510(k) Report

510(k) · Cleared

Cleared

Rockwell Medical CitraPure Acid Concetrate

K160847510(k) TraditionalCleared Oct 20, 2016206-day reviewClass II21 CFR 876.5820

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

Rockwell Medical · KPO Dialysate Concentrate For Hemodialysis (Liquid Or Powder)

Cleared on Oct 20, 2016 as substantially equivalent to K980659 (Advanced Renal Technologies, Inc., 1998) and 1 other predicate after a 206-day review. Its family tree reaches back 2 generations to 1987. 5 later devices descend from it.

Decided
Oct 20, 2016
Review
206 days
Class
Class II
Product code
KPO
Recalls
None
Predicates
2

Its longest line of descent runs back 2 generations to K864265 (1987). 6 ancestors in all. 5 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2000: 1 other ancestor1994: 1 other ancestor1991: 1 other ancestor1990: 1 other ancestor2023: 1 descendant cleared2017: 1 descendant cleared2018: 2 descendants cleared2026: 1 descendant clearedReference device: K062399 · Rockwell Medicaltechnologies, Inc. Citrapure · Rockwell Medical Technologies, Inc. · 2006K864265 · Hemodialysis Bath Concentrate Solutions for Hemodi · Dial Medical of Florida, Inc. · 1987K980659 · Dryalysate Concentrate · Advanced Renal Technologies, Inc. · 19981990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 3 other ancestors 1 generation forward: 4 descendants2 generations forward: 1 descendant K980659 · Dryalysate Concentrate · Advanced Renal Technologies, Inc. · 1998K864265 · Hemodialysis Bath Concentrate Solutions for Hemodi · Dial Medical of Florida, Inc. · 19870
  1. Root · 2 generations backK864265 Hemodialysis Bath Concentrate Solutions for HemodiDial Medical of Florida, Inc. · 1987
  2. 1 generation backK980659 Dryalysate ConcentrateAdvanced Renal Technologies, Inc. · 1998
  3. This deviceK160847 Rockwell Medical CitraPure Acid ConcetrateRockwell Medical · 2016
  4. Descendant · cites it directly · 2 of its ownK171750 Citric Complete Dry Citric Acid (45X)Dimesol USA, LLC · 2018 · Recalled
  5. Descendant · cites it directly · 1 of its ownK223431 Citric Complete Liquid Citric Acid ConcentrateNipro Renal Solutions USA, Corp. · 2023 · Recalled
  6. Descendant · 2 generations on · 0 of its ownK260799 Nipro Dry Acid Concentrate MixerNipro Technical Solutions, Incoporated · 2026
  7. Descendant · cites it directly · 0 of its ownK180679 CitriCon Liquid and Powder (Acid Concentrate acidified with Citric…Global Scientific Technologies, LLC · 2018
  8. Descendant · cites it directly · 0 of its ownK171015 CitryteDi-Chem, Inc. · 2017

Most influential descendants

Showing 5 of 5 · See all
  • K171750Citric Complete Dry Citric Acid (45X)Dimesol USA, LLC · 2018 · cites it directly2descendants
  • K223431Citric Complete Liquid Citric Acid ConcentrateNipro Renal Solutions USA, Corp. · 2023 · cites it directly1descendant
  • K260799Nipro Dry Acid Concentrate MixerNipro Technical Solutions, Incoporated · 2026 · 2 generations on0descendants
  • K180679CitriCon Liquid and Powder (Acid Concentrate acidified with Citric Acid), AcetiCon…Global Scientific Technologies, LLC · 2018 · cites it directly0descendants
  • K171015CitryteDi-Chem, Inc. · 2017 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K864265Hemodialysis Bath Concentrate Solutions for HemodiDial Medical of Florida, Inc.1987—
−1K980659Dryalysate ConcentrateAdvanced Renal Technologies, Inc.1998—
0 (this device)K160847Rockwell Medical CitraPure Acid ConcetrateRockwell Medical2016—
+1K171750Citric Complete Dry Citric Acid (45X)Dimesol USA, LLC20182
+1K223431Citric Complete Liquid Citric Acid ConcentrateNipro Renal Solutions USA, Corp.20231
+2K260799Nipro Dry Acid Concentrate MixerNipro Technical Solutions, Incoporated2026—
+1K180679CitriCon Liquid and Powder (Acid Concentrate acidified with Citric Acid)…Global Scientific Technologies, LLC2018—
+1K171015CitryteDi-Chem, Inc.2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
199110
199410
200010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201710
201820
202310
202610
FIG. 1 — Lineage of K160847, 1987–2026Source: 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 KPO? 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 KPO device

