510(k) Report

510(k) · Cleared

Cleared

Nxstage System One with Cartridge Express

K032356510(k) TraditionalCleared Oct 28, 200390-day reviewClass II21 CFR 876.5860

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

Nxstage Medical, Inc. · KDI Dialyzer, High Permeability With Or Without Sealed Dialysate System

Cleared on Oct 28, 2003 as substantially equivalent to K014152 (Nxstage Medical, Inc., 2002) and 1 other predicate after a 90-day review. Its family tree reaches back 3 generations to 1997. 6 later devices descend from it.

Decided
Oct 28, 2003
Review
90 days
Class
Class II
Product code
KDI
Recalls
None
Predicates
2

Its longest line of descent runs back 3 generations to K955592 (1997). 6 ancestors in all, the oldest K923312 (1994). 6 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1997: 1 other ancestor2001: 1 other ancestor1994: 1 other ancestor2005: 1 descendant cleared2006: 1 descendant cleared2019: 1 descendant cleared2024: 1 descendant cleared2013: 2 descendants clearedK955592 · Cobe Centrysystem 14 Pes Hemodialyzers · Cobe Renal Care, Inc. · 1997K982414 · Gambro Polyflux 11S, 14S, 17S & 21S Hemodialyzers/ Hemofilters · Gambro Healthcare · 1999K014152 · Nxstage Cartridge Express · Nxstage Medical, Inc. · 20021990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant3 generations forward: 4 descendants K014152 · Nxstage Cartridge Express · Nxstage Medical, Inc. · 2002K982414 · Gambro Polyflux 11S, 14S, 17S & 21S Hemodialyzers/ Hemofilters · Gambro Healthcare · 1999K955592 · Cobe Centrysystem 14 Pes Hemodialyzers · Cobe Renal Care, Inc. · 19970
  1. Root · 3 generations backK955592 Cobe Centrysystem 14 Pes HemodialyzersCobe Renal Care, Inc. · 1997
  2. 2 generations backK982414 Gambro Polyflux 11S, 14S, 17S & 21S Hemodialyzers/ HemofiltersGambro Healthcare · 1999
  3. 1 generation backK014152 Nxstage Cartridge ExpressNxstage Medical, Inc. · 2002
  4. This deviceK032356 Nxstage System One with Cartridge ExpressNxstage Medical, Inc. · 2003
  5. Descendant · cites it directly · 5 of its ownK050727 Modification to Nxstage Cartridge ExpressNxstage Medical, Inc. · 2005
  6. Descendant · 2 generations on · 4 of its ownK061837 Nxstage Cartridge ExpressNxstage Medical, Inc. · 2006 · Recalled
  7. Descendant · 3 generations on · 0 of its ownK232803 NxStage System One with Cartridge Express (CAR-170-E and CAR-172-E)Nxstage Medical, Inc. · 2024
  8. Descendant · 3 generations on · 0 of its ownK183158 NxStage Cartridge Express with SpeedswapNxstage Medical, Inc. · 2019 · Recalled
  9. Descendant · 3 generations on · 0 of its ownK131050 Nxstage 1.6M2 DialyzerNxstage Medical, Inc. · 2013

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2005: 12006: 12013: 22019: 12024: 1
2005high 2 (2013) · low 0 (2007)2026

Most influential descendants

Showing 5 of 6 · See all
  • K050727Modification to Nxstage Cartridge ExpressNxstage Medical, Inc. · 2005 · cites it directly5descendants
  • K061837Nxstage Cartridge ExpressNxstage Medical, Inc. · 2006 · 2 generations on4descendants
  • K232803NxStage System One with Cartridge Express (CAR-170-E and CAR-172-E)Nxstage Medical, Inc. · 2024 · 3 generations on0descendants
  • K183158NxStage Cartridge Express with SpeedswapNxstage Medical, Inc. · 2019 · 3 generations on0descendants
  • K131050Nxstage 1.6M2 DialyzerNxstage Medical, Inc. · 2013 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K955592Cobe Centrysystem 14 Pes HemodialyzersCobe Renal Care, Inc.1997—
−2K982414Gambro Polyflux 11S, 14S, 17S & 21S Hemodialyzers/ HemofiltersGambro Healthcare1999—
−1K014152Nxstage Cartridge ExpressNxstage Medical, Inc.2002—
0 (this device)K032356Nxstage System One with Cartridge ExpressNxstage Medical, Inc.2003—
+1K050727Modification to Nxstage Cartridge ExpressNxstage Medical, Inc.2005—
+2K061837Nxstage Cartridge ExpressNxstage Medical, Inc.20061
+3K232803NxStage System One with Cartridge Express (CAR-170-E and CAR-172-E)Nxstage Medical, Inc.2024—
+3K183158NxStage Cartridge Express with SpeedswapNxstage Medical, Inc.20191
+3K131050Nxstage 1.6M2 DialyzerNxstage Medical, Inc.2013—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199710
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200510
200610
201320
201910
202410
FIG. 1 — Lineage of K032356, 1997–2024Source: 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 KDI? 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 KDI device

