510(k) Report

510(k) · Cleared

Cleared

Assurance Alar Sensor Model 10078; AB-N Adapter Cable Model 10085

K122996510(k) TraditionalCleared Apr 10, 2013195-day reviewClass II21 CFR 870.2700

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

Xhale · DQA Oximeter

Cleared on Apr 10, 2013 as substantially equivalent to K991823 (Nellcor Puritan Bennett, Inc., 1999) and 2 other predicates after a 195-day review. Its family tree reaches back 17 generations to 1994. 3 later devices descend from it.

Decided
Apr 10, 2013
Review
195 days
Class
Class II
Product code
DQA
Recalls
None
Predicates
3

Its longest line of descent runs back 17 generations to K941811 (1994). 75 ancestors in all, the oldest K863784 (1986). 3 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2002: 4 other ancestors1999: 8 other ancestors1998: 5 other ancestors1996: 2 other ancestors2001: 3 other ancestors1995: 4 other ancestors1990: 3 other ancestors2000: 11 other ancestors1997: 4 other ancestors1994: 3 other ancestors1986: 1 other ancestor2003: 2 other ancestors1993: 2 other ancestors1992: 4 other ancestors1989: 1 other ancestor1987: 1 other ancestor2015: 1 descendant cleared2017: 1 descendant cleared2026: 1 descendant clearedK941811 · HP M1175A, M1176A, Component Monitoring System · Hewlett-Packard Co. · 1994K960934 · HP M1205A Omnicare Component Monitor System Model 24 · Hewlett-Packard Co. · 1996×3: 3 generations cleared close together, K981376 (1999), K990125 (1999), K990972 (1999) ×7: 7 generations cleared close together, K013199 (2001), K020531 (2002), K021778 (2002), K023871 (2002), K030038 (2003), K031481 (2003), K032858 (2003) ×2: 2 generations cleared close together, K040259 (2004), K041815 (2004) K051212 · Modification to LNCS Oximetry Sensors · Masimo Corporation · 2005 · recalledK101031 · Masimo Disposable Oximetry Ear Sensor, Model E1 · Masimo Corporation · 2010K121912 · E1 Ear Sensors · Masimo Corporation · 20121990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 3 other ancestors3 generations back: 5 other ancestors4 generations back: 4 other ancestors5 generations back: 2 other ancestors7 generations back: 1 other ancestor8 generations back: 4 other ancestors9 generations back: 29 other ancestors10 generations back: 8 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant3 generations forward: 1 descendant K121912 · E1 Ear Sensors · Masimo Corporation · 2012K101031 · Masimo Disposable Oximetry Ear Sensor, Model E1 · Masimo Corporation · 2010K051212 · Modification to LNCS Oximetry Sensors · Masimo Corporation · 2005 · recalledK041815 · LNCS Oximetry Sensors · Masimo Corp. · 2004K040259 · Masimo Set Intellivue Pulse Oximeter Module · Masimo Corp. · 2004K032858 · The Philips Intellivue MP40, MP50, MP60, MP70,and MP90 Patient Monitors, Release B.O. · Philips Medizin Systeme Boblingen GmbH · 2003K031481 · The Philips Intellivue MP60, MP70, and MP90 Patient Monitors, Release a.20 · Philips Medizin Systeme Boblingen GmbH · 2003K030038 · Philips MP60, MP70 and MP90 Intellivue Patient Monitors with Portal Technology and M3185 Opt C41 Wireless Bedside Adaptr · Philips Medical Systems, Inc. · 2003K023871 · M3046A (M2/M3/M4) Compact Portable Patient Monitor and MP60 & MP70 Intellivue Patient Monitor with Portal Technology · Philips Medical Systems · 2002K021778 · Philips Component Compact Monitor, Release a.04, Model #M1275B · Philips Medical Systems · 2002K020531 · Philips Multi-Parameter Module, Model M3001A; Philips Component Compact Monitor, Release a.02, Model M1275B · Philips Medical Systems · 2002K013199 · Philips Component