510(k) Report

510(k) · Cleared

Cleared

AG100s

K221477510(k) TraditionalCleared Dec 29, 2022220-day reviewClass II21 CFR 868.5750

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

Hospitech Respiration, Ltd. · BSK Cuff, Tracheal Tube, Inflatable

Cleared on Dec 29, 2022 as substantially equivalent to K180991 (Hospitech Respiration, Ltd., 2018) and 1 other predicate after a 220-day review. Its family tree reaches back 8 generations to 1995. 4 of the 36 devices in its family, counting itself, have a Class I recall.

Decided
Dec 29, 2022
Review
220 days
Class
Class II
Product code
BSK
Recalls
None
Predicates
2

Its longest line of descent runs back 8 generations to K945062 (1995). 35 ancestors in all, the oldest K791045 (1979). No later device cites it as a predicate yet. 4 of the 36 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year cleared 2016: 1 other ancestor2010: 2 other ancestors2008: 2 other ancestors1995: 1 other ancestor1991: 1 other ancestor1990: 1 other ancestor1979: 1 other ancestor2006: 3 other ancestors2005: 2 other ancestors2012: 1 other ancestor2004: 1 other ancestor2000: 2 other ancestors, 1 with a Class I recall11999: 1 other ancestor1998: 1 other ancestor1997: 1 other ancestor1996: 2 other ancestors, 2 with a Class I recall21993: 1 other ancestor, 1 with a Class I recall11987: 1 other ancestor2002: 1 other ancestor1994: 1 other ancestorK945062 · Vacplus · Kinetic Concepts, Inc. · 1995K971548 · Ambuvac · Kinetic Concepts, Inc. · 1997K032310 · Mini V.a.C., V.a.C. Freedom, V.a.C. Ats · Kinetic Concepts, Inc. · 2003 · recalledK080357 · Medela Invia Wound Therapy · Medela AG · 2008 · recalledK113291 · Simex Negative Pressure Wound Therapy Powered Suction Pumps Series: Sim-EX200 and Sim-EX300 · Simex Medizintechnik GmbH · 2012K141255 · Simex Subglottic Aspiration System · Simex Medizintechnik GmbH · 2014K150157 · AnapnoGuard 100 Respiratory Guard System · Hospitech Respiration, Ltd. · 2016K180991 · AG 100s · Hospitech Respiration, Ltd. · 201819801990200020102020
  1. Root · 8 generations backK945062 VacplusKinetic Concepts, Inc. · 1995
  2. 7 generations backK971548 AmbuvacKinetic Concepts, Inc. · 1997
  3. 6 generations backK032310 Mini V.a.C., V.a.C. Freedom, V.a.C. AtsKinetic Concepts, Inc. · 2003 · Recalled
  4. 5 generations backK080357 Medela Invia Wound TherapyMedela AG · 2008 · Recalled
  5. 4 generations backK113291 Simex Negative Pressure Wound Therapy Powered Suction Pumps Series…Simex Medizintechnik GmbH · 2012
  6. 3 generations backK141255 Simex Subglottic Aspiration SystemSimex Medizintechnik GmbH · 2014
  7. 2 generations backK150157 AnapnoGuard 100 Respiratory Guard SystemHospitech Respiration, Ltd. · 2016
  8. 1 generation backK180991 AG 100sHospitech Respiration, Ltd. · 2018
  9. This deviceK221477 AG100sHospitech Respiration, Ltd. · 2022

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K945062VacplusKinetic Concepts, Inc.1995—
−7K971548AmbuvacKinetic Concepts, Inc.1997—
−6K032310Mini V.a.C., V.a.C. Freedom, V.a.C. AtsKinetic Concepts, Inc.20032
−5K080357Medela Invia Wound TherapyMedela AG20081
−4K113291Simex Negative Pressure Wound Therapy Powered Suction Pumps Series: Sim-EX200…Simex Medizintechnik GmbH2012—
−3K141255Simex Subglottic Aspiration SystemSimex Medizintechnik GmbH2014—
−2K150157AnapnoGuard 100 Respiratory Guard SystemHospitech Respiration, Ltd.2016—
−1K180991AG 100sHospitech Respiration, Ltd.2018—
0 (this device)K221477AG100sHospitech Respiration, Ltd.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198710
199010
199110
199311
199410
199510
199622
199710
199810
199910
200021
200210
200410
200520
200630
200820
201020
201210
201610
FIG. 1 — Lineage of K221477, 1995–2022Source: 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.

