510(k) Report

510(k) · Cleared

Cleared

Fossa Expanding Double Pigtail Ureteral Stent

K021140510(k) TraditionalCleared Jun 28, 200280-day reviewClass II21 CFR 876.4620

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

Fossa Industries, Inc. · FAD Stent, Ureteral

Cleared on Jun 28, 2002 after an 80-day review. The FDA summary names its predicate without a number. 2 later devices descend from it.

Decided
Jun 28, 2002
Review
80 days
Class
Class II
Product code
FAD
Recalls
None
Predicates
0

2 later devices descend from it, 2 citing it directly.

Descendants, by year cleared 2008: 1 descendant cleared2003: 1 descendant cleared200020052010201520202025
  1. This deviceK021140 Fossa Expanding Double Pigtail Ureteral StentFossa Industries, Inc. · 2002
  2. Descendant · cites it directly · 1 of its ownK033368 Fossa Ureteral Open Lumen StentFossa Medical, Inc. · 2003
  3. Descendant · cites it directly · 0 of its ownK072293 Fossa Ureteral Open StentsFossa Medical, Inc. · 2008

Most influential descendants

Showing 2 of 2 · See all
  • K033368Fossa Ureteral Open Lumen StentFossa Medical, Inc. · 2003 · cites it directly1descendant
  • K072293Fossa Ureteral Open StentsFossa Medical, Inc. · 2008 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K021140Fossa Expanding Double Pigtail Ureteral StentFossa Industries, Inc.2002—
+1K033368Fossa Ureteral Open Lumen StentFossa Medical, Inc.2003—
+1K072293Fossa Ureteral Open StentsFossa Medical, Inc.2008—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200310
200810
FIG. 1 — Lineage of K021140, 2002–2008Source: 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 FAD? 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 FAD device

  1. #1 K251890 Disposable Ureteral Stentsscore 12.4 · 6 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? (2)

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
*—Cook Double Pigtail Polyurethane Stent
Named without a submission number
—
*—Bard Double Pigtail Ureteral Stent
Named without a submission number
—

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K033368Fossa Ureteral Open Lumen StentFossa Medical, Inc.20031
K072293Fossa Ureteral Open StentsFossa Medical, Inc.20080

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?

  • Of its descendants, K033368 (Fossa Medical, Inc., 2003) has gone furthest, with 1 descendant of its own.

How does its category compare?

All FAD devices

FAD Stent, Ureteral: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · FAD

4in 2025

2007: 12008: 12010: 12014: 12016: 42017: 82018: 92019: 52020: 12021: 22022: 52024: 12025: 42026 (partial year): 1
2007high 9 (2018) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FAD

186in 2025

2016: 143 days median2017: 266 days median2018: 258 days median2019: 263 days median2022: 143 days median2025: 186 days median
2007high 266 (2017) · low 143 (2016)2026

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

Recalls per year · FAD

4in 2025

2007: 12008: 222009: 22010: 12016: 42019: 62020: 22021: 12022: 92025: 4
2007high 22 (2008) · low 0 (2011)2026

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

Adverse event reports per year · FAD

634in 2025

2007: 432008: 762009: 1232010: 782011: 952012: 1312013: 822014: 782015: 1302016: 1822017: 2652018: 2772019: 2612020: 3522021: 5312022: 5592023: 6912024: 6032025: 634
2007high 691 (2023) · low 43 (2007)2025

MAUDE reports naming product code FAD, 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—143
20081—2276
20090—2123
20101—178
20110—095
20120—0131
20130—082
20141—078
20150—0130
201641434182
201782660265
201892580277
201952636261
20201—2352
20212—1531
202251439559
20230—0691
20241—0603
202541864634
20261—0—

What is it indicated for?

The Fossa Double Pigtail Expanding Ureteral Stent is indicated for use as an indwelling ureteral catheter for drainage of urine from the kidney to the bladder.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K021140: Fossa Expanding Double Pigtail Ureteral Stent.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K021140

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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