510(k) Report

510(k) · Cleared

Cleared

Arthroscopy Pump, Model A107

K030402510(k) TraditionalCleared Apr 17, 200370-day reviewClass II21 CFR 888.1100

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

W.O.M. World of Medicine AG · HRX Arthroscope

Cleared on Apr 17, 2003 as substantially equivalent to K990443 (W.O.M. World of Medicine GmbH, 1999) and 1 other predicate after a 70-day review. Its family tree reaches back 4 generations to 1996. 29 later devices descend from it.

Decided
Apr 17, 2003
Review
70 days
Class
Class II
Product code
HRX
Recalls
None
Predicates
2

Its longest line of descent runs back 4 generations to K950035 (1996). 9 ancestors in all, the oldest K912453 (1991). 29 later devices descend from it, 5 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1995: 1 other ancestor1998: 1 other ancestor1994: 1 other ancestor1996: 1 other ancestor1991: 1 other ancestor2006: 1 descendant cleared2004: 1 descendant cleared2013: 2 descendants cleared2007: 1 descendant cleared2018: 6 descendants cleared2005: 2 descendants cleared2012: 1 descendant cleared2025: 1 descendant cleared2019: 4 descendants cleared2017: 2 descendants cleared2023: 2 descendants cleared2024: 3 descendants cleared2020: 1 descendant cleared2022: 1 descendant cleared2026: 1 descendant clearedK950035 · Surgiflator 20 · W.O.M. GmbH · 1996K955791 · Surgiflator-20 Pim · W.O.M. World of Medicine GmbH · 1996K981859 · Surgiflator-20 Ecu · W.O.M. World of Medicine GmbH · 1998K990443 · Arthro-Surgimat-2000 Ecu · W.O.M. World of Medicine GmbH · 19991990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors3 generations back: 1 other ancestor4 generations back: 1 other ancestor 1 generation forward: 5 descendants2 generations forward: 6 descendants3 generations forward: 8 descendants4 generations forward: 5 descendants5 generations forward: 4 descendants6 generations forward: 1 descendant K990443 · Arthro-Surgimat-2000 Ecu · W.O.M. World of Medicine GmbH · 1999K981859 · Surgiflator-20 Ecu · W.O.M. World of Medicine GmbH · 1998K955791 · Surgiflator-20 Pim · W.O.M. World of Medicine GmbH · 1996K950035 · Surgiflator 20 · W.O.M. GmbH · 19960+5
  1. Root · 4 generations backK950035 Surgiflator 20W.O.M. GmbH · 1996
  2. 3 generations backK955791 Surgiflator-20 PimW.O.M. World of Medicine GmbH · 1996
  3. 2 generations backK981859 Surgiflator-20 EcuW.O.M. World of Medicine GmbH · 1998
  4. 1 generation backK990443 Arthro-Surgimat-2000 EcuW.O.M. World of Medicine GmbH · 1999
  5. This deviceK030402 Arthroscopy Pump, Model A107W.O.M. World of Medicine AG · 2003
  6. Descendant · cites it directly · 15 of its ownK062380 Flosimple Arthroscopy Pump A120W.O.M. World of Medicine AG · 2006 · Recalled
  7. Descendant · 2 generations on · 14 of its ownK112642 Aquilex Fluid Control System H112W.O.M. World of Medicine AG · 2012
  8. Descendant · 3 generations on · 6 of its ownK123732 Hysteroscopy Pump HM6W.O.M. World of Medicine AG · 2013
  9. Descendant · cites it directly · 5 of its ownK123441 Stryker Crossflow Arthroscopy PumpStryker Endoscopy · 2013
  10. Descendant · 4 generations on · 4 of its ownK190372 Aveta SystemMeditrina, Inc. · 2019

Showing 5 of 29 descendants. See all descendants

Descendants cleared per year

2004: 12005: 22006: 12007: 12012: 12013: 22017: 22018: 62019: 42020: 12022: 12023: 22024: 32025: 12026: 1
2004high 6 (2018) · low 0 (2008)2026

Most influential descendants

Showing 5 of 29 · See all
  • K062380Flosimple Arthroscopy Pump A120W.O.M. World of Medicine AG · 2006 · cites it directly15descendants
  • K112642Aquilex Fluid Control System H112W.O.M. World of Medicine AG · 2012 · 2 generations on14descendants
  • K123732Hysteroscopy Pump HM6W.O.M. World of Medicine AG · 2013 · 3 generations on6descendants
  • K123441Stryker Crossflow Arthroscopy PumpStryker Endoscopy · 2013 · cites it directly5descendants
  • K190372Aveta SystemMeditrina, Inc. · 2019 · 4 generations on4descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K950035Surgiflator 20W.O.M. GmbH1996—
−3K955791Surgiflator-20 PimW.O.M. World of Medicine GmbH1996—
−2K981859Surgiflator-20 EcuW.O.M. World of Medicine GmbH1998—
−1K990443Arthro-Surgimat-2000 EcuW.O.M. World of Medicine GmbH1999—
0 (this device)K030402Arthroscopy Pump, Model A107W.O.M. World of Medicine AG2003—
+1K062380Flosimple Arthroscopy Pump A120W.O.M. World of Medicine AG20061
+2K112642Aquilex Fluid Control System H112W.O.M. World of Medicine AG2012—
+3K123732Hysteroscopy Pump HM6W.O.M. World of Medicine AG2013—
+1K123441Stryker Crossflow Arthroscopy PumpStryker Endoscopy2013—
+4K190372Aveta SystemMeditrina, Inc.2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110
199410
199510
199610
199810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200410
200520
200610
200710
201210
201320
201720
201860
201940
202010
202210
202320
202430
202510
202610
FIG. 1 — Lineage of K030402, 1996–2026Source: 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 HRX? 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 HRX device

