510(k) Report

510(k) · Cleared

Recalled · Class II · 2016

CPR Mask

K083418510(k) TraditionalCleared Jul 22, 2010611-day reviewClass II21 CFR 868.5870Recalls 2

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

Firstar Healthcare Co., Ltd. · CBP Valve, Non-Rebreathing

Cleared on Jul 22, 2010 as substantially equivalent to K081516 (Medsource International, LLC, 2008) and 1 other predicate after a 611-day review. Its family tree reaches back 2 generations to 1986. It has been recalled 2 times.

Decided
Jul 22, 2010
Review
611 days
Class
Class II
Product code
CBP
Recalls
2
Predicates
2

Its longest line of descent runs back 2 generations to K861401 (1986). 3 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2005: 1 other ancestorK861401 · Laerdal Pocket Mask · Laerdal Medical Corp. · 1986K081516 · Medsource CPR Mask with & Without Oxygen Port · Medsource International, LLC · 2008198519901995200020052010
Other ancestors, by generation 1 generation back: 1 other ancestor K081516 · Medsource CPR Mask with & Without Oxygen Port · Medsource International, LLC · 2008K861401 · Laerdal Pocket Mask · Laerdal Medical Corp. · 19860
  1. Root · 2 generations backK861401 Laerdal Pocket MaskLaerdal Medical Corp. · 1986
  2. 1 generation backK081516 Medsource CPR Mask with & Without Oxygen PortMedsource International, LLC · 2008
  3. This deviceK083418 CPR MaskFirstar Healthcare Co., Ltd. · 2010
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K861401Laerdal Pocket MaskLaerdal Medical Corp.1986—
−1K081516Medsource CPR Mask with & Without Oxygen PortMedsource International, LLC2008—
0 (this device)K083418CPR MaskFirstar Healthcare Co., Ltd.2010—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200510
FIG. 1 — Lineage of K083418, 1986–2010Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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
Get a 510(k) Report

What was it cleared against? (2)

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
*K081516Medsource CPR Mask with & Without Oxygen Port
Summary page 1
…: Anesthesiology Classification: Class II Regulatory Reference: 21 CFR §868.5870 Single Use: Yes Sterile: No Submission Purpose: New device Predicate Device: *K08 1516 MedSource CPR Mask with Oxygen Port (Prescription Use) manufactured by MEDSOURCE INTERNATIONAL, LLC *K042727…
Medsource International, LLC2008—
*K042727Pocket Size Resuscitator/Model: M16201R and M16201A
Summary page 1
…New device Predicate Device: *K08 1516 MedSource CPR Mask with Oxygen Port (Prescription Use) manufactured by MEDSOURCE INTERNATIONAL, LLC *K042727 POCKET SIZE RESUSCITATORIMODEL: M16201RAND Ml1 6201 A manufactured by FOREMOUNT ENT. CO., LTD. Indications for Use: T…
Foremount Ent. Co., Ltd.2005—

Also cleared against K081516: 3 other devices →

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
May 16, 2016Class IIZ-2133-2016OtherCadillac First Aid Kit is recalled because it contains the CPR Shield with One Way Valve and Barrier Filter (mask) and this mask is cleared only for prescription use and is not cleared for over-the-counter (OTC) use.
May 16, 2016Class IIZ-2132-2016OtherFirst aid kits or rescue kits are recalled because they contains the CPR Shield with One Way Valve and Barrier Filter (mask) and this mask is cleared only for prescription use and is not cleared for over-the-counter (OTC) use.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 24 years and passes through 3 companies; a new generation was cleared every 22.3 years on median.
  • None of the 3 ancestors has a recall.
  • 3 other devices also cite its predicate K081516.

How does its category compare?

All CBP devices

CBP Valve, Non-Rebreathing: FDA decisions, review times, recalls and adverse event reports over 20 years. 2010, this device’s year, is highlighted.

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 FS-104 CPR mask with oxygen port is indicated for use of mouth to mask ventilation via the ventilation mask with non-rebreathing valve for adult and child whose weight exceeds 40kg. It is for prescription use.

The FS-104 CPR mask with oxygen port is intended for single use only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K083418: CPR Mask.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K083418

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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