510(k) Report

510(k) · Cleared

Cleared

Twinheads TH-101 Extracorporeal Shock Wave Lithotripter

K030346510(k) TraditionalCleared May 2, 200388-day reviewClass II21 CFR 876.5990

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

Fmd, LLC · LNS Lithotriptor, Extracorporeal Shock-Wave, Urological

Cleared on May 2, 2003 as substantially equivalent to K003529 (Edap Technomed, Inc., 2001) and 1 other predicate after an 88-day review. Its family tree reaches back 1 generation to 2001. 3 later devices descend from it.

Decided
May 2, 2003
Review
88 days
Class
Class II
Product code
LNS
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K003529 (2001). 2 ancestors in all. 3 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2002: 1 other ancestor2004: 1 descendant cleared2011: 1 descendant cleared2005: 1 descendant clearedK003529 · Sonolith Praktis, Endourology Table Praktis · Edap Technomed, Inc. · 2001200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 3 descendants K003529 · Sonolith Praktis, Endourology Table Praktis · Edap Technomed, Inc. · 20010
  1. Root · 1 generation backK003529 Sonolith Praktis, Endourology Table PraktisEdap Technomed, Inc. · 2001
  2. This deviceK030346 Twinheads TH-101 Extracorporeal Shock Wave LithotripterFmd, LLC · 2003
  3. Descendant · cites it directly · 0 of its ownK111808 Sonolith I-MoveEdap Tms France · 2011
  4. Descendant · cites it directly · 0 of its ownK050091 Tripter-X1 Compact Duet SP (Separated Pulse)Direx Systems Corp. · 2005
  5. Descendant · cites it directly · 0 of its ownK042561 Twinheads TH-103 Extracorporeal Shock Wave LithotripterFmd, LLC · 2004

Most influential descendants

Showing 3 of 3 · See all
  • K111808Sonolith I-MoveEdap Tms France · 2011 · cites it directly0descendants
  • K050091Tripter-X1 Compact Duet SP (Separated Pulse)Direx Systems Corp. · 2005 · cites it directly0descendants
  • K042561Twinheads TH-103 Extracorporeal Shock Wave LithotripterFmd, LLC · 2004 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K003529Sonolith Praktis, Endourology Table PraktisEdap Technomed, Inc.2001—
0 (this device)K030346Twinheads TH-101 Extracorporeal Shock Wave LithotripterFmd, LLC2003—
+1K111808Sonolith I-MoveEdap Tms France2011—
+1K050091Tripter-X1 Compact Duet SP (Separated Pulse)Direx Systems Corp.2005—
+1K042561Twinheads TH-103 Extracorporeal Shock Wave LithotripterFmd, LLC2004—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200410
200510
201110
FIG. 1 — Lineage of K030346, 2001–2011Source: 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 LNS? 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 LNS device

  1. #1 K252913 Break Wavescore 15.5 · 7 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

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
*K003529Sonolith Praktis, Endourology Table Praktis
Summary page 1
…alence The Twinheads0 TH-101 ESWL is substantially equivalent to the following legally .. marketed devices: EDAP Technomed, Inc. - Sonolith Praktis (K003529) PCK Electronic Industry and Trade Co., Inc. - Stonelith V5 (KO1 11106) 4. Device description The TwinheadsB TH-101…
Edap Technomed, Inc.2001—
*K011106Stonelith, Model V5Pck Electronic Industry and Trade Co, Ltd.2002—

Also cleared against K003529: 3 other devices →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K111808Sonolith I-MoveEdap Tms France20110
K050091Tripter-X1 Compact Duet SP (Separated Pulse)Direx Systems Corp.20050
K042561Twinheads TH-103 Extracorporeal Shock Wave LithotripterFmd, LLC20040

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 2 ancestors has a recall.
  • Of its descendants, K111808 (Edap Tms France, 2011) has gone furthest, with 0 descendants of its own.
  • 3 other devices also cite its predicate K003529.

How does its category compare?

All LNS devices

LNS Lithotriptor, Extracorporeal Shock-Wave, Urological: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · LNS

1in 2025

2007: 42008: 22009: 12011: 32012: 32013: 22014: 22015: 22017: 22020: 12021: 12023: 22025: 12026 (partial year): 2
2007high 4 (2007) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LNS

111in 2012

2007: 146 days median2011: 307 days median2012: 111 days median
2007high 307 (2011) · low 111 (2012)2026

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

Recalls per year · LNS

1in 2015

2015: 1
2007high 1 (2015) · low 0 (2007)2026

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

Adverse event reports per year · LNS

61in 2025

2007: 42008: 102009: 22010: 152011: 212012: 202013: 182014: 212015: 222016: 502017: 542018: 592019: 602020: 382021: 552022: 522023: 862024: 402025: 61
2007high 86 (2023) · low 2 (2009)2025

MAUDE reports naming product code LNS, 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
2007414604
20082—010
20091—02
20100—015
20113307021
20123111020
20132—018
20142—021
20152—122
20160—050
20172—054
20180—059
20190—060
20201—038
20211—055
20220—052
20232—086
20240—040
20251—061
20262—0—

What is it indicated for?

The TwinheadsO TH-10 1 Extracorporeal Shock Wave Lithotripter is intended to

fragment urinary stones in the kidney (renal pelvis and renal calyces) and ureter

(upper, middle, and lower ureter).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K030346: Twinheads TH-101 Extracorporeal Shock Wave Lithotripter.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K030346

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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