. · 2006 · recalledK050844 · 750C Series Monitor, Models 750C-2MS, 750CM-2MS, 750C-NNL, 750CM-2NL, 750C-3MS, 750CM-3MS, 750C-3NL, 750CM-3NL · Cas Medical Systems, Inc. · 2005K033048 · Cas 740 Series Monitor, Models 740-1, 740M-1, 740-2MS, 740M-2MS, 740-2NL, 740M-2NL, 740-2NN, 740M-2NN, 740-3MS, 740M-3MS · Cas Medical Systems, Inc. · 2004 · recalledK021090 · Oximax N-550 Pulse Oximeter,Model N-550 Pulse Oximeter · Nellcor Puritan Bennett, Inc. · 2002K012891 · Oximax Pulse Oximetry System with N-595 Pulse Oximeter and Oximax Sensors and Cables (Aka Accessories) · Nellcor Puritan Bennett, Inc. · 2002 · recalledK991823 · N-395 Pulse Oximeter, Model N-395 · Nellcor Puritan Bennett, Inc. · 1999K982255 · Model 2000 Pulse Oximeter · Ivy Biomedical Systems, Inc. · 1998K973887 · Masimo Set MS-1P Pulse Oximeter and the Lnop Series of Sensors and Cables · Masimo Corp. · 1998K962603 · Masimo Set MS-1 Pulse Oximeter & the Lnop Series of Sensors & Cables · Masimo Corp. · 1997−10−50+5
  1. Root · 10 generations backK962603 Masimo Set MS-1 Pulse Oximeter & the Lnop Series of Sensors & CablesMasimo Corp. · 1997
  2. 6 generations between
  3. 3 generations backK050844 750C Series Monitor, Models 750C-2MS, 750CM-2MS, 750C-NNL…Cas Medical Systems, Inc. · 2005
  4. 2 generations backK060065 CAPNOSTREAM20 Two Parameter Bedside Monitor & CAPNOSTREAM10 One…Oridion Capnography, Inc. · 2006 · Recalled
  5. 1 generation backK072295 Capnostream 20 with A2 Adaptive Averaging SoftwareOridion Capnography, Inc. · 2007
  6. This deviceK082268 CAPNOSTREAM20 with Integrated Pulmonary IndexOridion Capnography, Inc. · 2009
  7. Descendant · cites it directly · 155 of its ownK091241 Masimo Rainbow Set Radical 7 Pulse CO-Oximeter; Rad 87 Pulse…Masimo Corporation · 2009
  8. Descendant · 2 generations on · 115 of its ownK100428 Masimo Rainbow Set Radical 7R Pulse CO-OximeterMasimo Corporation · 2010
  9. Descendant · cites it directly · 93 of its ownK094012 CAPNOSTREAM20 with MICROMEDICO2 ModuleOridion Capnography, Inc. · 2010
  10. Descendant · 3 generations on · 89 of its ownK110028 Masimo Radical Y Pulse CO-OximeterMasimo Corporation · 2011
  11. Descendant · 3 generations on · 67 of its ownK110516 Connex Vital Signs Monitor 6000 SeriesWelch Allyn, Inc. · 2011
Show all 10 generations
  1. Root · 10 generations backK962603 Masimo Set MS-1 Pulse Oximeter & the Lnop Series of Sensors & CablesMasimo Corp. · 1997
  2. 9 generations backK973887 Masimo Set MS-1P Pulse Oximeter and the Lnop Series of Sensors and…Masimo Corp. · 1998
  3. 8 generations backK982255 Model 2000 Pulse OximeterIvy Biomedical Systems, Inc. · 1998
  4. 7 generations backK991823 N-395 Pulse Oximeter, Model N-395Nellcor Puritan Bennett, Inc. · 1999
  5. 6 generations backK012891 Oximax Pulse Oximetry System with N-595 Pulse Oximeter and Oximax…Nellcor Puritan Bennett, Inc. · 2002 · Recalled
  6. 5 generations backK021090 Oximax N-550 Pulse Oximeter,Model N-550 Pulse OximeterNellcor Puritan Bennett, Inc. · 2002
  7. 4 generations backK033048 Cas 740 Series Monitor, Models 740-1, 740M-1, 740-2MS, 740M-2MS…Cas Medical Systems, Inc. · 2004 · Recalled
  8. 3 generations backK050844 750C Series Monitor, Models 750C-2MS, 750CM-2MS, 750C-NNL…Cas Medical Systems, Inc. · 2005
  9. 2 generations backK060065 CAPNOSTREAM20 Two Parameter Bedside Monitor & CAPNOSTREAM10 One…Oridion Capnography, Inc. · 2006 · Recalled
  10. 1 generation backK072295 Capnostream 20 with A2 Adaptive Averaging SoftwareOridion Capnography, Inc. · 2007
  11. This deviceK082268 CAPNOSTREAM20 with Integrated Pulmonary IndexOridion Capnography, Inc. · 2009

