510(k) Report

510(k) · Cleared

Recalled · Class I · 2024

Remstar Auto a-Flex HT

K113068510(k) SpecialCleared Dec 16, 201160-day reviewClass II21 CFR 868.5905Recalls 2 (2 Class I)

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

Respironics, Inc. · BZD Ventilator, Non-Continuous (Respirator)

Cleared on Dec 16, 2011 as substantially equivalent to K091319 (Respironics Inc., Sleep & Home Respiratory Group, 2009) after a 60-day review. Its family tree reaches back 9 generations to 1996. 5 of the 40 devices in its family, counting itself, have a Class I recall. 9 later devices descend from it. It has been recalled 2 times, including 2 Class I recalls.

Decided
Dec 16, 2011
Review
60 days
Class
Class II
Product code
BZD
Recalls
2 (2 Class I)
Predicates
1

Its longest line of descent runs back 9 generations to K953930 (1996). 30 ancestors in all, the oldest K930656 (1994). 9 later devices descend from it, 3 citing it directly. 5 of the 40 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2005: 1 other ancestor2004: 3 other ancestors2003: 3 other ancestors2002: 3 other ancestors2001: 3 other ancestors1998: 2 other ancestors1997: 2 other ancestors1996: 1 other ancestor1994: 1 other ancestor2000: 2 other ancestors2013: 2 descendants cleared, 2 with a Class I recall22015: 1 descendant cleared2012: 1 descendant cleared, 1 with a Class I recall12020: 1 descendant cleared2021: 1 descendant cleared2025: 1 descendant cleared2022: 2 descendants clearedK953930 · Virtuoso Smart Cpap System · Respironics, Inc. · 1996K993433 · Virtuoso LX Smart Cpap System · Respironics, Inc. · 1999K012554 · Remstar Auto Cpap System · Respironics, Inc. · 2002K031460 · Modification to Remstar Auto Cpap System · Respironics, Inc. · 2003K032834 · Bipap Pro 2 BI-Level System · Respironics, Inc. · 2004K043607 · Bipap Pro 2 BI-Level System with BI-Flex · Respironics, Inc. · 2005K050759 · Bipap Auto · Respironics, Inc. · 2005 · recalledK063830 · Remstar Aflex Cpap System · Respironics Inc., Sleep & Home Respiratory Group · 2007K091319 · Remstar Auto a-Flex · Respironics Inc., Sleep & Home Respiratory Group · 2009 · Class I recall1990200020102020
  1. Root · 9 generations backK953930 Virtuoso Smart Cpap SystemRespironics, Inc. · 1996
  2. 5 generations between
  3. 3 generations backK050759 Bipap AutoRespironics, Inc. · 2005 · Recalled
  4. 2 generations backK063830 Remstar Aflex Cpap SystemRespironics Inc., Sleep & Home Respiratory Group · 2007
  5. 1 generation backK091319 Remstar Auto a-FlexRespironics Inc., Sleep & Home Respiratory Group · 2009 · Recalled (Class I)
  6. This deviceK113068 Remstar Auto a-Flex HTRespironics, Inc. · 2011
  7. Descendant · cites it directly · 5 of its ownK131982 Remstar Auto a-Flex HTRespironics, Inc. · 2013 · Recalled (Class I)
  8. Descendant · cites it directly · 3 of its ownK122769 Remstar SERespironics, Inc. · 2012 · Recalled (Class I)
  9. Descendant · 2 generations on · 2 of its ownK201620 Luna® G3 BPAP 25A3B Medical, Inc. · 2021
  10. Descendant · 2 generations on · 2 of its ownK130077 Remstar SERespironics, Inc. · 2013 · Recalled (Class I)
  11. Descendant · 2 generations on · 1 of its ownK200480 DreamStation 2 System, DreamStation 2 Advanced SystemRespironics, Inc. · 2020
Show all 9 generations
  1. Root · 9 generations backK953930 Virtuoso Smart Cpap SystemRespironics, Inc. · 1996
  2. 8 generations backK993433 Virtuoso LX Smart Cpap SystemRespironics, Inc. · 1999
  3. 7 generations backK012554 Remstar Auto Cpap SystemRespironics, Inc. · 2002
  4. 6 generations backK031460 Modification to Remstar Auto Cpap SystemRespironics, Inc. · 2003
  5. 5 generations backK032834 Bipap Pro 2 BI-Level SystemRespironics, Inc. · 2004
  6. 4 generations backK043607 Bipap Pro 2 BI-Level System with BI-FlexRespironics, Inc. · 2005
  7. 3 generations backK050759 Bipap AutoRespironics, Inc. · 2005 · Recalled
  8. 2 generations backK063830 Remstar Aflex Cpap SystemRespironics Inc., Sleep & Home Respiratory Group · 2007
  9. 1 generation backK091319 Remstar Auto a-FlexRespironics Inc., Sleep & Home Respiratory Group · 2009 · Recalled (Class I)
  10. This deviceK113068 Remstar Auto a-Flex HTRespironics, Inc. · 2011

