Cleared Traditional

K042727 - POCKET SIZE RESUSCITATOR/MODEL: M16201R...

K042727 is an FDA 510(k) clearance for POCKET SIZE RESUSCITATOR/MODEL: M16201R..., manufactured by Foremount Ent. Co., Ltd.. The device is a Class 2 Anesthesiology device with product code CBP cleared through the Traditional 510(k) pathway after a 168-day FDA review.

Download Printable Device Report (PDF)
Optimized for regulatory review, auditing and printing
Mar 2005
Decision
168d
Days
Class 2
Risk

K042727 is an FDA 510(k) clearance for the POCKET SIZE RESUSCITATOR/MODEL: M16201R AND M16201A. Classified as Valve, Non-rebreathing (product code CBP), Class II - Special Controls.

Submitted by Foremount Ent. Co., Ltd. (Ta Ya Hsiang, Taichung, TW). The FDA issued a Cleared decision on March 18, 2005 after a review of 168 days - an extended review cycle.

This device falls under the Anesthesiology FDA review panel, regulated under 21 CFR 868.5870 - the FDA anesthesiology and respiratory device framework. The Traditional 510(k) pathway establishes clearance through substantial equivalence to a legally marketed predicate device, without requiring clinical trial data.

Device pattern: Standard predicate-based submission. Standard predicate reliance. This clearance follows a standard predicate-based equivalence path within the Anesthesiology review framework, consistent with the majority of Class II 510(k) submissions.

View all Foremount Ent. Co., Ltd. devices

FDA 510(k) Submission Details - K042727

510(k) Number K042727 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received October 01, 2004
Decision Date March 18, 2005
Days to Decision 168 days
Submission Type Traditional
Review Panel Anesthesiology (AN)
Summary Summary PDF
Third-party Review No - reviewed directly by FDA
Regulatory Context
Review time vs. panel average
28d slower than avg
Panel avg: 140d · This submission: 168d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

CBP Device Classification - Class 2, Special Controls

Product Code CBP Valve, Non-rebreathing
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 868.5870
What this classification means

Class II devices require demonstration of substantial equivalence to a legally marketed predicate device. This pathway does not require clinical trials - it relies on engineering equivalence and performance data. Most Anesthesiology devices follow this clearance model.

Regulatory Peers - CBP Valve, Non-rebreathing

All 36
Devices cleared under the same product code (CBP) and FDA review panel - the closest regulatory comparables to K042727.
CPR Face Shield
K192285 · Firstar Healthcare Company Limited (Guangzhou) · Nov 2020
OJR215 Pressure Relief Manifold
K173770 · Fisher & Paykel Healthcare Limited · Apr 2019
DYNAREX CPR SHIELD WITH ONE WAY VALVE AND BARRIER FILTER, MODEL 4921
K052743 · Dynarex Corp. · Dec 2005
PRESSURE MANIFOLD, MODEL BC 110
K040366 · Fisher &Paykel Healthcare , Ltd. · Mar 2004
MODIFICATION TO HIOX
K030943 · Sensor Medics Corp. · Apr 2003
HI-OX
K020665 · Sensor Medics Corp. · Jul 2002