  1. #1 K260203 Fule Vertebroplasty Balloon Catheterscore 14.9 · 11 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
*K990443Arthro-Surgimat-2000 Ecu
Summary page 1
…s 11. This device is described in 21 C.F.R. 9 888.1 100. The product code for the device is HRX. IV. Predicate Devices: 0 Arthro-Surgimat-2000 ECU (K990443) manufactured by W.O.M. WORLD OF MEDICINE AG 0 FMS DUO (K954465) manufactured by FUTURE MEDICAL SYSTEM,…
W.O.M. World of Medicine GmbH1999—
*K954465FMS Duo
Summary page 1
…e device is HRX. IV. Predicate Devices: 0 Arthro-Surgimat-2000 ECU (K990443) manufactured by W.O.M. WORLD OF MEDICINE AG 0 FMS DUO (K954465) manufactured by FUTURE MEDICAL SYSTEM, Inc. V. Intended Use: The Arthroscopy Pump A 107 is a dual arthr…
Future Medical Systems, Inc.19952

Also cleared against K990443: 1 other device →

What descends from it? (29)

See all 29

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

NumberDeviceApplicantDecidedDescendants
K062380Flosimple Arthroscopy Pump A120W.O.M. World of Medicine AG200615
K123441Stryker Crossflow Arthroscopy PumpStryker Endoscopy20135
K033927Arthoscopy Pump A115W.O.M. World of Medicine AG20043
K063326Conmed Linvatec 24K Irrigation SystemConmed Linvatec20071
K173311ARTHRO-Pump PA304W.O.M. World of Medicine GmbH20180

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?

  • The line of descent spans 7 years and passes through 3 companies; a new generation was cleared every 1.5 years on median.
  • 1 of the 9 ancestors has a recall of any class.
  • Of its descendants, K062380 (W.O.M. World of Medicine AG, 2006) has gone furthest, with 15 descendants of its own.
  • 1 other device also cites its predicate K990443.

How does its category compare?

All HRX devices

HRX Arthroscope: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · HRX

9in 2025

2007: 72008: 92009: 112010: 92011: 32012: 112013: 122014: 92015: 42016: 82017: 42018: 122019: 122020: 72021: 72022: 32023: 42024: 62025: 92026 (partial year): 7
2007high 12 (2013) · low 3 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HRX

107in 2025

2007: 89 days median2008: 115 days median2009: 139 days median2010: 114 days median2011: 84 days median2012: 102 days median2013: 90 days median2014: 140 days median2015: 132 days median2016: 89 days median2017: 97 days median2018: 101 days median2019: 45 days median2020: 141 days median2021: 57 days median2022: 89 days median2023: 249 days median2024: 110 days median2025: 107 days median2026 (partial year): 217 days median
2007high 249 (2023) · low 45 (2019)2026

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

Recalls per year · HRX

1in 2024

2007: 32008: 132009: 232010: 122011: 62013: 42015: 72018: 12021: 32024: 1
2007high 23 (2009) · low 0 (2012)2026

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

Adverse event reports per year · HRX

2,076in 2025

2007: 4212008: 4412009: 5582010: 6122011: 6312012: 7782013: 6782014: 8022015: 7632016: 4692017: 9342018: 1,5812019: 1,6762020: 1,7062021: 1,9082022: 1,4062023: 1,8522024: 2,4272025: 2,076
2007high 2,427 (2024) · low 421 (2007)2025

MAUDE reports naming product code HRX, 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
20077893421
2008911513441
20091113923558
2010911412612
20113846631
2012111020778
201312904678
201491400802
201541327763
20168890469
20174970934
20181210111,581
2019124501,676
2020714101,706
202175731,908
202238901,406
2023424901,852
2024611012,427
2025910702,076
202672170—

What is it indicated for?

The Arthroscopy Pump A107 is a dual arthroscopic pump system intended to provide fluid distension and irrigation of knee, shoulder, hip, elbow, ankle and wrist joint cavities and fluid suction during diagnostic and operative arthroscopic procedures.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K030402: Arthroscopy Pump, Model A107.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K030402

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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