  1. #1 K233159 pureFLOW 402, pureFLOW 400, pureFLOW 406…score 14.5 · 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
*K980659Dryalysate Concentrate
Summary page 4
…Predicate Device: Primary Predicate Devices: Advanced Renal Technologies (ART) DRYalysate Acid Concentrates K980659 Advanced Renal Technologies (ART) Citrasate Acid Concentrates K000792…
Advanced Renal Technologies, Inc.1998—
*K000792Citrasate Dialysate Acid Concentrate Liquid, Models CS-1XXX-XX, CS-XXX-XX, CS-3XXX-XX
Summary page 4
…te Acid Concentrates K980659 Advanced Renal Technologies (ART) Citrasate Acid Concentrates K000792 Reference Predicate Device: Rockwell Medical CitraPure® Acid Concentrates K0…
Advanced Renal Technologies, Inc.2000—
†K062399Rockwell Medicaltechnologies, Inc. CitrapureRockwell Medical Technologies, Inc.2006—

Also cleared against K980659: 2 other devices →

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K171750Citric Complete Dry Citric Acid (45X)Dimesol USA, LLC20182
K223431Citric Complete Liquid Citric Acid ConcentrateNipro Renal Solutions USA, Corp.20231
K180679CitriCon Liquid and Powder (Acid Concentrate acidified with Citric Acid), AcetiCon…Global Scientific Technologies, LLC20180
K171015CitryteDi-Chem, Inc.20170

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 29 years and passes through 3 companies; a new generation was cleared every 18.4 years on median.
  • 1 of the 6 ancestors has a recall of any class.
  • Of its descendants, K171750 (Dimesol USA, LLC, 2018) has gone furthest, with 2 descendants of its own.
  • 2 other devices also cite its predicate K980659.

How does its category compare?

All KPO devices

KPO Dialysate Concentrate For Hemodialysis (Liquid Or Powder): FDA decisions, review times, recalls and adverse event reports over 20 years. 2016, this device’s year, is highlighted.

FDA decisions per year · KPO

2in 2025

2007: 22008: 22009: 12011: 12012: 22013: 12014: 22015: 12016: 12017: 32018: 22020: 52021: 12022: 22023: 32024: 32025: 22026 (partial year): 2
2007high 5 (2020) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KPO

112in 2024

2017: 192 days median2020: 270 days median2023: 263 days median2024: 112 days median
2007high 270 (2020) · low 112 (2024)2026

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

Recalls per year · KPO

6in 2025

2007: 52008: 22009: 12011: 22012: 102015: 32016: 12017: 12018: 112019: 12020: 312022: 22024: 12025: 62026 (partial year): 9
2007high 31 (2020) · low 0 (2010)2026

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

Adverse event reports per year · KPO

95in 2025

2007: 52008: 82009: 32010: 1072011: 2232012: 702013: 3,8972014: 15,9162015: 8,3402016: 2402017: 802018: 972019: 792020: 2442021: 632022: 252023: 592024: 2592025: 95
2007high 15,916 (2014) · low 3 (2009)2025

MAUDE reports naming product code KPO, 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—55
20082—28
20091—13
20100—0107
20111—2223
20122—1070
20131—03,897
20142—015,916
20151—38,340
20161—1240
20173192180
20182—1197
20190—179
2020527031244
20211—063
20222—225
20233263059
202431121259
20252—695
20262—9—

What is it indicated for?

The Rockwell Medical CitraPure® Acid Concentrates powders and liquids are indicated for use in acute and chronic hemodialysis and to be used with the appropriate hemodialysis machine/monitor and bicarbonate concentrate.

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. “K160847: Rockwell Medical CitraPure Acid Concetrate.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K160847

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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