Cleared Special

K111522 - CHARTIS CATHETER MODEL CHR-CA-12.0

K111522 is an FDA 510(k) clearance for CHARTIS CATHETER MODEL CHR-CA-12.0, manufactured by Pulmonx, Inc.. The device is a Class 2 Anesthesiology device with product code CBI cleared through the Special 510(k) pathway after a 119-day FDA review.

Download Printable Device Report (PDF) Official FDA 510(k) Summary (PDF)
Optimized for regulatory review, auditing and printing
Sep 2011
Decision
119d
Days
Class 2
Risk

K111522 is an FDA 510(k) clearance for the CHARTIS CATHETER MODEL CHR-CA-12.0. Classified as Tube, Tracheal/bronchial, Differential Ventilation (w/wo Connector) (product code CBI), Class II - Special Controls.

Submitted by Pulmonx, Inc. (Redwood City, US). The FDA issued a Cleared decision on September 29, 2011 after a review of 119 days - within the typical 510(k) review window.

This device falls under the Anesthesiology FDA review panel, regulated under 21 CFR 868.5740 - the FDA anesthesiology and respiratory device framework. As a Special 510(k), this submission covers a manufacturer modification to an existing cleared device rather than a new device introduction.

Device pattern: Iterative device modification. Standard predicate reliance. This Special 510(k) clearance confirms that the manufacturer's modifications remained within the established regulatory envelope of the original cleared device.

FDA 510(k) Submission Details - K111522

510(k) Number K111522 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received June 02, 2011
Decision Date September 29, 2011
Days to Decision 119 days
Submission Type Special
Review Panel Anesthesiology (AN)
Summary Summary PDF
Third-party Review No - reviewed directly by FDA
Combination Product No
PCCP Authorized No
Regulatory Context
Review time vs. panel average
21d faster than avg
Panel avg: 140d · This submission: 119d
Pathway characteristics
Modification to existing cleared device.

CBI Device Classification - Class 2, Special Controls

Product Code CBI Tube, Tracheal/bronchial, Differential Ventilation (w/wo Connector)
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 868.5740
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 - CBI Tube, Tracheal/bronchial, Differential Ventilation (w/wo Connector)

All 32
Devices cleared under the same product code (CBI) and FDA review panel - the closest regulatory comparables to K111522.
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COOPDECH ENDOBRONCHIAL BLOCKER TUBE
K093888 · Daiken Medical Co, Ltd. · Mar 2010
WELL LEAD ENDOBRONCHIAL TUBES
K092886 · Well Lead Instruments · Mar 2010
CHARTIS CATHETER
K083883 · Pulmonx, Inc. · Jun 2009