510(k) Report

510(k) · Cleared

Recalled · Class I · 2024

BLUselect, non-fenestrated, BLUselect, non-fenestrated, cont, BLUselect, fenestrated, BLUselect Suctionaid, BLUpere Dilation Trachestomy Kit, without tube

K173384510(k) TraditionalCleared Apr 10, 2018162-day reviewClass II21 CFR 868.5800Recalls 3 (3 Class I)

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

Smiths Medical Ads, Inc. · BTO Tube, Tracheostomy (W/Wo Connector)

Cleared on Apr 10, 2018 as substantially equivalent to K030570 (Portex, Ltd., 2003) after a 162-day review. Its family tree reaches back 4 generations to 1990. 1 of the 15 devices in its family, counting itself, has a Class I recall. 4 later devices descend from it. It has been recalled 3 times, including 3 Class I recalls.

Decided
Apr 10, 2018
Review
162 days
Class
Class II
Product code
BTO
Recalls
3 (3 Class I)
Predicates
1

Its longest line of descent runs back 4 generations to K903730 (1990). 10 ancestors in all, the oldest K811033 (1981). 4 later devices descend from it, 3 citing it directly. 1 of the 15 devices in this family, counting this one, has a Class I recall.

  1. Root · 4 generations backK903730 D.I.C. Tracheostomy Tubes & Laryngectomy TubesConcord/Portex · 1990
  2. 3 generations backK960429 Per-Fit Percutaneous Tracheostomy Kit W/Portex Tracheostmy Tube &…Smiths Industries Medical Systems, Inc. · 1996
  3. 2 generations backK980466 Per-Fit Percutaneous Dilational Tracheostomy Kit with Specialty…Sims Portex, Inc. · 1998 · Recalled
  4. 1 generation backK030570 Blue Line Ultra Suctionaid Tracheostomy TubePortex, Ltd. · 2003
  5. This deviceK173384 BLUselect, non-fenestrated, BLUselect, non-fenestrated, cont…Smiths Medical Ads, Inc. · 2018
  6. Descendant · cites it directly · 1 of its ownK242921 5300600-5301000 Rota-Trach Disposable Standard Tracheostomy Tube…Vitaltec Corporation · 2025
  7. Descendant · 2 generations on · 0 of its ownK253063 Venti-Trach Tracheostomy Tube (570 Series); Venti-Trach Tracheostomy…Vitaltec Corporation · 2026
  8. Descendant · cites it directly · 0 of its ownK210833 Portex BLUxl Extra Length Tracheostomy Tube, BLUxl Suctionaid Extra…Smiths Medical Asd, Inc. · 2021
  9. Descendant · cites it directly · 0 of its ownK193077 Shiley Adult Flexible Evac Tracheostomy Tube with TaperGuard CuffCovidien · 2020

Most influential descendants

Showing 4 of 4 · See all
  • K2429215300600-5301000 Rota-Trach Disposable Standard Tracheostomy Tube, Cuffed, sizes…Vitaltec Corporation · 2025 · cites it directly1descendant
  • K253063Venti-Trach Tracheostomy Tube (570 Series); Venti-Trach Tracheostomy Tube (571 Series)…Vitaltec Corporation · 2026 · 2 generations on0descendants
  • K210833Portex BLUxl Extra Length Tracheostomy Tube, BLUxl Suctionaid Extra Length Tracheostomy…Smiths Medical Asd, Inc. · 2021 · cites it directly0descendants
  • K193077Shiley Adult Flexible Evac Tracheostomy Tube with TaperGuard CuffCovidien · 2020 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K903730D.I.C. Tracheostomy Tubes & Laryngectomy TubesConcord/Portex1990—
−3K960429Per-Fit Percutaneous Tracheostomy Kit W/Portex Tracheostmy Tube & Disp. Inner…Smiths Industries Medical Systems, Inc.1996—
−2K980466Per-Fit Percutaneous Dilational Tracheostomy Kit with Specialty Tracheostomy…Sims Portex, Inc.19981
−1K030570Blue Line Ultra Suctionaid Tracheostomy TubePortex, Ltd.2003—
0 (this device)K173384BLUselect, non-fenestrated, BLUselect, non-fenestrated, cont, BLUselect…Smiths Medical Ads, Inc.2018—
+1K2429215300600-5301000 Rota-Trach Disposable Standard Tracheostomy Tube, Cuffed…Vitaltec Corporation2025—
+2K253063Venti-Trach Tracheostomy Tube (570 Series); Venti-Trach Tracheostomy Tube (571…Vitaltec Corporation2026—
+1K210833Portex BLUxl Extra Length Tracheostomy Tube, BLUxl Suctionaid Extra Length…Smiths Medical Asd, Inc.2021—
+1K193077Shiley Adult Flexible Evac Tracheostomy Tube with TaperGuard CuffCovidien2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
199120
199310
199410
199710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202010
202110
202510
202610
FIG. 1 — Lineage of K173384, 1990–2026Source: 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.