Showing 5 of 170 descendants. See all descendants

Descendants cleared per year

2009: 12010: 22011: 42012: 62013: 52014: 122015: 82016: 72017: 82018: 102019: 152020: 112021: 72022: 182023: 132024: 162025: 142026: 13
2009high 18 (2022) · low 1 (2009)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 170 · See all
  • K091241Masimo Rainbow Set Radical 7 Pulse CO-Oximeter; Rad 87 Pulse CO-OximeterMasimo Corporation · 2009 · cites it directly155descendants
  • K100428Masimo Rainbow Set Radical 7R Pulse CO-OximeterMasimo Corporation · 2010 · 2 generations on115descendants
  • K094012CAPNOSTREAM20 with MICROMEDICO2 ModuleOridion Capnography, Inc. · 2010 · cites it directly93descendants
  • K110028Masimo Radical Y Pulse CO-OximeterMasimo Corporation · 2011 · 3 generations on89descendants
  • K110516Connex Vital Signs Monitor 6000 SeriesWelch Allyn, Inc. · 2011 · 3 generations on67descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K962603Masimo Set MS-1 Pulse Oximeter & the Lnop Series of Sensors & CablesMasimo Corp.1997—
−9K973887Masimo Set MS-1P Pulse Oximeter and the Lnop Series of Sensors and CablesMasimo Corp.1998—
−8K982255Model 2000 Pulse OximeterIvy Biomedical Systems, Inc.1998—
−7K991823N-395 Pulse Oximeter, Model N-395Nellcor Puritan Bennett, Inc.1999—
−6K012891Oximax Pulse Oximetry System with N-595 Pulse Oximeter and Oximax Sensors and…Nellcor Puritan Bennett, Inc.20021
−5K021090Oximax N-550 Pulse Oximeter,Model N-550 Pulse OximeterNellcor Puritan Bennett, Inc.2002—
−4K033048Cas 740 Series Monitor, Models 740-1, 740M-1, 740-2MS, 740M-2MS, 740-2NL…Cas Medical Systems, Inc.20041
−3K050844750C Series Monitor, Models 750C-2MS, 750CM-2MS, 750C-NNL, 750CM-2NL…Cas Medical Systems, Inc.2005—
−2K060065CAPNOSTREAM20 Two Parameter Bedside Monitor & CAPNOSTREAM10 One Parameter…Oridion Capnography, Inc.20063
−1K072295Capnostream 20 with A2 Adaptive Averaging SoftwareOridion Capnography, Inc.2007—
0 (this device)K082268CAPNOSTREAM20 with Integrated Pulmonary IndexOridion Capnography, Inc.2009—
+1K091241Masimo Rainbow Set Radical 7 Pulse CO-Oximeter; Rad 87 Pulse CO-OximeterMasimo Corporation2009—
+2K100428Masimo Rainbow Set Radical 7R Pulse CO-OximeterMasimo Corporation2010—
+1K094012CAPNOSTREAM20 with MICROMEDICO2 ModuleOridion Capnography, Inc.2010—
+3K110028Masimo Radical Y Pulse CO-OximeterMasimo Corporation2011—
+3K110516Connex Vital Signs Monitor 6000 SeriesWelch Allyn, Inc.2011—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199020
199120
199210
199310
199540
199620
199721
199840
199930
200010
200210
200310
200410
200510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200910
201020
201140
201260
201350
2014121
201580
201670
201780
2018100
2019150
2020110
202170
2022180
2023130
2024160
2025140
2026130
FIG. 1 — Lineage of K082268, 1997–2026Source: 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.

2 devices in this family have a Class I recall. 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 DQA device

  1. #1 K221282 Empatica Health Monitoring Platformscore 20.1 · 38 generations · 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
*K072295Capnostream 20 with A2 Adaptive Averaging Software
Summary page 2
…owing commercially available device: Manufacturer Device 510(k)No. Clearance Date Oridion 1987 Capnostream 20 K072295 October 11th, 2007 Medical Ltd DEVICE DESCRIPTION The Capnostream 20 bedside monitor is a two parameter monitor…
Oridion Capnography, Inc.2007—

Also cleared against K072295: 2 other devices →

What descends from it? (170)

See all 170

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

NumberDeviceApplicantDecidedDescendants
K091241Masimo Rainbow Set Radical 7 Pulse CO-Oximeter; Rad 87 Pulse CO-OximeterMasimo Corporation2009155
K094012CAPNOSTREAM20 with MICROMEDICO2 ModuleOridion Capnography, Inc.201093
K130153Hearstart MRX with Airway Confimration AssistPhilips Medical Systems20132

