510(k) Report

510(k) · Cleared

Cleared

Modification to Hydrocision Debridement System

K011612510(k) SpecialCleared Jun 22, 200128-day reviewClass II21 CFR 880.5475

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Hydrocision, Inc. · FQH Lavage, Jet

Cleared on Jun 22, 2001 as substantially equivalent to K991383 (Hydrocision, Inc., 2000) after a 28-day review. Its family tree reaches back 2 generations to 1997. 11 later devices descend from it.

Decided
Jun 22, 2001
Review
28 days
Class
Class II
Product code
FQH
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K972069 (1997). 3 ancestors in all. 11 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1998: 1 other ancestor2006: 1 descendant cleared2003: 1 descendant cleared2007: 1 descendant cleared2009: 1 descendant cleared2011: 2 descendants cleared2014: 1 descendant cleared2008: 1 descendant cleared2015: 1 descendant cleared2013: 1 descendant cleared2023: 1 descendant clearedK972069 · Stryker Interpulse Handpiece Set, Splash Shields, Irrigation and Suction Tips, Rechargeable Battery Pack · Stryker Instruments · 1997 · recalledK991383 · Hydrocision Debdridement System · Hydrocision, Inc. · 20001995200020052010201520202025
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 3 descendants3 generations forward: 4 descendants4 generations forward: 2 descendants K991383 · Hydrocision Debdridement System · Hydrocision, Inc. · 2000K972069 · Stryker Interpulse Handpiece Set, Splash Shields, Irrigation and Suction Tips, Rechargeable Battery Pack · Stryker Instruments · 1997 · recalled0
  1. Root · 2 generations backK972069 Stryker Interpulse Handpiece Set, Splash Shields, Irrigation and…Stryker Instruments · 1997 · Recalled
  2. 1 generation backK991383 Hydrocision Debdridement SystemHydrocision, Inc. · 2000
  3. This deviceK011612 Modification to Hydrocision Debridement SystemHydrocision, Inc. · 2001
  4. Descendant · cites it directly · 9 of its ownK060782 Versajet Hydrosurgery System and HandpieceSmith & Nephew Wound Management · 2006
  5. Descendant · 2 generations on · 5 of its ownK062544 AR1000 Ultrasonic Wound Therapy SystemArobella Medical, LLC · 2007 · Recalled
  6. Descendant · 3 generations on · 2 of its ownK112782 Misonix Sonicone (R) Ultrasonic Wound Care System and AccessoriesMisonix, Inc. · 2011
  7. Descendant · 2 generations on · 2 of its ownK110958 Versajet II Hydrosurgery System Console / Exact Handpieces / Plus…Smith & Nephew, Inc. · 2011
  8. Descendant · 3 generations on · 1 of its ownK143115 The VersaJet II Hydrosurgery SystemSmith & Nephew, Inc. · 2015

Showing 5 of 11 descendants. See all descendants

Descendants cleared per year

2003: 12006: 12007: 12008: 12009: 12011: 22013: 12014: 12015: 12023: 1
2003high 2 (2011) · low 0 (2004)2026

Most influential descendants

Showing 5 of 11 · See all
  • K060782Versajet Hydrosurgery System and HandpieceSmith & Nephew Wound Management · 2006 · cites it directly9descendants
  • K062544AR1000 Ultrasonic Wound Therapy SystemArobella Medical, LLC · 2007 · 2 generations on5descendants
  • K112782Misonix Sonicone (R) Ultrasonic Wound Care System and AccessoriesMisonix, Inc. · 2011 · 3 generations on2descendants
  • K110958Versajet II Hydrosurgery System Console / Exact Handpieces / Plus Handpieces, Versajet…Smith & Nephew, Inc. · 2011 · 2 generations on2descendants
  • K143115The VersaJet II Hydrosurgery SystemSmith & Nephew, Inc. · 2015 · 3 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K972069Stryker Interpulse Handpiece Set, Splash Shields, Irrigation and Suction Tips…Stryker Instruments19977
−1K991383Hydrocision Debdridement SystemHydrocision, Inc.2000—
0 (this device)K011612Modification to Hydrocision Debridement SystemHydrocision, Inc.2001—
+1K060782Versajet Hydrosurgery System and HandpieceSmith & Nephew Wound Management2006—
+2K062544AR1000 Ultrasonic Wound Therapy SystemArobella Medical, LLC20071
+3K112782Misonix Sonicone (R) Ultrasonic Wound Care System and AccessoriesMisonix, Inc.2011—
+2K110958Versajet II Hydrosurgery System Console / Exact Handpieces / Plus Handpieces…Smith & Nephew, Inc.2011—
+3K143115The VersaJet II Hydrosurgery SystemSmith & Nephew, Inc.2015—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200310
200610
200710
200810
200910
201120
201310
201410
201510
202310
FIG. 1 — Lineage of K011612, 1997–2023Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in FQH? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new FQH device

  1. #1 K253996 BD Surgiphor™ Antimicrobial Irrigation System…score 14.8 · 14 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K991383Hydrocision Debdridement System
Summary page 1
…tion of Legally Marketed Device The moditied HydroCision, Inc Debridement System is substantially equivalent in intended use to the HydroCision, Inc Debridement System (K991383). Device Description The HydroCision Debridement System uses a pressurized stream of sterile saline to lavage and clean wounds.…
Hydrocision, Inc.2000—

Also cleared against K991383: 1 other device →

What descends from it? (11)

See all 11

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K060782Versajet Hydrosurgery System and HandpieceSmith & Nephew Wound Management20069
K021813Hydrocision General Surgery Fluidjet SystemHydrocision, Inc.20030

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 4 years and passes through 2 companies; a new generation was cleared every 2.7 years on median.
  • 1 of the 3 ancestors has a recall of any class.
  • Of its descendants, K060782 (Smith & Nephew Wound Management, 2006) has gone furthest, with 9 descendants of its own.
  • 1 other device also cites its predicate K991383.

How does its category compare?

All FQH devices

FQH Lavage, Jet: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · FQH

3in 2023

2007: 12009: 32011: 22012: 12015: 12016: 12020: 32021: 12022: 42023: 32026 (partial year): 2
2007high 4 (2022) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FQH

410in 2023

2009: 240 days median2020: 130 days median2022: 136 days median2023: 410 days median
2007high 410 (2023) · low 130 (2020)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · FQH

2in 2019

2007: 132009: 12010: 72017: 12019: 2
2007high 13 (2007) · low 0 (2008)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · FQH

835in 2025

2007: 102008: 272009: 702010: 1352011: 832012: 1332013: 1342014: 1942015: 1162016: 1502017: 2432018: 3172019: 3282020: 3932021: 3982022: 1712023: 3332024: 4252025: 835
2007high 835 (2025) · low 10 (2007)2025

MAUDE reports naming product code FQH, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20071—1310
20080—027
20093240170
20100—7135
20112—083
20121—0133
20130—0134
20140—0194
20151—0116
20161—0150
20170—1243
20180—0317
20190—2328
202031300393
20211—0398
202241360171
202334100333
20240—0425
20250—0835
20262—0—

What is it indicated for?

The HydroCision, Inc. Debridement System is intended for wound debridement, soft tissue debridement, and cleansing of the surgical site in applications in which, in the physicians judgement, would require the use of a pulse lavage device with sharp debridement. This device is not intended to be used on burns.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K011612: Modification to Hydrocision Debridement System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K011612

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 30, 2026 (extraction version 2d9447fa9ea4)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026