510(k) Report

510(k) · Cleared

Recalled · Class I · 2016

CAPNOSTREAM20P with Hifi C02 Monitoring

K123690510(k) TraditionalCleared Aug 5, 2014610-day reviewClass II21 CFR 868.1400Recalls 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

Oridion Medical 1987, Ltd. · CCK Analyzer, Gas, Carbon-Dioxide, Gaseous-Phase

Cleared on Aug 5, 2014 as substantially equivalent to K112368 (Oridion Medical 1987, Ltd., 2012) after a 610-day review. Its family tree reaches back 14 generations to 1997. 2 of the 50 devices in its family, counting itself, have a Class I recall. It has been recalled once, including a Class I recall.

Decided
Aug 5, 2014
Review
610 days
Class
Class II
Product code
CCK
Recalls
1 (1 Class I)
Predicates
1

Its longest line of descent runs back 14 generations to K962603 (1997). 49 ancestors in all, the oldest K853990 (1985). No later device cites it as a predicate yet. 2 of the 50 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year cleared 2008: 1 other ancestor2006: 2 other ancestors1985: 1 other ancestor2005: 2 other ancestors2004: 3 other ancestors2003: 2 other ancestors2002: 1 other ancestor2000: 2 other ancestors1999: 3 other ancestors1995: 4 other ancestors1990: 2 other ancestors1998: 4 other ancestors1997: 2 other ancestors, 1 with a Class I recall11996: 2 other ancestors1991: 2 other ancestors1993: 1 other ancestor1992: 1 other ancestorK962603 · Masimo Set MS-1 Pulse Oximeter & the Lnop Series of Sensors & Cables · Masimo Corp. · 1997K973887 · Masimo Set MS-1P Pulse Oximeter and the Lnop Series of Sensors and Cables · Masimo Corp. · 1998K982255 · Model 2000 Pulse Oximeter · Ivy Biomedical Systems, Inc. · 1998K991823 · N-395 Pulse Oximeter, Model N-395 · Nellcor Puritan Bennett, Inc. · 1999×2: 2 generations cleared close together, K012891 (2002), K021090 (2002) K033048 · Cas 740 Series Monitor, Models 740-1, 740M-1, 740-2MS, 740M-2MS, 740-2NL, 740M-2NL, 740-2NN, 740M-2NN, 740-3MS, 740M-3MS · Cas Medical Systems, Inc. · 2004 · recalledK050844 · 750C Series Monitor, Models 750C-2MS, 750CM-2MS, 750C-NNL, 750CM-2NL, 750C-3MS, 750CM-3MS, 750C-3NL, 750CM-3NL · Cas Medical Systems, Inc. · 2005K060065 · CAPNOSTREAM20 Two Parameter Bedside Monitor & CAPNOSTREAM10 One Parameter Bedside Monitor · Oridion Capnography, Inc. · 2006 · recalledK072295 · Capnostream 20 with A2 Adaptive Averaging Software · Oridion Capnography, Inc. · 2007K082268 · CAPNOSTREAM20 with Integrated Pulmonary Index · Oridion Capnography, Inc. · 2009 · recalledK094012 · CAPNOSTREAM20 with MICROMEDICO2 Module · Oridion Capnography, Inc. · 2010K101995 · Capnostream 20P with Masimo SPO2 Board · Oridion Capnography, Inc. · 2011K112368 · CAPNOSTREAM20P with AI/Odi · Oridion Medical 1987, Ltd. · 2012 · recalled1985199019952000200520102015
Other ancestors, by generation 3 generations back: 1 other ancestor4 generations back: 3 other ancestors5 generations back: 2 other ancestors6 generations back: 2 other ancestors7 generations back: 4 other ancestors8 generations back: 9 other ancestors9 generations back: 7 other ancestors, 1 with a Class I recall110 generations back: 5 other ancestors11 generations back: 2 other ancestors K112368 · CAPNOSTREAM20P with AI/Odi · Oridion Medical 1987, Ltd. · 2012 · recalledK101995 · Capnostream 20P with Masimo SPO2 Board · Oridion Capnography, Inc. · 2011K094012 · CAPNOSTREAM20 with MICROMEDICO2 Module · Oridion Capnography, Inc. · 2010K082268 · CAPNOSTREAM20 with Integrated Pulmonary Index · Oridion Capnography, Inc. · 2009 · recalledK072295 · Capnostream 20 with A2 Adaptive Averaging Software · Oridion Capnography, Inc. · 2007K060065 · CAPNOSTREAM20 Two Parameter Bedside Monitor & CAPNOSTREAM10 One Parameter Bedside Monitor · Oridion Capnography, Inc. · 2006 · recalledK050844 · 750C Series Monitor, Models 750C-2MS, 750CM-2MS, 750C-NNL, 750CM-2NL, 750C-3MS, 750CM-3MS, 750C-3NL, 750CM-3NL · Cas Medical Systems, Inc. · 2005K033048 · Cas 740 Series Monitor, Models 740-1, 740M-1, 740-2MS, 740M-2MS, 740-2NL, 740M-2NL, 740-2NN, 740M-2NN, 740-3MS, 740M-3MS · Cas Medical Systems, Inc. · 2004 · recalledK021090 · Oximax N-550 Pulse Oximeter,Model N-550 Pulse Oximeter · Nellcor Puritan Bennett, Inc. · 2002K012891 · Oximax Pulse Oximetry System with N-595 Pulse Oximeter and Oximax Sensors and Cables (Aka Accessories) · Nellcor Puritan Bennett, Inc. · 2002 · recalledK991823 · N-395 Pulse Oximeter, Model N-395 · Nellcor Puritan Bennett, Inc. · 1999K982255 · Model 2000 Pulse Oximeter · Ivy Biomedical Systems, Inc. · 1998K973887 · Masimo Set MS-1P Pulse Oximeter and the Lnop Series of Sensors and Cables · Masimo Corp. · 1998K962603 · Masimo Set MS-1 Pulse Oximeter & the Lnop Series of Sensors & Cables · Masimo Corp. · 1997−10−50
  1. Root · 14 generations backK962603 Masimo Set MS-1 Pulse Oximeter & the Lnop Series of Sensors & CablesMasimo Corp. · 1997
  2. 10 generations between
  3. 3 generations backK094012 CAPNOSTREAM20 with MICROMEDICO2 ModuleOridion Capnography, Inc. · 2010
  4. 2 generations backK101995 Capnostream 20P with Masimo SPO2 BoardOridion Capnography, Inc. · 2011
  5. 1 generation backK112368 CAPNOSTREAM20P with AI/OdiOridion Medical 1987, Ltd. · 2012 · Recalled
  6. This deviceK123690 CAPNOSTREAM20P with Hifi C02 MonitoringOridion Medical 1987, Ltd. · 2014
Show all 14 generations
  1. Root · 14 generations backK962603 Masimo Set MS-1 Pulse Oximeter & the Lnop Series of Sensors & CablesMasimo Corp. · 1997
  2. 13 generations backK973887 Masimo Set MS-1P Pulse Oximeter and the Lnop Series of Sensors and…Masimo Corp. · 1998
  3. 12 generations backK982255 Model 2000 Pulse OximeterIvy Biomedical Systems, Inc. · 1998
  4. 11 generations backK991823 N-395 Pulse Oximeter, Model N-395Nellcor Puritan Bennett, Inc. · 1999
  5. 10 generations backK012891 Oximax Pulse Oximetry System with N-595 Pulse Oximeter and Oximax…Nellcor Puritan Bennett, Inc. · 2002 · Recalled
  6. 9 generations backK021090 Oximax N-550 Pulse Oximeter,Model N-550 Pulse OximeterNellcor Puritan Bennett, Inc. · 2002
  7. 8 generations backK033048 Cas 740 Series Monitor, Models 740-1, 740M-1, 740-2MS, 740M-2MS…Cas Medical Systems, Inc. · 2004 · Recalled
  8. 7 generations backK050844 750C Series Monitor, Models 750C-2MS, 750CM-2MS, 750C-NNL…Cas Medical Systems, Inc. · 2005
  9. 6 generations backK060065 CAPNOSTREAM20 Two Parameter Bedside Monitor & CAPNOSTREAM10 One…Oridion Capnography, Inc. · 2006 · Recalled
  10. 5 generations backK072295 Capnostream 20 with A2 Adaptive Averaging SoftwareOridion Capnography, Inc. · 2007
  11. 4 generations backK082268 CAPNOSTREAM20 with Integrated Pulmonary IndexOridion Capnography, Inc. · 2009 · Recalled
  12. 3 generations backK094012 CAPNOSTREAM20 with MICROMEDICO2 ModuleOridion Capnography, Inc. · 2010
  13. 2 generations backK101995 Capnostream 20P with Masimo SPO2 BoardOridion Capnography, Inc. · 2011
  14. 1 generation backK112368 CAPNOSTREAM20P with AI/OdiOridion Medical 1987, Ltd. · 2012 · Recalled
  15. This deviceK123690 CAPNOSTREAM20P with Hifi C02 MonitoringOridion Medical 1987, Ltd. · 2014