Compact Monitor,Model M1275B, Philips Compenent Rack, Model M1276B · Philips Medical Systems, Inc. · 2001K990972 · HP Viridia Component Monitoring System, HP Viridia CMS 24/26, HP Viridia Multi-Measurement Server and Compact Portable T · Hewlett-Packard GmbH · 1999K990125 · HP Viridia Component Monitoring System, Model Rev. K · Hewlett-Packard GmbH · 1999K981376 · Hewlett-Packard M1205A Viridia 24 CT · Hewlett-Packard Co. · 1999K960934 · HP M1205A Omnicare Component Monitor System Model 24 · Hewlett-Packard Co. · 1996K941811 · HP M1175A, M1176A, Component Monitoring System · Hewlett-Packard Co. · 1994−15−10−50
  1. Root · 17 generations backK941811 HP M1175A, M1176A, Component Monitoring SystemHewlett-Packard Co. · 1994
  2. 13 generations between
  3. 3 generations backK051212 Modification to LNCS Oximetry SensorsMasimo Corporation · 2005 · Recalled
  4. 2 generations backK101031 Masimo Disposable Oximetry Ear Sensor, Model E1Masimo Corporation · 2010
  5. 1 generation backK121912 E1 Ear SensorsMasimo Corporation · 2012
  6. This deviceK122996 Assurance Alar Sensor Model 10078; AB-N Adapter Cable Model 10085Xhale · 2013
  7. Descendant · cites it directly · 2 of its ownK143216 Assurance Alar / Nasal SpO2 SensorXhale, Inc. · 2015 · Recalled
  8. Descendant · 2 generations on · 1 of its ownK171423 Nasal Alar SpO2 SensorXhale, Inc. · 2017 · Recalled
  9. Descendant · 3 generations on · 0 of its ownK253887 Nasal Alar SpO2 Sensor (989803205381); Nasal Alar SpO2 Sensor…Philips Medizin Systeme · 2026
Show all 17 generations
  1. Root · 17 generations backK941811 HP M1175A, M1176A, Component Monitoring SystemHewlett-Packard Co. · 1994
  2. 16 generations backK960934 HP M1205A Omnicare Component Monitor System Model 24Hewlett-Packard Co. · 1996
  3. 15 generations backK981376 Hewlett-Packard M1205A Viridia 24 CTHewlett-Packard Co. · 1999
  4. 14 generations backK990125 HP Viridia Component Monitoring System, Model Rev. KHewlett-Packard GmbH · 1999
  5. 13 generations backK990972 HP Viridia Component Monitoring System, HP Viridia CMS 24/26, HP…Hewlett-Packard GmbH · 1999
  6. 12 generations backK013199 Philips Component Compact Monitor,Model M1275B, Philips Compenent…Philips Medical Systems, Inc. · 2001
  7. 11 generations backK020531 Philips Multi-Parameter Module, Model M3001A; Philips Component…Philips Medical Systems · 2002
  8. 10 generations backK021778 Philips Component Compact Monitor, Release a.04, Model #M1275BPhilips Medical Systems · 2002
  9. 9 generations backK023871 M3046A (M2/M3/M4) Compact Portable Patient Monitor and MP60 & MP70…Philips Medical Systems · 2002
  10. 8 generations backK030038 Philips MP60, MP70 and MP90 Intellivue Patient Monitors with Portal…Philips Medical Systems, Inc. · 2003
  11. 7 generations backK031481 The Philips Intellivue MP60, MP70, and MP90 Patient Monitors…Philips Medizin Systeme Boblingen GmbH · 2003
  12. 6 generations backK032858 The Philips Intellivue MP40, MP50, MP60, MP70,and MP90 Patient…Philips Medizin Systeme Boblingen GmbH · 2003
  13. 5 generations backK040259 Masimo Set Intellivue Pulse Oximeter ModuleMasimo Corp. · 2004
  14. 4 generations backK041815 LNCS Oximetry SensorsMasimo Corp. · 2004
  15. 3 generations backK051212 Modification to LNCS Oximetry SensorsMasimo Corporation · 2005 · Recalled
  16. 2 generations backK101031 Masimo Disposable Oximetry Ear Sensor, Model E1Masimo Corporation · 2010
  17. 1 generation backK121912 E1 Ear SensorsMasimo Corporation · 2012
  18. This deviceK122996 Assurance Alar Sensor Model 10078; AB-N Adapter Cable Model 10085Xhale · 2013