4 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 BSK device

  1. #1 K261499 TrachFlushscore 13.0 · 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? (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
*K180991AG 100s
Summary page 4
…Review Panel: Anesthesiology 5.3 PREDICATE DEVICES Predicate Device 1 (Primary) • AG100s, by Hospitech Respiration Ltd., Product code BSK cleared Under: K180991. Predicate Device 2 (Secondary) • IntelliCuff, manufactured by Hamilton Medical AG., cleared under K150893; Product Co…
Hospitech Respiration, Ltd.2018—
*K150893IntelliCuff
Summary page 4
…h Respiration Ltd., Product code BSK cleared Under: K180991. Predicate Device 2 (Secondary) • IntelliCuff, manufactured by Hamilton Medical AG., cleared under K150893; Product Code: BSK. 5.4 DEVICE DESCRIPTION The AG100s system is comprised of the following main components:…
Hamilton Medical AG20162

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (4 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.

  • K993786Rusch Oral/Nasal (Safety Clear Plus) Tracheal Tube Cuffed, Magill/MurphyRusch Intl. · 2000 · 5 generations back · ◆ in the 2000 ancestors bar of FIG. 13 Class I recalls
  • K961837Rush Oral/Nasal Tracheal Tube Cuffed Magill/MurphyRusch Intl. · 1996 · 5 generations back · ◆ in the 1996 ancestors bar of FIG. 132 Class I recalls
  • K961840Rusch Oral/Nasal Tracheal Tube, Plain Magill/MurphyRusch Intl. · 1996 · 5 generations back · ◆ in the 1996 ancestors bar of FIG. 124 Class I recalls
  • K931163Rusch Agt PVC Preform Oral Trach Tub/Cuf W/Mur EyeRusch, Inc. · 1993 · 5 generations back · ◆ in the 1993 ancestors bar of FIG. 112 Class I recalls

What does this lineage say?

  • The line of descent spans 27 years and passes through 4 companies; a new generation was cleared every 4.1 years on median.
  • 14 of the 35 ancestors have a recall of any class; 4 have a Class I recall.

How does its category compare?

All BSK devices

BSK Cuff, Tracheal Tube, Inflatable: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · BSK

2in 2025

2008: 12010: 12011: 32012: 22013: 12015: 12016: 42018: 22019: 12020: 22021: 12022: 12023: 12025: 22026 (partial year): 1
2007high 4 (2016) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · BSK

376in 2016

2011: 171 days median2016: 376 days median
2007high 376 (2016) · low 171 (2011)2026

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

Recalls per year · BSK

1in 2017

2013: 1, 1 Class I2017: 12026 (partial year): 1
2007high 1 (2013) · low 0 (2007)2026

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

Adverse event reports per year · BSK

46in 2025

2008: 22009: 32010: 52011: 152012: 622013: 162014: 52015: 12016: 12017: 32018: 42019: 22020: 12021: 92022: 42023: 512024: 1332025: 46
2007high 133 (2024) · low 0 (2007)2025

MAUDE reports naming product code BSK, 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
20070—00
20081—02
20090—03
20101—05
20113171015
20122—062
20131—1 (1)16
20140—05
20151—01
2016437601
20170—13
20182—04
20191—02
20202—01
20211—09
20221—04
20231—051
20240—0133
20252—046
20261—1—

What is it indicated for?

The AG100s is intended to monitor and control the cuff pressures of endotracheal tube (ETT) or tracheostomy tube (TT) and to evacuate secretions from the subglottic space above the cuff during mechanical ventilation. 1. When used with a standard ETT or TT, the device automatically maintains the cuff pressure as pre-set by the user. 2. When used with ETT or TT with suction line, the device automatically maintains the cuff pressure as pre-set by the user…

Read the full statement (148 words)

The AG100s is intended to monitor and control the cuff pressures of endotracheal tube (ETT) or tracheostomy tube (TT) and to evacuate secretions from the subglottic space above the cuff during mechanical ventilation.

1. When used with a standard ETT or TT, the device automatically maintains the cuff pressure as pre-set by the user.

2. When used with ETT or TT with suction line, the device automatically maintains the cuff pressure as pre-set by the user and performs intermittent evacuation of subglottic secretions from above the tube's cuff.

3. When used with ETT with suction and venting lines (e.g., AG ETT), the device automatically maintains the cuff pressure as pre-set by the user, or automatically adjusts the cuff pressure based on monitoring of the Carbon Dioxide (CO2) concentration above the cuff. In addition, it performs evacuation, or rinsing and evacuation of subglottic secretions from above the tube's cuff.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K221477: AG100s.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K221477

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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