510(k) Report

510(k) · Cleared

Cleared

Metaneb

K124032510(k) TraditionalCleared Apr 25, 2013118-day reviewClass II21 CFR 868.5905

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

Hill-Rom Services Pte, Ltd. · NHJ Device, Positive Pressure Breathing, Intermittent

Cleared on Apr 25, 2013 as substantially equivalent to K051964 (Comedica, Inc., 2005) and 1 other predicate after a 118-day review. Its family tree reaches back 3 generations to 1995. 2 of the 12 devices in its family, counting itself, have a Class I recall. 6 later devices descend from it.

Decided
Apr 25, 2013
Review
118 days
Class
Class II
Product code
NHJ
Recalls
None
Predicates
2

Its longest line of descent runs back 3 generations to K944900 (1995). 5 ancestors in all, the oldest K895485 (1989). 6 later devices descend from it, 2 citing it directly. 2 of the 12 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 1989: 1 other ancestor1996: 1 other ancestor2020: 2 descendants cleared, 2 with a Class I recall22016: 1 descendant cleared2024: 1 descendant cleared2022: 1 descendant cleared2026: 1 descendant clearedK944900 · Therapep · Dhd Diemolding Healthcare Div. · 1995K991300 · Boeing, Positive Airway Pressure (Pap) Therapy Device · Dhd Healthcare Corp. · 1999K051964 · Powerneb · Comedica, Inc. · 20051990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor3 generations back: 1 other ancestor 1 generation forward: 2 descendants, 1 with a Class I recall12 generations forward: 1 descendant, 1 with a Class I recall13 generations forward: 2 descendants4 generations forward: 1 descendant K051964 · Powerneb · Comedica, Inc. · 2005K991300 · Boeing, Positive Airway Pressure (Pap) Therapy Device · Dhd Healthcare Corp. · 1999K944900 · Therapep · Dhd Diemolding Healthcare Div. · 19950
  1. Root · 3 generations backK944900 TherapepDhd Diemolding Healthcare Div. · 1995
  2. 2 generations backK991300 Boeing, Positive Airway Pressure (Pap) Therapy DeviceDhd Healthcare Corp. · 1999
  3. 1 generation backK051964 PowernebComedica, Inc. · 2005
  4. This deviceK124032 MetanebHill-Rom Services Pte, Ltd. · 2013
  5. Descendant · cites it directly · 5 of its ownK151689 MetaNeb 4 SystemHill-Rom Services Pte, Ltd. · 2016
  6. Descendant · cites it directly · 4 of its ownK192143 Maximus SystemHill-Rom Services Pte, Ltd. · 2020 · Recalled (Class I)
  7. Descendant · 2 generations on · 3 of its ownK200988 Maximus SystemHill-Rom Services Pte, Ltd. · 2020 · Recalled (Class I)
  8. Descendant · 3 generations on · 1 of its ownK231728 BiWaze Clear SystemAbmrc, LLC · 2024
  9. Descendant · 4 generations on · 0 of its ownK260604 BiWaze Clear SystemAbmrc, LLC · 2026

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2016: 12020: 22022: 12024: 12026: 1
2016high 2 (2020) · low 0 (2017)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 6 · See all
  • K151689MetaNeb 4 SystemHill-Rom Services Pte, Ltd. · 2016 · cites it directly5descendants
  • K192143Maximus SystemHill-Rom Services Pte, Ltd. · 2020 · cites it directly4descendants
  • K200988Maximus SystemHill-Rom Services Pte, Ltd. · 2020 · 2 generations on3descendants
  • K231728BiWaze Clear SystemAbmrc, LLC · 2024 · 3 generations on1descendant
  • K260604BiWaze Clear SystemAbmrc, LLC · 2026 · 4 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K944900TherapepDhd Diemolding Healthcare Div.1995—
−2K991300Boeing, Positive Airway Pressure (Pap) Therapy DeviceDhd Healthcare Corp.1999—
−1K051964PowernebComedica, Inc.2005—
0 (this device)K124032MetanebHill-Rom Services Pte, Ltd.2013—
+1K151689MetaNeb 4 SystemHill-Rom Services Pte, Ltd.2016—
+1K192143Maximus SystemHill-Rom Services Pte, Ltd.2020Class I
+2K200988Maximus SystemHill-Rom Services Pte, Ltd.2020Class I
+3K231728BiWaze Clear SystemAbmrc, LLC2024—
+4K260604BiWaze Clear SystemAbmrc, LLC2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198910
199610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201610
202022
202210
202410
202610
FIG. 1 — Lineage of K124032, 1995–2026Source: 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 NHJ device