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−14K962603Masimo Set MS-1 Pulse Oximeter & the Lnop Series of Sensors & CablesMasimo Corp.1997—
−13K973887Masimo Set MS-1P Pulse Oximeter and the Lnop Series of Sensors and CablesMasimo Corp.1998—
−12K982255Model 2000 Pulse OximeterIvy Biomedical Systems, Inc.1998—
−11K991823N-395 Pulse Oximeter, Model N-395Nellcor Puritan Bennett, Inc.1999—
−10K012891Oximax Pulse Oximetry System with N-595 Pulse Oximeter and Oximax Sensors and…Nellcor Puritan Bennett, Inc.20021
−9K021090Oximax N-550 Pulse Oximeter,Model N-550 Pulse OximeterNellcor Puritan Bennett, Inc.2002—
−8K033048Cas 740 Series Monitor, Models 740-1, 740M-1, 740-2MS, 740M-2MS, 740-2NL…Cas Medical Systems, Inc.20041
−7K050844750C Series Monitor, Models 750C-2MS, 750CM-2MS, 750C-NNL, 750CM-2NL…Cas Medical Systems, Inc.2005—
−6K060065CAPNOSTREAM20 Two Parameter Bedside Monitor & CAPNOSTREAM10 One Parameter…Oridion Capnography, Inc.20063
−5K072295Capnostream 20 with A2 Adaptive Averaging SoftwareOridion Capnography, Inc.2007—
−4K082268CAPNOSTREAM20 with Integrated Pulmonary IndexOridion Capnography, Inc.20099
−3K094012CAPNOSTREAM20 with MICROMEDICO2 ModuleOridion Capnography, Inc.2010—
−2K101995Capnostream 20P with Masimo SPO2 BoardOridion Capnography, Inc.2011—
−1K112368CAPNOSTREAM20P with AI/OdiOridion Medical 1987, Ltd.20126
0 (this device)K123690CAPNOSTREAM20P with Hifi C02 MonitoringOridion Medical 1987, Ltd.2014—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198510
199020
199120
199210
199310
199540
199620
199721
199840
199930
200020
200210
200320
200430
200520
200620
200810
FIG. 1 — Lineage of K123690, 1997–2014Source: 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 CCK device

  1. #1 K253030 Capnostream™35 Portable Respiratory Monitor…score 15.8 · 16 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

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
*K112368CAPNOSTREAM20P with AI/Odi
Summary page 5
…quivalent to the following commercially available devices: MANUFACTURER DEVICE 510(k) No. Clearance Date Oridion 1987 Medical Ltd Capnostream20p with Smart A/hr &ODI K112368 July 19, 2012 DEVICE DESCRIPTION The Capnostream20p bedside monitor is a two parameter monitor consisting of a microMediCO2…
Oridion Medical 1987, Ltd.20126

Also cleared against K112368: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

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

Recalls of this device

DateClassRecallRoot causeReason
Apr 13, 2016Class IZ-1577-2016Process change controlMedtronic Respiratory & Monitoring Solutions Announces a Voluntary Recall of a Battery Pack Used with the Capnostream"20 and Capnostream"20p Patient Monitor Due to the Battery Pack Might Experience Thermal Runaway with the Potential of…

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.