Showing 5 of 9 descendants. See all descendants

Descendants cleared per year

2012: 12013: 22015: 12020: 12021: 12022: 22025: 1
2012high 2 (2013) · low 0 (2014)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 9 · See all
  • K131982Remstar Auto a-Flex HTRespironics, Inc. · 2013 · cites it directly5descendants
  • K122769Remstar SERespironics, Inc. · 2012 · cites it directly3descendants
  • K201620Luna® G3 BPAP 25A3B Medical, Inc. · 2021 · 2 generations on2descendants
  • K130077Remstar SERespironics, Inc. · 2013 · 2 generations on2descendants
  • K200480DreamStation 2 System, DreamStation 2 Advanced SystemRespironics, Inc. · 2020 · 2 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K953930Virtuoso Smart Cpap SystemRespironics, Inc.1996—
−8K993433Virtuoso LX Smart Cpap SystemRespironics, Inc.1999—
−7K012554Remstar Auto Cpap SystemRespironics, Inc.2002—
−6K031460Modification to Remstar Auto Cpap SystemRespironics, Inc.2003—
−5K032834Bipap Pro 2 BI-Level SystemRespironics, Inc.2004—
−4K043607Bipap Pro 2 BI-Level System with BI-FlexRespironics, Inc.2005—
−3K050759Bipap AutoRespironics, Inc.20051
−2K063830Remstar Aflex Cpap SystemRespironics Inc., Sleep & Home Respiratory Group2007—
−1K091319Remstar Auto a-FlexRespironics Inc., Sleep & Home Respiratory Group2009Class I
0 (this device)K113068Remstar Auto a-Flex HTRespironics, Inc.2011—
+1K131982Remstar Auto a-Flex HTRespironics, Inc.2013Class I
+1K122769Remstar SERespironics, Inc.2012Class I
+2K201620Luna® G3 BPAP 25A3B Medical, Inc.2021—
+2K130077Remstar SERespironics, Inc.2013Class I
+2K200480DreamStation 2 System, DreamStation 2 Advanced SystemRespironics, Inc.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199610
199720
199820
200020
200130
200230
200330
200430
200510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201211
201322
201510
202010
202110
202220
202510
FIG. 1 — Lineage of K113068, 1996–2025Source: 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.

5 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 BZD device

  1. #1 K250624 myAirscore 15.7 · 12 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
*K091319Remstar Auto a-Flex
Summary page 1
…entilator, non-continuous (respirator) (21 CFR 868.5905, Product Code BZD) Predicate Device(s) REMstar Auto A-Flex (K(091319) Reason for Submission .The REMstar Auto A-Flex HT isthe result of modifications made…
Respironics Inc., Sleep & Home Respiratory Group2009Class I

Also cleared against K091319: 1 other device →

What descends from it? (9)

