510(k) Report

510(k) · Cleared

Cleared

Optiflow Switch+ Filtered Nasal Interface with CO2 Sampling (AA042J)

K253479510(k) SpecialCleared Dec 19, 202566-day reviewClass II21 CFR 868.5450

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

Fisher & Paykel Healthcare, Ltd. · BTT Humidifier, Respiratory Gas, (Direct Patient Interface)

Cleared on Dec 19, 2025 as substantially equivalent to K234058 (Fisher & Paykel Healthcare, Ltd., 2024) after a 66-day review. Its family tree reaches back 12 generations to 1992.

Decided
Dec 19, 2025
Review
66 days
Class
Class II
Product code
BTT
Recalls
None
Predicates
1

Its longest line of descent runs back 12 generations to K913368 (1992). 24 ancestors in all, the oldest K902506 (1991). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2004: 2 other ancestors2000: 1 other ancestor1998: 1 other ancestor1994: 2 other ancestors1991: 1 other ancestor1996: 2 other ancestors1993: 1 other ancestor1992: 1 other ancestor1995: 1 other ancestorReference device: K201723 · F&P Optiflow Nasal Oxygen Cannula with CO2 Sampling · Fisher & Paykel Healthcare, Ltd. · 2021K913368 · Models MR700/MR720/MR730 Dual Servo Resp Humid Acc · Fisher & Paykel Electronics, Ltd. · 1992K953392 · HC500 Servo-Controlled Heated Respiratory Humidifier (& Accessories) · Fisher & Paykel Electronics, Ltd. · 1996K983112 · Respiratory Humidifier, Model # MR850 · Fisher & Paykel Healthcare, Ltd. · 1998 · recalledK020332 · Respiratory Humidifier, Model MR850 · Fisher & Paykel Healthcare, Ltd. · 2003 · recalledK033710 · MR850 Respiratory Humidifier, Model MR850JHU · Fisher & Paykel Healthcare, Ltd. · 2004K073706 · Respiratory Humidifier, Model MR850 · Fisher & Paykel Healthcare, Ltd. · 2008K092846 · Airvo Series Humidifiers · Fisher & Paykel Healthcare, Ltd. · 2010K121975 · Airvo Humidifier Myairo Humidifier · Fisher & Paykel Healthcare, Ltd. · 2013K131895 · Airvo 2 Humidifier, Myairvo 2 Humidifier · Fisher & Paykel Healthcare, Ltd. · 2013 · recalledK162553 · AirSpiral Heated Breathing Tube · Fisher & Paykel Healthcare · 2018K201723 · F&P Optiflow Nasal Oxygen Cannula with CO2 Sampling · Fisher & Paykel Healthcare, Ltd. · 2021K234058 · F&P Optiflow Filtered Nasal Interface with Anesthesia Mask Compatibility (AA041J) · Fisher & Paykel Healthcare, Ltd. · 20241990200020102020
  1. Root · 12 generations backK913368 Models MR700/MR720/MR730 Dual Servo Resp Humid AccFisher & Paykel Electronics, Ltd. · 1992
  2. 8 generations between
  3. 3 generations backK162553 AirSpiral Heated Breathing TubeFisher & Paykel Healthcare · 2018
  4. 2 generations backK201723 F&P Optiflow Nasal Oxygen Cannula with CO2 SamplingFisher & Paykel Healthcare, Ltd. · 2021
  5. 1 generation backK234058 F&P Optiflow Filtered Nasal Interface with Anesthesia Mask…Fisher & Paykel Healthcare, Ltd. · 2024
  6. This deviceK253479 Optiflow Switch+ Filtered Nasal Interface with CO2 Sampling (AA042J)Fisher & Paykel Healthcare, Ltd. · 2025
Show all 12 generations
  1. Root · 12 generations backK913368 Models MR700/MR720/MR730 Dual Servo Resp Humid AccFisher & Paykel Electronics, Ltd. · 1992
  2. 11 generations backK953392 HC500 Servo-Controlled Heated Respiratory Humidifier (& Accessories)Fisher & Paykel Electronics, Ltd. · 1996
  3. 10 generations backK983112 Respiratory Humidifier, Model # MR850Fisher & Paykel Healthcare, Ltd. · 1998 · Recalled
  4. 9 generations backK020332 Respiratory Humidifier, Model MR850Fisher & Paykel Healthcare, Ltd. · 2003 · Recalled
  5. 8 generations backK033710 MR850 Respiratory Humidifier, Model MR850JHUFisher & Paykel Healthcare, Ltd. · 2004
  6. 7 generations backK073706 Respiratory Humidifier, Model MR850Fisher & Paykel Healthcare, Ltd. · 2008
  7. 6 generations backK092846 Airvo Series HumidifiersFisher & Paykel Healthcare, Ltd. · 2010
  8. 5 generations backK121975 Airvo Humidifier Myairo HumidifierFisher & Paykel Healthcare, Ltd. · 2013
  9. 4 generations backK131895 Airvo 2 Humidifier, Myairvo 2 HumidifierFisher & Paykel Healthcare, Ltd. · 2013 · Recalled
  10. 3 generations backK162553 AirSpiral Heated Breathing TubeFisher & Paykel Healthcare · 2018
  11. 2 generations backK201723 F&P Optiflow Nasal Oxygen Cannula with CO2 SamplingFisher & Paykel Healthcare, Ltd. · 2021
  12. 1 generation backK234058 F&P Optiflow Filtered Nasal Interface with Anesthesia Mask…Fisher & Paykel Healthcare, Ltd. · 2024
  13. This deviceK253479 Optiflow Switch+ Filtered Nasal Interface with CO2 Sampling (AA042J)Fisher & Paykel Healthcare, Ltd. · 2025
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K913368Models MR700/MR720/MR730 Dual Servo Resp Humid AccFisher & Paykel Electronics, Ltd.1992—
−11K953392HC500 Servo-Controlled Heated Respiratory Humidifier (& Accessories)Fisher & Paykel Electronics, Ltd.1996—
−10K983112Respiratory Humidifier, Model # MR850Fisher & Paykel Healthcare, Ltd.19985
−9K020332Respiratory Humidifier, Model MR850Fisher & Paykel Healthcare, Ltd.20031
−8K033710MR850 Respiratory Humidifier, Model MR850JHUFisher & Paykel Healthcare, Ltd.2004—
−7K073706Respiratory Humidifier, Model MR850Fisher & Paykel Healthcare, Ltd.2008—
−6K092846Airvo Series HumidifiersFisher & Paykel Healthcare, Ltd.2010—
−5K121975Airvo Humidifier Myairo HumidifierFisher & Paykel Healthcare, Ltd.2013—
−4K131895Airvo 2 Humidifier, Myairvo 2 HumidifierFisher & Paykel Healthcare, Ltd.20132
−3K162553AirSpiral Heated Breathing TubeFisher & Paykel Healthcare2018—
−2K201723F&P Optiflow Nasal Oxygen Cannula with CO2 SamplingFisher & Paykel Healthcare, Ltd.2021—
−1K234058F&P Optiflow Filtered Nasal Interface with Anesthesia Mask Compatibility…Fisher & Paykel Healthcare, Ltd.2024—
0 (this device)K253479Optiflow Switch+ Filtered Nasal Interface with CO2 Sampling (AA042J)Fisher & Paykel Healthcare, Ltd.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110
199210
199310
199420
199510
199620
199810
200010
200420
FIG. 1 — Lineage of K253479, 1992–2025Source: 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 BTT? 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 BTT device

