510(k) Report

510(k) · Cleared

Cleared

INOmax DSIR Plus MRI

K143213510(k) TraditionalCleared Jul 10, 2015242-day reviewClass II21 CFR 868.5165

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

Ino Therapeutics/Ikaria · MRN Apparatus, Nitric Oxide Delivery

Cleared on Jul 10, 2015 as substantially equivalent to K131686 (Ino Therapeutics/Ikaria, 2013) after a 242-day review. Its family tree reaches back 12 generations to 2001.

Decided
Jul 10, 2015
Review
242 days
Class
Class II
Product code
MRN
Recalls
None
Predicates
1

Its longest line of descent runs back 12 generations to K003665 (2001). 20 ancestors in all, the oldest K000186 (2000). No later device cites it as a predicate yet.

  1. Root · 12 generations backK003665 Fadassi Medical FM-1 NO BlenderFadasis Medical, Inc. · 2001
  2. 8 generations between
  3. 3 generations backK121021 Inomax DS (Delivery System)Ino Therapeutics · 2012
  4. 2 generations backK130605 Inomax Dsir (Delivery System)Ino Therapeutics · 2013
  5. 1 generation backK131686 Inomax Dsir (Delivery System)Ino Therapeutics/Ikaria · 2013 · Recalled
  6. This deviceK143213 INOmax DSIR Plus MRIIno Therapeutics/Ikaria · 2015
Show all 12 generations
  1. Root · 12 generations backK003665 Fadassi Medical FM-1 NO BlenderFadasis Medical, Inc. · 2001
  2. 11 generations backK011874 Fadasis Medical FM-1 NO BlenderFadasis Medical, Inc. · 2001
  3. 10 generations backK052663 Ino Therapeutics Inoblender, Model 10004Ino Therapeutics · 2005
  4. 9 generations backK061901 Ino Therapeutics Inomax DS (Delivery System), Model 10003Ino Therapeutics · 2006 · Recalled
  5. 8 generations backK070867 Inomax DS (Delivery System), Model 10003Ino Therapeutics, LLC · 2007
  6. 7 generations backK071516 Inomax DSIno Therapeutics, LLC · 2007
  7. 6 generations backK080484 Inomax DS (Delivery System), Model 10003Ino Therapeutics · 2008
  8. 5 generations backK110635 Inomax DS (IR) (Delivery System)Ino Therapeutics, LLC/Dba Ikaria · 2011
  9. 4 generations backK113272 Inomax DS (Delivery SystemsIno Therapeutics, LLC/Dba Ikaria · 2012
  10. 3 generations backK121021 Inomax DS (Delivery System)Ino Therapeutics · 2012
  11. 2 generations backK130605 Inomax Dsir (Delivery System)Ino Therapeutics · 2013
  12. 1 generation backK131686 Inomax Dsir (Delivery System)Ino Therapeutics/Ikaria · 2013 · Recalled
  13. This deviceK143213 INOmax DSIR Plus MRIIno Therapeutics/Ikaria · 2015
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K003665Fadassi Medical FM-1 NO BlenderFadasis Medical, Inc.2001—
−11K011874Fadasis Medical FM-1 NO BlenderFadasis Medical, Inc.2001—
−10K052663Ino Therapeutics Inoblender, Model 10004Ino Therapeutics2005—
−9K061901Ino Therapeutics Inomax DS (Delivery System), Model 10003Ino Therapeutics20063
−8K070867Inomax DS (Delivery System), Model 10003Ino Therapeutics, LLC2007—
−7K071516Inomax DSIno Therapeutics, LLC2007—
−6K080484Inomax DS (Delivery System), Model 10003Ino Therapeutics2008—
−5K110635Inomax DS (IR) (Delivery System)Ino Therapeutics, LLC/Dba Ikaria2011—
−4K113272Inomax DS (Delivery SystemsIno Therapeutics, LLC/Dba Ikaria2012—
−3K121021Inomax DS (Delivery System)Ino Therapeutics2012—
−2K130605Inomax Dsir (Delivery System)Ino Therapeutics2013—
−1K131686Inomax Dsir (Delivery System)Ino Therapeutics/Ikaria20134
0 (this device)K143213INOmax DSIR Plus MRIIno Therapeutics/Ikaria2015—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200020
200310
200810
200910
201020
201110
FIG. 1 — Lineage of K143213, 2001–2015Source: 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 MRN? 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 MRN device

