510(k) Report

510(k) · Cleared

Recalled · Class I · 2023

Primary Care Solutions Prefilled 10CC and Prefilled 30CC Inflation Syringes with Sterile Water Catalog Numbers 1010 and

K030813510(k) TraditionalCleared May 30, 200377-day reviewClass II21 CFR 876.5130Recalls 27 (2 Class I)

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

Primary Care Solutions, Inc. · EZL Catheter, Retention Type, Balloon

Cleared on May 30, 2003 as substantially equivalent to K943836 (Orion Life Systems, Inc., 1994) after a 77-day review. Its family tree reaches back 1 generation to 1994. 1 of the 5 devices in its family, counting itself, has a Class I recall. 3 later devices descend from it. It has been recalled 27 times, including 2 Class I recalls.

Decided
May 30, 2003
Review
77 days
Class
Class II
Product code
EZL
Recalls
27 (2 Class I)
Predicates
1

Its longest line of descent runs back 1 generation to K943836 (1994). 3 later devices descend from it, 2 citing it directly. 1 of the 5 devices in this family, counting this one, has a Class I recall.

Descendants, by year cleared 2018: 1 descendant cleared2020: 2 descendants clearedK943836 · Pre-Filled 10CC Inflation Syringe W/Sterile Water · Orion Life Systems, Inc. · 19941990200020102020
Descendants, by generation 1 generation forward: 2 descendants2 generations forward: 1 descendant K943836 · Pre-Filled 10CC Inflation Syringe W/Sterile Water · Orion Life Systems, Inc. · 19940
  1. Root · 1 generation backK943836 Pre-Filled 10CC Inflation Syringe W/Sterile WaterOrion Life Systems, Inc. · 1994
  2. This deviceK030813 Primary Care Solutions Prefilled 10CC and Prefilled 30CC Inflation…Primary Care Solutions, Inc. · 2003
  3. Descendant · cites it directly · 1 of its ownK181814 AMSure Pre-filled Syringe for Balloon Inflation with Sterile WaterAmsino International, Inc. · 2018
  4. Descendant · cites it directly · 0 of its ownK202698 Prefilled SyringeHangzhou Primecare Medical Co., Ltd. · 2020
  5. Descendant · 2 generations on · 0 of its ownK200556 AquaFlate Pre-Filled Sterile Water Syringe 10mLH R Pharmaceuticals, Inc. · 2020

Most influential descendants

Showing 3 of 3 · See all
  • K181814AMSure Pre-filled Syringe for Balloon Inflation with Sterile WaterAmsino International, Inc. · 2018 · cites it directly1descendant
  • K202698Prefilled SyringeHangzhou Primecare Medical Co., Ltd. · 2020 · cites it directly0descendants
  • K200556AquaFlate Pre-Filled Sterile Water Syringe 10mLH R Pharmaceuticals, Inc. · 2020 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K943836Pre-Filled 10CC Inflation Syringe W/Sterile WaterOrion Life Systems, Inc.1994—
0 (this device)K030813Primary Care Solutions Prefilled 10CC and Prefilled 30CC Inflation Syringes…Primary Care Solutions, Inc.2003—
+1K181814AMSure Pre-filled Syringe for Balloon Inflation with Sterile WaterAmsino International, Inc.2018—
+1K202698Prefilled SyringeHangzhou Primecare Medical Co., Ltd.2020—
+2K200556AquaFlate Pre-Filled Sterile Water Syringe 10mLH R Pharmaceuticals, Inc.2020—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201810
202020
FIG. 1 — Lineage of K030813, 1994–2020Source: 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.

1 device in this family has a Class I recall. 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 EZL device

  1. #1 K260756 TraumaGuard Intra-Abdominal Pressure-Sensing…score 13.2 · 5 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? (1)

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
*K943836Pre-Filled 10CC Inflation Syringe W/Sterile Water
Summary page 1
…Inflation Class: I1 Reason for Application: New Devices to Primary C u e Solutions, Inc Predicate Dcvices. K943836 - Pre-Fillcd lOcc Inflation Syringe with Sterile Water…
Orion Life Systems, Inc.1994—

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K181814AMSure Pre-filled Syringe for Balloon Inflation with Sterile WaterAmsino International, Inc.20181
K202698Prefilled SyringeHangzhou Primecare Medical Co., Ltd.20200

Has anything in its family been recalled? (1 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Nov 6, 2023Class IZ-0515-2024Process controlSodium chloride irrigation USP, and sterile water for irrigation USP, that may be packaged inside kits, have the potential for a lack of sterility assurance, which could result in a nonsterile product, use of which could cause infection.
Nov 6, 2023Class IZ-0511-2024Process controlSodium chloride irrigation USP, and sterile water for irrigation USP, that may be packaged inside kits, have the potential for a lack of sterility assurance, which could result in a nonsterile product, use of which could cause infection.
Jan 22, 2016Class IIZ-1212-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1223-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1209-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1224-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1219-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1227-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1218-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1221-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1210-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1226-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1229-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1220-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1228-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1211-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1215-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1222-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1203-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1214-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1206-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1208-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1213-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1205-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1225-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1216-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria
Jan 22, 2016Class IIZ-1217-2016Nonconforming Material/ComponentAplicare Castile Soap towelettes included in the Foley Trays and Mid stream specimen kits are contaminated with bacteria

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Its one ancestor has no recall.
  • Of its descendants, K181814 (Amsino International, Inc., 2018) has gone furthest, with 1 descendant of its own.

How does its category compare?

All EZL devices

EZL Catheter, Retention Type, Balloon: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · EZL

1in 2025

2007: 72008: 22009: 42010: 12011: 22013: 32014: 22015: 32016: 12017: 22018: 92019: 32020: 42021: 22022: 22023: 32024: 52025: 12026 (partial year): 4
2007high 9 (2018) · low 0 (2012)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · EZL

123in 2024

2007: 186 days median2009: 114 days median2013: 151 days median2015: 132 days median2018: 177 days median2019: 266 days median2020: 137 days median2023: 282 days median2024: 123 days median2026 (partial year): 170 days median
2007high 282 (2023) · low 114 (2009)2026

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

Recalls per year · EZL

2in 2024

2019: 12023: 2, 2 Class I2024: 22026 (partial year): 2
2007high 2 (2023) · low 0 (2007)2026

Class I (2 since 2007) Class II/III not classified

Adverse event reports per year · EZL

1,381in 2025

2007: 82008: 62009: 62010: 272011: 792012: 652013: 992014: 2292015: 3032016: 3262017: 5712018: 6772019: 6712020: 7122021: 7022022: 8842023: 7722024: 1,0292025: 1,381
2007high 1,381 (2025) · low 6 (2008)2025

MAUDE reports naming product code EZL, 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
2007718608
20082—06
2009411406
20101—027
20112—079
20120—065
20133151099
20142—0229
201531320303
20161—0326
20172—0571
201891770677
201932661671
202041370712
20212—0702
20222—0884
202332822 (2)772
2024512321,029
20251—01,381
202641702—

What is it indicated for?

A sterile water pre-filled syringe for use in inflating foley catheter balloon

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K030813: Primary Care Solutions Prefilled 10CC and Prefilled 30CC Inflation Syringes with Sterile Water Catalog Numbers 1010 and.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K030813

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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