  1. #1 K222197 F&P Optiflow Junior 2/2+ Nasal Cannula…score 16.8 · 10 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
*K234058F&P Optiflow Filtered Nasal Interface with Anesthesia Mask Compatibility (AA041J)
Summary page 5
…868.5450) Product Code BTT III. PREDICATE DEVICE Predicate Device: F&P Optiflow Filtered Nasal Interface with Anesthesia Mask Compatibility, K234058. Reference Device: F&P Optiflow Nasal Oxygen Cannula with CO2 sampling, K201723.…
Fisher & Paykel Healthcare, Ltd.2024—
†K201723F&P Optiflow Nasal Oxygen Cannula with CO2 SamplingFisher & Paykel Healthcare, Ltd.2021—

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 33 years and passes through 3 companies; a new generation was cleared every 2.9 years on median.
  • 3 of the 24 ancestors have a recall of any class.

How does its category compare?

All BTT devices

BTT Humidifier, Respiratory Gas, (Direct Patient Interface): FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, this device’s year, is highlighted.

FDA decisions per year · BTT

4in 2025

2007: 62008: 42009: 12010: 42011: 32012: 22013: 62014: 72015: 12016: 32017: 32018: 22019: 12020: 22021: 22022: 32023: 72024: 72025: 42026 (partial year): 4
2007high 7 (2014) · low 1 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · BTT

104in 2025

2007: 73 days median2008: 199 days median2010: 113 days median2011: 116 days median2013: 171 days median2014: 231 days median2016: 157 days median2017: 303 days median2022: 290 days median2023: 258 days median2024: 219 days median2025: 104 days median2026 (partial year): 184 days median
2007high 303 (2017) · low 73 (2007)2026

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

Recalls per year · BTT

1in 2025

2007: 12008: 12010: 22011: 12014: 5, 4 Class I2025: 12026 (partial year): 1
2007high 5 (2014) · low 0 (2009)2026

Class I (4 since 2007) Class II/III not classified

Adverse event reports per year · BTT

1,743in 2025

2007: 3652008: 4562009: 5582010: 5622011: 6652012: 5832013: 7182014: 7182015: 6702016: 1,0942017: 1,0072018: 9182019: 8942020: 1,1882021: 1,5102022: 7492023: 7162024: 5012025: 1,743
2007high 1,743 (2025) · low 365 (2007)2025

MAUDE reports naming product code BTT, 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
20076731365
200841991456
20091—0558
201041132562
201131161665
20122—0583
201361710718
201472315 (4)718
20151—0670
2016315701,094
2017330301,007
20182—0918
20191—0894
20202—01,188
20212—01,510
202232900749
202372580716
202472190501
2025410411,743
202641841—

What is it indicated for?

This product is intended for delivery of respiratory gases to adult patients in hospitals. This product is indicated for the delivery of nasal high flow (NHF) and low-flow oxygen by appropriately qualified healthcare professionals. Qualitative carbon dioxide (CO2) sampling can be used at nasal cannula flow rates from 5 to 50 L/min in operating and procedure rooms. This product can be used for pre-oxygenation, short-term supplemental oxygenation (up to 10…

Read the full statement (115 words)

This product is intended for delivery of respiratory gases to adult patients in hospitals.

This product is indicated for the delivery of nasal high flow (NHF) and low-flow oxygen by appropriately qualified healthcare professionals.

Qualitative carbon dioxide (CO2) sampling can be used at nasal cannula flow rates from 5 to 50 L/min in operating and procedure rooms.

This product can be used for pre-oxygenation, short-term supplemental oxygenation (up to 10 minutes) during intubation, and allows an anesthesia mask to be placed over the nasal interface to perform mask ventilation, by individuals who perform anesthesia care or airway management.

This product is not intended for apneic ventilation.

This product is not indicated for use during CPR.

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. “K253479: Optiflow Switch+ Filtered Nasal Interface with CO2 Sampling (AA042J).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K253479

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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