510(k) Report

510(k) · Cleared

Cleared

Nippv Silicone Face Mask, Nippv Economy Face Mask, Nippv Silicone Nasal Mask Model 10212, 10222, 10202

K102120510(k) TraditionalCleared Aug 12, 2011379-day reviewClass II21 CFR 868.5895

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

Hsiner Co., Ltd. · CBK Ventilator, Continuous, Facility Use

Cleared on Aug 12, 2011 as substantially equivalent to K063268 (Hsiner Co., Ltd., 2007) and 1 other predicate after a 379-day review. Its family tree reaches back 6 generations to 2001. 1 of the 20 devices in its family, counting itself, has a Class I recall.

Decided
Aug 12, 2011
Review
379 days
Class
Class II
Product code
CBK
Recalls
None
Predicates
2

Its longest line of descent runs back 6 generations to K003894 (2001). 19 ancestors in all, the oldest K833786 (1983). No later device cites it as a predicate yet. 1 of the 20 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2007: 1 other ancestor, 1 with a Class I recall12003: 1 other ancestor2000: 2 other ancestors1999: 2 other ancestors1996: 2 other ancestors1995: 1 other ancestor2002: 1 other ancestor1988: 1 other ancestor1983: 1 other ancestor1998: 1 other ancestorK003894 · Oracle Oral Mask · Fisher & Paykel Healthcare, Ltd. · 2001 · recalledK023559 · Fisher & Paykel Healthecare Oracle Oral Mask · Fisher & Paykel Healthcare, Ltd. · 2003×2: 2 generations cleared close together, K033087 (2004), K040506 (2004) K060044 · Acute Care Face Mask, Model RT040 · Fisher & Paykel Healthcare, Ltd. · 2006K083122 · Hospital Full Face Mask Non Vented, Model: RT041 · Fisher & Paykel Healthcare, Ltd. · 20091980198519901995200020052010
  1. Root · 6 generations backK003894 Oracle Oral MaskFisher & Paykel Healthcare, Ltd. · 2001 · Recalled
  2. 5 generations backK023559 Fisher & Paykel Healthecare Oracle Oral MaskFisher & Paykel Healthcare, Ltd. · 2003
  3. 4 generations backK033087 Oracle Oral Mask, Model HC451AFisher & Paykel Healthcare, Ltd. · 2004 · Recalled
  4. 3 generations backK040506 Flexifil Series HC431 Full Face Mask, Model HC431AFisher & Paykel Healthcare, Ltd. · 2004 · Recalled
  5. 2 generations backK060044 Acute Care Face Mask, Model RT040Fisher & Paykel Healthcare, Ltd. · 2006
  6. 1 generation backK083122 Hospital Full Face Mask Non Vented, Model: RT041Fisher & Paykel Healthcare, Ltd. · 2009
  7. This deviceK102120 Nippv Silicone Face Mask, Nippv Economy Face Mask, Nippv Silicone…Hsiner Co., Ltd. · 2011

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K003894Oracle Oral MaskFisher & Paykel Healthcare, Ltd.20016
−5K023559Fisher & Paykel Healthecare Oracle Oral MaskFisher & Paykel Healthcare, Ltd.2003—
−4K033087Oracle Oral Mask, Model HC451AFisher & Paykel Healthcare, Ltd.20046
−3K040506Flexifil Series HC431 Full Face Mask, Model HC431AFisher & Paykel Healthcare, Ltd.20046
−2K060044Acute Care Face Mask, Model RT040Fisher & Paykel Healthcare, Ltd.2006—
−1K083122Hospital Full Face Mask Non Vented, Model: RT041Fisher & Paykel Healthcare, Ltd.2009—
0 (this device)K102120Nippv Silicone Face Mask, Nippv Economy Face Mask, Nippv Silicone Nasal Mask…Hsiner Co., Ltd.2011—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198310
198810
199510
199620
199810
199920
200020
200210
200310
200711
FIG. 1 — Lineage of K102120, 2001–2011Source: 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.

