510(k) Report

510(k) · Cleared

Cleared

Busse Umbilical Cord Clamp Cutter

K021055510(k) TraditionalCleared Apr 29, 200228-day reviewClass II21 CFR 884.4530

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

Busse Hospital Disposables, Inc. · HFW Clamp, Umbilical

Cleared on Apr 29, 2002 as substantially equivalent to K010835 (Busse Hospital Disposables, Inc., 2001) and 2 other predicates after a 28-day review. Its family tree reaches back 1 generation to 1978.

Decided
Apr 29, 2002
Review
28 days
Class
Class II
Product code
HFW
Recalls
None
Predicates
3

Its longest line of descent runs back 1 generation to K781548 (1978). 3 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2001: 1 other ancestor2000: 1 other ancestorK781548 · Umbilical Cord Clamp · Hollister, Inc. · 1978197519801985199019952000
Other ancestors, by generation 1 generation back: 2 other ancestors K781548 · Umbilical Cord Clamp · Hollister, Inc. · 19780
  1. Root · 1 generation backK781548 Umbilical Cord ClampHollister, Inc. · 1978
  2. This deviceK021055 Busse Umbilical Cord Clamp CutterBusse Hospital Disposables, Inc. · 2002
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K781548Umbilical Cord ClampHollister, Inc.1978—
0 (this device)K021055Busse Umbilical Cord Clamp CutterBusse Hospital Disposables, Inc.2002—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200010
200110
FIG. 1 — Lineage of K021055, 1978–2002Source: 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.

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  • Candidate predicates for a device like this, rankedin the report
  • Recall history across each candidate’s familyin the report
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What was it cleared against? (3)

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
*K010835Posi-Grip Umbilical Cord Clamp, Sterile, Model 384, Posi-Grip Umbilical Cord Clamp…
Summary page 1
…e Umbilical Cord Clamp Cutter Common Name/Classification Name: Umbilical Cord Clamp Cutter Predicate Device [21 CFR 807.92(a)(3)] e Busse Posi-Grip Umbilical Cord Clamp K010835 e Precision Dynamics Corporation Umbilical Cord Clamp Cutter K994263 e Hollister Umbilical Cord Clamp Cutter K781548 Description…
Busse Hospital Disposables, Inc.2001—
*K994263Securline Umbilical Cord Clamp Clipper #3540
Summary page 1
…cal Cord Clamp Cutter Predicate Device [21 CFR 807.92(a)(3)] e Busse Posi-Grip Umbilical Cord Clamp K010835 e Precision Dynamics Corporation Umbilical Cord Clamp Cutter K994263 e Hollister Umbilical Cord Clamp Cutter K781548 Description of the Device [21 CFR 807.92(a)(4)] The subject device is a cutter d…
Precision Dynamics Corp.2000—
*K781548Umbilical Cord Clamp
Summary page 1
…807.92(a)(3)] e Busse Posi-Grip Umbilical Cord Clamp K010835 e Precision Dynamics Corporation Umbilical Cord Clamp Cutter K994263 e Hollister Umbilical Cord Clamp Cutter K781548 Description of the Device [21 CFR 807.92(a)(4)] The subject device is a cutter designed to safely cut the umbilical cord clamp.…
Hollister, Inc.1978—

What descends from it?

No later submission names this one as a predicate yet.

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?

  • None of the 3 ancestors has a recall.

How does its category compare?

All HFW devices

HFW Clamp, Umbilical: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · HFW

FDA has decided no HFW device since 2007.

Median 510(k) review, days · HFW

Too few HFW 510(k)s in any year since 2007 to give a median.

Recalls per year · HFW

No recall names HFW since 2007.

Adverse event reports per year · HFW

2in 2024

2008: 32009: 32011: 32013: 42014: 12015: 12016: 12017: 22018: 72020: 12021: 12024: 2
2007high 7 (2018) · low 0 (2007)2025

MAUDE reports naming product code HFW, 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
20070—00
20080—03
20090—03
20100—00
20110—03
20120—00
20130—04
20140—01
20150—01
20160—01
20170—02
20180—07
20190—00
20200—01
20210—01
20220—00
20230—00
20240—02
20250—00
20260—0—

What is it indicated for?

The intended use is to cut the umbilical cord clamp off a newborn’s umbilical cord.

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. “K021055: Busse Umbilical Cord Clamp Cutter.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K021055

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026