510(k) Report

510(k) · Cleared

Cleared

AirPhysio Positive Expiratory Pressure (PEP) Device

K203209510(k) TraditionalCleared Jan 15, 202177-day reviewClass II21 CFR 868.5665

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

Airphysio Pty, Ltd. · BYI Percussor, Powered-Electric

Cleared on Jan 15, 2021 as substantially equivalent to K972859 (Bradstreet Clinical Research Assoc., Inc., 1998) after a 77-day review. Its family tree reaches back 2 generations to 1994. 1 later device descends from it.

Decided
Jan 15, 2021
Review
77 days
Class
Class II
Product code
BYI
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K940986 (1994). 3 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1995: 1 other ancestor2024: 1 descendant clearedK940986 · Flutter (R) · Varioraw SA · 1994K972859 · Flutter D · Bradstreet Clinical Research Assoc., Inc. · 19981990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor 1 generation forward: 1 descendant K972859 · Flutter D · Bradstreet Clinical Research Assoc., Inc. · 1998K940986 · Flutter (R) · Varioraw SA · 19940
  1. Root · 2 generations backK940986 Flutter (R)Varioraw SA · 1994
  2. 1 generation backK972859 Flutter DBradstreet Clinical Research Assoc., Inc. · 1998
  3. This deviceK203209 AirPhysio Positive Expiratory Pressure (PEP) DeviceAirphysio Pty, Ltd. · 2021
  4. Descendant · cites it directly · 0 of its ownK241091 SIMEOX 200 Airway Clearance DeviceInogen, Inc. · 2024

Most influential descendants

Showing 1 of 1 · See all
  • K241091SIMEOX 200 Airway Clearance DeviceInogen, Inc. · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K940986Flutter (R)Varioraw SA1994—
−1K972859Flutter DBradstreet Clinical Research Assoc., Inc.1998—
0 (this device)K203209AirPhysio Positive Expiratory Pressure (PEP) DeviceAirphysio Pty, Ltd.2021—
+1K241091SIMEOX 200 Airway Clearance DeviceInogen, Inc.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
FIG. 1 — Lineage of K203209, 1994–2024Source: 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 BYI? 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 BYI device

  1. #1 K252849 AffloVest® Mobile Airway Clearance Therapyscore 12.5 · 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
*K972859Flutter D
Summary page 4
…owered Percussor Regulation Number: 21 CFR 868.5665, Class II Product Code: BYI Predicate Device: Flutter D – Clement Clarke – K972859 Device Description: AirPhysio is a small, handheld expiration resistance device, consisting of a hardened plastic mouthpiece at…
Bradstreet Clinical Research Assoc., Inc.1998—

Also cleared against K972859: 3 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K241091SIMEOX 200 Airway Clearance DeviceInogen, Inc.20240

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 27 years and passes through 3 companies; a new generation was cleared every 22.6 years on median.
  • 1 of the 3 ancestors has a recall of any class.
  • Of its descendants, K241091 (Inogen, Inc., 2024) has gone furthest, with 0 descendants of its own.
  • 3 other devices also cite its predicate K972859.

How does its category compare?

All BYI devices

BYI Percussor, Powered-Electric: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · BYI

1in 2025

2007: 12010: 12011: 12012: 12013: 32015: 12017: 12018: 12021: 22022: 12024: 32025: 12026 (partial year): 1
2007high 3 (2013) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · BYI

157in 2024

2013: 225 days median2024: 157 days median
2007high 225 (2013) · low 157 (2024)2026

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

Recalls per year · BYI

1in 2017

2014: 12017: 1
2007high 1 (2014) · low 0 (2007)2026

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

Adverse event reports per year · BYI

38in 2025

2007: 82008: 52009: 82010: 72011: 172012: 82013: 62014: 102015: 42016: 42017: 42018: 92019: 62020: 42021: 152022: 162023: 92024: 192025: 38
2007high 38 (2025) · low 4 (2015)2025

MAUDE reports naming product code BYI, 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—08
20080—05
20090—08
20101—07
20111—017
20121—08
2013322506
20140—110
20151—04
20160—04
20171—14
20181—09
20190—06
20200—04
20212—015
20221—016
20230—09
20243157019
20251—038
20261—0—

What is it indicated for?

AirPhysio is indicated for use as a Positive Expiratory Pressure (PEP) Device for improving the clearance of mucus secretions from the airways.

AirPhysio vibrates the airway walls to assist in loosening mucus and intermittently increases endobronchial pressure so that the airway patency can be maintained during exhalation, reducing the potential of mucus becoming trapped as it moves up the airways.

The device may also be useful in the removal of mucus from patients who have chronic bronchitis or bronchiectasis and in conjunction with a medical need for positive expiratory pressure (PEP) therapy.

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. “K203209: AirPhysio Positive Expiratory Pressure (PEP) Device.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K203209

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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