510(k) Report

510(k) · Cleared

Cleared

Smartinhaler

K180407510(k) TraditionalCleared Jul 25, 2018161-day reviewClass II21 CFR 868.5630

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

Adherium (Nz), Ltd. · CAF Nebulizer (Direct Patient Interface)

Cleared on Jul 25, 2018 as substantially equivalent to K133951 (Nexus6, Ltd., 2014) after a 161-day review. Its family tree reaches back 4 generations to 1982. 4 later devices descend from it.

Decided
Jul 25, 2018
Review
161 days
Class
Class II
Product code
CAF
Recalls
None
Predicates
1

Its longest line of descent runs back 4 generations to K823423 (1982). 7 ancestors in all. 4 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1999: 1 other ancestor1994: 2 other ancestors2023: 1 descendant cleared2019: 2 descendants cleared2025: 1 descendant clearedReference device: K173310 · SmartTouch · Adherium (Nz), Ltd. · 2018K823423 · Nebulizer Chronolog & Interpreter · Advanced Technology Products, Inc. · 1982K970344 · Mdilog, Model MDC-511 · Medtrak Technologies, Inc. · 1997K091803 · Smarttrack System · Nexus6, Ltd. · 2009K133951 · Smarttouch · Nexus6, Ltd. · 201419801990200020102020
Other ancestors, by generationDescendants, by generation 3 generations back: 2 other ancestors4 generations back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 1 descendant K133951 · Smarttouch · Nexus6, Ltd. · 2014K091803 · Smarttrack System · Nexus6, Ltd. · 2009K970344 · Mdilog, Model MDC-511 · Medtrak Technologies, Inc. · 1997K823423 · Nebulizer Chronolog & Interpreter · Advanced Technology Products, Inc. · 19820
  1. Root · 4 generations backK823423 Nebulizer Chronolog & InterpreterAdvanced Technology Products, Inc. · 1982
  2. 3 generations backK970344 Mdilog, Model MDC-511Medtrak Technologies, Inc. · 1997
  3. 2 generations backK091803 Smarttrack SystemNexus6, Ltd. · 2009
  4. 1 generation backK133951 SmarttouchNexus6, Ltd. · 2014
  5. This deviceK180407 SmartinhalerAdherium (Nz), Ltd. · 2018
  6. Descendant · cites it directly · 1 of its ownK222247 Hailie Sensor NF0110Adherium (Nz), Ltd. · 2023
  7. Descendant · 2 generations on · 0 of its ownK250022 HeroTracker SenseVoluntis · 2025
  8. Descendant · cites it directly · 0 of its ownK182638 Hailie SensorAdherium (Nz), Ltd. · 2019
  9. Descendant · cites it directly · 0 of its ownK182573 Hailie SensorAdherium (Nz), Ltd. · 2019

Most influential descendants

Showing 4 of 4 · See all
  • K222247Hailie Sensor NF0110Adherium (Nz), Ltd. · 2023 · cites it directly1descendant
  • K250022HeroTracker SenseVoluntis · 2025 · 2 generations on0descendants
  • K182638Hailie SensorAdherium (Nz), Ltd. · 2019 · cites it directly0descendants
  • K182573Hailie SensorAdherium (Nz), Ltd. · 2019 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K823423Nebulizer Chronolog & InterpreterAdvanced Technology Products, Inc.1982—
−3K970344Mdilog, Model MDC-511Medtrak Technologies, Inc.1997—
−2K091803Smarttrack SystemNexus6, Ltd.2009—
−1K133951SmarttouchNexus6, Ltd.2014—
0 (this device)K180407SmartinhalerAdherium (Nz), Ltd.2018—
+1K222247Hailie Sensor NF0110Adherium (Nz), Ltd.2023—
+2K250022HeroTracker SenseVoluntis2025—
+1K182638Hailie SensorAdherium (Nz), Ltd.2019—
+1K182573Hailie SensorAdherium (Nz), Ltd.2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199420
199910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201920
202310
202510
FIG. 1 — Lineage of K180407, 1982–2025Source: 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 CAF? 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 CAF device