Most influential descendants

Showing 3 of 3 · See all
  • K143216Assurance Alar / Nasal SpO2 SensorXhale, Inc. · 2015 · cites it directly2descendants
  • K171423Nasal Alar SpO2 SensorXhale, Inc. · 2017 · 2 generations on1descendant
  • K253887Nasal Alar SpO2 Sensor (989803205381); Nasal Alar SpO2 Sensor (989803205391); Nasal Alar…Philips Medizin Systeme · 2026 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−17K941811HP M1175A, M1176A, Component Monitoring SystemHewlett-Packard Co.1994—
−16K960934HP M1205A Omnicare Component Monitor System Model 24Hewlett-Packard Co.1996—
−15K981376Hewlett-Packard M1205A Viridia 24 CTHewlett-Packard Co.1999—
−14K990125HP Viridia Component Monitoring System, Model Rev. KHewlett-Packard GmbH1999—
−13K990972HP Viridia Component Monitoring System, HP Viridia CMS 24/26, HP Viridia…Hewlett-Packard GmbH1999—
−12K013199Philips Component Compact Monitor,Model M1275B, Philips Compenent Rack, Model…Philips Medical Systems, Inc.2001—
−11K020531Philips Multi-Parameter Module, Model M3001A; Philips Component Compact…Philips Medical Systems2002—
−10K021778Philips Component Compact Monitor, Release a.04, Model #M1275BPhilips Medical Systems2002—
−9K023871M3046A (M2/M3/M4) Compact Portable Patient Monitor and MP60 & MP70 Intellivue…Philips Medical Systems2002—
−8K030038Philips MP60, MP70 and MP90 Intellivue Patient Monitors with Portal Technology…Philips Medical Systems, Inc.2003—
−7K031481The Philips Intellivue MP60, MP70, and MP90 Patient Monitors, Release a.20Philips Medizin Systeme Boblingen GmbH2003—
−6K032858The Philips Intellivue MP40, MP50, MP60, MP70,and MP90 Patient Monitors…Philips Medizin Systeme Boblingen GmbH2003—
−5K040259Masimo Set Intellivue Pulse Oximeter ModuleMasimo Corp.2004—
−4K041815LNCS Oximetry SensorsMasimo Corp.2004—
−3K051212Modification to LNCS Oximetry SensorsMasimo Corporation20055
−2K101031Masimo Disposable Oximetry Ear Sensor, Model E1Masimo Corporation2010—
−1K121912E1 Ear SensorsMasimo Corporation2012—
0 (this device)K122996Assurance Alar Sensor Model 10078; AB-N Adapter Cable Model 10085Xhale2013—
+1K143216Assurance Alar / Nasal SpO2 SensorXhale, Inc.20151
+2K171423Nasal Alar SpO2 SensorXhale, Inc.20171
+3K253887Nasal Alar SpO2 Sensor (989803205381); Nasal Alar SpO2 Sensor (989803205391)…Philips Medizin Systeme2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198610
198710
198910
199030
199240
199320
199430
199540
199620
199740
199850
199980
2000110
200130
200240
200320

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201510
201710
202610
FIG. 1 — Lineage of K122996, 1994–2026Source: 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.

