Cleared Traditional

K100957 - DEPLOYABLE OXYGEN CONCENTRATION SYSTEM (DOCS), MODEL 66, DEPLOYABLE OXYGEN CEONCENTRATION

K100957 is an FDA 510(k) clearance for DEPLOYABLE OXYGEN CONCENTRATION SYSTEM ..., manufactured by Pacific Consolidated Industries, LLC. The device is a Class 2 Anesthesiology device with product code CAW cleared through the Traditional 510(k) pathway after a 289-day FDA review.

K100957 · Pacific Consolidated Industries, LLC · Anesthesiology device
Download Printable Device Report (PDF) Official FDA 510(k) Summary (PDF)
Optimized for regulatory review, auditing and printing
Jan 2011
Decision
289d
Days
Class 2
Risk

K100957 is an FDA 510(k) clearance for the DEPLOYABLE OXYGEN CONCENTRATION SYSTEM (DOCS), MODEL 66, DEPLOYABLE OXYGEN CE.... Classified as Generator, Oxygen, Portable within the CAW classification (a category for home-use oxygen therapy and respiratory devices), Class II - Special Controls.

Submitted by Pacific Consolidated Industries, LLC (Riverside, US). The FDA issued a Cleared decision on January 21, 2011 after a review of 289 days - an extended review cycle.

This device falls under the Anesthesiology FDA review panel, regulated under 21 CFR 868.5440 - 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.

FDA 510(k) Submission Details - K100957

510(k) Number K100957 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received April 07, 2010
Decision Date January 21, 2011
Days to Decision 289 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
149d slower than avg
Panel avg: 140d · This submission: 289d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

CAW Device Classification - Class 2, Special Controls

Product Code CAW Generator, Oxygen, Portable
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 868.5440
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 - CAW Generator, Oxygen, Portable

All 224
Devices cleared under the same product code (CAW) and FDA review panel - the closest regulatory comparables to K100957.
PRECISION PORTABLE OXYGEN CONCENTRATION MODEL 4150
K103563 · Precision Medical, Inc. · Jul 2011
CENTROX, RELIANT, ULTROX, AS-D+, AS-E, AS-G, AS-J, AS-K AND AS-L
K101154 · Airsep Corp. · Mar 2011
O2-IN-A-BOX, O2-IN-A-BOX
K102750 · Geto2, Inc. · Feb 2011
MESA II OXYGEN CONCENTRATOR MODEL: T2000 SERIES
K100920 · Sequal Technologies Co., Ltd. · Nov 2010
CARE ZY5BA OXYGEN CONCENTRATOR
K102245 · Foshan Care Medical Technology Co., Ltd. · Nov 2010
MERITS HEALTH PRODUCTS PROFIL Q601 SERIES OXYGEN FILLING ACCESSORY
K091716 · Merits Health Products Co., Ltd. · Apr 2010