# K023462: Impulse-Adjusting Instrument, CBP Adjusting Instrument, Neuromechanical Adjusting Instrument, Models 2003

- Pathway: 510(k) (Traditional)
- Applicant: Neuromechanical Innovations, LLC
- Decided: Jan 13, 2003 after 90 days
- Product code: LXM (Manipulator, Plunger-Like Joint)
- Device class: U
- Recalls of this device: none
- Data: FDA decisions to Oct 25, 2026; recalls to Oct 12, 2026

## Lineage
Longest line of descent: 2 generations back to K930431 (1994). 6 ancestors in all.
5 later devices descend from it; 3 cite it directly.
0 of 12 devices in its family (counting itself) have a Class I recall.

## Predicates on the family tree (from the FDA summary)
- K010851: Harrison Hand Held Adjusting Instrument, Harrison Cbp Seminars (2001)
- K001476: Torque Instrument, Model 8500, Spinalight, Inc. (2000)
- K930431: Arthrostim Manipulator, Freeman Procedure Seminars (1994) Summary page 1.
- K003185: FS Activator Iii, Activator Methods International, Ltd. (2001)
- K973506: Activator II, Activator Methods, Inc. (1998) Summary page 1.

## Most influential descendants
- K080261: Impulse IQ Adjusting Instrument (2008), 2 descendants of its own
- K072519: Activator V Spinal Adjusting Instrument (2007), 1 descendant of its own
- K160278: VSTAAR AdjusteR (2016), 0 descendants of its own
- K082218: Max Adjusting Instrument (2008), 0 descendants of its own
- K050428: Technology-Assisted Micro-Mobilization and Reflex Stimulator (Tamars) (2005), 0 descendants of its own

## Indications for use
ImpulseTM (aka NeuromechanicalTM, aka CBP') Adjusting Instrument is for adjustment, mobilization, or manipulation of the musculoskeletal joints of the spine and/or extremities by a licensed health care professional. The device is for external use only.

Source page: https://510kreport.com/device/K023462
Methodology: https://510kreport.com/methodology