510(k) Report

510(k) · Cleared

Cleared

BAROguard

K223874510(k) TraditionalCleared Aug 15, 2023235-day reviewClass II21 CFR 876.5880

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

Paragonix Technologies · KDN System, Perfusion, Kidney

Cleared on Aug 15, 2023 as substantially equivalent to K192869 (Pragonix Technologies, 2020) after a 235-day review. Its family tree reaches back 1 generation to 2020.

Decided
Aug 15, 2023
Review
235 days
Class
Class II
Product code
KDN
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K192869 (2020). No later device cites it as a predicate yet.

  1. Root · 1 generation backK192869 SherpaPak Lung Preservation System , SherpaPak Liver Transport SystemPragonix Technologies · 2020
  2. This deviceK223874 BAROguardParagonix Technologies · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K192869SherpaPak Lung Preservation System , SherpaPak Liver Transport SystemPragonix Technologies2020—
0 (this device)K223874BAROguardParagonix Technologies2023—
FIG. 1 — Lineage of K223874, 2020–2023Source: 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 KDN? 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 KDN device

  1. #1 K261644 Perfadex Plusscore 12.9 · 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
*K192869SherpaPak Lung Preservation System , SherpaPak Liver Transport System
Summary page 4
…ted kidney perfusion and transport system and accessories Class |l 21 CFR § 876.5880 KDN Paragonix LUNGguard (previously named, SherpaPak Lung Preservation System) - K192869 The subject BAROguard device results from modifications made to the cleared LUNGguard (previously named, SherpaPak Lung Preserva…
Pragonix Technologies2020—
†K211155Auto CPAP SystemBMC Medical Co., Ltd.2022—

Also cleared against K192869: 2 other devices →

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?

  • Its one ancestor has no recall.
  • 2 other devices also cite its predicate K192869.

How does its category compare?

All KDN devices

KDN System, Perfusion, Kidney: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · KDN

5in 2025

2008: 22009: 22010: 12012: 12014: 22015: 12016: 12018: 22019: 22020: 22021: 32022: 12023: 22024: 22025: 52026 (partial year): 3
2007high 5 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KDN

135in 2025

2021: 238 days median2025: 135 days median2026 (partial year): 66 days median
2007high 238 (2021) · low 135 (2025)2026

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

Recalls per year · KDN

1in 2022

2010: 12022: 12026 (partial year): 1
2007high 1 (2010) · low 0 (2007)2026

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

Adverse event reports per year · KDN

3in 2025

2008: 12016: 32017: 62018: 42019: 32020: 92021: 12025: 3
2007high 9 (2020) · low 0 (2007)2025

MAUDE reports naming product code KDN, 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
20082—01
20092—00
20101—10
20110—00
20121—00
20130—00
20142—00
20151—00
20161—03
20170—06
20182—04
20192—03
20202—09
2021323801
20221—10
20232—00
20242—00
2025513503
20263661—

What is it indicated for?

BAROguard™ is intended to be used for the static hypothermic preservation of lungs during transportation and eventual transplantation into a recipient using cold storage solutions indicated for use with the lungs.

The intended organ storage time for BAROguard™ is up to 8 hours.

Donor lungs exceeding clinically accepted static hypothermic preservation times should be evaluated by the transplant surgeon to determine transplantability in accordance with accepted clinical guidelines and in the best medical interest of the intended recipient.

Note: Partial lungs can be transported via BAROguard™ by packaging lungs per institutional protocol and UNOS guidelines.

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. “K223874: BAROguard.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K223874

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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