Cleared Traditional

K913095 - SAM LS

K913095 is the FDA 510(k) clearance for SAM LS by Ferguson Medical. It is a Class 2 Anesthesiology device (product code CAF) cleared through the Traditional 510(k) pathway after a 510-day FDA review.

Download Printable Device Report (PDF)
Optimized for regulatory review, auditing and printing
Dec 1992
Decision
510d
Days
Class 2
Risk

K913095 is an FDA 510(k) clearance for the SAM LS. Classified as Nebulizer (direct Patient Interface) (product code CAF), Class II - Special Controls.

Submitted by Ferguson Medical (Chico, US). The FDA issued a Cleared decision on December 3, 1992 after a review of 510 days - an unusually long review period, suggesting complex equivalence evaluation.

This device falls under the Anesthesiology FDA review panel, regulated under 21 CFR 868.5630 - 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: High-complexity regulatory submission. Elevated predicate reliance profile. The extended review timeline suggests the FDA required additional documentation before confirming substantial equivalence - a pattern common in complex or first-of-kind Anesthesiology submissions.

View all Ferguson Medical devices

Submission Details

510(k) Number K913095 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received July 12, 1991
Decision Date December 03, 1992
Days to Decision 510 days
Submission Type Traditional
Review Panel Anesthesiology (AN)
Summary Statement
Third-party Review No - reviewed directly by FDA
Combination Product No
PCCP Authorized No
Regulatory Context
Review time vs. panel average
370d slower than avg
Panel avg: 140d · This submission: 510d
Pathway characteristics
Predicate-based equivalence. No clinical trials required.

Device Classification

Product Code CAF Nebulizer (direct Patient Interface)
Device Class Class 2 - Special Controls
CFR Regulation 21 CFR 868.5630
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 - CAF Nebulizer (direct Patient Interface)

All 161
Devices cleared under the same product code (CAF) and FDA review panel - the closest regulatory comparables to K913095.
DEVILBISS MODEL 5650 PULMO-AIDE
K923888 · Devilbiss Health Care, Inc. · Feb 1993
PRECISION MIST COMPRESSOR
K923324 · Precision Medical, Inc. · Jan 1993
COMPANION 800 PORTABLE NEBULIZER COMPRESSOR (C800)
K921809 · Puritan Bennett Corp. · Dec 1992
SAM SC
K913096 · Ferguson Medical · Dec 1992
NE-U07
K922923 · Omron Healthcare, Inc. · Sep 1992
NE-U04/NE U04F
K923024 · Omron Healthcare, Inc. · Sep 1992