510(k) Report

510(k) · Cleared

Recalled · Class II · 2022

Sam Chest Seal with Vavle; Sam Chest Seal

K102403510(k) TraditionalCleared Mar 3, 2011191-day reviewClass I21 CFR 878.4020Recalls 1

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

Sam Medical Products · NAD Dressing, Wound, Occlusive

Cleared on Mar 3, 2011 as substantially equivalent to K942757 (Asherman Medical Products, LLC, 1994) and 1 other predicate after a 191-day review. Its family tree reaches back 1 generation to 1994. It has been recalled once.

Decided
Mar 3, 2011
Review
191 days
Class
Class I
Product code
NAD
Recalls
1
Predicates
2

Its longest line of descent runs back 1 generation to K942757 (1994). 2 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 1997: 1 other ancestorK942757 · Asherman Chest Bandage · Asherman Medical Products, LLC · 199419901995200020052010
Other ancestors, by generation 1 generation back: 1 other ancestor K942757 · Asherman Chest Bandage · Asherman Medical Products, LLC · 19940
  1. Root · 1 generation backK942757 Asherman Chest BandageAsherman Medical Products, LLC · 1994
  2. This deviceK102403 Sam Chest Seal with Vavle; Sam Chest SealSam Medical Products · 2011
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K942757Asherman Chest BandageAsherman Medical Products, LLC1994—
0 (this device)K102403Sam Chest Seal with Vavle; Sam Chest SealSam Medical Products2011—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199710
FIG. 1 — Lineage of K102403, 1994–2011Source: 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.

Planning a device in NAD? 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 NAD device

  1. #1 K254246 LT Antibacterial Foam with Silver Dressingscore 13.5 · 6 generations · no Class I recall
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
*K942757Asherman Chest Bandage
Summary page 1
…Chest Seal Common/usual Name: Chest Seal Classification Name: Dressing Wound and Burn Occlusive C. Predicate Device: Asherman Chest Bandage, K(942757 Vaseline Petrolatum Gauze, K(973511 D. Device Description: SAM Chest Seal with Valve The SAM Chest…
Asherman Medical Products, LLC1994—
*K973511Kendall Curity Petrolatum Gauze
Summary page 1
…tion Name: Dressing Wound and Burn Occlusive C. Predicate Device: Asherman Chest Bandage, K(942757 Vaseline Petrolatum Gauze, K(973511 D. Device Description: SAM Chest Seal with Valve The SAM Chest Seal with valve is an adhesive dressing composed of a hydrogel ba…
Kendall Healthcare Products Co. Div.Of Tyco Health1997—

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
Jan 28, 2022Class IIZ-0789-2022Process controlDue to partially assembled valved dressing that has a hole within it instead of the intended non-valved dressing in the package resulting in that the dressing cannot be centered over the open chest wound and create an occlusive seal due…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • None of the 2 ancestors has a recall.

How does its category compare?

All NAD devices

NAD Dressing, Wound, Occlusive: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

FDA decisions per year · NAD

1in 2011

2008: 22009: 12011: 12026 (partial year): 1
2007high 2 (2008) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NAD

Too few NAD 510(k)s in any year since 2007 to give a median.

Recalls per year · NAD

1in 2025

2010: 12014: 12018: 62022: 12025: 1
2007high 6 (2018) · low 0 (2007)2026

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

Adverse event reports per year · NAD

2,619in 2025

2007: 12008: 82009: 92010: 302011: 92012: 32013: 152014: 632015: 2512016: 1062017: 1342018: 1,0292019: 5882020: 5,0352021: 4512022: 4032023: 1,6192024: 1,8042025: 2,619
2007high 5,035 (2020) · low 1 (2007)2025

MAUDE reports naming product code NAD, 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
20082—08
20091—09
20100—130
20111—09
20120—03
20130—015
20140—163
20150—0251
20160—0106
20170—0134
20180—61,029
20190—0588
20200—05,035
20210—0451
20220—1403
20230—01,619
20240—01,804
20250—12,619
20261—0—

What is it indicated for?

To be used as an occlusive wound dressing.

To be used as a temporary bandage to treat penetrating chest wounds that could compromise the pleural space of the chest cavity, such as: gunshot wounds, stab wounds and fragment wounds, and to be used in emergency situations and to be left in place only while the patient is transported to the hospital.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K102403: Sam Chest Seal with Vavle; Sam Chest Seal.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K102403

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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