510(k) Report

510(k) · Cleared

Cleared

MD 420/440/460/470/480/490

K993200510(k) TraditionalCleared Jan 24, 2000122-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

Isopure, Corp. · FIP Subsystem, Water Purification

Cleared on Jan 24, 2000 as substantially equivalent to K944385 (International Purification Systems, Inc., 1995) after a 122-day review. Its family tree reaches back 1 generation to 1995. 4 later devices descend from it.

Decided
Jan 24, 2000
Review
122 days
Class
Class II
Product code
FIP
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K944385 (1995). 4 later devices descend from it, 1 citing it directly.

Descendants, by year cleared 2005: 1 descendant cleared2015: 1 descendant cleared2016: 1 descendant cleared2025: 1 descendant clearedK944385 · MD400 a/B/C/D/E/F/G · International Purification Systems, Inc. · 19951995200020052010201520202025
Descendants, by generation 1 generation forward: 1 descendant2 generations forward: 2 descendants3 generations forward: 1 descendant K944385 · MD400 a/B/C/D/E/F/G · International Purification Systems, Inc. · 19950
  1. Root · 1 generation backK944385 MD400 a/B/C/D/E/F/GInternational Purification Systems, Inc. · 1995
  2. This deviceK993200 MD 420/440/460/470/480/490Isopure, Corp. · 2000
  3. Descendant · cites it directly · 3 of its ownK051620 Matrix Digital Reverse Osmosis Water Treatment System, Model Eqrmd…Better Water, Inc. · 2005
  4. Descendant · 2 generations on · 1 of its ownK151637 UPT Series Medical RO Water SystemSpecialty Water Technologies · 2015
  5. Descendant · 3 generations on · 0 of its ownK250514 UPT Series Medical RO Water Treatment SystemSpecialty Water Technologies, Inc. · 2025
  6. Descendant · 2 generations on · 0 of its ownK161844 Matrix Pre-Treatment ControllerBetter Water, LLC · 2016

Most influential descendants

Showing 4 of 4 · See all
  • K051620Matrix Digital Reverse Osmosis Water Treatment System, Model Eqrmd SeriesBetter Water, Inc. · 2005 · cites it directly3descendants
  • K151637UPT Series Medical RO Water SystemSpecialty Water Technologies · 2015 · 2 generations on1descendant
  • K250514UPT Series Medical RO Water Treatment SystemSpecialty Water Technologies, Inc. · 2025 · 3 generations on0descendants
  • K161844Matrix Pre-Treatment ControllerBetter Water, LLC · 2016 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K944385MD400 a/B/C/D/E/F/GInternational Purification Systems, Inc.1995—
0 (this device)K993200MD 420/440/460/470/480/490Isopure, Corp.2000—
+1K051620Matrix Digital Reverse Osmosis Water Treatment System, Model Eqrmd SeriesBetter Water, Inc.2005—
+2K151637UPT Series Medical RO Water SystemSpecialty Water Technologies2015—
+3K250514UPT Series Medical RO Water Treatment SystemSpecialty Water Technologies, Inc.2025—
+2K161844Matrix Pre-Treatment ControllerBetter Water, LLC2016—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200510
201510
201610
202510
FIG. 1 — Lineage of K993200, 1995–2025Source: 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 FIP? 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 K251851 DIASAFEplusUS (F00013010)score 14.1 · 14 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
*K944385MD400 a/B/C/D/E/F/G
Summary page 3
…SECTION 1: DEVICE MODIFICATION DESCRIPTION 1.1 Intended Use: As was tru¢ for the original registered HDA0OA--F Reverse Osmosis (RO) Machine device (510(k) application #K944385), the intended use of the modified RO machine device, i.e., the MD420-490 series, is inténded to purify water for Hemodialysis wh…
International Purification Systems, Inc.1995—

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K051620Matrix Digital Reverse Osmosis Water Treatment System, Model Eqrmd SeriesBetter Water, Inc.20053

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.
  • Of its descendants, K051620 (Better Water, Inc., 2005) has gone furthest, with 3 descendants of its own.

How does its category compare?

All FIP devices

FIP Subsystem, Water Purification: FDA decisions, review times, recalls and adverse event reports over 20 years.

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 MD 420-490 series reverse osmosis system is intended to purify water for

hemodialysis when used as a component of a complete water purification system.

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. “K993200: MD 420/440/460/470/480/490.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K993200

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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