510(k) Report

510(k) · Cleared

Cleared

DIASAFEplusUS (F00013010)

K251851510(k) TraditionalCleared Oct 9, 2025115-day reviewClass II21 CFR 876.5665

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

Fresenius Medical Care Renal Therapies Group, LLC · FIP Subsystem, Water Purification

Cleared on Oct 9, 2025 as substantially equivalent to K243505 (Fresenius Medical Care Renal Therapies Group, LLC, 2025) after a 115-day review. Its family tree reaches back 14 generations to 1994. 4 of the 60 devices in its family, counting itself, have a Class I recall.

Decided
Oct 9, 2025
Review
115 days
Class
Class II
Product code
FIP
Recalls
None
Predicates
1

Its longest line of descent runs back 14 generations to K921456 (1994). 59 ancestors in all, the oldest K770691 (1977). No later device cites it as a predicate yet. 4 of the 60 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year cleared 2023: 1 other ancestor2020: 1 other ancestor2019: 1 other ancestor2017: 1 other ancestor2015: 1 other ancestor2012: 2 other ancestors2002: 3 other ancestors2014: 1 other ancestor2009: 1 other ancestor2008: 1 other ancestor, 1 with a Class I recall12007: 1 other ancestor2005: 1 other ancestor2004: 1 other ancestor2001: 2 other ancestors1999: 2 other ancestors1998: 1 other ancestor1997: 3 other ancestors1995: 3 other ancestors1994: 2 other ancestors1990: 1 other ancestor1989: 2 other ancestors1988: 2 other ancestors1987: 2 other ancestors1984: 1 other ancestor1981: 1 other ancestor1977: 1 other ancestor2000: 2 other ancestors1996: 1 other ancestor2013: 2 other ancestors2011: 1 other ancestorK921456 · Fresenius 3008/FDS-08 Dialysate Delivery System · Fresenius USA, Inc. · 1994 · recalledK994267 · Fresenius 2008K · Fresenius Medical Care · 2000 · recalledK080964 · Fresenius Model 2008T Hemodialysis Machine · Fresenius Medical Care North America · 2009 · recalledK093902 · Modification to:Fresenius 2008T Hemodialysis Machine, Model 190573 · Fresenius Medical Care North America · 2010 · recalledK101715 · Fresenius 2008T Hemodialysis Machine Model 190573 · Fresenius Medical Care North America, Design Cente · 2010 · recalledK120017 · Fresenius 2008 Hemodiaysis Machine with Bibag System · Fresenius Medical Care North America · 2012 · recalledK121341 · Fresenius 2008T Hemodialysis Machine with Bibag System · Fresenius Medical Care North America · 2012 · recalledK124035 · 2008K@Home Hemodialysis Machine · Fresenius Medical Care North America · 2013×2: 2 generations cleared close together, K150708 (2015), K153449 (2016) K173972 · 2008T BlueStar Hemodialysis Machine · Fresenius Medical Care Renal Therapies Group, LLC · 2018 · Class I recallK222952 · 2008T BlueStar Hemodailysis Machine · Fresenius Medical Care Renal Therapies Group, LLC · 2022 · Class I recallK231534 · 5008X Hemodialysis System · Fresenius Medical Care · 2024 · recalledK243505 · 5008X Hemodialysis System · Fresenius Medical Care Renal Therapies Group, LLC · 2025 · recalled19801990200020102020
Other ancestors, by generation 2 generations back: 2 other ancestors3 generations back: 5 other ancestors4 generations back: 23 other ancestors, 1 with a Class I recall15 generations back: 6 other ancestors6 generations back: 2 other ancestors7 generations back: 2 other ancestors8 generations back: 2 other ancestors10 generations back: 2 other ancestors11 generations back: 1 other ancestor K243505 · 5008X Hemodialysis System · Fresenius Medical Care Renal Therapies Group, LLC · 2025 · recalledK231534 · 5008X Hemodialysis System · Fresenius Medical Care · 2024 · recalledK222952 · 2008T BlueStar Hemodailysis Machine · Fresenius Medical Care Renal Therapies Group, LLC · 2022 · Class I recallK173972 · 2008T BlueStar Hemodialysis Machine · Fresenius Medical Care Renal Therapies Group, LLC · 2018 · Class I recallK153449 · 2008K2 Hemodialysis Machine · Fresenius Medical Care Renal Therapies Group, LLC · 2016 · recalledK150708 · 2008K Hemodialysis Machine, 2008K@home Hemodialysis Machine, 2008T Hemodialysis Machine · Fresenius Medical Care Renal Therapies Group, LLC · 2015 · Class I recallK124035 · 2008K@Home Hemodialysis Machine · Fresenius Medical Care North America · 2013K121341 · Fresenius 2008T Hemodialysis Machine with Bibag System · Fresenius Medical Care North America · 2012 · recalledK120017 · Fresenius 2008 Hemodiaysis Machine with Bibag System · Fresenius Medical Care North America · 2012 · recalledK101715 · Fresenius 2008T Hemodialysis Machine Model 190573 · Fresenius Medical Care North America, Design Cente · 2010 · recalledK093902 · Modification to:Fresenius 2008T Hemodialysis Machine, Model 190573 · Fresenius Medical Care North America · 2010 · recalledK080964 · Fresenius Model 2008T Hemodialysis Machine · Fresenius Medical Care North America · 2009 · recalledK994267 · Fresenius 2008K · Fresenius Medical Care · 2000 · recalledK921456 · Fresenius 3008/FDS-08 Dialysate Delivery System · Fresenius USA, Inc. · 1994 · recalled−10−50
  1. Root · 14 generations backK921456 Fresenius 3008/FDS-08 Dialysate Delivery SystemFresenius USA, Inc. · 1994 · Recalled
  2. 10 generations between
  3. 3 generations backK222952 2008T BlueStar Hemodailysis MachineFresenius Medical Care Renal Therapies Group, LLC · 2022 · Recalled (Class I)
  4. 2 generations backK231534 5008X Hemodialysis SystemFresenius Medical Care · 2024 · Recalled
  5. 1 generation backK243505 5008X Hemodialysis SystemFresenius Medical Care Renal Therapies Group, LLC · 2025 · Recalled
  6. This deviceK251851 DIASAFEplusUS (F00013010)Fresenius Medical Care Renal Therapies Group, LLC · 2025
Show all 14 generations
  1. Root · 14 generations backK921456 Fresenius 3008/FDS-08 Dialysate Delivery SystemFresenius USA, Inc. · 1994 · Recalled
  2. 13 generations backK994267 Fresenius 2008KFresenius Medical Care · 2000 · Recalled
  3. 12 generations backK080964 Fresenius Model 2008T Hemodialysis MachineFresenius Medical Care North America · 2009 · Recalled
  4. 11 generations backK093902 Modification to:Fresenius 2008T Hemodialysis Machine, Model 190573Fresenius Medical Care North America · 2010 · Recalled
  5. 10 generations backK101715 Fresenius 2008T Hemodialysis Machine Model 190573Fresenius Medical Care North America, Design Cente · 2010 · Recalled
  6. 9 generations backK120017 Fresenius 2008 Hemodiaysis Machine with Bibag SystemFresenius Medical Care North America · 2012 · Recalled
  7. 8 generations backK121341 Fresenius 2008T Hemodialysis Machine with Bibag SystemFresenius Medical Care North America · 2012 · Recalled
  8. 7 generations backK124035 2008K@Home Hemodialysis MachineFresenius Medical Care North America · 2013
  9. 6 generations backK150708 2008K Hemodialysis Machine, 2008K@home Hemodialysis Machine, 2008T…Fresenius Medical Care Renal Therapies Group, LLC · 2015 · Recalled (Class I)
  10. 5 generations backK153449 2008K2 Hemodialysis MachineFresenius Medical Care Renal Therapies Group, LLC · 2016 · Recalled
  11. 4 generations backK173972 2008T BlueStar Hemodialysis MachineFresenius Medical Care Renal Therapies Group, LLC · 2018 · Recalled (Class I)
  12. 3 generations backK222952 2008T BlueStar Hemodailysis MachineFresenius Medical Care Renal Therapies Group, LLC · 2022 · Recalled (Class I)
  13. 2 generations backK231534 5008X Hemodialysis SystemFresenius Medical Care · 2024 · Recalled
  14. 1 generation backK243505 5008X Hemodialysis SystemFresenius Medical Care Renal Therapies Group, LLC · 2025 · Recalled
  15. This deviceK251851 DIASAFEplusUS (F00013010)Fresenius Medical Care Renal Therapies Group, LLC · 2025

