Mr. Toshihiko Kai
President & Chief Executive Officer
Nikkiso Medical America, Inc
20-3, Ebisu 4-Chome, Shibuya-ku
Tokyo ,
150-6022
Japan
T.Kai@nikkiso.co.jpIssued May 7, 2021Center for Devices and Radiological Health
Source: FDA, published letter. FDA published this warning letter; View Letter opens FDA's copy.
Violations2
Issue DateMay 7, 2021
Product TypeMedical Devices
StatusClosed
Closeout LetterJul 29, 2025
Letter Details
Firm
Nikkiso Medical America, Inc
Location
Mr. Toshihiko Kai
President & Chief Executive Officer
Nikkiso Medical America, Inc
20-3, Ebisu 4-Chome, Shibuya-ku
Tokyo ,
150-6022
Japan
T.Kai@nikkiso.co.jp
FEI Number
N/A
Country
Japan
Issue Date
May 07, 2021
Issuing Office
Center for Devices and Radiological Health
Product Type
Medical Devices
Status
Closed
Closeout Letter
July 29, 2025
Summary
Nikkiso Medical America, Inc. was cited for marketing the DBB-06 dialysis device in the United States without required FDA premarket approval (PMA) or investigational device exemption (IDE), and for failing to submit a 510(k) premarket notification when introducing a physiological closed loop controller (PCLC) system—a significant modification that could affect device safety and effectiveness. The company's marketing materials demonstrated intent to commercialize the device with this new PCLC functionality, rendering the device both adulterated and misbranded under federal law.
Nikkiso Medical America, Inc FDA Warning Letter, May 7, 2021