  1. #1 K260604 BiWaze Clear Systemscore 14.0 · 8 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? (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
*K051964Powerneb
Summary page 1
…NHJ - non-continuous ventilator (IPPB) 21 CFR 868.5905 Class 2 Predicate Devices: K05 1964 - PowerNeb® CoMedica K895485 - IPV - Percussionaire Corp Device Description: The MetaNeb® Sys…
Comedica, Inc.2005—
*K895485Bird (Ipv) Noncontinuous Ventilators
Summary page 1
…21 CFR 868.5905 Class 2 Predicate Devices: K05 1964 - PowerNeb® CoMedica K895485 - IPV - Percussionaire Corp Device Description: The MetaNeb® System is a therapeutic device that uses a systematic approach to…
Percussionaire Corp.1989—

Also cleared against K051964: 1 other device →

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K151689MetaNeb 4 SystemHill-Rom Services Pte, Ltd.20165
K192143Maximus System Class IHill-Rom Services Pte, Ltd.20204

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

No FDA recall names this device.

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.

  • K192143Maximus SystemHill-Rom Services Pte, Ltd. · 2020 · Cites it directly · ◆ in the 2020 descendants bar of FIG. 17 Class I recalls
  • K200988Maximus SystemHill-Rom Services Pte, Ltd. · 2020 · 2 generations on · ◆ in the 2020 descendants bar of FIG. 19 Class I recalls

What does this lineage say?

  • The line of descent spans 18 years and passes through 4 companies; a new generation was cleared every 6.4 years on median.
  • None of the 5 ancestors has a recall.
  • Of its descendants, K151689 (Hill-Rom Services Pte, Ltd., 2016) has gone furthest, with 5 descendants of its own.
  • 1 other device also cites its predicate K051964.

How does its category compare?

All NHJ devices

NHJ Device, Positive Pressure Breathing, Intermittent: FDA decisions, review times, recalls and adverse event reports over 20 years. 2013, this device’s year, is highlighted.

FDA decisions per year · NHJ

1in 2025

2008: 12012: 22013: 22014: 32016: 12020: 32022: 12024: 12025: 12026 (partial year): 2
2007high 3 (2014) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NHJ

190in 2020

2014: 207 days median2020: 190 days median
2007high 207 (2014) · low 190 (2020)2026

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

Recalls per year · NHJ

11so far in 2026, the most since 2007

2024: 1, 1 Class I2026 (partial year): 11, 4 Class I
2007high 11 (2026) · low 0 (2007)2026

Class I (5 since 2007) Class II/III not classified

Adverse event reports per year · NHJ

35in 2025

2007: 162008: 72009: 12010: 22012: 22013: 22014: 12015: 22016: 22017: 62018: 22019: 12020: 32021: 52022: 62023: 172024: 402025: 35
2007high 40 (2024) · low 0 (2011)2025

MAUDE reports naming product code NHJ, 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
20070—016
20081—07
20090—01
20100—02
20110—00
20122—02
20132—02
2014320701
20150—02
20161—02
20170—06
20180—02
20190—01
2020319003
20210—05
20221—06
20230—017
20241—1 (1)40
20251—035
20262—11 (4)—

What is it indicated for?

The MetaNeb® System is indicated for mobilization of secretions, lung expansion therapy, the treatment

and prevention of pulmonary atelectasis, and also has the ability to provide supplemental oxygen when

used with compressed oxygen.

Patient population - Adult and Children > 2 years old

Environments of use - Hospitals, sub-acute facilities, physician offices, and clinics.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K124032: Metaneb.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K124032

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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