510(k) Report

510(k) · Cleared

Cleared

Simple T Pediatric Nasal Mask

K151120510(k) AbbreviatedCleared Apr 15, 2016354-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

Respironics, Inc. · BZD Ventilator, Non-Continuous (Respirator)

Cleared on Apr 15, 2016 as substantially equivalent to K140268 (Respironics, Inc., 2014) and 1 other predicate after a 354-day review. Its family tree reaches back 7 generations to 1991. 5 of the 35 devices in its family, counting itself, have a Class I recall.

Decided
Apr 15, 2016
Review
354 days
Class
Class II
Product code
BZD
Recalls
None
Predicates
2

Its longest line of descent runs back 7 generations to K902859 (1991). 34 ancestors in all, the oldest K841279 (1984). No later device cites it as a predicate yet. 5 of the 35 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year cleared 2014: 1 other ancestor, 1 with a Class I recall12007: 1 other ancestor2003: 3 other ancestors, 1 with a Class I recall12000: 3 other ancestors1999: 2 other ancestors2002: 1 other ancestor2001: 3 other ancestors1998: 4 other ancestors, 1 with a Class I recall11984: 2 other ancestors1997: 1 other ancestor1996: 2 other ancestors1990: 1 other ancestor1994: 2 other ancestors1995: 1 other ancestorK902859 · Servo Ventilator 300 · Siemens Life Support Systems · 1991 · recalledK961687 · EVITA 4 · Drager, Inc. · 1996K970165 · Evita 2 Dura · Drager, Inc. · 1997K041775 · GE Datex-Ohmeda Engstrom Carestation · Datex-Ohmeda, Inc. · 2004K051767 · LTV 1000 Ventilator · Pulmonetic Systems, Inc. · 2005K083526 · Trilogy 100 Ventilator · Respironics Inc., Sleep & Home Respiratory Group · 2009 · Class I recallK093416 · Trilogy 200 Ventilator · Respironics, Inc. · 2010 · Class I recall1980199020002010
Other ancestors, by generation 1 generation back: 1 other ancestor, 1 with a Class I recall13 generations back: 4 other ancestors4 generations back: 7 other ancestors, 1 with a Class I recall15 generations back: 8 other ancestors, 1 with a Class I recall16 generations back: 5 other ancestors7 generations back: 2 other ancestors K093416 · Trilogy 200 Ventilator · Respironics, Inc. · 2010 · Class I recallK083526 · Trilogy 100 Ventilator · Respironics Inc., Sleep & Home Respiratory Group · 2009 · Class I recallK051767 · LTV 1000 Ventilator · Pulmonetic Systems, Inc. · 2005K041775 · GE Datex-Ohmeda Engstrom Carestation · Datex-Ohmeda, Inc. · 2004K970165 · Evita 2 Dura · Drager, Inc. · 1997K961687 · EVITA 4 · Drager, Inc. · 1996K902859 · Servo Ventilator 300 · Siemens Life Support Systems · 1991 · recalled−50
  1. Root · 7 generations backK902859 Servo Ventilator 300Siemens Life Support Systems · 1991 · Recalled
  2. 6 generations backK961687 EVITA 4Drager, Inc. · 1996
  3. 5 generations backK970165 Evita 2 DuraDrager, Inc. · 1997
  4. 4 generations backK041775 GE Datex-Ohmeda Engstrom CarestationDatex-Ohmeda, Inc. · 2004
  5. 3 generations backK051767 LTV 1000 VentilatorPulmonetic Systems, Inc. · 2005
  6. 2 generations backK083526 Trilogy 100 VentilatorRespironics Inc., Sleep & Home Respiratory Group · 2009 · Recalled (Class I)
  7. 1 generation backK093416 Trilogy 200 VentilatorRespironics, Inc. · 2010 · Recalled (Class I)
  8. This deviceK151120 Simple T Pediatric Nasal MaskRespironics, Inc. · 2016

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K902859Servo Ventilator 300Siemens Life Support Systems19913
−6K961687EVITA 4Drager, Inc.1996—
−5K970165Evita 2 DuraDrager, Inc.1997—
−4K041775GE Datex-Ohmeda Engstrom CarestationDatex-Ohmeda, Inc.2004—
−3K051767LTV 1000 VentilatorPulmonetic Systems, Inc.2005—
−2K083526Trilogy 100 VentilatorRespironics Inc., Sleep & Home Respiratory Group2009Class I
−1K093416Trilogy 200 VentilatorRespironics, Inc.2010Class I
0 (this device)K151120Simple T Pediatric Nasal MaskRespironics, Inc.2016—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198420
199010
199420
199510
199620
199710
199841
199920
200030
200130
200210
200331
200710
201411
FIG. 1 — Lineage of K151120, 1991–2016Source: 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.

5 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
*K140268Simple T Youth Nasal Mask
Summary page 4
…roduct Code BZD – Ventilator, non-continuous Product Code (respirator) Predicate Device(s) Respironics Simple T Youth Nasal Mask (K140268) Respironics Profile Lite Small Child (K093416) Reference Device Respiro…
Respironics, Inc.2014Class I
*K093416Trilogy 200 Ventilator
Summary page 4
…spirator) Predicate Device(s) Respironics Simple T Youth Nasal Mask (K140268) Respironics Profile Lite Small Child (K093416) Reference Device Respironics Trilogy 200 (K093416) Indications for Use This mask is intended to provide…
Respironics, Inc.2010Class I

Also cleared against K140268: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (5 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.

  • K140268Simple T Youth Nasal MaskRespironics, Inc. · 2014 · Direct predicate · ◆ in the 2014 ancestors bar of FIG. 11 Class I recall
  • K093416Trilogy 200 VentilatorRespironics, Inc. · 2010 · Direct predicate · ◆ on the line of descent in FIG. 14 Class I recalls
  • K083526Trilogy 100 VentilatorRespironics Inc., Sleep & Home Respiratory Group · 2009 · 2 generations back · ◆ on the line of descent in FIG. 15 Class I recalls
  • K981072Esprit VentilatorRespironics, Inc. · 1998 · 4 generations back · ◆ in the 1998 ancestors bar of FIG. 11 Class I recall
  • K023366Datex-Ohmeda 7900 Ventilator EnhancementsDatex-Ohmeda, Inc. · 2003 · 5 generations back · ◆ in the 2003 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 25 years and passes through 6 companies; a new generation was cleared every 3.6 years on median.
  • 17 of the 34 ancestors have a recall of any class; 5 have a Class I recall.
  • 1 other device also cites its predicate K140268.

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. 2016, 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?

This mask is intended to provide an interface for application of non-invasive ventilation to patients. The mask is for single patient use in the home and multi-patient use in the hospital/institutional environment. The mask is to be used on patients greater than 10 kg/22 lbs (>10 kg/22 lbs) for whom non-invasive ventilation has been prescribed. Use of this mask is limited by the indications for use of the compatible therapy device with respect to patient weight.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K151120: Simple T Pediatric 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/K151120

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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