510(k) Report

510(k) · Cleared

Cleared

NxStage PureFlow Solution

K233213510(k) TraditionalCleared Jan 18, 2024112-day reviewClass II21 CFR 876.5820

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

Nxstage Medical, Inc. · KPO Dialysate Concentrate For Hemodialysis (Liquid Or Powder)

Cleared on Jan 18, 2024 as substantially equivalent to K033386 (Nxstage Medical, Inc., 2003) after a 112-day review. Its family tree reaches back 4 generations to 1987.

Decided
Jan 18, 2024
Review
112 days
Class
Class II
Product code
KPO
Recalls
None
Predicates
1

Its longest line of descent runs back 4 generations to K864265 (1987). 8 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 4 generations backK864265 Hemodialysis Bath Concentrate Solutions for HemodiDial Medical of Florida, Inc. · 1987
  2. 3 generations backK013448 PrismasateGambro Renal Products · 2002
  3. 2 generations backK022913 Nxstage Premixed DialysateNxstage Medical, Inc. · 2002
  4. 1 generation backK033386 Nxstage Pureflow SolutionNxstage Medical, Inc. · 2003
  5. This deviceK233213 NxStage PureFlow SolutionNxstage Medical, Inc. · 2024
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K864265Hemodialysis Bath Concentrate Solutions for HemodiDial Medical of Florida, Inc.1987—
−3K013448PrismasateGambro Renal Products2002—
−2K022913Nxstage Premixed DialysateNxstage Medical, Inc.2002—
−1K033386Nxstage Pureflow SolutionNxstage Medical, Inc.2003—
0 (this device)K233213NxStage PureFlow SolutionNxstage Medical, Inc.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110
200010
200110
200210
FIG. 1 — Lineage of K233213, 1987–2024Source: 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 KPO? 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 KPO device

  1. #1 K233159 pureFLOW 402, pureFLOW 400, pureFLOW 406…score 14.5 · 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
*K033386Nxstage Pureflow Solution
Summary page 5
…5.3. Legally Marketed Predicate Device The legally marketed predicate for the proposed device is the NxStage PureFlow Solution, as cleared through K033386 (November 26, 2003). This predicate has not been subject to a design-related recall. 5.4. Device Description…
Nxstage Medical, Inc.2003—

Also cleared against K033386: 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 37 years and passes through 3 companies; a new generation was cleared every 14.8 years on median.
  • None of the 8 ancestors has a recall.
  • 1 other device also cites its predicate K033386.

How does its category compare?

All KPO devices

KPO Dialysate Concentrate For Hemodialysis (Liquid Or Powder): FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · KPO

2in 2025

2007: 22008: 22009: 12011: 12012: 22013: 12014: 22015: 12016: 12017: 32018: 22020: 52021: 12022: 22023: 32024: 32025: 22026 (partial year): 2
2007high 5 (2020) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KPO

112in 2024

2017: 192 days median2020: 270 days median2023: 263 days median2024: 112 days median
2007high 270 (2020) · low 112 (2024)2026

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

Recalls per year · KPO

6in 2025

2007: 52008: 22009: 12011: 22012: 102015: 32016: 12017: 12018: 112019: 12020: 312022: 22024: 12025: 62026 (partial year): 9
2007high 31 (2020) · low 0 (2010)2026

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

Adverse event reports per year · KPO

95in 2025

2007: 52008: 82009: 32010: 1072011: 2232012: 702013: 3,8972014: 15,9162015: 8,3402016: 2402017: 802018: 972019: 792020: 2442021: 632022: 252023: 592024: 2592025: 95
2007high 15,916 (2014) · low 3 (2009)2025

MAUDE reports naming product code KPO, 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
20072—55
20082—28
20091—13
20100—0107
20111—2223
20122—1070
20131—03,897
20142—015,916
20151—38,340
20161—1240
20173192180
20182—1197
20190—179
2020527031244
20211—063
20222—225
20233263059
202431121259
20252—695
20262—9—

What is it indicated for?

NxStage PureFlow Solution is indicated for use with NxStage renal replacement therapy systems that utilize sterile premixed dialysate during hemodialysis for chronic care patients.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K233213: NxStage PureFlow Solution.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K233213

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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