1 device in this family has 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 CBK device

  1. #1 K252663 Inbentus Versatilescore 16.0 · 17 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? (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
*K063268Cpap/Vpap Masks, Models 1225, 1205 and 1235
Summary page 1
…loseness of (it 1o the sKin. Sofl, ¢lastic headgear insures a tight comlortable 11t agains( the face, The Hsiner NIPPV Magks are moditications to their CPAP/VPAP Masks (K063268). “These masKs difler from the CPAP/ VPADP mask only in that the vents and anti-nsphyxiation valves have been removed, 8.4, Subs…
Hsiner Co., Ltd.2007Class I
*K083122Hospital Full Face Mask Non Vented, Model: RT041
Summary page 2
…vices 8.7.1. Design, Materials and [ntended Use The Hsiner NIPPV masks are equivalent in designz materials.and performance o the | Fisher Pavkel's RT41 NIV (ace mask (K083122) and Hsiner's CPAP/VPAP mask, The Hsiner and Fisher Paykel devices aperate on the same principles and have the same intended use.…
Fisher & Paykel Healthcare, Ltd.2009—

Also cleared against K063268: 2 other devices →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

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.

  • K063268Cpap/Vpap Masks, Models 1225, 1205 and 1235Hsiner Co., Ltd. · 2007 · Direct predicate · ◆ in the 2007 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 10 years and passes through 2 companies; a new generation was cleared every 2.0 years on median.
  • 4 of the 19 ancestors have a recall of any class; 1 has a Class I recall.
  • 2 other devices also cite its predicate K063268.

How does its category compare?

All CBK devices

CBK Ventilator, Continuous, Facility Use: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

FDA decisions per year · CBK

4in 2025

2007: 112008: 182009: 122010: 142011: 132012: 172013: 52014: 52015: 72016: 42017: 62018: 42019: 82020: 52021: 62023: 52024: 92025: 42026 (partial year): 3
2007high 18 (2008) · low 0 (2022)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · CBK

163in 2025

2007: 142 days median2008: 115 days median2009: 122 days median2010: 150 days median2011: 192 days median2012: 207 days median2013: 277 days median2014: 439 days median2015: 266 days median2016: 323 days median2017: 280 days median2018: 183 days median2019: 435 days median2020: 176 days median2021: 267 days median2023: 309 days median2024: 203 days median2025: 163 days median2026 (partial year): 235 days median
2007high 439 (2014) · low 115 (2008)2026

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

Recalls per year · CBK

14in 2024

2007: 172008: 232009: 82010: 92011: 122012: 2, 1 Class I2013: 5, 2 Class I2014: 5, 4 Class I2015: 6, 4 Class I2016: 4, 1 Class I2017: 12018: 3, 3 Class I2019: 14, 13 Class I2020: 42021: 21, 19 Class I2022: 8, 4 Class I2023: 4, 3 Class I2024: 14, 14 Class I2026 (partial year): 15, 13 Class I
2007high 23 (2008) · low 0 (2025)2026

Class I (81 since 2007) Class II/III not classified

Adverse event reports per year · CBK

13,991in 2025

2007: 1,5312008: 1,9332009: 1,7662010: 1,7992011: 1,8772012: 5,5092013: 7,9212014: 7,6002015: 11,8762016: 16,0562017: 14,4512018: 9,8492019: 9,1002020: 11,0962021: 13,3222022: 15,9742023: 24,9282024: 20,3362025: 13,991
2007high 24,928 (2023) · low 1,531 (2007)2025

MAUDE reports naming product code CBK, 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
200711142171,531
200818115231,933
20091212281,766
20101415091,799
201113192121,877
2012172072 (1)5,509
201352775 (2)7,921
201454395 (4)7,600
201572666 (4)11,876
201643234 (1)16,056
20176280114,451
201841833 (3)9,849
2019843514 (13)9,100
20205176411,096
2021626721 (19)13,322
20220—8 (4)15,974
202353094 (3)24,928
2024920314 (14)20,336
20254163013,991
2026323515 (13)—

What is it indicated for?

The Hsiner NIPPV masks provide a patient interface for application of noninvasive ventilation with ventilators with adequate alarms and safety systems to protect the patient in the event for ventilator failure, These masks are intended for use with spontaneously-breathing adult patients (> 30 kg) with respiratory insufficiency or respiratory failure suitable for noninvasive pressure support ventilation treatment in the hospital/institutional environment (including but not limited to moderate or severe dyspnea; elevated respiratory rates, labored breathing, or paradoxical breathing).

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K102120: Nippv Silicone Face Mask, Nippv Economy Face Mask, Nippv Silicone Nasal Mask Model 10212, 10222, 10202.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K102120

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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