Has anything in its family been recalled? (2 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Jul 31, 2018Class IIZ-0020-2019Nonconforming Material/ComponentThe date/time, nurse call and alarm settings of the bedside patient monitors may reset to the factory default settings when the monitor is powered off.
Jul 31, 2018Class IIZ-0028-2019Nonconforming Material/ComponentThe date/time, nurse call and alarm settings of the bedside patient monitors may reset to the factory default settings when the monitor is powered off.
Jul 31, 2018Class IIZ-0030-2019Nonconforming Material/ComponentThe date/time, nurse call and alarm settings of the bedside patient monitors may reset to the factory default settings when the monitor is powered off.
Jul 31, 2018Class IIZ-0035-2019Nonconforming Material/ComponentThe date/time, nurse call and alarm settings of the bedside patient monitors may reset to the factory default settings when the monitor is powered off.
Jul 31, 2018Class IIZ-0024-2019Nonconforming Material/ComponentThe date/time, nurse call and alarm settings of the bedside patient monitors may reset to the factory default settings when the monitor is powered off.
Jul 31, 2018Class IIZ-0033-2019Nonconforming Material/ComponentThe date/time, nurse call and alarm settings of the bedside patient monitors may reset to the factory default settings when the monitor is powered off.
Jul 31, 2018Class IIZ-0034-2019Nonconforming Material/ComponentThe date/time, nurse call and alarm settings of the bedside patient monitors may reset to the factory default settings when the monitor is powered off.
Jul 31, 2018Class IIZ-0029-2019Nonconforming Material/ComponentThe date/time, nurse call and alarm settings of the bedside patient monitors may reset to the factory default settings when the monitor is powered off.
Jul 31, 2018Class IIZ-0031-2019Nonconforming Material/ComponentThe date/time, nurse call and alarm settings of the bedside patient monitors may reset to the factory default settings when the monitor is powered off.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K970209Capnocheck PlusBci Intl., Inc. · 1997 · 5 generations back · ◆ in the 1997 ancestors bar of FIG. 11 Class I recall
  • K123690CAPNOSTREAM20P with Hifi C02 MonitoringOridion Medical 1987, Ltd. · 2014 · 4 generations on · ◆ in the 2014 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 12 years and passes through 5 companies; a new generation was cleared every 1.1 years on median.
  • 7 of the 36 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K091241 (Masimo Corporation, 2009) has gone furthest, with 155 descendants of its own.
  • 2 other devices also cite its predicate K072295.

How does its category compare?

All DQA devices

DQA Oximeter: FDA decisions, review times, recalls and adverse event reports over 20 years. 2009, this device’s year, is highlighted.

FDA decisions per year · DQA

15in 2025

2007: 202008: 222009: 352010: 292011: 152012: 142013: 152014: 112015: 132016: 142017: 92018: 182019: 192020: 152021: 102022: 202023: 132024: 142025: 152026 (partial year): 8
2007high 35 (2009) · low 9 (2017)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DQA

182in 2025

2007: 122 days median2008: 97 days median2009: 117 days median2010: 127 days median2011: 195 days median2012: 120 days median2013: 182 days median2014: 175 days median2015: 158 days median2016: 246 days median2017: 200 days median2018: 260 days median2019: 158 days median2020: 126 days median2021: 174 days median2022: 265 days median2023: 317 days median2024: 285 days median2025: 182 days median2026 (partial year): 187 days median
2007high 317 (2023) · low 97 (2008)2026

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

Recalls per year · DQA

3in 2024

2007: 62008: 52009: 292010: 42011: 12014: 22015: 12018: 322024: 3
2007high 32 (2018) · low 0 (2012)2026

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

Adverse event reports per year · DQA

399in 2025

2007: 3252008: 3122009: 2812010: 1852011: 1642012: 3222013: 4682014: 1,1242015: 2,0822016: 1,7752017: 1,1902018: 6942019: 5482020: 4262021: 5532022: 4782023: 3922024: 5452025: 399
2007high 2,082 (2015) · low 164 (2011)2025

MAUDE reports naming product code DQA, 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
2007201226325
200822975312
20093511729281
2010291274185
2011151951164
2012141200322
2013151820468
20141117521,124
20151315812,082
20161424601,775
2017920001,190
20181826032694
2019191580548
2020151260426
2021101740553
2022202650478
2023133170392
2024142853545
2025151820399
202681870—

What is it indicated for?

The Capnostream 20 combined capnograph/pulse oximeter monitor is intended to provide professionally trained health care providers the continuous, non invasive measurement and monitoring of carbon dioxide concentration of the expired and inspired breath and respiration rate, and for the continuous non-invasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO 2) and pulse rate. It is intended for use with neonatal, pediatric and adult…

Read the full statement (176 words)

The Capnostream 20 combined capnograph/pulse oximeter monitor is intended to provide professionally trained health care providers the continuous, non invasive measurement and monitoring of carbon dioxide concentration of the expired and inspired breath and respiration rate, and for the continuous non-invasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO 2) and pulse rate. It is intended for use with neonatal, pediatric and adult patients in hospitals, hospital type facilities, intra hospital transport and home environments.

The Capnostream 20 monitor provides the clinician with an integrated pulmonary index (IPI). The IPI is based on four parameters provided by the monitor: end tidal carbon dioxide, respiration rate, oxygen saturation and pulse rate. The IPI is a single index of an adult or pediatric patient's ventilatory status displayed on a scale of 1 - 10, where 10 indicates optimal pulmonary status. IPI monitoring displays a single value that represents the patient's pulmonary parameters and alerts clinicians to changes in the patient's pulmonary status.

The IPI is an adjunct to, and is not intended to replace, vital sign monitoring.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K082268: CAPNOSTREAM20 with Integrated Pulmonary Index.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K082268

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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