510(k) Report

510(k) · Cleared

Recalled · Class I · 2022

Simple T Nasal Mask

K121631510(k) SpecialCleared Oct 5, 2012123-day reviewClass II21 CFR 868.5905Recalls 1 (1 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 Oct 5, 2012 as substantially equivalent to K120145 (Respironics, Inc., 2012) and 1 other predicate after a 123-day review. Its family tree reaches back 6 generations to 1996. 2 of the 15 devices in its family, counting itself, have a Class I recall. 3 later devices descend from it. It has been recalled once, including a Class I recall.

Decided
Oct 5, 2012
Review
123 days
Class
Class II
Product code
BZD
Recalls
1 (1 Class I)
Predicates
2

Its longest line of descent runs back 6 generations to K945938 (1996). 11 ancestors in all, the oldest K900164 (1990). 3 later devices descend from it, 1 citing it directly. 2 of the 15 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2012: 1 other ancestor2003: 1 other ancestor1998: 2 other ancestors1990: 1 other ancestor2015: 1 descendant cleared, 1 with a Class I recall12021: 1 descendant cleared2026: 1 descendant clearedK945938 · Respironics Monarch Mini Mask · Respironics, Inc. · 1996K992336 · Monarch II Mini Mask · Respironics, Inc. · 1999K053352 · Comfortlite Nasal Mask · Respironics, Inc. · 2006K082558 · Comfortlite Nasal Mask · Respironics, Inc. · 2009×2: 2 generations cleared close together, K102502 (2010), K110008 (2011) 1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor5 generations back: 2 other ancestors6 generations back: 2 other ancestors 1 generation forward: 1 descendant, 1 with a Class I recall12 generations forward: 1 descendant3 generations forward: 1 descendant K110008 · Golife Nasal Mask · Respironics, Inc. · 2011K102502 · Golife Nasal Mask · Respironics, Inc. · 2010K082558 · Comfortlite Nasal Mask · Respironics, Inc. · 2009K053352 · Comfortlite Nasal Mask · Respironics, Inc. · 2006K992336 · Monarch II Mini Mask · Respironics, Inc. · 1999K945938 · Respironics Monarch Mini Mask · Respironics, Inc. · 1996−50
  1. Root · 6 generations backK945938 Respironics Monarch Mini MaskRespironics, Inc. · 1996
  2. 5 generations backK992336 Monarch II Mini MaskRespironics, Inc. · 1999
  3. 4 generations backK053352 Comfortlite Nasal MaskRespironics, Inc. · 2006
  4. 3 generations backK082558 Comfortlite Nasal MaskRespironics, Inc. · 2009
  5. 2 generations backK102502 Golife Nasal MaskRespironics, Inc. · 2010
  6. 1 generation backK110008 Golife Nasal MaskRespironics, Inc. · 2011
  7. This deviceK121631 Simple T Nasal MaskRespironics, Inc. · 2012
  8. Descendant · cites it directly · 2 of its ownK140980 TI Nasal MaskRespironics, Inc. · 2015 · Recalled (Class I)
  9. Descendant · 2 generations on · 1 of its ownK210844 DreamWear Silicone Pillows MaskRespironics, Inc. · 2021
  10. Descendant · 3 generations on · 0 of its ownK253166 F6S Full Face Mask (F6S); P6S Nasal Pillows Interface (P6S)BMC Medical Co., Ltd. · 2026

Class I recalls in this family

Most influential descendants

Showing 3 of 3 · See all
  • K140980TI Nasal MaskRespironics, Inc. · 2015 · cites it directly2descendants
  • K210844DreamWear Silicone Pillows MaskRespironics, Inc. · 2021 · 2 generations on1descendant
  • K253166F6S Full Face Mask (F6S); P6S Nasal Pillows Interface (P6S)BMC Medical Co., Ltd. · 2026 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K945938Respironics Monarch Mini MaskRespironics, Inc.1996—
−5K992336Monarch II Mini MaskRespironics, Inc.1999—
−4K053352Comfortlite Nasal MaskRespironics, Inc.2006—
−3K082558Comfortlite Nasal MaskRespironics, Inc.2009—
−2K102502Golife Nasal MaskRespironics, Inc.2010—
−1K110008Golife Nasal MaskRespironics, Inc.2011—
0 (this device)K121631Simple T Nasal MaskRespironics, Inc.2012—
+1K140980TI Nasal MaskRespironics, Inc.2015Class I
+2K210844DreamWear Silicone Pillows MaskRespironics, Inc.2021—
+3K253166F6S Full Face Mask (F6S); P6S Nasal Pillows Interface (P6S)BMC Medical Co., Ltd.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
199820
200310
201210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201511
202110
202610
FIG. 1 — Lineage of K121631, 1996–2026Source: 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.

2 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? (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
*K120145Simple T Nasal Mask
Summary page 1
…s (respirator) Product Code Classification / Regulation Class 11- 21 CFR 868.5905 Number I Respironics Simple T Nasal Mask (K120145) Predicate Device(s) Respironics GoLife Nasal Mask (K1 10008) D evice Description The…
Respironics, Inc.2012—
*K110008Golife Nasal Mask
Summary page 1
…r I Respironics Simple T Nasal Mask (K120145) Predicate Device(s) Respironics GoLife Nasal Mask (K1 10008) D evice Description The Simple T Nasal Mask is intended to be used with positive airway pressure devices such as CPAP or bi…
Respironics, Inc.2011—

What descends from it? (3)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K140980TI Nasal Mask Class IRespironics, Inc.20152

Has anything in its family been recalled? (2 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Sep 6, 2022Class IZ-1783-2022Error in labelingNo contraindication/warning regarding magnetic components in CPAP masks for patients with implantable devices or metallic splinters in the eyes.

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.

  • K140980TI Nasal MaskRespironics, Inc. · 2015 · Cites it directly · ◆ in the 2015 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 16 years and passes through 1 company; a new generation was cleared every 3.1 years on median.
  • None of the 11 ancestors has a recall.
  • Of its descendants, K140980 (Respironics, Inc., 2015) has gone furthest, with 2 descendants of its own.

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. 2012, 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 Simple T Nasal Mask is intended to provide an interface for Continuous Positive Airway Pressure (CPAP) or bi-level therapy. This mask is intended for single-patient reuse in the home and multi-patient, multi-use in the hospital/institutional environment. This mask is to be used on patients greater than 66 lbs /30 kg.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K121631: Simple T Nasal Mask.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K121631

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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