  • K970209Capnocheck PlusBci Intl., Inc. · 1997 · 9 generations back · ◆ in the 1997 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 17 years and passes through 6 companies; a new generation was cleared every 1.3 years on median.
  • 12 of the 49 ancestors have a recall of any class; 1 has a Class I recall.
  • 1 other device also cites its predicate K112368.

How does its category compare?

All CCK devices

CCK Analyzer, Gas, Carbon-Dioxide, Gaseous-Phase: FDA decisions, review times, recalls and adverse event reports over 20 years. 2014, this device’s year, is highlighted.

FDA decisions per year · CCK

3in 2025

2007: 52008: 32009: 32010: 32011: 22012: 72013: 42014: 92015: 52016: 22017: 52018: 62019: 72020: 42021: 42022: 32023: 42024: 32025: 32026 (partial year): 3
2007high 9 (2014) · low 2 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · CCK

169in 2025

2007: 56 days median2008: 248 days median2009: 101 days median2010: 125 days median2012: 150 days median2013: 132 days median2014: 166 days median2015: 105 days median2017: 134 days median2018: 296 days median2019: 261 days median2020: 188 days median2021: 227 days median2022: 226 days median2023: 555 days median2024: 592 days median2025: 169 days median2026 (partial year): 224 days median
2007high 592 (2024) · low 56 (2007)2026

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

Recalls per year · CCK

1in 2022

2008: 12009: 192010: 42011: 142012: 32013: 2, 1 Class I2015: 12018: 52019: 7, 7 Class I2020: 12022: 1
2007high 19 (2009) · low 0 (2007)2026

Class I (8 since 2007) Class II/III not classified

Adverse event reports per year · CCK

1,259in 2025

2007: 72008: 202009: 212010: 122011: 182012: 132013: 282014: 512015: 1142016: 882017: 582018: 632019: 1412020: 2,3022021: 2,2722022: 2,4752023: 1,6372024: 1,2162025: 1,259
2007high 2,475 (2022) · low 7 (2007)2025

MAUDE reports naming product code CCK, 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
200755607
20083248120
200931011921
20103125412
20112—1418
20127150313
201341322 (1)28
20149166051
201551051114
20162—088
20175134058
20186296563
201972617 (7)141
2020418812,302
2021422702,272
2022322612,475
2023455501,637
2024359201,216
2025316901,259
202632240—

What is it indicated for?

The Capnostream®20p combined capnograph/pulse oximeter monitor and its accessories are intended to provide professionally trained health care providers with continuous, non-invasive measurement and monitoring of carbon dioxide concentration of the expired and inspired breath and respiration rate, and with continuous non-invasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate. It is also indicated for continuous…

Read the full statement (239 words)

The Capnostream®20p combined capnograph/pulse oximeter monitor and its accessories are intended to provide professionally trained health care providers with continuous, non-invasive measurement and monitoring of carbon dioxide concentration of the expired and inspired breath and respiration rate, and with continuous non-invasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate. It is also indicated for continuous non-invasive monitoring of carboxyhemoglobin saturation (measured by an SpCO/SpMet/SpHb sensor), methemoglobin saturation (measured by an SpCO/SpMet/SpHb sensor) and total hemoglobin concentration (measured by an SpCO/SpMet/SpHb sensor). It is intended for use with neonatal, pediatric, and adult patients in hospitals, hospital-type facilities, intra-hospital transport and home environments.

Capnostream®20p is to be operated by qualified healthcare personnel only. The Capnostream®20p monitor provides the clinician with an integrated pulmonary index (IPI). The IPI is based on four parameters provided by the monitor: end tidal carbon dioxide, respiration rate, oxygen saturation and pulse rate. The IPI is a single index of an adult or pediatric patient's ventilatory status displayed on a scale of 1 - 10, where 10 indicates optimal pulmonary status. IPI monitoring displays a single value that represents the patient's pulmonary parameters and alerts clinicians to changes in the patient's pulmonary status. The IPI is an adjunct to, and is not intended to replace, vital sign monitoring.

The Capnostream20p HiFi mode provides a measurement of expired carbon dioxide and detects spontaneous breaths for infant/neonatal patients ventilated using high frequency oscillatory ventilation (HFOV).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K123690: CAPNOSTREAM20P with Hifi C02 Monitoring.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K123690

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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