510(k) Report

510(k) · Cleared

Cleared

Equashield Closed System Transfer Device

K221513510(k) TraditionalCleared Feb 17, 2023268-day reviewClass II21 CFR 880.5440

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

Equashield Medical, Ltd. · ONB Closed Antineoplastic And Hazardous Drug Reconstitution And Transfer System

Cleared on Feb 17, 2023 as substantially equivalent to K170706 (Equashield Medical, Ltd., 2017) after a 268-day review. Its family tree reaches back 10 generations to 1988.

Decided
Feb 17, 2023
Review
268 days
Class
Class II
Product code
ONB
Recalls
None
Predicates
1

Its longest line of descent runs back 10 generations to K883614 (1988). 26 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 10 generations backK883614 Cytoguard (R)Survival Technology, Inc. · 1988
  2. 6 generations between
  3. 3 generations backK130197 BD Phaseal Closed System Transfer Device - P55Becton, Dickinson and Company · 2013 · Recalled
  4. 2 generations backK132899 Equashield Closed System Drug Transfer Device (CSTD)Equashield Medical, Ltd. · 2014
  5. 1 generation backK170706 Equashield Closed System drug Transfer Device (CSTD)Equashield Medical, Ltd. · 2017
  6. This deviceK221513 Equashield Closed System Transfer DeviceEquashield Medical, Ltd. · 2023
Show all 10 generations
  1. Root · 10 generations backK883614 Cytoguard (R)Survival Technology, Inc. · 1988
  2. 9 generations backK972527 Phaseal, System for Sealed Handling of Chemotherapeutic AgentsQuality System Consulting · 1997
  3. 8 generations backK980381 Phaseal, Closed System Forhandling of Parenteral Drugs, Additional…Carmel Pharma Ab. · 1998
  4. 7 generations backK023747 PhasealCarmel Pharma Ab. · 2002
  5. 6 generations backK110023 Infusion Adapter C100Carmel Pharma Ab. · 2011
  6. 5 generations backK120384 Protector, Injector, ConnectorBd Medical-Medical Surgical Systems · 2012
  7. 4 generations backK123213 BD Phaseal Closed System Transfer DeviceBecton, Dickinson & CO · 2013 · Recalled
  8. 3 generations backK130197 BD Phaseal Closed System Transfer Device - P55Becton, Dickinson and Company · 2013 · Recalled
  9. 2 generations backK132899 Equashield Closed System Drug Transfer Device (CSTD)Equashield Medical, Ltd. · 2014
  10. 1 generation backK170706 Equashield Closed System drug Transfer Device (CSTD)Equashield Medical, Ltd. · 2017
  11. This deviceK221513 Equashield Closed System Transfer DeviceEquashield Medical, Ltd. · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K883614Cytoguard (R)Survival Technology, Inc.1988—
−9K972527Phaseal, System for Sealed Handling of Chemotherapeutic AgentsQuality System Consulting1997—
−8K980381Phaseal, Closed System Forhandling of Parenteral Drugs, Additional…Carmel Pharma Ab.1998—
−7K023747PhasealCarmel Pharma Ab.2002—
−6K110023Infusion Adapter C100Carmel Pharma Ab.2011—
−5K120384Protector, Injector, ConnectorBd Medical-Medical Surgical Systems2012—
−4K123213BD Phaseal Closed System Transfer DeviceBecton, Dickinson & CO20132
−3K130197BD Phaseal Closed System Transfer Device - P55Becton, Dickinson and Company20131
−2K132899Equashield Closed System Drug Transfer Device (CSTD)Equashield Medical, Ltd.2014—
−1K170706Equashield Closed System drug Transfer Device (CSTD)Equashield Medical, Ltd.2017—
0 (this device)K221513Equashield Closed System Transfer DeviceEquashield Medical, Ltd.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199520
199710
200010
200520
200620
200710
200940
201010
201510
FIG. 1 — Lineage of K221513, 1988–2023Source: 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 ONB? 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 ONB device

  1. #1 K240171 ProSeal™ Injector Plus (Model no. 421050)score 18.2 · 8 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
*K170706Equashield Closed System drug Transfer Device (CSTD)
Summary page 4
…Panel: General Hospital PREDICATE DEVICE Predicate device: • EQUASHIELD® Closed System Transfer Device, manufactured by EQUASHIELD Medical Ltd., cleared under K170706; Product Code: ONB. DEVICE DESCRIPTION The EQUASHIELD® Closed System Drug Transfer Device (CSTD) is intended for safe preparati…
Equashield Medical, Ltd.2017—

Also cleared against K170706: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

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 35 years and passes through 7 companies; a new generation was cleared every 3.1 years on median.
  • 8 of the 26 ancestors have a recall of any class.
  • 1 other device also cites its predicate K170706.

How does its category compare?

All ONB devices

ONB Closed Antineoplastic And Hazardous Drug Reconstitution And Transfer System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · ONB

6in 2025

2013: 32014: 22015: 32017: 22018: 62019: 12020: 32021: 32022: 12023: 32024: 82025: 6
2007high 8 (2024) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · ONB

60in 2025

2013: 58 days median2015: 235 days median2018: 249 days median2020: 213 days median2021: 277 days median2023: 175 days median2024: 102 days median2025: 60 days median
2007high 277 (2021) · low 58 (2013)2026

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

Recalls per year · ONB

38in 2025

2016: 12019: 1, 1 Class I2020: 42022: 12023: 12024: 12025: 382026 (partial year): 3
2007high 38 (2025) · low 0 (2007)2026

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

Adverse event reports per year · ONB

934in 2025

2012: 12013: 22014: 32015: 42016: 132017: 662018: 2282019: 4642020: 4422021: 5482022: 4482023: 4562024: 6862025: 934
2007high 934 (2025) · low 0 (2007)2025

MAUDE reports naming product code ONB, 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
20080—00
20090—00
20100—00
20110—00
20120—01
201335802
20142—03
2015323504
20160—113
20172—066
201862490228
20191—1 (1)464
202032134442
202132770548
20221—1448
202331751456
202481021686
202566038934
20260—3—

What is it indicated for?

Closed System Drug Transfer Device (CSTD) for safe preparation, reconstitution, compounding and administration of drugs, including antineoplastic and hazardous drugs. This closed system mechanically prohibits the transfer of environmental contaminants into the system and the escape of drug or vapor concentrations outside the system, thereby minimizing individual and environmental exposure to drug vapor, aerosols, and spills and also prevents microbial ingress up to 7 days. The system's closed Syringe Unit prevents intended and unintended syringe plunger detachment and can be used safely up to its maximal nominal volume with hazardous drugs

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K221513: Equashield Closed System Transfer Device.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K221513

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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