Devices descending from K012105
149 later devices reach Polyvac Surgical Instrument Delivery System through their predicates, nearest generation first.
| Generation | Number | Device | Applicant | Decided | Own descendants | Recalls |
|---|---|---|---|---|---|---|
| +1 | K242023 | Microdent Sterilization Cassette | Implant Microdent System S.L.U. | 2025 | 0 | — |
| +1 | K203198 | KARL STORZ Metal Sterilization Trays | Karl Storz Endoscopy America, Inc. | 2021 | 1 | 1 |
| +1 | K203572 | Karl Storz Radel Sterilization Trays | Karl Storz Endoscopy America, Inc. | 2021 | 0 | 1 |
| +1 | K201945 | KARL STORZ UDEL Sterilization Trays | Karl Storz Endoscopy America, Inc. | 2021 | 0 | 1 |
| +1 | K162063 | Steri-Cassette and Steri-Cage Sterilization Packaging System | Sybron Dental Specialties | 2017 | 0 | — |
| +1 | K152745 | ReNew Sterilization Trays (Catalog #3708 and #3709) | Microline Surgical, Inc. | 2016 | 0 | — |
| +1 | K142519 | InterActive Complete Surgical Tray | Implant Direct Sybron Manufacturing, LLC | 2015 | 30 | — |
| +1 | K141616 | Sterilization Cassette | Oticon Medical AB | 2014 | 2 | — |
| +1 | K131455 | Restore Modular Sterilization Tray System | Restore Medical Solutions, Inc. | 2013 | 30 | — |
| +1 | K130532 | Idrive Ultra Sterilization Tray | Covidien, Formerly US Surgical A Divison of Tyco H | 2013 | 6 | — |
| +1 | K121280 | Myosure Intrument Tray | Hologic, Inc. | 2013 | 1 | — |
| +1 | K120947 | THS Instrument Tray | Hologic, Inc. | 2012 | 30 | — |
| +1 | K110500 | Stat-Mat Minor | Macpherson Medical, Inc. | 2011 | 0 | — |
| +1 | K071783 | Versapod (TM) Instrument Trays | Containmed, Inc. | 2008 | 3 | — |
| +1 | K073551 | Smith & Nephew Instrument Trays | Smith & Nephew Inc., Endoscopy Div. | 2008 | 13 | — |
| +1 | K072211 | Intuitive Surgical Instrument and Accessories Sterilization Trays | Intuitive Surgical, Inc. | 2008 | 7 | — |
| +1 | K040223 | Polyvac Instrument Delivery System | Symmetry Medical USA, Inc. | 2004 | 46 | — |
| +1 | K033222 | Olympus Sterilization Trays | Olympus Winter & Ibe GmbH | 2004 | 58 | — |
| +1 | K032119 | Paragon Medical Surgical Instrument Delivery System Various | Paragon Medical, Inc. | 2003 | 18 | — |
| +1 | K030684 | Scope Guard Protective Sheath, Model Tel-SH | Acmi Corporation | 2003 | 0 | — |
| +1 | K023658 | Sterilization Cases and Trays | Carr Metal Products, Inc. | 2003 | 43 | — |
| +2 | K231291 | Perforated Baskets | Richard Wolf Medical Instruments Corporation | 2024 | 0 | — |
| +2 | K210923 | Southern Implants Instrument Trays | Southern Implants (Pty), Ltd. | 2022 | 0 | — |
| +2 | K200858 | Mini Sterilizable Tray | Implant Direct Sybron Manufacturing, LLC | 2020 | 3 | 1 |
| +2 | K191566 | Avinent Surgical Tray | Avinent Implant System S.L.U. | 2020 | 2 | — |
| +2 | K180127 | TCAT (R) THA Instrument Tray Set | THINK Surgical, Inc. | 2019 | 6 | — |
| +2 | K182052 | Omni Instrument Tray | Hologic, Inc. | 2019 | 0 | — |
| +2 | K181819 | SMARTRELEASE Endoscopic Soft Tissue Release System | Microaire Surgical Instruments, LLC | 2018 | 6 | — |
| +2 | K173642 | Klockner Surgical Box | Soadco, S.L. | 2018 | 1 | — |
| +2 | K171692 | Instrument basket, for EndoEYE | Olympus Winter & Ibe GmbH | 2018 | 1 | — |
| +2 | K170226 | iTotal Family Reusable Instrument Tray | Conformis, Inc. | 2017 | 0 | — |
| +2 | K160730 | Instrument kits | Anthogyr | 2017 | 20 | — |
| +2 | K161347 | Signia sterilization tray | Covidien | 2016 | 5 | — |
