510(k) Report

510(k) · Cleared

Cleared

BiWaze Clear System

K231728510(k) TraditionalCleared Apr 8, 2024300-day reviewClass II21 CFR 868.5905

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

Abmrc, LLC · NHJ Device, Positive Pressure Breathing, Intermittent

Cleared on Apr 8, 2024 as substantially equivalent to K200988 (Hill-Rom Services Pte, Ltd., 2020) after a 300-day review. Its family tree reaches back 7 generations to 1995. 2 of the 15 devices in its family, counting itself, have a Class I recall. 1 later device descends from it.

Decided
Apr 8, 2024
Review
300 days
Class
Class II
Product code
NHJ
Recalls
None
Predicates
1

Its longest line of descent runs back 7 generations to K944900 (1995). 13 ancestors in all, the oldest K895485 (1989). 1 later device descends from it, 1 citing it directly. 2 of the 15 devices in this family, counting this one, have a Class I recall.

  1. Root · 7 generations backK944900 TherapepDhd Diemolding Healthcare Div. · 1995
  2. 6 generations backK991300 Boeing, Positive Airway Pressure (Pap) Therapy DeviceDhd Healthcare Corp. · 1999
  3. 5 generations backK051964 PowernebComedica, Inc. · 2005
  4. 4 generations backK124032 MetanebHill-Rom Services Pte, Ltd. · 2013
  5. 3 generations backK151689 MetaNeb 4 SystemHill-Rom Services Pte, Ltd. · 2016
  6. 2 generations backK192143 Maximus SystemHill-Rom Services Pte, Ltd. · 2020 · Recalled (Class I)
  7. 1 generation backK200988 Maximus SystemHill-Rom Services Pte, Ltd. · 2020 · Recalled (Class I)
  8. This deviceK231728 BiWaze Clear SystemAbmrc, LLC · 2024
  9. Descendant · cites it directly · 0 of its ownK260604 BiWaze Clear SystemAbmrc, LLC · 2026

Class I recalls in this family

Most influential descendants

Showing 1 of 1 · See all
  • K260604BiWaze Clear SystemAbmrc, LLC · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K944900TherapepDhd Diemolding Healthcare Div.1995—
−6K991300Boeing, Positive Airway Pressure (Pap) Therapy DeviceDhd Healthcare Corp.1999—
−5K051964PowernebComedica, Inc.2005—
−4K124032MetanebHill-Rom Services Pte, Ltd.2013—
−3K151689MetaNeb 4 SystemHill-Rom Services Pte, Ltd.2016—
−2K192143Maximus SystemHill-Rom Services Pte, Ltd.2020Class I
−1K200988Maximus SystemHill-Rom Services Pte, Ltd.2020Class I
0 (this device)K231728BiWaze Clear SystemAbmrc, LLC2024—
+1K260604BiWaze Clear SystemAbmrc, LLC2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198910
199610
200020
201210
201410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K231728, 1995–2026Source: 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.

2 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 NHJ device

  1. #1 K260604 BiWaze Clear Systemscore 14.0 · 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
*K200988Maximus System
Summary page 5
…egulation Name: NHJ – Non-continuous ventilator (IPPB) Classification: Class II Predicate Device Volara™ System K200988 (Primary): (Maximus™ System when used as a Volara™ System) Reference Device…
Hill-Rom Services Pte, Ltd.2020Class I
†K213564BiWaze Clear SystemAbmrc, LLC2022—

Also cleared against K200988: 1 other device →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K260604BiWaze Clear SystemAbmrc, LLC20260

Has anything in its family been recalled? (2 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.

  • K200988Maximus SystemHill-Rom Services Pte, Ltd. · 2020 · Direct predicate · ◆ on the line of descent in FIG. 19 Class I recalls
  • K192143Maximus SystemHill-Rom Services Pte, Ltd. · 2020 · 2 generations back · ◆ on the line of descent in FIG. 17 Class I recalls

What does this lineage say?

  • The line of descent spans 29 years and passes through 5 companies; a new generation was cleared every 3.9 years on median.
  • 3 of the 13 ancestors have a recall of any class; 2 have a Class I recall.
  • Of its descendants, K260604 (Abmrc, LLC, 2026) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K200988.

How does its category compare?

All NHJ devices

NHJ Device, Positive Pressure Breathing, Intermittent: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · NHJ

1in 2025

2008: 12012: 22013: 22014: 32016: 12020: 32022: 12024: 12025: 12026 (partial year): 2
2007high 3 (2014) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NHJ

190in 2020

2014: 207 days median2020: 190 days median
2007high 207 (2014) · low 190 (2020)2026

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

Recalls per year · NHJ

11so far in 2026, the most since 2007

2024: 1, 1 Class I2026 (partial year): 11, 4 Class I
2007high 11 (2026) · low 0 (2007)2026

Class I (5 since 2007) Class II/III not classified

Adverse event reports per year · NHJ

35in 2025

2007: 162008: 72009: 12010: 22012: 22013: 22014: 12015: 22016: 22017: 62018: 22019: 12020: 32021: 52022: 62023: 172024: 402025: 35
2007high 40 (2024) · low 0 (2011)2025

MAUDE reports naming product code NHJ, 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—016
20081—07
20090—01
20100—02
20110—00
20122—02
20132—02
2014320701
20150—02
20161—02
20170—06
20180—02
20190—01
2020319003
20210—05
20221—06
20230—017
20241—1 (1)40
20251—035
20262—11 (4)—

What is it indicated for?

The BiWaze Clear System is indicated for the loosening and mobilization of secretions, lung expansion therapy, the treatment and prevention of pulmonary atelectasis, and can provide supplemental oxygen when used with an oxygen supply.

The BiWaze Clear System is for use on adult or pediatric patients in acute care (aged 2 years and older) and home care environments (aged 5 years and older).

The BiWaze Clear System may be used with patient interfaces including face mask, mouthpiece, a trach adapter to endotracheal or tracheostomy tube in acute and home care environments. The BiWaze Clear System may be used in-line with a ventilator in acute care environment only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K231728: BiWaze Clear System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K231728

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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