  1. #1 K260270 FindAir ONE for pMDI (FAO-MDI-V12-GRE-001)score 13.2 · 7 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
*K133951Smarttouch
Summary page 4
…esiology Devices, 21 CFR 868.5630, Class II, CAF (a)(3) Identification of Legally Marketed Devices The predicate device to which substantial equivalence is claimed is: K133951, SmartTouch™, manufactured by Nexus6 Limited. The reference device which supports a substantial equivalence determination is: K17…
Nexus6, Ltd.2014—
†K173310SmartTouchAdherium (Nz), Ltd.2018—

Also cleared against K133951: 1 other device →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K222247Hailie Sensor NF0110Adherium (Nz), Ltd.20231
K182638Hailie SensorAdherium (Nz), Ltd.20190
K182573Hailie SensorAdherium (Nz), Ltd.20190

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 36 years and passes through 4 companies; a new generation was cleared every 12.2 years on median.
  • None of the 7 ancestors has a recall.
  • Of its descendants, K222247 (Adherium (Nz), Ltd., 2023) has gone furthest, with 1 descendant of its own.
  • 1 other device also cites its predicate K133951.

How does its category compare?

All CAF devices

CAF Nebulizer (Direct Patient Interface): FDA decisions, review times, recalls and adverse event reports over 20 years. 2018, this device’s year, is highlighted.

FDA decisions per year · CAF

7in 2025

2007: 182008: 122009: 82010: 102011: 102012: 92013: 92014: 92015: 82016: 52017: 82018: 92019: 32020: 62021: 82022: 42023: 82024: 42025: 72026 (partial year): 2
2007high 18 (2007) · low 3 (2019)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · CAF

211in 2025

2007: 98 days median2008: 123 days median2009: 163 days median2010: 114 days median2011: 157 days median2012: 126 days median2013: 238 days median2014: 151 days median2015: 186 days median2016: 186 days median2017: 253 days median2018: 161 days median2019: 266 days median2020: 219 days median2021: 324 days median2022: 176 days median2023: 279 days median2024: 251 days median2025: 211 days median
2007high 324 (2021) · low 98 (2007)2026

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

Recalls per year · CAF

1in 2018

2007: 12011: 12014: 52015: 32016: 12017: 14, 13 Class I2018: 1
2007high 14 (2017) · low 0 (2008)2026

Class I (13 since 2007) Class II/III not classified

Adverse event reports per year · CAF

191in 2025

2007: 262008: 112009: 152010: 372011: 2372012: 1382013: 2172014: 1232015: 1662016: 2012017: 2562018: 1622019: 1852020: 1172021: 1612022: 552023: 1072024: 1022025: 191
2007high 256 (2017) · low 11 (2008)2025

MAUDE reports naming product code CAF, 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
20071898126
200812123011
20098163015
201010114037
2011101571237
201291260138
201392380217
201491515123
201581863166
201651861201
2017825314 (13)256
201891611162
201932660185
202062190117
202183240161
20224176055
202382790107
202442510102
202572110191
20262—0—

What is it indicated for?

The Smartinhaler™ is intended for single-patient use in the home environment as a medication reminder and electronic data capture accessory for recording actuations of prescribed MDI usage. This may be used in the following applications: ¢ In clinical trials, where researchers need to know when a patient has actuated their trial MDI medication. « In clinical practice, where specialists, general practitioners, nurses, and educators need to know if a…

Read the full statement (144 words)

The Smartinhaler™ is intended for single-patient use in the home environment as a medication reminder and electronic data capture accessory for recording actuations of prescribed MDI usage. This may be used in the following applications:

¢ In clinical trials, where researchers need to know when a patient has actuated their trial MDI medication.

« In clinical practice, where specialists, general practitioners, nurses, and educators need to know if a patient has actuated their prescribed MDI medication.

* In self-management, where patients need to track their medication use as part of their management plan.

The Smartinhaler™ is compatible only with the following MDIs: Ventolin® HFA, Advair® HFA, Flovent® HFA, ProAir® HFA, and QVAR® HFA. The intended MDI is specified on the product labeling. The Smartinhaler™ is not intended to indicate remaining quantity of medication in an MDI and does not include a dose counting function.

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. “K180407: Smartinhaler.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K180407

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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