1 device in this family has 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 BTO device

  1. #1 K242921 5300600-5301000 Rota-Trach Disposable Standard…score 13.7 · 5 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? (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
*K030570Blue Line Ultra Suctionaid Tracheostomy Tube
Summary page 9
…evice the Blue Line Ultra Tracheostomy Tubes, K030381, 510(k) clearance issued August 27, 2003; Blue Line Ultra Suctionaid Tracheostomy Tube with reusable inner cannula, K030570; 510(k) clearance issued Sept 17, 2003. MRI Conditional labeling primary predicate device is the Bivona Tracheostomy Tubes, K0836…
Portex, Ltd.2003—
†K083031Portex Uniperc Percutaneous Dilation Tracheostomy KitSmiths Medical Asd, Inc.2009—
†K083641Bivona Tracheostomy TubesSmiths Medical Asd, Inc.20093

Also cleared against K030570: 2 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K2429215300600-5301000 Rota-Trach Disposable Standard Tracheostomy Tube, Cuffed, sizes…Vitaltec Corporation20251
K210833Portex BLUxl Extra Length Tracheostomy Tube, BLUxl Suctionaid Extra Length Tracheostomy…Smiths Medical Asd, Inc.20210
K193077Shiley Adult Flexible Evac Tracheostomy Tube with TaperGuard CuffCovidien20200

Has anything in its family been recalled? (1 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Jun 7, 2024Class IZ-3088-2024Process controlThere is the potential for a disconnection of the pilot balloon from the tracheostomy inflation line within specific lots of the BLUSelect, BLUgriggs and BLUperc products due to a manufacturing defect.
Jun 7, 2024Class IZ-3087-2024Process controlThere is the potential for a disconnection of the pilot balloon from the tracheostomy inflation line within specific lots of the BLUSelect, BLUgriggs and BLUperc products due to a manufacturing defect.
Jun 7, 2024Class IZ-3086-2024Process controlThere is the potential for a disconnection of the pilot balloon from the tracheostomy inflation line within specific lots of the BLUSelect, BLUgriggs and BLUperc products due to a manufacturing defect.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 28 years and passes through 5 companies; a new generation was cleared every 5.6 years on median.
  • 1 of the 10 ancestors has a recall of any class.
  • Of its descendants, K242921 (Vitaltec Corporation, 2025) has gone furthest, with 1 descendant of its own.
  • 2 other devices also cite its predicate K030570.

How does its category compare?

All BTO devices

BTO Tube, Tracheostomy (W/Wo Connector): FDA decisions, review times, recalls and adverse event reports over 20 years. 2018, this device’s year, is highlighted.

FDA decisions per year · BTO

1in 2025

2007: 12008: 12009: 12010: 32011: 12012: 12018: 12020: 12024: 12025: 12026 (partial year): 1
2007high 3 (2010) · low 0 (2013)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · BTO

98in 2010

2010: 98 days median
2007high 98 (2010)2026

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

Recalls per year · BTO

1in 2023

2009: 22010: 62011: 192012: 12015: 12023: 1, 1 Class I2026 (partial year): 1
2007high 19 (2011) · low 0 (2007)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · BTO

233in 2025

2007: 2262008: 2552009: 7952010: 1302011: 542012: 822013: 782014: 1732015: 1722016: 2122017: 1262018: 1622019: 872020: 1132021: 1982022: 7702023: 4022024: 4182025: 233
2007high 795 (2009) · low 54 (2011)2025

MAUDE reports naming product code BTO, 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
20071—0226
20081—0255
20091—2795
20103986130
20111—1954
20121—182
20130—078
20140—0173
20150—1172
20160—0212
20170—0126
20181—0162
20190—087
20201—0113
20210—0198
20220—0770
20230—1 (1)402
20241—0418
20251—0233
20261—1—

What is it indicated for?

Smiths Medical Portex® BLUselect® Tracheostomy Tube is indicated for airway maintenance of tracheostomised patients.

Smiths Medical Portex® BLUselect® Suctionaid® Tracheostomy Tube is indicated for airway maintenance of tracheostomised patients. Suctionaid® allows aspiration of contaminated mucous and subglottic secretions that collect and build up between the tracheostomy tube cuff and the glottis.

The BLUselect® Inner Cannula is intended to be used with the Smiths Medical Portex® BLUselect® Tracheostomy Tube indicated for airway maintenance of tracheostomy patients.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K173384: BLUselect, non-fenestrated, BLUselect, non-fenestrated, cont, BLUselect, fenestrated, BLUselect Suctionaid, BLUpere Dilation Trachestomy Kit, without tube.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K173384

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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