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

NumberDeviceApplicantDecidedDescendants
K131982Remstar Auto a-Flex HT Class IRespironics, Inc.20135
K122769Remstar SE Class IRespironics, Inc.20123
K143677DeVilbiss Intellipap2/DeVilbiss BLUEDevilbiss Healthcare, LLC20150

Has anything in its family been recalled? (5 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Apr 1, 2024Class IZ-1817-2024Device DesignDevice may experience an interruption or loss of therapy in case of a Ventilator Inoperative alarm. This may lead to hypoventilation, mild to severe hypoxemia, hypercarbia, respiratory failure/insufficiency, or potentially death.
Jun 14, 2021Class IZ-1974-2021Device DesignThe polyester-based polyurethane (PE-PUR) foam may degrade into particles which may enter the device s the air pathway and be ingested or inhaled by the user, and the PE-PUR foam may off-gas certain chemicals.

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.

  • K091319Remstar Auto a-FlexRespironics Inc., Sleep & Home Respiratory Group · 2009 · Direct predicate · ◆ on the line of descent in FIG. 11 Class I recall
  • K131982Remstar Auto a-Flex HTRespironics, Inc. · 2013 · Cites it directly · ◆ in the 2013 descendants bar of FIG. 15 Class I recalls
  • K122769Remstar SERespironics, Inc. · 2012 · Cites it directly · ◆ in the 2012 descendants bar of FIG. 11 Class I recall
  • K130077Remstar SERespironics, Inc. · 2013 · 2 generations on · ◆ in the 2013 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 15 years and passes through 2 companies; a new generation was cleared every 1.7 years on median.
  • 10 of the 30 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K131982 (Respironics, Inc., 2013) has gone furthest, with 5 descendants of its own.
  • 1 other device also cites its predicate K091319.

How does its category compare?

All BZD devices

BZD Ventilator, Non-Continuous (Respirator): FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

FDA decisions per year · BZD

7in 2025

2007: 212008: 172009: 232010: 122011: 232012: 212013: 232014: 142015: 112016: 122017: 52018: 52019: 62020: 62021: 62022: 42023: 52024: 102025: 72026 (partial year): 10
2007high 23 (2009) · low 4 (2022)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · BZD

189in 2025

2007: 83 days median2008: 108 days median2009: 90 days median2010: 122 days median2011: 125 days median2012: 133 days median2013: 127 days median2014: 172 days median2015: 224 days median2016: 217 days median2017: 221 days median2018: 280 days median2019: 231 days median2020: 137 days median2021: 192 days median2022: 253 days median2023: 204 days median2024: 132 days median2025: 189 days median2026 (partial year): 214 days median
2007high 280 (2018) · low 83 (2007)2026

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

Recalls per year · BZD

8in 2023

2007: 292008: 22009: 12011: 12019: 4, 4 Class I2023: 8, 7 Class I2026 (partial year): 2, 2 Class I
2007high 29 (2007) · low 0 (2010)2026

Class I (13 since 2007) Class II/III not classified

Adverse event reports per year · BZD

60,279in 2025

2007: 652008: 672009: 1472010: 1432011: 1892012: 1392013: 822014: 862015: 1142016: 1182017: 1482018: 1012019: 1882020: 1262021: 6,0662022: 90,7682023: 27,9872024: 68,2622025: 60,279
2007high 90,768 (2022) · low 65 (2007)2025

MAUDE reports naming product code BZD, 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
200721832965
200817108267
200923901147
2010121220143
2011231251189
2012211330139
201323127082
201414172086
2015112240114
2016122170118
201752210148
201852800101
201962314 (4)188
202061370126
2021619206,066
20224253090,768
202352048 (7)27,987
202410132068,262
20257189060,279
2026102142 (2)—

What is it indicated for?

The REMstar Auto A-Flex HT delivers positive airway pressure therapy for the treatment of Obstructive Sleep Apnea in spontaneously breathing patients weighing over 30kg (66 Ibs). It is for use in the home or hospital/institutional environment.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K113068: Remstar Auto a-Flex HT.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K113068

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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