Planning a device in DQA? 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 DQA device

  1. #1 K221282 Empatica Health Monitoring Platformscore 20.1 · 38 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
*K991823N-395 Pulse Oximeter, Model N-395
Summary page 1
…Class 11,2I1CFR 870.2700, 2I1CFR 870.2900 Product Code 74 DQA, 74 DSA Predicate Device(s) Nellcor N-395 Pulse Oximeter System - K991823 Nellcor OxiMax-Fast Adhesive Forehead Sensor - K02 1089 Masim…
Nellcor Puritan Bennett, Inc.1999—
*K021089Oximax Max-Fast Adhesive Forehead Sensor
Summary page 1
…74 DSA Predicate Device(s) Nellcor N-395 Pulse Oximeter System - K991823 Nellcor OxiMax-Fast Adhesive Forehead Sensor - K02 1089 Masimio El Ear Sensor -K121912 Device Description The AssuranceTM Alar Sensor is a disposable,…
Nellcor Puritan Bennett, Inc.2002—
*K121912E1 Ear Sensors
Summary page 1
…meter System - K991823 Nellcor OxiMax-Fast Adhesive Forehead Sensor - K02 1089 Masimio El Ear Sensor -K121912 Device Description The AssuranceTM Alar Sensor is a disposable, single patient use Pulse Oximetry sensor designed to attach to t…
Masimo Corporation2012—

Also cleared against K991823: 20 other devices →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K143216Assurance Alar / Nasal SpO2 SensorXhale, Inc.20152

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 19 years and passes through 8 companies; a new generation was cleared every 5 months on median.
  • 6 of the 75 ancestors have a recall of any class.
  • Of its descendants, K143216 (Xhale, Inc., 2015) has gone furthest, with 2 descendants of its own.
  • 20 other devices also cite its predicate K991823.

How does its category compare?

All DQA devices

DQA Oximeter: FDA decisions, review times, recalls and adverse event reports over 20 years. 2013, this device’s year, is highlighted.

FDA decisions per year · DQA

15in 2025

2007: 202008: 222009: 352010: 292011: 152012: 142013: 152014: 112015: 132016: 142017: 92018: 182019: 192020: 152021: 102022: 202023: 132024: 142025: 152026 (partial year): 8
2007high 35 (2009) · low 9 (2017)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DQA

182in 2025

2007: 122 days median2008: 97 days median2009: 117 days median2010: 127 days median2011: 195 days median2012: 120 days median2013: 182 days median2014: 175 days median2015: 158 days median2016: 246 days median2017: 200 days median2018: 260 days median2019: 158 days median2020: 126 days median2021: 174 days median2022: 265 days median2023: 317 days median2024: 285 days median2025: 182 days median2026 (partial year): 187 days median
2007high 317 (2023) · low 97 (2008)2026

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

Recalls per year · DQA

3in 2024

2007: 62008: 52009: 292010: 42011: 12014: 22015: 12018: 322024: 3
2007high 32 (2018) · low 0 (2012)2026

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

Adverse event reports per year · DQA

399in 2025

2007: 3252008: 3122009: 2812010: 1852011: 1642012: 3222013: 4682014: 1,1242015: 2,0822016: 1,7752017: 1,1902018: 6942019: 5482020: 4262021: 5532022: 4782023: 3922024: 5452025: 399
2007high 2,082 (2015) · low 164 (2011)2025

MAUDE reports naming product code DQA, 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
2007201226325
200822975312
20093511729281
2010291274185
2011151951164
2012141200322
2013151820468
20141117521,124
20151315812,082
20161424601,775
2017920001,190
20181826032694
2019191580548
2020151260426
2021101740553
2022202650478
2023133170392
2024142853545
2025151820399
202681870—

What is it indicated for?

The Assurance Alar Sensor is indicated for single patient use for continuously noninvasive monitoring of functional oxygen saturation of arterial hemoglobin (5P02) and pulse rate from the nasal ala of adult and pediatric patients (weighing > 30kg), who are well or poorly perfused. The sensor can be used in a variety of healthcare environments where compatible pulse oximetry monitors are indicated far use, under professional supervision.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K122996: Assurance Alar Sensor Model 10078; AB-N Adapter Cable Model 10085.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K122996

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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