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−14K921456Fresenius 3008/FDS-08 Dialysate Delivery SystemFresenius USA, Inc.19943
−13K994267Fresenius 2008KFresenius Medical Care20005
−12K080964Fresenius Model 2008T Hemodialysis MachineFresenius Medical Care North America20094
−11K093902Modification to:Fresenius 2008T Hemodialysis Machine, Model 190573Fresenius Medical Care North America20102
−10K101715Fresenius 2008T Hemodialysis Machine Model 190573Fresenius Medical Care North America, Design Cente20101
−9K120017Fresenius 2008 Hemodiaysis Machine with Bibag SystemFresenius Medical Care North America20123
−8K121341Fresenius 2008T Hemodialysis Machine with Bibag SystemFresenius Medical Care North America20125
−7K1240352008K@Home Hemodialysis MachineFresenius Medical Care North America2013—
−6K1507082008K Hemodialysis Machine, 2008K@home Hemodialysis Machine, 2008T…Fresenius Medical Care Renal Therapies Group, LLC2015Class I
−5K1534492008K2 Hemodialysis MachineFresenius Medical Care Renal Therapies Group, LLC20162
−4K1739722008T BlueStar Hemodialysis MachineFresenius Medical Care Renal Therapies Group, LLC2018Class I
−3K2229522008T BlueStar Hemodailysis MachineFresenius Medical Care Renal Therapies Group, LLC2022Class I
−2K2315345008X Hemodialysis SystemFresenius Medical Care20241
−1K2435055008X Hemodialysis SystemFresenius Medical Care Renal Therapies Group, LLC20256
0 (this device)K251851DIASAFEplusUS (F00013010)Fresenius Medical Care Renal Therapies Group, LLC2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197710
198110
198410
198720
198820
198920
199010
199420
199530
199610
199730
199810
199920
200020
200120
200230
200410
200510
200710
200811
200910
201110
201220
201320
201410
201510
201710
201910
202010
202310
FIG. 1 — Lineage of K251851, 1994–2025Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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 FIP device