  1. #1 K242374 ULSPIRA TS™ Nitric Oxide Therapy Systemscore 12.6 · 14 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
*K131686Inomax Dsir (Delivery System)
Summary page 4
…Backup Delivery Device Classification: Class II – 21 CFR 868.5165 Product Code: MRN (Primary), MRO, MRP, MRQ Predicate Device(s) K131686 Ikaria 510(k) Premarket Notification INOmax DSIR Plus MRI Description of Dev…
Ino Therapeutics/Ikaria20134

Also cleared against K131686: 2 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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 14 years and passes through 5 companies; a new generation was cleared every 8 months on median.
  • 4 of the 20 ancestors have a recall of any class.
  • 2 other devices also cite its predicate K131686.

How does its category compare?

All MRN devices

MRN Apparatus, Nitric Oxide Delivery: FDA decisions, review times, recalls and adverse event reports over 20 years. 2015, this device’s year, is highlighted.

FDA decisions per year · MRN

2in 2025

2007: 22008: 22009: 12010: 22011: 22012: 32013: 22015: 12018: 12020: 32022: 12023: 42024: 22025: 2
2007high 4 (2023) · low 0 (2014)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MRN

566in 2023

2012: 117 days median2020: 84 days median2023: 566 days median
2007high 566 (2023) · low 84 (2020)2026

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

Recalls per year · MRN

2in 2025

2010: 22014: 12023: 12025: 2, 2 Class I2026 (partial year): 2
2007high 2 (2010) · low 0 (2007)2026

Class I (2 since 2007) Class II/III not classified

Adverse event reports per year · MRN

155in 2025

2007: 32008: 92009: 102010: 1552011: 552012: 242013: 322014: 792015: 1562016: 942017: 1062018: 1382019: 1442020: 1992021: 2212022: 1152023: 992024: 1382025: 155
2007high 221 (2021) · low 3 (2007)2025

MAUDE reports naming product code MRN, 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
20072—03
20082—09
20091—010
20102—2155
20112—055
20123117024
20132—032
20140—179
20151—0156
20160—094
20170—0106
20181—0138
20190—0144
20203840199
20210—0221
20221—0115
20234566199
20242—0138
20252—2 (2)155
20260—2—

What is it indicated for?

The INOmax DSIR® Plus MRI delivery system is indicated for delivery of INOMAX® (nitric oxide for inhalation) therapy gas into the inspiratory limb of the patient breathing circuit in a way that provides a constant concentration of nitric oxide (NO), as set by the user, to the patient throughout the inspired breath. The INOmax DSIR® Plus MRI is indicated for use only with MR Conditional ventilators validated to be compatible, as identified in the device…

Read the full statement (159 words)

The INOmax DSIR® Plus MRI delivery system is indicated for delivery of INOMAX® (nitric oxide for inhalation)

therapy gas into the inspiratory limb of the patient breathing circuit in a way that provides a constant concentration of

nitric oxide (NO), as set by the user, to the patient throughout the inspired breath. The INOmax DSIR® Plus MRI is

indicated for use only with MR Conditional ventilators validated to be compatible, as identified in the device labeling.

The INOmax DSIR® Plus MRI is indicated for continuous integrated monitoring of inspired O2, NO2, and NO.

The INOmax DSIR® Plus MRI is considered MR Conditional with the use of 1.5 Tesla and 3.0 Tesla static magnetic field

scanners ONLY in areas where the field strength is less than 100 gauss.

The target patient population is controlled by the drug labeling for INOMAX® and is currently neonates. The primary

targeted clinical setting is a clinical 1.5 Tesla and 3.0 Tesla diagnostic imaging environment.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K143213: INOmax DSIR Plus MRI.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K143213

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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