510(k) Report

510(k) · Cleared

Recalled · Class II · 2022

Precision Flow (R) - Heliox

K111640510(k) TraditionalCleared Oct 7, 2011116-day reviewClass II21 CFR 868.5450Recalls 1

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

Vapotherm, Inc. · BTT Humidifier, Respiratory Gas, (Direct Patient Interface)

Cleared on Oct 7, 2011 as substantially equivalent to K090781 (Precision Medical, Inc., 2009) and 2 other predicates after a 116-day review. Its family tree reaches back 6 generations to 1994. It has been recalled once.

Decided
Oct 7, 2011
Review
116 days
Class
Class II
Product code
BTT
Recalls
1
Predicates
3

Its longest line of descent runs back 6 generations to K935370 (1994). 16 ancestors in all, the oldest K911962 (1991). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2009: 1 other ancestor2006: 1 other ancestor2004: 2 other ancestors2000: 2 other ancestors1993: 1 other ancestor1991: 1 other ancestor2003: 1 other ancestor2001: 1 other ancestorK935370 · Miniox IA Oxygen Analyzer · Minesafety Appliances Co. · 1994K973282 · Handi Oxygen Analyzer · Ceramatec, Inc. · 1998K023565 · Oxicheck · Caradyne, Ltd. · 2003K040484 · MAXO2+, Model a and AE · Maxtec, Inc. · 2004K063488 · MAXO2 CU · Maxtec, Inc. · 2007K072845 · Precision Flow · Vapotherm, Inc. · 2008 · recalled19901995200020052010
Other ancestors, by generation 1 generation back: 2 other ancestors2 generations back: 4 other ancestors3 generations back: 2 other ancestors4 generations back: 1 other ancestor5 generations back: 1 other ancestor K072845 · Precision Flow · Vapotherm, Inc. · 2008 · recalledK063488 · MAXO2 CU · Maxtec, Inc. · 2007K040484 · MAXO2+, Model a and AE · Maxtec, Inc. · 2004K023565 · Oxicheck · Caradyne, Ltd. · 2003K973282 · Handi Oxygen Analyzer · Ceramatec, Inc. · 1998K935370 · Miniox IA Oxygen Analyzer · Minesafety Appliances Co. · 1994−50
  1. Root · 6 generations backK935370 Miniox IA Oxygen AnalyzerMinesafety Appliances Co. · 1994
  2. 5 generations backK973282 Handi Oxygen AnalyzerCeramatec, Inc. · 1998
  3. 4 generations backK023565 OxicheckCaradyne, Ltd. · 2003
  4. 3 generations backK040484 MAXO2+, Model a and AEMaxtec, Inc. · 2004
  5. 2 generations backK063488 MAXO2 CUMaxtec, Inc. · 2007
  6. 1 generation backK072845 Precision FlowVapotherm, Inc. · 2008 · Recalled
  7. This deviceK111640 Precision Flow (R) - HelioxVapotherm, Inc. · 2011
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K935370Miniox IA Oxygen AnalyzerMinesafety Appliances Co.1994—
−5K973282Handi Oxygen AnalyzerCeramatec, Inc.1998—
−4K023565OxicheckCaradyne, Ltd.2003—
−3K040484MAXO2+, Model a and AEMaxtec, Inc.2004—
−2K063488MAXO2 CUMaxtec, Inc.2007—
−1K072845Precision FlowVapotherm, Inc.20088
0 (this device)K111640Precision Flow (R) - HelioxVapotherm, Inc.2011—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110
199310
200020
200110
200310
200420
200610
200910
FIG. 1 — Lineage of K111640, 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 BTT? 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 BTT device

  1. #1 K222197 F&P Optiflow Junior 2/2+ Nasal Cannula…score 16.8 · 10 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? (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
*K090781HELIO2 Blender
Summary page 1
…Humidifier, Respiratory Gas (Direct Patient Interface) Predicate Device Primary Device: Precision Medical, Inc. HeiioxlOxygen Blender, K090781 Secondary Device: Precision Flow® - Air, K072845 The Precision Medical device is a mechanical device and the Precision…
Precision Medical, Inc.2009—
*K072845Precision Flow
Summary page 1
…) Predicate Device Primary Device: Precision Medical, Inc. HeiioxlOxygen Blender, K090781 Secondary Device: Precision Flow® - Air, K072845 The Precision Medical device is a mechanical device and the Precision Flow® device is electron ic/mechan icalI device.…
Vapotherm, Inc.20088
*K053232Precision BlenderPrecision Medical, Inc.2006—

Also cleared against K090781: 1 other device →

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
Dec 16, 2022Class IIZ-1272-2023Nonconforming Material/ComponentThere have been reports of excessive condensation associated with certain lots of the Low Flow Disposable Patient Circuits (DPCs) used with Precision Flow System which may lead to excessive rainout.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 17 years and passes through 5 companies; a new generation was cleared every 3.2 years on median.
  • 2 of the 16 ancestors have a recall of any class.
  • 1 other device also cites its predicate K090781.

How does its category compare?

All BTT devices

BTT Humidifier, Respiratory Gas, (Direct Patient Interface): FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

FDA decisions per year · BTT

4in 2025

2007: 62008: 42009: 12010: 42011: 32012: 22013: 62014: 72015: 12016: 32017: 32018: 22019: 12020: 22021: 22022: 32023: 72024: 72025: 42026 (partial year): 4
2007high 7 (2014) · low 1 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · BTT

104in 2025

2007: 73 days median2008: 199 days median2010: 113 days median2011: 116 days median2013: 171 days median2014: 231 days median2016: 157 days median2017: 303 days median2022: 290 days median2023: 258 days median2024: 219 days median2025: 104 days median2026 (partial year): 184 days median
2007high 303 (2017) · low 73 (2007)2026

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

Recalls per year · BTT

1in 2025

2007: 12008: 12010: 22011: 12014: 5, 4 Class I2025: 12026 (partial year): 1
2007high 5 (2014) · low 0 (2009)2026

Class I (4 since 2007) Class II/III not classified

Adverse event reports per year · BTT

1,743in 2025

2007: 3652008: 4562009: 5582010: 5622011: 6652012: 5832013: 7182014: 7182015: 6702016: 1,0942017: 1,0072018: 9182019: 8942020: 1,1882021: 1,5102022: 7492023: 7162024: 5012025: 1,743
2007high 1,743 (2025) · low 365 (2007)2025

MAUDE reports naming product code BTT, 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
20076731365
200841991456
20091—0558
201041132562
201131161665
20122—0583
201361710718
201472315 (4)718
20151—0670
2016315701,094
2017330301,007
20182—0918
20191—0894
20202—01,188
20212—01,510
202232900749
202372580716
202472190501
2025410411,743
202641841—

What is it indicated for?

The Precision Flow@ - Heliox is intended to warm and add moisture to

breathing gases from an external source for administration to

neonate/infant, pediatric and adult patients in the hospital and sub-acute

institutions. It adds heat and moisture to a blended medical heliox (79%

helium, 210/% oxygen)/oxygen mixture and assures the integrity of the

precise heliox (79% helium, 21%/ oxygen)/oxygen mixture via an integral

oxygen analyzer. The flow rates may be from 1 to 40 liters per minute via

nasal cannula.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K111640: Precision Flow (R) - Heliox.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K111640

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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