| +2 | K151594 | Ellipse Supplemental Instrument Trays | Ellipse Technologies, Incorporated | 2016 | 1 | — |
| +2 | K152241 | Medtronic Transportation/Sterilization Cassettes | Medtronic Sofamor Danek USA, Inc. | 2016 | 29 | — |
| +2 | K152951 | Advanced Imaging Modality (AIM) Sterilization Tray, Endoscope and Camera Sterilization… | Paragon Medical, Inc. | 2015 | 1 | — |
| +2 | K122818 | Olympus Maj-172 Instrument Tray for LTF Videoscope | Olympus Keymed (Medical & Industrial Equipment) LT | 2013 | 1 | — |
| +2 | K110748 | Olympus Instrument Tray | Olympus Winter & Ibe GmbH | 2012 | 0 | — |
| +2 | K102970 | Gyrus Acmi Cyber Wand-Sterilization Trays Model FGT | Gyrus Acmi, Inc. | 2011 | 0 | — |
| +2 | K102122 | Smith & Nephew Milti-Purpose Sterilization Tray Model 72202428 | Smith & Nephew, Inc. | 2010 | 1 | — |
| +2 | K092551 | Smith & Nephew Instrument Trays | Smith & Nephew Inc., Endoscopy Div. | 2010 | 0 | — |
| +2 | K100887 | Versitomic Acl Flexible Reamer System Sterilization Tray | Tag Medical Products | 2010 | 0 | — |
| +2 | K093800 | Robinson Medsurg Quickscrew Rack | Robinson Medsurg, LLC | 2010 | 0 | — |
| +2 | K092414 | Conmed Detachatip Instrument Tray, 33CM and 43CM | Conmed Corporation | 2010 | 1 | — |
| +2 | K091806 | Pogo Screw Instrumentation Tray | Fxdevices | 2010 | 0 | — |
| +2 | K092682 | Gyrus Acmi Flexible Endoscope Storage-Sterilization Trays | Gyrus Acmi, Inc. | 2009 | 5 | — |
| +2 | K091627 | Smith & Nephew Instrument Trays | Smith & Nephew, Inc. | 2009 | 4 | — |
| +2 | K090562 | Smith & Nephew Instrument Trays | Smith & Nephew, Inc. | 2009 | 12 | — |
| +2 | K081939 | Omniguide Beampath Fiber Optic Handpiece System and Sterilization Tray | Omniguide, Inc. | 2008 | 4 | — |
| +2 | K070769 | VHP 136 Tray | STERIS Corporation | 2007 | 10 | — |
| +2 | K052992 | Conmed Linvatec Instrument Sterilization Tray | Conmed Linvatec | 2006 | 42 | — |
| +2 | K050220 | Evis Exera Bronchovideoscope, Olympus XBF-160Y3AC, XBF-1T160Y3AC,XBF-Q160Y2AC | Olympus Medical Systems Corporation | 2005 | 0 | Class I |
| +3 | K252020 | TunnelVision Endoscopic Soft Tissue Release System and the HBL Blade Assembly | Hand Biomechanics Lab, Inc. | 2025 | 0 | — |
| +3 | K243128 | Klockner Kits | Soadco, S.L. | 2024 | 0 | — |
| +3 | K230680 | Anthogyr Surgical Cassettes | Anthogyr | 2023 | 0 | — |
| +3 | K223406 | SmartRelease Endoscopic Soft Tissue Release System | Microaire Surgical Instruments | 2023 | 2 | 1 |
| +3 | K222490 | HBL Blade Assembly | Hand Biomechanics Lab, Inc. | 2022 | 1 | — |
| +3 | K203177 | Sterisystem Dry-Base Instrument Tray | O&M Halyard, Inc. | 2022 | 0 | — |
| +3 | K212068 | Biotech Dental Kits | Biotech Dental, Sas | 2021 | 0 | — |
| +3 | K203492 | Instrument tray, for semi-rigid ureteroscope | Olympus Winter & Ibe GmbH | 2021 | 0 | — |
| +3 | K211297 | SMARTRELEASE Endoscopic Soft Tissue Release System | Microaire Surgical Instruments | 2021 | 0 | — |
| +3 | K201533 | Avinent Biomimetic Coral and Ocean-Iceberg Sterilization Cassettes | Avinent Implant System S.L.U. | 2021 | 0 | — |
| +3 | K202524 | Standard Sterilizable Tray | Implant Direct Sybron Manufacturing, LLC | 2021 | 2 | — |
| +3 | K192781 | UroLift System Procedure Kit Sterilization Tray | Neotract, Inc. | 2020 | 1 | — |
| +3 | K200632 | TCAT TKA Instrument Tray Set | THINK Surgical, Inc. | 2020 | 5 | — |
| +3 | K192487 | EZ-TRAX Containment Device | K1 Medical, LLC | 2019 | 3 | — |