  1. #1 K243874 FX CorAL 60 (F00012969); FX CorAL 80…score 18.2 · 12 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
*K014152Nxstage Cartridge Express
Summary page 2
…in design and configuration as compared to the predicate devices. There are no material changes to the NxStage Cartridge Express as described and cleared through K014152, as a result of this 510(k) submission. The only difference between the proposed Cartridge Express as compared to the predica…
Nxstage Medical, Inc.2002—
*K946279Prisma CFM (Continuous Fluid Management System)
Summary page 1
…marketed predicate devices previously cleared by FDA: NxStage Cartridge Express (KO14152, cleared 12/10/02) 0 Gambro Prisma CFM System Disposable Tubing Set (K946279, cleared 02/10/97) Traditional 51O(k) Confidential…
Cobe Renal Care, Inc.1997—

What descends from it? (6)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K050727Modification to Nxstage Cartridge ExpressNxstage Medical, Inc.20055

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 6 years and passes through 3 companies; a new generation was cleared every 1.9 years on median.
  • None of the 6 ancestors has a recall.
  • Of its descendants, K050727 (Nxstage Medical, Inc., 2005) has gone furthest, with 5 descendants of its own.

How does its category compare?

All KDI devices

KDI Dialyzer, High Permeability With Or Without Sealed Dialysate System: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · KDI

9in 2025

2007: 112008: 62009: 42010: 92011: 52012: 62013: 112014: 82015: 52016: 52017: 82018: 22019: 42020: 92021: 22022: 72023: 72024: 72025: 92026 (partial year): 6
2007high 11 (2007) · low 2 (2018)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KDI

199in 2025

2007: 91 days median2008: 148 days median2009: 236 days median2010: 186 days median2011: 85 days median2012: 153 days median2013: 247 days median2014: 164 days median2015: 69 days median2016: 230 days median2017: 188 days median2019: 263 days median2020: 266 days median2022: 259 days median2023: 157 days median2024: 235 days median2025: 199 days median2026 (partial year): 154 days median
2007high 266 (2020) · low 69 (2015)2026

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

Recalls per year · KDI

2in 2025

2007: 42009: 32010: 12011: 42012: 12013: 22014: 32015: 52016: 42017: 12018: 12019: 62021: 22022: 172023: 8, 8 Class I2024: 4, 2 Class I2025: 22026 (partial year): 2
2007high 17 (2022) · low 0 (2008)2026

Class I (10 since 2007) Class II/III not classified

Adverse event reports per year · KDI

2,786in 2025

2007: 9162008: 1,0422009: 5222010: 8232011: 2,2702012: 1,7652013: 2,3602014: 6,1542015: 4,1822016: 7662017: 9632018: 1,7162019: 1,5872020: 1,6332021: 1,9442022: 2,1802023: 2,6922024: 2,4412025: 2,786
2007high 6,154 (2014) · low 522 (2009)2025

MAUDE reports naming product code KDI, 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
200711914916
2008614801,042
200942363522
201091861823
201158542,270
2012615311,765
20131124722,360
2014816436,154
201556954,182
201652304766
201781881963
20182—11,716
2019426361,587
2020926601,633
20212—21,944
20227259172,180
202371578 (8)2,692
202472354 (2)2,441
2025919922,786
202661542—

What is it indicated for?

The NxStage System One is indicated for treatment of renal failure or fluid overload using hernofiltration, hemodialysis, and/or ultrafiltration. All treatments must be administered by a health care provider, under physician’s prescription.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K032356: Nxstage System One with Cartridge Express.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K032356

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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