  1. #1 K250471 AquaC UNO Hscore 11.5 · 5 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

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
*K2435055008X Hemodialysis System
Summary page 5
…: Gastroenterology/Urology 1.3. Legally Marketed Predicate Device The legally marketed primary predicate device is the DIASAFE®plusUS filter cleared under K243505. The predicate has not been subject to a design-related recall. 1.4. Device Description 1.4.1. Device Identification…
Fresenius Medical Care Renal Therapies Group, LLC20256

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.

  • K2229522008T BlueStar Hemodailysis MachineFresenius Medical Care Renal Therapies Group, LLC · 2022 · 3 generations back · ◆ on the line of descent in FIG. 18 Class I recalls
  • K1739722008T BlueStar Hemodialysis MachineFresenius Medical Care Renal Therapies Group, LLC · 2018 · 3 generations back · ◆ on the line of descent in FIG. 18 Class I recalls
  • K080807Blood Tubing Sets (Sterile Fluid Path)Nxstage Medical, Inc. · 2008 · 4 generations back · ◆ in the 2008 ancestors bar of FIG. 17 Class I recalls
  • K1507082008K Hemodialysis Machine, 2008K@home Hemodialysis Machine, 2008T Hemodialysis MachineFresenius Medical Care Renal Therapies Group, LLC · 2015 · 5 generations back · ◆ on the line of descent in FIG. 18 Class I recalls

What does this lineage say?

  • The line of descent spans 31 years and passes through 5 companies; a new generation was cleared every 1.3 years on median.
  • 24 of the 59 ancestors have a recall of any class; 4 have a Class I recall.

How does its category compare?

All FIP devices

FIP Subsystem, Water Purification: FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, this device’s year, is highlighted.

FDA decisions per year · FIP

4in 2025

2007: 12008: 32009: 32010: 22011: 42012: 22013: 42014: 42015: 22016: 22017: 12018: 12019: 22020: 12021: 12022: 12023: 32024: 12025: 4
2007high 4 (2011) · low 1 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FIP

88in 2025

2008: 202 days median2009: 167 days median2011: 116 days median2013: 125 days median2014: 126 days median2023: 69 days median2025: 88 days median
2007high 202 (2008) · low 69 (2023)2026

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

Recalls per year · FIP

1in 2020

2020: 1
2007high 1 (2020) · low 0 (2007)2026

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

Adverse event reports per year · FIP

77in 2025

2007: 12008: 52010: 122011: 42012: 42013: 412014: 342015: 122016: 32017: 62018: 32019: 132020: 122021: 352022: 572023: 1402024: 1742025: 77
2007high 174 (2024) · low 0 (2009)2025

MAUDE reports naming product code FIP, 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
20071—01
2008320205
2009316700
20102—012
2011411604
20122—04
20134125041
20144126034
20152—012
20162—03
20171—06
20181—03
20192—013
20201—112
20211—035
20221—057
20233690140
20241—0174
2025488077
20260—0—

What is it indicated for?

The DIASAFE®plusUS is intended for the preparation of ultrapure dialysis fluid (for the 2008-series machines and 5008X machines) and sterile, non-pyrogenic substitution fluid (for the 5008X machines) from pretreated water and is not intended to provide primary purification. Attention must still be given to the chemical and microbiological quality of water and concentrates and the maintenance of supply systems (e.g. RO system, central delivery system).…

Read the full statement (107 words)

The DIASAFE®plusUS is intended for the preparation of ultrapure dialysis fluid (for the 2008-series machines and 5008X machines) and sterile, non-pyrogenic substitution fluid (for the 5008X machines) from pretreated water and is not intended to provide primary purification. Attention must still be given to the chemical and microbiological quality of water and concentrates and the maintenance of supply systems (e.g. RO system, central delivery system). The microbiological quality (microbial count [CFU/mL] and endotoxin measurement [EU/mL]) of the incoming water should be < 200 CFU/mL and < 2 EU/mL, respectively.

The DIASAFE®plusUS can only be used with Fresenius Medical Care hemodialysis machines fitted for use with the DIASAFE®plusUS.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K251851: DIASAFEplusUS (F00013010).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K251851

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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