| +3 | K190840 | Medtronic Transportation / Sterilization Cassettes | Medtronic Sofamor Danek USA, Inc. | 2019 | 0 | — |
| +3 | K190667 | Sonopet iQ Sterilization Tray | Paragon Medical | 2019 | 0 | — |
| +3 | K183199 | TRIO Handpiece | Omniguide, Inc. | 2019 | 0 | — |
| +3 | K180915 | Sonicision Reusable Sterilization Tray | Covidien | 2018 | 1 | — |
| +3 | K171713 | Neodent Instrument Kits | Jjgc Industria E Comercio DE Materiais Dentarios S.A. | 2018 | 18 | — |
| +3 | K163600 | Kit Boxes and Kit Plates | Nobel Biocare AB | 2018 | 18 | — |
| +3 | K170939 | Supplemental Instrument Trays | Nuvasive Specialized Orthopedics, Incorporated | 2017 | 0 | — |
| +3 | K163279 | Medtronic Transportation/Sterilization Cassettes | Medtronic Sofamor Danek USA, Inc. | 2017 | 4 | — |
| +3 | K140378 | Flexguide Ultra Beampath Robotic Fiber Conduit | Omniguide, Inc. | 2014 | 2 | — |
| +3 | K140494 | V-Pro Sterilization Tray/ Sterilization Mat | STERIS Corporation | 2014 | 7 | — |
| +3 | K133116 | Video Extended Length Tray (Plastic - Radel), Video Tray Single Level (Plastic - Radel)… | Conmed Corporation | 2014 | 0 | — |
| +3 | K131170 | Sonicision Sterilization Tray | Covidien, Formerly Valleylab, A Division of Tyco H | 2013 | 1 | — |
| +3 | K121904 | Gynecology Sterilization Tray | Smith & Nephew Inc., Endoscopy Division | 2013 | 0 | — |
| +3 | K123175 | Detachatip Iii Plus Instrument Tray Model 3-4343 | Conmed Corporation | 2013 | 0 | — |
| +3 | K120474 | Gyrus Acmi Telescope Storage-Sterilization Tray | Gyrus Acmi, Inc. | 2012 | 0 | — |
| +3 | K102544 | Smith & Nephew Hip Arthroscopy Repair Instrument Tray | Smith & Nephew Inc., Endoscopy Div. | 2011 | 0 | 1 |
| +3 | K102103 | Skeletal Dynamics Sterilization Trays | Skeletal Dynamics, LLC | 2010 | 4 | — |
| +4 | K253988 | LiteSet Trays | Nobel Biocare AB | 2026 | 0 | — |
| +4 | K251756 | Sterilization Trays | Paragon Implant Mfg., LLC | 2025 | 0 | — |
| +4 | K252594 | UltraGuideCTR® image guided soft tissue release system | Sonex Health | 2025 | 0 | — |
| +4 | K243589 | PAL Sterilization Case | Microaire Surgical Instruments, LLC | 2025 | 0 | — |
| +4 | K242417 | VECTR – Video Endoscopic Carpal Tunnel Release System | Rafael Medical Devices, LLC | 2024 | 0 | — |
| +4 | K203468 | TCAT TKA Instrument Tray | THINK Surgical, Inc. | 2021 | 0 | — |
| +4 | K212396 | UroLift System Rigid Retrieval Kit Sterilization Tray | Neotract, Inc. | 2021 | 0 | — |
| +4 | K201878 | ST-Z5 | Z-Systems AG | 2021 | 2 | — |
| +4 | K202268 | CrossRoads Tray System | Crossroads Extremity Systems, LLC | 2020 | 3 | — |
| +4 | K202270 | EZ-TRAX Stryker Mako Total Knee with Triathlon Containment Device | K1 Medical, LLC | 2020 | 2 | — |
| +4 | K193066 | Steripack cases and Tray Systems | Avalign Technologies, Inc. | 2020 | 0 | — |
| +4 | K190665 | Neodent Instrument Kit Cases | Jjgc Industria E Comercio DE Materiais Dentarios S.A. | 2019 | 0 | — |
| +4 | K182865 | Neodent Instruments Kits | Jjgc Industria E Comercio DE Materiais Dentarios S.A. | 2019 | 13 | — |
| +4 | K181075 | PureSet Tray | Nobel Biocare AB | 2018 | 5 | — |
| +4 | K180791 | Straumann BLX Surgical Cassette | Institut Straumann AG | 2018 | 11 | — |
| +4 | K173615 | Stryker Universal Select Sterilization Tray System | Paragon Medical | 2018 | 2 | — |
| +4 | K170777 | Bovie J-Plasma Precise FLEX Handpiece | Bovie Medical Corporation | 2017 | 1 | — |